scholarly journals HEALTH SEEKING BEHAVIOR OF PSYCHIATRIC PATIENTS AT AN OUTPATIENT DEPARTMENT OF A TERTIARY CARE HOSPITAL IN LAHORE, PAKISTAN

1970 ◽  
Vol 7 (3) ◽  
pp. 137-141
Author(s):  
Muhammad Ashraf Chaudhry ◽  
Aneeqa Shamshad Butt ◽  
Ejaz Ahmad Khan ◽  
Asma Abdul Latif ◽  
Jalil Kamran ◽  
...  
Keyword(s):  
Common Mental Disorders ◽  
Psychiatric Patients ◽  
Tertiary Care ◽  
Care Hospital ◽  
Health Seeking ◽  
Severe Condition ◽  
Medical Practitioners ◽  
Healthcare Facilities ◽  
Seeking Behavior ◽  
First Time

Background: Mental and psychological disorders are responsible for significant morbidity and disability worldwide. Results of World Mental Health Consortium demonstrate that common mental disorders are highly prevalent globally. Only a limited proportion of patients with psychiatric disorders attend the healthcare facilities, in severe condition. Treatment by unqualified medical practitioners and faith healers is a common practice, which significantly delay the proper treatment. Methods: We conducted this survey at the psychiatry OPD at Jinnah Hospital Lahore from March 2015 to May 2015. 1000 study subjects of 14 -70 years of age from both genders were enrolled for this study randomly, who sought psychiatric opinion for first time. Results: One hundred patients were examined, mean age of subjects was 31 years (SD + 15.02), with 53.0% females. More patients (60.0%) were first time recognized by their family members, remaining sought treatment by themselves. As per history 42.4% patients had consulted to Qualified Medical General Practioners, 19.9% to Piers, 12.0% to Religious Clerics and 10.5% to Hakim, Fakir, Malang etc. and only 2.6% consulted to psychotherapist. Conclusion: It is concluded that in our setting psychiatric illnesses are always recognized late and medical practitioners do not bother to obtain consultative opinion from psychotherapist.  

scholarly journals Pattern of diseases in admitted patients in medicine unit 2 - in a rural tertiary medical institute period: January 1, 2010 - December 31, 2010

KYAMC Journal ◽  
2013 ◽  
Vol 2 (2) ◽  
pp. 172-181 ◽  
Author(s):  
AKM Mokhlesuzzaman ◽  
MZ Ali ◽  
MAK Shaikh ◽  
SH Ripon ◽  
MM Uddin ◽  
...  
Keyword(s):  
Disease Burden ◽  
Treatment Success ◽  
Tertiary Care ◽  
Age Distribution ◽  
Medical Institute ◽  
Care Hospital ◽  
Health Seeking ◽  
Medical College ◽  
Disease Pattern ◽  
Seeking Behavior

Existing disease pattern and health seeking behavior in a community should be known to provide need based quality service. The aim of this study was to find out the disease pattern, common diseases, age distribution, sex ratio, seasonal influence, comorbidity etc in admitted patients in Khwaja Yunus Ali Medical College & Hospital (KYAMCH), a rural tertiary care Hospital in Bangladesh. In this retrospective and descriptive study total 550 patients were evaluated in 1 year period who were admitted either from OPD or through Emergency. Most of the diagnoses were made after evaluation according to the organ system involved eg. Gastrointestinal, hepatobiliary & pancreatic (15%); Respiratory (24%); Infective (6.5%); Renal (11%); Neurological (24%); Haematological (2.75%); Endocrine (6.75%); Rheumatological (4%); Psychiatric & Poisoning (6%). Hope we will get a understanding of disease pattern among the admitted patients in a good organized way through this study. Furthermore, it will be possible to calculate the mortality, treatment success, hospital staying, total cost of treatment thus to estimate the disease burden and cost effectiveness as well.DOI: http://dx.doi.org/10.3329/kyamcj.v2i2.13261KYAMC Journal Vol.2(2) January 2012, 172-181

scholarly journals Awareness about rabies and health seeking behavior among animal bite victims attending a tertiary care hospital of Jharkhand

