scholarly journals Demographic Analysis of Adult Patients Presenting With Unilateral Ear Discharge at National Medical College

Med Phoenix ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 48-51
Author(s):  
Amit Jha
Keyword(s):  
Otitis Media ◽  
Teaching Hospital ◽  
Care Center ◽  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Adult Patients ◽  
Common Symptom ◽  
National Medical College ◽  
Medical College ◽  
National Medical

Background: Discharging ear is a common symptom among the patients presenting in ENT OPD for consultation. The commonest cause for discharging ear is chronic otitis media. Poverty, ignorance, crowded living conditions due to large families, poor sanitation, and lack of personal and environmental hygiene are some of the main factors behind the prevalence of chronic otitis media. National medical college and teaching hospital is a tertiary care center located in Birgunj metropolitan city in central Nepal. It caters to thousands of patients with discharging ear each year.Methods: This qualitative, descriptive study was carried out in department of ENT-HNS at National Medical College and Teaching Hospital located Birgunj-15, Parsa, Province no. 2 of Nepal for duration of one year from August 1, 2014 to July 30, 2015. Two hundred and five (205) adult patients with complains of unilateral          discharging ear were included in the study.Results: Mostly female patients and those in the age group of 15-30 years from Bara and Parsa districts of Nepal including the areas around the Indo-Nepal border avail the services of department of ENT-HNS of National medical college and teaching hospital.Conclusions: The delivery of ENT-HNS services to the concerned patients is insufficient and inefficient owning to various factors. The government of Nepal and India along with National medical college and teaching hospital can work together to improve the situation. Med Phoenix. Vol. 3, Issue. 1, 2018, Page: 48-51 

scholarly journals Prevalence of Pulmonary Tuberculosis among the suspected patients visiting tertiary care hospital in Birgunj, Nepal

2013 ◽  
Vol 1 (1) ◽  
pp. 48-52
Author(s):  
S Shrestha ◽  
B Shakya ◽  
P Shrestha
Keyword(s):  
Pulmonary Tuberculosis ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
College Teaching ◽  
High Morbidity ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
National Medical College ◽  
Medical College ◽  
National Medical

Background and Objectives: Mycobacterial disease continues to cause high morbidity and mortality and is a major public health problem in Nepal. Bacteriological examination of sputum is the cornerstone in the diagnosis of pulmonary tuberculosis in the developing world. This prospective study was carried out with an objective to evaluate the prevalence of pulmonary tuberculosis among the patients visiting National Medical College Teaching Hospital by Ziehl- Neelsen (Zn) staining microscopy. Material and Methods: The study was cross-sectional study. Three consecutive early morning sputum collected from 626 patients were subjected to Zn staining and observed under oil immersion. Results: Among 626 patients, 85 (13.57%) were found to be Acid fast positive by Zn staining microscopy. Of total suspected patients,16.0% of male and 8.7% of female were infected, common among 41-60 years group (17.2%) followed by 21-40 years (12.6%) and multibacillary cases was 71.8%. Conclusion: The prevalence of pulmonary tuberculosis among National medical college teaching hospital was found to be higher than the Nation pulmonary tuberculosis detection rate, most commonly infecting males. DOI: http://dx.doi.org/10.3126/jmcjms.v1i1.7886 Janaki Medical College Journal of Medical Sciences (2013) Vol. 1 (1):48-52

scholarly journals Myringoplasty in wet and dry ears: an observational study in a tertiary care center

2021 ◽  
Author(s):  
S. Umamaheswara Rao ◽  
K. Samatha Reddy ◽  
Siva Subba Rao Pakanati ◽  
S. Chandramouli
Keyword(s):  
Observational Study ◽  
Otitis Media ◽  
Care Center ◽  
Tertiary Care ◽  
Hearing Threshold ◽  
Chronic Otitis Media ◽  
Hearing Improvement ◽  
Female Ratio ◽  
Medical College ◽  
Maximum Improvement

