scholarly journals Acute bacterial meningitis in children with 1st episode of febrile seizures.

2021 ◽  
Vol 28 (01) ◽  
pp. 42-46
Author(s):  
Saba Urooj ◽  
Maria Saleem ◽  
Asim Khurshid
Keyword(s):  
Bacterial Meningitis ◽  
Tertiary Care ◽  
Positive Family History ◽  
Febrile Seizures ◽  
Cross Sectional Study ◽  
Study Data ◽  
Acute Bacterial Meningitis ◽  
Care Hospital ◽  
Cross Sectional ◽  
Meningitis In Children

Objectives: To find out the frequency of acute bacterial meningitis (ABM) among children with 1st episode of febrile seizures (FS) at a tertiary care hospital. Study Design: Descriptive Cross-sectional study. Setting: Department of Pediatrics Medicine Children’s Hospital and Institute of Child’s Health, Multan. Period: October 2019 to March 2020. Material & Methods: A total number of 169 children who presented with 1st episode of acute FS, aged 6-60 months were included in this study. Data regarding age, gender, residential area and mother education was taken for each children. Once registered, lumbar puncture (LP) was performed along with a random blood sugar. Cerebrospinal fluid (CSF) was collected and analyzed to find out the frequency of FS among children having ABM. Results: Mean age of children was 24.44±12.26 months. There were 100 (59.17%) male children and 69 (40.83%) female children. there were 16 (9.47%) children having positive family history of FS. 97 (57.40%) children were belonged to rural area and rest of the others were belonged to urban area. ABM was found in 10 (5.92%) children. Conclusion: Frequency of ABM among children presented with FS is not high. ABM was diagnosed in 5.92% children presenting with 1st episode of acute FS.

scholarly journals Knowledge in palliative care of nursing professionals at a Spanish hospital

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Elena Chover-Sierra ◽  
Antonio Martínez-Sabater ◽  
Yolanda Lapeña-Moñux
Keyword(s):  
Palliative Care ◽  
Basic Education ◽  
Statistical Significance ◽  
Descriptive Analysis ◽  
Tertiary Care ◽  
Educational Background ◽  
Cross Sectional Study ◽  
Study Data ◽  
Care Hospital ◽  
Cross Sectional

Resume Objective: to determine the level of knowledge in palliative care of nursing staff at a Spanish tertiary care hospital. Method: descriptive, cross-sectional study. Data were collected about the results of the Spanish version of the Palliative Care Quiz for Nurses (PCQN), sociodemographic aspects, education level and experience in the field of palliative care. Univariate and bivariate descriptive analysis was applied. Statistical significance was set at p < 0.05 in all cases. Results: 159 professionals participated (mean age 39.51 years ± 10.25, with 13.96 years ± 10.79 of professional experience) 54.7% possessed experience in palliative care and 64.2% educational background (mainly basic education). The mean percentage of hits on the quiz was 54%, with statistically significant differences in function of the participants’ education and experience in palliative care. Conclusions: although the participants show sufficient knowledge on palliative care, they would benefit from a specific training program, in function of the mistaken concepts identified through the quiz, which showed to be a useful tool to diagnose professionals’ educational needs in palliative care.

scholarly journals Knowledge, Attitude and Beliefs of Parents Regarding Fever in Children

2021 ◽  
pp. 33-40
Author(s):  
S. Dhanya Dedeepya ◽  
Vidhyasagar Krishnamoorthy ◽  
P. Ambikapathy
Keyword(s):  
Tertiary Care ◽  
Parental Knowledge ◽  
Febrile Seizures ◽  
Cross Sectional Study ◽  
Outpatient Department ◽  
Medical Attention ◽  
Care Hospital ◽  
Cross Sectional ◽  
To Come ◽  
At Home

