scholarly journals HYPERTENSION;

2019 ◽  
Vol 26 (01) ◽  
Author(s):  
Hafiz Muhammad Bilal ◽  
Neelam Iqbal ◽  
Muhammad Kamran Raza
Keyword(s):  
Health Status ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Morbidity Rate ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Outpatient Departments ◽  
Tertiary Care Hospitals

Background and Objectives:Asymptomatic nature of hypertension (HTN) has made it a silent killer. The better understanding of the underlying causes or factors can be beneficial in reducing the mortality and morbidity rate. Thus, the present study aims to determine the risk factors associated with HTN among adults and elderly patients visiting outpatient departments (OPDs) and the knowledge of patients about their health status. Study Design: Cross-sectional study. Setting: Outpatient departments (OPDs) of four tertiary care hospitals (Nishtar hospital, Khawaja Farid Social Security hospital, Railway hospital and Bakhtawar Amin Memorial hospital) of Multan, Pakistan. Period:1st May 2017 and 31st October 2017. Patients and Methods:364 patients (≥18 years−≥60 years of age) in OPDs of four tertiary care hospitals of Multan, Pakistan. Data regarding demographic details, medical history and blood pressure measurements were collected on a structured questionnaire. Data were analyzed by using Statistical Packages for Social Sciences (IBM SPSS Statistics for Windows, Version 21.0. Armonk, NY: IBM Corp.) and Microsoft Excel (MS Office 2010).Result: Overall 38.7% of the participants were suffering from HTN. Most of them were 40-59 years of age and had body mass index (BMI) >23 kg/m2. Bivariate analysis (p-value <0.005) showed a significant association of age, marital status, gender, weight, and physical activity with HTN. Conclusion: The major determinants of HTN include increase in age, obesity, sedentary lifestyle, genetics, diabetes mellitus (DM) and lack of health concerns. Although patients are knowledgeable of their poor health status but make little or no efforts in controlling and preventing HTN.

scholarly journals Barriers to the early initiation of Insulin therapy among diabetic patients coming to diabetic clinics of tertiary care hospitals

2018 ◽  
Vol 35 (1) ◽  
Author(s):  
Iqra Arshad ◽  
Sara Mohsin ◽  
Sana Iftikhar ◽  
Tahseen Kazmi ◽  
Luqman F. Nagi
Keyword(s):  
Insulin Therapy ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Early Initiation ◽  
P Value ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Creative Commons ◽  
Oral Medications ◽  
Tertiary Care Hospitals

Background and Objective: Initiation of Insulin therapy during earlier stages has proved to significantly improve health outcomes among diabetics in comparison to oral medications. Not only patients but physicians are also often resistant to early initiation of insulin therapy. The objective was to assess misconceptions and barriers to early initiation of insulin therapy among diabetic patients coming to a diabetic clinic. Methods: This cross sectional study was conducted on 300 patients selected by convenience sampling arriving in Diabetes Outdoor Clinics of Mayo and Services Hospitals, Lahore during August 2017 to May 2018. The data was entered and analyzed by using SPSS version 17. Results: Out of 300 patients included in study, 39% (n= 117) were males and 61% (n=183) were females. The mean age of the participants at presentation was 48.46±13.15 years with a range of 13 to 80 years. Study participants considered it embarrassing to inject insulin in public place (p-value 0.01). The fear associated with lifelong commitment to insulin therapy once it is started, was also found statistically significant (p-value 0.001)particularly in subjects who have long duration of DM (>5 years). Conclusion: Perceptions of diabetic patients about insulin therapy are still barriers to early initiation of therapy and tend to prevail in Pakistan and around the globe. How to cite this:Arshad I, Mohsin S, Iftikhar S, Kazmi T, Nagi LF. Barriers to the early initiation of Insulin therapy among diabetic patients coming to diabetic clinics of tertiary care hospitals. Pak J Med Sci. 2019;35(1):---------. doi: https://doi.org/10.12669/pjms.35.1.237 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.

scholarly journals “The incidence of ICU-associated pneumonia in patients admitted to ICU of major tertiary care hospitals”

2019 ◽  
Vol 26 (09) ◽  
pp. 1546-1550
Author(s):  
Muhammad Khuram Nouman ◽  
Syed Arsalan Akhter Zaidi ◽  
Bushra Zaidi ◽  
Kainat Saleem ◽  
Muhammad Khan Malik
Keyword(s):  
Mechanical Ventilation ◽  
Negative Impact ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Primary Objective ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Mechanical Ventilation Duration ◽  
Study Results ◽  
Tertiary Care Hospitals

