Anxiety and perceptions on the impact of COVID-19 pandemic among orthodontic patients visiting a tertiary care center: A Cross-sectional study

As the COVID-19 pandemic is steadily rising, there is an increase in psychological distress among the orthodontic patients regarding their ongoing treatment. Thus aim of the study was to assess the anxiety and perceptions among orthodontic patients regarding the impact of COVID-19 pandemic on orthodontic treatment. A closed end online questionnaire was sent as Google forms to 300 adult patients’ currently undergoing orthodontic treatment at a tertiary care center. 266 patients answered the survey with a response rate of 88.7%. Online consent was taken before participation in the study and the survey was anonymized and did not contain any identifying information. The descriptive data included the participants' responses using frequency and proportions. The difference in the distribution of responses were compared using Chi-square goodness of fit test and the level of significance was fixed at p < 0.05. Level of anxiety between males and females was compared using independent t-test. Among the respondents, 126 were males and 140 were females. The mean level of anxiety level among males was 4.28 ± 2.28 whereas for females it was 5.85 ± 2.48. The differences in the distribution of responses by the participants were statistically significant. The COVID-19 pandemic showed to have a greater impact on orthodontic appointments and anxiety levels of patients. Females showed greater anxiety than males for visiting the dental clinics. The greatest concern that patients reported was the increase in their treatment duration and they also recognized the importance of monthly orthodontic reviews.

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Assessment of suitability of pediatric index of mortality 2 score for monitoring the outcome of pediatric intensive care unit patients and associated risk factors of mortality in a tertiary care center in South India

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20212882 ◽

2021 ◽

Vol 8 (8) ◽

pp. 1379

Author(s):

Sreekrishna Y. ◽

Adarsh E. ◽

Lavanya T. S.

Keyword(s):

Goodness Of Fit ◽

Care Center ◽

Tertiary Care ◽

Scoring Systems ◽

Standardized Mortality Ratio ◽

Tertiary Care Center ◽

Goodness Of Fit Test ◽

Death Rates ◽

Mortality Ratio ◽

Pediatric Index Of Mortality

Background: Pediatric index of mortality 2 (PIM 2) score is an illness severity and scoring systems used for predicting outcome of children admitted to PICU. The objective was to evaluate the usefulness of PIM 2 score in predicting mortality in our PICU, assess whether the model is calibrated to our case mix and to compare the observed and expected death rates by calculating standardised mortality ratio. Methods: It was a prospective observational study done in a tertiary care center from January 2019 to June 2020. Consecutive 120 patients admitted to PICU aged from 1 month to 18 years were enrolled in study. PIM 2 scoring was calculated for the data obtained within 1 hour of admission to PICU. The outcome was recorded as death or discharge. PIM 2 logit score is calculated using software.Results: PIM2 can discriminate between death and survival with area under curve (AUC) of 0.867 with 95% CI (0.729,0.980). PIM 2 predicted death rate was significant (p<0.001). The model is well calibrated with Hosmer- Lemeshow Goodness-of-fit test p=0.961 (p>0.05). The observed death rates are equal to predicted death rates and standardized mortality ratio (SMR) is equal to 1. Conclusions: PIM 2 score predicted mortality correlated well with observed mortality in PICU patients. The model is well calibrated for use in our set up and discriminate well between survivors and non-survivors.

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Frequency of early postoperative adverse events (AEs) in adult patients undergoing elective neurosurgical intervention at tertiary care center in Pakistan

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.37.4.3501 ◽

2021 ◽

Vol 37 (4) ◽

Author(s):

Mansoor Chandio ◽

Faraz Shafiq ◽

Ather Enam

Keyword(s):

