scholarly journals Different types of tumors in perimenopausal women presenting with ovarian masses at A Tertiary Care Hospital.

2020 ◽  
Vol 27 (11) ◽  
pp. 2469-2473
Author(s):  
Maria Akmal ◽  
Mahham Janjua ◽  
Rabia Wajid ◽  
Maria Imran ◽  
Zobia Jawad
Keyword(s):  
Family History ◽  
Tertiary Care Hospital ◽  
Malignant Tumors ◽  
Tertiary Care ◽  
P Value ◽  
Care Hospital ◽  
Cross Sectional ◽  
Detailed Medical History ◽  
Perimenopausal Women ◽  
Ovarian Masses

Objectives: To determine frequency of benign and malignant tumors among perimenopausal women presenting with ovarian masses at a tertiary care Hospital. Study Design: Descriptive Cross Sectional study. Setting: Department of Obstetrics & Gynecology, Jinnah Hospital, Lahore. Period: Six Months from August 2017 to January 2018. Material & Methods: A total 127 premenopausal females with ovarian masses visiting Obstetrics & Gynaecology Department, Jinnah Hospital, Lahore were selected. After detailed medical history and clinical examination patients underwent ultrasonography to diagnose status of ovarian masses. Data was entered in self-made proforma. Results: Total 127 patients were selected. Mean age of cases was 48.87 ± 3.04 years, with mean BMI of 26.52±2.43 kg/m2 and obese patients were 30.7%. Out of all 73.2% patients had benign masses and 26.8% patients had malignant masses. Obesity and family history were significantly correlated with malignant tumors among premenopausal women having ovarian masses p-value 0.001. Conclusion: It was observed that the malignant tumors are frequently linked to pre-menopausal women with ovarian masses. Obese and family history positive patients are on high risk of malignant tumors.

scholarly journals Frequency of infantile colic in neonates presenting At Tertiary Care Hospital.

2020 ◽  
Vol 27 (11) ◽  
pp. 2357-2362
Author(s):  
Anwar Muhammad ◽  
Muhammad Asghar Ali ◽  
Ali Hammad
Keyword(s):  
Gestational Age ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
P Value ◽  
Care Hospital ◽  
Infantile Colic ◽  
Cross Sectional ◽  
Alternative Measures ◽  
Hospital Study

Objectives: To determine the frequency of infantile colic in neonates presenting at tertiary care hospital. Study Design: Cross Sectional Study. Setting: Department of Neonatology, Civil Hospital, Bahawalpur. Period: From January 2018 to August 2018. Material & Methods: Total 467 neonates either male or female were selected for this study. Total 467 neonates with complaints of crying and fussing either male or female were selected for this study and infantile colic was assessed in selected neonates by using Wessel criteria. Results: Total 467 neonates were selected for this study.  Mean age of the neonates was 24.94 ± 2.39 months, mean gestational age and mean weight was 39.42 ± 1.22 weeks and 3.27 ± 0.62g respectively.   Infantile colic was found in 322 (69%) neonates.  Infantile colic was found in 61 (33.33%) neonates, 136 (94.44%) neonates, 75 (87.21%) neonates and 50 (92.59%) neonates respectively.  Statistically significant association between infantile colic and type of feeding with p value 0.000.  Infantile colic was found in 147 (84.97%), 95 (67.86), 62 (49.21%) and 18 (64.29%) neonates respectively in 37 weeks, 38 weeks, 39 weeks and 40 weeks gestational age group.  Statistically insignificant association between infantile colic and gestational age was noted with p value 0.000. Conclusion: Results of present study showed higher rate of colic in infants.  Development of colic was highly associated with gestational age, birth weight and type of feeding.  There is no effective medical treatment (like anti-colic and herbal drugs) but alternative measures may relieve or prevent further colic attacks.

scholarly journals Study of knowledge attitude and practice towards COVID-19 among patients attending a tertiary care hospital in Durg district of Chhattisgarh

2021 ◽  
Vol 8 (10) ◽  
pp. 4880
Author(s):  
Mohd Junaid ◽  
Swapnil Shinkar ◽  
Amol Patil
Keyword(s):  
Positive Attitude ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Income Group ◽  
P Value ◽  
Care Hospital ◽  
Cross Sectional ◽  
Awareness Campaigns ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Background: Poor knowledge, attitude, and practice (KAP) patterns among patients might reflect the danger of possible high transmission of COVID-19 and the need for awareness campaigns. The need of the hour is to gauge the knowledge, awareness and practices of the people to help prevent the further outbreak of COVID-19.Methods: Questionnaire based cross sectional study was done for a period of 7 days to access the knowledge attitude and practice towards COVID-19 among patients attending a tertiary care hospital in Durg, Chhattisgarh.Results: A total of 288 people participated in the study, majority of respondents were males 53% mean age was 39±15.9 years. Overall, 80.4% of the participants had good knowledge, 68.6% of the participants had a positive attitude, 83.8% of the participants were following good practices. Gender and income influenced knowledge scores, being significantly higher in males and higher income individuals (p value <0.05) while attitude and practices scores had no significant association with gender and income group (p value >0.05).Conclusions: Though the population demonstrated decent knowledge, appropriate practice, and positive attitude towards COVID-19 at the time of outbreak there is still need of on-going health education and awareness campaigns and need of policies and intervention that are more person centred. 