<p class="abstract"><strong>Background: </strong>Chronic otitis media is the most common cause of hearing impairment in the developing countries with serious effects. The aim of the study was to compare the outcome of myringoplasty in dry and wet ears in tubo-tympanic type of chronic otitis media (COM) with respect to graft uptake and hearing improvement.</p><p class="abstract"><strong>Methods:</strong> This is an observational study done in the department of ENT, Mamata medical college, Khammam, during the study period of September 2019 to February 2021 on 40 patients of tubo-tympanic type COM. On simple random basis selected patients underwent myringoplasty by underlay technique. All patients were evaluated during post-operative follow-up.</p><p class="abstract"><strong>Results:</strong> In our study, majority of patients were in the age group of 26 to 45 years with slight female preponderance, with male to female ratio (0.73:1). In our study, the successful graft uptake was seen 90% in dry ears and 85% in wet ears, which seems to be not significant in difference. With respect to hearing improvement, post-operatively there was significant improvement in both the groups, when compared to pre-operative hearing. The maximum improvement in average hearing threshold after surgery, in dry ears with large perforation (12.66dB) and in wet ears with small central perforation (12.44dB) was almost equal.</p><p><strong>Conclusions: </strong>In this study, the success rate of graft uptake and hearing improvement is found almost equal in dry and wet ears by using underlay technique of myringoplasty. </p>

Knowledge, Attitude and Practices of Pharmacovigilance among Doctors at a Tertiary Care Teaching Hospital Birgunj, Nepal

Med Phoenix ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 14-18
Author(s):  
Smita Singh ◽  
Deependra Prasad Sarraf ◽  
Prabin Singh ◽  
Pragati Poudyel
Keyword(s):  
Teaching Hospital ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Medical College ◽  
National Medical

Introduction: Pharmacovigilance helps in the detection and prevention of adverse effects of drugs. For the effectiveness of this program, health care professionals should report adverse drug reactions (ADRs) considering it as their moral and professional obligation. The objective of the study was to assess the knowledge, attitude, and practices (KAP) of the doctors towards ADRs and pharmacovigilance in  National Medical College Teaching Hospital (NMCTH), a tertiary care teaching hospital situated in the Narayani zone. Materials and Methods: A cross-sectional study was carried out using a self-administered questionnaire consisting of four parts; first part included a demographic profile of participants, the second part consisted of ten questions for the assessment of the knowledge about pharmacovigilance, third part comprised of six questions on attitude and fourth part consisted of five questions on practice. The results were depicted in the form of percentages for each KAPs questionnaire.   Results: The response rate of participants was 85.16%. Pharmacovigilance was correctly defined by 52%. Department of drug administration was responsible for monitoring ADRs in Nepal was correctly given by 80%. Only 8% had reported ADRs, although 62% had encountered an ADR in their clinical practice. Conclusion: The doctors at NMCTH had a poor KAP towards pharmacovigilance and educational intervention is needed for the proper functioning of this program.

scholarly journals A study on chronic otitis media in tertiary care center

2018 ◽  
Vol 4 (2) ◽  
pp. 455
Author(s):  
Leena Rajam K. ◽  
Vikram V. J. ◽  
Priyanka C. ◽  
Indumathi R.
Keyword(s):  
Hearing Loss ◽  
Temporal Bone ◽  
Otitis Media ◽  
Care Center ◽  
Tertiary Care ◽  
Disease Process ◽  
Chronic Otitis Media ◽  
Common Finding ◽  
Duration Of Symptoms ◽  
Female Patients

<p class="abstract"><strong>Background:</strong> Chronic otitis media (COM) is a serious healthcare concern worldwide, because of the distress and economic burden to the patient and their family. Temporal bone pneumatization plays an important role in etiology, behaviour, course and outcome of COM. Pneumatisation gets poorer with growing chronicity of the disease<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> A retrospective study was conducted between March 2015-March 2017 on female patients visiting with COM, at ENT department Kasturba Gandhi Hospital, Madras Medical College. The records were analysed of the age, duration of symptoms, associated complaints, pure tone audiogram, computerised tomography of temporal bone, mastoid surgery done according to the disease process affecting the ear<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> 35 female COM patients were analysed, most common age group is between 31-40 years in 14 patients. There hearing loss was mild category in 27. There were 27 cases of mucosal type of chronic otitis media and 8 cases of squamous type. The CT scan with sclerosis of mastoid was the common finding<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> In exclusive study on female patients with COM, the mucosal type of COM is common with mild hearing loss and sclerosed mastoid indicating the chronicity<span lang="EN-IN">.</span></p><p class="abstract"> </p>

scholarly journals Status of Thyroid Function among Patients of National Medical College and Teaching Hospital

