Prevalence Of Musculoskeletal Disorders In Patients Undergoing Haemodialysis in a Tertiary Care Hospital: A Cross-sectional study

Background: Chronic kidney disease (CKD) is a significant public health problem. Dialysis is the mainstream method of treatment in these patients. This causes the patients to have a monotonous and restricted daily life, joint pain, limiting their activities after treatment onset. Hence this study was carried out to find the prevalence of common musculoskeletal disorders in patients undergoing haemodialysis in a tertiary care hospital. Method: 50 participants undergoing dialysis in a tertiary care hospital under the age group of 18-70 years diagnosed with stage V CKD were included using convenient sampling. They were assessed using Nordic Questionnaire to locate the different areas of pain. Result: The first group consisted of 41 participants who underwent dialysis from 2- 41 months. Body regions commonly affected in the last 7 days were low back 25(60.97%); neck 21(51.21%); shoulder 15(36.58%); elbow 14(34.14%) in the extremity with arteriovenous fistula; upper back 14(34.14%); hips/thighs, knees 9(21.95); wrist/hands 7(17.07%) in the extremity with arteriovenous fistula; ankle/feet 6(14.63%). The second group consisted of 9 participants who underwent dialysis from 42-84 months. Body regions commonly affected in the last 7 days were low back 8(88.88%); upper back 7(77.77%); hip/thigh 6(66.66%); neck, knee 5(55.55%); elbow 4(44.44%) in the extremity with arteriovenous fistula; shoulder, ankle/feet, wrist/hands 3(33.33%). Conclusion: The study concluded that the highest prevalence of musculoskeletal disorders in the participants undergoing haemodialysis was low back pain (66%) followed by neck (52%), upper back (42%), shoulder (36%), elbow (36%), hips/thighs (30%), knees (28%), wrist/hands (20%) and ankle/feet pain (18%).

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Composite index of anthropometric failure among under 5 children attending the Immunoprophylaxis clinic in a tertiary care hospital in Nagpur, Maharashtra, India

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20181508 ◽

2018 ◽

Vol 5 (3) ◽

pp. 888

Author(s):

Abhijit Kherde ◽

Chaitanya R. Patil ◽

Jyotsna Deshmukh ◽

Prithvi B. Petkar

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Age Groups ◽

Composite Index ◽

Public Health Problem ◽

Cross Sectional Study ◽

Study Data ◽

Care Hospital ◽

Global Public Health ◽

Cross Sectional

Background: Under nutrition is a global public health problem. There are numerous methods of assessment of malnutrition among which CIAF is the most recent, relatively robust since it envisages all the parameters for estimation of nutritional status of the children. So, this study was conducted to find the rates of composite index of anthropometric failure in the children attending the Immunoprophylaxis clinic in a tertiary care hospital of Nagpur and to find associations with the socio demographic variables.Methods: This descriptive cross-sectional study was conducted at the Immunoprophylaxis clinic of a tertiary care institute in Nagpur from September 2016 to January 2017. The study subjects were the children attending the OPD of Immunoprophylaxis clinic of a tertiary care hospital. Necessary permissions were taken before the start of the study. Data was collected using pretested and pre-designed questionnaire. Height and weight were measured using standard guidelines and categorized into groups of CIAF as described by Nandy et al.Results: A total of 460 study subjects were enrolled in the study. The mean age group of the study subjects was 2.47±1.56 years. According to the grades of CIAF, 48.51% were having no failure. Age and gender were factors which were associated with failure status by CIAF.Conclusions: We found high rates of anthropometric failure in our study. The age groups less than 3 years had higher odds of being in failure when compared to more than 3 years age. Further, males had higher odds of being into failure when compared to females. Community based studies are recommended.

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Factors Affecting Gingivitis among Patients Attending in a Tertiary Care Hospital of Bangladesh

Delta Medical College Journal ◽

10.3329/dmcj.v3i1.22233 ◽

2015 ◽

Vol 3 (1) ◽

pp. 9-12

Author(s):

Mst Mostary Zannath ◽

Md Monoarul Haque ◽

Masuma Akther

Keyword(s):

Fast Food ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Public Health Problem ◽

