scholarly journals Student Perceptions about Pharmacology Teaching and Curriculum at a Tertiary Care Medical Institute of Haryana State, India-An Appraisal

2017 ◽  
Vol 5 (1) ◽  
pp. 13
Author(s):  
Rakesh Mittal ◽  
Mahesh Chander Gupta ◽  
Vikas Nehra
Keyword(s):  
Student Perceptions ◽  
Tertiary Care ◽  
Medical Institute

scholarly journals A Spectrum of Ophthalmic Diseases in a Tertiary Care Hospital in Peshawar, KPK; a 10-Year Retrospective Study

2019 ◽  
Vol 35 (1) ◽  
Author(s):  
Muhammad Rafiq Afridi Khalid Saifullah Baig Omer Nasim, Salman Khan
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Data Bank ◽  
Cross Sectional Study ◽  
Medical Institute ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Ocular Disorders ◽  
Systemic Condition

Correspondence to: Omer Nasim Ophthalmology Unit Rehman Medical Institute (RMI), Peshawar Email: [email protected] Purpose: To assess the frequency of different eye morbidities in the patients presenting at a tertiary care Hospital in Peshawar. Study Design: Cross sectional study. Place and Duration of Study: Ophthalmology unit of Rehman Medical Institute (RMI), Peshawar from February 2004 to month of March 2014. Material & Methods: This research involved accessing the data bank kept by the Hospital. All ocular morbidities seen during the study period was included in the study while those who presented with the diseases of the eye due to some other systemic condition were excluded. Patients were categorized according to their gender and year of admission. The age categories were divided into 5 groups, 0-20, 21-40, 41-60, 61-80, 81-100 years’ category. The data collected was analyzed using MS Excel 2013. Results: A total of 1869 patients were examined out of which 49.92% were male and 50.07% were female. The ocular examination revealed that out of the 1869 patients, 57.30% of the patients suffered from Cataract, 4.86% patients suffered from Pterygium, 4.76% suffered from Strabismus, 1.65% patients suffered from Glaucoma and the remaining 31.43% suffered from various spectrum of diseases. Female preponderance was more than males in the sense of general morbidity of ocular disorders.

scholarly journals Psychological status of healthcare workers during COVID-19 pandemic: a single center observational study from Peshawar

2020 ◽  
Vol 6 (4) ◽  
pp. 03-06
Author(s):  
Wajeeha Qayyum ◽  
Asad Khalil ◽  
Mohammad Jawad ◽  
Seema Ashraf
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Psychological Status ◽  
Anxiety And Depression ◽  
Medical Institute ◽  
Care Hospital ◽  
Factors Associated ◽  
Care Workers

Introduction: Infectious pandemics are a significant health risk to the general population, but much more so for the frontline health care workers tending patients at different locations. The increased workload, stress, fear, and anxiety are the burdens to be coped with by health professionals through resort to resiliency and other mechanisms.Objective: To determine the magnitude of depression / anxiety and factors associated with it in health care workers of a tertiary care hospital during the COVID-19 pandemic in Peshawar, Khyber Pakhtunkhwa, Pakistan.Materials & Methods: This cross sectional study was conducted at Rehman Medical Institute, Peshawar after approval from Rehman Medical Institute Research Ethics Committee. A structured questionnaire consisting of two sections was distributed by convenience sampling to health care workers in the hospital, the first part containing demographic information, and the second part consisting of Hospital Anxiety and Depression Scale (HADS) comprised of 14 scales to assess anxiety and depression. Scoring for Normal, Borderline Abnormal, and Definitive Disorder was done as per standard criteria. Data were analyzed for descriptive statistics by SPSS 22. Results: Total 327 participants were included in the study, having mean age of 30.19 ± 7.82 years, of which 230(70.3%) were males. The majority of health care workers 226(69.1%) were suffering from disturbed mental status either in the form of Anxiety (19.9%), Depression (8%) or Mixed Disorder (41.3%). Factors associated with high disease frequency were female gender, age group 21-30 years, nursing staff, workers of ICU and Hostel residence (p value <0.05). Conclusion: COVID-19 related psychological disturbances significantly affected healthcare staff of a tertiary care hospital of Peshawar, being more evident in females, younger age groups, nurses, and ICU staff on duty.

