SELF- ADMINISTERED MEDICAL ABORTION PILLS AND ITS IMPACT ON WOMEN HEALTH

2021 ◽  
pp. 6-7
Author(s):  
Preety Soni ◽  
Ruchi Prasad
Keyword(s):  
Health Centre ◽  
Care Facility ◽  
Health Care Facility ◽  
Medical Abortion ◽  
Blood Transfusions ◽  
Surgical Interventions ◽  
Medical College ◽  
Women Health ◽  
Number Of Patients ◽  
The Impact

Objectives-This study is carried out to see the impact on women's health after self-administering medical abortion pill and reporting to tertiary health centre. Methodology- This is an observational study conducted between March 2019 to March 2021 in Patna Medical College and Hospitals. This study only included the women who self- administered the medical abortion pills without prior doctor consultation and visited the hospital with complications. Total of 120 patients were included in this study and analysis was done for age of patients, clinical presentations, ultrasound ndings etc. An analysis of maternal morbidity was done with respect to surgical interventions, blood transfusions and ICU admissions. Observation- In this study the maximum number of patients were in age group of 26-30 years. The commonest presentation is bleeding per vaginum which was seen in 60.8% of patients. In 67.5% of patients the incomplete abortion is the commonest ultrasound ndings. The most common complication was anaemia requiring blood transfusions. Conclusion-This study shows the need of supervision regarding the administration of medical abortion pills. This drug should be made available via health care facility.

scholarly journals The impact of introducing ambulance and delivery fees in a rural hospital in Tanzania.

2020 ◽  
Author(s):  
Corinna Vossius ◽  
Estomih Md ◽  
Robert Moshiro ◽  
Paschal M ◽  
Jan Terje Kvaløy ◽  
...  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Low Birthweight ◽  
Care Facility ◽  
Health Care Facility ◽  
Skilled Birth Attendance ◽  
Health Care Facilities ◽  
Birth Attendance ◽  
Vaginal Deliveries ◽  
The Impact

Abstract Background: Access to health care facilities is a key requirement to enhance safety for mothers and newborns during labour and delivery. Haydom Lutheran Hospital (HLH) is a regional hospital in rural Tanzania with a catchment area of about two million inhabitants. Up to June 2013 ambulance transport and delivery at HLH were free of charge, while a user fee for both services was introduced from January 2014. We aimed to explore the impact of introducing user fees on the population of women giving birth at HLH in order to document potentially unwanted consequences in the period after introduction of fees . Methods: Retrospective analysis of data from a prospective observational study. Data was compared between the period before introduction of fees from February 2010 through June 2013 and the period after from January 2014 through January 2017. Logistic regression modelling was used to construct risk-adjusted variable-life adjusted display (VLAD) and cumulative sum (CUSUM) plots to monitor changes. Results: A total of 28,601 births were observed. The monthly number of births was reduced by 17.3% during the post-introduction period. Spontaneous vaginal deliveries were registered less frequently, while labour complication and caesarean sections were more frequent. There was a reduction of newborns with birth weight less than 2500 grams. The observed changes were stable over time. For most variables, a significant change could be detected after a few weeks. Conclusion: After the introduction of ambulance and delivery fees an increase in labour complications and caesarean sections of about 80 per 1000 births and a decrease in non-cephalic presentations and newborns with low birthweight of about 17 per 1000 births each was observed. This might indicate that women delay the decision to seek skilled birth attendance or do not seek help at all, possibly due to financial reasons. Lower rates of births in a safe health care facility like HLH is of great concern, as access to skilled birth attendance is a key requirement in order to further reduce perinatal mortality. Therefore, free delivery care should be a high priority.

scholarly journals Nursing dress code and perception of a nurse by patients

2019 ◽  
Vol 18 (1) ◽  
pp. 60-67
Author(s):  
Piotr Pawłowski ◽  
Paulina Mazurek ◽  
Magdalena Zych ◽  
Katarzyna Zuń ◽  
Beata Dobrowolska
Keyword(s):  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Dress Code ◽  
Medical Interventions ◽  
Online Databases ◽  
Administrative Employees ◽  
Strategy Planning ◽  
Professional Image ◽  
The Impact

