Knowledge, attitude and practices study regarding current COVID-19 pandemic in patients presenting to rheumatology clinic of a Tertiary Care Hospital

Introduction: The most important step in controlling the spread of any communicable disease is to stick to preventive measures and COVID-19 pandemic is no exception. Keeping this in mind, a KAP study was performed in the rheumatology unit of a tertiary care hospital of Islamabad. The main idea was to know the level of understanding of rheumatologic patients with respect to COVID-19 pandemic and its preventive measures. Objective: The objective of the study was to understand the knowledge, attitude and practices of rheumatologic patients towards COVID-19 pandemic. Methodology: A descriptive cross-sectional study in which consecutive, non-probability sampling technique was used. Results: There were 37 males and 73 females in the study group, with mean age of 38.75±13.9 years. The total knowledge score was 17 points. It was found that 12 (10.9%) participants had poor knowledge regarding COVID-19, whereas 27 (24.5%) and 71 (64.5%) had good and excellent knowledge respectively. The total attitude score of study participants 7 points. It was found that 11 (10.0%) participants had poor attitude, whereas 72 (65.5%) and 27 (24.5%) had good and excellent attitude. The total practice score was 11 points. It was calculated that 30 (27.3%) study participants had poor practices regarding COVID-19 prevention, whereas 78 (70.9%) had good practices and only 2 (1.8%) had excellent practices. Conclusion: Overall, it was noted that KAP of our rheumatologic patients towards COVID-19 infection was reasonable, however, there is always room for improvement.

Download Full-text

SOCIODEMOGRAPHIC AND ANTHROPOMETRIC PROFILE OF DIABETIC PATIENTS ATTENDING IN A DIABETIC CLINIC IN A TERTIARY MEDICAL COLLEGE AND HOSPITAL, WEST BENGAL

10.36106/9100420 ◽

2021 ◽

pp. 12-15

Author(s):

Smarajit Banik ◽

Sandip Saha ◽

Sudipan Mitra ◽

Ujjwal Pattanayak ◽

Rajib Sikder ◽

...

Keyword(s):

West Bengal ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Care Hospital ◽

Diabetes Clinic ◽

Cross Sectional ◽

Medical College ◽

Study Participants

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.

Download Full-text

Prevalence of PCOS with Associated Symptoms and Complications at Tertiary Care Hospital of Karachi

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2019/v30i430190 ◽

2019 ◽

pp. 1-9

Author(s):

Urooj Zafar ◽

Zahida Memon ◽

Kausar Moin ◽

Shanza Agha ◽

Jahan Ara Hassan ◽

...

Keyword(s):

Psychological Health ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Premenopausal Women ◽

Sampling Technique ◽

Care Hospital ◽

Late Adolescent ◽

Cross Sectional ◽

Gynecological Disorders ◽

Age Related

Aim: The aim of this study is to determine the prevalence of PCOS among different gynecological disorders at tertiary care hospital of Karachi and to assess the most frequent presenting complaint with associated complications among them. Study Design: Single-centered cross-sectional study. Place and Duration of Study: Gynecological clinic of Karachi at a Tertiary care Hospital during 3rd December 2018 to 29th March 2019. Methodology: Total 335 premenopausal women approached the clinic with different gynecological disorders during the period of four months and 305 patients agreed to participate. The patients were enrolled via convenient sampling technique. After taking the informed consent they were evaluated through clinical interviews, questionnaire, and anthropometric measurements. The diagnosis of PCOS was made by using Rotterdam criteria 2003. Menstrual irregularities were assessed via history. Clinical hyperandrogenism was evaluated by using modified Ferriman–Gallwey scale and Acne Global Grading System. Obesity was calculated through BMI. The Hamilton scale was used to appraise associated psychological disturbances. Results: PCOS was the most prevalent gynecological disorder (55.41%) among women of the premenopausal age. Overall, the most frequent presenting complaint was infertility but age related variations in symptoms showed that young adolescent and adulthood had more menstruation irregularities while, in late adolescent the chief complaint was infertility. Moreover, these patients were either overweight 32% or obese 46.2%. Other associated problems such as anxiety and migraine were more frequent in young adults and juveniles respectively. Conclusion: PCOS is the most common gynecological problem in our region. These women usually presents with altered complains that influence their physiological and psychological health which in turn effects the quality of life.

