INCIDENCE OF ABDOMINAL TUBERCULOSIS IN PATIENTS PRESENTING WITH PAIN ABDOMEN

2021 ◽  
pp. 13-15
Author(s):  
Pankaj Prasad Verma ◽  
Manjar Ali ◽  
Sanjay Singh ◽  
Vinay Pratap
Keyword(s):  
Health Care Services ◽  
Abdominal Tuberculosis ◽  
Morbidity And Mortality ◽  
Medical Sciences ◽  
Major Health Problem ◽  
Major Health ◽  
Care Services ◽  
Abdominal Symptoms ◽  
Pain Abdomen ◽  
Considerable Morbidity

Tuberculosis is a major health problem worldwide and in India continues to be responsible for considerable morbidity and mortality despite tremendous effort made in diagnosis, prophylaxis and therapy. The disease may involve any system of body but abdomen is one of the commonest site of involvement after lungs. This study is carrying to nd out Incidence of Abdominal Tuberculosis in patients of pain abdomen presenting as acute/chronic cases. The present study was carried out in the Department of Surgery, Rajendra Institute of Medical Sciences, Ranchi, from April 2018 to September 2019. The total number of cases selected disease remains early detection. A continual awareness on the part of the clinician of the possibility of abdominal Tuberculosis in many patients with obscure abdominal symptoms should avoid errors and aid in the detection of a condition, which if treated early, not only produces remarkable remission and relief on the part of for this study was 1800. According to the presentation, the patients were clinically divided into 2 broad groups: those who were admitted as acute emergencies and those who came with a chronic presentation. From these two groups 100 cases were fall in our inclusion criteria. Of these 100 patients, most were in their third or fourth decades of life, and females were approx two times more commonly affected as their male counterparts, maintaining an approximate ratio of 1.86:1. Thus we had a 5.55 % incidence of abdominal Tuberculosis in this series. The development of cheap and efcient procedures for early diagnosis remains one of the practical problems to battle this disease, because the only way to decrease morbidity and mortality of this the patients but also takes unnecessary burden off the health care services.

scholarly journals A case of abdominal tuberculosis: a challenging diagnosis

2019 ◽  
Vol 7 (6) ◽  
pp. 2497
Author(s):  
Siraveni Thirupathi ◽  
Chinnaiyan P. ◽  
Sujeetha Chandrababu
Keyword(s):  
Developing Countries ◽  
Small Bowel ◽  
Abdominal Tuberculosis ◽  
Human Race ◽  
Major Health Problem ◽  
Major Health ◽  
Extra Pulmonary Tuberculosis ◽  
It Impacts ◽  
Long Time ◽  
Extra Pulmonary

Tuberculosis continues to intimidate the human race since traditional for an extremely long time not only due to its effects as a medical ailment, but also it impacts as a social and economic burden. Tuberculosis is a major health problem in developing countries. Abdominal tuberculosis is most common extra pulmonary tuberculosis. Tuberculosis can suspect in endemic countries like India, and can have various presentations and complications, it can mislead the diagnosis. Here, this case it involves small bowel, large bowel and peritoneum with different presentation.

scholarly journals Antimycobacterial Potential of Indian Spices: A Review

2017 ◽  
Vol 9 (08) ◽  
Author(s):  
Neha Chaudhary ◽  
Varsha Mehra ◽  
Payal Mago ◽  
Manisha Khatri
Keyword(s):  
Herbal Medicines ◽  
Antimycobacterial Activity ◽  
Review Article ◽  
Plant Part ◽  
New Drugs ◽  
Major Health Problem ◽  
Major Health ◽  
Traditional Medicines ◽  
Ancient Times ◽  
Considerable Morbidity

Natural products and their plant-derived analogs are often a source of drugs or drug templates with limited toxicity, which has the potential to mitigate compliance issues during protracted administration.Mycobacterium tuberculosis (Mtb), the causative agent of tuberculosis (TB) infection, represents a major health problem globally. Despite the introduction of inexpensive and effective four-drug (isoniazid, rifampicin, pyrazinamide and ethambutol) treatment regimen 40 years ago, TB continues to cause considerable morbidity and mortality worldwide. Global efforts are underway to eradicate TB using new drugs with new modes of action, higher activity, and fewer side effects in combination with vaccines. Since ancient times, different plant part extracts have been used as traditional medicines against diseases including tuberculosis. This knowledge may be useful in developing future powerful drugs. In this regard this review article is an attempt to investigate the antimycobacterial activity of the spices as an alternative and highlight them for further investigation as leads for drug development. The choice of spice as an alternative is based on two basic reasons: firstly, plants have been the model source of medicine since ancient times and secondly, the increasing acceptance of herbal medicines by general population.

