scholarly journals DEMOGRAPHIC, SOCIOECONOMIC AND CLINICAL PROFILE OF OCULAR CHEMICAL INJURIES IN TERTIARY CARE CENTRE IN CENTRAL INDIA

2021 ◽  
pp. 1-4
Author(s):  
Shweta Walia ◽  
Sapna Sabnani ◽  
Vijay Bhaisare
Keyword(s):  
Economic Status ◽  
Tertiary Care ◽  
Multivariate Logistic Regression Analysis ◽  
Central India ◽  
Low Grade ◽  
Care Hospital ◽  
Skilled Workers ◽  
Socio Economic Status ◽  
Chemical Injuries ◽  
Ocular Chemical Injuries

PURPOSE: To identify risk factors of Ocular chemical injuries by studying demographic, socio-economic and clinical characteristics of patients and suggest preventive measures. DESIGN: Prospective hospital-based study. PARTICIPANTS: Patients who presented to tertiary care hospital in central India with ocular chemical burns during February 2019-2020.METHODS:In this study a total of 41 patients (49 eyes) were included.Patient data recorded were Age, Gender, Occupation, Education, socio-economic status, location and mode of injury, type of chemical, use and awareness of Personal Protective Equipment (PPE) and first aid.Clinical characteristics studied were initial and final Best corrected visual acuity (BCVA), grade of injury, Intra- ocular pressure (IOP) at presentation, management and complications.The variables were evaluated for potential relationships with visual outcome.RESULTS:Average age was 32.05+15.1 years with Male:Female ratio of 1.9:1.Total of 13 patients (31.7%) were illiterate,belonged to Upper Lower IV socio-economic class (n=20, 48.8%). Most were semi-skilled workers (n=19, 46.3%) and 61% of the total injuries occurred at workplace.Accidental mode of injury was more prevalent (n=38,92.7%),most common causative chemical was alkali (n=27 eyes,55.1%).Low grade burns (Grade 1,2 and 3) were most observed (n=34,69.38%).Majority of eyes (n=39,79.6%) were medically managed.Risk factors for poor final BCVA using multivariate logistic regression analysis was poor initial BCVA (p =0.011) and grade of chemical injury (p =0.007).Conclusion:Chemical injuries are commonly encountered by patients of low Socio-Economic Status (SES), who are mostly illiterate. Most sustained injury at workplace and were not using PPE.These findings identify need for awareness programs with audio-visual components that are easily understood.It also highlights need for safer workplace practices.

scholarly journals Assessment of knowledge regarding diet among hospitalized patients undergoing treatment for chronic ailments in a tertiary care hospital from Hyderabad

2021 ◽  
Vol 8 (4) ◽  
pp. 1694
Author(s):  
Varun Vijay Gaiki ◽  
Venkartamana K. Sonkar ◽  
Ramesh Butta
Keyword(s):  
Chronic Diseases ◽  
Cross Sections ◽  
Chronic Conditions ◽  
Tertiary Care Hospital ◽  
Economic Status ◽  
Tertiary Care ◽  
Hospitalized Patients ◽  
Care Hospital ◽  
Nutritional Counselling ◽  
Socio Economic Status

Background: Nutrition plays important tole in the health, and specially in chronic diseases.  It plays important role in all levels if prevention. Thus awareness of patients, suffering from chronic diseases is important in view of secondary and tertiary levels of prevention.Methods: The present cross sections study was carried out with 20 question predesigned and tested questionnaire, in patients admitted to hospital for chronic diases with stay more than 15 days. Scores were calculated from the questionnaire administered and results compared.Results: it was observed that awareness of patients about diet in chronic conditions was not adequate. Average scores on the 40-point questionnaire scale was 13.34, with SD±2.23. It was observed that awareness increased as education, socio economic status increases.Conclusions: It is recommended to have special nutritional counselling sessions for patients. 

