Clinicoepidemiologic profile of patients with poisoning presenting to a tertiary care hospital; a one year preliminary descriptive study

Introduction: Poisoning is regarded as a matter of concern for health providers as the burden of health resources loss can be high. Since nature and diversity of poisoning are different among various regions around the country, this study was conducted to demonstrate type and reasons for poisonings in Qazvin province, Iran. Objectives: The aim of this study was to demonstrate the reason of toxic events as well as presenting symptoms and outcome of poisonings. Patients and Methods: This prospective, cross-sectional and hospital-based study was conducted during a one-year period. The patients recruited to the study were consecutive intoxicated cases presenting to the hospital with alleged poisoning. Relevant epidemiological and clinical data from patients were collected and then analyzed using SPSS software. Results: A total of 23161 patients were admitted to the hospital, out of which 766 (3.3%) intoxicated patients were enrolled in the study. Mean age was 29.8 years old. Females outnumbered males but difference was not significant. The majority of the poisonings were deliberate (95.2%). Main clinical features of poisoning were decreased consciousness (47.4%), followed by lethargy (38.1%) and nausea/vomiting (31.9%). The benzodiazepines were the predominant agent ingested by patients, followed by opioids. Mortality rate was found to be 1%. Conclusion: Although the majority of poisoning cases are deliberate, however according to the type of pharmaceuticals involved in the poisonings and low-mortality rate, it is believed that the occurrence of the toxic events in many cases arises from impulsive behaviors originated from minor familial conflicts and incompetent life skills. Improving mental health and efficient coping skills can contribute to the reduction of intentional poisonings which in turn reduces the burden of hospital costs.

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Awareness and acceptance of contraceptives among the mothers of infants attending an immunization session at a field practices area of a tertiary care hospital

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20185275 ◽

2018 ◽

Vol 6 (1) ◽

pp. 374

Author(s):

S. B. Gupta ◽

Meenakshi Singh ◽

Atul Kr. Singh ◽

Huma Khan ◽

Alpana Saxena

Keyword(s):

Health Workers ◽

Tertiary Care ◽

Care Hospital ◽

Medical Sciences ◽

Postpartum Contraception ◽

Cross Sectional ◽

Factors Affecting ◽

Contraceptive Measure ◽

One Year ◽

Type Of Delivery

Background: India was the first country in the world to have launched a National Programme for Family Planning.Methods: A cross-sectional descriptive study was carried out in the in Vaccination unit of rural field practice area of Shri Ram Murti Smarak institute of Medical Sciences (SRMSIMS) Bareilly (U.P). Objective of the study was to assess knowledge and practice of postpartum contraception and factors affecting the usage of contraceptives in Rural area. All females who delivered within last one year were included in the study. A pre-structured questionnaire was used. A total of 98 females were included. The appropriate statistical analysis was done to present the results.Results: 28.57% females had adopted one or the other postpartum contraceptive measure. Condom was the most common method used. Usage of postpartum contraception was significantly associated with women’s and husband’s education, type of delivery and availing of antenatal and postnatal visits.Conclusions: Overall usage of postpartum contraception was low there is need to focus at every step to contact of these women with health facility or health workers.

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Solitary thyroid nodule: an overview of one year study at a tertiary care hospital

International Surgery Journal ◽

10.18203/2349-2902.isj20193648 ◽

2019 ◽

Vol 6 (9) ◽

pp. 3117

Author(s):

Shyam Sundar Tandri ◽

Ayathu V. S. Sai Mahesh

Keyword(s):

Thyroid Nodule ◽

Tertiary Care Hospital ◽

Demographic Data ◽

Tertiary Care ◽

Common Finding ◽

Clinical Approach ◽

Care Hospital ◽

Cross Sectional ◽

Solitary Thyroid Nodule ◽

One Year

Background: Thyroid nodules are a common finding in general practice. These nodules are either solitary or multinodular. In the present study thorough evaluation of all the cases presenting with a solitary thyroid nodule (STN) is done. The clear overview of prevalence of STN, associated risk factors, its distribution and its percentage of malignancy, clinic-pathological correlation and findings on ultra-sonogram.Methods: A one year cross sectional study at a tertiary care hospital was done after ethical committee approval. All cases of thyroid with solitary thyroid nodule were included and socio demographic data, clinical examination and USG data was noted. Thyroid hormone profile, FNAC and HPE was performed for every case enrolled and data was noted. The data was analyzed using SPSS version 22.Results: 350 cases were enrolled with 44.42% prevalence and 61.43% were females. Maximum age group was 31-40 years with swelling as the most common sign. 81.14% were euthyroid, 6.3% of cases had lymph node involvement. Micro calcification in 69.7% of nodules and 78.65 were solid. 40.3% of the STN were of colloid on FNAC and 6% were malignant. Malignancy on HPE was 14.6% and papillary carcinoma was the most commonest and follicular least.Conclusions: All cases of STN require a thorough clinical approach supported by ultra-sonogram, FNAC and detailed HPE after surgery for evaluation of benign and malignant lesions. Fine needle aspiration cytology has become an invaluable, minimally invasive and reliable tool in the preoperative assessment of patients with suspicion of malignancy.