scholarly journals SEROPREVALENCE OF HEPATITIS C

2018 ◽  
Vol 21 (04) ◽  
pp. 672-678
Author(s):  
Umar Hayat Khan ◽  
Ahmad Ali ◽  
Mohammad Akram ◽  
Aziz Marjan Khattak
Keyword(s):  
Hepatitis C ◽  
Blood Donors ◽  
Public Awareness ◽  
Teaching Hospitals ◽  
Medical Sciences ◽  
Major Health Problem ◽  
Major Health ◽  
Khyber Pakhtunkhwa ◽  
Source Of Infection ◽  
Safe Blood

Objectives: To find out seroprevalence of Hepatitis C among healthy blood donorsin Khyber PakhtunKhwa. Study Design: Descriptive study. Place and Duration of Study: From1st July 2008 to March,2009. The study was conducted by department of Community MedicineKMU Institute of Medical Sciences, Kohat. All healthy blood donors who reported for bleeding inblood banks of Khyber Pakhtunkhwa were screened for Hepatitis C antibodies. The study wasconducted in seventeen (17) districts and three (3) teaching hospitals. The kits used were rapidimmunochromatography kits. The kits were provided by safe blood transfusion project of KhyberPakhtunkhwa. Results: A total of 61170 healthy blood donors were screened during a period of 9months. Out of which 1341 (2.19%)were positive for hepatitis antibody. Conclusions: Hepatitis Cvirus infection has become a major health problem in Khyber Pakhtunkhwa. Blood is one of themain source of infection. Strict monitoring of blood is necessary before transfusion. To limit andprevent the spread of Hepatitis C, public awareness by print, social and electronic media is theneed of time. Resource allocation is necessary

scholarly journals PHARMACOECONOMIC STUDY ON DRUG WASTAGE

2020 ◽  
Vol 8 (9) ◽  
pp. 1461-1468
Author(s):  
M. Athira ◽  
◽  
S. Nongthongbam ◽  
S.K Sinha ◽  
N. Meena Devi ◽  
...  
Keyword(s):  
Health Care Services ◽  
Dose Calculation ◽  
Cost Effective ◽  
Pharmacoeconomic Study ◽  
Cancer Drug ◽  
Major Health Problem ◽  
Care Services ◽  
Drug Wastage ◽  
Treatment Data ◽  
Compliance To Treatment

Cost effective analysis are commonly used to evaluate the potential costs and benefits of health care services. They are often conducted under the assumption of no drug wastage which does not reflect the real world scenario. Cancer is a major health problem responsible for 9% deaths all over the world. Anti-cancer drugs are costlier than any other category drugs due to which the compliance to treatment is questionable. Cancer drug wastage occurs when a parenteral drug within a single-use vial is not fully administered to a patient because of body-weight or body surface-area based dose calculation in cancer chemotherapy. We conducted a prospective observational study in chemotherapy OPD where patients undergo I.V chemotherapy treatment. Data was collected for a period of three months on the drugs and its wastage. Analysis was done to find out drugs causing an increment in cost due to wastage.Our analysis showed that wastage incremented cost of treatment by an average of 3% which accounts for Rs 2,39,237.12 per annum without any added benefit. The drug with maximum cost of wastage was found to be oxaliplatin.9.43% increment in cost was due to oxaliplatin alone, the reason was concluded to be limited vial size.

scholarly journals Perceived Health Issues: A perspective from East-African immigrants

2014 ◽  
Vol 6 (1) ◽  
pp. 13-32 ◽  
Author(s):  
M. P-L Shipp ◽  
S. A. Francis ◽  
K. R. Fluegge ◽  
S. A. Asfaw
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Access ◽  
Health Care Services ◽  
Community Leaders ◽  
Health Issues ◽  
Care Providers ◽  
Major Health ◽  
Care Access ◽  
Care Services

This Study explores Somali and Ethiopian community leaders’ perceptions about health issues in their communities and the barriers to access and utilization of primary health care services. Fourteen in-depth interviews were conducted with community leaders and thematic analysis was used to analyze interviews. Participants identified chronic diseases, the unhealthy behaviors associated with them, and mental health as major health issues. Infectious diseases were secondarily mentioned as important health concerns. Lack of insurance and limited understanding of the health system were viewed as barriers to utilizing health care services. Other identified needs were: better education within immigrant communities about major health issues, enhanced cultural awareness of health care providers, improved health care access, and assistance with the acculturation process. Recommendations to improve the communities’ health status included enhancing providers' cultural competence, educating immigrants about major health issues, and increasing mental health care access.

