scholarly journals Premature ejaculation among post-coronary artery stenting patients attending cardiology out patient department of tertiary care hospitals

2020 ◽  
Vol 32 (1) ◽  
pp. 9-13
Author(s):  
Shahriar Faruque ◽  
Salahuddin Qusar Biplob ◽  
Mekhala Sarkar ◽  
Nafia Farzana ◽  
Wasima Rahman ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Premature Ejaculation ◽  
Healthy Lifestyle ◽  
Treatment Plan ◽  
Tertiary Care ◽  
Invasive Procedure ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Cross Sectional ◽  
Coronary Artery Stenting

Premature ejaculation (PE) is the most frequent sexual complaint of men. It may develop not only due to psychiatric disorders but also due to many chronic organic illnesses. Coronary artery stenting is an invasive procedure to manage coronary artery disease which is one of the leading chronic illnesses all over the world. Patients who survive from coronary artery diseases by getting invasive cardiac procedures, often develop reduced sexual function. The aim of the study was to identify the frequency of premature ejaculation among post coronary artery stenting patients. This was a descriptive, cross sectional study conducted in cardiology outpatient department (OPD) of Bangabandhu Sheikh Mujib Medical University (BSMMU) and cardiology OPD of National Institute of Cardiovascular Diseases (NICVD) from October 2017 to September 2018. 153 patients were selected purposively. After taking written consent a predetermined questionnaire containing 11 socio-demographic variables was filled for each patient through face to face interview. After that PEDT bangle version was applied.37.25% post coronary artery stenting male scored 11 or more and were identified as highly suggestive to have PE. Among the socio-demographic variables, Regular exercise, amount of sleep per day, smoking and history of chronic physical illness were found to be significantly associated with PE among post coronary artery stenting patients. The study showed that the patients who practiced a disciplined and healthy lifestyle were not in risk. The research findings may help us for the early diagnosis and better treatment plan to reduce patient sufferings. Bang J Psychiatry June 2018; 32(1): 9-13

A Comparison of Falls and Dizziness Handicap by Vestibular Diagnosis

2021 ◽  
pp. 1-10
Author(s):  
Ryan J. Huang ◽  
Sherri L. Smith ◽  
Libor Brezina ◽  
Kristal M. Riska
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Vestibular Migraine ◽  
Cross Sectional ◽  
Positional Vertigo ◽  
Increased Risk ◽  
Risk Of Falls ◽  
Paroxysmal Positional Vertigo

Purpose There is a paucity of data that directly compares the falls rate and dizziness handicap of different vestibular diagnoses. The purpose of this study is to compare the falls rate and dizziness handicap of common vestibular diagnoses encountered among a cohort of vestibular patients at a single institution. Method We conducted a retrospective cross-sectional study of patients evaluated for dizziness at a tertiary care center vestibular clinic between August 1, 2017, and March 19, 2019. Vestibular diagnosis, demographic variables, comorbidities, falls status, and Dizziness Handicap Inventory (DHI) were extracted from the medical record for analysis. Associations between vestibular diagnosis and falls history or DHI were evaluated using multivariate logistic and linear regression, respectively. Results A total of 283 patients met our inclusion criteria with the following diagnoses: benign paroxysmal positional vertigo (BPPV; n = 55), acoustic neuroma ( n = 30), Ménière's disease ( n = 28), multiple vestibular diagnoses ( n = 15), vestibular migraine ( n = 135), or vestibular neuritis ( n = 20). After adjusting for age, sex, race, medications, and comorbidities, the odds of falling was 2.47 times greater (95% CI [1.08, 6.06], p = .039) and the DHI score was 11.66 points higher (95% CI [4.99, 18.33], p < .001) in those with vestibular migraine compared to those with BPPV. Other diagnoses were comparable to BPPV with respect to odds of falling and dizziness handicap. Conclusions Patients with vestibular migraine may suffer an increased risk of falls and dizziness handicap compared to patients with BPPV. Our findings highlight the need for timely evaluation and treatment of all patients with vestibular disease.

scholarly journals A cross-sectional study on the level of job stress among nursing staff and its relation with demographic variables and their work pattern in a tertiary care teaching hospital in Surendranagar, Gujarat