Determinants of Gestational Diabetes Mellitus at Tertiary Care Hospital of Lahore

2020 ◽  
pp. 34-38
Author(s):  
OJS Admin
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Glucose Intolerance ◽  
Dietary Habits ◽  
Tertiary Care Hospital ◽  
Economic Status ◽  
Tertiary Care ◽  
Care Hospital ◽  
Socio Economic Status

Gestational Diabetes Mellitus (GDM) is defined as glucose intolerance of varying degree with onset or first recognition during pregnancy. Prevalence of GDM is known to vary widely depending on the region of the country, dietary habits, and socio-economic status.

scholarly journals Magnitude and determinants of depression in acute stroke patients admitted in a rural tertiary care hospital

2015 ◽  
Vol 6 (02) ◽  
pp. 202-207 ◽  
Author(s):  
Amrish Saxena ◽  
Ajitabh Suman
Keyword(s):  
Acute Stroke ◽  
Rating Scale ◽  
Tertiary Care Hospital ◽  
Economic Status ◽  
Tertiary Care ◽  
Care Hospital ◽  
Stroke Patients ◽  
Post Stroke ◽  
Socio Economic Status ◽  
Post Stroke Depression

ABSTRACT Objectives: Depression is one of the most frequent neuropsychiatric disturbances after a cerebrovascular stroke. The frequency of depression in stroke patients has varied widely in different populations. Post stroke depression is an important factor limiting recovery and rehabilitation in acute stroke patients. Settings and Design: A cross-sectional hospital-based study was performed in acute stroke patients admitted in the department of Medicine of a rural teaching tertiary care hospital in central India. Materials and Methods: In all consecutive acute stroke inpatients, the intensity of depression was assessed by a trained person through a questionnaire, Montgomery-Asberg Depression Rating Scale (MADRS), who is blind of the diagnosis and investigations of the patient. Another study person collected the data including demographics, co-morbid diseases or risk factors. Radiological imaging data was noted from the CT/MRI head reports of stroke patients. Results: Of the total 107 stroke patients, 60 (56%) were males and 47 (44%) were females. Sixty-one (57%) of the 107 stroke patients had depression. Of the 107 stroke patients, 35 (33%) had mild depression, 22 (20%) had moderate depression and 4 (4%) had severe depression. The age, gender, education status and co-morbidities of the stroke patient were not associated with depression. The association of socio-economic status and left-sided lesions with depression was found to be statistically significant (P < 0.05). Type and location of the lesion were not associated with depression. Conclusion: Post-stroke depression was present in more than half of the stroke patients and was related to socio-economic status and left-sided hemisphere lesions.

scholarly journals DEPRESSION AND ITS ASSOCIATED FACTORS: A STUDY ON CAREGIVERS OF PSYCHIATRIC PATIENTS

2021 ◽  
Vol 71 (6) ◽  
pp. 1933-36
Author(s):  
Nomita Sohail ◽  
Shiraz Hussain ◽  
Siddique Kakar ◽  
Sana Khan ◽  
Mohsin Alimudin ◽  
...  
Keyword(s):  
Psychiatric Patients ◽  
Economic Status ◽  
Tertiary Care ◽  
Depression Scale ◽  
Female Gender ◽  
Target Population ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Socio Economic Status

Objective: To determine the frequency and association of depression among caregivers of psychiatric patients. Study Design: Cross-sectional study. Study place and duration: Outpatient Department of a Tertiary Care Hospital, Rawalpindi, from Sep 2016 to Apr 2017. Methodology: A total of 200 caregivers of psychiatric patients were included in this study. Each caregiver was interviewed by a consultant psychiatrist to measure the frequency of depression according to International Classification of Disease-10 (ICD10) criteria and Hospital Anxiety and Depression Scale (HADS) score of >8. Socio-demographic factors were associated with presence of depression by using chi-square test. Results: The mean age observed was 35.36 ± 8.39 years. There were 84 (42%) males and 116 (58%) females. Depression was found in 95 (47.5%) caregivers of psychiatric patients in our analysis. Female gender, low socio-economic status and type of psychiatric illness had significant relationship with presence of depression among our target population. Conclusion: Depression was a highly common undiagnosed entity among the caregivers of psychiatric patients. Female caregivers or caregivers with low socio-economic status should be screened especially for depression in addition to caregivers of patients suffering from psychotic illness.

scholarly journals Low knowledge of osteoporosis and its risk factors in urban Indian adults from Pune city, India

2019 ◽  
pp. 1-8 ◽  
Author(s):  
Nidhi Kadam ◽  
Shashi Chiplonkar ◽  
Anuradha Khadilkar ◽  
Vaman Khadilkar
Keyword(s):  
Risk Factors ◽  
Economic Status ◽  
Tertiary Care ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Men And Women ◽  
Socio Economic Status ◽  
Indian Men