Download Full-text

Clinical and biochemical profile of obese and overweight children at a Tertiary Care Hospital.

The Professional Medical Journal ◽

10.29309/tpmj/2020.27.06.3508 ◽

2020 ◽

Vol 27 (06) ◽

pp. 1119-1123

Author(s):

Asif Ali Khuhro ◽

Fazal Ur Rehman ◽

Waqas Ali ◽

Najmi Usman ◽

Sanam Bano Rajper

Keyword(s):

Metabolic Syndrome ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Biochemical Profile ◽

Overweight Children ◽

Cross Sectional ◽

Female Ratio ◽

Study Participants

Objectives: Childhood and adolescent obesity is increasing especially in developing countries like Pakistan. It seem to affect most socio-economic classes as well as all ethnicities and geographies. We planned this study to analyze the clinical and biochemical profile of obese as well as overweight children at a tertiary care hospital for the existence of metabolic syndrome. Study Design: Cross sectional study. Setting: Department of Pediatrics Medicine, Children Hospital Chandka Medical College / Shaheed Mohtarma Benazir Bhutto Medical University, Larkana. Period: 1st July 2018 to 31st December 2018. Material & Methods: Children, aged 5 to 16 years, both gender, having BMI > 85th percentile regarding age and gender were enrolled. Demographic characteristics along with history, lifestyle parameters and physical examination were noted for all the study participants. Metabolic syndrome (Met S) was evaluated while overall results were presented in terms of proportions, mean and standard deviations. Results: A total of 78 cases were enrolled during the study period. There were 46 (58.9%) male and 32 (41.1%) female, with a male to female ratio of 1.4:1. Mean age amongst study participants was 10.8 years. We had 56 (71.8%) children as overweight whereas 22 (28.2%) obese. Acanthosis nigricans was the most common entity seen in 55 (70.1%) children during clinical examination. Metabolic syndrome was found to be present in 31 (39.7%) participants. Conclusion: Met S is not only limited to obese children as it can also affect children who are overweight.

Download Full-text

Prevalence of Aeroallergens in Allergic Rhinitis in a Tertiary Care Hospital

Journal of Nepal Medical Association ◽

10.31729/jnma.5218 ◽

2020 ◽

Vol 58 (231) ◽

Author(s):

Monika Pokharel ◽

Bikash Lal Shrestha ◽

Dharmendra Karn ◽

Ashish Dhakal ◽

Abha Kiran K.C. ◽

...

Keyword(s):

Allergic Rhinitis ◽

Skin Prick Test ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Data Entry ◽

Sampling Technique ◽

House Dust Mites ◽

Care Hospital ◽

Cross Sectional ◽

Prick Test

Introduction: The prevalence of allergic rhinitis has increased significantly globally over the last two decades. Detection of sensitizing aeroallergens plays a crucial role in the diagnosis and management of this troublesome disease. This study aims to investigate the spectrum of aeroallergens sensitization in patients with allergic rhinitis in a tertiary care hospital. Methods: A descriptive cross-sectional study conducted in the Department of Otorhinolaryngology of our hospital between January 2016 to December 2019. Ethical approval was taken from the Institutional Review Committee (No: 210/19). Patients diagnosed with allergic rhinitis were enrolled using the convenience sampling technique. Data entry and analysis was done using IBM Statistical Package for Social Sciences version 20.0. Results: Among 170 patients, altogether 103 (60.6%) patients yielded positive responses on the skin prick test. The most prevalent aeroallergens were Lepidoglyphus 86 (50.60%), Dermatophagoides pteronyssinus 85 (50%), Dermatophagoides farina 82 (48.20%), Thyrophagus 50 (29.40%), Blomia 46 (27.10%), Acarus 43 (25.30%), cat dander 26 (15.30%), dog dander 24 (14.10%), cow and buffalo dander 20 (11.8%), ragweed 20 (11.8%), grass pollen 18 (10.60%) and mugwort 17 (10%). Conclusions: This study highlights that the frequency of aeroallergens based on skin prick test in patients presenting to a tertiary care hospital which showed the dominance of house dust mites, dog and cat hair, pollen, and grasses. Reduced exposure and training of patients about protection against these agents will possibly help in controlling the severity of allergic rhinitis in this region.

