scholarly journals Experience of the surgical team in COVID-19 in a tertiary care hospital in Pakistan.

2021 ◽  
Vol 29 (01) ◽  
pp. 1-6
Author(s):  
Atta Ur Rehman ◽  
Muhammad Afzal Chowhan
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Ethical Review ◽  
Care Hospital ◽  
Surgical Team ◽  
Team Members ◽  
Life Threatening ◽  
Related Stress ◽  
Surgical Teams ◽  
Study Setting

Objective: To analyse experience of the surgical team in COVID-19 in a tertiary care hospital in Pakistan. Study Design: Analytical Observational study. Setting: Department of Surgery, Tertiary Care Hospital Sialkot, Pakistan. Period: March to September 2020. Material & Methods: After the permission of ethical review committee (ERC/12/2020), data was collected by all four groups surgeons, Resident and internees, paramedical staff and other staff of surgical teams. A simple, 6 question-questionnaire, manually typed, was distributed to all members willing to complete and return the questionnaire. Data was analyzed by using SPSS-23. Results: Majority (91.27%) of the surgical team members got satisfactory training to handle with Covid-19 Cases. The 80 % was in fear to contract the disease while working in isolation and COVID-19 wards and about (76%) were well adjusted to their newly assigned duties. About 85% of surgical team members experienced prolong duty hours (12 hours a day) related stress and similar percentage participated in the management of surgeries done during this period. Conclusion: Surgical Team participated and adapted to meet the newly assigned duties to lookafter the isolation and COVID-19 wards. Team members experienced stress and fear of contracting disease was a matter of concern. However, it has taken care of all trauma, life-threatening emergencies and oncological cases adhering to use of principles of use of PPEs.

Perception of Surgical Teams Towards Surgical Site Infections in Tertiary Care Hospital Islamabad, Pakistan

2019 ◽  
Vol 82 (3) ◽  
pp. 394-401 ◽  
Author(s):  
Faiz Ullah Khan ◽  
Zakir Khan ◽  
Asim.ur. Rehman ◽  
Fazal Rabbi ◽  
Naveed Ahmed ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Surgical Site Infections ◽  
Care Hospital ◽  
Surgical Teams

scholarly journals URO-DYNAMIC EVALUATION

2008 ◽  
Vol 15 (03) ◽  
pp. 361-366
Author(s):  
SAQUIB HANIF JANJUA ◽  
TARIQ MEHMOOD ◽  
REHANA YASMIN ◽  
Zaheer Ahmad GiLL ◽  
M. Farooq Azam Rathore ◽  
...  
Keyword(s):  
Stress Incontinence ◽  
Spinal Cord Injuries ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Urodynamic Evaluation ◽  
Study Materials ◽  
Life Threatening ◽  
Trained Staff

Objective: To describe the pattern of Urodynamic evaluation at ArmedForces Institute of Rehab Medicine, Rawalpindi. Study Design: Descriptive study. Materials and Methods: This studywas conducted on 466 patients reporting for urodynamic evaluation at Urodynamic/Incontinence Clinic at A F Instituteof Rehab Medicine from Feb 2003 to Dec 2006. We considered the age, gender, etiology, reason for referral, andpresenting complaints whereas results were formulated according to Classification of voiding disorders by Internationalsociety of Incontinence. Data was analyzed using statistical package forSocial Science version 10. Results: In all (466)patients, 58% were males and 42% were females. Mean age was 46.8 years. Increased frequency (61%) andincontinence (52%) were the most common presenting complaints, 158(34%) had spinal cord injuries, 58 were casesof myelodysplasias and 128 reported with stress incontinence. Urodynamic studies showed that 152(33%) hadhyperactive bladders, 110(24%) had a contractile/hypo-contractile bladders, 104(22%) had stress incontinence and56(12%) cases had normal results. Conclusion: Urodynamics helps in diagnosis of potentially life threatening urinaryproblems. The availability of this equipment and trained staff must be encouraged at tertiary care hospital. Moreresearch is required in this regard in Pakistan, which shall help in formulating better management protocols in future

scholarly journals Burden, types of diseases and outcome in LBW babies admitted at a Tertiary Care Hospital.

2020 ◽  
Vol 27 (03) ◽  
pp. 547-551
Author(s):  
Shahid Iqbal ◽  
Fazal Ur Rehman ◽  
Muhammad Haneef
Keyword(s):  
Birth Weight ◽  
Analytical Study ◽  
Distress Syndrome ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
P Value ◽  
Care Hospital ◽  
Duration Of Hospital Stay ◽  
Hospital Study ◽  
Study Setting

