Socio-Demographic Profile and Self-Injurious Behavior among Patients with Mania at a Tertiary Care Hospital

Background: Mania is a common mood disorder. Mania associated with distractibility, irritability, impulsive behavior, great physical and mental activity. Irritability and impulsive behavior can lead to variable degree of self-injurious behavior. Self-injurious behavior more troublesome to patient and family members, there is a lack of proper research in the field of self-injurious behavior and mania. Objective: To assess the sociodemographic profile of self- injurious behavior in mania and self- injurious behavior in relation to severity of mania. Methods: Present study was a hospital based cross sectional study. The study was conducted at a tertiary care psychiatric hospital for a period of 6 months. 40 Patients with bipolar affective disorder with currently Mania with or without psychosis were included in the study. Patients with other psychiatric disorder were excluded from the study. Results: The mean age of study subjects was 29.75+7.012. The overall prevalence of self-injurious behavior among patients with mania was 37.5%. Cutting was seen in 4 males and 4 female patients. Burned with a cigarette and Burned with a lighter was seen only in one male patient. The age of onset of cutting and banged was seen at around 26 years of age. Total duration of mania for cutting was around 14 years and 17 years for head banged. Conclusion: The overall prevalence of self-injurious behavior among patients with mania was 37.5%. This was more in females as compared to males. But the difference is narrow and cannot be statistically significant.

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The profile of patients’ complaints in a tertiary care hospital in South India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20183099 ◽

2018 ◽

Vol 5 (8) ◽

pp. 3567

Author(s):

Mohammed Jezeel Nalakath ◽

P. M. Thasneem ◽

K. V. Deepak ◽

N. A. Uvais

Keyword(s):

Medical Staff ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

High Standard ◽

Cross Sectional Study ◽

High Rate ◽

Care Hospital ◽

Cross Sectional ◽

Study Results ◽

Research Population

Background: Complaints from patients and their carers are important indicators of problems in a healthcare system and provide valuable insights into safety-related problems within healthcare organisations. The objectives of the present study are to identify the frequency distribution of the people complained about, the units complained about and the total number of complaints.Methods: We employed a descriptive, cross-sectional study to conduct this research. The research population included cases registered at the complaints unit of a tertiary care hospitals in selected months of May 2017 to August 2017. The data were collected through observation of available documents. Excel software program was used for data analysis.Results: The administration received 692 complaints between the study period. The highest rate of complaints was filed against admission process (30.06%) and the lowest rate of complaints are filed against staff (2.51%). Our study results showed a significantly less complaints against nursing staff and no complaints against medical staff, indicates that the nursing and medical staff of the hospital might be observing medical ethics and professional commitment to a high standard and communicating well with the patients. High rate of complaints against admission unit, house keeping unit and high billing amount indicates the unrealistic expectations prevailing in the minds of clients from the health care provider.Conclusions: The current study generated the profile of patient’s complaints in a tertiary care hospital running in a charitable model. Such data can be utilised to identify common problems and to plan strategies.

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Clinico-etiological study of erythroderma cases from tertiary care hospital, Chitradurga, Karnataka, India

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20202655 ◽

2020 ◽

Vol 6 (4) ◽

pp. 502

Author(s):

Harish Gangaraju ◽

Raghu M. T. ◽

Yogendra M. ◽

Virupakshappa H. E. ◽

Ashwini S. ◽

...

Keyword(s):

Age Of Onset ◽

Histopathological Examination ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Drug Induced ◽