scholarly journals Guideline adherence and control of diabetes mellitus with or without co-morbidities in various wards of a tertiary hospital in Malaysia

2014 ◽  
Vol 3 (8) ◽  
pp. 309-312 ◽  
Author(s):  
Muhammad Zahid Iqbal ◽  
Muhammad Shahid Iqbal ◽  
Dayana Nicholas ◽  
Jamaluddin Awang ◽  
Amer Hayat Khan ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
General Hospital ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Negative Association ◽  
P Value ◽  
Care Hospital ◽  
Cross Sectional ◽  
Prescription Pattern ◽  
Co Morbidity

To assess the adherence of physicians involved in the management of diabetes mellitus with or without co-morbidities with reference to Clinical Practice Guideline 2009 given by Ministry of Health Malaysia in the tertiary care hospital, Pinang General Hospital Malaysia. Cross-sectional study was done at tertiary care hospital, Penang, Malaysia. The total 51 physicians and 1020 patient’s prescriptions written by same physicians were taken from the record of the Penang General Hospital (20 prescriptions for each enrolled physician). All 1020 patients were suffering from diabetes mellitus with or without co-morbidities. These patients were recruited from the different wards of the Penang General Hospital. Depending on the recommendations of CPG 2009 the prescriptions of patients were divided into adherent and non-adherent prescriptions. The overall good level of physician adherence was seen with respect to the recommendations of CPG 2009 in all prescriptions. A statistically significant negative association (?= 0.094, p-value=0.003) was observed between diabetes mellitus control and co-morbidities. CPG adherent had statistically weak negative association (?= -0.081, p-value=0.010) with patients having co-morbidities. No statistically significant association was observed between CPG adherence and any other co-morbidity. The study explored the several features of prescription pattern of physicians involved in the management of diabetes mellitus with or without co-morbidities and recognized the need for improvement in their prescription pattern for treating the diabetes mellitus.DOI: http://dx.doi.org/10.3329/icpj.v3i8.19405 International Current Pharmaceutical Journal, July 2014, 3(8): 309-312

An assessment of depression in type-II diabetics presenting at tertiary care hospital

2021 ◽  
Vol 15 (8) ◽  
pp. 2093-2095
Author(s):  
Mahwish Adnan ◽  
Ghulam Hassan ◽  
Muhammad Abdul Raziq
Keyword(s):  
Diabetes Mellitus ◽  
Behavioral Science ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
P Value ◽  
Care Hospital ◽  
Type Ii ◽  
Cross Sectional ◽  
Duration Of Diabetes ◽  
Type Ii Diabetics

Objective: To assess the frequency of depression in type-II diabetics presenting at tertiary care hospital. Materials & Methods: This cross sectional study was conducted at Department of Psychiatry & Behavioral Science, Sheikh Zayed Hospital, Rahim Yar Khan from April 2020 to October 2020 over the period of 6 months. Total 200 type-II diabetics having age 20-65 years either male or female were selected for this study. Depression was assessed in selected by using DSM-IV criteria for Depression. Results: Mean age was 54.37 ± 5.88 years. Out of 200 patients of diabetes, depression was noted in 46 (23%) patients. Most (98,49%) of the patients were between 51-65 years but difference of depression with age group was not statistically significant with p value 0.8958. Total 19 (20.88%) male patients and 27 (24.77%) female patients were found with depression. But depression was insignificantly associated with gender with p value 0.6315. Total 11 (14.29%) patients found with depression having duration of diabetes mellitus ≤3 years and 35 (28.46%) patients found with depression having duration of diabetes mellitus >3 years. Depression was significantly associated with duration of diabetes mellitus with p value 0.032. Conclusion: Our study concluded that prevalence of depression in type 2 diabetes mellitus patients was much higher and have shown positive association with extremes of ages and duration of disease. Keywords: Diabetes mellitus, depression, socioeconomic status, physical recovery

Mucocutaneous manifestations of Chikungunya fever, an experience of tertiary care hospital

2020 ◽  
pp. 1-13
Author(s):  
Sana Kaleem ◽  
Rabia Ghafoor ◽  
Sidra Khan ◽  
Admin
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
P Value ◽  
Care Hospital ◽  
Inform Consent ◽  
Cross Sectional ◽  
Cutaneous Manifestations ◽  
Chikungunya Fever ◽  
Oral Ulcers