scholarly journals ANTIMICROBIAL SUSCEPTIBILITY;

2019 ◽  
Vol 26 (03) ◽  
Author(s):  
Javeria Gul ◽  
Iffat Javed ◽  
Sohaila Mushtaq ◽  
Muhammad Saeed Anwar
Keyword(s):  
Antimicrobial Susceptibility ◽  
Tertiary Care ◽  
Clinical Specimen ◽  
Diffusion Method ◽  
Medical Institute ◽  
Resistant Bacteria ◽  
Gram Negative Bacteria ◽  
Care Hospital ◽  
Gram Negative ◽  
Pathology Department

Background: The emergence and spread of antibiotic resistant bacteria causing infection is a great health issue for clinicians. The problem of multidrug resistant (i.e. resistant to at least three groups of antimicrobial) is becoming more and more threatening. The rate of resistance among Gram negative bacteria especially non fermenters are increasing to all available antibiotic groups. Objectives: The aim of study was to detect the pattern of antimicrobial susceptibility in non-fermenter Gram negative bacilli (NFGNB) in a tertiary care hospital (Postgraduate Medical Institute, Lahore). Study Design: Descriptive study. Settings: The study was conducted in Pathology Department, Postgraduate medical institute (PGMI), Lahore. Study Period: Six months from August 2014 to December 2014. Material and Methods: Non-fermenter Gram negative bacteria were collected from various clinical specimen including blood, pus, urine, fluid aspirates and respiratory tract in a period of six months in pathology department, PGMI. All non-fermenter Gram negative isolates were identified up to species level by standard laboratory procedures using API (Analytical profile index) 20 NE (non-enterobacteriaceae). Antimicrobial susceptibility testing of non-fermenter Gram negative isolates were performed by modified Kirby Bauer disk diffusion method as recommended in CLSI. Results: Out of the total 51 samples the most commonly isolated NFGNB were Acinetobacterbaumanni and Burkholderiacepacia (16 each) followed by Pseudomonas aeruginosa (7), Pseudomonas luteola (5), Stenotrophomonasmaltophilia (4), Pseudomonas fluorescens (2) and Pseudomonas stutzeri(1). Conclusion: The study showed that rate of multidrug resistance increased in non-fermenter Gram negative organisms.

scholarly journals Epidemiological, clinical and histopathological features of meningiomas in a tertiary care hospital

2018 ◽  
Vol 5 (12) ◽  
pp. 5014
Author(s):  
Kanwar Sajid Ali ◽  
Malik Liaqat Ali Jalal ◽  
Sohaib Hassan ◽  
Muhammad Kashif
Keyword(s):  
Tertiary Care ◽  
Medical Institute ◽  
Care Hospital ◽  
Precision Data ◽  
Pathology Laboratory ◽  
Who Grade ◽  
Primary Tumors ◽  
Histopathological Features ◽  
Grade Ii ◽  
Grade Iii

Background: Meningiomas are the second most common primary tumors of the central nervous system. These tumors have an inherited tendency to progress and recur. These tumors are more common in females. The aim of this study was to observe the epidemiological, clinical and histopathological features of meningiomas in a tertiary care hospital.Methods: This observational study was conducted at the Pathology Department of the Postgraduate Medical Institute (PGMI) Lahore, Pakistan, from January 2013 to December 2013. The cases were collected from the Pathology Laboratory of the Lahore General Hospital, Lahore. This study was conducted on 50 cases of histologically diagnosed meningiomas. The sample size was calculated using 15% expected prevalence of meningiomas at 95% confidence interval and 10% level of precision. Data was entered and analyzed using SPSS version 17.Results: There were 22 (44%) male and 28 (56%) female patients in this study. The mean age of patients was 47.28±14.71 years with the median age 47 years. The minimum and maximum ages were 18 and 75 years and age range was 57 years. Out of 50 cases, fourty two cases were diagnosed as benign meningiomas (WHO Grade-I). Six cases were of atypical meningiomas (WHO grade II). Two cases were diagnosed as anaplastic meningiomas (WHO grade III).Conclusions: It can be concluded from the findings of present study that meningiomas are more common in females than males with grade I meningiomas outnumber the grade II and grade III meningiomas.

