Prevalence of Vitamin D Deficiency among Adult Patients in A Tertiary Care Hospital

Introduction: The deficiency of vitamin D is major public health problem worldwide. It is deficiency of vitamin D level when blood serum which is below 30ng/ml. The deficiency is associated with various musculoskeletal diseases and autoimmune diseases. The early detection of deficiency plays important role to prevent those diseases. The aim of the study is to find the prevalence of vitamin D deficiency among adult population in a tertiary care hospital. Methods: This descriptive cross-sectional study was conducted in tertiary care hospital, from 1st August 2017 to 31st December 2018 after ethical clearance from institutional review committee with registration number 02082017. Simple random sampling was done. Data was collected and entered in statistical package for social sciences. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of total patients, vitamin D deficiency was found among 283 (73.6%) patients at 95% of CI (68.6-78.6). Out of total female patients, 202 (52.61%) were deficient and out of total male patients, 81 (21.08%) were deficient. The mean age±SD of patients was 41.45±16.016 years. Conclusions: The prevalence of vitamin D deficiency was high compared to previous studies. Vitamin D deficiency was found to be higher in females than males.

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AB1292 PREVALENCE OF VITAMIN D DEFICIENCY AND ITS ASSOCIATED FACTORS AMONG RHEUMATOID ARTHRITIS PATIENTS MANAGED IN A RHEUMATOLOGY UNIT OF A TERTIARY CARE HOSPITAL IN SRI LANKA

10.1136/annrheumdis-2019-eular.3570 ◽

2019 ◽

Author(s):

sethuge silva ◽

Gunendrika Kasthuriratna ◽

Buddhika Mahesh ◽

Janalini Sashikaran

Keyword(s):

Rheumatoid Arthritis ◽

Vitamin D ◽

Sri Lanka ◽

Vitamin D Deficiency ◽

Associated Factors ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Rheumatology Unit

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Vitamin D Deficiency among Patients Visiting a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.5645 ◽

2020 ◽

Vol 58 (231) ◽

Author(s):

Nimesh Poudel ◽

Subodh Sagar Dhakal ◽

Renu Sukhupayo ◽

Dambar Bahadur Karki

Keyword(s):

Vitamin D ◽

Vitamin D Deficiency ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Serum Vitamin ◽

Cross Sectional Study ◽

Outpatient Department ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional

Introduction: Vitamin D deficiency is a common condition prevalent among both developed and developing countries where it is seen mostly in females. It has been linked to various skeletal and non-skeletal diseases. This study was done to find out the prevalence of Vitamin D deficiency and clinical features of deficient patients attending the outpatient department of a tertiary care hospital. Methods: This descriptive cross-sectional study was done among the patients attending the outpatient department of a tertiary care hospital in Kathmandu, Nepal. The study was conducted from May 2019 to July 2019. The ethical approval was taken from the Institutional Review Committee (ref no. 310520113). Convenient sampling was done. The collected data was entered in Microsoft Excel and was analyzed in the Statistical Package for the Social Sciences (SPSS) version 26. Results: Out of 481 participants, the prevalence of vitamin D deficiency was 335 (69.6%). Severe vitamin D deficiency was seen in 78 (16.2%) and insufficient vitamin D in 77 (16%) of the patients. The mean serum vitamin D concentration by gender was 22.38±17.07 ng/ml in males and 18.89±15.25 ng/ml in females. A total of 263 (54.6%) females and 72 (14.97%) males had vitamin D deficiency. The most common symptoms found in vitamin D deficiency patients were fatigue 187(55.8%), muscle cramps 131(39.1%), generalized myalgia 125(37.31%), bone and joint pain 111(33.13%) Conclusions: Vitamin D deficiency was prevalent especially in females and elderly people. Fatigability was present in more than half of the vitamin D deficient patients.

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Acute Poisoning among Patients Presenting to the Emergency Department of a Tertiary Care Center: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.4997 ◽

2020 ◽

Vol 58 (227) ◽

Author(s):

Sameer Thapa ◽

Bishwa Raj Dawadi ◽

Anup Raj Upreti

Keyword(s):

Emergency Department ◽

Binary Data ◽

Tertiary Care ◽

Public Health Problem ◽

Cross Sectional Study ◽

Acute Poisoning ◽

Point Estimate ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional

Introduction: Acute poisoning is a major global public health problem contributing to one of theleading causes for a visit to an emergency department. This study aims to analyse the demographicand psychosocial characteristics of patients with acute poisoning presented to the emergencydepartment. Methods: This was a descriptive cross-sectional study conducted in a tertiary care hospital fromJune to December 2019 after obtaining ethical approval from Institutional review board (referencenumber. 041-075/0760). A convenient sampling method was applied. Epidemiological factors, typesof poison consumed, reason, motive, and place to take poison, time elapse in the presentation to thehospital were studied. Statistical analysis was done using statistical package for the social sciencesversion 20. Point estimate at 95% Confidence Interval was calculated along with frequency andproportion for binary data. Results: Out of 76 cases of acute poisoning, the organophosphorus poisoning was 18 (23.7%) followedby unknown 12 (15.8). Of total, 28 (36.8%) had quarrel before taking poison and 41 (53.9 %) hadintention to commit suicide. Sixty-seven (88.2%) took a poison at home. The average elapsed time tothe visit of the emergency department was 110±80 minutes. Conclusions: The most common poisoning was organophosphorus with a suicide being the mostcommon intention. Quarrel was the most frequent reason to take poison and the home was the mostcommon place to take poison.

