scholarly journals Clinicopathologic Presentation and Management of Malignant Orbito-ocular Tumors at a Tertiary Care Hospital in Nepal

2021 ◽  
Vol 13 (2) ◽  
pp. 11-20
Author(s):  
Purnima Rajkarnikar Sthapit ◽  
Malita Amatya ◽  
Hom Bahadur Gurung ◽  
Rohit Saiju
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Surgical Excision ◽  
Care Hospital ◽  
Clinical Presentations ◽  
Different Types ◽  
The Mean ◽  
A Prospective Study ◽  
Incision Biopsy ◽  
Red Eyes

Introduction: This study was conducted to evaluate the clinical presentations and management of various Orbito-ocular malignancies in Nepal. Materials and methods: This is a prospective study of ocular malignant cases conducted at a tertiary care eye hospital in Kathmandu, Nepal. One hundred and seventeen newly diagnosed eyes with ocular malignancy of 106 patients presenting to the clinic in a year from September 2018 to August 2019 were included for analysis. Patients’ demography, clinical features, various types of malignancies seen in eyes and their management were evaluated. Results: The mean age of patients was 30.35 years with a range from 1 month to 84 years and standard deviation of 26.63. 56% of the total were male. Red eyes and visible mass were the most common symptoms in 23% with intraocular contents in 48% being the most common site involved. Different types of ocular malignancies were detected, among which retinoblastoma was the most common in 38% of patients. Diagnosis in most patients was clinical and/or radiological; incision biopsy was required in 1.7% patients only. Surgical excision of the tumor was the most common treatment done in 29% followed by enucleation in 27% of eyes.  Bilateral involvement of the eyes was seen in 10% of the patients.  Conclusion: Malignant orbito-ocular tumors can be seen in any age group. Retinoblastoma is the commonest malignancy seen. With the help of imaging, diagnosis is near accurate; hence biopsy is not required in most cases before commencing treatment.

Parapharyngeal Tumours: Our Experience in a Tertiary Care Hospital

2021 ◽  
Vol 28 (3) ◽  
pp. 266-272
Author(s):  
Debabrata Das ◽  
Arjuman Parveen ◽  
Apurba Sarkar ◽  
Sk Nawazur Rahaman
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Surgical Excision ◽  
Transoral Approach ◽  
Transoral Surgery ◽  
Care Hospital ◽  
Female Ratio ◽  
Transcervical Approach ◽  
Malignant Case ◽  
A Prospective Study

Introduction Tumours of parapharyngeal space are rare. Surgical excision is the mainstay of its management. However, approach to the space is rather difficult. The transcervical approach is most commonly practiced as opposed to the transoral approach, due to fear of complications. The present study aims to study the two approaches with respect to treatment outcomes and complications. Materials and Methods   A prospective study was conducted from July 2018 to December 2019 (1.5 years) at the Department of ENT in a tertiary care Hospital. A total of 10 cases of parapharyngeal tumours were selected; 5 of involving the prestyloid compartment underwent transoral surgery and the other 5 involving the post styloid compartment underwent transcervical surgery. The results of surgery and complications were studied. Results The mean age of presentation was 36.5 yrs. Male: Female ratio was 3:2. There were 9 benign and 1 malignant case in the study. The most common presentation was an asymptomatic oropharyngeal mass (80%). The most common pathological type was pleomorphic adenoma of the salivary gland (50%). Conclusion We found that the transoral approach is as effective as transcervical approach in surgical cureand contrary to the popular belief, it is associated with fewer complications.Hence, carefully selected cases can be safely managed by this approach.

scholarly journals A prospective study on biochemical disturbances among cases of acute diarrhoea in children attending a tertiary care hospital of South India

2018 ◽  
Vol 6 (1) ◽  
pp. 73
Author(s):  
Korsipati Ankireddy ◽  
Tenali Ravi Kumar
Keyword(s):  
Prospective Study ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Clinical Signs ◽  
Acute Diarrhoea ◽  
Signs And Symptoms ◽  
Care Hospital ◽  
Biochemical Alterations ◽  
Different Types ◽  
A Prospective Study