Med Phoenix ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 64-70
Author(s):  
Anup Shamsher Budhathoki ◽  
Suprita Gupta ◽  
Sanjay Kumar Sah ◽  
Navin Kumar Sah ◽  
Navin Kumar Sah ◽  
...  
Keyword(s):  
Thyroid Function ◽  
Teaching Hospital ◽  
Thyroid Dysfunction ◽  
Thyroid Stimulating Hormone ◽  
Overt Hypothyroidism ◽  
Central Laboratory ◽  
National Medical College ◽  
Medical College ◽  
National Medical ◽  
High Prevalence

Background: Thyroid dysfunction is one of the most common endocrinopathies after Diabetes Mellitus. Thyroid dysfunction is defined as the alteration in Thyroid Stimulating Hormone (TSH) with normal or abnormal thyroid hormones. Nepalese population have a high risk for thyroid dysfunction with a high prevalence of iodine deficiency. Objective: To study the prevalence of thyroid dysfunction among the patients visiting National Medical College, Birgunj, Nepal for checkup and suggested to assess thyroid function. Materials and Methods: The hospital-based study was conducted in Central Laboratory, National Medical College and Teaching Hospital (NMCTH), Birgunj in collaboration with the Department of Biochemistry. Total 7040 patients visiting Central Laboratory for thyroid function assessment were included in the study between July 2017 to December 2019. The venous blood sample was collected and serum-free triiodothyronine(fT3), free tetraiodothyronine(fT4) and thyroid stimulating hormone (TSH) was estimated by Chemiluminescence Immunoassay (CLIA) method using Access 2 Beckman Coulter analyser. (Beckman Coulter Inc., California, USA). Results: Among 7040 subjects under study, 2138(30%) were found to have thyroid dysfunction with 13% having subclinical hypothyroidism, about 8% of overt hypothyroidism, about 4% with subclinical hyperthyroidism and 5% with overt hyperthyroidism. Majority of the thyroid dysfunction study group belonged to the 16-30 years age group followed by 31-45 years. Mean±SE for TSH, fT4 and fT3 levels show statistically significant differences in different thyroid disorders. Conclusion: The study revealed a high prevalence of subclinical hypothyroidism followed by overt hypothyroidism among the patients visiting National Medical College and Teaching Hospital, Birgunj, Nepal. A higher percentage of females were found to have thyroid dysfunction compared to male.

TO ASSESS THE OUTCOME OF ENDOSCOPIC INTERLAY TYMPANOPLASTY IN TERTIARY CARE CENTER

2021 ◽  
pp. 73-75
Author(s):  
Pasunuti Shravya ◽  
Jyothi Swarup ◽  
Vigeshwar RK
Keyword(s):  
Success Rate ◽  
Otitis Media ◽  
Care Center ◽  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Hearing Improvement ◽  
Suppurative Otitis Media ◽  
Conducting Mechanism ◽  
Conductive Hearing ◽  
Middle Ear Cleft

Background: Chronic otitis media is an inammatory process in middle ear cleft which is treated by a common otological procedure tympanoplasty to reconstruct the tympanic membrane and to restore sound-conducting mechanism. Rigid endoscope in transcanal interlay tympanoplasty has signicant advantage as it provides magnied, and wide angle view, with better success rate and postoperative hearing gain. The Aims and objectives were to assess the outcome of endoscopic interlay tympanoplasty, in terms of graft uptake, hearing improvement and rate of complications in cases of inactive mucosal chronic suppurative otitis media. Methods: This prospective study was conducted for 1 year at our institution in 50 patients having conductive hearing loss with dry, central perforation. All patients underwent transcanal endoscopic interlay tympanoplasty and were followed up for 3months to determine the graft uptake, hearing improvement and rate of complications. Results: Graft uptake rate in the present study was found to be 98% with residual perforation as a complication in 2% patients and no other complications were encountered. Post operatively air bone gap (ABG) after 12 weeks found to be < 20 dB ABG in 84% patients. Conclusion: Endoscopic interlay tympanoplasty is a effective method with high success rate both in terms of graft uptake as well as post operative hearing improvement and can be implemented in all cases of inactive mucosal COM.

