scholarly journals TO SEE THE IMPACT OF LOCKDOWN IN COVID19 PANDEMIC ON TUBERCULAR PATIENTS IN A TERTIARY CARE CENTRE OF HILLY AREA.

2020 ◽  
pp. 33-34
Author(s):  
Subhash Chander ◽  
Ritin Sharma ◽  
Ankit Chaudhary ◽  
Rakesh Chauhan
Keyword(s):  
Health Centre ◽  
Tertiary Care ◽  
Healthcare Services ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Tuberculosis Patients ◽  
Hilly Area ◽  
Number Of Patients ◽  
Group B ◽  
The Impact

Aim: To see the impact of lockdown in Covid19 Pandemic on Tubercular patients in a Tertiary care Centre of hilly area. Material and Methods: The study was conducted among adult patients in a tertiary health centre in a rural area. Study was conducted through lockdown period, comparing it with corresponding period in 2019. Tuberculosis patients or suspects were categorized in two groups. Group A was designated for participants in the year 2020 during lockdown period. Group B was data taken from time period similar to lockdown period in the year 2019. Data from two groups was compared. Observations: There was a 44.1% decline in number of male patients, whose sputum was examined by microscopy for tuberculosis. In case of female patients, decline was 68.6%. This decrease was present in all phases, more in 1st phase, 69.1%. During lockdown period number of patients presenting to medicine department were 45% compared to previous year ( 5129 vs 11280), sputum positive diagnosed during lockdown and similar period in 2019 were (84.4%) 27 vs 32 ( p 0.016). OPD declined by 54.5% during lockdown, however diagnosed tubercular cases by CBNAAT declined by 44.4%. Conclusion: COVID 19 pandemic greatly affected the routine healthcare services. Lockdown period saw a decline in number of patients presenting to outdoor as well as indoor patients. There was a decline in number of tuberculosis suspects as well as number of diagnosed tuberculosis patients. However decline in tuberculosis patients was less as compared to overall patients.

CLINICAL PROFILE OF OUTPATIENTS ATTENDING DERMATOLOGY DEPARTMENT DURING COVID-19 LOCKDOWN RELAXATION PERIOD IN A TERTIARY CARE CENTRE IN SOUTH INDIA – A CROSS-SECTIONAL ANALYTICAL STUDY

2021 ◽  
pp. 13-16
Author(s):  
Afthab Jameela Wahab ◽  
Pavithra Gunasekaran ◽  
P. Mohan ◽  
V. Sudha ◽  
L. Balamurugan ◽  
...  
Keyword(s):  
South India ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Dermatology Department ◽  
Cutaneous Manifestations ◽  
Relaxation Period ◽  
Number Of Patients ◽  
Outpatient Practice ◽  
The Impact

Background - The cutaneous manifestations of the novel coronavirus have been well documented. However, there are few studies that relate to the clinical prole of regular dermatology outpatients seeking treatment during the lockdown relaxation period braving the pandemic. With the Aim - view to determine the changes seen in dermatology outpatient practice, this study analysed the clinical prole of new patients attending the Dermatology Outpatient Department (OPD) during the COVID-19 lockdown relaxation period in a tertiary care centre in a metropolitan suburb in South India. New dermatology outpatients during the months of May, June, July and August Method - 2020 were included in the study. Outpatient data for this period was analysed and compared with corresponding data for the same period in the previous two years. There was a Result – decrease in the OP census, number of patients in the extremes of life as well as those with asymptomatic dermatoses. There was an increase in the number of patients with infections, particularly dermatophytosis. There was also a noteworthy absence of dermatological emergencies. Conclusion - In essence, our study shows the impact of COVID-19 pandemic on the routine dermatology outpatient services with signicant changes in the clinical prole of outpatient practice following lockdown relaxation.

scholarly journals Medical Electronic Prescription for Home Respiratory Care Services (PEM-CRD) at a Portuguese University Tertiary Care Centre (2014–2018): A Case Study