2020 ◽  
Vol 32 (2) ◽  
pp. 404-410
Author(s):  
Krupal Jagdishchandra Joshi ◽  
Sochaliya Mansukhbhai Kishor ◽  
Girija Prabhakar Kartha
Keyword(s):  
Job Stress ◽  
Psychological Health ◽  
Work Experience ◽  
Tertiary Care ◽  
Inverse Correlation ◽  
Working Hours ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Care Hospital ◽  
Cross Sectional

Introduction: The nursing profession is known to be stressful throughout the world. It contributes to various physical and psychological health problems in nurses, which ultimately influencing on their performance and efficiency of work. Objective: To measure the level of job stress among nurses and to find out its relationship with demographic variables and working pattern. Methods: Study was done among 102 nurses in a tertiary care hospital of Surendranagar district from February to March 2020. The level of job stress was measured by a set of 14 questions which are directly related to job stress and response was collected on a five-point Likert Scale. Results: This study revealed, moderate and severe level of job stress among 53% and 45% of nurses respectively. The job stress had no statistically significant association with demographic variables like age and gender. However, job stress had an inverse correlation with the factors like work experience, shift timings and working hours. Conclusion: All the study participants were suffering from mild to severe level of job stress. Younger age group and female nurses were commonly affected with job stress. Work stress was also found more prevalent in nurses with lesser experience, rotational shift and more working hours.

scholarly journals Effectiveness of vaccination in preventing severe SARS CoV-2 infection in South India-a hospital-based cross-sectional study

2021 ◽  
Author(s):  
A Charles Pon Ruban ◽  
Aazmi M ◽  
Shantaraman K.
Keyword(s):  
Tertiary Care ◽  
Severity Of Illness ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Clinical Severity ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Icu Admission ◽  
Second Wave

AbstractBackground & objectivesEstablishing concrete evidence on effect of vaccination on severity of SARS CoV-2 infections in real world situations is the need of the hour. The aim of this study is to estimate the effectiveness Covid 19 vaccines in preventing the new and severe SARS CoV-2 infections.MethodsWe did this retrospective cross-sectional study among the 4765 patients consecutive adult inpatients admitted in the Covid 19 wards of a tertiary care hospital from May 1,2021 to July 7, 2021 during the second wave of Covid 19 pandemic. Information on basic demographic variables, RT PCR status, vaccination status, outcome and clinical severity of illness were obtained from the electronic hospital patient records.Results, and Interpretation & conclusionsType of vaccine and number of doses of vaccines didn’t have any protective effect against new SARS CoV-2 infection. Covid 19 patients vaccinated with at least one dose had 75 % less risk of requiring oxygen (OR 0.25 CI: 0.15 to 0.44) and 60 % less risk of ICU admission (OR 0.4 CI: 0.2 to 0.6) and it was statistically significant. Only 31 % of fully vaccinated Covid 19 positive patients had oxygen requirement (90% less risk) and 15% of the fully vaccinated patients had needed ICU admission (90% less risk).ConclusionVaccination didn’t protect against SARS Cov-2 infection however significant protection was documented against severe SARS Cov-2 infection. Vaccination coverage should be increased urgently in order to halt the impending wave of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.

scholarly journals Clinico-pathological profile of scrub typhus in children: a cross sectional study from Eastern India

2021 ◽  
Vol 8 (8) ◽  
pp. 1401
Author(s):  
Rayan Dasgupta ◽  
Sumita Basu ◽  
Asha Mukherjee
Keyword(s):  
Coronary Artery ◽  
Drug Response ◽  
Scrub Typhus ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Response To Treatment ◽  
Care Hospital ◽  
Cross Sectional ◽  
Multisystem Involvement ◽  
Cardiac Manifestation

