scholarly journals Patients’ Knowledge on Rheumatoid Arthritis presenting with Arthralgia in a Tertiary Care Teaching Hospital, Pakistan

2019 ◽  
Vol 18 (4) ◽  
pp. 808-813
Author(s):  
Munawar Hussain Soomro ◽  
Mansoor Magsi ◽  
Muhammad Aslam Soomro ◽  
Muhammad Akram ◽  
Oussama Lahmar

Objectives: The main aim of this study was to determine the level of knowledge about rheumatoid arthritis disease among patients presenting with arthralgia in a tertiary care teaching hospital, Pakistan. Materials and Methods: A cross-sectional study during the period of September 2015 - March 2016 in the Medical Out-Patient Department, Shaheed Mohtarma Benzir Bhutto Medical University Hospital, a tertiary care teaching hospital in Larkana, Pakistan. Patients above 40 years of age of either gender were included in the study. A non-probability purposive sampling technique was employed to include the participants in the study. A pre-designed questionnaire with open and close ended questions was used. The questionnaire in English language was also translated in local language to facilitate the participants. All the statistical analysis was conducted using Stata statistical software 14. Results: A total number of 251 participants completed the questionnaires. 42 (56.6%) were from rural settings, while 233 (92.8%) were females. The overall mean age was 59 ± 8.69 years. There were 139 (55.4%) of the participants were ≥ 60 years of age. The average BMI was 23.1 ± 4.3. Moreover, 144 (57.4%) participants were found noneducated. The duration of the disease was less than 10 years in 154 (61.4%) of the participants. While, 157 (62.5%) participants were not knowing about factors which contribute to the onset of rheumatoid arthritis. We observed that, on the basis of responses to the relevant questions, only 4 (1.6%) participants were considered fully aware. Conclusion: We observed lack of knowledge in majority of the participants presenting with arthralgia. The public awareness and education through different vertical programs as well as through social media in the country which can play very important role. Bangladesh Journal of Medical Science Vol.18(4) 2019 p.808-813

2016 ◽  
Vol 23 (12) ◽  
pp. 1489-1494
Author(s):  
Zubair Ahmed Yousfani ◽  
Ahsan Ali Laghari ◽  
Jabeen Atta ◽  
M. Siddique Khurram ◽  
Roohi Bano ◽  
...  

Objectives: To determine the frequency of appendicular mass (tumour) andabscess at tertiary care teaching hospital. Study Design: Cross sectional descriptive study.Period: One year. Setting: Department of Surgery at Liaquat University Hospital Hyderabad /Jamshoro, a tertiary care teaching hospital. Patients and Methods: All the patients presentedwith pain in right iliac fossa were recruited for the study. The detail history was taken; clinicalexamination was done, while all the baseline and specific investigations were advised accordinglyto explore the appendicular lump / abscess whereas the data was saved and analyzed inSPSS version 16 and the consideration for significance was p-value ≤0.05. Results: Duringone year study period total fifty patients were presented as appendicular mass and abscess,seventy percent appendicular mass presented with fever and 60% presented with vomiting.Regarding appendicular abscess 90% presented with fever and 30% presented with vomiting.The appendicular mass and appendicular abscess was identified in 32 (64%) and 18 (36%)cases with male population predominance. Out of thirty two patients of appendicular masswere managed surgically i.e. 16 cases were underwent for surgery immediately whereas restof the 16 subjects were managed by Oschner Scherren regime and later date appendicectomywas performed. All 18 cases of appendicular abscess were managed by antibiotics drainageand these cases of appendicular abscess were nominated for interval appendicectomy6-8 weeks later due to recurrent appendicitis. Conclusion: The appendicular mass andappendicular abscess are common disorders and the management tools varies accordinglyfrom early appendectomy, conservative conventional management to interval appendectomywhile the extraperitoneal drainage and interval appendectomy are useful tool for patients withappendicular abscess


Med Phoenix ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 14-18
Author(s):  
Smita Singh ◽  
Deependra Prasad Sarraf ◽  
Prabin Singh ◽  
Pragati Poudyel

Introduction: Pharmacovigilance helps in the detection and prevention of adverse effects of drugs. For the effectiveness of this program, health care professionals should report adverse drug reactions (ADRs) considering it as their moral and professional obligation. The objective of the study was to assess the knowledge, attitude, and practices (KAP) of the doctors towards ADRs and pharmacovigilance in  National Medical College Teaching Hospital (NMCTH), a tertiary care teaching hospital situated in the Narayani zone. Materials and Methods: A cross-sectional study was carried out using a self-administered questionnaire consisting of four parts; first part included a demographic profile of participants, the second part consisted of ten questions for the assessment of the knowledge about pharmacovigilance, third part comprised of six questions on attitude and fourth part consisted of five questions on practice. The results were depicted in the form of percentages for each KAPs questionnaire.   Results: The response rate of participants was 85.16%. Pharmacovigilance was correctly defined by 52%. Department of drug administration was responsible for monitoring ADRs in Nepal was correctly given by 80%. Only 8% had reported ADRs, although 62% had encountered an ADR in their clinical practice. Conclusion: The doctors at NMCTH had a poor KAP towards pharmacovigilance and educational intervention is needed for the proper functioning of this program.