2020 ◽  
Vol 12 (23) ◽  
pp. 9859
Author(s):  
Ricardo Alves ◽  
Cátia Caneiras ◽  
Ana Isabel Santos ◽  
Patricia Barbosa ◽  
João Cardoso ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Healthcare Services ◽  
Respiratory Care ◽  
Tertiary Care Centre ◽  
Electronic Prescription ◽  
Permanent Disability ◽  
Chronic Respiratory Diseases ◽  
Number Of Patients ◽  
Medical Electronic ◽  
The Impact

Home respiratory care (HRC) is the provision of healthcare services at the place of residence of patients or their families, with the aim of meeting needs mainly resulting from chronic respiratory conditions, permanent disability, or terminal illness. In 2016, an innovative electronic prescription system, PEM-CRD, was fully implemented for HRC services in Portugal. To date, no study has addressed the impact of the execution of this digital innovation. For this purpose, we carried out an analysis of the prevalence and number of prescriptions for people with chronic respiratory diseases receiving HRC in the Lisbon metropolitan area, during 2014–2018, using the information obtained from the PEM-CRD database. The data analysis shows that while the number of patients receiving HRC treatment with a prescription has remained stable over the last four years, the number of prescriptions has significantly dropped since 2016 (2016–2018), with consequent paper and processes efficiency. The implementation of the digital Medical Electronic Prescription for Home Respiratory Care tool (PEM-CRD) and consequent dematerialization of these processes has increased the efficiency of prescribing in HRC. Additionally, the possibility of obtaining data through the PEM-CRD allows the monitoring of the evolving prevalence of therapies, improving the health services optimization and allowing reporting on data other than medicines.

scholarly journals The Impact of the COVID‐19 Lockdown on Obstetrics Practice at a Rural Based Tertiary Care Centre: An Analytical Crossectional Study

2021 ◽  
Vol 6 (11) ◽  
pp. 772-775
Author(s):  
Dr. Amrita Singh ◽  
Dr. Anjali Kawthalkar ◽  
Jaydeep Nyase ◽  
Dr. Priya Sontakke
Keyword(s):  
Health Care Workers ◽  
Tertiary Care ◽  
Significant Rise ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Care Workers ◽  
Group A ◽  
Group B ◽  
Methods Analytical ◽  
The Impact

Objective: To evaluate the impact of the COVID‐19 lockdown on obstetrics practise in a tertiary care centre. Methods: Analytical Crossectional observational study was conducted in the obsgyn department from Jan 2020 to June 2020.There were two groups pre lockdown (Group B) and post lockdown (Group A) of 180 women in each group. Results were analysed using Epi info software version 7. Results: There was significant (p < 0.001) rise in LSCS rates (80%) in post lockdown period as compared to prelockdown (50%). Emergency LSCS (87.5%) was seen more during pandemics as compared to elective LSCS (12.5%). Elective LSCS was seen more prior to lockdown. The gestational age during admission in lockdown was more in <37 weeks gestation group with complications or >40 weeks. Significant rise (p< 0.001) in IUD (13.3%), NICU admissions (23.3%) were noted during lockdown as compared to prelockdown (6.6%), (10%). Hospital stay was reduced from 4 days to 3 days during the lockdown. Conclusion: Lockdown affects obstetrics outcome adversely. There is an urgent need to sensitize antenatal women as well as health care workers to continue the routine obstetrics care, especially in the second half of pregnancy with covid appropriate behaviour.

scholarly journals Diabetes mellitus and smoking among tuberculosis patients in a tertiary care centre in Karnataka, India

2013 ◽  
Vol 3 (1) ◽  
pp. 51-53 ◽  
Author(s):  
M. V. Jali ◽  
V. K. Mahishale ◽  
M. B. Hiremath ◽  
S. Satyanarayana ◽  
A. M. V. Kumar ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Tuberculosis Patients

APPENDICITIS IN PREGNANCY : OUR CLINICAL EXPERIENCE AT A TERTIARY CARE CENTRE

2021 ◽  
pp. 22-23
Author(s):  
Anil Kumar ◽  
Rekha Rani ◽  
Hamid Wani
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Correct Diagnosis ◽  
Tertiary Care ◽  
Fetal Loss ◽  
Common Symptom ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Lower Quadrant ◽  
Number Of Patients