Aim: To assess the knowledge, attitude and belief of Parents about fever in their children and how they respond to it while at home and when they seek medical attention. Objectives: The purpose of this study is to know the preexisting knowledge of parents about fever in their children and to impart additional knowledge to them. Materials and Methods: A Cross- Sectional study in the form of a questionnaire was conducted at a tertiary care hospital among parents of children visiting the outpatient department and those admitted as inpatient with fever. Children who presented to the emergency room and those with chronic illnesses were not included. Majority of the primary caregivers was the child's mother, and family becomes the 1st point of contact for the intervention, hence we chose family. As per our department that at least 80% of children were primarily brought to OP for fever, and 90% of those admitted in wards were for febrile illnesses, with or without other associated problems, we asked the statistician to come up with an adequate number and we were given.  Results: A total of 100 parents were selected and interviewed. The informants were mostly mothers (83%). Most of the children were brought to outpatient department within the first five days of onset of fever (68%). The parents said that they confirmed the fever by touch(86%)and most of them prefer to consult the pediatrician before giving any medication (56%).The most common symptoms which were seen associated with fever are cough, cold  and  running nose (54%).The most common cause for worry amongst parents are complications like febrile seizures (43%). Conclusion: Fever is one of the most common complaints with which patients come to the hospital. Majority of parents in this study do not have the practice of documenting fever at home with a thermometer. Inadequate parental knowledge about the nature of fever can lead to poor management. Appropriate education helps them to take appropriate measures when their child develops fever.

scholarly journals Composite index of anthropometric failure among under 5 children attending the Immunoprophylaxis clinic in a tertiary care hospital in Nagpur, Maharashtra, India

2018 ◽  
Vol 5 (3) ◽  
pp. 888
Author(s):  
Abhijit Kherde ◽  
Chaitanya R. Patil ◽  
Jyotsna Deshmukh ◽  
Prithvi B. Petkar
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Age Groups ◽  
Composite Index ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Study Data ◽  
Care Hospital ◽  
Global Public Health ◽  
Cross Sectional

Background: Under nutrition is a global public health problem. There are numerous methods of assessment of malnutrition among which CIAF is the most recent, relatively robust since it envisages all the parameters for estimation of nutritional status of the children. So, this study was conducted to find the rates of composite index of anthropometric failure in the children attending the Immunoprophylaxis clinic in a tertiary care hospital of Nagpur and to find associations with the socio demographic variables.Methods: This descriptive cross-sectional study was conducted at the Immunoprophylaxis clinic of a tertiary care institute in Nagpur from September 2016 to January 2017. The study subjects were the children attending the OPD of Immunoprophylaxis clinic of a tertiary care hospital. Necessary permissions were taken before the start of the study. Data was collected using pretested and pre-designed questionnaire. Height and weight were measured using standard guidelines and categorized into groups of CIAF as described by Nandy et al.Results: A total of 460 study subjects were enrolled in the study. The mean age group of the study subjects was 2.47±1.56 years. According to the grades of CIAF, 48.51% were having no failure. Age and gender were factors which were associated with failure status by CIAF.Conclusions: We found high rates of anthropometric failure in our study. The age groups less than 3 years had higher odds of being in failure when compared to more than 3 years age. Further, males had higher odds of being into failure when compared to females. Community based studies are recommended.

scholarly journals A retrospective study of febrile seizures among children admitted in a tertiary care hospital

2018 ◽  
Vol 5 (7) ◽  
pp. 3121
Author(s):  
Pralhad Sureshrao Potdar
Keyword(s):  
Family History ◽  
Febrile Seizure ◽  
Tertiary Care ◽  
Positive Family History ◽  
Complex Form ◽  
Febrile Convulsion ◽  
Febrile Seizures ◽  
Care Hospital ◽  
Cross Sectional ◽  
Co Morbidity