Background: Despite in techniques advancement to patient care for respiratory tracts are instrumented may complicate the IAP course up to 50% in patients with mechanical ventilation. It requires rapid diagnoses and treatment that is appropriate as per patient condition. Many studies revealed negative impact with delayed administration and antibiotic treatment in IAP patients may increase the hospital mortality and morbidity. The primary objective of the study was to estimate the incidence of IAP in the patient admitted in ICU of tertiary care hospitals in Rawalpindi Pakistan. Study Design: Observational cross sectional study. Setting: ICU units of various tertiary care hospitals in Rawalpindi, Pakistan. Period: One year from Dec 2016-Dec 2017. Materials and Methods: A total 450 subjects were enlisted for the study; these patients were selected randomly. The exclusion criteria include all patients with Acute Respiratory Distress Syndrome (ARDS) or those on long-term antibiotic or steroid therapy and all the pregnant women whereas all the patients of both sexes, kept on ventilator for more than 48 h and above the age of 18 years were included in this study. Results: We enrolled a total of 450 patients for this study. The average age of all the participants was   61.51 + 12.8 with range 36-91. 230(51.1%) of the patients were male whereas 220(48.9%) were females. The Trauma-Pulm contusion was absent in all patients. In ICU 150 (33.3%) were diagnosed with COPD, 150(33.3%) with Asthma, 220(48.9%) with ARDS, 10 (2.2%) with head trauma and 310 (68.8%) with diabetes.200 (44.4%) smokers, 40(8.8%) were having lung cancer, 310(68.8%) were hypertensive and 20 (4.4%) were with Pneumothorax - requiring Chest Tube. Conclusion: We may conclude from our study that ICU associated Pneumonia is a serious issue, that developed with longer hospital stay, duration of mechanical ventilation and re-intubation. By reducing the mechanical ventilation duration, pneumonia can be controlled.

scholarly journals Association of medication administration errors with interruption among nurses in public sector tertiary care hospitals

2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Raja - ◽  
Badil - ◽  
Sajid Ali ◽  
Shaheen Sherali
Keyword(s):  
Public Sector ◽  
Tertiary Care ◽  
Medication Administration ◽  
Cross Sectional Study ◽  
University Hospital ◽  
P Value ◽  
Cross Sectional ◽  
Phone Calls ◽  
Medication Administration Errors ◽  
Tertiary Care Hospitals

Objectives: To determine the association of medication administration errors with interruption among nurses working at public sector tertiary care hospitals in Karachi, Pakistan. Methods: An analytical cross-sectional study was accomplished at two public sector healthcare facilities Civil Hospital, and Dow University Hospital, Karachi. The study was carried out from October 2017 to July 2018 over a period of 10 months. The sample was calculated by using OpenEpi version 3.0. By taking 56.4% of medication administration errors, 5% margin of error and 95% confidence level. The calculated sample size was 204 of both genders. The subjects both male and female nurses having a valid license from Pakistan Nursing Council and one year of clinical experience were enrolled in the study. The subjects were approached by using non-probability purposive sampling method. Validated and adapted questionnaire utilized to gather the data. Data was entered and analyzed by using SPSS version 21.0. Results: In this study, total 204 nurses were included, almost half (52%) of them were male. Majority of (82.3%) study participants had age between 25-35 years old. There were total 716 medications given by 204 nurses. Out of these, 295 (41.2%) were antibiotics, other common medications were acid-suppressive, analgesic and antiemetic 14.5%, 15.9% and 11.2% respectively. Among all 716 medications, 644 (89.9%) were given intravenously whereas only 6.7% drugs given orally. A significant association has been found between medication administration errors and interruption like talking with other health care personnel, patients or attendant queries, phone calls (p-value=<0.001). Nearly 91% of the study nurses who were interrupted during medication committed medication errors. Conclusion: It is concluded that there is a significant association between medication administration errors with interruption among nurses. doi: https://doi.org/10.12669/pjms.35.5.287 How to cite this:Raja, Badil, Ali S, Sherali S. Association of medication administration errors with interruption among nurses in public sector tertiary care hospitals. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.287 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.

Compliance and Adherence to Treatment in Hypertensive Patients in different Tertiary Care Hospitals in Lahore

2021 ◽  
Vol 15 (8) ◽  
pp. 1858-1860
Author(s):  
Junaid Mushtaq ◽  
Israr-Ul- Haq ◽  
Waqas Mahmood ◽  
Mujtaba H. Siddiqui ◽  
Atiq Ahmad ◽  
...  
Keyword(s):  
Medical Center ◽  
Tertiary Care ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Adherence To Treatment ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Hospital Doctors ◽  
Tertiary Care Hospitals

