scholarly journals Study of Profile, Pattern and Outcome of Oral Poisoning Cases admitted in Emergency Department of a Tertiary Care Teaching Hospital in North India.

JMS SKIMS ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 24-30
Author(s):  
Susan Jalali ◽  
Shahnawaz Hamid Khan ◽  
Farooq A Jan ◽  
Illahay Jalali
Keyword(s):  
Emergency Department ◽  
Rural Areas ◽  
Tertiary Care ◽  
North India ◽  
Care Hospital ◽  
Medical Sciences ◽  
Medicine Department ◽  
Health Practitioners ◽  
Public Health Practitioners ◽  
And Training

Introduction: Poisoning is a common medico-social problem. It is a significant contributor to morbidity and mortality. Knowledge of the epidemiology of poisoning and its changes is important to both emergency physicians and public health practitioners. Our study was to determine the socio-demographic profile, pattern and outcome of the poisoning cases reported to the Emergency Department of a tertiary care hospital. Methods: The study was a Retrospective observational type of study conducted at Sheri-Kashmir Institute of medical sciences, Srinagar J&K.  The patients with acute poisonings presenting to and managed in the Emergency Medicine department between February 2016 to February 2018 were reviewed for inclusion. Data was collected by reviewing records . Using a pre-structured format, case records of poisoning cases were reviewed for gender, age, residence, type of poison, route of poison and outcome of treatment. The collected data was analyzed using descriptive statistical analysis. Results: In the present study the Female: male ratio was 1.9:1 (131 Females and 68 Males).Females outnumbered the males. Highest cases of Poisoning were reported in the age group of 10-20 years. The poisoning in extreme of ages was less observed. Maximum cases of Poisoning belongs to rural areas (60.8%). The most common implicating agents were Pesticides (75.3%). The second common cause of poisoning was drug overdose (20.52%) Maximum cases recovered after treatment (94%). Conclusion: Pattern and magnitude of poisoning are multidimensional and demand multi-sectorial approach for facing this problem. There is a need for stringent pesticide regulation laws and counseling and training programs to reduce the incidence of poisonings. JMS 2018;21(1):24-30

scholarly journals Seroprevalence of syphilis among pregnant females attending antenatal clinic at a tertiary care hospital in North India

2020 ◽  
Vol 8 (2) ◽  
pp. 539
Author(s):  
Noor Jahan ◽  
Swastika Singh Chandel ◽  
Deepak Chopra ◽  
Arshiya Khan ◽  
Razia Khatoon
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Tertiary Care ◽  
Transmitted Disease ◽  
First Trimester ◽  
Antenatal Clinic ◽  
North India ◽  
Care Hospital ◽  
Cross Sectional ◽  
Pregnant Females

Background: Syphilis is a sexually transmitted disease caused by bacteria named Treponema palladium, subsp. pallidum. Nearly 1.36 million pregnant women are known to be affected by syphilis in the developing countries. When left untreated syphilis during pregnancy can result in adverse fetal outcomes such as spontaneous abortion and stillbirth. Objective of the study was present study was done to evaluate the seroprevalence of syphilis among pregnant females attending Antenatal Clinic (ANC).Methods: A hospital based cross-sectional study was done over a period of six months from January to June 2019. A total of 132 pregnant females were included in the study who attended Antenatal Clinic for routine checkup whose blood samples were sent to Microbiology Laboratory for screening for syphilis by Rapid Plasma Reagin (RPR) test.Results: Out of 132 samples of pregnant females screened for syphilis, none of the sample was found reactive for syphilis by RPR test. Maximum patients (57.6%) belonged to age group 20-25 years followed by (27.3%) of 26-30 years. 30.3% patients belonged to urban areas and 69.7% patients belonged to rural areas. Majority of patients (80.3%) belonged to first trimester, followed by (18.9%) patients to second trimester and (0.8%) patients to third trimester. 78.8% patients were from lower socio-economic class followed by 12.9% patients from middle class and 8.3% patients from upper class.Conclusions: Although zero percent syphilis prevalence was observed in this study, it is recommended that free screening for syphilis should be offered to all pregnant females visiting Antenatal Clinic.