College Hospital ◽

Cross Sectional ◽

Female Ratio ◽

Histopathological Correlation

Background: Erythroderma is a cutaneous morphological reaction pattern of skin having many underlying causes and finding the etiology helps in the proper management of erythroderma cases.Methods: A cross sectional study was performed at the department of dermatology, Basaveshwara Medical College, Hospital and Research center, Chitradurga. Authors studied 30 consecutive cases of erythroderma from July 2017 to June 2019 with respect to the epidemiological, clinical and histological data. Clinico-histological correlation was analyzed for etiology of erythroderma.Results: The mean age of onset was 35.03 years with a male to female ratio of 3:2. In addition to erythrema and scaling that were present in all patinets, other co-existent features included were pruritus (43.3%), fever (23.3%), and edema (16.7%). Of the pre-existing dermatoses, psoriasis was the most common (36.6%) disease followed by eczema (26.7%), drug-induced erythroderma (16.7%), colloidan baby (3.3%), pityriasisrubrapilaris (3.3%) and in 13.3% of cases, etiology could not be ascertained. Clinico-histopathological correlation could be established in 73.3% of cases.Conclusions: In all erythroderma cases cutaneous features were identical irrespective of etiology. Detailed history, clinico-histopathological examination and other necessary haematological investigations helps to establish the etiology of erythroderma which helps in further management.

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Assessment of COVID-19 Management at Saidu Group of Teaching Hospital Swat: Analytical Cross-Sectional Study

Pakistan Journal of Public Health ◽

10.32413/pjph.v11i2.726 ◽

2021 ◽

Vol 11 (2) ◽

pp. 102-106

Author(s):

Akhtar Ali Khan ◽

Anwar Ali ◽

Hussan Zeb ◽

Bakht Rahman ◽

Ijaz Arif ◽

...

Keyword(s):

Teaching Hospital ◽

Tertiary Care ◽

Treatment Protocol ◽

Target Population ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Presenting Symptoms ◽

Study Results

Background: This research aimed to assess the current care management processes for COVID-19 and determine patient outcomes. Methods: An analytical cross-sectional study was conducted at Saidu group of teaching hospital, a tertiary care hospital with more than a thousand-bed capacity. The target population was all patients admitted to the corona isolation ward and the hospital's critical unit. All the patients admitted through the emergency and inpatient department with Positive PCR, and respiratory symptoms were included in the study. Results: In total, data of 151 patients were collected. Of these, 90 (59.6%) were male and 61 (40.4%) were female with a mean age of 59.17±13.79. The most common presenting symptoms were difficulty in breathing (n=147, 97.4%) and dry cough (n=104, 68.9%), followed by aches and pain (n=71, 47%) and fever (n=60, 39.7%). Most of the patients had an underlying health condition (n=96, 63.6%). The most common underlying conditions were hypertension (n=65, 43%) and diabetes (n=56, 37.1%). The mean time for the hospital stay was 11.68±15.31. About 64% of the patients recovered with the treatment and care protocols (n=97, 64.2%), while the remaining (n=54, 35.8%) died. Conclusion: This study provides an overview of the clinical presentation and treatment protocol for COVID-19. Most of the patients received supportive treatment comprising of antivirals, steroids, and oxygen therapy. However, the mortality rate was low compared to other hospitals across the country.

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Prescribers Perception on Drug Promotional Literatures in A Tertiary Care Hospital in Nepal

Journal of Nepal Health Research Council ◽

10.33314/jnhrc.v19i1.3417 ◽

2021 ◽

Vol 19 (1) ◽

pp. 19-25

Author(s):

Pravin Prasad ◽

Anish Mudvari ◽

Rakesh Ghimire ◽

Naresh Karki ◽

Dipendra Yadav ◽

...

Keyword(s):

Teaching Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

University Teaching ◽

Care Hospital ◽

Cross Sectional ◽

Clinical Exposure ◽

Study Results ◽

Ethical Criteria ◽

Types Of Information

Background: Drug promotional literatures can often be misleading and have biased information and can contribute to irrational use of medicines. Thus, it is necessary that prescribers critically analyze the drug promotional literatures presented to them. This study attempts to understand if the prescribers at Tribhuvan University Teaching Hospital are aware about the necessary information that should be present in a drug promotional literature.Methods: A descriptive cross-sectional study was conducted over six months in which prescribers at Tribhuvan University Teaching Hospital were provided with the self-administered questionnaire and were requested to submit the filled in questionnaire. Prescribers presently working at Tribhuvan University Teaching Hospital, attending out patient department services and had received drug promotional literatures within last six months were included in this study. Results: During the study, 163 of the received questionnaires met the inclusion criteria and were utilized for analysis. Advertisement, reminder items and others type of drug promotional literatures were commonly received by prescribers included in our study. Higher proportion of faculties (35.29%) preferred reprint type of drug promotional literatures. Most of the participants (47.85%) searched for 5-8 WHO-Ethical Criteria for Medicinal Drug Promotion criteria when referring a drug promotional literature. It was seen that 42.94% of prescribers realised that at least two out of four types of information related to negative attribute of the promoted medicines were missing.Conclusions: The prescribers with least duration of clinical exposure are more likely to always prescribe the medicines promoted to them. Prescribers were more confident on claims made in drug promotional literatures if they were supported using scientific evidences.Keywords: Drug promotional literatures; prescriber perception;WHO-ECMDP