Aim: To determine the factors that affect compliance and adherence to medications of hypertensive patients visiting OPD clinics. Study design: Descriptive-cross sectional study. Place and duration of study: Department of Medicine, Unit 1, Lahore General Hospital, Doctors Hospital & Medical Center and Farooq Hospital Lahore from 1st January 2019 to 31st December 2019. Methodology: One hundred and sixty five patients with hypertension were handed over questionnaire socio-demographic, compliance and adherence were recorded. Results: Patients who maintained BP charting were only 13(7.9%) and those without BP charting were 152(92.1%). Patients taking regular medications were only 20(12.1%). Forgetfulness in taking medications was found in 47.3% of patients. 20.6% of patients were unable to purchase medicines because of financial reasons. Thirty two patients (19.4%) thought that they should not take medicines as they were not having any symptoms. Conclusion: Major causes of non-adherence were expense of medications, lack of symptoms, lack of money, forgetfulness, lack of awareness due to poor educational status and nature of job. Keywords: Compliance, Adherence, Medications, Hypertension, Forgetfulness

scholarly journals Knowledge, Attitude, and Practices of Mothers Related to their Oral Health Status of 6-12 Years Old Children in Bhilai City, Chhattisgarh, India

2018 ◽  
Vol 14 (21) ◽  
pp. 248
Author(s):  
Pallavi Pawar ◽  
Nilotpol Kashyap ◽  
Rohit Anand
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Health Assessment ◽  
Cross Sectional Study ◽  
Oral Health Status ◽  
P Value ◽  
Cross Sectional ◽  
Health Related ◽  
High Level ◽  
Children’S Oral Health

Aim and Objectives: The aim of the study was to assess the oral health status of 6-12 year old children and their mother’s knowledge, attitude, and practices in Bhilai city. Moreover, this study was also carried out to determine whether mother’s oral health related knowledge, attitude, and practices have a significant influence on the oral health of their children. Materials and Methods: A cross- sectional study was conducted among children (n=600) aged between 6-12 years, attending both government and private schools accompanied with their mothers in Bhilai city. The oral health status of the children was evaluated by using WHO Oral Health Assessment Form (2013). The parents were then asked to fill 25 item based on selfadministered questionnaire. Mother’s knowledge, attitude, and practices were assessed by direct contact with mothers using close ended questionnaire. Statistical Analysis: The data was then entered and analysed using SPSS (Statistical Package for Social Sciences, SPSS Inc., Chicago, IL, USA). Also, p value≤ 0.05 was considered to be statistically significant. Results: The result of the study showed that 90% of mothers had good knowledge, 75% mothers had average attitude, and 51% mothers had high level practices related to oral health. An inverse relationship was found between children’s oral health status and their mother’s knowledge, attitude, and practices about oral health. Thus, the findings were highly significant. Conclusion: Results showed that mother’s oral health related to knowledge, attitude, and practices had a significant impact on oral health status of their children.

scholarly journals EFFECT OF DAILY TRIP SYSTEM ON PT. X CONTRACTOR WORKER FATIGUE AT OFFSHORE SITE

2021 ◽  
Vol 5 (2) ◽  
pp. 73
Author(s):  
Desi Nuraini ◽  
Doni Hikmat Ramdhan
Keyword(s):  
Design Research ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Construction Workers ◽  
Bivariate Analysis ◽  
P Value ◽  
Offshore Platforms ◽  
Chi Square ◽  
Cross Sectional ◽  
Daily Trip

Background: PT. X implements a daily trip method that takes ±1,5 hours to arrive at the offshore platforms. Travel time that’s too long can cause fatigue. Purpose: Analyzing the effect of a daily trip system on PT. X contractor worker fatigue at offshore site. Method: This research was conducted at one of PT. X’s offshore Gresik Sites in June 2021 used Fatigue Assessment Scale (FAS) questionnaire with observational analytics method and cross-sectional study design. Research samples were taken from the population of 153 construction workers PT. X at offshore site. The data obtained were analyzed using quantitative approach, data analysis used univariate analysis and bivariate analysis, chi-square statistical test with significance value or confidence interval was 95% and error interval was 5%  (CI = 95% and α = 0.05). Result: PT. X Contractor workers at the offshore site had 85 workers (55.56%) that get fatigue. Statistical analysis test showed there was no significant relationship between a daily trip system with fatigue on PT. X Contractor workers at the offshore site (p-value = 0.140). Factors that affect fatigue on PT. X Contractor workers at the offshore site were age, body mass index, and workload (p-value successive were 0.047, 0.014, and 0.001). Conclusion: A daily trip system has no effect with fatigue on PT. X contractor worker at the offshore site, recommended for the contractor to improve the BMI and manage the workload so that its more evenly distributed.

scholarly journals Health Status of School Going Children: A Cross sectional study in urban area of Jhalawar District, Rajasthan

Healthline ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 15-21
Author(s):  
Manish Jain ◽  
Mayank Jain ◽  
Vinod Kumar ◽  
Kapil Garg ◽  
Asif A Qureshi ◽  
...  
Keyword(s):  
Health Status ◽  
Dental Caries ◽  
Urban Area ◽  
Tertiary Care ◽  
Significant Proportion ◽  
Cross Sectional Study ◽  
Refractive Errors ◽  
Sectional Study ◽  
Government Schools ◽  
Cross Sectional

