scholarly journals Pathway to care among psychiatric patients attending a Tertiary care hospital in Kathmandu Valley

2018 ◽  
Vol 7 (2) ◽  
pp. 31-35 ◽  
Author(s):  
N. Rai ◽  
P. Pokhrel ◽  
P.P. Sharma ◽  
M. Basnet ◽  
B. Dahal ◽  
...  
Keyword(s):  
Mental Illness ◽  
Tertiary Care Hospital ◽  
Psychiatric Patients ◽  
Tertiary Care ◽  
Family Members ◽  
Kathmandu Valley ◽  
Equal Proportion ◽  
Care Hospital ◽  
Common Diagnosis ◽  
Pathway To Care

Introduction: Mental illness accounts for 14% of all disability adjusted life years (DALYs) lost worldwide and is one of the major contributors to the global burden of disease. In spite of this much of burden and disability there is a huge gap between the treatment and help seeking behavior. Though, the mental illness is a common problem, due to stigma and lack of knowledge they prefer to visit alternative sources like faith healers, traditional practitioners and quacks. Very few of them seek psychiatrists help. So, this pathway to care study aims to provide some descriptive insight into the pathways to care among the psychiatric patients attending the tertiary care hospital in Kathmandu valley. Material and Method: A cross-sectional study among 66 patients seeking psychiatric outpatient services in Kist medical College, Imadole, Lalitpur, Nepal which is a Teriatry hospital from the period of 1st August – 31st October, 2018. Semi structured proforma developed by department of Psychiatry which covered the socio-demographic profile and WHO (1987) collaborative “pathway study” encounter form as a guiding tool was used to collect the data. Results: Out of 66 enrolled patients, 60.6% were in the age group of 21-40. Almost equal proportion of male (51.5%) and female (48.5%) visited psychiatric services. Majority of the patients were married (81.8%), Chhetri (25.8%) by caste and Hindu (81.8%) by religion. Majority of the patients were from outside valley (51.5), educated upto primary level (31.8%) and housewife by occupation (28.8%). The most common diagnosis was Depression (16.7%) and Alcohol Dependence syndrome (16.7%). Majority (45.5 %) of the patients had visited faith healer before visiting to Psychiatrists. 57.6 % patient visited psychiatrists within 2.5 months duration and majority of them were initiated to visit psychiatrists by family members/ relatives. Conclusion: Faith healers were the most common first contact for psychiatric patients. Despite of that majority of the patients had visited psychiatrists within 2.5 months duration. In most of the cases family members/ relatives were the one to initiate for psychiatric consultation.

Deprescribing of benzodiazepines and Z-drugs amongst the psychiatric patients of a tertiary care Hospital

2019 ◽  
Vol 44 ◽  
pp. 189-194 ◽  
Author(s):  
Halumatha Surendra Shree Shilpa ◽  
N. Naveen Kumar ◽  
Eswaran Maheswari ◽  
Harave Shanmugam Virupaksha ◽  
Viswam Subeesh ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Psychiatric Patients ◽  
Tertiary Care ◽  
Care Hospital

scholarly journals Prescribing patterns of cardiovascular drugs in cardiology outpatient department in a tertiary care hospital in Western Odisha

2020 ◽  
Vol 10 (1) ◽  
pp. 23
Author(s):  
Ayan Roy ◽  
Nayan Kumar Patel
Keyword(s):  
Drug Utilization ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cardiovascular Drugs ◽  
Prescribing Patterns ◽  
World Health ◽  
Fixed Dose ◽  
Care Hospital ◽  
Clinical Practices ◽  
Common Diagnosis

Background: Cardiovascular morbidity plays a villainous role globally as well as countries like India. Additionally, irrational prescription incurs greater damage to health and wellbeing. Drug utilization studies scrutinize the appropriateness of treatment and provide favorable feedbacks to strengthen clinical practices. The objective of the study was to describe treatment practices in cardiology outpatient and drug utilization pattern using core prescribing indicators by World Health Organization (WHO).Methods: A cross-sectional, observational study of 4-month duration was undertaken for cardiology Outdoor patients at a tertiary care hospital. 615 prescriptions were screened and analyzed.Results: Males (59.84%) were more in number than females (40.16%). Average number of the prescribed drugs per patient were 4.32±2.7 and (3.73±1.1 for cardiovascular drugs). Generic prescription was 60.98%. Percentage encounters with antibiotics 4.11, injectables 2.92%, fixed-dose combinations (FDCs) (11.8%) were documented. Drugs from the National List of Essential Medicines were 75.89%. The most common diagnosis was ischemic heart disease (68.29%). Hypolipidemics (78.25%) followed by antiplatelets (71.14%) were toppers in cardiovascular drug. Antiulcer drugs (PPI/Antacids) comprised 58.54% of total prescriptions.Conclusions: Less adherence to EDL, less generic prescriptions, use of FDC are major shortcomings. Areas to further rationalization like optimal use of evidence based medication like beta-blockers, newer anticoagulants/anti-platelet agents and newer anti-anginal agents are identified.

scholarly journals Description of clinical factors for suicide attempts in a tertiary care hospital of northern part of India

2018 ◽  
Vol 7 (1) ◽  
pp. 209
Author(s):  
Ravi C. Sharma ◽  
Dinesh D. Sharma ◽  
Vikesh Gupta ◽  
Rahul Gupta ◽  
Vineet Kumar ◽  
...  
Keyword(s):  
Suicide Attempts ◽  
Tertiary Care Hospital ◽  
Short Form ◽  
Tertiary Care ◽  
Fatal Outcome ◽  
Public Health Problem ◽  
Care Hospital ◽  
Major Life ◽  
Relationship Problems ◽  
Common Diagnosis