2019 ◽  
Vol 6 (10) ◽  
pp. 4426
Author(s):  
Chandramani Kumar ◽  
Santosh Kumar Soren ◽  
Surendra Singh ◽  
Neelanjali Kumari ◽  
Vidya Sagar ◽  
...  
Keyword(s):  
Urban Areas ◽  
Tertiary Care ◽  
Human Infection ◽  
Care Hospital ◽  
Dog Bite ◽  
Health Seeking ◽  
Cross Sectional ◽  
Health Seeking Behavior ◽  
Central Emergency Department ◽  
Seeking Behavior

Background: Rabies is an acute fatal disease of central nervous system, caused by Lyssavirus Type 1. Rabies in dogs is the source of 99% of human infection. Awareness about rabies and health seeking behavior are crucial determinants of rabies control. Present study was done to assess awareness regarding animal bite and health seeking behavior among affected population.Methods: A hospital based cross sectional study was conducted in central emergency department of Rajendra Institute of Medical Sciences, Ranchi, Jharkhand for a period of four months. A semi-structured questionnaire was used for data collection. Sample size was 114 using consecutive sampling method. The participants were interviewed after taking informed consent. Data collected were entered in MS Excel and analyzed using SPSS version 20.Results: A total of 114 subjects participated in the study of which 83 (72.8%) were male and 31 (27.2%) female. Most commonly affected age group found was 21-30 years (35.1%). Majority 101 (88.6%) of them resided in urban areas, and only 79 (69.3%) acquired secondary education and above. Most of the animal bite was caused by dogs 102 (89.5%), unprovoked 79 (69.3%) in nature and most common site involved lower limb 70 (61.4%). Majority 68 (59.6%) of the dog bite wound were of category II. Only 55 (48.2%) of animal bite victims washed their wound with soap and water. Majority 58 (50.9%) of the study participants had no knowledge about consequences of dog bite. Median reporting time to tertiary institute was found to be four hours.Conclusions: There was average level of awareness about rabies among animal bite victims attending RIMS, Ranchi

SEROPREVALENCE OF HIV AND HBsAg AMONGST BLOOD DONORS IN A TERTIARY CARE HOSPITAL, CHHATTISGARH.

2019 ◽  
Vol 3 (8) ◽  
Author(s):  
Anusha P ◽  
Bankar Nandkishor J ◽  
Karan Jain ◽  
Ramdas Brahmane ◽  
Dhrubha Hari Chandi
Keyword(s):  
Hepatitis B ◽  
Blood Donors ◽  
Hepatitis B Surface Antigen ◽  
Tertiary Care ◽  
Laboratory Diagnosis ◽  
Blood Bank ◽  
Care Hospital ◽  
Medical College ◽  
The World ◽  
First Time