Objective: Acute appendicitis is a common surgical condition presented to emergency. In this study we evaluated the clinical presentation, management and outcome of acute appendicitis complicating pregnancy at a tertiary care centre. Material And Methods: A total of 20 cases of pregnant women who were diagnosed as a case of acute appendicitis were studied from January 2018 to December 2020. Results: Total number of patients diagnosed with acute appendicitis were 20. There were 10 (50%) patients in rst trimester , 6 (30%) in second and 4 (20%) in the third trimester. Abdominal pain was the most common symptom seen in all patients. 12 (60%) patients were multigravida whereas 8 (40%) patients were primigravida. Duration of abdominal pain was 6 hours to 5 days with median of 30 hours. Right lower quadrant was the most common site of pain. Rebound tenderness was seen in 14 (70%) patients. Total leucocyte was raised in 14 (70%)cases. Ultrasound was done in all patients showing viable fetus and features of acute appendicitis in 12 (60%) cases. Surgery was done in 16 (80%) cases. Midline laparatomy was done in 3 patients whereas 4 (20%) patients were managed conservatively with antibiotics. Postoperative tocolytics were given in 6 patients. Postoperative complications such as wound infections seen in 5 cases and pelvic abscess in 1 case. Fetal loss was seen in 2 (10%)cases. Conclusion: Diagnosis of acute appendicitis during pregnancy can be difcult due to anatomical and biochemical changes during pregnancy. Correct diagnosis can be achieved by taking proper history, clinical examination and relevant investigations. Surgery remains the treatment of choice.

scholarly journals MP285STUDY ON THE IMPACT OF RENAL STATUS IN THE OUTCOME OF PATIENTS UNDERGOING LIVER TRANSPLANT AT A TERTIARY CARE CENTRE IN SOUTH INDIA

2017 ◽  
Vol 32 (suppl_3) ◽  
pp. iii531-iii531
Author(s):  
S Talwar ◽  
R Nair ◽  
S Sudhindran ◽  
G Kurian ◽  
A Mathew ◽  
...  
Keyword(s):  
Liver Transplant ◽  
South India ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
The Impact

scholarly journals EPIDEMIOLOGICAL STUDY OF TRAUMA IN A TERTIARY CARE CENTRE IN NORTHWEST INDIA

2021 ◽  
Vol 5 (12) ◽  
Author(s):  
Mohit Badgurjar ◽  
Vaibhav Lakhanpal ◽  
Pankaj Saxena ◽  
Suman Parihar ◽  
Poojan Thakor ◽  
...  
Keyword(s):  
Road Traffic ◽  
Tertiary Care ◽  
Total Mortality ◽  
Public Health Problem ◽  
Common Mechanism ◽  
Mechanism Of Injury ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Keywords Trauma ◽  
Number Of Patients

Objective: Traumatic injuries are a matter of concern worldwide. However, the rapidly changing socio economical dynamics in a developing country like India deeply influence the epidemiology behind trauma. The aim of this study was to document and analyze the epidemiological parameters and characteristics behind trauma victims admitted to our tertiary care centre. Methods: The observational study was carried out over a period of one year (January 2019 to December 2019) enrolling a total of 300 trauma patients. The age, sex, locality, delay in hospitalization, mechanism of injury, sites of injury and outcomes were documented. Results: Injuries occurred predominantly in the 20-40 age group with males being the chief victims. There was a considerable amount of delay in hospitalization ranging from one hour to more than 24 hours while only 7 patients arrived to the emergency within one hour of trauma. Vehicular trauma (54%) was the most common mechanism of injury. Injuries to the extremities (38.6%) and head (28.6%) were the most common sites. A considerable number of patients (45.3%) required care in the intensive care unit. A total of 172 patients required surgical interventions of various kinds and there was a total mortality rate of 6%. Amongst the polytrauma cases, 54 patients (81.8%) required ICU admission, 42 patients (63.6%) required surgical intervention and 6 patients (9.1%) died after admission. Conclusion: The results of this study highlight some of the problems with our existing infrastructure bringing to light the need for stricter enforcement of traffic safety laws and improvement of infrastructure particularly the roadways in rural areas as well as the referral systems. Vehicular trauma should be seen as a public health problem and appropriate interventions should be implemented. Keywords: Trauma, Road Traffic Accidents, Epidemiology, Head injuries

scholarly journals Impact of COVID-19 pandemic on routine childhood immunisation services post lockdown in a tertiary care centre in Meerut district of western U.P.

