scholarly journals TELEMEDICINE IN TIMES OF CORONAVIRUS DISEASE-19 AT A TERTIARY CARE GOVERNMENT HOSPITAL IN UTTAR PRADESH, INDIA

2020 ◽  
pp. 190-193
Author(s):  
ADITY PRIYA ◽  
KUNWAR VAIBHAV ◽  
SALIL KUMAR SRIVASTAVA ◽  
VIJAY KUMAR
Keyword(s):  
Tertiary Care ◽  
Uttar Pradesh ◽  
Cross Sectional ◽  
Medical College ◽  
Patient Diagnosis ◽  
Short Period ◽  
The Common ◽  
The Government ◽  
To Come ◽  
Clinical Continuum

Objective: The present study aimed to describe the common symptoms and diagnosis for each specialty which can be used in future for expansion of teleconsultation services and implementation of the E Sanjeevani model in health care. Methods: This is a cross-sectional observational study which comprises the data collected from various specialties over a 4-month period. The telemedicine consultations were given by the consultants of the concerned specialty in adherence to the telemedicine guidelines issued by the government and mostly generic names of the medicine were advised to the patients. The demographic details, chief complaint of the patient, diagnosis, and treatment were recorded. Results: The total number of calls which was received in 4 months period at the telemedicine center in Government Medical College, Ayodhya, was 4848. Maximum number of calls was attended by the department of obstetrics and gynecology which was 771 (15.9%). Coronavirus disease (COVID-19) had a substantial and transformative influence on routine clinical practice across the entire clinical continuum in a very short period of time. Conclusion: The use of telemedicine emerged as a critical tool to improve the provision of health services. The virtual media and other technologies that can be delivered to patients doorsteps need to strengthened. The trailer which telemedicine showed up in times of COVID-19 can definitely produce a good show in days to come with proper communication between the service provider and receiver.

Side Effects of Chemotherapy and Cancer Treatment in Tertiary Care Teaching Hospital

2016 ◽  
Vol 2 (1) ◽  
pp. 62-78
Author(s):  
. Hemraj ◽  
Raj Kumar ◽  
Sourabh Kosey ◽  
Amit Sharma ◽  
Nalini Negi
Keyword(s):  
Side Effects ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Informational Needs ◽  
Cross Sectional ◽  
Clinical Pharmacists ◽  
Medical College ◽  
Related Information ◽  
The Common ◽  
Chemotherapy Patients

To determine the most common physical side effects experienced by local chemotherapy patients. Their perceptions of these side effects and informational needs from clinical pharmacists were also evaluated. This was a single center, observational cross-sectional study conducted at department of General Surgery, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab. A face to face interview was conducted. Information collected included chemotherapy related side effects after last chemotherapy experience, the most worrisome side effects, overlooked by healthcare professionals and the preferred method, amount and source of receiving related information. In this study, hundred patients were enrolled out of them 48 were male and 52 were female. When differential calculations was done, common side effects or adverse effects of chemotherapy in the patients of breast, lung cancer, Ovarian Cancer, Colon cancer, Prostate cancer, Lymphoma Cancer, Cervix cancer where there is much irregular medicine intake 57.4% may be due to common problem of joint pain reported by all the patients under study, with the consecutive problem of nausea and vomiting. The high prevalence of chemotherapy related side effects among local patients is a major concern and findings of their perceptions and informational needs may serve as a valuable guide for clinical pharmacists and physicians to help in side effect management. This study shows the common problems reported by the patients when they are suffering from cancer condition, according to their incidence perceptions as experienced by the patient, this will allow the physician and clinical pharmacist to effectively counsel and manage the common symptoms as reported prior to its occurrence in the patient, so that withdrawal can be checked.

scholarly journals PATTERN OF CANCER CASES REGISTERED IN A TERTIARY CARE CENTER IN KATHUA DISTRICT OF J&K: A CROSS SECTIONAL STUDY

2020 ◽  
pp. 1-2
Author(s):  
Deepak Abrol ◽  
Anuj Kapoor ◽  
Pawan Kumar
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Age Group ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Medical College ◽  
Area Distribution ◽  
The Government