Objectives: LBW has long been labeled as one of the major risk factor for mortality as well as morbidity in neonates. South Asia is said to have highest number of LBWs which estimated to be 1 in 4 newborns that weigh < 2500 grams. This study was planned with an aim to note the burden, types of diseases and outcome in LBW newborns admitted at a tertiary care hospital. Study Design: Descriptive analytical study. Setting: Included all neonates admitted to NICU of Sheikh khalifa Bin Zaid Al Nahyan Teaching Hospital, Rawlakot. Period: 1st July 2018 to 31st December 2018. Material & Methods: The prevalence of LBW amongst all admissions was calculated along with demographic features of all LBW babies like disease, reasons for the admission, duration of hospital stay along with outcome was noted on a predesigned proforma. Results: Out of total of 1410 admission in NICU during the study period, 512 (36.3%) were noted to be LBW. Amongst LBW babies, mean weight was 1.91 kg while 269 (52.5%) were male and 243 (47.5%) female. There were 364 (67.6%) babies born at full term. There were 82 (16.0%) with birth weight of less than 1.5 kg, 166 (32.4%) between 1.5 to 2 kg while 264 (51.6%) were above 2 kg. Amongst all LBW babies, mortality was reported in 185 (36.1%) while 112 (60.5%) died on the 1st day of admission. Respiratory distress syndrome (31.4%), sepsis (20.3%) and neonatal jaundice 58 (11.3%) were the commonest diseases seen. Highest mortality (56.1%) was seen in babies who had birth weight below 1.5 kg (p value = 0.001). Conclusion: LBW is a major cause of hospitalization and mortality. RDS and sepsis were the most frequent diseases noted in LBW babies. Immediate care following birth is vital for babies already at risk of LBW.

scholarly journals Appraisal of Thyroidectomy in Outlying Tertiary Care Hospital

2020 ◽  
pp. 11-18
Author(s):  
Dr. A H M Delwar
Keyword(s):  
Tertiary Care Hospital ◽  
Demographic Data ◽  
Tertiary Care ◽  
Neck Surgery ◽  
Care Hospital ◽  
Management Options ◽  
Medical College ◽  
Disease Patterns ◽  
Benign Goiter ◽  
Study Setting

Objective: To find out the prevalence, presentation, disease patterns, operations of the thyroid gland and facilitate the prevention of complications and a risk factors for it. Study design: Cohort retrospective study. Setting: Academic tertiary care hospital. Subject and Methods: A total of 173 euthyroid benign and malignant goiter patient’s demographic data, diagnosis, operations, complications, and management options collection and analyzed who attended in the department of Otolaryngology and Head-Neck Surgery, Comilla Medical College, and Comilla Medical Centre, concern Clinic of Central Medical College, Comilla, Bangladesh from 01 July 2016 to 31 June 2019. Results: Incidence of euthyroid benign and malignant Goiter among outpatient was 0.12%, and the yearly prevalence of 33.34%. Out of 173, the male was 20 (11.56%), and the female 153 (88.44%), 30-39 years patients have the highest presentation was 60 (88.44%), 20-29 years 40 (23.12%), and 40-49 years 38 (21.97%), euthyroid benign goiter was 142 (82.08%), and malignant 31 (17.92%).

scholarly journals Microbiological Spectrum of Brain Abscess at a Tertiary Care Hospital in South India: 24-Year Data and Review

2011 ◽  
Vol 2011 ◽  
pp. 1-12 ◽  
Author(s):  
V. Lakshmi ◽  
P. Umabala ◽  
K. Anuradha ◽  
K. Padmaja ◽  
C. Padmasree ◽  
...  
Keyword(s):  
Brain Abscess ◽  
South India ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Salmonella Typhi ◽  
Care Hospital ◽  
Emerging Pathogens ◽  
Diagnostic Challenge ◽  
Life Threatening ◽  
Brain Abscesses

Intracranial abscesses are life-threatening infections that pose a diagnostic challenge not only to the neurosurgeon but also to the microbiologists. Detailed studies documenting the spectrum of infecting agents involved in brain abscesses are limited from India. Materials and Methods. This is a retrospective analysis of 352 samples from 1987 to 2010 analyzed at a tertiary care hospital in South India from 1987 to 2010, to document the changing trends with time. Results. The age of the patients ranged from 2 to 80 years, a larger number of males being affected. Otogenic infections were the most common cause while cryptogenic abscesses were 20%. Gram stain and culture positivity were 78% each. Gram-positive and negative facultative aerobes and obligate anaerobes were also on the rise. Unusual organisms, like Burkholderia pseudomallei, Salmonella typhi, Nocardia species, Cladosporium bantiana, Fonsecaea pedrosoi, Entamoeba histolytica, and Acanthamoeba were also isolated and/or detected from the brain abscesses aspirate or resected tissue. Summary. New and emerging pathogens associated with brain abscess, especially in immunosuppressed individuals, have renewed the necessity of an early detection, and it will be of great value in appropriate management of patients with brain abscess.

scholarly journals Prevalence of ocular disorders with seasonal variations in Tertiary Care Hospital in South Punjab.