Background: Scrub typhus is a vector-borne zoonosis, endemic in Asia and it may present as an undifferentiated fever or with multisystem involvement. This study was carried out to understand the varied presentation of scrub typhus in children and the response to treatment in a tertiary care hospital in Eastern India.Methods: All children between 1 month and 12 year of age admitted with fever for more than 5 days and positive IgM ELISA for scrub typhus were included in the study and their course in hospital was documented. They were randomly divided into 2 groups of 41 patients each, into doxycycline and azithromycin group and were then evaluated for therapeutic response.Results: In this study, pallor (89%) was the commonest finding followed by hepato-splenomegaly (73.2%), pneumonia (65.9%) and rash was found in 43.9%. Eschar was found in 32.9% whereas serious complications like shock and meningoencephalitis was found in 9.8%.  Pericardial effusion was detected in 23.2% cases, coronary artery dilatation in 11% cases and both effusion as well as coronary artery dilation was found in 2.4%. In azithromycin group, 73.2% patients had drug response whereas in doxycycline group, 92.7% patients had drug response and this association was statistically significant (p=0.0188). Two patients who presented late with shock expired but all others responded to treatment and were doing well on follow up.Conclusions: Scrub typhus may present with multisystem involvement including cardiac manifestation which needs to be identified early by echocardiography. Doxyclycine is still the best modality of treatment and if used early, outcome is favourable.

scholarly journals Knowledge of nurses towards dengue fever in a tertiary care teaching hospital in Nepal

2014 ◽  
Vol 9 (1) ◽  
pp. 7-13
Author(s):  
S Valarmathi ◽  
S Parajulee
Keyword(s):  
Dengue Fever ◽  
Teaching Hospital ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Medical Sciences ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Important Health

Background: Nurses are important health care professionals and should have wide knowledge about common diseases especially infectious diseases like dengue. Dengue is associated with shock and can lead to death. Aim: To assess the knowledge of nurses regarding dengue fever and to study the association between the demographic variables. Setting and design: A cross sectional study was conducted at the College of Medical Sciences-Teaching Hospital, Nepal among the nurses during December, 2010. Study tool: Semi structured question was prepared to assess the knowledge of nurses in which there was objective question and Yes or No type questionnaire. Statistical analysis: The filled questionnaires were collected and data were entered in Microsoft excel sheet and analyzed as per study objectives. Descriptive statistic was used to calculate the median (IQR) and non parametric tests (Kruskal Wallis test and Mann Whitney test) to compare the total scores with demographic profile of the subjects. Results: Of the study members 89% were from Proficiency Certificate level (PCL) background and the mean (IQR) age of the respondents was 21 years (20-22.75). Overall score of the nurses was 11 (9-13) with a maximum possible score of 17. There were no association between the respondents knowledge scores with age (p=0.14); educational qualifications (p=0.86); duration of experience (p=0.59); ward (p=0.28). Conclusion: The study findings report a low knowledge among the nursing practitioners on dengue fever and its complications and their knowledge did not have any association with their demographic variables. Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-1, 7-13 DOI: http://dx.doi.org/10.3126/jcmsn.v9i1.9667

scholarly journals Risk factors and microbiological features of surgical site infections

2021 ◽  
Vol 7 (4) ◽  
pp. 201-206
Author(s):  
Dr. Atul Kumar ◽  
◽  
Dr. Shivani Sinha ◽  
Keyword(s):  
Tertiary Care ◽  
Invasive Procedure ◽  
Surgical Site Infections ◽  
Legal Aspects ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
E Coli ◽  
Study Results ◽  
Group A ◽  
One Year

Background: Surgical site infections are the infections of the tissues, organs or spaces exposed bysurgeons during the performance of an invasive procedure manifested in the postoperative periodwithin 30 days after a surgical procedure and up to one year if an implant was placed in the patient.SSI is still higher in India as compared to western data leading to increased morbidity and mortality.This study aimed to analyse the factors associated with SSI and its microflora in a tertiary carecentre. Methods: A descriptive cross-sectional study was done for one year in a tertiary care centrein Bareilly, U.P. All the patients who underwent surgeries related to git pathology in the surgerydepartment, either emergency or elective with surgical site infections, were included in this study.Patients less than 18, all cases operated else were, or re-operated were excluded from this study. Alltraumatic abdominal surgeries were also excluded from this study. Results: The present studyrevealed SSI was associated with 82 (9.4%) cases among elective and 80 (21%) in emergencysurgeries. Superficial incision SSI was found to be most common (90 cases), followed by deepincisional SSI (60 patients) and organ/space SSI (12 cases). Minor intestine surgeries were mostcommonly associated with SSI. The microbiological organism most widely isolated was E. Coli(41.2%), followed by Staphylococcus aureus (27.5%), Klebsiella (16.5%), group A beta-haemolyticStreptococci (9.1%) and Pseudomonas (5.5%). Conclusions: Surgical site infection still causesconsiderable morbidity and high cost to the health care system and is becoming increasingly crucialin medico-legal aspects. Prevention of SSI requires a targeted approach to improve health careworkers' knowledge, practising the guidelines strictly regarding asepsis and optimising the patientbefore surgery. Reduction in rate of SSI will improve cosmesis and make the results of operationsbetter as a whole.