scholarly journals CLINICAL AND HEMATOLOGICAL FEATURES OF LEISHMANIASIS IN A TERTIARY CARE HOSPITAL OF PESHAWAR

2020 ◽  
Vol 28 (4) ◽  
pp. 348-351
Author(s):  
Zufishan Batool ◽  
Shifa Basharat ◽  
Maria Khan ◽  
Nosheen Ali ◽  
Maria Tasneem Khattak ◽  
...  
Keyword(s):  
Visceral Leishmaniasis ◽  
Cutaneous Leishmaniasis ◽  
Hematological Parameters ◽  
Correct Diagnosis ◽  
Tertiary Care ◽  
Medical Institute ◽  
Care Hospital ◽  
Age Group ◽  
Intermittent Fever ◽  
Almost All

Objective: To evaluate the hematological and clinical features of Visceral and Cutaneous Leishmaniasis. Materials and Methods: This was hospital-based retrospective study which included all cases of Cutaneous leishmaniasis and Visceral leishmaniasis that were diagnosed from Jan 2018 till December 2019 at Pathology Department, Rehman Medical Institute, Peshawar. The diagnosed cases were analyzed for clinical and laboratory profile in details, results of CBC, demographic information and physical signs at presentation were noted as well as bone marrow aspirations were performed for LD bodies. Results: Out of 104 cases, 36 (34.61%) visceral leishmaniasis and 68 (65.38%) cutaneous leishmaniasis were observed during the study period, in which 82 (78.85%) were male and 22 (21.15%) were females. Age range was from 03-40 years with mean of 23 + 4.21 years. Intermittent fever was observed in almost all the cases of visceral leishmaniasis and 52 (76.47%) of cutaneous leishmaniasis. All patients with visceral leishmaniasis had hepatomegaly and splenomegaly. Patients with CL presented as lesions on face and foot region.  In VL all patients were male, while in CL 46 were males and only 22 were females. Majority (83.33%) of patients in VL were children (age group 1-10 years), in cutaneous leishmaniasis 34 (50%) were in age group 31-40 years. Conclusion: Our study concludes that leishmaniasis mainly affecting age group 10-20 years. Patients with visceral Leishmaniasis presented with pallor, weight loss fever and splenomegaly while those with cutaneous leishmaniasis presented with lesions on the foot and face especially nose. Anemia and thrombocytopenia were most common hematological parameters. It is essential that the Public Health authorities be more aware of the condition in order to improve environmental sanitation and personal protective measures and to establish diagnostic laboratories for early and correct diagnosis and treatment.  

scholarly journals FREQUENCY OF CONGENITAL ANOMALIES OF THE KIDNEY AND URINARY TRACT BY MEANS OF ULTRASONOGRAPHY IN NEONATES AT A TERTIARY-CARE HOSPITAL

2021 ◽  
Vol 71 (4) ◽  
pp. 1214-17
Author(s):  
Uzma Rasool ◽  
Saqib Ur Rehman ◽  
Saeed Bin Ayaz ◽  
Ghulam Rasool Tariq ◽  
Ghulam Ghaus Shah
Keyword(s):  
Urinary Tract ◽  
Congenital Anomalies ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Medical Institute ◽  
Care Hospital ◽  
Abdominal Ultrasonography ◽  
Cross Sectional ◽  
Study Population ◽  
Corticomedullary Differentiation