Background: Suicide is the result of an act deliberately initiated and performed by a person in the full knowledge or expectation of its fatal outcome. Suicide attempts are a significant public health problem. The present study aimed to explore the variousclinical characteristics of suicideattempters in a tertiary care hospital of Shimla, Himachal Pradesh, a northern state of India.Methods: We conducted a descriptive study among patients with attempted suicide to the department of Psychiatry, Indira Gandhi Medical College (IGMC) Shimla. A structured, self-designed interview schedule and short-form revised Eyseneck personality questionnaire-Hindi (EPQRS-H) was used for data collection. Data was analyzed using Epi info software v 7.2.0.Results: There were total 77 participants in the study out of which 44 (57.1%) were females. Mean age (Standard deviation) of participants was 30.8 years (9.9 years). Relationship problems were the most common (48.1%) recent life event followed by health events (28.6%). Depression was found to be the most common diagnosis (62.3%). Pesticide consumption was the method of attempting suicide in 72.7% of females compared to 66.7% of males.Conclusions: Recent major life events especially relationship problems may lead to majority of suicide attempts. There is urgent need to focus on patients suffering from depression by health personnel as well as family members. The sale of the pesticides should be regulated to keep in check the misuse of the same.

scholarly journals A Cross-sectional Study on Chronic Fungal Rhinosinusitis in a Tertiary Care Hospital in Central Delhi, India

2021 ◽  
Author(s):  
Prafulla Songara ◽  
Gaurav Saxena ◽  
Ramesh Agrawal
Keyword(s):  
Chronic Rhinosinusitis ◽  
Aspergillus Flavus ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Rhizopus Arrhizus ◽  
Sinus Surgery ◽  
Fungal Sinusitis ◽  
Care Hospital ◽  
Common Diagnosis ◽  
The Mean

Chronic Rhinosinusitis is a common disorder, and its prevalence vary from 1-20% globally. The incidence of fungal sinusitis has increased to such extent in recent years that fungal infection is a common diagnosis in patients with Chronic Rhinosinusitis. The objectives of this current research were objectives of estimating the prevalence of Fungal aetiology in chronic sinusitis patients and their drug sensitivity pattern with common antifungal drugs. A total of 61 Cases present with Chronic Rhinosinusitis (CRS), visited in a tertiary care hospital based in Central Delhi, were included in our study. Excision of sinus tissue, including polyps and masses, were collected in the operation theatre during Functional Endoscopic Sinus Surgery (FESS) procedure in a sterile manner. All the tissues brought in sterile normal saline were processed for bacteriological and mycological examination. Tissues, obtained in 10% formalin were processed for histopathological and cytological analysis. A total of 14 (22.9%) cases of Chronic Rhinosinusitis were affected by fungal etiologies. By E test, the MIC range for isolates of Rhizopus arrhizus after 24 hr of incubation was 1-2 μg/mL, and the mean was 1.5 μg/Ml. Similarly, the MIC range for isolates of Aspergillus flavus after 48 hr of incubation was 0.5-16 μg/mL, and the mean was 4.09μg/mL. By the M38-A broth dilution method, the MIC range for the isolates of Rhizopus arrhizus after 24 hr of incubation was 0.5-2 μg/mL, and the mean was 1.25 μg/ml. Similarly, the MIC range for isolates of Aspergillus flavus after 48 hr of incubation was 0.5-4 μg/mL, and the mean was 1.95 μg/mL.

scholarly journals Psychological Impact of Covid-19 Pandemic on the Healthcare Workers of a Tertiary Care Hospital of Lahore

2021 ◽  
Vol 15 (1) ◽  
pp. 46-50
Author(s):  
Maria Aslam ◽  
Keyword(s):  
Psychological Distress ◽  
Psychological Stress ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Psychological Impact ◽  
Family Members ◽  
Protective Equipment ◽  
Care Hospital

Background: The psychological stress associated with the COVID-19 pandemic can have long-term effects on the health and coping abilities of HCWs. COVID 19 has exhausted the healthcare workers globally both physically and mentally. This article focuses on the Psychological stresses faced by the healthcare workers of a tertiary setup. Objective: To determine the psychological impact of the COVID-19 pandemic on the healthcare workers (HCWs) of a tertiary care hospital of Lahore. Study Design: Descriptive, cross-sectional study. Settings: Sharif Medical City Hospital, Lahore Pakistan. Duration: From July 2020 to August 2020. Methodology: A total of 82 healthcare workers were enrolled in the study on a voluntary basis by convenient sampling technique and filled an online questionnaire including demographic information, informed consent, validated Depression, Anxiety and Stress Scales (DASS-21) and the factors causing psychological distress. The data was analyzed using the Statistical Package for the Social Sciences (SPSS) version 24. Results: Out of 82 HCWs, 47(57.3%) had stress, 42(51.2%) had depression and 29(35.4%) had anxiety. Most of the HCWs with stress had mild and moderate stress. The majority of the HCWs were suffering from moderate depression and moderate anxiety. The most common factor causing psychological stress among HCWs was the fear of getting infected with COVID-19 followed by chances of spreading the disease to family members and the non-availability of personal protective equipment. Conclusion: The COVID-19 pandemic has a great psychological impact on the healthcare workers in Pakistan. A large proportion of HCWs suffered from stress (57.3%), depression (51.2%) and anxiety (35.4%). The most common factors causing psychological distress in HCWs were the fear of getting infected with COVID-19 (80.5%), chances of spreading the disease to family members (65.9%) and the non-availability of personal protective equipment (59.8%).

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