AbstractIntroduction. Professional image of the nurse in the opinion of the patient community is conditioned by many variables, including professional attire. A worthy representation of the nurse profession is the responsibility of all those who care for the patient.Aim. Determining the impact of dress code on shaping the professional image of nurses in the opinion of patients.Material and methods. Non-systematic review method of the literature available. The data was obtained by searching online databases, such as: Google Scholar, PubMed, CINAHL Complete as well as electronic resources of nursing magazines.Results. In the perception of hospitalized patients, the nursing dress code affects the level of trust in those who care for patients, it also constitutes an important element in assessing their professionalism, knowledge or confidence when performing specific medical interventions. Adapted to the needs, a suitably selected style of professional attire of a nurse employed in a given health care facility enables her proper identification of them against the background of other members of the therapeutic team or administrative employees. In addition, the comfort of nurses is a significant factor for patients in dress code strategy planning; it often determines professionalism and quality of services provided.Conclusions. There is a relationship between the external appearance of nurses and their professional image and the patients’ perception of their professional skills as well as the level of their professionalism. Dress code in a health care facility may constitute a significant element of image policy for both a health care facility itself and a group of nurses.

scholarly journals A retrospective study on benign paraoxysmal positional vertigo in a tertiary health care facility of North India

2020 ◽  
Vol 6 (4) ◽  
pp. 612
Author(s):  
Manish Munjal ◽  
Harsimran Bhatti ◽  
Japneet Kaur ◽  
Porshia Rishi ◽  
Shubam Munjal
Keyword(s):  
Care Facility ◽  
Health Care Facility ◽  
North India ◽  
Team Approach ◽  
Effective Management ◽  
Medical College ◽  
Office Management ◽  
Positional Vertigo ◽  
One Year ◽  
Paroxysmal Positional Vertigo

<p class="abstract"><strong>Background:</strong> Benign paraoxysmal positional vertigo (BPPV) has been attributed to be one of the commonest causes of vertigo presenting to the clinician. However, this often remains undiagnosed and undertreated, epidemiology remaining an underexplored territory for this disorder.</p><p class="abstract"><strong>Methods:</strong> A study was carried out at outpatient clinic, Ear Nose Throat, Head and Neck services, Dayanand Medical College and Hospital, Punjab over a period of one year from 1<sup>st</sup> January to 31<sup>st</sup> December 2018. Based upon history, detailed otological examination, and Dix-Hallpike testing, 374 patients were evaluated for benign paroxysmal positional vertigo presenting with complaint of vertigo and dizziness in the vertigo clinic and were treated with Epley’s maneuver.  </p><p class="abstract"><strong>Results:</strong> Out of 374 patients evaluated, 79 patients were diagnosed as BPPV and underwent office management in the form of Epley’s maneuver.</p><p class="abstract"><strong>Conclusions:</strong> This study helps in effective team approach among practitioners and clinicians in the hospital for referring vertigo cases to ENT OPD for effective management of vertigo.</p><p class="abstract"> </p>

scholarly journals The impact of introducing ambulance and delivery fees in a rural hospital in Tanzania.

2020 ◽  
Author(s):  
Corinna Vossius ◽  
Hege Ersdal ◽  
Jan Terje Kvaløy ◽  
Paschal M ◽  
Estomih Md ◽  
...  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Low Birthweight ◽  
Care Facility ◽  
Health Care Facility ◽  
Skilled Birth Attendance ◽  
Health Care Facilities ◽  
Birth Attendance ◽  
Vaginal Deliveries ◽  
The Impact