scholarly journals Communication Barriers Perceived by Nurses and Patients

2015 ◽  
Vol 8 (6) ◽  
pp. 65 ◽  
Author(s):  
Roohangiz Norouzinia ◽  
Maryam Aghabarari ◽  
Maryam Shiri ◽  
Mehrdad Karimi ◽  
Elham Samami
Keyword(s):  
Health Care Services ◽  
Reliability And Validity ◽  
Medical Sciences ◽  
Related Factors ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Care Services ◽  
Significant Difference ◽  
Quality Health ◽  
The Mean

<p>Communication, as a key element in providing high-quality health care services, leads to patient satisfaction and health. The present Cross sectional, descriptive analytic study was conducted on 70 nurses and 50 patients in two hospitals affiliated to Alborz University of Medical Sciences, in 2012. Two separate questionnaires were used for nurses and patients, and the reliability and validity of the questionnaires were assessed. In both groups of nurses and patients, nurse-related factors (mean scores of 2.45 and 2.15, respectively) and common factors between nurses and patients (mean scores of 1.85 and 1.96, respectively) were considered the most and least significant factors, respectively. Also, a significant difference was observed between the mean scores of nurses and patients regarding patient-related (p=0.001), nurse-related (p=0.012), and environmental factors (p=0.019). Despite the attention of nurses and patients to communication, there are some barriers, which can be removed through raising the awareness of nurses and patients along with creating a desirable environment. We recommend that nurses be effectively trained in communication skills and be encouraged by constant monitoring of the obtained skills.</p>

scholarly journals New Internship Course at Health Centers for Dental Undergraduates of Babol University of Medical Sciences in 2014: Students' Perception

2020 ◽  
Author(s):  
Mohammad Mehdi Naghibi Sistani ◽  
Mahdiye Aziznejad ◽  
Effat Khodadadi
Keyword(s):  
Oral Health ◽  
Health Care Services ◽  
Clinical Training ◽  
Dental Students ◽  
Health Centers ◽  
Health Needs ◽  
Medical Sciences ◽  
Care Services ◽  
Vice Chancellor ◽  
Almost All

Objectives: This study aimed to evaluate an innovative internship course at health centers for final-year dental undergraduates and to report initial students’ perceptions. Materials and Methods: The Department of Community Oral Health, Faculty of Dentistry with the collaboration of the Vice-Chancellor of Health of Babol University of Medical Sciences prepared an educational and clinical training course, named Health Centers Dental Rotation (HCDR), in January 2014. Final year (6th year) dental undergraduates were divided into groups of two or three and worked as an operator or assistant at 12 health centers (six rural and six urban). Students had to fulfill the educational and therapeutic requirements for three weeks. Students' perspectives related to the course objectives were recorded using a five-point Likert scale with a voluntary anonymous questionnaire. Results: Forty-four dental students, 26 (60%) females and 18 (40%) males, provided oral health care services at the health centers. Based on the students' perspectives, almost all students (95%) realized the limitations of the health centers. The HCDR improved the awareness of 75% of the students about oral health needs and problems of patients referring to these centers. Although 68% of the students declared that participating in this course was a valuable educational experience, 38.6% described it as displeasing. Conclusion: From the students' perspectives, this course was a worthwhile and positive internship experience and provided an opportunity for students to understand the specific oral health needs of patients attending these health centers and to realize their key role in the oral health system.

scholarly journals The occurrence of complex dialogue communication: patient – physician – IT manager

Communicology ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 31-40
Author(s):  
K. V. Rakova
Keyword(s):  
Health Care ◽  
Social Stratification ◽  
Social Life ◽  
Health Care Services ◽  
High Tech ◽  
Medical Sciences ◽  
Doctor Patient Communication ◽  
Care Services ◽  
The Social ◽  
The Impact

The rapid acceleration of social processes in society under the influence of digitalization affects the key areas of social life, including medicine. The author examines the impact of digital technologies on the provision of health care services and analyzes the nature of doctor-patient communication and its growing complexity. The use of high-tech software in medicine causes the need to create relevant educational programs for specialists either in medicine or information technology. Moreover, the digitalization of health care system makes the need in new professions more urgent. For instance, the appearance of IT-doctors, who specialize in creating digital medical programs using artificial intelligence algorithms based on medical sciences. The study reveals the emergence of a three-way communication «patient – physician – IT manager». The research dwells on the ambivalent impact of digitalization on the provision of health care services and the social stratification of individuals in society.

