scholarly journals GASTROINTESTINAL DISEASES;

2008 ◽  
Vol 15 (04) ◽  
pp. 459-464
Author(s):  
HAMZULLAH KHAN
Keyword(s):  
Chronic Diarrhea ◽  
Gastrointestinal Disease ◽  
Tertiary Care ◽  
Gastrointestinal Diseases ◽  
Gastric Ulcers ◽  
Care Hospital ◽  
Medical Department ◽  
Cross Sectional ◽  
Peptic Disease ◽  
Study Results

. Objectives: To determine the frequency of gastrointestinal (GI) diseases/symptoms in a tertiary care hospital of Peshawar.Methods: A Cross sectional observational study was conducted in Medical department Khyber teaching hospital Peshawar from August 2005to march 2006. A total of 189 patients with established diagnosis of any gastrointestinal disease were randomly selected. Out of total101(53.43%) were males and 88(46.56%) were females. Relevant information’s were recorded on a pre-designed questionnaire was designedin accordance with the objectives of the study. Results: The age range of the patients was from 8 years to 82 years with mean age of 47.5years. The mode age observed was 45 years. Of total sampling (43.91%) were illiterate, primary passed (24.33%), matric education (15.87%),secondary education (11.11%) and (4.76%) patients had degree level education. The gastrointestinal disease pattern was: acute peptic disease/dyspepsia (15.87%), reflux esophagitis (7.91%), duodenal ulcer (1.5%), gastric ulcer (0.5%), worm infestation (1.5%), esophageal carcinoma(0.5%) and miscellaneous in 136(71.95%) patients. The distribution of the gastrointestinal disease symptoms was: chronic diarrhea (19.04%),vomiting (12.16%), dysentery (6.34%), bleeding per rectum (5.20%), constipation (2.1%), anorexia (1.5%), dysphagia (1.10%) and multiplesymptoms were recorded in (24.33%) patients. Conclusion: acute peptic disease/dyspepsia, chronic diarrhea dysentery, reflux esophagitisare major gastro intestinal (GI) diseases in our setup. Duodenal and gastric ulcers, carcinoma of gastrointestinal tract, worms infestation,dysphagia and anorexia were not as common.

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

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.

scholarly journals Pattern of upper gastrointestinal diseases: an audit of 1000 cases based on endoscopic findings from a tertiary care hospital in Mysore

2018 ◽  
Vol 5 (7) ◽  
pp. 2412
Author(s):  
Shashikumar H. B. ◽  
Madhu B. S. ◽  
Motati Harshini
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Gastrointestinal Symptoms ◽  
Gastrointestinal Diseases ◽  
Cross Sectional Study ◽  
Common Finding ◽  
Care Hospital ◽  
Cross Sectional ◽  
Endoscopic Findings ◽  
Upper Gastrointestinal

Background: Fibreoptic endoscopy is a highly efficient diagnostic tool, which is now increasingly being used in the diagnosis of upper gastrointestinal diseases. This study has been carried out to evaluate the distribution of various upper gastrointestinal diseases based on endoscopic findings in a tertiary care hospital in Mysore.Methods: A cross-sectional study was conducted based on data from endoscopic register of 1000 subjects who underwent endoscopy for various upper gastrointestinal symptoms from 1st January 2017 to 31st December 2017(one year).Results: Mean age of the study population was 50.23 years (SD-15.46). Minimum age was 12 years and maximum was 88 years. About 44.7% of the study subjects belonged to 40-60 age group.61.6% of the study subjects were males. Most common indication was pain abdomen (32.1%) followed by dysphagia (22.2%). Of the 1000 study subjects 18.6% had normal findings. Most common finding was Gastritis / Duodenitis /Gastric erosions (28%). Malignant lesions were noted among 11.1%, of which esophagus and stomach are 5.4% and 4.9% respectively.Conclusions: Endoscopic diagnosis is useful for early detection of UGI diseases and helpful for their management.

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

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. 

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

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
L Versi
Keyword(s):  
Age Of Onset ◽  
Bipolar Affective Disorder ◽  
Tertiary Care ◽  
Total Duration ◽  
Cross Sectional Study ◽  
Variable Degree ◽  
Care Hospital ◽  
Impulsive Behavior ◽  
Cross Sectional ◽  
Study Results

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.

scholarly journals Evaluation of adverse drug reactions of anti-tubercular drugs in the treatment of tuberculosis in tertiary care hospital

2020 ◽  
Vol 9 (9) ◽  
pp. 1430
Author(s):  
Krishnakanth K. ◽  
Jagadeesh A. ◽  
Swetha T. D.
Keyword(s):  
Adverse Drug Reaction ◽  
Adverse Drug Reactions ◽  
Adverse Drug Events ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Drug Reactions ◽  
Cross Sectional ◽  
Medicine Department ◽  
Study Results