Abstract Background: Access to health care facilities is a key requirement to enhance safety for mothers and newborns during labour and delivery. Haydom Lutheran Hospital (HLH) is a regional hospital in rural Tanzania with a catchment area of about two million inhabitants. Up to June 2013 ambulance transport and delivery at HLH were free of charge, while a user fee for both services was introduced from January 2014. We aimed to explore the impact of introducing user fees on the population of women giving birth at HLH in order to document potentially unwanted consequences in the period after introduction of fees . Methods: Retrospective analysis of data from a prospective observational study. Data was compared between the period before introduction of fees from February 2010 through June 2013 and the period after from January 2014 through January 2017. Logistic regression modelling was used to construct risk-adjusted variable-life adjusted display (VLAD) and cumulative sum (CUSUM) plots to monitor changes. Results: A total of 28,601 births were observed. The monthly number of births was reduced by 17.3% during the post-introduction period. Spontaneous vaginal deliveries were registered less frequently, while labour complication and caesarean sections were more frequent. There was a reduction of newborns with birth weight less than 2500 grams and an increase in newborns weighing more than 4000 grams. The observed changes were stable over time. For most variables, a significant change could be detected after a few weeks. Conclusion: After the introduction of ambulance and delivery fees an increase in labour complications and caesarean sections of about 80 per 1000 births and a decrease in non-cephalic presentations and newborns with low birthweight of about 17 per 1000 births each was observed. This might indicate that women delay the decision to seek skilled birth attendance or do not seek help at all, possibly due to financial reasons. Lower rates of births in a safe health care facility like HLH is of great concern, as access to skilled birth attendance is a key requirement in order to further reduce perinatal mortality. Therefore, free delivery care should be a high priority.

scholarly journals Epidemiology of preoperative hyperglycaemia among patients undergoing surgery at a tertiary health care facility of Eastern India

2019 ◽  
Vol 6 (7) ◽  
pp. 2838
Author(s):  
Souvik Banerjee ◽  
Rakesh Kumar ◽  
Debasis Basu
Keyword(s):  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Overweight And Obesity ◽  
World Health ◽  
Surgical Patients ◽  
Care Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Health Organization

Background: With about 425 million patients globally and 72.9 million patients in India, diabetes mellitus (DM) is one of the global health emergency of 21st century. Perioperative hyperglycaemia is reported in 20-40% of patients undergoing general surgery. A substantial body of literature demonstrates a clear association between perioperative hyperglycaemia and adverse clinical outcomes. This study aims to find out the frequency of preoperative hyperglycaemia and factors influencing it among patients undergoing surgery at a tertiary health care hospital of Eastern India.Methods: This Institution based, cross-sectional, observational study was conducted among study subjects who were operated at IQ City Medical College and Multispecialty Hospital, Durgapur, India during January-February 2019. Relevant medical records were reviewed to collect data regarding clinic-social data. Estimation of fasting plasma glucose (FPG) has been done as per World Health Organization (WHO) guidelines. Hyperglycaemia was defined and classified as per American Diabetes Association (ADA). Anthropometric measurements were taken as per standard WHO protocols.Results: A total 158 study subjects participated in study. The mean age and mean FPG of the study subjects was 42.63±12.95 years and 103.3±17.37 mg/dl respectively. As per the ADA criteria, 58.9% had normal FPG, 24.0% had impaired fasting glucose (IFG) and 17.1% had diabetes. Out of total 27 T2DM patients, 22 (13.9%) were known cases of T2DM and 5 (3.2%) were undiagnosed. The frequency of preoperative hyperglycaemia i.e. sums of IFG and diabetes was found to be 41.1%. Increasing age, male gender and overweight and obesity significantly influenced the occurrence of preoperative hyperglycaemia.Conclusions: The prevalence of preoperative hyperglycaemia among patients undergoing surgery is higher than the prevalence of hyperglycaemia among non surgical patients. Routine HbA1C should be done in all surgical patients to differentiate between chronic undiagnosed hyperglycaemia and stress hyperglycaemia.

scholarly journals Profile of unnatural deaths in a teaching hospital of West Bengal, India

2020 ◽  
Vol 7 (3) ◽  
pp. 971
Author(s):  
Satabdi Mitra ◽  
Saumabrata Panja
Keyword(s):  
Traffic Accidents ◽  
Burn Injury ◽  
Road Traffic ◽  
Care Facility ◽  
Health Care Facility ◽  
Binary Logistic Regression ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Fall From Height