Download Full-text

Stress among Nurses in a Tertiary Care Hospital

International Journal of Indian Psychology ◽

10.25215/0302.036 ◽

2016 ◽

Vol 3 (2) ◽

Author(s):

Rajeswari. H ◽

Dr. B. Sreelekha

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Work Organization ◽

Sampling Technique ◽

Simple Random Sampling ◽

Mild Stress ◽

Care Hospital ◽

Severe Stress ◽

Cross Sectional ◽

Younger Age

Stress is a part and parcel of human lifestyle. Stress is a bodily or mental tension resulting from factors that tend to alter an existent equilibrium. Nursing is generally perceived as demanding profession. Along with the increased demand and progress in the nursing profession, stress among the nurses has also increased. The study is carried out with the objectives to assess the level of stress among nurses and to associate the level of stress among nurses with their socio demographic variables. METHODS: Cross sectional research design was adopted.200 nurses working in selected tertiary care hospital were selected by using probability simple random sampling technique. Data was collected by using modified stress inventory. RESULTS: The study revealed that among 200 samples 2(1%) had mild stress, 79(39.5%) had moderate stress and 119(59.5%) had severe stress. In associating the sociodemograpic variables with the level of stress, the variables like age, sex, religion, marital status, educational qualification, designation, area of working, programme attended related to stress, relaxation technique used have no significant association at the level of p<0.05 where as variables income, years of experience, area of living have significant association with level of stress at the level of p<0.001 &p<0.20. CONCLUSION: The study concludes that majority of the nurses have stress. It is also found that stress due to work organization and inter personal relationship at work is harder which adds up to the stress. It is evident in the present study that younger age group and women were commonly affected with severe stress .Income earned and place where they live also influences the stress. It is recommended to implement strategies for reducing stress and to organize stress management programme.

Download Full-text

Frequency of Statin-Induced Myopathy in Patients with Dyslipidemia Presenting in a Tertiary Care Hospital of Lahore

10.53350/pjmhs211582035 ◽

2021 ◽

Vol 15 (8) ◽

pp. 2035-2038

Author(s):

Mohsin Asif ◽

Aijaz Zeeshan Khan Chachar ◽

Miqdad Haider ◽

Sajjad Ali ◽

Afaq Shamim ◽

...

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Sampling Technique ◽

Hdl Cholesterol ◽

Cross Sectional Study ◽

Demographic Variables ◽

Care Hospital ◽

Cross Sectional ◽

Middle Income ◽

Cholesterol Levels

Background: Frequency of dyslipidemia is on continuous rise in the developing countries including Pakistan. Many studies have shown that a raised LDL-cholesterol level, non-HDL cholesterol levels and decreased HDL-cholesterol levels are related with anraised risk of cardiovascular diseases and also certain muscle related symptoms. Aim: To find the frequency of statin-induced myopathy in dyslipidemic patients presenting in a tertiary care hospital. Methods It was a cross sectional study conducted among dyslipidemic patients presented at department of medicine and endocrinology, Unit-I Fatima Memorial hospital, Lahore. Non-probability consecutive sampling technique was used to select 230 dyslipidemic patients who met the inclusion criteria. Information was recorded on predesigned questionnaire regarding statin induced myopathy and socio-demographic variables. Results: In this study, the mean age statin induced myopathy respondents was 49.9±8.6 years while it was 49.9±9.4 years among not having statin induced myopathy.Statin induced myopathy was seen in 55 (23.9%) respondents while in 175 (76.1%) there was no statin induced myopathy. Gender among peripheral neuropathy showed that males were 42 and females were 13 in number; and among non-statin induced myopathy group there were 121 males and 54 females. Most of the middle income respondents were suffering from statin induced myopathy as compared to other income groups. Conclusion: This study reports an increased prevalence of statin induced myopathy among dyslipidemic patients. Male respondents were more in number than females but both had shown insignificant relationship with statin induced myopathy. The age>45 years of the respondents showed significant statistical difference with gender. Keywords: Statin Induced Myopathy, Dyslipidemia, Lahore