INTRODUCTION: India being the second highly populated nation in the world. HIV/AIDS has acquired pandemic proportion in the world. Estimate by WHO for current infection rate in Asia. India has the third largest HIV epidemic in the world. HIV prevalence in the age group 15-49 yrs was an estimate of 0.2%. India has been classified as an intermediate in the Hepatitis B Virus (HBV) endemic (HBsAg carriage 2-7%) zone with the second largest global pool of chronic HBV infections. Safety assessment of the blood supply, the quality of screening measures and the risk of transfusion transmitted infectious diseases (TTIs) in any country can be estimated by scrutinizing the files of blood donors. After the introduction of the blood banks and improved storage facilities, it became more extensively used. Blood is one of the major sources of TTIs like hepatitis B, hepatitis C, HIV, syphilis, and many other blood borne diseases. Disclosure of these threats brought a dramatic change in attitude of physicians and patients about blood transfusion. The objective of this study is to determine the seroprevalence of transfusion transmitted infections amidst voluntary blood donors at a rural tertiary healthcare teaching hospital in Chhattisgarh. MATERIAL AND METHODS: This retrospective study was carried out in Chandulal Chandrakar Memorial Medical College, Kachandur, Durg. Blood donors were volunteers, or and commercial donors who donated the blood and paid by patients, their families, or friends to replace blood used or expected to be used for patients from the blood bank of the hospital. After proper donation of blood routine screening of blood was carried out according to standard protocol. Laboratory diagnosis of HIV 1 and HIV 2 was carried out by ELISA test. Hepatitis B surface antigen was screened by using ELISA. RESULTS: A total of 1915 consecutive blood donors’ sera were screened at Chandulal Chandrakar Memorial Medical College, blood bank during study period. Of these 1914 were male and 1 female. The mean age of patients was found to be 29.34 years with standard deviation (SD) of 11.65 Years. Among all blood donors in present study, 759(39.63%) were first time donors and 1156(60.37%) were repeated donors. 1 patient was HIV positive in first donation group while 3 (75%) were positive in repeat donation group. 7 (38.9%) were HBsAg positive in in first donation group while 11(61.1%) were positive in repeat donation group. Two patients in first donation group had dual infection of HIV and HBsAg. CONCLUSION: Seropositivity was high in repeated donors as compared to first time donors. The incidence of HIV is observed to be 0.2% and that of HBsAg is 0.94%. Strict selection of blood donors should be done to avoid transfusion-transmissible infections during the window period.

Deprescribing of benzodiazepines and Z-drugs amongst the psychiatric patients of a tertiary care Hospital

2019 ◽  
Vol 44 ◽  
pp. 189-194 ◽  
Author(s):  
Halumatha Surendra Shree Shilpa ◽  
N. Naveen Kumar ◽  
Eswaran Maheswari ◽  
Harave Shanmugam Virupaksha ◽  
Viswam Subeesh ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Psychiatric Patients ◽  
Tertiary Care ◽  
Care Hospital

A STUDY ON PREVALENCE OF POST-PARTUM DEPRESSION IN TERTIARY CARE HOSPITAL OF NORTH INDIA.

2021 ◽  
pp. 31-33
Author(s):  
Nidhi Johri ◽  
Priti Kumar
Keyword(s):  
Postpartum Depression ◽  
Tertiary Care Hospital ◽  
Post Partum ◽  
Tertiary Care ◽  
Depression Scale ◽  
North India ◽  
Postpartum Women ◽  
Care Hospital ◽  
Health Seeking ◽  
Prevalence Of Depression

Background: Depression is the most common complication postpartum affecting 10%–15% of women, contributing greatly to maternal mortality and morbidity, but the care availed is very low among the women who suffer. Aim and Objectives: The current study aimed to study the prevalence and associated risk factors of postpartum depression among recently delivered women in a tertiary care hospital of North India. Material and Methods: This was a hospital based cross-sectional study done between May 2019 and January 2020. All women in the study area who had a pregnancy outcome during the past 6 months and have completed 42 days since their last delivery were included in the study. The data on postpartum depression were collected using the Edinburgh Postnatal Depression Scale (EPDS). Results: There were 300 postpartum women in the study area who participated in the study. Mean age of the study participants was 24.5 years. The deliveries were Institutional in 98% of women. The prevalence of depression among the study women (an EPDS score of 10 and above) was 10%. Among women with depression, a history of depression before the last delivery was given by 40% of women. Only 7.5% of women had sought some form of health care for their problem. Conclusion: The study shows that the prevalence of depression among postpartum women is quite high and the health seeking for depression is very low. Health professionals and workers have to be trained to raise awareness, detect, and treat depression among postpartum women promptly

scholarly journals 1225. How Frequently Should Sink Drains Be Disinfected?