Introduction: The school going age is a formative period, both physically as well as mentally. Poor health status in school aged children is among the causes of poor class performance and high absenteeism. Objectives: to assess the health and nutritional status of the school going children in urban area and to determine the association of health problems with age and gender. Method: A cross sectional study was carried out in government schools of urban field practice area of tertiary care institute, Jhalawar, Rajasthan. Study was carried out among 2193 students in four government schools. A pretested, semi structured questionnaire was used for collection of data on socio-demographic characters and their health profile. A detailed clinical examination was done from head to toe for every child. Weight and height were measured. Data was entered into the Microsoft Excel 10. Chi square test of significance was used for statistical analysis. Results: Most common health problem was dental caries (15.0%) followed by refractive errors (13.1%) and pallor (12.6%). Proportions of pallor and refractive error were significantly increased with increase in age of study participants. 16.8% of the students were found to be having thinness. Moderate stunting was present in 7.3% students. Conclusion: Dental caries, refractive errors and pallor were the common morbidities. A significant proportion of school children were undernourished.

scholarly journals BEHAVIOR RELATIONSHIP MOTHER AND OWNERSHIP OF TOILET FAMILIES WITH CHILDREN EVENTS

2016 ◽  
Vol 1 (2) ◽  
Author(s):  
Eti Kurniawati
Keyword(s):  
Cross Sectional Study ◽  
Personal Hygiene ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Chi Square Test ◽  
Immune Health

<p>Ascariasis incidence in children under five in the region work of Puskesmas Olak Kemang still a health problem that needs to be addressed, with a percentage of 51.0% is higher than in other wilayh. The disease is not lethal but can undermine the health of the human body so that the resulting decline in nutritional status, decreased intelligence and brain power or immune health in children.</p><p>               This research is a quantitative study using descriptive analytic method with cross sectional study design that aims to determine the relationship between the independent variables and the dependent variable. The population in this research that all children under five in the area of Puskesmas Olak Kemang, samples in this study were 75 children under five. Data were analyzed using analysis Univariate and Bivariate analysis with Chi-Square Test.</p><p>               The results showed that 78.0% of mothers of children under five who are not air personal hygiene, 60.4% of mothers of children under five unusual CTPS, 82.1% of respondents who did not state house meliliki latrine / WC. The results of the bivariate analysis showed that there was a significant relationship between personal hygiene (p-value = 0.000), customs CTPS (p-value = 0.001), latrine ownership (p-value = 0.000) with the incidence of intestinal worms in Puskesmas Olak Kemang Jambi.</p><p>               In connection with the results obtained, that the danger of de- worming is dependent on the cleanliness of his mother in serving as personal hygiene, CTPS and Owners toilets in every home. Thus the researchers suggested that the health center may be able to provide information to the public education about the dangers of de- worming to create a healthy society.</p><p> </p>Keyword                     :  Behavior, Children Events

scholarly journals Thyroid dysfunction in patients of metabolic syndrome: A study from a tertiary care center in India

2021 ◽  
Vol 12 (10) ◽  
pp. 47-50
Author(s):  
Ritu Gupta ◽  
Akhil K Vijayan ◽  
Sushma Choudhary
Keyword(s):  
Metabolic Syndrome ◽  
Thyroid Dysfunction ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Thyroid Stimulating Hormone ◽  
P Value ◽  
Overt Hypothyroidism ◽  
Free T4 ◽  
Cross Sectional

Background: Metabolic syndrome is characterized by hypertension, dyslipidemia, central obesity, glucose intolerance, insulin resistance. Thyroid hormone acts as general pacemaker, accelerating metabolic process and may be associated with metabolic syndrome. There is no information available in literature regarding the prevalence and association of thyroid dysfunction in metabolic syndrome in this central region of the country. Aims and Objective: To estimate the prevalence of thyroid dysfunction in patients of metabolic syndrome. Materials and Methods: It is a duration based prospective cross sectional study including 200 patients of metabolic syndrome. A detailed history, clinical examination and relevant investigations including serum Free T4 (FT4), Free T3 (FT3), Thyroid Stimulating Hormone (TSH) were done. Range, frequencies, percentage, mean, standard deviation and P value were calculated. P value of < 0.05 was taken as significant. Results: Prevalence of thyroid dysfunction in metabolic syndrome patients was 28.5%. Prevalence of subclinical and overt hypothyroidism was 18.5% and 8.5% respectively. In patients with both metabolic syndrome and thyroid dysfunction, most common components associated are diabetes mellitus and hypertriglyceridemia. Conclusion: Thyroid dysfunction is significantly common in metabolic syndrome patients. It should be aggressively detected and treated in these patients for better outcome.

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