Background: Convulsion is the most common neurologic finding in children (10%). Prevention of febrile convulsions is therefore desirable, and is of particular relevance in children with factors carrying a high risk of recurrence. Aim and Objectives were to study the demographic profile and some risk factors of febrile seizures among children.Methods: A record based descriptive cross-sectional study was conducted at paediatric department of Dr. S.C.GMC, Nanded. Considering inclusion & exclusion criteria all children in the 6 month to 6 year age who were diagnosed as having febrile convulsion admitted during January to December 2015 were included in the study.Results: Of the 288 children 173 (60.1%) were boys and 115 (39.9%) were girls. 46.9% children were in the 1-3 year age group. Mean age of occurrence was 2.8 years (±1.5 years). In this study, 80.2% (231) of the patients had simple and 19.8% (57) had the complex form of febrile seizure. In our study, 51.73% (149) of affected children had positive family history of febrile seizure. URTI (9.7%) followed by AGE (7.3%) was the most common co-morbidity. 54.2% children were hospitalized for 1-3 days.Conclusions: Most of the children had a positive family history and the most common causative factor was URTI, LRTI, AGE etc. are associated with febrile convulsion and these diseases can be managed effectively thereby reducing the occurrence of febrile convulsion. 

scholarly journals A study to evaluate risk factors and factors associated with non-adherence to the prescribed treatment among essential hypertensive patients attending tertiary care hospital

2020 ◽  
Vol 7 (9) ◽  
pp. 3623
Author(s):  
Venkat Sunil Bommishetty ◽  
Suresh Keshav Kumbhar
Keyword(s):  
Risk Factors ◽  
Medication Adherence ◽  
Life Style ◽  
Tertiary Care ◽  
Positive Family History ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Factors Associated

Background: Prevalence of hypertension is on rising trend with rise in life style and behavioral changes. It is also a major risk factor for most of the dreadful conditions like coronary artery disease, stroke, etc. Medication adherence would help in reducing the chance of occurrence of such complications. Thus objectives of study are 1) to evaluate the risk factors of hypertension among the diagnosed essential hypertensive patients; and 2) to assess the magnitude and the factors associated with non-adherence to the prescribed treatment.Methods: A hospital based cross-sectional study among 71 participants was conducted, using a pre-structured questionnaire and physical examination to assess risk factors of hypertension and CULIG’s 16 questionnaire medication adherence scale to assess the non-adherence. Data analysed with proportions and Chi square test.Results: Out of 71 participants, 60 (84.5%) were found to be non-adherent to their anti-hypertensive medication and factors like being male (p=0.0055), alcohol consumption (p=0.0485) and paid medication (p=0.0091) were found to be significantly affecting the medication non-adherence. Positive family history, sedentary life style, preference of extra salt and smoking/tobacco products usage were the most common risk factors of essential hypertension observed along with others.Conclusions: The participants who experienced the complications/ill effects of hypertension were more adherent as compared to others. Factors which are responsible for non -adherence need to be addressed and appropriate interventions required to improve adherence by educating the people about its importance in prevention of complications.

scholarly journals Clinical Profile of Bacterial Meningitis in Children and Comparative Inter-Alia Analysis of Various Microbiological Tests

2020 ◽  
Vol 10 (01) ◽  
pp. e38-e44
Author(s):  
Rohan Halder ◽  
Richa Malik ◽  
K.C Aggarwal ◽  
Deepthi Nair ◽  
Shobha Sharma
Keyword(s):  
Bacterial Meningitis ◽  
Low Income ◽  
Tertiary Care ◽  
Age Groups ◽  
Clinical Profile ◽  
Acute Bacterial Meningitis ◽  
Care Hospital ◽  
Gram Stain ◽  
Cranial Nerve Palsies ◽  
Meningitis In Children

AbstractAcute bacterial meningitis (ABM) is a life-threatening and neurologically debilitating infectious disease. We studied the clinical profile, organisms involved in bacterial meningitis in children, and compared the tests on cerebrospinal fluid (CSF), latex agglutination test (LAT), polymerase chain reaction (PCR), Gram stain (conventional) and Cyto-Tek cytospin centrifuge Gram stain to culture which is the gold standard. This was an observational cross-sectional study (age range 3 to 12 months) conducted in a tertiary care hospital, New Delhi, India over 1 year. A total of 101 patients were enrolled and divided into three age groups, namely, < 1 year, 1 to 5 years, and > 5 years. Fever was the most common presenting symptom in all groups (84.2%). Refusal to feed, headache, altered sensorium, vomiting, and blurring of vision were significantly associated with bacterial meningitis in all age groups. Cranial nerve palsies and neck rigidity were significantly higher in older children. Age < 5years, low-socioeconomic status, overcrowding, and smoke exposure were identified as risk factors for meningitis. Eight children died within 48 hours of admission and the rest (n = 93) recovered without complications. CSF culture was positive in 35.6% cases, with streptococcus pneumoniae being the most common organism. PCR was most sensitive (86.1%) and cytospin gram stain showed positivity in 65% cases which was statistically higher compared with conventional gram stain. Cytospin-prepared Gram stain was a viable low-cost alternative for early diagnosis of meningitis in low-income countries like India.