Cross Sectional Study ◽

National Health Survey ◽

Dietary Factors ◽

Care Hospital ◽

Cross Sectional ◽

Factors Affecting

Background: Gingivitis is one of the common diseases in Bangladesh and a public health problem also. Broadly factors of two categories are responsible for the occurrence of gingivitis: anatomical and behavioral. Few physiological factors also have influence. In Bangladesh we have no national health survey on periodontal condition. Objective: The aim of this study was to find out the factors affecting gingivitis among patients of 15 to 40 years of age attending in a tertiary care hospital in Dhaka city.Materials and method: This was a cross sectional study and purposive sampling method was used. Total 200 samples were taken who fulfilled the inclusion criteria by pretested structured questionnaire in outpatient department (OPD) of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Results: The mean(±SD) age of respondents was 27±5 years. Dietary factors responsible for gingivitis were sweets (80%), followed by fast food (14%). Regarding behavioral factors, smoking (48%), tobacco using (8%) and betel nuts chewing (28%) influenced gingivitis. Most of the respondents (89%) were suffering from gingivitis for at least one year and gum bleeding was documented in 99% of respondents. Conclusion: Dietary and behavioral patterns were found to be responsible for gingivitis. DOI: http://dx.doi.org/10.3329/dmcj.v3i1.22233 Delta Med Col J. Jan 2015; 3(1): 09-12

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Study of Arteriovenous Fistula Cases in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.4957 ◽

2020 ◽

Vol 58 (225) ◽

Author(s):

Robin Man Karmacharya ◽

Satish Vaidya ◽

Amit Kumar Singh ◽

Sushil Dahal ◽

Prasesh Dhakal ◽

...

Keyword(s):

Arteriovenous Fistula ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Axillary Vein ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Arteriovenous Fistulas ◽

Common Location

Introduction: Arteriovenous fistulas are a preferred choice for hemodialysis access in chronickidney disease patients. There is increased adoption of arteriovenous fistula creation in Nepal.Our objective is to study various arteriovenous fistulas that have been created in our center. Methods: This is a descriptive cross-sectional study conducted in a tertiary care hospital includingall cases of arteriovenous fistula creation from January 2018 to December 2019. We obtained theethical clearance from the institutional review committee of Kathmandu University School ofMedical sciences. Convenient sampling method was used. Detailed vascular mapping and colordoppler ultrasonography was done in the bilateral upper limb as preoperative preparation and tochoose a site for arteriovenous fistula creation. Data were entered into the Statistical Package for theSocial Sciences version 20 for analysis. Results: Among 50 patients, the most common location was brachiobasilic 20 (40%) patients followedby brachiocephalic 18 (36%), radiocephalic 11 (22%), and arteriovenous graft between the brachialartery and axillary vein 1 (2%). The mean duration of hospital stay was 1.44 days. Three (6%) patientsrequired re-intervention, all within 24 hours. Two (4%) patients had a failure of arteriovenous fistularequiring the creation of a new arteriovenous fistula. Conclusions: Brachiobasilic was the most common location for arteriovenous fistula creation.Reintervention was not common.

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Pattern, Management, and Outcome of Poisoning in a Tertiary Care Hospital

Journal of Lumbini Medical College ◽

10.22502/jlmc.v6i1.201 ◽

2018 ◽

Vol 6 (1) ◽

pp. 32-35

Author(s):

Naresh Karki ◽

Vijay Singh ◽

Vinod Kumar Verma

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Gastric Lavage ◽

Public Health Problem ◽

Cross Sectional Study ◽

Intravenous Route ◽

Care Hospital ◽

Global Public Health ◽

Cross Sectional ◽

Global Public Health Problem

Introduction: Poisoning is a significant global public health problem. The appropriate management of poisoning at emergency needs accurate assessment and immediate treatment. The immense chance for better outcomes occurs with early diagnosis and treatment. This study was conducted to assess pattern, management, and outcome of poisoning in tertiary care hospital. Methods: An observational cross-sectional study was conducted in which records of patients with a diagnosis of poisoning over a period of four years were reviewed. Results: A total of 138 patients were included in the study. A majority (63%) of them were females. Most (67.4%) were managed by general or supportive measure only. Gastric lavage was done in 60% of total patients while 52.9% patients received activated charcoal. Pralidoxime and atropine was received by 51.1% of patients treated with specific antidote. All the antidotes were administered through intravenous route. Regarding outcome, 89.9% were completely recovered. Suicidal poisoning was significantly higher in married as compared to unmarried patients (p = 0.029). Similarly, there was a significant relationship between occupation of the patients and manner of poisoning (p = 0.003). Outcome of treatment had a significant association with the manner of poisoning (p < 0.001). Further analysis revealed that the patients who expired in the hospital were more likely to ingest poison accidentally. Conclusion: Suicidal poisoning is common and females are more susceptible. Insecticide and rodenticide are the commonly ingested poisons. Treatment outcome of poisoning cases is generally favorable.

