scholarly journals Pediatric Otological Disorders: An In-Hospital Study

2021 ◽  
Vol 1 (2) ◽  
pp. 23-26
Author(s):  
Dipak Kumar Gupta ◽  
Poonam Kumari Shah

Introduction: Social factors influencing the likelihood of developing pediatric Ear, Nose, and Throat (ENT) disorders include socioeconomic status, the type of family, overcrowding, and access to health care, which are prevalent in developing countries like Nepal. Nepalese populations are not well documented with regards to pediatric ENT disorders. Objective: The aim of the study was to determine the prevalence of ENT disorders in pediatric patients attending hospitals. Methods: This is a cross-sectional descriptive study that was conducted at Janaki Medical College, Janakpur between January and September of 2021. Consecutive children from Janaki Medical College between the ages of 6 months and 18 years with otological complaints participated in the study. Afterward, the diagnosis was derived from patients’ OPD cards or by contacting them by phone. Results: The mean ages of male and female participants were 3.2± 2.7 years old and 4.9 ± 2.6 years respectively. Out of the study participants who complained about otological complaints, the majority (37.45%) had ear wax on their ears, followed by foreign bodies (21.30%) and acute otitis externa (9.2%). Among foreign bodies encountered, rubber (35.48%) was most common, followed by seed (24.19%). Conclusions: Pediatric ear diseases are very common. In the majority of cases, ear wax and foreign bodies were found. By raising awareness about ear hygiene and disease, we can reduce the problems associated with them. Keywords: Ear, nose, and throat; otology; pediatric; prevalence.

2021 ◽  
pp. 12-15
Author(s):  
Smarajit Banik ◽  
Sandip Saha ◽  
Sudipan Mitra ◽  
Ujjwal Pattanayak ◽  
Rajib Sikder ◽  
...  

Background: Diabetes mellitus is one of the important causes of morbidity and mortality. With a rise in non communicable diseases in India, diabetes has become a modern epidemic showing a rising trend in West Bengal also. A large number of diabetes patients come to the diabetes clinic of our tertiary care hospital in North Bengal Medical College and Hospital, Darjeeling, West Bengal. The large proportion of patients presenting with this condition prompted us to study the Sociodemographic and Anthropometric Prole of such patients. Methods: This was a descriptive hospital based cross sectional study involving a total of 344 diabetic patients enrolled in the diabetes clinic of a tertiary care teaching hospital from December 2019 to February 2020. A self-administered questionnaire was used to collect data and was analyzed in Microsoft excel sheet and using SPSS 20.0 software. Results: Among the 344 study participants, we found that 220 (63.95%) were males and 124 (36.05%) were females. Diabetes was more common among those aged 51-60 years 108 (31.40%). Family history was present among 188 (54.65%) of the diabetic patients. Almost 160 (46.51%) patients have diabetes 1.1 – 5 years. Hypertension was present among 216 (62.79%) patients. Almost 218 (63.37%) of the patients were overweight and 84 (24.42%) were obese. Conclusions: The diabetic patients presenting to this tertiary care hospital belong lower socioeconomic strata and having limited education in their age group. There is high proportion of obesity and hypertension among them.


2021 ◽  
Vol 8 (10) ◽  
pp. 1566
Author(s):  
Vinay Jishtu ◽  
Pramod K. Jaret ◽  
Prem Chand Machhan ◽  
Nidhi Chauhan

Background: Acute undifferentiated fever illness (AUFI) is a common cause of morbidity and mortality in developing countries, owing to its non-specific features. The aim of the study was to delineate the causes and clinical parameters associated with AUFI.Methods: A cross-sectional study was done among 156 patients of AUFI, admitted in the Department of Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India, from November 2018 to October 2019.Results: The mean age of the study participants was 37.37±14.2 years. The study participants admitted for acute undifferentiated febrile illness had fever with mean duration of 8.38±3.7 days before hospitalization. The most common aetiology of AUFI was found to be enteric fever (44%), followed by scrub typhus (35%). The majority of the cases presented from the month of September to December.Conclusions: The aetiology and clinical spectrum of AUFI is wide and variable. To outline a proper algorithm to contain it, meticulous analysis of the hospital data at each level is necessary.


PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253808
Author(s):  
Dhan Bahadur Shrestha ◽  
Nagendra Katuwal ◽  
Ayush Tamang ◽  
Agrima Paudel ◽  
Anu Gautam ◽  
...  

Background Medical students are more prone to burnout than the general population and students of other faculties due to the demanding nature of medical education with limited time and resources. Burnout has a negative impact on the academics and personal life of the students which can continue into their professional life and ultimately hamper patient care. The purpose of this study is to determine the prevalence of burnout among medical students of a medical college and find its association with age, gender, and year of study. Materials and methods This cross-sectional study was conducted among medical students of a medical college in Kathmandu, Nepal from 14 January to 7 March, 2021. Stratified sampling followed by a simple random sampling technique was employed to select study participants. Data was collected through a self-administered questionnaire using the English version of the Oldenburg Burnout Inventory adapted for students (OLBI-S) and analyzed in STATA version 15. Results The prevalence of burnout was found out to be 65.9% (n = 229). And of the remaining, 12.7% were exhausted, 11.4% were disengaged and 10.0% were neither exhausted nor disengaged. Burnout had no significant association with age in years, gender, and year of study. Conclusions This study shows an alarming prevalence of burnout in almost two-thirds of medical students. These results indicate the necessity of employing effective strategies by relevant authorities for the mental well-being of future physicians. Further multicenter prospective studies are required for a better understanding of the prevalence and associated factors of burnout.


Author(s):  
Kevin A. John ◽  
Poonam R. Naik

Background: Medical students have been reported to suffer from higher perceived stress compared to general population and students in the other academic fields. The objective of the study was to estimate the prevalence of stress and to identify the potential stressors among undergraduate medical students using perceived stress scale (PSS).Methods: A cross sectional study was conducted among 301 undergraduate medical students at a private medical college in Dakshina Kannada district, Karnataka. The extent of the stress was assessed using PSS-10 and a questionnaire was used to identify the potential academic, psychosocial and environmental stressors.Results: The mean PSS score was found to be 26.34±3 in this study. Moderate stress was observed in 68% of the study participants. The PSS score was higher among the 2nd year MBBS students. Stress was observed more among female medical students (74%). Inadequate study leave (92.4%), vastness of academic curriculum (84.1%), poor quality of food in mess or home (70.4%), accommodation away from home (60.1%) and high parental expectations (48.5%) were found to be the potential stressors in this study.Conclusions: The study results thereby highlight the need to plan tailored interventions to address the various stressors and prevent stress among the medical students. 


Author(s):  
Anupam Parashar ◽  
Nidhi Chauhan ◽  
Rahul Gupta ◽  
Vineet Kumar

Background: Bio-ethics i.e. health care ethics is a set of moral principles, beliefs and values that guide us in making choices about medical care. This novel study was carried out with an objective of assessment of knowledge regarding the medical ethics among the resident doctors of Indira Gandhi Medical College, Shimla Himachal Pradesh.Methods: This descriptive analytical cross-sectional study was conducted at Indira Gandhi Medical College (IGMC), Shimla, Himachal Pradesh among the resident doctors using predesigned, structured, self-administered anonymous close-ended questionnaire. We analyzed the data using Stata software version 12.Results: There were a total of 61 study participants, who consented to participate, of which more than half were females (52.5%). The mean age of the study participants was 28.6±0.63 years. Regarding the source of knowledge about medical ethics most of the study participants had acquired the information during their experience at their workplace (42.6%). A majority of the male participants disagreed that confidentiality while providing the health care services should be abandoned (54.3%). More than 90% of the study participants agreed that incorporation of medical ethics is necessary in undergraduate curriculum.Conclusions: Incorporation of a formal structured teaching on medical ethics in the undergraduate curriculum is the need of the hour. Besides research work, the medical ethics committee in the institution should also act as the guiding hands to address the grievances faced by the doctors during medical practice.