AbstractObjectiveTo assess knowledge of osteoporosis and its risk factors and to explore associations between knowledge and various sociodemographic factors in Indian adults.DesignCross-sectional study. The Revised Osteoporosis Knowledge Test (OKT) was used to assess knowledge of osteoporosis. Four scores (OKT-total, range 0–32; OKT-exercise, range 0–20; OKT-nutrition, range 0–26; OKT-risk factors, range 0–14) were generated by giving 1 point to every correct answer and 0 points for incorrect or ‘not known’ answers.SettingTertiary-care hospital in Pune city, India.ParticipantsAdults aged 40–75 years (n477; 234 males) enrolled through voluntary routine health checks and health camps.ResultsMean age of the study population was 54·6 (sd9·5) years. Half the participants were aware of osteoporosis and could correctly define it. Women showed significantly higher median OKT-total and OKT-nutrition scores than men (P&lt;0·05). Those with higher education and higher socio-economic status had significantly higher scores in both men and women (P&lt;0·05). All four scores were significantly higher in both men and women who could correctly define osteoporosis (P&lt;0·05). All four scores were significantly higher in women with a family history of osteoporosis (P&lt;0·05) but not in men (P&gt;0·1).ConclusionsUnderstanding about osteoporosis and its risk factors is low in the present cohort of Indian men and women. There is need to create awareness programmes aimed at both men and women especially targeting those with lower education, lower socio-economic status and no previous exposure to osteoporosis.

scholarly journals Risk factors analysis: screening of extended-spectrum-β-lactamase producing Gram-negative isolates of burn infections from tertiary care hospital Lahore, Pakistan

2019 ◽  
Author(s):  
Muhammad Hayat Haider ◽  
Noor Ul Ain ◽  
Shahida Hussain ◽  
Samyyia Abrar ◽  
Amina Asif ◽  
...  
Keyword(s):  
Risk Factors ◽  
Economic Status ◽  
Tertiary Care ◽  
Multidrug Resistant ◽  
Care Hospital ◽  
Skin Damage ◽  
Gram Negative ◽  
Pseudomonas Spp ◽  
Socio Economic Status ◽  
Case Series Study

Abstract Background Burnt patients are highly susceptible to invasion of multidrug resistant strains after the skin damage. The main objective of this study was to estimate the frequency of ESBLs producing Gram-negative in post-burn infections and its correlation with different risk factors (age, gender, socio-economic status, burns etiology etc.) Methods The descriptive case-series study was conducted at Jinnah Hospital Lahore’s Burn and Reconstructive Surgery Centre (JB & RSC) and the Department of Microbiology and Molecular Genetics (MMG), University of the Punjab, Lahore. The clinical specimens of wound swabs, biopsy, and blood were collected from 300 patients during 12th August, 2017 to 12th August 2018. The cephalosporins resistant Gram-negative isolates were further analyzed. The clinical history of burnt patients was recorded which included the age, gender, socio-economic status, residence, occupation, hospital stay, wards, burn degree, total burnt surface area (TBSA%), etiology of burn and other factors. CLSI guidelines 2017 were followed for the antimicrobial susceptibility testing (AST) and ESBLs screening. Results Pseudomonas spp. were the most-frequently isolated 49.33% (n=74) followed by 22.67% (n=34) Klebsiella spp., and 20.00% (n=30) Acinetobacter spp., strains. Pseudomonas spp., were the most frequently isolated from burnt specimens 70 (46.67%) having a significant correlation (x2=24.11, p < 0.001). Community acquired infections were observed in 50.70% (n=76) and nosocomial infections in 49.30% (n=74) patients. Burnt people having the age of ≤ 29 years were found to be significantly associated with the MDR infections (x2=24.96, p = 0.003). Low socio-economic status, longer hospitalization and all other risk factors had non-significant correlation (p > 0.05). A large fraction of the isolates 86.00% (n=129) were not confirmed as ESBLs producers by phenotypic screening. Conclusion It has been concluded that Gram-negative MDR strains are rapidly causing infections in burnt patients and need to be properly alleviated. The high frequency of multidrug resistant Pseudomonas spp., was associated with the burn infections. The patients belonging to young age were significantly found to be infected by MDR strain after burns.

scholarly journals A Study of Anxiety among Hospitalized Patients of Orthopedics Ward of a Tertiary Care Hospital

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
K. Harish Chandra Reddy ◽  
Puli Santosh Reddy
Keyword(s):  
Orthopedic Surgery ◽  
Tertiary Care Hospital ◽  
Economic Status ◽  
Tertiary Care ◽  
Hospitalized Patients ◽  
P Value ◽  
Care Hospital ◽  
Living Situation ◽  
Socio Economic Status ◽  
Duration Of Hospitalization