2021 ◽  
Vol 8 (2) ◽  
pp. 219
Author(s):  
Archana D. Agrawal ◽  
Gaurav Gupta ◽  
Ashu Bhasin ◽  
Abhishek Singh ◽  
Alpa Rathi
Keyword(s):  
Public Health ◽  
Tertiary Care ◽  
Immunization Coverage ◽  
Routine Immunization ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Vaccine Preventable Diseases ◽  
Number Of Children ◽  
Birth Dose ◽  
The Impact

Background: The severe acute respiratory syndrome corona virus-2 (SARS CoV-2) disease pandemic has been a threat to public health and health care system world-wide including routine immunization which has been greatly disrupted putting children at risk for vaccine-preventable diseases (VPDs). A study with an aim to analyse the impact of COVID-19 pandemic on routine immunization coverage post lockdown at a tertiary care centre of western UP.Methods: A retrospective analytical study was conducted at LLRM Medical College, Meerut comparing 3 periods of year 2020, each of 4 weeks viz: 1-28th of February, 1-28 of August and 1-28 of December.Results: Total number of vaccine beneficiaries decreased significantly post lockdown from 646 in February to 275 and 419 in August and December respectively. The percent reduction was maximally seen in booster vaccines while birth dose group was least affected. There was 76.2% and 39.3% reduction in number of children receiving primary doses of combination vaccines in August and December period respectively as compared to February 2020. We found 68.42% and 54.39 % reduction in MR-1 beneficiaries in August and December respectively as compared to February 2020.Conclusions: Significant reduction is found in total number of children receiving immunization during un-lockdown period, compared to pre-COVID level. This difference was more significant in booster doses compared to birth doses. We did not find any significant catch up in vaccine beneficiaries by December 2020 despite 7 months of un-lockdown raising significant concern for public health.

scholarly journals Study of coagulation disorder following haemotoxic snake envenomation in a tertiary care centre

2021 ◽  
Vol 9 (6) ◽  
pp. 1641
Author(s):  
Mubarak R. ◽  
B. N. Mohapatra
Keyword(s):  
Prospective Observational Study ◽  
Tertiary Care ◽  
Coagulation Disorder ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Snake Envenomation ◽  
Clinical Syndromes ◽  
Snake Bites ◽  
Group B ◽  
Common Manifestation

Background: Coagulopathy is the most common manifestation in cases of haemotoxic snake bites. The most common coagulopathy associated with snake envenoming worldwide is venom-induced consumption coagulopathy (VICC). The existence of overlapping clinical syndromes of VICC and thrombotic microangiopathy (TMA) in snake envenoming is the likely reason for the mistaken idea that snake bite causes disseminated intravascular coagulation (DIC). This study aims to look into the exact type coagulopathy in haemotoxic snake envenomation.Methods: Prospective observational study was conducted from January 2017 to January 2018 at a tertiary care centre in Odisha.Results: Out of 54, 23 (42.6%) cases were having DIC and 31 (57.4%) cases were not confirmed to be having DIC. In DIC group there was significantly delayed hospitalization (46.3±28.5 hours) when compared to group B (13.5±11.1 hours, p<0.05). Mean anti-snake venom (ASV) requirement in DIC group was significantly higher (28.3±14) than in those DIC is not confirmed (11.13±3.1, p<0.05). 21.7% cases in DIC group had kdigo stage III AKI compared to 3.3%cases of group B. 13% cases of DIC group required hemodialysis when compared to 3.2% cases of group B.Conclusions: Early hospitalisation (preferably <12 hours and not >24 hours), early ASV administration are important to prevent full blown DIC and more serious complications. Most of the non DIC cases appears to be DIC in evolution but not confirmed to diagnosis by DIC scoring system as they reached hospital early before the development of frank DIC. TMA has not been found in this study. However further studies are needed to ascertain the exact cause of coagulopathy in non DIC group.

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