Introduction:Cancer is an important public health problem in India, with 10 lakh new cases occurring every year in the year. Cancer pattern varies in different regions and depends on genetic, environmental, dietary, social and other factors. Aim and objectives: This study was undertaken to determine magnitude and pattern of cancer cases reporting in the hospital. Methodology: This was a hospital-based retrospective study undertaken in the Government Medical College Kathua. GMC, Kathua is one among st the ve new medical colleges established in Jammu & Kashmir. The records of cancer patients generated from 1st November 2018 to 1 November 2019 were analyzed. All the cancer cases who reported either for diagnosis in any of the hospital OPD or for the treatment (radiotherapy/ chemotherapy/ surgery) were included. Data was entered in the MS Excel for analysis Results: Out of total 272 patients registered, females accounted for 56.6% and males for 43.3%. Hindu patients were in majority (84.2%). Most of the cases (37.1%) were in the age group 60-80. Pattern of cancer was different in the two sexes. In males, maximum cases were of lung cancer and in females, Ca breast was the most common followed by the cervical cancer Conclusion: This hospital-based study indicates the cancer prole in Kathua district. Females were found to be more affected than that of males with majority of the cases in the late 40s age group. Rural area and urban area distribution was found to be almost similar.

scholarly journals A study on initiation of breastfeeding: are children in India getting the best start?

2018 ◽  
Vol 5 (7) ◽  
pp. 3029
Author(s):  
Arvind Singh Kushwaha ◽  
Anshika Kushwaha ◽  
Neha Kushwaha
Keyword(s):  
Breast Milk ◽  
Breast Feeding ◽  
Economic Status ◽  
Tertiary Care ◽  
Care Hospital ◽  
Private Institutions ◽  
Cross Sectional ◽  
Medical College ◽  
Level Of Knowledge ◽  
The Government

Background: Giving colostrum to a newborn has been called the “first immunisation” of the child. Colostrum and breast milk have definite anti-infective properties and have shown to have an impact on reducing specific morbidity and mortality rates among infants. The objectives of the study were to determine the level of knowledge about early initiation of breast feeding amongst mothers and to study determinants of initiation of breast feeding.Methods: Cross-sectional analytical study was carried out at a tertiary care hospital of a medical college in Pune. Systematic random sampling method was used.Results: The subjects came predominantly from joint families, urban area, Hindu by religion and Class II Socio economic status (Kuppuswamy classification). Majority of (84.23%) mothers responded that they initiated breast feeding within 1 hour after birth. Most (95.25%) of the mothers agreed for giving colostrums. About half of the mothers interviewed believed that breast milk is more nutritious (49.5%) while 28% mothers said that feeding babies with breast milk protects them against infections.Conclusions: All doctors and paramedical personnel in the Government and private institutions ensure that lactation begins immediately after birth and prelacteal feeds are withheld.

scholarly journals COVID 19 Pandemic: Impact on Admission, Diagnosis and Treatment of Non-Covid 19 Patients Admitted in SARI ICU

2020 ◽  
Author(s):  
Sunil Ravindranath ◽  
Bhumika Tumkur Venkatesh ◽  
Margiben Tusharibai Bhatt ◽  
Amitha Puranik ◽  
Shwethapriya Rao ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Respiratory Illness ◽  
Diagnosis And Treatment ◽  
Admission Diagnosis ◽  
Cross Sectional ◽  
Economic Implications ◽  
Medical College ◽  
Severity Scores ◽  
The Government ◽  
The Impact