Background: Adverse drug reactions are very common among patients on anti-tubercular treatment. Hence, the current study was done to evaluate the adverse drug reaction (ADR) profile in patients receiving anti-tubercular treatment (ATT).Methods: A 6 months prospective, cross-sectional observational study was performed in collaboration with Pulmonology Medicine department. WHO-UMC scale and Naranjo scale was used to evaluate the ADRs.Results: Ninety-two patients receiving ATT presented with 113 adverse drug events (ADE). Males were more affected than females. DOTS category-1 regimen was mostly responsible for ADE. Addition of drugs for the management of ADR events was done.Conclusions: The study results show more ADRs related to ATT demanding increased collaboration between NTEP 2020 and Pharmacovigilance Programme of India to enhance drug safety in this field.

scholarly journals Burden and baseline characteristics of patients with decompensated liver disease in Tertiary Care Hospital Gujrat.

2021 ◽  
Vol 28 (02) ◽  
pp. 165-170
Author(s):  
Irfan Younus ◽  
Muhammad Zahid Ali ◽  
Muhammad Ajmal ◽  
Hina Akhtar ◽  
Javeria Ali ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Decompensated Cirrhosis ◽  
Care Hospital ◽  
Medical Department ◽  
Laboratory Findings ◽  
Cross Sectional ◽  
Gi Bleed

Objective: To determine the load, clinical and laboratory findings of the patients with decompensated cirrhosis admitted in medical department of tertiary care hospital and to make plan for the improvement of these patients. Study Design: Cross Sectional study. Setting: Department of medicine of Aziz Bhatti Shaheed Teaching Hospital, Gujrat. Period: from 1st January 2019 to 31st March 2019. Material & Methods: All 964 patients who were admitted included in study, clinical and laboratory features of patients with decompensated cirrhosis were recorded. Results: Male were in majority (53.7%), median age was 39 years. Decompensated cirrhosis was found  in  216 (22.4%), patients due to complication of  Diabetes Mellitus were 170 (17.6%), COPD & Asthma was found in 130 patients(13.5%), Stroke & Hypertension in 126 patients while Gastroenteritis 6% and infectious diseases RTI, UTI, Enteric Fever etc were present in 46 patients. Among 216 patients, one hundred & seventy eight were Hepatitis C Positive, fifteen had Hepatitis B, and eight had history of alcohol consumption. Seven patients were both Hepatitis B and C positive while in 3.6% etiology was other than mentioned above. Ascites was noted in two hundred six patients, 36.5% had variceal bleed while 51 admitted due to encephalopathy. Conclusion: HCV related cirrhosis and its complications like upper GI bleed, encephalopathy, ascites and hepatoma are major burden on our hospitals and need special attention.

Self-Medication Practices among MBBS students in North Indian Medical College

2021 ◽  
pp. 2653-2658
Author(s):  
Ranjodh Jeet Singh ◽  
Kanika Kohli
Keyword(s):  
Tertiary Care ◽  
North India ◽  
Care Hospital ◽  
Self Medication ◽  
Combination Drug ◽  
Time Saving ◽  
Cross Sectional ◽  
Advantages And Disadvantages ◽  
Study Results ◽  
Second Year

Background: Self-medication is defined as selection and use of medicines by individuals to treat self-recognized or self-diagnosed conditions or symptoms. Self-medication can lead to various health problems like adverse drug reactions, prolonged suffering, and drug-dependence and increase resistance among various pathogens. Very few studies have evaluated its pattern and prevalence in physiotherapy students. Material and Methods: Study setting: A cross-sectional questionnaire-based study was conducted on the second year MBBS students of Maharishi Markandeshwar institute of Medical sciences and research collaborated with a tertiary care hospital in North India. Study design: A questionnaire consisting of open and close ended questions related to various aspects of self-medication was distributed to the students. An informed consent was given to them and only the students, who gave consent, anonymously filled the questionnaire and participated in this present study. Results: A total of 104 students, two incomplete questionnaires were excluded and remaining 102 were analyzed. The most common ailment for seeking self-medication was common cold and cough (44.11%), sore throat (24.50%), fever (12.74%), pain abdomen, heartburn, diarrhoea, menstrual cramps, gynecological infections (18.62%) are the main factors attributed to predominant ailment which leads them to self medicate. The commonly/frequently used drugs or combination drug therapy included were antipyretics including paracetamol (32.35%), NSAIDs including aspirin(23.52%), antibiotics including antimicrobials(15.68%), Antihistaminics (9.5%), Antifungals including topical ointments/lotions(10.78%%), and other miscellaneous accounting for 7.84%.According to our documented results cost effectiveness (65.68%) has emerged as the prominent reason for self medication, followed by time saving (13.72%), further ease (12.74%) for reaching the drug/medicine as considered by participants as the valid point through pharmacy or leftovers. and last but not least learning opportunities (07.84%) were also accounting as the interesting reason for this pattern of self medication. Conclusions: Our study concludes that self-medication pattern is widely practiced among second year MBBS students of this institute. As the pattern of self medication is very high as documented in this study thus, there is affirm need to make them aware about the advantages and disadvantages of self-medication in order to ensure optimistic usage of pattern of self medication with reduced errors and wholesome advantages.