scholarly journals A study of serum C peptide levels in newly detected diabetic patients in tertiary care hospital

2021 ◽  
Vol 8 (5) ◽  
pp. 679
Author(s):  
Balakrishna Teli ◽  
Prabhu S. ◽  
Sneha Biradar
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Study Data ◽  
P Value ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Cross Sectional ◽  
C Peptide ◽  
Medical College ◽  
Endogenous Insulin

Background: Diabetes mellitus (DM) refers to a group of common metabolic disorders that share the phenotype of hyperglycemia. The deficiency of C-peptide in type 1 DM or its excess in type 2 DM leads to the development of disorders which includes the cardiovascular, nervous, excretory and other systems. The present study is done to assess the serum C-peptide levels in newly detected diabetic patients and its significance in classification of diabetes and deciding about management.Methods: This cross sectional study was conducted within the hospitals attached to Bangalore medical college and research institute. 65 newly detected diabetes patients who gave consent for study and satisfy the inclusion criteria were included in the study. Data was collected using semi structured questionnaire, clinical examination and relevant investigations. Statistical analysis was performed using SPSS software. A p value of <0.05 was considered significant.Results: C-peptide levels showed that 34 (52.3%) subjects had C-peptide levels >2 followed by 10 (15.4%) subjects having 0.1 to 0.6, 9 (13.8%) subjects having 1 to 2, 6 (9.2%) subjects each having 0.6 to 1 and <0.1.Conclusions: Serum C-peptide levels are useful as an index of endogenous insulin production. Low C-peptide levels need insulin treatment due to poor insulin reserve. Majority of the subjects, who had low serum C-peptide levels also had low BMI suggesting a positive correlation between C-peptide levels and BMI.

scholarly journals Clinical and Aetiological Pattern of Chronic Diarrhoea in a Tertiary Care Hospital

2018 ◽  
Vol 29 (1) ◽  
pp. 43-48
Author(s):  
MN Islam ◽  
Amiruzzaman ◽  
MA Azhar ◽  
S Yeasmin ◽  
N Hasan ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Intestinal Tuberculosis ◽  
Cross Sectional Study ◽  
Study Data ◽  
Chronic Diarrhoea ◽  
Care Hospital ◽  
Double Balloon Enteroscopy ◽  
Cross Sectional ◽  
Female Ratio ◽  
Carcinoma Colon

Chronic diarrhoea is one of the most common conditions facing both primary care clinicians and gastroenterologistsThe present study was a cross-sectional study conducted on 100 patients at the Department Medicine and Gastroenterology of Sir Salimullah Medical College, Mitford Hospital, Dhaka. Patients with chronic diarrhoea of at least 4 weeks duration were enrolled in the study. Data were collected using a structured questionnaire. The mean age was 39.14± 14.74 years with a range of 18 to 70 years. The male to female ratio was roughly of 2:1. Among the female 24% were housewives. Equal percentages of patients had abdominal pain, anorexia & significant weight loss (64%). Other clinical features were anemia (34%) fever and rectal bleeding (24%). The leading diagnoses were irritable bowel syndrome (34%), ulcerative colitis (18%), intestinal tuberculosis (12%), chronic pancreatitis (6%), carcinoma colon, intestinal lymphoma, non specific colitis &Crohn’s disease (4% each). Endoscopy of upper GIT was done in 14% patients, colonoscopy 66%, double balloon enteroscopy 6% and specific histological diagnosis found in 56%, 10% was non-specific, 6% was diagnosed by ultrasound and 1% by stool routine examination. It was found that IBS, inflammatory bowel disease and intestinal tuberculosis are the leading cause in our country. Aetiology of chronic diarrhoea can be diagnosed by good history, clinical examinations and an appropriate investigation of which colonoscopy is most useful.TAJ 2016; 29(1): 43-48

scholarly journals Contraceptive practices and awareness about emergency contraception among women attending a tertiary care hospital of Delhi, India