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A study of secondary hyperparathyroidism in patients with chronic kidney disease in a tertiary care hospital

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20190558 ◽

2019 ◽

Vol 6 (2) ◽

pp. 271

Author(s):

Vishnu Shankar H. ◽

Mahendra Kumar K. ◽

Jagadeesan M. ◽

Kannan R. ◽

Chitrambalam P. ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Secondary Hyperparathyroidism ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Study Population ◽

Chronic Morbidity ◽

Spss Software

Background: Secondary hyperparathyroidism (SHPT) is one of the less recognized complications in patients with chronic kidney disease (CKD). The prevalence of SHPT in various stages of CKD was evaluated by measuring the levels of intact parathyroid hormone (iPTH).Methods: This cross-sectional study was carried out in 100 CKD patients. Serum creatinine, calcium, phosphorous and iPTH levels were measured and statistical analysis was carried out using the SPSS software (IBM, NY, USA).Results: Among the 100 participants, the mean age (SD) was 59.3 (7.8) years. In our study population, 52% were men and the rest were females. Hypertension (75%) was the most common chronic morbidity. Prevalence of hyperparathyroidism among chronic kidney disease patients was 22% (95% CI: 14.7-30.9%). The prevalence of secondary hyperparathyroidism among dialysis and non-dialysis patients were 30% and 14% respectively which was statistically significant.Conclusions: SHPT is an important complication which is often underdiagnosed. Secondary hyperparathyroidism starts to develop when eGFR falls below 60ml/min. PTH levels starts to rise as the disease progress. Hence it is important for the treating physicians to monitor the PTH levels early in the course of CKD to prevent and treat bone mineral disease.

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FREQUENCY AND CAUSES OF PERINATAL MORTALITY IN A TERTIARY CARE HOSPITAL IN PESHAWAR, PAKISTAN

Gomal Journal of Medical Sciences ◽

10.46903/gjms/16.01.1637 ◽

2018 ◽

Vol 16 (1) ◽

pp. 15-19

Author(s):

Maimoona Qadir ◽

Sohail Amir ◽

Samina Jadoon ◽

Muhammad Marwat

Keyword(s):

Mortality Rate ◽

Perinatal Mortality ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Age Groups ◽

Mortality Data ◽

Care Hospital ◽

Cross Sectional ◽

Medical Disorders ◽

Perinatal Mortality Rate

Background: Perinatal mortality rate indicates quality of care provided during pregnancy and delivery to the mother and to the neonate in its early neonatal period. The objective of this study was to determine the frequency and causes of perinatal mortality in a tertiary care hospital in Peshawar, Pakistan. Materials & Methods: This cross-sectional study was conducted at Department of Gynaecology & Obstetrics, Khyber Teaching Hospital, Peshawar, Pakistan from 1st January 2016 to 31st December 2016. The inclusion criteria was all singleton gestation with gestational age of at least 24 weeks presenting with perinatal mortality. Data was collected for the following variables; age groups (up to 20 years, 21-30 years, 31-40 years and > 40 years), booking status (yes/ no), period of gestation (24-31+6, 32-36+6, 37-39+6 and > 40 weeks), Foetal weight ( 3.5 kg) and cause of perinatal mortality. Results: Out of 4508 deliveries there were 288 perinatal deaths, including 228 stillbirths and 60 neonatal deaths, so perinatal mortality rate was 63.8/1000 births. 90.28% women were unbooked. Most common cause was hypertensive disorders of pregnancy (27.78%) followed by antepartum haemorrhage (25.71%) and then mechanical causes (13.88%). Congenital anomalies comprised 11.8% cases, neonatal problems 10.07% and maternal medical disorders for 4.16% cases. Cause of 4.16% cases remained unexplained. Conclusion: Appropriate strategies like control of identifiable causes, proper antenatal and postnatal care, healthy delivery practices and availability of emergency neonatal care facilities can bring down perinatal mortality rates.