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

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

scholarly journals Co-occurrence of apathy and impulse control disorders in Parkinson disease

Neurology ◽  
2020 ◽  
Vol 95 (20) ◽  
pp. e2769-e2780 ◽  
Author(s):  
Bonnie M. Scott ◽  
Robert S. Eisinger ◽  
Matthew R. Burns ◽  
Janine Lopes ◽  
Michael S. Okun ◽  
...  
Keyword(s):  
Parkinson Disease ◽  
Impulse Control ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Impulse Control Disorders ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
Clinically Significant

ObjectiveTo empirically test whether apathy and impulse control disorders (ICDs) represent independent, opposite ends of a motivational spectrum.MethodsIn this single-center, cross-sectional study, we obtained retrospective demographics and clinical data for 887 patients with idiopathic Parkinson disease (PD) seen at a tertiary care center. Mood and motivation disturbances were classified using recommended cutoff scores from self-reported measures of apathy, ICD, anxiety, and depression.ResultsPrevalence rates included 29.0% of patients with PD with depression, 40.7% with anxiety, 41.3% with apathy, 27.6% with ICDs, and 17.0% with both apathy and ICD. The majority (61.6%) of people reporting clinically significant ICDs also reported clinically significant apathy, and more than a third of patients with apathy (41.3%) also reported elevated ICD. Anxiety and depression were highest in patients with both apathy and ≥1 ICDs. Dopamine agonist use was higher in people with only ICD compared to people with only apathy. Mood significantly interacted with demographic variables to predict motivational disturbances.ConclusionsMotivational disturbances are common comorbid conditions in patients with PD. In addition, these complex behavioral syndromes interact with mood in clinically important ways that may influence the design of future clinical trials and the development of novel therapies. This study challenges the concept of apathy and ICD in PD as opposite ends of a spectrum.

scholarly journals SKIN BACTERIAL MICROFLORA AMONG DIFFERENT DEHA PRAKRITI HEALTHY FEMALE STUDENTS: A CROSS SECTIONAL STUDY

2020 ◽  
Vol 11 (6) ◽  
pp. 27-30
Author(s):  
Suwarna D Vyas ◽  
Deepak M Vyas
Keyword(s):  
Healthy Lifestyle ◽  
Treatment Plan ◽  
Cross Sectional Study ◽  
Female Students ◽  
Microbial Pathogens ◽  
Sectional Study ◽  
Cross Sectional ◽  
Screening Criteria ◽  
Healthy Female ◽  
The Right

Ayurveda attributes primary importance for prevention and the maintenance of health. A healthy lifestyle is emphasized as the determinant of longevity of life, which depends on the Prakriti (bio-identity i.e. body-mind constitution) of an individual. Proper understanding of Prakriti leads the physician in making the right diagnosis, treatment plan and prognosis and also in guiding how to stay disease-free, what to do for restoration and maintenance of health. Normal microbiota provides the first-line defence against microbial pathogens plays a role in toxin degradation and contribute to maturation of immune system. There is variation in skin qualities according to different Deha Prakriti. So here is an attempt to study skin microbial flora in healthy female students according to different Deha Prakriti. It was a cross-sectional study conducted on unmarried healthy female students (21-30 years) who were willing to participate in the study. Total 1187 volunteers were screened with screening form. 904 volunteers fulfilled screening criteria were further examined for Deha Prakriti Pariksha until getting single dominant Prakriti (single Prakriti Lakshana more than 65%). 58 Vata dominant Prakriti volunteers, 70 Pitta dominant Prakriti and 61 Kapha dominant Prakriti volunteers were eligible for further study. 150 volunteers having single dominant Prakriti (50 volunteers from each dominant Prakriti Group) were randomly selected for further study. The whole study was carried out only in Visarga Kala to avoid the effect of weather. The Microbial study showed the distribution of microorganisms as per normal distribution in all three groups of Prakriti. But the variation of microorganisms according to different Deha Prakriti did not show any association.

Sign in / Sign up

Export Citation Format

Share Document