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A Cross-Sectional Study to Determine the Prevalence of Gastroesophageal Reﬂux in Children with Persistent Cough and Wheezing

Asian Journal of Clinical Pediatrics and Neonatology ◽

10.47009/ajcpn.2020.8.4.8 ◽

2020 ◽

Vol 8 (4) ◽

pp. 36-40

Author(s):

Praveen P N ◽

Kushvanth K N ◽

Ashish Mallige

Keyword(s):

Gastroesophageal Reflux ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Healthy Infants ◽

Study Results ◽

High Prevalence ◽

Persistent Cough

Background: Gastroesophageal reflux (GER) occurs in more than two-thirds of otherwise healthy infants and is the topic of discussion with pediatricians at one-quarter of all routine 6-month infant visits. GER is considered a normal physiologic process that occurs several times a day in healthy infants, children, and adults. GER is generally associated with transient relaxations of the lower esophageal sphincter independent of swallowing, which permits gastric contents to enter the esophagus. The Objective to find out the prevalence of GER in children with cough and wheezing and its associated factors. Subjects and Methods: A cross-sectional study was done at A tertiary care hospital at the Institute of Naval Medicine, INHS, Mumbai from August 2016 to December 2017. A total of 30 study subjects Aged between the age of one to twelve years with persistent cough and wheezing lasting for more than three months despite treatment were included for the study. Results: The prevalence of gastroesophageal reflux (GER) in our study was 63.3%.The logistic regression analysis showed that Age, Height, Weight, BMI, duration of cough, Duration of asthma were not significantly associated with Gastroesophageal reflux (GER) (p>0.05). Conclusion: GER seems to have a high prevalence in children with chronic cough. However, no definite recommendations can be made regarding the management of such cases from our study.

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A cross sectional study on clinical profile of endoscopic proven gastroesophageal reflux disease

International Surgery Journal ◽

10.18203/2349-2902.isj20191027 ◽

2019 ◽

Vol 6 (4) ◽

pp. 1153

Author(s):

Anshuman . ◽

S. R. Kulkarni

Keyword(s):

Gastroesophageal Reflux Disease ◽

Gastroesophageal Reflux ◽

Reflux Disease ◽

Tertiary Care ◽

Gastrointestinal Diseases ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Female Ratio ◽

Study Results

Background: Gastroesophageal reflux disease (GERD) is one of the main gastrointestinal diseases. It is due to the abnormal reflux of gastric contents into the esophagus or beyond. It has many symptoms and also many complications.Methods: Authors carried out this study to know the common symptoms, complications of GERD and the endoscopic study results regarding the same. 100 patients attending the surgery department at a tertiary care hospital were included in the study.Results: Mean age of participants was 54.09±14.75 years. Authors divided the 100 patients into two groups, GERD with complications (28 patients) and GERD without complications (72 patients). In the present study, out of 100 GERD patients, 73 patients were males (73%) and 27 patients were females (27%) with male to female ratio of 2.7:1. In this study, among 100 GERD patients, body mass index was <25 in 70 patients (70%) and ≥25 in 30 patients (30%). Heartburn was present in 72% patients, regurgitation in 71%, retrosternal chest pain was seen in 68% patients and dysphagia was seen in 29%. Out of 100 GERD patients, 16 patients (16%) had esophageal ulcers, 8 patients (8%) had Barrett’s esophagus, 4 patients (4%) had esophageal stricture and 72 patients (72%) didn’t have any complications.Conclusions: Age and BMI (both p <0.001) of the patients showed significant statistical difference between two groups. Some other studies also showed similar results with higher complications seen in increasing age and increased frequency of symptoms.