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A study on perception about antenatal care among primigravida attending a tertiary care hospital

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20195624 ◽

2019 ◽

Vol 9 (1) ◽

pp. 56

Author(s):

Priya Somu ◽

Sakthi Narmatha D.

Keyword(s):

Mortality Rate ◽

Antenatal Care ◽

Care Center ◽

Tertiary Care ◽

Infant Mortality Rate ◽

Care Hospital ◽

College Hospital ◽

Cross Sectional ◽

Health Care Center ◽

Basic Care

Background: Maternal mortality rate and Infant mortality rate remains high in India when compared to several other countries. Understanding and being aware about the basic care provided during pregnancy is an important factor to make the pregnant woman to utilize the antenatal care. Hence this study was planned to assess the existing knowledge of primi gravid mothers attending the tertiary health care center about the various antenatal care services provided.Methods: This cross-sectional study was conducted among the primi gravid females attending the outpatient department of Obstetrics and Gynecology in Sri Muthukumaran Medical College Hospital and Research Institute, Chennai during months of June 2018 to May 2019. A total of 280 primi gravid mothers were included in the study. Data was collected through one to one interview and analyzed using statistical package for social sciences (SPSS) version 17.Results: In this study 82.9%, 70.4%, 80.7% of the mothers were aware about consumption of IFA tablets, TT injection and adequate ANC visits, respectively. PNDT act was known to 76.1% of the participants. Only 12.5% of the primi mothers were aware about Janani Suraksha Yojna (JSY) scheme and 91.8% of the mothers were aware about Dr. Muthulakshmi Maternity Benefit scheme.Conclusions: Knowledge about ANC services was found to be fair among the primi mothers but not sufficient, which shows the need for the healthcare professionals to educate young woman even from adolescent age itself.

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Study of genital dermatoses in pregnant females attending a tertiary care hospital

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20193227 ◽

2019 ◽

Vol 5 (3) ◽

pp. 542

Author(s):

Seeniammal Sivanu ◽

Maalik Babu ◽

Soundharyaa Moorthi Savadamoorthi

Keyword(s):

Tertiary Care Hospital ◽

Oral Candidiasis ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Sexually Transmitted ◽

Pregnant Females ◽

One Year ◽

Infective Etiology

Background: Sexually transmitted infections (STI) prevalence in pregnancy is high and causes severe risk of transmission to the newborn. Usually they are asymptomatic and underdiagnosed. Most common STI’s are VVC, HPV, genital herpes, HIV, etc.Methods: A hospital-based cross-sectional study was done for a period of one year (September 2017- August 2018) and 31 pregnant genital dermatoses were encountered.Results: Among 31, infective etiology was seen in 15 cases (48%), non-infective etiology was seen in 3 cases (10%) and no STI’s were seen in 13 patients (42%). Vulvovaginal candidiasis was most common among pregnant females in 9 patients (60%) followed by genital warts in 3 patients (20%) followed by molluscum contagiosum, herpes genitalis and oral candidiasis in one patient (7%) respectively among infective etiology. Non-infective causes include vulval lymphangiectasia, epidermoid cyst and vascular swelling in one patient respectively (33.3%).Conclusions: Screening of antenatal cases is more important to prevent complications.

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A study of surgical profile of patients with hemorrhoids at a tertiary care hospital

International Surgery Journal ◽

10.18203/2349-2902.isj20190824 ◽

2019 ◽

Vol 6 (3) ◽

pp. 916

Author(s):

Prashant R. Shinde ◽

Meghraj J. Chawada ◽

Sudhir B. Deshmukh

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Vegetarian Diet ◽

Cross Sectional Study ◽

Care Hospital ◽

Age Group ◽

Cross Sectional ◽

Normal Limits ◽

Skin Tag ◽

One Year

Background: In hemorrhoids, the anal canal venous plexuses become engorged. It can lead to bleeding, thrombosis, prolapse, pain. Study of surgical profile helps to educate the patients to take proper precautions to avoid the severe forms of it. The objective of the study was to study the surgical profile of patients with hemorrhoids at a tertiary care hospital.Methods: Present study was hospital based cross sectional study. It was carried out at a tertiary care hospital in the department of general surgery among 100 patients who presented with symptoms suggestive of hemorrhoids during the study period from 1st January 2017 to 31st October 2018.Results: Majority of the patients 41% were in the age group of 35-45 years. The number affected by hemorrhoids was more in males i.e. 56%. Incidence of hemorrhoids was more in upper class. Incidence of hemorrhoids was less i.e. 21% among those who took only vegetarian diet. Majority of the patients (78%) presented after one year of occurrence of treatment. 54% of the patients had third grade of hemorrhoids. Bleeding was present in the majority i.e. 98% of the patients. On anorectal examination, it was found that 44% of the patients had fissure and 23% of the patients had peri anal skin tag. Anorectal examination was within normal limits in 33% of the cases.Conclusions: Vegetarian diet may be protective against hemorrhoids. Bleeding was the most common presenting symptom. Thus, study helped to identify that being male, younger age group, non-veg diet may be the risk factors for hemorrhoids.

