scholarly journals Study of Socio-Demographic Profile of Pesticidal Poisoning Cases in Tertiary Care Center

2018 ◽  
Vol 16 (2) ◽  
pp. 54-57 ◽  
Author(s):  
Binus Bhandari ◽  
Prem Saxena ◽  
Dipendra Khadka
Keyword(s):  
Developing Countries ◽  
Nuclear Family ◽  
Care Center ◽  
Tertiary Care ◽  
College Teaching ◽  
Married Couples ◽  
Medical Emergency ◽  
Tertiary Care Center ◽  
Pesticide Poisoning ◽  
Demographic Profile

Introduction: The pesticide poisoning is a common medical emergency and leads to increase morbidity and mortality rate in developing countries due to easy accessibility and low cost. The study was conducted to study the socio-demographic profile of poisoning case to understand the possible factors responsible for poisoning episodes. Method: A hospital based descriptive crosssectionalstudy was carried out in Nepalgunj Medical College, Teaching Hospital, Kohalpur, a tertiary care center, conducted for period of six months from October 2017 to March 2018. The socio-demographic profile of all cases of pesticidal poisoning attended in emergency department or admitted in medical ward were collected on a suitably designed pre- structured proforma and analyzed. Results: Total 164 patients were enrolled in the study. Majority were fallen in the age group of 20-30 years with female 76.80% dominating the male 23.20%. Married couples (74.40%) were found to be more affected and house wife was more vulnerable group 42.10%. Incidence of poisoning was more common in joint family as compare to nuclear family 81.10% versus 18.90%. Organophosphorous was most common pesticides 42.70% and suicide was main manner of poisoning. Quarrel with spouse was main reason in majority 23.80% and most of events were held at evening 69.50%. Conclusion: Pesticide poisoning was common in developing countries. More emphasis should be given on preventive measures and safety practices among the population for prevention and reduction of the pesticide poisoning.

scholarly journals Estimation of the Burden of Pandemic(H1N1)2009 in Developing Countries: Experience from a Tertiary Care Center in South India

PLoS ONE ◽  
2012 ◽  
Vol 7 (9) ◽  
pp. e41507 ◽  
Author(s):  
Mahesh Moorthy ◽  
Prasanna Samuel ◽  
John Victor Peter ◽  
Saranya Vijayakumar ◽  
Dipika Sekhar ◽  
...  
Keyword(s):  
Developing Countries ◽  
South India ◽  
Care Center ◽  
Tertiary Care ◽  
Pandemic H1n1 ◽  
Tertiary Care Center ◽  
Pandemic H1n1 2009

Geographical Mapping and Pattern of Referral of Cases of Perinatal Asphyxia Referred to a Tertiary Care Center in South India

2020 ◽  
Vol 34 (1-2) ◽  
pp. 6-10
Author(s):  
B. H. Prathik ◽  
Kishore Kumar R. ◽  
Naveen Benakappa ◽  
H. S. Niranjan
Keyword(s):  
Developing Countries ◽  
Urban Areas ◽  
Tamil Nadu ◽  
Perinatal Asphyxia ◽  
Care Center ◽  
Tertiary Care ◽  
Neonatal Resuscitation ◽  
Educational Interventions ◽  
Care Hospital ◽  
Tertiary Care Center