Download Full-text

Awareness, knowledge and practices about mosquito borne diseases in patients of tertiary care hospital in Navi Mumbai

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20174232 ◽

2017 ◽

Vol 4 (10) ◽

pp. 3673

Author(s):

Sumit Wasnik ◽

Arjun Mehta

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

General Medicine ◽

Cross Sectional Study ◽

Health Concern ◽

Care Hospital ◽

Cross Sectional ◽

Male And Female ◽

Study Population ◽

Study Participants

Background: Mosquito borne diseases are a serious public health concern in India. The incidence of Mosquito borne diseases is linked with economic and social development of the community. The objectives of the study were to assess the awareness, knowledge and practices about mosquito borne diseases in study population and explore the various myths about mosquito borne diseases among them.Methods: It is a hospital based cross-sectional study and the study participants will be patients getting admitted for any reason and having fever, in the general medicine male and female ward. This study period was 3 month (January to March 2017). Results: Total 150 patients admitted in male and female medicine ward were included in the study out of them 84 were male and 66 were female patients. It was observed that educated participants had more knowledge about mosquitoes borne diseases. Conclusions: Most of the participants didn’t know that clean water could be a source of breeding of mosquitoes. Many myths are prevalent in the study population about mosquitoes borne diseases.

Download Full-text

Prevalence of Adolescent Pregnancy in A Tertiary Care Hospital

Journal of Nepal Medical Association ◽

10.31729/jnma.4573 ◽

2019 ◽

Vol 57 (218) ◽

Author(s):

Shanti Sunuwar Subedi ◽

Sajjan Sharma ◽

Munjal Yadav

Keyword(s):

Adolescent Pregnancy ◽

Teenage Pregnancy ◽

Tertiary Care Hospital ◽

Social Stigma ◽

Tertiary Care ◽

Sampling Technique ◽

Educational Status ◽

Developed Countries ◽

Care Hospital ◽

Cross Sectional

Introduction: WHO defines adolescent pregnancy as any pregnancy from a girl who is 10-19 years of age, the age being defined as her age at the time the baby is born. Globally, adolescent birth rate is 44 per 1000 women aged 15-19 years whereas 33 per 1000 in South East Asian region. The main objective of the study is to find the prevalence of adolescent pregnancy in a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted in Department of Obstetrics and Gynecology, Nobel Medical College and Teaching Hospital, Biratnagar over a period of six months from 1st January 2018 to 30th June 2018. Using the convenient sampling technique, 2688 samples were studied and the descriptive statistical analysis was done. Results: The prevalence of teenage pregnancy was found to be among 143 (5.3%) [5.3%±0.85% at 95% Confidence Interval]. Maximum adolescents of 95 (66.4%) presented at gestational age between 37 to 40 weeks. Regarding contraception, only 2 (1.4%) of teenage mothers had used Injectable Depo Provera. Conclusions: Adolescent pregnancy in developed countries is usually outside of marriage and carries a social stigma but in the context of developing countries it usually happens within marriage and half of them are planned reflecting educational status and contraception knowledge. Effective interventions need to be developed like strict enforcement of laws prohibiting teenage marriage.