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Clinical profile of cases with sino-nasal polyposis at a tertiary care hospital at North Karnataka: a cross-sectional study

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20192566 ◽

2019 ◽

Vol 5 (4) ◽

pp. 912

Author(s):

Shruthi Patil V. ◽

Geeta .

Keyword(s):

Nasal Obstruction ◽

Nasal Polyps ◽

Tertiary Care ◽

Clinical Profile ◽

Nasal Discharge ◽

Care Hospital ◽

Antrochoanal Polyp ◽

Cross Sectional ◽

Adult Age ◽

Presenting Symptoms

Background: Nasal polyps are defined as pearly white, prolapsed, pendunculated oedematous Sino-nasal mucosa. They are unique in their position and their composition. Many hypotheses concerning its pathogenesis have been proposed. But till now there is no clear evidence for any single cause. This study was taken-up to study the clinical profile of cases with sino-nasal polyps.Methods: Cross-sectional descriptive study was conducted in the Department of Otolaryngology at Vijayanagara Institution of Medical Sciences, Bellary, between January 2016 to April 2016 involving 60 patients fulfilling inclusion and exclusion criteria. Pre-tested and edited proforma was used to collect the data. Results: Out of 60 participants, 63.4% were males, mean age was 29.5 years. Ethmoidal polyp (63.4%) was the most common polyp followed by antrochoanal polyp (33.4%). Ethmoidal polyp was most commonly observed 31-40 years age while antrochoanal polyp was observed in 11-20 years age. Ethmoidal polyp and antrochoanal polyp were observed more commonly in males and females respectively. The most common presenting symptoms were nasal obstruction and nasal discharge.Conclusions: Ethmoidal polyps are the most commonly observed sino-nasal polyps followed by antrochoanal polyp. Ethmoidal polyp was more commonly observed in adult age group while antrochoanal polyp was observed in children. The most common presenting symptoms were nasal obstruction and nasal discharge.

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Whipple's pancreaticoduodenectomy: perioperative outcomes in a tertiary care hospital in Dhaka, Bangladesh

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20210868 ◽

2021 ◽

Vol 9 (3) ◽

pp. 696

Author(s):

A. B. M. Bayezid Hossain ◽

Sadia Afroz ◽

M. Tasnimul Khair Shovon ◽

Nabila Anjuman ◽

Mitul Chackraborty

Keyword(s):

Mortality Rate ◽

Tertiary Care ◽

Morbidity And Mortality ◽

Perioperative Outcomes ◽

Care Hospital ◽

Mortality And Morbidity ◽

Medical College ◽

Presenting Symptoms ◽

Critical Care Management ◽

Considerable Morbidity

Background: Pancreaticoduodenectomy is one of the most complex surgery with significant mortality and morbidity. Though the mortality rate has steadily improved, morbidity continues to be high. The aim of this study was to demonstrate the perioperative outcome following this procedure at our hospital.Methods: This retrospective study was conducted in the department of Surgery, Sir Salimullah medical college and Mitford hospital from July 2018 to December 2019. A total of 29 patients who undergone pancreaticoduodenectomy were included in the study. Preoperative, intra-operative and post-operative data were analyzed with emphasis on the morbidity and mortality rates. None of the operated patients received any types of neoadjuvant therapy.Results: Out of 29 patients who underwent PD, 18 (62.1%) were male and 11 (37.9%) were female with a median age of 53.7 years. The most common (34.5%) age group of the patients were 51-60 years. Jaundice was the commonest (89.7%) presenting symptoms followed by anorexia (75.9%) and abdominal pain (48.3%). Overall complications occurred in 37.9% patients, including wound infections (31.0%) and post-operative pancreatic fistula (6.9%). The post-operative mortality rate was 6.9%.Conclusions: PD still causes considerable morbidity and mortality. With careful patient selection, adequate preoperative preparation, surgical technique, excellent critical care management PD can be performed safely. At our center we have a reasonable volume and our data are comparable to literature data.

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