Background: Hospitalization itself gives rise to anxiety in any patient. And if the patient had fracture of any bone, then the anxiety levels reach at its peak and become troublesome. Anxiety following surgery for fracture during pre operative and post operative period following orthopedic surgery is matter of concern. Objective: To study of anxiety among hospitalized patients of orthopedics ward of a tertiary care hospital. Methods: Present study was hospital based cross sectional study. The study was carried out from November 2012 to December 2013 in the department of Orthopedics at a tertiary care hospital attached to a medical college by the department of Psychiatry. During the study period of the present study, it was possible to study 50 patients with the objective to study of anxiety among hospitalized patients of orthopedics ward of a tertiary care hospital. These 50 patients were selected randomly from hospital record of department of Orthopedics. Results: Only 6% of the patients gave history of mental illness in their families. The study sample shows Age, Type of Family, Socio Economic Status, Education, Occupation was also found to be significant factor (p = 0.026). The study sample shows Living Situation to be significant factor in the outcome of Depression in patients with p value= 0.024 in HADS. Hospitalization was also found to be a very significant factor (p = 0.001). Duration of Hospitalization was also found to be a very significant factor (p = 0.022) The study sample shows The study sample shows Type of Treatment to be a very significant factor in the outcome of Depression with p value 0.020 in HADS. Conclusion: We conclude that the anxiety among patients undergoing orthopedic surgery was very high and it was associated with factors like Age, Type of Family, Socio Economic Status, Education, Occupation, Living Situation, Hospitalization, Duration of Hospitalization, and Type of Treatment.

scholarly journals Clinicopathological and Biochemical Profile of Chronic Kidney Disease of Unknown Aetiology in a Tertiary Care Rural Hospital of Central India

2021 ◽  
Vol 10 (17) ◽  
pp. 1235-1240
Author(s):  
Nakul Kadam ◽  
Sourya Acharya ◽  
Amol Bawane ◽  
Samarth Shukla ◽  
Sunil Kumar ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Economic Status ◽  
Tertiary Care ◽  
Central India ◽  
The Body ◽  
Well Water ◽  
Care Hospital ◽  
Unknown Aetiology ◽  
The Mean

BACKGROUND Chronic kidney disease (CKD) is a global health problem which is progressive and asymptomatic until the end stage in recent years which is most common in patients of middle and low socio-economic status. The disease is mostly associated with diabetes or hypertension, young and middle-aged individuals living in agricultural communities and drinking well water. We want to study the clinicopathological profile of chronic kidney disease of unknown aetiology (CKDU) cases admitted in a rural tertiary care hospital. METHODS A retrospective study was conducted among fifty patients who reported with ultrasonography (USG) report showing small shrunken kidneys and / or kidney biopsy suggestive of chronic tubulointerstitial nephritis with absence of immune deposits and admitted in the Medicine department of AVBRH Hospital and JNM College of Medical Sciences, Sawangi (M) Wardha of Central India. RESULTS The mean age was 36.46 ± 10.90 years with majority of the patients between the ages of 35 to 55 years. The body mass index (BMI) of the study group was within 22.52 ± 1.96. CKDU was more commonly seen in males (64 %) as compared to females (36 %). The subjects were predominantly farmers (54 %) who used to drink well water. USG showed small shrunken kidneys in all the study subjects, which was in 100 % cases. Pesticide exposure was seen in 32 % cases. The glomerular filtration rate (GFR) revealed that 30 % of the patients were in grade II. The biochemical report revealed the mean value of haemoglobin to be 8.75 ± 1.39, mean serum urea level to be 64.96 ± 15.19, mean serum creatinine level to be 4.5 ± 2.67, mean serum sodium level to be 132.48 ± 5.83 and mean serum potassium to be 4.43 ± 0.78. The mean random blood sugar (RBS) value was 98.64 ± 19.62, serum calcium level was 8.87 ± 0.43, serum phosphorus level was 5.05±0.39 and urine protein / creatinine ratio was 0.90 ± 0.12. CONCLUSIONS This study highlights the need to review health policies and allocates resources for prevention and treatment of CKDU in Central India, Maharashtra. KEY WORDS Chronic Kidney Disease of Unknown Aetiology (CKDU), Hypertension, Diabetes, Shrunken Kidneys

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