Objective: To determine the frequency of congenital anomalies of the kidney and urinary tract by means of ultrasound in neonates. Study Design: Cross-sectional study. Place and Duration of Study: Department of Radiology and Diagnostic Imaging, Rehman Medical Institute, Peshawar, from May 2015 to Jan 2016. Methodology: A total of 150 neonates reporting for routine abdominal ultrasonography were included. Honda Convex Scanner model HS-2000 with probe of frequency of 5-7 MHz was used for the ultrasonography. Results: Mean age of the neonates was 13.8 ± 7.5 days. Seventy-six (50.7%) were male and 74 (49.3%) were female. Congenital anomalies of the kidney and urinary tract were observed in 10 (6.7%) neonates. Most neonates had more than one anomaly. The left side was involved in 6 (4%) neonates while right side was involved in 4 (2.7%). Hydronephrosis was the most common abnormality found in 8 (5.3%) cases. The location of kidneys was abnormal (ectopic) in 2 (1.3%) neonates. Abnormal dimension was seen in seven cases and abnormal corticomedullary differentiation was found in 5 (3.3%) cases. Non-symmetrical cases were 5 (3.3%). Hydroureter was observed in 3 (2%) neonates and urinary bladder was abnormal in 2 (1.3%) neonates. Conclusion: The frequency of congenital anomalies of the kidney and urinary tract in neonates by means of postnatal ultrasonographic scan in our study population was 6.7%. Hydronephrosis was the most common anomaly.

scholarly journals Frequency, Factors and Pattern of Delayed Presentation for Dialysis in Advanced Kidney Disease Patients Visiting Tertiary Care Hospital

2021 ◽  
Keyword(s):  
Kidney Disease ◽  
Rural Areas ◽  
Kidney Diseases ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Medical Institute ◽  
Care Hospital ◽  
Delayed Presentation ◽  
Cross Sectional ◽  
Patient Presentation

Background: Globally the burden of chronic kidney diseases is increasing. It is often a silent disease until the most advanced stages when symptoms develop. Late referral and presentation to a nephrologist for CKD management is the major issue. Objective: To determine the frequency, factors and pattern of delayed presentation for dialysis in advanced kidney disease patients visiting tertiary care hospitals. Methods: The current cross-sectional study was conducted in Memon Medical Institute Hospital and Dow University of Health Sciences Ojha Campus Karachi Pakistan from December 2019 to March 2020. Patients who presented in the hospital for first-time dialysis with advanced kidney diseases were included in the study. The threshold of patient presentation after a month of advice for dialysis is used to categorize the patient presentation as delayed or non-delayed. Proforma was designed to collect data and SPSS version 21 was used for analyzing the collected data. Results: A total of 214 participants were recruited into the study. The median age of the participants was 40 (29.75 - 53) years. The majority were male (71%) and belonged to rural areas (63.1%). 50.9% of the patients presented with a delay of more than a month. The delayed presentation was significant among those belonging to rural areas (p=0.009) with higher median creatinine (p=0.002) and lower levels of education (p=0.001). The most frequent presentation was high blood pressure (89.3%), followed by oliguria (66.8%). Oliguria was significant among patients with delayed presentation (p=0.003). Patient perception for the delayed presentation was looking for transplant (69.2%) and fear of needle prick (52.3%). Conclusion: Delayed presentation for dialysis at tertiary care centers is a frequently seen issue particularly in patients belonging to rural areas presenting with a symptom of oliguria and fluid overload. Seeking alternative options such as renal transplants and fear of needles are the major reasons for delayed presentations in our study.

scholarly journals Multisectoral approach to achieve canine rabies controlled zone using Intervention Mapping: Preliminary results

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0242937
Author(s):  
Vaishali Gautam ◽  
Pankaj Bhardwaj ◽  
Deepak Saxena ◽  
Nitesh Kumar ◽  
Dileepan S.
Keyword(s):  
Tertiary Care ◽  
Intervention Mapping ◽  
Community Support ◽  
Vaccination Schedule ◽  
Medical Institute ◽  
Intersectoral Collaboration ◽  
Dog Bite ◽  
Stray Dogs ◽  
Canine Rabies ◽  
Stray Dog