scholarly journals LABORATORY TURN AROUND TIME FOR BIOCHEMISTRY INVESTIGATIONS IN EMERGENCY DEPARTMENT OF A TERTIARY CARE HOSPITAL OF NORTH INDIA

2021 ◽  
Vol 9 (01) ◽  
pp. 669-679
Author(s):  
Zaffar N. ◽  
◽  
Rashid H. ◽  
Hussain S. ◽  
Hakeem A ◽  
...  
Keyword(s):  
Emergency Department ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Turnaround Time ◽  
North India ◽  
Care Hospital ◽  
Time Period ◽  
Accident And Emergency ◽  
Analytical Phase ◽  
Analytical Time

Background: Laboratory turnaround time is considered one of the most important indicators of work efficiency in hospitals, physicians always need timely results to take effective clinical decisions especially in the emergency department where these results can guide physicians whether to admit patients to the hospital, discharge them home or do further investigations. Objectives:1. Calculate the turnaround time for the various biochemical investigations from accident and emergency of a tertiary care institute.2. To find the percentage contribution of pre-analytical, analytical and post analytical phases to TAT. Materials And Methods: This was a prospective, descriptive, single-center study of therapeutic TAT for biochemistry investigations in accident and emergency of a tertiary care hospital. The study was conducted for a period of 3 months from August 2020 to Oct 2020. During the present study period, all biochemistry investigations ordered from emergency department were studied. The Lundberg definition of TAT was used in this study. This means that the pre-analytical TAT used was from the point of order of tests to the receipt of samples at the laboratory. Similarly, the post-analytic phase started from the time results were available at the laboratory to the point where clinicians could access it for action. Results: The turnaround time (TAT) has been monitored in total of 7515 samples for biochemistry evaluation with mean TAT of 169.6 min. It was noted that the mean pre analytical time period was 120.6 min , Analytical time period 34 min while post analytical time period was 15 min. In our study of the pre-analytical phase 37.7%, 39.3%, and 22.9% tests were completed within 60, 60-120 and above 120 minutes, respectively. With respect to the analytical phase, 80.4% and 19.6% tests were completed below 45 minutes and above 45 minutes, respectively. Conclusion: Despite efficient analysis of results, the pre analytic period contributed the most delay in TAT. Collecting the blood samples under standard conditions, filling the test request slips, marking the samples with bar-codes contributed to long TAT.

scholarly journals Prevalence of Dengue, Chikungunya, and Zika Viruses in Febrile Pregnant Women: An Observational Study at a Tertiary Care Hospital in North India

2021 ◽  
Author(s):  
Akanksha Gupta ◽  
Parul Jain ◽  
Vimala Venkatesh ◽  
Anjoo Agarwal ◽  
D. Himanshu Reddy ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Rural Areas ◽  
Vaginal Bleeding ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Fetal Outcome ◽  
North India ◽  
Care Hospital ◽  
Delivery Outcome ◽  
The Difference

Dengue virus (DENV), chikungunya virus (CHIKV), and Zika virus (ZIKV) are arboviruses that can affect maternal and fetal outcome if acquired during pregnancy. This study was done to estimate the positivity of DENV, CHIKV, and ZIKV in febrile pregnant women attending a tertiary care hospital in north India. Symptomatic pregnant women were tested for these viruses by IgM ELISA and/or by Trioplex real-time polymerase chain reaction. Their symptoms and laboratory parameters were recorded and were followed up till delivery to know their immediate delivery outcome. Of 104 women tested, 50 (48.1%) were positive for viral markers. Of these, evidence of infection by DENV, CHIKV, and both was found in 34 (32.7%), 10 (9.6%), and 6 (5.8%), respectively. ZIKV was not detected in any woman. Maximum DENV positivity occurred in the third trimester of pregnancy and in women residing in urban than rural areas. Chills and rigors, arthralgia, retro-orbital pain, anemia, and vaginal bleeding were more commonly associated with DENV positivity. Backache, arthralgia, jaundice, and vaginal bleeding were more common in CHIKV positives but the difference between positives and nonpositives regarding these symptoms was not statistically significant. Dengue infections were associated with more frequent hospitalizations (OR = 8.38, 95% confidence intervals [CI] = 3.29–21.30) and mortality (OR = 19.0, 95% CI = 1.01–357.10). Hence, to conclude, in India wherever possible, all symptomatic pregnant women should be screened for DENV, CHIKV, and ZIKV as part of sentinel surveillance for ZIKV.