Adverse Events ◽

Care Center ◽

Tertiary Care ◽

Anaesthetic Management ◽

Adult Patients ◽

Tertiary Care Center ◽

Cross Sectional ◽

Neurosurgical Patients ◽

The Impact ◽

Neurosurgical Intervention

Objective: The postoperative period is critical in neurosurgical patients, where the incidence of postoperative AEs is significantly high. Most of events occurs during recovery phase and has got relation to anaesthetic management. The objective of study was to determine frequency of early AEs in elective neurosurgical patients. Methods: This cross sectional study was conducted at our tertiary care center. The duration of study was one year, from August 2017-July 2018. The data was collected using predesigned proforma. The assessment was done on arrival in recovery room (T1) and then at forty five minutes (T2), twenty-fourth hour (T3) and forty-eighth hour (T4) postoperatively. Results: Total ninety-five patients were included. Overall, five hundred and forty AEs were recorded at T1, T2, T3 and T4. Anaesthesia related events like pain, postoperative sore throat, hoarseness, shivering and hypothermia were the commonest (73%). There was a gradual decline in incidence of these events over period of 48 hours. There was no effect of age, sex, BMI and blood loss on incidence of AEs. Conclusions: Postoperative pain, PONV and shivering were frequently reported AEs. We did not identify the impact of age, sex, BMI, comorbid or type of surgery in terms of having these events. doi: https://doi.org/10.12669/pjms.37.4.3501 How to cite this:Chandio M, Shafiq F, Enam SA. Frequency of early postoperative adverse events (AEs) in adult patients undergoing elective neurosurgical intervention at tertiary care center in Pakistan. Pak J Med Sci. 2021;37(4):---------. doi: https://doi.org/10.12669/pjms.37.4.3501 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Impact of Rapid PCR Influenza Testing on the Rate of Inpatient Admissions During Influenza Season at a Tertiary-Care Center

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2020.830 ◽

2020 ◽

Vol 41 (S1) ◽

pp. s263-s264

Author(s):

Jordan Polistico ◽

Avnish Sandhu ◽

Teena Chopra ◽

Erin Goldman ◽

Jennifer LeRose ◽

...

Keyword(s):

Influenza Season ◽

Care Center ◽

Tertiary Care ◽

The United States ◽

Turnaround Time ◽

Care Hospital ◽

Tertiary Care Center ◽

Pediatric Hospital ◽

Rapid Pcr ◽

The Impact

Background: Influenza causes a high burden of disease in the United States, with an estimate of 960,000 hospitalizations in the 2017–2018 flu season. Traditional flu diagnostic polymerase chain reaction (PCR) tests have a longer (24 hours or more) turnaround time that may lead to an increase in unnecessary inpatient admissions during peak influenza season. A new point-of-care rapid PCR assays, Xpert Flu, is an FDA-approved PCR test that has a significant decrease in turnaround time (2 hours). The present study sought to understand the impact of implementing a new Xpert Flu test on the rate of inpatient admissions. Methods: A retrospective study was conducted to compare rates of inpatient admissions in patients tested with traditional flu PCR during the 2017–2018 flu season and the rapid flu PCR during the 2018–2019 flu season in a tertiary-care center in greater Detroit area. The center has 1 pediatric hospital (hospital A) and 3 adult hospitals (hospital B, C, D). Patients with influenza-like illness who presented to all 4 hospitals during 2 consecutive influenza seasons were analyzed. Results: In total, 20,923 patients were tested with either the rapid flu PCR or the traditional flu PCR. Among these, 14,124 patients (67.2%) were discharged from the emergency department and 6,844 (32.7%) were admitted. There was a significant decrease in inpatient admissions in the traditional flu PCR group compared to the rapid flu PCR group across all hospitals (49.56% vs 26.6% respectively; P < .001). As expected, a significant proportion of influenza testing was performed in the pediatric hospital, 10,513 (50.2%). A greater reduction (30% decrease in the rapid flu PCR group compared to the traditional flu PCR group) was observed in inpatient admissions in the pediatric hospital (Table 1) Conclusions: Rapid molecular influenza testing can significantly decrease inpatient admissions in a busy tertiary-care hospital, which can indirectly lead to improved patient quality with easy bed availability and less time spent in a private room with droplet precautions. Last but not the least, this testing method can certainly lead to lower healthcare costs.Funding: NoneDisclosures: None

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Prevalence and risk factors of low back pain among operation room staff at a Tertiary Care Center, Makkah, Saudi Arabia: a cross-sectional study

Annals of Occupational and Environmental Medicine ◽

10.1186/s40557-016-0089-0 ◽

2016 ◽

Vol 28 (1) ◽

Cited By ~ 18

Author(s):

Moath Bin Homaid ◽

Doaa Abdelmoety ◽

Waleed Alshareef ◽

Amer Alghamdi ◽

Fareed Alhozali ◽

...