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Neurosurgical burden of hydrocephalus in a tertiary care hospital in the developing world.

The Professional Medical Journal ◽

10.29309/tpmj/2020.27.03.3699 ◽

2020 ◽

Vol 27 (03) ◽

pp. 588-593

Author(s):

Bilal Khan ◽

Muhammad Usman Khan ◽

Aftab Ahmad ◽

Usman Haqqani

Keyword(s):

Developing World ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Female Ratio ◽

Study Results ◽

Age Range ◽

Male To Female

Objectives: To know about the Neurosurgical burden of Hydrocephalus in a tertiary care hospital, in developing world. Study Design: Cross sectional study. Setting: Department of Neurosurgery, MTI/LRH Peshawar. Period: September 2015 to August 2016. Material & Methods: The age, gender, indication for surgery, type of surgery and mode of surgery i.e. whether as elective or emergency, was recorded on a proforma. All patients undergoing surgery primarily for hydrocephalus due to any cause were included in the study. Patients undergoing surgery for indications other than hydrocephalus as well as patients primarily explored for other etiologies and intervened for hydrocephalus in the midst of procedure were excluded from the study. Results: During the study period a total of 2844 patients were operated and amongst them were 437 (15.34%) cases operated for hydrocephalus. Of them were 242 males and 195 females, and the male to female ratio was 1.24. The age range was one month to 68 years and the mean age was 5±4.8 years. There were 250 new shunts and 69 revisions and 13 removal procedures, 70(2.4%) endoscopic hydrocephalus related procedures, 28 external ventricular drains and 7 lumboperitoneal shunts. 189 cases were done on elective list while 248 as emergency. Conclusion: Every 3rd case done on emergency list and every 10th case done on elective list was related to hydrocephalus and accounted for 16% of all the cases done in the neurosurgery.

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Frequency of Organisms Causing Onychomycosis in a Tertiary Care Hospital

10.53350/pjmhs211582228 ◽

2021 ◽

Vol 15 (8) ◽

pp. 2228-2231

Author(s):

Khawaja Muhammad Salik ◽

Najia Ahmed ◽

Anas Ahmed Qazi ◽

Mansoor Panhwar ◽

Yousra Abdul Khaliq ◽

...

Keyword(s):

Color Change ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Nail Plate ◽

Cross Sectional Study ◽

Distal Portion ◽

P Value ◽

Care Hospital ◽

Cross Sectional ◽

Study Results

Objective: To determine the frequency of organisms causing onychomycosis in a tertiary care hospital. Study Design: Cross-sectional study Setting and Duration: The Department of Dermatology, PNS Shifa Hospital, Karachi for duration of six months from 1st September 2019 to 28th February 2020 Material and Methods: Total 395 patients were included. Affected nail was cleaned with 70% alcohol and nail clipping was done. Scrapings were collected from distal portion of nail plate, the nail bed and undersurface of the nail. In case of multiple nail involvement, the nail that was most severely affected was selected. The culture plates were put to incubation and observed for 4 weeks period for the presence of growth. Descriptive statistics were calculated. Stratification was done. Poststratification chi-square test was applied. P-value ≤0.05 was considered as significant. Results: There were 63.8% male and 36.2% female patients. Color change of nail was observed in 94.9% cases, subungual hyperkeratosis in 28.6% cases, distal onycholysis in 24.6% cases, total nail plate dystrophy in 22% cases, partial nail plate dystrophy in 11.6% cases, and transverse ridges in 21.8% cases. Total 82.8% cases were classified as dermatophyte, 5.3% as yeast and 11.9% as non-dermatophytic mould. Conclusion: In conclusion, our study results showed that most prevalent mycological type of isolate was dermatophyte, followed by non-dermatophytic mould, and yeast. Keywords: Frequency, Organisms, Onychomycosis

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