Background: Diarrhoea is one of the commonest clinical entities encountered regularly in clinical practice. In India, at least 1.5 million children die due to acute diarrhoea per year. Timely recognition, high index of suspicion and thorough understanding of various clinical signs in different types of dehydration is necessary in preventing the deaths. The present study focuses on the different types of biochemical alterations and electrolyte disturbances in cases of acute diarrhoea among children.Methods: A prospective study with ethical committee consent was done at a tertiary care hospital for two years in department of Paediatrics. All cases of acute diarrhoea attending with signs and symptoms of moderate and severe dehydration were included. Clinical history and necessary biochemical investigations including serum electrolytes were performed. The results and data were entered in an excel sheet and analysed.Results: 250 cases were enrolled in the study with males (57.6%) and females (42.4%). 1month to 5 years with 84 cases (33.6%) was the most common age group with mean age of 11.48± 2.4 years. History of passage of loose motions was with a frequency ranging from 6-12 /day with a mean frequency was 8.12/day. 80.8%cases had some kind of electrolyte abnormality with majority having isolated Hyponatremia and a combined Hyponatremia and Hypokalemia (33.6%) each.Conclusions: Diarrhoeal disorders can be easily prevented with proper hand hygiene practices, health awareness programmes, increased breast-feeding practices and proper disinfection of water. Hyponatremia, hypokalemia, combined Hyponatremia and hypokalemia are major electrolyte abnormalities in cases of diarrhoea.

A Study on Clinical Presentations of Oral Cancer at Tertiary Care Hospital, Bellary, Karnataka

2012 ◽  
Vol 3 (7) ◽  
pp. 1-3
Author(s):  
Dr Govindaraja Dr Govindaraja ◽  
◽  
Dr Jashvanth Dr Jashvanth ◽  
Dr Murali Krishna ◽  
Dr Kasa Somasekhar ◽  
...  
Keyword(s):  
Oral Cancer ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Clinical Presentations

scholarly journals Gender-wise Comparative Assessment of Lifestyle Patterns and Well-being Status among Healthcare Employees at a Tertiary Care Hospital

2021 ◽  
Author(s):  
Vanajakshamma Velam ◽  
Vyshnavi Kancherla ◽  
Latheef Kasala ◽  
Anusha Kancherla ◽  
Mounica Reddy Pillaram
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Well Being ◽  
Care Hospital ◽  
Cross Sectional ◽  
Significant Difference ◽  
Female Employees ◽  
The Mean ◽  
Lifestyle Patterns ◽  
Comprehensive Study

Abstract Background This study was an attempt to assess and compare the gender-wise lifestyle patterns and well-being status among the employees of a tertiary care teaching hospital. Material and Methods This is a cross-sectional, questionnaire-based study conducted at a tertiary care hospital between May and August 2019. A total of 777 employees belonging to both genders (male and female) and working at different professional levels were assessed. All the enrolled employees were subjected to a comprehensive study tool consisting of various dimensions of their health, which included physical, mental, social, spiritual and intellectual health dimensions. Results Among the participants, 327 (42.1%) were male and 450 (57.9%) were female. There was no significant difference in the mean age of male (37.91 ± 7.52) and female (36.85 ± 8.16) employees (p = 0.07). A significantly higher proportion of diabetes and hypertension were seen in male employees (9.8% and 14.4%, respectively) than in female (5.6% and 6.2% respectively). The overall well-being was better in male employees than in females and was statistically significant (p < 0.0001). We found that male employees had statistically significant better well-being in terms of physical, mental and social health whereas female employees had intellectual health. Conclusion The overall well-being in healthcare staff was good at our tertiary care hospital, and the outstanding/good well-being rate was higher in male employees than in female employees. Female employees experienced risks with regard to their physical health.