Abstract BackgroundHealthcare systems worldwide are overwhelmed in the treatment of ever-increasing number of COVID 19 patients which has affected the management of non COVID 19 patients as well. We tested the adherence to Severe Acute Respiratory Illness (SARI) definition laid down by The Government of India for triaging of suspected COVID 19 cases, and the impact of this strategy on the non covid patients admitted to SARI ICU as suspected cases of covid 19 disease.MethodsA cross-sectional study was conducted to reflect the appropriateness and adherence of SARI definition in two tertiary care medical college hospitals in triaging COVID 19 suspect cases and assessed the challenges in admission, diagnosis and treatment of non COVID 19 diseases. The study involved 78 patients in two multidisciplinary units of medical college hospitals in the month of June – July 2020. Data related to demographics, severity of illness, advanced life supports required, delay in diagnosis, intervention and treatment of patients in SARI ICU due to suspect COVID 19 status was documented. ResultsAdherence to SARI definition for triaging COVID suspect cases was 19.2%. Respiratory symptoms amounted to 24% of presenting complaints. Despite hindrance in the diagnosis (17.9%) and treatment (12.8%), mortality among patients in SARI ICU was limited to 14.10%. The results were in-significant when checked for the various factors associated with mortality.ConclusionThe adherence to SARI definition while triaging COVID suspect cases to intensive care units was low among the clinicians. There were hindrances in the diagnosis and treatment of non COVID diseases due to COVID suspect status of the patient. However, treatment outcomes of these patients were comparable to critically ill population with similar disease severity scores suggesting that quality of care may not have been compromised despite the pandemic. Poor adherence to SARI definition while triaging might have led to economic implications on patients and healthcare systems but further studies are required to comment regarding the same.

scholarly journals Clinico-epidemiological study of mask induced acne due to increased mask use among health care workers during COVID pandemic in a tertiary care institute

2020 ◽  
Vol 7 (1) ◽  
pp. 48
Author(s):  
Ramesh Aravamuthan ◽  
Shabari Arumugam
Keyword(s):  
General Hospital ◽  
Acne Vulgaris ◽  
Tertiary Care ◽  
Female Gender ◽  
Cross Sectional ◽  
Web Based ◽  
Medical College ◽  
The Common ◽  
Madras Medical College ◽  
Study Participants

<p><strong>Background:</strong> Acne vulgaris is a self-limiting, multifactorial disorder affecting the sebaceous glands and pilosebaceous follicles. Regular wearing of mask during this COVID-19 pandemic has resulted in increased incidence of acne flare. The objective is to study the incidence and the clinic-epidemiological factors associated with mask induced acne.</p><p><strong>Methods:</strong> This is a cross sectional web-based survey conducted at Madras medical college and Rajiv Gandhi government general hospital during August 2020. The clinic-epidemiological details were collected from the 215 post-graduates of Madras medical college and Rajiv Gandhi government general hospital in a pre-set questionnaire.</p><p><strong>Results:</strong> Among 215 study participants, 134 (62.3%) reported mask induced acne. Female gender has a statistically significant association. Itching was the most common complaint. Cheeks, chin and bridge of the nose were the common site of lesions. Comedone and papules were the common presenting lesions. Premenstrual flare and psychological stress had a statistically significant association.</p><p dir="ltr"><strong>Conclusion:</strong> Mask induced acne has various factors like micro-climate theory, hydration of keratin, mechanical occlusion of pilosebaceous unit pores, seborrhoea, ambient high humidity due to sweating involved in its pathogenesis. Although wearing a mask is extremely important to our fight against COVID-19, the general public should be aware of proper and rational mask wearing.</p>

scholarly journals Endoscopic findings in uninvestigated dyspepsia patients

2019 ◽  
Vol 6 (4) ◽  
pp. 1051
Author(s):  
Thyagaraja K. ◽  
Venkatakrishna Bhat S. ◽  
Stephan Benny
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Outpatient Basis ◽  
Cross Sectional ◽  
Medical College ◽  
Endoscopic Findings ◽  
Resource Limited ◽  
Large Tertiary Care ◽  
The Common ◽  
H Pylori

Background: Dyspepsia is a frequent syndrome in our country where there are limitations for endoscopy and there is high burden of H. pylori infection. It is important to establish the causes of dyspepsia hence therapeutic approach will be easier. Aim of the study was to find out the common endoscopic findings in a patient with dyspepsia symptoms large tertiary care hospital.Methods: A cross-sectional study was conducted on 184 patients either admitted or seen on outpatient basis at the Basaveswara medical college and research institute, Chitradurga with the upper GI symptom dyspepsia and the data was analysed using appropriate statistical methods.Results: Out of 184 patients who underwent Esophagogastroduodenoscopy (EGD scopy) 62% were male and 61% were 31-59year old. The common pathological findings in dyspeptic patients were gastritis and esophagitis.Conclusions: The following insights/observations were made during the course of this study→ dyspepsia is usually caused by H. pylori gastritis, eradication of which relieves the symptom in this observation. Many a times dyspepsia found to have normal study. Hence wise referral for endoscopy is a key in resource limited setup.