Background Annually, in India, millions of dog bite cases occur; most of them are inflicted by a stray dog. There are over 25 million dogs in the country. The rate of stray dog vaccination is suboptimal in India. This study aims to develop an intervention strategy, using Intervention Mapping framework, tailored for the target community to achieve canine rabies controlled zone. Methodology This is an exploratory, cross-sectional study conducted at a tertiary care Medical Institute at Jodhpur, Rajasthan, India, from 2018–2019. The semi-structured, In-Depth Discussion was conducted with a multidisciplinary planning group comprising of members from veterinary, health, and administrative sectors. The In-Depth Discussion focused on knowledge regarding complete stray dog vaccination schedule, self-efficacy (to prevent dog bites), challenges, and barriers faced by residents to achieve canine rabies controlled zone. Further, discussion with veterinary stakeholders focused on challenges faced for rigorous implementation of stray dog vaccination and sterilization. Results In-Depth Discussion revealed the following challenges: Lack of participation by the study population for canine vaccination, incomplete knowledge about annual canine vaccination schedule, lack of understanding of dog gestures, lack of infrastructure and resources at veterinary hospitals. The majority of the dogs in the study area were stray dogs that were partially or non-vaccinated and non-sterilized. An intersectoral collaboration was achieved between the community members, veterinary stakeholders both private and Non-Governmental organisations, and heath sector. Following which 35 (76.0%) stray dogs were vaccinated, and 17 (35.4%) were sterilized with community support. Burden of dog bite cases also decreased. The stray dog density map was prepared, and community engagement activity on dog gestures was conducted. Conclusion The present study demonstrates the feasibility of achieving canine rabies controlled zone. When implemented in a phase-wise manner across all Medical and Residential complex, this strategy would ensure achieving canine rabies controlled zone through multi-stakeholder engagement.

scholarly journals Integrating Adjuvant Analgesics into Perioperative Pain Practice: Results from an Academic Medical Center

Pain Medicine ◽  
2019 ◽  
Vol 21 (1) ◽  
pp. 161-170 ◽  
Author(s):  
Kuo-Kai Chin ◽  
Ian Carroll ◽  
Karishma Desai ◽  
Steven Asch ◽  
Tina Seto ◽  
...  
Keyword(s):  
Pain Management ◽  
Medical Center ◽  
Academic Medical Center ◽  
Tertiary Care ◽  
Oral Morphine ◽  
Opioid Consumption ◽  
Medical Institute ◽  
Unplanned Readmission ◽  
Pain Scores ◽  
Opioid Sparing

Abstract Background Opioid-sparing postoperative pain management therapies are important considering the opioid epidemic. Total knee arthroplasty (TKA) is a common and painful procedure accounting for a large number of opioid prescriptions. Adjuvant analgesics, nonopioid drugs with primary indications other than pain, have shown beneficial pain management and opioid-sparing effects following TKA in clinical trials. We evaluated the adjuvant analgesic gabapentin for its usage patterns and its effects on opioid use, pain, and readmissions. Methods This retrospective, observational study included 4,046 patients who received primary TKA between 2009 and 2017 using electronic health records from an academic tertiary care medical institute. Descriptive statistics and multivariate modeling were used to estimate associations between inpatient gabapentin use and adverse pain outcomes as well as inpatient oral morphine equivalents per day (OME). Results Overall, there was an 8.72% annual increase in gabapentin use (P &lt; 0.001). Modeled estimates suggest that gabapentin is associated with a significant decrease in opioid consumption (estimate = 0.63, 95% confidence interval = 0.49–0.82, P &lt; 0.001) when controlling for patient characteristics. Patients receiving gabapentin had similar discharge pain scores, follow-up pain scores, and 30-day unplanned readmission rates compared with patients receiving no adjuvant analgesics (P &gt; 0.05). Conclusions When assessed in a real-world setting over a large cohort of TKA patients, gabapentin is an effective pain management therapy that is associated with reduced opioid consumption—a national priority in this time of opioid crisis—while maintaining the same quality of pain management.

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