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Work related musculoskeletal disorders among surgeons working in a tertiary care hospital in Kathmandu, Nepal

International Journal of Occupational Safety and Health ◽

10.3126/ijosh.v5i2.17948 ◽

2017 ◽

Vol 5 (2) ◽

pp. 6-10

Author(s):

Anira Vaidya ◽

Nayan Kamal Sainju ◽

Sunil Kumar Joshi

Keyword(s):

Musculoskeletal Disorders ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Female Surgeons ◽

The Common

Background: Musculoskeletal disorders are common work-related health problems affecting professionals in many sectors. Surgeons are among the most vulnerable as they have to work for long hours in unfavorable posture. Objective: Aim of this study was to determine both prevalence of work related musculoskeletal disorders and types of ailments among surgeons of different sub-specialties in a tertiary care hospital in Kathmandu. Methods: In This cross sectional study was conducted in Bir Hospital, a tertiary care hospital in Kathmandu. A total of 50 surgeons of different sub-specialties were surveyed. Self-reported questionnaires included i) socio-demographic information, ii) Dutch Musculoskeletal Questionnaire on ergonomic hazards and iii) Nordic musculoskeletal disorders questionnaire on pain and discomfort. Data were analyzed using SPSS version 20. Result: Respondents were 40 male and 10 female surgeons with mean age of 38.9 years. Forty-four respondents (88%) reported that their job usually require them to stand for long hours, and41 (82%) also reported that they would work in the same posture for long period of time. In addition, 43 (86%) also reported that they would have to bend their trunk slightly during their job. Thirty-five respondents (70%) reported having at least one musculoskeletal disorder. Twenty-three (65.7%) surgeons had to miss their job at least once during last 12 month of which nineteen (54.3%) missed them in last 7 days.Conclusion: This survey showed that various musculoskeletal ailments were common among surgeons of all sub-specialties in our hospital which is likely one of the common and a serious occupational hazards in this population.

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Prevalence, Pattern and Factors Associated with Work-related Musculoskeletal Disorders (WRMD) among Housekeeping Workers in a Private Tertiary Care Hospital in Bangalore

Journal of Health Management ◽

10.1177/0972063416666151 ◽

2016 ◽

Vol 18 (4) ◽

pp. 545-554 ◽

Cited By ~ 4

Author(s):

Joseph B ◽

Naveen R ◽

Suguna A ◽

Surekha A

Keyword(s):

Musculoskeletal Disorders ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Factors Associated ◽

Prevalence Of Pain

Introduction Work-related musculoskeletal disorders (WRMDs) represent one of the most common and important occupational health problems in the working population; they negatively impact the quality of life and are a cause for major economic burden in the form of compensation and lost wages. Objectives To assess the prevalence, pattern and factors associated with WRMD among housekeeping workers in a private tertiary care hospital in Bangalore. Methodology A cross-sectional study was conducted among housekeeping workers in a private tertiary care hospital from May to September 2014. A pre-tested semi-structured questionnaire was administered which included socio-demographic details and the standardized Nordic questionnaire (SNQ). Out of the 130 workers, we were able to contact 83 workers (as some were on long leave and some left the job). Results Among the 83 housekeeping workers studied, the mean age was 37.4 ± 2.42 years. Prevalence of WRMD was estimated to be 68.3 per cent and the pattern of pain was found to be high for low back and least for ankles. There was a significant association between the prevalence of pain with increased duration of work hours and years of employment. Conclusion This study showed a high prevalence of WRMD among housekeeping staff which is associated with long hours of work and years of work. We can aim at reducing the WRMD by giving health education about ergonomics, recommending job rotation and in severe cases even physiotherapy.

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Profile of dog bite cases reporting to ARV OPD of a tertiary care hospital

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20194022 ◽

2019 ◽

Vol 6 (9) ◽

pp. 4088

Author(s):

Saurabha Urmi Subramanya ◽

Ravindra S. Kembhavi

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Public Health Problem ◽

Sampling Technique ◽

Cross Sectional Study ◽

Major Public Health Problem ◽

Care Hospital ◽

Age Group ◽

Dog Bite ◽

Cross Sectional

Background: Animal bites pose a major public health problem in children and adults worldwide. Rabies is a viral zoonosis caused by bite of a rabid dog that occurs in >100 countries and territories. India accounts for 60% of all the world burden of rabies related deaths. The objective of the present study is to analyse the profile of dog bite victims reporting to ARV OPD of a tertiary care hospital.Methods: This was a cross-sectional study conducted in the ARV OPD of a tertiary care hospital. A total of 228 victims of dog bite were interviewed. They were selected using systematic random sampling technique. Analysis of data obtained was done using SPSS.Results: Majority of the participants belonged to the age group 20-30 years. The proportion of male was higher than female. Most of the victims had suffered category II type of dog bite (66.2%). A statistically significant association was seen between age group and nature of dog bite, sex of victim and type of dog, type of dog and category of dog bite and the category of bite and history of dog biting other individuals.Conclusions: The burden of dog bite seems to be borne by the economically productive age group. All individuals need to be educated on how to behave around animals so that they can avoid animal bite.

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