Download Full-text

NURSE KNOWLEDGE REGARDING INTRAVENOUS THERAPY IN A TERTIARY CARE HOSPITAL: A CROSS-SECTIONAL STUDY

International Journal of Advanced Research ◽

10.21474/ijar01/11978 ◽

2020 ◽

Vol 8 (11) ◽

pp. 69-73

Author(s):

Sunil Kumar Tailor ◽

◽

Shiv K Mudgal ◽

Digpal Singh Chundawat ◽

Krishan Kumar Nehra

Keyword(s):

Professional Education ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Sampling Technique ◽

Knowledge Score ◽

Simple Random Sampling ◽

Care Hospital ◽

Intravenous Therapy ◽

Cross Sectional ◽

Nurses Knowledge

Context: In hospital settings, most of the time intravenous fluids and drugs administered to patients and nurses are responsible for administration and care of intravenous therapy. However, patients may develop complications related to intravenous therapy due to inadequate competency and knowledge of nurses regarding intravenous therapy. Aims: The present study was conducted to ascertain the knowledge regarding administration and care of intravenous therapy among the staff nurses working at tertiary care hospitals. Methods: A Cross-Sectional research design was adopted to ascertain the nurses knowledge of intravenous therapy. A total of 400 nurses were selected through simple random sampling technique from a tertiary care hospital. A self-structured questionnaire was used to assess the nurses knowledge of IV therapy. The data were analyzed using descriptive and inferential statistic. Result: The finding of the study indicated that the overall mean knowledge score of nurses was 15.71Â±4.18. The demographic variables which influenced the level of nurses knowledge significantly were their professional education (p=0.003) and attended refresher courses on IV therapy (p=0.000). Conclusion: Nurses had an inadequate level of knowledge on administration and care of IV therapy. The administration of IV therapy could be improved by the provision of the in-service education programme.

Download Full-text

Patterns and Outcomes of dog bite injuries presenting to emergency department in a tertiary care hospital at Karachi

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.37.3.3464 ◽

2021 ◽

Vol 37 (3) ◽

Author(s):

Muhammad Ikram Ali ◽

Seemin Jamali ◽

Tehreem Ashraf ◽

Nasibullah Ahmed

Keyword(s):

Emergency Department ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Sampling Technique ◽

Lower Limbs ◽

Care Hospital ◽

Dog Bite ◽

Cross Sectional ◽

Adult Age ◽

Bite Injuries

Objectives: To assess patterns & outcomes of dog bite injuries coming to a public sector tertiary care hospital in Karachi, Pakistan. Methods: This was a one-year descriptive cross sectional study from 1st June 2018- 31st May 2019 using consecutive sampling technique. Data of 7512 patients was collected from animal-bite clinic of a tertiary care hospital. Inclusion criteria was animal bite cases that were reported during the dates 1st June 2018 to 31st May 2019, Incomplete records were excluded. Data comprising of time of bite, the location of the victim at the time of bite within the city, animal responsible for the bite, gender and age of victim, date of presentation, site and category of bite (as per WHO criteria) was recorded by the primary investigator. The study was conducted at Jinnah Post-Graduate Medical Centre. Results: Among 7512 participants 85.8% were males, 32.2% victims reported time of bite between morning and noon, 78.8% of bites involved lower limbs. 51.6% of the bites belonged to category 2. Stray dog bites were observed in 90.3% of cases. Outcome showed 54.9% completed their vaccination, while 44.3% did not show for complete follow up, 3.99% bites were grievous & 0.03% reported with developed rabies. Conclusion: Research reveals Males belonging to adult age group were most vulnerable, most bites were inflicted in early hours, most common animal inflicting the bites were stray dogs. Many victims did not complete their vaccination from the same centre. Peak of the summer was associated with a decline in number of incidents. doi: https://doi.org/10.12669/pjms.37.3.3464 How to cite this:Ali MI, Jamali S, Ashraf T, Ahmed N. Patterns and Outcomes of dog bite injuries presenting to emergency department in a tertiary care hospital at Karachi. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.3464 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Download Full-text