2020 ◽  
Vol 27 (08) ◽  
pp. 1675-1679
Author(s):  
Jamila Anwar ◽  
Muhammad Luqman Ali Bahoo ◽  
Faisal Ali ◽  
Kanwal Ijaz
Keyword(s):  
Teaching Hospital ◽  
Seasonal Variations ◽  
Tertiary Care Hospital ◽  
Demographic Data ◽  
Tertiary Care ◽  
Care Hospital ◽  
Medical College ◽  
Ocular Disorders ◽  
Ocular Morbidity ◽  
Study Setting

Objectives: To observe the Prevalence of Ocular Disorders with seasonal variations in South Punjab. Study Design: Observational descriptive study. Setting: Ophthalmology Department of Shahida Islam Teaching Hospital affiliated with Shahida Islam Medical College Lodhran, a tertiary care Hospital in south Punjab. Period: January 2018 to December 2018. Material & Method: The case records of all consecutive patients seen at the outpatient department (OPD) of Shahida Islam Teaching Hospital, Lodhran from January 2018 to December 2018 were retrieved. The demographic data such as age and sex of the patients were noted. The patient data were collected from the OPD registers at the clinics and analyzed retrospectively. Results: A total of 14398 patients were examined out of which male were 46.3% and female were 53.7%. Ocular examination revealed that out of 14398 patients most common ocular morbidity is refractory errors followed by conjunctiva diseases and then lenticular disorders. Conclusion: Majority of ocular morbidity were either preventable or treatable. If detection is early in the course, prevalence of ocular morbidity can be greatly reduced.

scholarly journals Root morphology of maxillary 1st premolar teeth in orthodontic extraction cases presenting in a tertiary care hospital: Taxilla Cantt.

2021 ◽  
Vol 28 (7) ◽  
pp. 1013-1017
Author(s):  
Maimoona Siddiq ◽  
◽  
Junaid Shakeel ◽  
Bushra Naeem Khan ◽  
Syed Zuhair Mehdi ◽  
...  
Keyword(s):  
Root Morphology ◽  
Tooth Extraction ◽  
Prospective Observational Study ◽  
Tertiary Care Hospital ◽  
Local Population ◽  
Tertiary Care ◽  
Care Hospital ◽  
Medical Sciences ◽  
Pakistani Population ◽  
Study Setting

Objective: To observe pattern and variation of root morphology of maxillary 1st premolar teeth in orthodontic extraction cases among local population. Study Design: Prospective Observational study. Setting: Dental College-HITEC Institute of Medical Sciences-Taxilla Cantt. Period: 1st January 2017 to 31st December 2019. Material & Methods: A total of 120 patients and 320 maxillary 1st premolars were studied clinically for gross root morphology after orthodontic tooth extraction, variation of gross root morphology was studied among extracted teeth, frequency distribution was observed on basis of gender and both quadrants in each patient, a critical analysis is also made about variation of root morphology among various populations across the world. Result: Out of 160 patients, 49 were males and 111 were females. 151 patients had bilateral similar root morphology, out of 320 clinically examined teeth 206 had two roots, and 123 teeth had fused root morphology, 83 teeth had two bifurcated (separate) roots while 114 teeth were single rooted. Conclusion: Maxillary 1st premolar is unique in terms of wide variation in root morphology which is evident among various population studies. Two roots with fused root morphology is most prevalent in Pakistani population.

scholarly journals Medical Device-AssociatedCandidaInfections in a Rural Tertiary Care Teaching Hospital of India

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Sachin C. Deorukhkar ◽  
Santosh Saini
Keyword(s):  
Medical Device ◽  
Tertiary Care ◽  
Blood Stream ◽  
Care Hospital ◽  
Team Members ◽  
Hospital Acquired Infection ◽  
Life Threatening ◽  
Health Care Associated Infections ◽  
Device Associated Infection ◽  
Hospital Acquired

Health care associated infections (HCAIs) add incrementally to the morbidity, mortality, and cost expected of the patient’s underlying diseases alone. Approximately, about half all cases of HCAIs are associated with medical devices. AsCandidamedical device-associated infection is highly drug resistant and can lead to serious life-threatening complications, there is a need of continuous surveillance of these infections to initiate preventive and corrective measures. The present study was conducted at a rural tertiary care hospital of India with an aim to evaluate the rate of medical device-associatedCandidainfections. Three commonly encountered medical device-associated infections (MDAI), catheter-associated urinary tract infection (CA-UTI), intravascular catheter-related blood stream infections (CR-BSI), and ventilator-associated pneumonia (VAP), were targeted. The overall rate of MDAI in our hospital was 2.1 per 1000 device days. The rate ofCandidarelated CA-UTI and CR-BSI was noted as 1.0 and 0.3, respectively. Untiring efforts taken by team members of Hospital Acquired Infection Control Committee along with maintenance of meticulous hygiene of the hospital and wards may explain the low MDAI rates in our institute. The present surveillance helped us for systematic generation of institutional data regarding MDAI with special reference to role ofCandidaspp.

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