scholarly journals The Philippine National Ear Institute: Patient and Audiologic Profiles

2007 ◽  
Vol 22 (1-2) ◽  
pp. 12-18
Author(s):  
Regie Lyn P. Santos-Cortez ◽  
Charlotte M. Chiong ◽  
Ma. Luz San Agustin ◽  
Charina Melinda C. Elgar ◽  
Genilou Liv M. Gimena ◽  
...  
Keyword(s):  
Hearing Impairment ◽  
Otitis Media ◽  
Otoacoustic Emissions ◽  
Care Center ◽  
Tertiary Care ◽  
Age Distribution ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Unknown Etiology ◽  
Patient Profile

Background:  The Philippine National Ear Institute (PNEI) was created to promote health of hearing and balance among Filipinos.  Over the years it,  has provided audiologic services to thousands of patients annually and has published relevant hearing and balance research. Objective:  To describe the patients served by the PNEI in terms of age, region of origin, occupation, pretest diagnosis, and audiologic results. Methods:  Study Design: Cross-sectional study Setting: National tertiary care center Population: All records of patients referred for audiologic testing at PNEI in 2006 were reviewed and encoded into analyzable format. Results: A total of 1,756 patients had audiologic records for review. Median age was 32.5 years, with the age distribution presented according to sex, type of tests done including common reasons for referral, and median threshold levels by frequency. Coverage was national in scope, with most patients coming from the National Capital Region and from Regions III and IVa. Occupation was indicated in 37.8% of the working age group, most of whom were unemployed. The most common pretest diagnosis was chronic otitis media (26.6%), followed by hearing loss of unknown etiology (13.0%) and tinnitus (9.3%). Severity of hearing impairment based on pure tone audiometry was variable, and was presented according to common diagnoses. About 39% of hearing impairment cases were sensorineural, 36% conductive and 25% due to mixed defect. Bilateral Type A ears were found in 45.4% of patients by tympanometry, while 29.3% were bilateral Type B. For otoacoustic emissions, 69.0% were labeled as “refer” in at least one ear. Conclusion:  The PNEI is a major national referral center for audiology that holds much promise in developing programs for national surveillance of the hearing status of different sectors in Philippine society.   Keywords: Philippine National Ear Institute, Philippines, patient profile, audiology, audiometry, tympanometry, otoacoustic emissions, chronic otitis media

scholarly journals Changing microbiological picture and sensitivity in otolaryngology in developing world

2021 ◽  
Vol 7 (3) ◽  
pp. 459
Author(s):  
Keshav Gupta ◽  
Anshu Mangla ◽  
Gautam Swami ◽  
Vikas . ◽  
Rashi . ◽  
...  
Keyword(s):  
Otitis Media ◽  
Care Center ◽  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Tertiary Care Center ◽  
Antibiotic Policy ◽  
Neck Abscess ◽  
E Coli ◽  
Culture And Sensitivity ◽  
Sensitivity Data

<p class="abstract"><strong>Background: </strong>Microbiology, culture and sensitivity and antibiotic policy are ever changing in otolaryngology. So, it requires continuous research and modification.</p><p class="abstract"><strong>Methods: </strong>A retrospective study was conducted at our tertiary care center where microbiology and culture and sensitivity data of patients of chronic otitis media and neck abscess were assessed to form antibiotic policy for the concerned patients. The study comprised of 580 patients of chronic otitis media and 139 patients of neck abscess admitted from October 2018 to December 2019.</p><p class="abstract"><strong>Results: </strong><em>Pseudomonas</em> and <em>E. Coli </em>were the most common microbes isolated with most of cases sensitive to Meropenem and Amikacin respectively.</p><p class="abstract"><strong>Conclusions: </strong>There is a change in microbiological picture and sensitivity to a more resistant type than the previous studies and hence the requirement of modification of antibiotic policy to a more robust one.</p>

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