scholarly journals Attitude and Practice of Contraception among Gynecologists at a Tertiary Care Hospital

2013 ◽  
Vol 5 (3) ◽  
pp. 129-131 ◽  
Author(s):  
Sunita Hemani ◽  
Premlata Mital
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Care Hospital ◽  
Barrier Method ◽  
Unintended Pregnancies ◽  
Attitude And Practice ◽  
Complete Knowledge ◽  
The Mean ◽  
Medical Healthcare

ABSTRACT Medical healthcare providers are an important link with the general public to impart knowledge regarding contraception. However, their own attitude and practice of contraception is often lacking. Objective This study was conducted to assess the attitude and practice of contraception over the last 5 years of the gynecologists themselves in a tertiary care hospital in Jaipur. Materials and methods The study was conducted on 125 female gynecologists in a tertiary care hospital in Jaipur. All were given a questionnaire which was duly filled by them and data obtained was analyzed. Results All the doctors used some form of contraception. The mean age was 29.32 years. The commonest was the barrier method (38.4%) followed by OC pills (27.2%). Twenty-one percent of the barrier users used them occasionally. Emergency contraception was used by either those using natural methods of contraception or who were occasional users of OC pills or condoms. Fifty percent of the couples relying on natural methods conceived. Conclusion Gynecologists have complete knowledge regarding contraception, yet fail to use it regularly. Proper attitude and practice is essential to prevent unintended pregnancies. How to cite this article Hemani S, Hooja N, Mital P. Attitude and Practice of Contraception among Gynecologists at a Tertiary Care Hospital. J South Asian Feder Obst Gynae 2013;5(3): 129-131.

First and second wave of COVID-19: A comparative study of tertiary care hospitalized patients in Jalgaon, Maharashtra

2021 ◽  
Vol 19 (3) ◽  
pp. 23-29
Author(s):  
Yogita G Bavaskar ◽  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Clinical History ◽  
Care Hospital ◽  
Age Group ◽  
Number Of Patients ◽  
The Mean ◽  
Collection Form ◽  
Time Of Admission ◽  
Second Wave

Background: Most of the countries including India have witnessed two or more waves of Covid 19 pandemic. The present study was conducted to compare the differences in clinico-demographic characteristics and outcomes of Covid 19 patients admitted in first and second wave of Covid 19 pandemic in a tertiary care hospital at Jalgaon, Maharashtra. Methods: A retrospective observational study was conducted at a tertiary care Dedicated Covid hospital for Covid 19 at Jalgaon, Maharashtra. All microbiologically proven corona positive patients were included in the study. The demographic records and clinical history was extracted from the case history sheets of the patients from first as well as second wave using standardized data collection form. Clinical outcome of the patients, i.e., development of complications, death or discharge was also recorded for each enrolled subject. Results: 3845 patients of Covid-19 admitted in the hospital during the first wave of epidemic and 2956 patients during second wave of the epidemic were included in the study. The mean age of patients admitted in the second wave was significantly lower as compared to first [48.77(15.31) years vs 50.23 (14.33) years, P<0.005]. There is increase in proportion of patients in the age group of < 15 years in second wave as compared to first wave (74/2956, 2.5% vs 52/3845, 1.3%). The number of patients requiring admission in ICU at the time of admission increased by 13% in second wave as compared to first wave. [827/2956 (28%) vs 577/3845(15%), P<0.0001]. More than half of the patients who got admitted for Covid 19 in first as well as second wave were having one or more comorbidities.But the proportion of the patients with previous co-morbities was significantly higher in second wave (1684/2956, 57% vs 1960/ 3845, 51%, P= 0.0004). The mortality was also higher in second wave (533/2956, 18.03% vs 541/3845, 14%, P=0.0004). Conclusions: The demographic, clinical characteristics and outcome of Covid 19 patients was different in first and second wave of pandemic with involvement of younger patients, increased rates of admission to ICU and more mortality in the second wave as compared to first wave of the pandemic.

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