Author(s):  
Sangeetha Raja ◽  
Jamuna Rani R ◽  
Kala P

ABSTRACTObjective: The aim of this study was to carry out adverse drug reactions (ADRs) monitoring in various departments of a tertiary care teaching hospital.Methods: A cross-sectional study was conducted on ADRs reported in the hospital from December 2012 to May 2013 after obtaining InstitutionalEthics Committee approval.Results: A total of 40 ADRs were reported, 47.50% were males and 52.50% were females. The female adult population was 45%. The majority of ADRswere due to antimicrobial agents especially beta-lactam antibiotics (42.5%) followed by NSAIDs (7.50%). A maximum number of patients (75%)were reported with dermatological manifestations. The department of medicine reported the highest number of ADRs (37.5%). As per Naranjo’sprobability scale, 62.5% reports were assessed as probable. 62.5% reports were documented as mild according to Modified Hartwig’s criteria forseverity assessment.Conclusion: This study was done to sensitize the practicing physicians on the importance of adverse drug monitoring and reporting.Keywords: Pharmacovigilance, Adverse drug reactions, Tertiary care teaching hospital, Antimicrobial agents.


2021 ◽  
Vol 6 (4) ◽  
pp. 01-13
Author(s):  
Archana Mavoori ◽  
Sudha Bala ◽  
Rajiv Kumar Bandaru ◽  
Aruna Kumari Yerra

Background: The current COVID-19 pandemic has imposed upon the entire community norms of social distancing and home quarantine. Follow up consultations in these times can be made through teledermatology through smart phones. Success of this technology in these hours of crisis depends upon the knowledge, attitude and behaviour of patients towards teledermatology. Follow up consultations done through teleconsultations will decrease risk of exposure to COVID-19 among psoriasis patients who need frequent follow ups. Aim: The main objective of this study is to assess the awareness, knowledge, attitude and practice of teledermatology through teledermatology among psoriasis patients at a tertiary care teaching hospital. Materials and Methods: A cross-sectional survey, from Psoriasis Clinic registry maintained in the outpatient department of DVL of a tertiary care teaching hospital in India is conducted. A pre-validated self-administered questionnaire is used for the survey to assess knowledge, attitude and practice of teledermatology. Analysis will be done as per study objectives using descriptive statistics for quantitative data and content analysis for qualitative data. Results: Out of 150 patients, 87(58%) were males and females were 63(42%). Most common age group to participate in the study was 36-45 years- 43(28.7%). Majority of participants were educated up to –graduate 53(35.3%). Males had higher knowledge and attitude scores compared to females. Most of the patients found using teleconsutations easy and convenient. Conclusion: Teledermatology is the need of the hour to be implemented in these hours of COVID-19 pandemic.


2014 ◽  
Vol 03 (01) ◽  
pp. 054-056 ◽  
Author(s):  
Purushottam A. Giri ◽  
Kailash K. Singh ◽  
Deepak B. Phalke

Abstract Background: Esophageal cancer has a peculiar geographical distribution and shows marked differences in incidence within a particular geographical region. Presently, as there seems little prospect of early detection of this cancer, an understanding of the etiological factors may suggest opportunities for its primary prevention. Objectives: The present study was carried out to find out the socio-demographic determinants of esophageal cancer in a tertiary care teaching hospital of western Maharashtra, India. Materials and Methods: A retrospective hospital record-based study was carried out for the period of five years (2007-2011) in the department of Radiotherapy of Pravara Rural Hospital, Loni, western Maharashtra, India. A total of 5879 patients were diagnosed with cancer, of them, 207 (3.52%) patients had esophageal cancer. Data was collected on the basis of the patients′ record in the hospital and analyzed in the form of percentage and proportions whenever appropriate. Results: Out of total 5879 patients who were diagnosed with cancer during the five studied years, 207 (3.52%) patients had esophageal cancer, of which 121 (58.46%) were males and 86 (41.54%) were females, which show predominance of males over females. Most of the patients (28.50%) belonged to lower class, while only 9.66% were from upper class. Majority of the patients (54.14%) had a history of tobacco chewing, followed by smoking (cigarette, bidi, or both) in 36.94% and alcohol in 21.65%. Conclusion: The present study shows that esophageal cancer constitutes 3.52% of cancer cases. There is a need to screen the high-risk group of people, improve socio-economic status, and efforts must be made to introduce a set of preventive measures that have the potential to significantly reduce the burden of disease and to help bridge the gap between research and public awareness.


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