Comparison of Heffner Criteria and Light Criteria in Differentiating Exudative and Transudative Pleural Effusion

2020 ◽  
Vol 22 (3) ◽  
pp. 141-145
Author(s):  
Krishna Chandra Devkota ◽  
S Hamal ◽  
PP Panta
Keyword(s):  
Pleural Effusion ◽  
Cross Sectional Study ◽  
Pleural Space ◽  
Sectional Study ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Medical College ◽  
The Common ◽  
The Mean ◽  
Exudative Pleural Effusion

Pleural effusion is present when there is >15ml of fluid is accumulated in the pleural space. It can be divided into two types; exudative and transudative pleural effusion. Tuberculosis and parapneumonic effusion are the common cause of exudative pleural effusion whereas heart failure accounts for most of the cases of transudative pleural effusion. This study was a hospital based cross sectional study performed at Nepal Medical College during the period of January 2016-December 2016. A total of 50 patients who fulfilled the inclusion criteria were enrolled. Pleural effusion was confirmed by clinical examination and radiology. After confirmation of pleural effusion, pleural fluid was aspirated and was analysed for protein, LDH, cholesterol. The Heffner criteria was compared with Light criteria to classify exudative or transudative pleural effusion. Among 50 patients, 30 were male and 20 were female. The mean age of patient was 45.4±21.85 years. The sensitivity and specificity of using Light criteria to detect the two type of pleural effusion was 100% and 90.9%, whereas using Heffner criteria was 94.87%, 100% respectively(P<0.01). There are variety of causes for development of pleural effusion and no one criteria is definite to differentiate between exudative or transudative effusion. In this study Light criteria was more sensitive whereas Heffner criteria was more specific to classify exudative pleural effusion. Hence a combination of criteria might be useful in case where there is difficulty to identify the cause of pleural effusion.

Knowledge, Attitude and Practices of Pharmacovigilance among Doctors at a Tertiary Care Teaching Hospital Birgunj, Nepal

Med Phoenix ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 14-18
Author(s):  
Smita Singh ◽  
Deependra Prasad Sarraf ◽  
Prabin Singh ◽  
Pragati Poudyel
Keyword(s):  
Teaching Hospital ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Medical College ◽  
National Medical

Introduction: Pharmacovigilance helps in the detection and prevention of adverse effects of drugs. For the effectiveness of this program, health care professionals should report adverse drug reactions (ADRs) considering it as their moral and professional obligation. The objective of the study was to assess the knowledge, attitude, and practices (KAP) of the doctors towards ADRs and pharmacovigilance in  National Medical College Teaching Hospital (NMCTH), a tertiary care teaching hospital situated in the Narayani zone. Materials and Methods: A cross-sectional study was carried out using a self-administered questionnaire consisting of four parts; first part included a demographic profile of participants, the second part consisted of ten questions for the assessment of the knowledge about pharmacovigilance, third part comprised of six questions on attitude and fourth part consisted of five questions on practice. The results were depicted in the form of percentages for each KAPs questionnaire.   Results: The response rate of participants was 85.16%. Pharmacovigilance was correctly defined by 52%. Department of drug administration was responsible for monitoring ADRs in Nepal was correctly given by 80%. Only 8% had reported ADRs, although 62% had encountered an ADR in their clinical practice. Conclusion: The doctors at NMCTH had a poor KAP towards pharmacovigilance and educational intervention is needed for the proper functioning of this program.