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S440-S440
Author(s):  
Jorge A Ramos-Castaneda ◽  
Matthew L Faron ◽  
Joshua Hyke ◽  
Blake W Buchan ◽  
Rahul Nanchal ◽  
...  
Keyword(s):  
Hydrogen Peroxide ◽  
Horizontal Transmission ◽  
Tertiary Care ◽  
Multidrug Resistant ◽  
Control Group ◽  
Care Hospital ◽  
Bacterial Reduction ◽  
Post Intervention ◽  
Bacterial Colony ◽  
Healthcare Facilities

Abstract Background New evidence shows the relevance of sink drains in the horizontal transmission of multidrug-resistant organisms. We recently demonstrated that a peroxide-based disinfectant (product B) was better than bleach at disinfecting sink drains; however, we did not determine the duration of this effect. In this study, we evaluate the duration of bacterial reduction in sink drains treated with product B and compared it to an enhanced hydrogen peroxide agent (product A). Methods Testing was performed in a 26-bed medical intensive care unit at a 566-bed tertiary care hospital in Milwaukee, WI. Two disinfectants were compared: product A (hydrogen peroxide, octanoic acid, and peroxyacetic acid; Virasept, Ecolab) and product B (hydrogen peroxide-based disinfectant; Peroxide Multi Surface Cleaner and Disinfectant, Ecolab). Sinks were randomly assigned to product A, product B, and control (no disinfection). On day 0, baseline cultures were obtained and disinfectant agents were applied. On post-intervention days 1, 3, 5, and, 7, samples from each drain were collected using E-swabs (Copan, Italy). Quantitation of Gram-negative burden was determined by serial dilution in saline plated to MacConkey agar and dilutions that contained 20–200 colonies were used for bacterial colony-forming units (CFU). Multivariate multiple linear regression and analysis of variance were used to compare mean Ln(1+CFU) between groups using R v3.5.0. Environmental sampling, cultures, and statistical analyses were performed blinded to the disinfected used. Results All three groups had similar CFU counts at baseline (P > 0.05). On day 1, a statistically significant reduction in bacterial CFUs was observed in the group treated with product A compared with sinks treated with product B (P = 0.04) or the control group (P < 0.01). The same differences were observed on day 3 post-intervention. There were no significant reductions on days 5 and 7. Conclusion Product A was the most effective product at disinfecting sink drains but its effect disappeared at 5 days post-disinfection. These results suggest that treating sink drains every 5 days with a hydrogen peroxide mixture would be ideal for healthcare facilities dealing with sink drain contamination. Disclosures All authors: No reported disclosures.

Barriers to efficient provision of healthcare facilities: an experience from a developing country.

2021 ◽  
Author(s):  
Fatima Fakir Musharraf ◽  
Anooja Rani
Keyword(s):  
Tertiary Care ◽  
Care Hospital ◽  
Low Literacy ◽  
Healthcare Facilities ◽  
Large Tertiary Care ◽  
Care Facilities ◽  
Tertiary Healthcare ◽  
System 2 ◽  
Tertiary Care Hospitals

Pakistan has nearly 200 million people, of which almost 20 million people live in Karachi, which has 17 tertiary care hospitals, and it is no secret that they are overburdened (1). Despite the healthcare workers’ competency, several issues hinder administering proper care in a tertiary healthcare setup. Firstly, spatial distancing-spatial access to facilities within a hospital also proves a challenge for patients. Patients have little idea regarding specific departments in a large tertiary care hospital due to low literacy rates compounded with a lack of health literacy. At times many patients have reportedly circled the hospital twice and can still not find their desired specialist. A study conducted in Delhi that closely matches Karachi in demographics suggested that patients with one-time visits to secondary care facilities had lower follow-up rates than those who were more familiar with the system (2). Patients may take time to acclimatize to healthcare setup when visiting as first-timers, and if found too challenging to adapt, they may not make an effort again. Unsurprisingly, this renders many facilities- the administration spends, sometimes a fortune, procuring- useless. Continuous...

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