Abstract Objectives: 1. To determine the different frequencies of mucocutaneous manifestations of Chikungunya Fever in a Tertiary care hospital. To determine the associations of positive Chikungunya Fever serology with its mucocuatneous manifestations. Methodology: It was observational cross-sectional study conducted in Department of Dermatology of Jinnah Postgraduate Medical Centre from 15th May 2018 to 15th January 2019. After getting approval from Institutional Review Board, 67 patients were recruited in study by purposive sampling who presented with early and late manifestations of Chikungunya Fever (CF). Different cutaneous manifestations were confirmed by consultant Dermatologist. Photographs were taken after the inform consent of patients. Data was analysed by SPSS 23 and P value was taken significant with < 0.05. Result: The mean age of patients was 30.24±7.89 years. Females and males were 45 (68%) and 20 (31%) respectively. Hyperpigmentation were noted as most frequent finding in 31 (46%), maculopapular rashes ,oral ulcers in 17 (25%), and diffuse hair fall in 14(20%) .Findings like lichenoid eruption in 11 (16%), chick sign in 5 (8%), and erythema of Pinna in 4 (6%) were also recorded. While hair falls, exacerbation of pre-existing dermatoses like psoriasis and acne form eruption were also seen rarely.  There was no significant association was found between clinically suspected cases and serology positive patients of CF. Conclusion: CF presented with important and unusual mucocutaneous findings which are important to diagnose as they help in differentiating it from other viral diseases. We observed that some finding remain long standing and presented months

scholarly journals A comparative study of PPIUCD acceptance between primiparaous and multiparaous women in a tertiary care hospital in Tamil Nadu

2017 ◽  
Vol 6 (8) ◽  
pp. 3569
Author(s):  
K. S. Ramya ◽  
T. S. Meena ◽  
R. Mothilal
Keyword(s):  
Family Planning ◽  
Tamil Nadu ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
P Value ◽  
Contraceptive Device ◽  
Care Hospital ◽  
Cross Sectional ◽  
Vaginal Deliveries ◽  
Postpartum Mothers

Background: Postpartum intrauterine contraceptive device (PPIUCD) is a postpartum family planning method which provides spacing to the next pregnancy and also it helps to avoid unwanted / unintended pregnancy during postpartum period. Our aim is to study the willingness and PPIUCD acceptance between primiparaous and multiparaous women and compare them as a factor of route of insertion (vaginal versus caesarean).Methods: 1060 vaginal and caesarean deliveries conducted over a period of three months and 676 PPUCD insertions was done among the deliveries in a tertiary care hospital. A comparative cross-sectional study was done on the acceptance of PPIUCD by postpartum mothers between primiparous and multipararous women among the deliveries for the study period.Results: The proportion of willingness for PPIUCD was 68.8% among the postpartum mothers. The percentage of acceptance of PPIUCD was 73.8% and 51.4% in respect of primiparous and multiparous postpartum mothers. The route of PPIUCD insertion was more in caesarean deliveries (34.1%) than in vaginal deliveries (29.7%) in the total deliveries. The PPIUCD insertion in primiparous women was effective and statistically significant at p-value is <0.05.Conclusions: PPIUCD is a strong weapon in the family planning and should be encouraged in both vaginal and caesarean deliveries. The acceptability of PPIUCD by postpartum mothers was more in primiparous than in multiparous women.

scholarly journals Clinical and hormonal profile of patients diagnosed with polycystic ovarian syndrome at tertiary care hospital in Tamil Nadu

2019 ◽  
Vol 8 (9) ◽  
pp. 3726
Author(s):  
Sathiya S. ◽  
Renuka S. ◽  
Famida A. M. ◽  
Jennifer Britto J. ◽  
Vijayalakshmi K. ◽  
...  
Keyword(s):  
Tamil Nadu ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Income Group ◽  
P Value ◽  
Care Hospital ◽  
Obese Women ◽  
Polycystic Ovaries ◽  
Cross Sectional ◽  
Hormonal Profile