Author(s):  
Tarun Kumar Sarkar ◽  
Pulak Kumar Jana ◽  
Jasmine M. ◽  
Timiresh Kumar Das ◽  
Mrinmoy Adhikary ◽  
...  

Background: Thalassemia is more prevalent in India. The main treatment of Thalassemia is blood transfusion. But the transfusion of blood has many side effects like iron overload, transfusion related infections etc. The objectives of the study were to assess the adequacy of blood transfusion for thalassemic patients and to determine the magnitude of transfusion transmitted infections among those patients.Methods: A cross sectional study was conducted in Murshidabad Medical College and Hospital, West Bengal for 1 month with the sample size of 116. The blood samples from the patients were taken from the patients attending for blood transfusion in transfusion centre of Murshidabad Medical College and Hospital for two weeks dated from 24.04.2017 to 05.05.2017 to check for the hemoglobin, ferritin level and hepatitis B, C and HIV infection.Results: Among the 116 patients, even after transfusion, 94% of the study participants have their hemoglobin levels below 7 gm/dl. Only 2 individuals got their hemoglobin levels more than 9 gm/dl and only 1 patient got HIV infection post transfusion which accounts for 0.9% of study population.Conclusions: Frequent Hb estimation will help to maintain the adequacy of blood transfusion and proper screening of the blood before transfusion can help in reducing these transfusion transmitted infections.


Author(s):  
Khalid Mohammed Aloudah ◽  
Abdulaziz Ahmed Ataweel ◽  
Sajida Agha ◽  
Syed Waqas Hussain Shah

Objective: Raising awareness on corneal donation among doctors and medical students is an important step to attain more local corneal donations. The objective of the study was to evaluate the knowledge and attitude of medical students regarding corneal donations. Method: A cross-sectional study was conducted among 5th and final year’s medical students from August 2019 to October 2019. Non-probability convenience sampling was employed. A self-administered questionnaire that evaluated the aspects of knowledge and attitudes about corneal donation was used after informed consent was taken. SPSS 20 was used for statistical analysis. Results: The study participants had a mean score of 3.24+1.86 on the knowledge aspect. Eighty percent correctly recognized that people who die with AIDS cannot donate. The most chosen reason for eyes donation was that pledged corneas can give vision to a blind person (n=66, 47%). Religious beliefs were a major obstacle for eye donation (n=62, 44%). The internet was identified by 79 (56%) of the participants to be the most common source of information. No significant difference was found in the knowledge level of the 5th year (3.31 + 1.84) and final year (3.17 + 1.89) medical students (p=0.65). Conclusion: The study showed a low level of knowledge of students about corneal donations. While raising awareness among medical students is important to increase donation rates, media and internet are not enough for improving the student’s knowledge. Information about the basics of corneal donation is important to fill gaps in knowledge. Keywords: Knowledge, attitude, corneal donation, Medical students


2019 ◽  
Vol 7 (2) ◽  
pp. 15-20
Author(s):  
Nagendra Chaudhary ◽  
Shiva Regmi ◽  
Sandeep Shrestha ◽  
Santosh` Pathak ◽  
Badri Kumar Gupta ◽  
...  

INTRODUCTION: In outpatient department (OPD) of hospital in low and middle income countries (LMICs), pediatric ear, nose and throat (ENT) disorders are common and huge variation in number is being reported in different seasons. This study aimed to study the prevalence and seasonal effect of ENT disorder in children. MATERIAL AND METHODS: One year (Jan-Dec, 2015) retrospective data of children (0 months-17 years) visiting ENT outpatient (ENT-OPD) department at Universal College of Medical Sciences-Teaching Hospital, Nepal was analysed. Descriptive statistics were calculated to report the prevalence of ENT disorders for various sub-groups including season. In addition to quantifying the prevalence of ENT disorders in children, the seasonal influence of each disorder was analysed. RESULTS: Out of 14,126 patients visiting the ENT-OPD, 3,423 (24.23%) were children. The mean age of children having ENT- disorders were 8.4±5.1, 10.6±4.6 and 10.7±4.7 years respectively with male-female ratio of 1.3:1. During all seasons 2,645 (77.3%) had ear problems, 328 (9.6%) nose disorders and 450 (13.14%) throat disorders. The percentage of children with ear disorders declined significantly with increase in age unlike those with nose and throat disorders (P < 0.001). Seasonal trend analysis showed that children had significantly higher number of ear disorders during summer and autumn seasons (P <0.001) whereas nose disorders were more common in spring and winter seasons (P<0.001) with chronic otitis media and wax being the main types of ear disorders and deviated nasal septum (DNS) for nose disorders. Among the throat disorders, tonsillitis was most prevalent in all seasons followed by pharyngitis. CONCLUSION:- The study suggests a clear seasonal trend in the prevalence of ENT disorders that can be used for advanced planning and management of the conditions in hospitals.