Background: Enquiry into unnatural deaths with all its manners being, suicidal, accidental or homicidal depends on circumstantial evidences for acceptable judgment in court of law. Objectives were to study socio-demographic characteristics of the study and to find out influencing factors, if any, behind these sudden, suspicious, undesirable deaths.Methods: A record-based, descriptive study with cross-sectional design was conducted for first six months of 2017 in NRS medical college hospital among 1603 unnatural deaths undergone police inquest. Besides the records obtained from medical record section, findings were corroborated from mortuary. Data were analyzed in SPSS 22.0 and Epi Info 7.0.Results: Mean age of the deceased was 37.18±17.42 years. Regarding cause of injury, more than 1/3rd (36.6%) was attributed to poisoning, followed by burn injury (24.8%), road traffic accidents (22.8%), fall from height (6.9%) and others the rest. Majority (68.3%) died within twenty hours of reaching the health care facility. More than half of the deceased committed suicide followed by accident and suicide the least. Binary logistic regression revealed, unnatural deaths inflicted by selves or others, i.e. suicide or homicide respectively, had statistically significant (p<0.05) association to productive age, urban residence, burn and RTA, longer survival and conservative nature of management.Conclusions: As suicide was found to comprise lion share of unnatural deaths, development and implementation of addressing the issue at all the levels, starting from individual to community is the need of the hour.

scholarly journals Impact of Pandemic on Women Health Indicators in a Tertiary Health Centre of Bihar

2021 ◽  
Vol 10 (22) ◽  
pp. 1639-1644
Author(s):  
Punit Hans ◽  
Anjana Sinha ◽  
Uday Kumar
Keyword(s):  
Mortality Rate ◽  
Health Professionals ◽  
Birth Rate ◽  
Health Centre ◽  
Control Group ◽  
Still Birth ◽  
Number Of Patients ◽  
Healthcare Efficiency ◽  
The Impact ◽  
Efficiency Indicators

BACKGROUND This study was conducted to analyse the impact of pandemic on healthcare, evaluate the negative psychological behaviour towards health professionals and study the effect of Covid-19 infection on hospital avoiding attitude of female patients. METHODS This was a case-control study conducted in Department of Obstetrics and Gynaecology at Patna Medical College and Hospital, Patna, Bihar. Study period was from 01st April 2020 to 30th September 2020. All the patients except Covid-19 positive cases, coming to Gynaecology Outpatient Department (GOPD), antenatal care (ANC) and labour room emergency (LRE) were included in the study. Patients who were seen from April 2019 to September 2019, total of 20,961 were in ‟pre Covid-19ˮ control group, while patients seen from April 2020 to September 2020, a total of 8,859 were in ‟during Covid-19” case group. Records of all health parameters for patients were reviewed, and then divided into two groups as patient input indicators and healthcare efficiency indicators. Number of patients visiting GOPD, ANC and admitted in LRE comprised patient input indicators (implying hospital avoiding attitude) while delivery rate, dilation and evacuation (D & E) rate, stillbirth rate and mortality rate comprised healthcare efficiency indicators. RESULTS Overall patients visiting the hospital dropped down from 21,361 to 8859 (by 58.5 %); GOPD patients reduced by 74 % while total ANC patients reduced by 44 %; and total LRE admissions reduced by 35.3 %. CONCLUSIONS Despite increased health professionals (workdays) per patient in LRE, mortality rate and still birth rate increased by 60.2 % and 23 % respectively indicating worsening of efficiency which is direct hidden negative psychological impact of pandemic immediately calling for the need of positive counselling and proper psychiatric care of both the health professionals and patients. KEY WORDS Covid-19, Pandemic, Still Birth Rate

scholarly journals 138. Implementation of an Antimicrobial Stewardship Order Set in the Emergency Department at a Quaternary Care Facility

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S182-S182
Author(s):  
Salma M . Al Shaqfa ◽  
Rania M El Lababidi ◽  
Wasim S El Nekidy ◽  
Mohamed Hisham ◽  
Rama Nasef ◽  
...  
Keyword(s):  
Emergency Department ◽  
Antimicrobial Stewardship ◽  
Antimicrobial Therapy ◽  
Care Facility ◽  
Primary Study ◽  
Inpatient Setting ◽  
Evidence Based ◽  
Number Of Patients ◽  
The Impact ◽  
Order Set