scholarly journals Clinical Profile of Stroke Patients Attended in a Tertiary Care Hospital- Study of 219 cases

2016 ◽  
Vol 32 (1) ◽  
pp. 16-20
Author(s):  
Nayeem Anwar ◽  
Md Rezaul Karim Khan ◽  
Nawreen Binte Anwar ◽  
Shamsun Nahar ◽  
- Md Shahidullah
Keyword(s):  
Risk Factors ◽  
Recurrent Stroke ◽  
Tertiary Care ◽  
The Body ◽  
Clinical Profile ◽  
Care Hospital ◽  
Age Group ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Study Results

Background: Stroke is serious pathology with a immense impact on the functional and vital prognosis. It is the leading cause of death worldwide. The objective of the study was to observe clinical profile of stroke patients and important risk factors. Methods: It was a cross-sectional descriptive study conducted in the department of Neurology, BangabandhuSheikh Mujib Medical Universiy(BSMMU), Shahbag, Dhaka from August 2014 to November2015. All patients above 18 years of age and both sexes attending the above mentioned department meeting all inclusion and exclusion criterias and confirmed CT/MRI scan of Brain were included in this study. Results: A total of 219 patients were studied. Maximum 93(42.5%) patients were in age group of 61-70 years followed by 51(23.3%) and 30(13.7%), in the age group of 51-60 years and 71-80 years respectively. Male 138(63%) were predominant than female 81(63%). 78(35.61%) patients had weakness in both sides of the body, 66(30.1%) had weakness in the left side and 36(16.4%) had weakness in the right side of the body. 190 (87.7) patients had ischemic stroke and 29(12.3%) had hemorrhagic stroke. Among risk factors dyslipidemia was in 185(84.5%) patients, hypertension, smoking habits, diabetes mellitus and ischemic heart disease were present in 165(75.3%), 120(54.8%), 105(47.9%) and 42 (19.2%) patients respectively. H/O recurrent stroke was present in 55(25%) cases. Conclusion: Stroke cases were male predominant where dyslipidaemia was the most common risk factor, most common type of stroke was ischemic, most common presentation was hemiplegia/monoplegia and commonest age of presentation was seventh decade. Bangladesh Journal of Neuroscience 2016; Vol. 32 (1): 16-20

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

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.

scholarly journals Ludwig’s Angina: Management of 32 Cases at Tertiary Care Hospital

2021 ◽  
Vol 15 (5) ◽  
pp. 1090-1092
Author(s):  
Masood Akhtar ◽  
Nasir Wakeel ◽  
Muhammad Asim Shafique ◽  
Saulat Sarfraz ◽  
M Younas Varachue ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Care Hospital ◽  
Dental Infection ◽  
Cross Sectional ◽  
Age And Gender ◽  
Submandibular Region ◽  
Study Results ◽  
Ludwig’S Angina ◽  
And Gender ◽  
Ludwig's Angina

Background: Ludwig’s angina is a rapidly expanding cellulitis involving the floor of mouth and sub mandibular space predominantly due to dental / periodontal infections. Aim: To determine the management outcomes in the patients of Ludwig’s Angina. Place and duration of study: Department of Otorhinolaryngology Bahawal Victoria Hospital Bahawalpur. Duration was two years from August 2018 to July 2020. Study design: Hospital based cross sectional descriptive type of study Methodology: Patients of any age and gender who were clinically diagnosed as Ludwig angina and required hospitalization during the study duration were included in the study. Data regarding age, gender underlying cause, mode of presentation, treatment and complications were collected and analyzed. Patients with mild infection who did not require hospital admission were excluded from the study. Results: Out of total 32 cases, 20(62.5%) were males and 12(37.5%) were females. Age range was 10 to 70 years. In 28 (87.5%) cases, the cause was dental infection. All patients presented with pain and swelling of sub mandibular region. Four (12.5%) patients were improved with conservative treatment while 28(87.5%) underwent incision and drainage. Two (6.25%) patients needed tracheostomy. One (3.1%) patient developed complication (mediastinitis) and could not revive. Conclusion: Ludwig's angina is a disease of any age and gender commonly seen among the patients of preexisting dental infection. It can be life threatening if presented late with complication. Early diagnosis and aggressive treatment decrease morbidity and mortality. Key words: Angina, Ludwing, Cellulitis, Submandibular region.

Sign in / Sign up

Export Citation Format

Share Document