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Prevalence of Intermediate Syndrome among Admitted Patients with Organophosphorous Poisoning in a Tertiary Care Hospital

Journal of Nepal Medical Association ◽

10.31729/jnma.4569 ◽

2019 ◽

Vol 57 (219) ◽

Author(s):

Ananta Uprety ◽

Binod Pantha ◽

Lochan Karki ◽

Suresh Prasad Nepal ◽

Milan Khadka

Keyword(s):

Binary Data ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Clinical Feature ◽

Point Estimate ◽

Care Hospital ◽

Cross Sectional ◽

Ethical Approval ◽

History Of

Introduction: Organophosphorous poisoning is a common problem prevalent in Nepal. Intermediate syndrome is a common clinical feature seen among the patients those have ingested poison. There is a scarcity of data related to intermediate syndrome and other general complications in patients with organophosphorous poisoning in context of Nepal. This study was carried out to observe the prevalence of intermediate syndrome and the general complications of oraganophosphorus poisoning among admitted patients in a tertiary care hospital. Methods: This was a descriptive cross-sectional study conducted at a tertiary care hospital from April 2008 to June 2009 after ethical approval was from Institiutional Review Board of tertiary care hospital. Forty four patients with history of ingestion of organophosphorus poisoning within 24 hours were included in our study through convenience sampling. Clinical examinations were done to look for Intermediate syndrome. Data was entered in Statistical Package for Social Sciences and point estimate at 95% of CI was calculated along with frequency and proportion for binary data. Results: Out of 44 patients, features of intermediate syndrome were seen in 40 (90.9%) at 95% of CI (84.2-97.6) patients in the study. The frequency of intermediate syndrome signs like weakness of neck flexion, inability to sit up and swallowing difficulty were seen among the patients. Complications like pneumonia 4 (9.09%), hyponatremia 3 (6.8%), hypokalemia 1 (2.27%) and bradycardia 1 (2.27%) were seen in the study. Mortality seen in the study was 2 (4.5%) among the admitted patients. Conclusions: Prevalence of intermediate syndrome was higher compared to other studies done in similar settings. Complications like pneumonia, hyponatremia, hypokalemia and bradycardia were seen among the patients.

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Time series analysis of dengue cases reporting to a tertiary care hospital

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20191844 ◽

2019 ◽

Vol 6 (5) ◽

pp. 2200

Author(s):

Ravindra S. Kembhavi ◽

Saurabha U. S.

Keyword(s):

Time Series ◽

Time Series Analysis ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Arima Model ◽

Public Health Problem ◽

Major Public Health Problem ◽

Care Hospital ◽

Series Analysis ◽

The City

Background: Dengue fever is a major public health problem, the concern is high as the disease is closely related to climate change.Methods: This was a retrospective study, conducted for 1 year in a tertiary care hospital in the city of Mumbai. Data of Dengue cases and climate for the city of Mumbai between 2011 and 2015 were obtained. Data was analysed using SPSS- time series analysis and forecasting model.Results: 33% cases belonged to the 21-30 years, proportion of men affected were more than women. A seasonal distribution of cases was observed. A strong correlation was noted between the total number of cases reported and (a) mean monthly rainfall and (b) number of days of rainfall. ARIMA model was used for forecasting.Conclusions: The trend analysis along with forecasting model helps in being prepared for the year ahead.

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Epidemiological Profile and Antimicrobial Resistance Pattern of Enteric Fever in a Tertiary Care Hospital of North India – a Seven Year Ambispective Study

Acta Medica (Hradec Kralove Czech Republic) ◽

10.14712/18059694.2018.130 ◽

2018 ◽

Vol 61 (4) ◽

pp. 125-130 ◽

Cited By ~ 3

Author(s):

Anuradha Makkar ◽

Shilpi Gupta ◽

Inam Danish Khan ◽

Rajiv Mohan Gupta ◽

KS Rajmohan ◽

...

Keyword(s):

Public Health ◽

Enteric Fever ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Public Health Problem ◽

Multidrug Resistant ◽

North India ◽

Major Public Health Problem ◽

Care Hospital ◽

Drug Resistant

Introduction: Enteric-fever is a major public-health problem in developing countries emerging as multidrug-resistant, Nalidixic-acid resistant and extremely drug-resistant Salmonella (Pakistan, 2016), has intensified the use of WHO watch/reserve group antimicrobials such as azithromycin and meropenem. Methods: This ambispective-study was conducted on 782 non-repeat blood-culture isolates of S. Typhi, S. Paratyphi A and S. Paratyphi B obtained from 29,184 blood cultures received at a 1000-bedded tertiary-care hospital of North-India from 2011–2017. Identification and antibiograms were obtained by Vitek-2 compact and Kirby-Bauer’s disc diffusion with resistance to ampicillin, chloramphenicol and cotrimoxazole being labeled as multidrug-resistant. Decreased ciprofloxacin-susceptibility and ciprofloxacin-resistance were defined as MIC 0.125–0.5 and >1 μg/ml. Results: S. Typhi and S. Paratyphi A in a ratio of 3.9:1 were seen between July–September predominantly distributed between 6–45 year age group. Resistance to co-trimoxazole, chloramphenicol, ceftriaxone and azithromycin was 6.1%, 13.8%, 16.1 and 5.78% respectively. Multidrug-resistant S. typhi and S. paratyphi A were 2.73% and 1.91% respectively. Conclusion: Enteric-fever is a major public-health problem in India. Emergence of multidrug-resistant, Nalidixic-acid resistant and extremely-drug resistant Salmonella mandates ongoing surveillance for targeted empirical therapy and containment of spread. Repeated epidemics call for water, sanitation, hygiene and vaccination strategies to sustain herd-immunity.

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