SOCIODEMOGRAPHIC AND ANTHROPOMETRIC PROFILE OF DIABETIC PATIENTS ATTENDING IN A DIABETIC CLINIC IN A TERTIARY MEDICAL COLLEGE AND HOSPITAL, WEST BENGAL

2021 ◽  
pp. 12-15
Author(s):  
Smarajit Banik ◽  
Sandip Saha ◽  
Sudipan Mitra ◽  
Ujjwal Pattanayak ◽  
Rajib Sikder ◽  
...  
Keyword(s):  
West Bengal ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Diabetes Clinic ◽  
Cross Sectional ◽  
Medical College ◽  
Study Participants

Background: Diabetes mellitus is one of the important causes of morbidity and mortality. With a rise in non communicable diseases in India, diabetes has become a modern epidemic showing a rising trend in West Bengal also. A large number of diabetes patients come to the diabetes clinic of our tertiary care hospital in North Bengal Medical College and Hospital, Darjeeling, West Bengal. The large proportion of patients presenting with this condition prompted us to study the Sociodemographic and Anthropometric Prole of such patients. Methods: This was a descriptive hospital based cross sectional study involving a total of 344 diabetic patients enrolled in the diabetes clinic of a tertiary care teaching hospital from December 2019 to February 2020. A self-administered questionnaire was used to collect data and was analyzed in Microsoft excel sheet and using SPSS 20.0 software. Results: Among the 344 study participants, we found that 220 (63.95%) were males and 124 (36.05%) were females. Diabetes was more common among those aged 51-60 years 108 (31.40%). Family history was present among 188 (54.65%) of the diabetic patients. Almost 160 (46.51%) patients have diabetes 1.1 – 5 years. Hypertension was present among 216 (62.79%) patients. Almost 218 (63.37%) of the patients were overweight and 84 (24.42%) were obese. Conclusions: The diabetic patients presenting to this tertiary care hospital belong lower socioeconomic strata and having limited education in their age group. There is high proportion of obesity and hypertension among them.

scholarly journals Clinical and Etiological Profile of Mycotic Keratitis from a Tertiary Care Centre in South India

2021 ◽  
Vol 10 (27) ◽  
pp. 2001-2006
Author(s):  
John Britto Augustin ◽  
Sureshbaboo Variamkandi
Keyword(s):  
Risk Factors ◽  
Corneal Ulcer ◽  
Fusarium Species ◽  
Tertiary Care ◽  
Government Medical College ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Medical College ◽  
Corneal Ulcers ◽  
Prompt Treatment

BACKGROUND Corneal ulcer is the leading cause of ocular morbidity and monocular blindness worldwide. To effectively prevent blindness in patients with corneal ulcer, a proper understanding of the risk factors predisposing to ulceration, its clinical and microbiological characteristics are essential. Timely identification of aetiological agents causing corneal ulcers and their prompt treatment helps to save the vision. We wanted to detect aetiological agents of corneal ulcer with special references to fungal causes and characterize the fungal aetiological agents to species level. METHODS This is a cross sectional study, conducted in Government Medical college, Kozhikode, between January 2016 and June 2017. All patients who were clinically diagnosed as cases of infectious corneal ulcer in the Ophthalmology department, Government Medical College, Kozhikode were included in the study. Corneal scrapings collected from the infected eye were subjected to microbiological examination and culture. A total of 120 cases were analysed. Each patient was examined with the slit lamp bio microscope after staining with fluorescein. Scrapings from cornea at the site of corneal ulcer were collected by ophthalmologist after a detailed clinical history and examination of the affected eye. The laboratory procedures used in the diagnosis of infectious keratitis were based on direct visualization of organisms by subjecting corneal scrapings to Gram stain and KOH wet mount and inoculation of material on to blood agar and Sabouraud dextrose agar. RESULTS Among the 120 cases, a total of 49 cases were culture positive. Twenty-one [17.5 %] were bacterial, twenty-two [18.34 %] were fungal and six [5.0 %] were poly microbial [bacteria and fungus]. Among the fungal aetiology, fusarium species was most common [32.14 %], followed by aspergillus species - 25.0 %. Trauma was the major risk factor. Diabetes mellitus, exposure keratitis were the other comorbidities / risk factors. CONCLUSIONS This study shows majority of infected corneal ulcers are associated with risk factors and the aetiology are mainly fungi. Microscopy, culture, and clinical correlation helped in adequate management. Thus, prognosis and outcome of corneal ulcers rely on timely identification of their aetiology and prompt treatment. KEY WORDS Corneal ulcer, Fungal Keratitis

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