Introduction: Perinatal asphyxia is one of the leading causes of mortality and morbidity in neonates in developing countries. 1 The exact burden of asphyxia in not known in developing countries like India because of lack of robust data collection and monitoring. Most of the cases with moderate-to-severe asphyxia are referred to tertiary care centers for further management. Hence, this study was planned to know the burden of perinatal asphyxia from the place of referral. Objectives: The main objective of this study was to map the cases of perinatal asphyxia referred to a tertiary care hospital from the place of referral and to know the burden of asphyxia after this from the places of referral to plan educational interventions accordingly. Methods: It was a retrospective study conducted in a tertiary care center over a period of 3 years. A total of 388 neonates referred with perinatal asphyxia were analyzed from January 2015 to December 2017. Baseline characteristics, demographic and geographical data, pattern of referral, mode of transport, clinical outcome, morbidity and mortality patterns were analyzed. For the purpose of ease of analysis, possible dissemination of data, and fulfilling the need for intervention, the whole of Bangalore district was divided into different zones as per Bruhat Bangalore Mahanagara Palike (BBMP). The data were further mapped on the state map and the BBMP map. The analysis was done by standard statistical methods. Results: A total of 388 neonates were analyzed. Majority of cases were referred from Karnataka followed by Andhra Pradesh and Tamil Nadu. From our state most of them were from Bangalore Urban (43%) followed by Tumkur (14%), Bangalore Rural (11%), Chikkaballapur (10%), and Ramnagara (5.4%). In Bangalore, most of the asphyxia cases were from Bangalore South followed by Bangalore East and West. Males outnumbered females by nearly 30%. Nearly 80% of cases needed tactile stimulation and bag and mask ventilation. Resuscitation was carried out by doctors (70%) in majority of cases followed by nurses. In spite of having good ambulance service in our state, self-arranged ambulance was used in nearly 60% of cases for transport. The proportion of self-arranged ambulance remained higher even when analysis was made on the basis of districts and zones. Nearly 80% were successfully discharged with mortality rate being 5%. Conclusion: Geographical mapping showed that majority of the cases of perinatal asphyxia were from Bangalore South and East, and neighboring districts such as Tumkur, Bangalore Rural, and Chikkaballapur. Targeted training of health care workers, especially nurses in neonatal resuscitation in the areas of high mortality/morbidity, might reduce the incidence of perinatal asphyxia from these areas much quicker than focusing on urban areas only.

scholarly journals Maternal and fetal outcome in cardiac disease in pregnancy: a retrospective study at tertiary care center

2018 ◽  
Vol 7 (11) ◽  
pp. 4399 ◽  
Author(s):  
Ritanjali Behera ◽  
Jayashree J. Moharana
Keyword(s):  
Developing Countries ◽  
Retrospective Study ◽  
Cardiac Disease ◽  
Mitral Stenosis ◽  
Care Center ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Tertiary Care Center ◽  
Number Of Patients ◽  
In Pregnancy

Background: Cardiac disease in pregnancy is a high-risk pregnancy and major problem worldwide particularly developing countries. In present scenario the incidence of pregnancy with congenital heart disease is high in developed countries and they are landing with favourable outcome due to advance surgical correction of the defects. In developing countries, the incidence of RHD is still high. Therefore, in this study we aim to analyse the incidence of cardiac disease in pregnancy in our hospital and to assess the obstetric outcome.Methods: A retrospective study carried out in 22 number of patients with cardiac disease at tertiary care center during the period of 2 years.Results: In present study the incidence of cardiac disease in pregnancy was observed to be 0.15%.Among them the prevalence of RHD was high (68.1%).Out of which the most common valvular lesion was mitral stenosis (46.6%) followed by mitral stenosis with mitral regurgitation (26.6%).50% of the patients were in NYHA class 2.Majority delivered vaginally with instrumental application in second stage (95.4%).Obstetric complications observed in form of anaemia, preeclampsia, abruption placentae and preterm labour and one maternal  mortality. Perinatal morbidities observed in form of prematurity, SGA, birth asphyxia, MSAF, NICU admission.Conclusions: cardiac disease has major impact on pregnancy and its outcome. It is a team effort by obstetrician, cardiologist, neonatologist to achieve successful pregnancy. Regular antenatal checkup and strict vigilance during the risk period when patient may develop complications as a result of haemodynamic changes can avoid the complications.

scholarly journals Impact of acute care surgery model in aspects of patients with upper gastrointestinal hemorrhage: result from a single tertiary care center in Thailand

2021 ◽  
Vol 6 (1) ◽  
pp. e000570
Author(s):  
Sirasit Laohathai ◽  
Jittima Jaroensuk ◽  
Sira Laohathai ◽  
Wasin Laohavinij
Keyword(s):  
Developing Countries ◽  
Mortality Rate ◽  
Lower Risk ◽  
Care Center ◽  
Tertiary Care ◽  
Acute Care Surgery ◽  
Tertiary Care Center ◽  
Upper Gastrointestinal Hemorrhage ◽  
Care Surgery ◽  
Upper Gastrointestinal