scholarly journals Prioritizing Factors Affecting Health Service Quality using Integrated Fuzzy DEMATEL and ANP: A Case of Iran

2020 ◽  
Vol 13 (1) ◽  
pp. 263-272
Author(s):  
Payam Farhadi ◽  
Maryam Niyas ◽  
Nasrin Shokrpour ◽  
Ramin Ravangard
Keyword(s):  
Health Care ◽  
Health Service ◽  
Service Quality ◽  
Health Care Services ◽  
Teaching Hospitals ◽  
Medical Sciences ◽  
Fuzzy Dematel ◽  
Factors Affecting ◽  
Care Services ◽  
Pair Wise Comparison

Background: Quality of services is one of the important factors affecting the success of service organizations. However, due to limited resources, organizations should identify the most important dimensions of service quality and take some measures to improve them. Objective: To identify and prioritize the factors affecting service quality from the viewpoints of all health care stakeholders in the teaching hospitals and the headquarters affiliated to Shiraz University of Medical Sciences. Methods: This is an applied, cross-sectional and descriptive-analytical study conducted in the teaching hospitals and the headquarters affiliated to Shiraz University of Medical Sciences. The study population consisted of all health care stakeholders, including patients, patients' families and relatives, general population, health care policymakers and managers, and health service providers such as matrons and supervisors. Six people of each studied stakeholder group were selected as the study sample using a purposive sampling method (n=30). A pair-wise comparison matrix designed based on the SERVQUAL dimensions was used for making pair-wise comparisons and collecting the required data. The collected pair-wise comparison data were analyzed through Fuzzy DEMATEL and ANP techniques using Super Decision 2.2 and Excel 2007. Results: The results showed that Access (NW=0.39018) and Tangibility (NW=0.05873) had the highest and lowest priorities. Conclusion: According to the results of the present study and from the studied health care stakeholders' viewpoint, access to care was the most affecting and most important dimension to be improved. Therefore, in order to improve patients' access to the health care services, some suggestions can be made such as providing appropriate facilities for patients' families and relatives, offering special discounts to the poor, providing easier access to the emergency entrance, providing parking and accommodation for patients and their relatives, employing and using the appropriate number of staff, and delivering 24-hour and high-quality health care services.

scholarly journals A clinicopathological study and management of abdominal tuberculosis

2020 ◽  
Vol 7 (10) ◽  
pp. 3262
Author(s):  
V. V. Harika Majji ◽  
Santosh Raja Erabati ◽  
Swetha B. M.
Keyword(s):  
Surgical Intervention ◽  
Abdominal Tuberculosis ◽  
Inclusion Criteria ◽  
Hollow Viscus ◽  
Major Health Problem ◽  
Major Health ◽  
The Past ◽  
Clinicopathological Study ◽  
Anti Tubercular Therapy ◽  
Hollow Viscus Perforation

 Background: Tuberculosis is a major health problem in developing countries. Inspite of considerable advances, abdominal tuberculosis still continues to be of paramount health issue in India, owing to its vague and non-specific presentation challenging the therapeutic skills of present day surgeon. Surgical intervention was frequently used in the past for diagnosis is not necessary and is reserved for complications like obstruction, perforation, fistula, or a mass which does not resolve with medical therapy.Methods: 30 patients admitted in Department of Surgery satisfying the inclusion criteria from November 2015 to October 2017. Patients were selected on a prospective basis.Results: In this study out of 30 patients, 16 patients were treated conservatively with anti- tubercular therapy (ATT) alone and 14 patients underwent surgical treatment. Out of 14 patients, 5 patients were operated on emergency basis and 9 were operated electively. Of the 5 emergency cases, 2 patients underwent resection anastomosis of small bowel, 1 patient underwent adhesiolysis, and 3 patients with hollow viscus perforation underwent perforation closure with peritoneal drainage.Conclusions: Tuberculosis has become a resurgent global problem with increasing numbers of extrapulmonary manifestations, non-specific features of abdominal tuberculosis result in difficulty in establishing a diagnosis, hence prompt initiation of treatment that can be either medical management or a surgical procedure is important to prevent morbidity and mortality associated with it.

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