Keyword(s):

Risk Factors ◽

Low Back Pain ◽

Back Pain ◽

Care Center ◽

Tertiary Care ◽

Cross Sectional Study ◽

Low Back ◽

Tertiary Care Center ◽

Sectional Study ◽

Cross Sectional

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Prevalence and psychosocial correlations of COVID-19-related worries in people with diabetes mellitus seeking services from East Indian tertiary care center: A cross-sectional survey results

Current Medical Issues ◽

10.4103/cmi.cmi_39_21 ◽

2021 ◽

Vol 19 (3) ◽

pp. 157

Author(s):

Suravi Patra ◽

SwatiPriyadarshini Acharya ◽

Manish Taywade ◽

Debapriya Bandyopadhyay ◽

BinodKumar Patro

Keyword(s):

Diabetes Mellitus ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Cross Sectional Survey ◽

Cross Sectional ◽

East Indian ◽

Survey Results

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Metabolic syndrome in alopecia areata: an observational study at a tertiary care center

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20213338 ◽

2021 ◽

Vol 7 (5) ◽

pp. 647

Author(s):

Subrata Kumar Das ◽

Saptadipa Das

Keyword(s):

Metabolic Syndrome ◽

Observational Study ◽

Alopecia Areata ◽

Care Center ◽

Tertiary Care ◽

Age Group ◽

Tertiary Care Center ◽

Cross Sectional ◽

Laboratory Parameters ◽

Number Of Patients

Background: The aim was to evaluate the parameters of metabolic syndrome (MS) in patients of alopecia areata and to investigate the possibility of an existing relationship between MS and alopecia areata (AA).Methods: This cross-sectional observational study included 50 patients with AA who attended OPD of department of dermatology at a tertiary care center during a period of 1 year. Clinical and laboratory parameters were noted in each patient.Results: This study included 50 patients with AA (33 males and 17 females). In the present study maximum number of patients belonged to the age group 20-30 years with 23 patients, followed by 30-40 years with 17 patients. Most of the study subjects, 17 were college students and number of employees were 15. Out of 50 patients 44 had patch(es) and 2 patient had alopecia totalis. In this study out of 50 patients, 38 had mild AA, 7 had AA and 5 patients had severe AA. No significant derangement of clinical and laboratory parameters of MS observed in patients of AA.Conclusions: In the present study we did not observe any significant derangement of clinical and laboratory parameters of MS in patients of alopecia areata.

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Clinical and laboratory profiles of genital ulcers (sexually transmitted diseases) in a tertiary care center in northeastern India

Our Dermatology Online ◽

10.7241/ourd.20212.4 ◽

2021 ◽

Vol 12 (2) ◽

pp. 120-129

Author(s):

Romita Bachaspatimayum ◽

Zamzachin Guite ◽

Thangjam Bijayanti Devi

Keyword(s):

Care Center ◽

Tertiary Care ◽

Herpes Genitalis ◽

Tertiary Care Center ◽

Cross Sectional ◽

Female Ratio ◽

Ulcer Disease ◽

Sexually Transmitted ◽

Northeastern India ◽

Genital Ulcers

Background: Genital ulcers are defined as breaches in the continuity of the genital mucosa and/or skin. Sexually transmitted infections (STIs) that cause genital ulcer disease (GUD) are syphilis, chancroid, donovanosis, lymphogranuloma venereum (LGV), and herpes genitalis. This study aimed to investigate the clinical and laboratory profiles of STI-related genital ulcers. Materials and Methods: A cross-sectional two-year study was conducted on patients attending the Outpatient Department of Dermatology, Venereology and Leprosy in a tertiary care center in northeastern India. Selected were 95 patients who presented themselves with STI-related genital ulcers. Detailed history taking and examination were conducted with basic tests to assist the diagnosis. Results: The male-to-female ratio was 3.32:1, and the most common site was the glans and prepuce in males (28.77%) and the labia majora and minora in females (36.36%). 96.84% of patients had superficial ulcers. The KOH mount was positive in 26 patients. The Tzanck smear was positive in 31 patients. RPR was positive in four. HIV was positive in eleven. Herpes genitalis (96.84%) was the most common GUD. Mixed STIs were attested in 41.05% of patients. Conclusion: GUD can take various forms of presentation. The available laboratory tests should be utilized. The possibility of mixed infections should always be kept in mind.

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