Background: In recent years due to the changing sedentary life style, irregular periods and infertility has become a major concern. There are many causes for infertility out of which ovulatory disorders contribute to a great extend. The main objective of the study was to assess the clinical and hormonal profile of patients diagnosed with polycystic ovarian disease at tertiary care hospital in Tamil Nadu.Methods: This study was a cross sectional study and was carried out at the Department of Obstetrics and Gynaecology at a tertiary care hospital of Tamil Nadu. The study was done for a period of 6 months. For confirming polycystic ovaries, patients were interviewed thoroughly about their menstrual and fertility history. Blood investigations like LH, FSH were done on D2/D3 of menstrual cycle. 125 patients with PCOS were included in this study. The data was analysed with SPSS-IBM (V.22.0) software.Results: The patients having polycystic ovaries were higher in women of 21-30 years of age. BMI was more than 25. Infertility was found that 57%, hirsutism 45%,  oligomenorrhoea 21% and amenorrhea 20%. On day 2, mean serum LH was 5.9±3.6 and serum FSH was 3.9±2.3. This study showed that the proportion of menstrual complaints is reported more in higher age group. Likewise lower income group presented with menstrual complaints. This was found to be statistically significant (P value <0.05).Conclusions: The study showed that patients diagnosed to have PCOS overweight. PCO in obese women had more severe ovulatory dysfunction. Infertility was the most common complaint.

scholarly journals Impact of burnout among surgeons and residents at a Tertiary Care Hospital of Pakistan.

2020 ◽  
Vol 27 (11) ◽  
pp. 2523-2528
Author(s):  
Balakh Sher Zaman ◽  
Raza Gulzar Ghouri ◽  
Muhammad Mohsin Ali ◽  
Raja Mobeen Ahmed
Keyword(s):  
General Surgery ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Working Hours ◽  
High Rate ◽  
Health Improvement ◽  
P Value ◽  
Care Hospital ◽  
Cross Sectional ◽  
Gynecology And Obstetrics

Objectives: To determine frequency and impact of burnout among surgeons and residents of different specialties at a tertiary care hospital in Punjab, Pakistan, over a period of 6 months. Study Design: Observational Cross-sectional study. Setting: Departments of General Surgery and Ophthalmology, Mayo Hospital Lahore and the Department of Gynecology, Lady Willingdon Hospital Lahore. Period: September to November 2019. Material & Methods: Out of 150 invited participants, 124 responded to the questionnaire. Grades of burnout were determined according to the American Public Welfare Association (APWA) inventory. Data analysis was performed using SPSS 26.0, with qualitative statistics determined as frequency and percentages, and quantitative correlations among variables determined by application of chi-square test with p-value ≤ 0.05 as significant. Results: Out of 124 participants, 48.3% were female while the rest were male, mostly in the age group of 26-30 years (75%). Majority (50.8%) belonging to General Surgery; 32.3% were from Gynecology and Obstetrics and 16.9% were from Ophthalmology. Most of the participants (81.4%) were residents, with majority (51.6%) working 60-80 hours per week. There was high rate of burnout, with 46.3% of females and 32.8% of males reporting early burnout, and 36.6% of females along with 25% of males reporting advanced burnout. General surgeons and gynecologists were more prone to advanced burnout, while eye surgeons and residents had an increased propensity towards developing burnout. Conclusion: There is a high rate of burnout among surgical residents and consultants, attributable to increased working hours, less pay, and decreased job satisfaction. Measures should be taken to curb this trend, both for patient safety as well as for personal and mental health improvement of surgeons.

Recurrence rate of breast cancer after modified radical mastectomy at tertiary care hospital

2021 ◽  
Vol 15 (10) ◽  
pp. 2739-2741
Author(s):  
Asiya Shabbir ◽  
Shahid Hussain ◽  
Muhammad Asif
Keyword(s):  
Breast Cancer ◽  
Recurrence Rate ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Radical Mastectomy ◽  
P Value ◽  
Care Hospital ◽  
Age Group ◽  
Modified Radical Mastectomy ◽  
Cross Sectional

Objectives: To assess the recurrence rate of breast cancer after modified radical mastectomy in cases of breast cancer at tertiary care hospital. Material and methods: Between the March 2020 to September 2020 (over the period of 6 months) total 110 women with breast cancer having age range 30-60 years were recruited from Department of Surgery, Bahawal Victoria Hospital Bahawalpur for this cross sectional study. Modified radical mastectomy was performed in all selected patients. At 6 months follow up, all the selected patients was again examined for recurrence of breast cancer. Results: Total 110 patients with breast cancer were recruited. Mean age of the patients was 43.56 ± 8.9 years. Recurrence of breast cancer was found in 25 (23%) cases. Total 11 (10%) patients belonged to age group <30 years followed by 13 (11.82%) patients to age group 30-40 years, 41 (37.27%) to age group 41-50 years and 45 (40.91%) patients to age group 51-60 years. Recurrence of breast cancer was noted in 2 (18.18%) patients, 3 (23.08%) patients, 10 (24.39%) patients and 10 (22.22%) patients respectively. Statistically insignificant association of recurrence with age group was noted with p value 0.9776. Conclusion: Results of this study showed a higher rate of recurrence of breast carcinoma after modified radical mastectomy. Most of the patients belonged to 5th decade of life. Parity, educational status and marital status showed no association with recurrence of breast cancer.

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