Abstract Background Implementation of antimicrobial stewardship (AS) interventions in the emergency department (ED) has been associated with improved patient outcomes. One potentially promising AS strategy is the implementation of an ED-specific, evidence-based antimicrobial order set. In this study, we aimed to examine the impact of implementing an ED-specific order set (EDOS) on the appropriateness of empiric antimicrobial therapy. Methods We conducted a pre-post quasi experimental study on 160 adult patients presenting to the ED with suspected or confirmed common infections at our quaternary healthcare facility. The EDOS was implemented in December 2020, providing evidence-based recommendations for the management of common infectious diseases. Data was collected between September 2019 and March 2020 for the pre-EDOS implementation group and between January 2021 and April 2021 for the post-EDOS implementation group. Pregnant women and patients with suspected or confirmed COVID-19 infection were excluded. Data were analyzed using two-sample T-test and mixed effects logistic regression. The primary study outcome was the appropriateness of antimicrobials selected, and the secondary outcomes were clinical and microbiologic cure, length of hospital stay, Clostridioides difficile infection, and the number of changes in antimicrobial therapy on transition to inpatient setting. Results A total of 100 ED patients pre-EDOS implementation and 60 patients post-EDOS implementation were compared. At baseline, patients in the post-EDOS group were older (59.83±20.30 years vs. 50.17±19.97 years, P=0.0037). A higher number of patients in the post-EDOS group had a history of multiple comorbidities (76.67% vs. 54%, P=0.0039). There was a higher rate of appropriate antimicrobial use in the post-EDOS group as compared to the pre-EDOS group (88.3% vs. 50%, P&lt; 0.001). Longer hospital stays were observed in the post-EDOS group (P=0.0005). Clinical cure was similar between the two groups (96.6% vs. 94%, P=0.4568). Conclusion In our study, we observed higher rates of appropriate antimicrobial selection after implementation of an EDOS. Use of an EDOS may represent a valuable AS intervention to guide appropriate antimicrobial prescribing in the ED, and larger studies are needed to confirm those findings. Disclosures All Authors: No reported disclosures

scholarly journals The impact of introducing ambulance and delivery fees in a rural hospital in Tanzania

2020 ◽  
Author(s):  
Corinna Vossius ◽  
Estomih Md ◽  
Robert Moshiro ◽  
Paschal M ◽  
Jan Terje Kvaløy ◽  
...  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Low Birthweight ◽  
Care Facility ◽  
Health Care Facility ◽  
Skilled Birth Attendance ◽  
Health Care Facilities ◽  
Birth Attendance ◽  
Vaginal Deliveries ◽  
The Impact

Abstract Background:Access to health care facilities is a key requirement to enhance safety for mothers and newborns during labour and delivery. Haydom Lutheran Hospital (HLH) is a regional hospital in rural Tanzania with a catchment area of about two million inhabitants. Up to June 2013 ambulance transport and delivery at HLH were free of charge, while a user fee for both services was introduced from January 2014. We aimed to explore the impact of introducing user fees on the population of women giving birth at HLH in order to document potentially unwanted consequences in the period after introduction of fees.Methods:Retrospective analysis of data from a prospective observational study. Data was compared between the period before introduction of fees from February 2010 through June 2013 and the period after from January 2014 through January 2017. Logistic regression modelling was used to construct risk-adjusted variable-life adjusted display (VLAD) and cumulative sum (CUSUM) plots to monitor changes.Results:A total of 28,601 births were observed. The monthly number of births was reduced by 17.3% during the post-introduction period. Spontaneous vaginal deliveries were registered less frequently with a decrease of about 17/1000 births in non-cephalic presentations. Labour complications and caesarean sections increased with about 80/1000 births. There was a reduction in newborns with birth weight less than 2500 grams. The observed changes were stable over time. For most variables, a significant change could be detected after a few weeks.Conclusion:After the introduction of ambulance and delivery fees, an increase in labour complications and caesarean sections and newborns with low birthweight were observed. This might indicate that women delay the decision to seek skilled birth attendance or do not seek help at all, possibly due to financial reasons. Lower rates of births in a safe health care facility like HLH is of great concern, as access to skilled birth attendance is a key requirement in order to further reduce perinatal mortality. Therefore, free delivery care should be a high priority.

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