BackgroundEven though an acute care surgery (ACS) model has been implemented worldwide, there are still relatively few studies on its efficacy in developing countries, which often have limited capacity and resources. To evaluate ACS efficacy in a developin country, we compared mortality rates and intervention timeliness at a tertiary care center in Thailand among patients with an upper gastrointestinal hemorrhage (UGIH).MethodsThis retrospective study compared two 24-month periods between pre-ACS and post-ACS implementations from July 1, 2014, to June 30, 2018. Medical records from consecutive patients with UGIH in the surgical department of Chonburi Hospital, Thailand, were reviewed. The primary outcome was UGIH mortality rate differences between pre-ACS and post-ACS implementations. Differences in complications rate, length of hospital stay (LOS), time to esophagogastroduodenoscopy (EGD) and proportion of patients undergoing esophagogastroduodenoscopy (%EGD) in the same admission were also analyzed using unpaired t-test and Fisher’s exact test. Baseline characteristic differences between the pre-ACS and post-ACS periods were controlled for in multiple linear and logistic regression models.ResultsA total of 421 patients were included (162 pre-ACS and 259 post-ACS). Results showed a mortality rate of 24% in post-ACS compared with 41% in pre-ACS period (p<0.001). Overall complications (38% vs 27%), LOS (6.4 days vs 5.6 days) and time to EGD (44 hours vs 25 hours) were also significantly reduced, whereas %EGD increased (70% vs 89%). After adjusting for covariates, patients in the post-ACS period had lower risk of death (OR 0.54, p=0.040), lower risk of developing respiratory complications (OR 0.52, p=0.036), higher chance of receiving EGD in the same admission (OR 2.94, p<0.001) and shortened time to EGD for 19 hours (p<0.001).DiscussionOur results provide evidence that ACS can be implemented to improve patient outcomes at medical centers in developing countries with limited resources.Level of evidenceTherapeutic/care management, level IV.

scholarly journals Head Injury in Nepal: An Institutional Based Prospective Study on Clinical Profile, Management and Early Outcome of Traumatic Brain Injury in Eastern Part of Nepal

2019 ◽  
Vol 4 (2) ◽  
pp. 750-754
Author(s):  
Prakash Kafle ◽  
Babita Khanal ◽  
Dipak Kumar Yadav ◽  
Deepak Poudel ◽  
Tejendra Karki ◽  
...  
Keyword(s):  
Brain Injuries ◽  
Road Traffic ◽  
Care Center ◽  
Tertiary Care ◽  
College Teaching ◽  
Clinical Profile ◽  
Tertiary Care Center ◽  
Cross Sectional ◽  
Female Ratio ◽  
Early Outcome

Introduction: Traumatic brain injuries (TBI) are among the worst consequences and are the major causes of death and disability worldwide. It is considered as silent epidemics affecting individuals of all the ages and one of the major burden of neorological disease. Hence, TBIs are often overlooked and are sometimes called “the neglected disease of modern society”. Presenting GCS is the best predictor of outcome. Objective: The present study aims to portray the epidemiology, clinical profile, its management, early outcome and to evaluate the outcome predictors in a tertiary care center in eastern part of Nepal. Methodology: This is a prospective cross-sectional study conducted at the Department of Neurosurgery, Nobel Medical College Teaching Hospital, Biratnagar, Nepal over the period of 1 year (October, 2016 - December 2017). The primary objective of this study was to review the etiology, clinical profile and early outcome of patients with TBI. Results: During the study period, 1056 patients with head injuries were studied. Of these 202 cases required surgical intervention and 32 were excluded. Mean age of the study population was 38.7 years with the male to female ratio of 3.49:1. Road traffic accident was the most common cause of TBI (76%). Overall mortality rate was 11.17%. Unfavorable GOS at discharge was 43.5% and 26.1% at three months follow-up. Conclusion: TBI continues to be a significant burden of neurosurgical care in major neurosurgical centers in Nepal. This study contributes data on the etiology and clinical profile of patients with TBI from tertiary care center of Nepal.

Sign in / Sign up

Export Citation Format

Share Document