2019 ◽  
Vol 8 (3) ◽  
pp. 1047
Author(s):  
Prachi Renjhen ◽  
Vikas Kumar ◽  
Akanksha Rathi ◽  
Attuluri Loukya
Keyword(s):  
Emergency Contraception ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Study Data ◽  
P Value ◽  
Care Hospital ◽  
Barrier Method ◽  
Cross Sectional ◽  
Adult Females

Background: Emergency contraceptive pills (ECs) are a safe female-controlled method of post-coital contraception; however, the knowledge about them is low among general population.Methods: This cross-sectional study was done among the adult females, aged 18 years and above, who visited the various out-patient departments (OPD) of a tertiary care hospital in July 2017. A total of 640 adult females, who visited the OPDs of medicine, surgery, orthopedics and gynecology were included in this study. Data were entered and analyzed using SPSS ver 16. Chi-square test was used to test association. A p-value of less than 0.05 was considered as significant association.Results: Of the 640 participants, mostly were Hindu, aged between 20-29 years, married and had more than one child. Only, 52% females were aware of the term ‘contraception’ and 17.7% about ‘emergency contraception’. The only method of ECs they were aware of was i-pill. Commonest source of their knowledge was friends, relatives and spouse. Only 70 women knew that it can be used after unprotected intercourse and 25 knew that it can be used after failure of barrier method. Just 41.2% women used any kind of contraceptive and 5.3% women have ever used an EC. Around 28% women reported not using contraception due to lack of knowledge.Conclusions: Despite of their availability since many years, awareness about emergency contraception is low. More efforts are required to generate awareness about regular use of effective contraception and emergency contraception if required.

scholarly journals Clinico-epidemiological profile of eclampsia patients admitted in an urban tertiary care hospital of West Bengal: a record based study

2018 ◽  
Vol 5 (6) ◽  
pp. 2416
Author(s):  
Baisakhi Maji ◽  
Sumana Samanta ◽  
Sreetama Banerjee ◽  
Tanjib Hassan Mullick ◽  
Sudhanshu Saharay ◽  
...  
Keyword(s):  
Post Partum ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Public Health Problem ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Study Data ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
Cross Sectional

Background: Eclampsia is a multi–system disorder with complex pathogenesis, causing 12% of global maternal deaths. It is a major public health problem specially in developing countries, contributing to maternal and perinatal morbidity as well as mortality. Majority of them are preventable if managed timely, promptly and with expertise. The objectives of the study were to identify the incidence of eclampsia in R G Kar Medical College and Hospital as well to identify the determinants of feto-maternal outcome.Methods: A retrospective, record-based cross-sectional study was conducted in an urban tertiary care teaching hospital. There were 354 pregnant women with eclampsia admitted and delivered during the study period which was 1st January-31st December’2015. Complete enumeration was done to get the sample for the study. Data were retrieved from eclampsia registers and log books of delivery kept in the labour room and hospital record section. After wards it was analysed with the help of SPSS 20.0 version to get different inferential statistics.Results: Incidence of eclampsia in that hospital in 2015 was18.4/1000 deliveries. Almost 72% patients had ante-partum eclampsia and rest had post-partum eclampsia. Emergency caesarean section was the most common (62.14%) mode of delivery. Perinatal mortality was found in 5.6% of the eclampsia patients. Majority (65%) of the babies delivered belonged to low birth weight. Muslim patients and the patients of gestational age more than 36 weeks had unfavourable outcome.Conclusions: There is need to educate and encourage the general public for antenatal care and institutional delivery. Along with this the socio-economic, cultural and educational status are to be uplifted for the improvement of the present scenario regarding eclampsia in our country.

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