scholarly journals A study of deaths due to railway fatalities at a tertiary care hospital mortury 2015-16

2017 ◽  
Vol 6 (1) ◽  
pp. 264
Author(s):  
P. Ravi Kumar
Keyword(s):  
Forensic Medicine ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Study Group ◽  
Care Hospital ◽  
Medical Sciences ◽  
Medicine Department ◽  
Rail Network ◽  
The People ◽  
Railway Crossing

Background: Railway accidents according to the NCRB, 25,006 people died and 3,882 were injured in a total of 28,360 railway accidents across the country in last year. Railway crossing accidents like India has an extensive rail network with high levels of injury and violence.Methods: This study was conducted at Forensic medicine department, PIMS (pondicherry institute of medical sciences). The study group consisted of all the victims reporting to PIMS hospital Mortuary, during the period of study (January 2015-January 2016) were subjected to thorough post mortem examination and the pattern of injuries were noted.Results: A total of 300 postmortems, performed at the mortuary of the Dept. of Forensic Medicine, DMC during the period of January to December 2016, were studied. Of them 164 (54.89%) cases were of accidents, 72 (23.19%) cases were suicide, 54 (17.12%) cases homicide, 8 (2.46%) cases undetermined and 2 (0.80%) cases were of natural deaths. In this study accidental deaths were commonest, seen in (72.12%) cases followed by suicidal (20.63%) and least was homicidal seen in (7.16%) cases.Conclusions: Deaths have occurred in association with railway since the inception of railway in the present study males are commonest victims of railway deaths which concurs with studies conducted by other authors. Helpline numbers should be printed inside the coaches to inform the authorities in case of emergency. Railway should strictly implement the laws of railway acts and the people should be penalized for breaking the rules for the safety of passengers.

scholarly journals Seroreactivity of HIV among patients attending a tertiary care hospital in North India: a retrospective analysis

2019 ◽  
Vol 8 (1) ◽  
pp. 177
Author(s):  
Akanksha Singh ◽  
Deepak Chopra ◽  
Sarver Jahan ◽  
Razia Khatoon
Keyword(s):  
Rural Areas ◽  
Hiv Transmission ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Intervention Strategy ◽  
North India ◽  
People Living With Hiv ◽  
Care Hospital ◽  
Immunodeficiency Syndrome ◽  
Hiv Aids

Background: HIV (Human Immunodeficiency Virus) is the causative agent of AIDS (Acquired Immunodeficiency Syndrome). It belongs to the lentivirus subgroup of the family Retroviridae. The HIV/AIDS is spreading worldwide at an alarming rate. India has the third largest number of estimated people living with HIV/AIDS. Most common mode of HIV transmission is through heterosexual contact, blood transfusion, percutaneous, mucosal and perinatal mode. The present study was done to evaluate the seroreactivity of HIV among patients attending Integrated Counselling and Testing Centre (ICTC) of our Tertiary care hospital.  Methods: This retrospective study was conducted on data of patients who had attended ICTC and undergone HIV testing from January 2017 to January 2019. A total of 4519 patients were included in the study who gave their consent followed by pre-test and post-test counseling and were screened for HIV antibody by using rapid kit Comb-Aids.Results: Out of 4519 samples tested, 23 were reactive to HIV screening test, hence sero-reactivity of HIV was found to be 0.50%. Higher seroreactivity was seen among males (56.5%, 13/23), and patients aged 31-40 years (39.1%, 9/23). Maximum seroreactivity was found among patients of rural areas (73.9%, 17/23), indoor patients (91.3%, 21/23) and married patients (73.9%, 17/23).Conclusions: In this study the seroreactivity of HIV was found to be low among patients attending ICTC but still HIV continues to be a major contributor to the global burden of disease. ICTC data can be used as an important tool for planning and improving the national HIV/AIDS intervention strategy.