2013 ◽  
Vol 10 (2) ◽  
pp. 4-8 ◽  
Author(s):  
Inku Shrestha ◽  
BL Shrestha ◽  
RCM Amatya

Background Foreign body in ear nose and throat are commonly encountered by otolaryngologists, pediatricians and primary care physicians. Objective The aim of this study is to analyze different types of foreign bodies and socio-demographic correlates of self-inflicted foreign body insertion in ear–nose–throat. Method This was a two year hospital based cross sectional descriptive study performed in the Department of ear nose and throat (ENT), Dhulikhel Hospital - Kathmandu University from June 2009 to June 2011 after verification from the Institutional Review Committee. Using a predesigned questionnaire, socio-demographic data was collected prospectively by examining clinically all patients attending with foreign body and interviewing the caregivers of pediatric patients after removal of foreign body. The data collected from 312 patients was entered and analyzed by using descriptive and analytical statistical methods using SPSS version 16.0. Results The mean age was 21.26 years with majority between 0-10 years (50.6%). Male predominance was noted (58.97%). Most patients or caregivers were illiterate (35.1%) or literacy up to primary level(21.12%).Foreign body of the ear was found to be most frequent ( 47.4%) and mostly they were non-living (96.1%). Most patients presented late (80%) and had history of prior attempted removal (67%). Pearsons chi square test between education level and duration of time was significant (p value- 0.0000). One way ANOVA test between type of foreign body and age was significant (p value- 0.001). Conclusion Foreign bodies are common in adult and pediatric ear, nose and throat. They can potentially be associated with significant complications if not taken care of immediately. Kathmandu University Medical Journal | Vol.10 | No. 2 | Issue 38 | Apr – June 2012 | Page 4-8 DOI: http://dx.doi.org/10.3126/kumj.v10i2.7334


2021 ◽  
Vol 1 (1) ◽  
pp. 26-33
Author(s):  
Aseel Haji ◽  
Bashaer Alharbi ◽  
Khalid Alhazmi ◽  
Bassam Alharthi ◽  
Abdulrahman Kabli ◽  
...  

Background and aim: Cerumen or ear wax is a normal secretion from sebaceous and ceruminous glands found in the external auditory canal. Wrong self-ear cleaning attempts may lead to cerumen impaction, injuries, and otitis externa. we have concluded this study to assess the local community's knowledge about ear-cleaning, attitudes toward ear care, and self-ear cleaning practices. Methods: Cross-sectional online survey performed in May 2021 among general population to assess knowledge, attitudes, and practices of self-ear cleaning. We included all people aged between 18 to 90 years who live in Makkah region, also we excluded health care workers and who had previous ears, nose, and throat injuries. Results: A total of 544 participants responded to the survey, 351 (64.5%) were males and 193 (35.5%) were females, age between 18 to 55. Forty-four (8.1%) of participants thought that it is harmful to self-clean your ear. In contrast, 274 (50.4%) thought that we do not have to remove the wax from our ears constantly. About 32% of them clean to remove the dirt and 29.30% clean to improve their ear hygiene. Conclusion: Self-ear cleaning is a widespread practice, and most respondents showed a lack of knowledge regarding ear-cleansing mechanisms. In order to rectify the erroneous views, more public health education is needed to dissuade people from practicing self-ear cleaning and teach them about the function of cerumen and problems associated with self-ear cleaning.


Sign in / Sign up

Export Citation Format

Share Document