scholarly journals Annual Radiation Exposure to Workers in a Tertiary Care Hospital in Kashmir : A 10-Year Analysis and Comparison with National Levels of exposure

JMS SKIMS ◽  
2009 ◽  
Vol 12 (2) ◽  
pp. 41-45
Author(s):  
Tanveer A Rather ◽  
Showkat H Khan ◽  
Mohib Ul Haq ◽  
Riyaz A Rangrez ◽  
Ajaz Mustafa
Keyword(s):  
Radiation Exposure ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Whole Body ◽  
Care Hospital ◽  
Medical Sciences ◽  
Annual Dose ◽  
Medicine Department ◽  
Nuclear Medicine Department ◽  
Radiation Workers

Objective: To assess the radiation exposure amongst radiation workers in Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, a tertiary care 620 bedded superspeciality hospital was carried out. Material and Methods: A 10-year retrospective analysis of the whole body radiation exposure to the radiation workers of SKIMS Srinagar, Two blocks of five years each from 1995 to 1999 & 2002 to 2007 were studied and compared with the national pool of radiation workers for the same period. The average annual dose of radiation workers working in different radiation departments of SKIMS was compared with the workers of the similar department of the national pool. Results & Conclusion: It was observed that in the block of 5 years from 1995 to 1999 the average whole body dose to the radiation works at SKIMS during the latter half showed a rising trend for three years as compared to the national pool. However in the block 2002 to 2005 the average annual dose was mostly similar except for a higher dose to SKIMS workers in 2005. It was observed that the average annual dose received by the workers of Nuclear Medicine department of SKIMS was usually high more so in the five year block of 2000 to 2005.The workers of Radiodiagnosis at SKIMS also received a higher annual dose in 7 of the 10 years of study. J Med Sci 2009;12(2):41-45

Epidemiology and Outcomes of Early Morning Neuroparalytic Syndrome Following Snake Bite—A Retrospective Study

2020 ◽  
Vol 66 (4) ◽  
pp. 435-440
Author(s):  
Madhusudan Samprathi ◽  
Vipul Gupta ◽  
Muralidharan Jayashree ◽  
Arun Bansal ◽  
Arun Baranwal ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Intensive Care ◽  
Retrospective Study ◽  
Rural Areas ◽  
Tertiary Care ◽  
Early Morning ◽  
North India ◽  
Care Hospital ◽  
Snake Envenomation ◽  
Younger Age

Abstract Objective Snake envenomation has been poorly studied in developing countries. ‘Early morning neuroparalytic syndrome’ (EMNS), the classical clinical constellation caused by krait bites, refers to nighttime, indoor bites where nonspecific symptoms progress to neuroparalysis. Literature regarding EMNS in children is scarce. This study was planned to describe the clinical profile, intensive care needs and predictors of outcome in children with EMNS. Methods It is a retrospective study of children below 12 years admitted with a clinical diagnosis of snake envenomation to the pediatric intensive care unit (PICU) of a tertiary care hospital in North India. Patient records were reviewed from the electronic patient database manager. Comparison was made between the EMNS group and the non-EMNS group and between survivors and nonsurvivors within the EMNS group. Results Of the 111 children with snake envenomation, 76 had neuroparalysis (68%) and 51 had EMNS. In the EMNS cohort, 37 (72.5%) belonged to rural areas, 46 (90.2%) had indoor bites and 39 (76.5%) were witnessed. Patients with EMNS were more likely to have absent fang marks, hypoxemia at admission, bulbar palsy and need for PICU admission. Mortality rate was 13.7% in EMNS; predictors included younger age, presence of ptosis, cardiac arrest at admission and nonavailability of PICU bed (univariable analysis) but none of them independently predicted mortality. Conclusion Younger age, presence of ptosis, cardiac arrest at admission and nonavailability of intensive care beds increase the risk of mortality in children with EMNS. Timely recognition and respiratory support may reduce mortality in these children.

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