A study of the swine flu (H1N1) epidemic among health care providers of a medical college hospital of Delhi

Rohingya are the group of people who has an specific ethnic, linguistic and religious group lived in the former Arakan state, renamed as Rakhain state of Myanmar. These people are homeless, stateless and disowned by their own government. Chattogram Medical College Hospital is the only tertiary level government hospital nearest to the Rohingya camp where Rohingya patients are referred from local health care providers. On a cross sectional observational demographic study conducted in the Department of Neurosurgery, CMCH revealed that, total number of admitted patient in CMCH is 757 among which 137 (18.09%) patient was admitted in Department of Neurosurgery since the Rohingya citizens are forcibly displaced from their land. Traumatic brain injury (31) , spinal injury (22) and gun shot wound (3) are the most common presentation as a result of ethnic cleansing. But lack of primary health care support, proper health education leads to development of hydrocephalus (8), meningocele (8), meningomyelocele (1) in children and delayed presentation of ICSOL (15) and Spinal SOL (2) are also observed among the admitted patients. 67 (48.90%) patients were treated conservatively and 70 (51.09%) patients are treated operatively. Despite the existing over crowded patients from the Chattogram Division, these Rohingya patients made an added challenge to the Department of Neurosurgery. Proper strategic plan should be carried out for the management of neurosurgical condition for decreasing mortality and morbidity and thus support humanity above all. Bang. J Neurosurgery 2020; 9(2): 111-116

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Clinical investigation of different types of cases of outdoor patients using ultrasonography in Rangpur Medical College Hospital, Bangladesh

Asian Journal of Medical and Biological Research ◽

10.3329/ajmbr.v6i2.48074 ◽

2020 ◽

Vol 6 (2) ◽

pp. 294-298

Author(s):

Shafaat Mahjabun ◽

Humayun Kabir ◽

Meftah Islam ◽

Abdur Rahim Azad ◽

Sumon Kumar Sarker ◽

...

Keyword(s):

Fatty Liver ◽

Health Care Providers ◽

Gall Stone ◽

Medical College Hospital ◽

Mass Lesion ◽

Care Providers ◽

College Hospital ◽

Medical College ◽

Clinical Scenarios ◽

Different Types

Ultrasonography is an easy, noninvasive, rapid investigation advised by doctors worldwide. Hence we diagnosed different types of cases through ultrasonography at outdoor patients admitted to Department of Rangpur Medical College Hospital, Rangpur Bangladesh over a period of four months. Our objective was to investigate the prevalence of different types of cases diagnosed and evaluated by ultrasonography in a variety of physical conditions with multiple clinical scenarios. Ultrasonography were performed using GE Logiq V5 Expert ultrasound machine with linear and curved linear phased array transducers. A total 300 cases were diagnosed, where female and male cases were 204 (68%), 96 (32%) respectively. Most ultrasound examinations were abdominal, with the remainder being obstetric, pelvic, breast, and genitourinary examinations. In this study, abdominal ultrasonography represented 118 case (39.33%), Pelvic 54 (18%), KUB 57 (19%), Breast 7 (2.33%) and Obstetrics 64 (21.33%). We found general clinical prevalence of abdominal cases were Cholelithiasis 17 (5.67%), Cholecystitis 3 (1%), Fatty liver 24 (8%), Hepatic Mass 2 (0.67%), Hepatic cyst 1 (0.33%), Acute hepatitis 2 (0.67%), Acute appendicitis 6 (2%), Ascites 2 (0.67%), Hernia 3(1%), Acute pancreatitis 2 (0.67%), Choledocholithiasis 2 (0.67%), Splenomegaly 1 (0.33 %), Abscess 1 (0.33%) and normal cases were 54 (18%). In genitourinary, Stone 20 (6.67%), Cyst 7 (2.33%), RPD 11 (3.67), Cystitis 4 (1.33), Ectopic kidney 1 (0.33%), Enlarged prostate 6 (2%), Hydronephrosis 1 (0.33%), Mass lesion 2 (0.67%) and normal cases were 7 (2.33%). In Pelvic, RPC 11 (3.67%), Ovarian and adnexal cyst 11 (3.67%), Uterine Anomaly 14 (4.67%), Mass lesion 2 (0.67%), Collection 7 (2.33) and normal cases were 5 (1.67%). In Obstetrics, normal pregnancy with no or minor complications, pregnancy with severe complications and abnormal pregnancy were 31(10.33%), 30(10%) and 3(1.0%) respectively. In Breast, dilated duct 1 (0.33%), Abscess 2 (0.67%), Fibroadenoma 2 (0.67%) and normal cases were 2 (0.67%). Here, we found that Fatty liver, stone in genitourinary tract and gall stone were highly prevalent. So, health care providers need to concern and raise awareness to reduce the number of cases. Asian J. Med. Biol. Res. June 2020, 6(2): 294-298

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Knowledge and attitude towards infection control among supporting staffs of Chitwan Medical College, Bharatpur, Chitwan

Journal of Chitwan Medical College ◽

10.3126/jcmc.v6i1.16654 ◽

2017 ◽

Vol 6 (1) ◽

pp. 40-47

Author(s):

M Lopchan ◽

G Gurung ◽

L Rajbanshi ◽

C Osti ◽

A Baniya

Keyword(s):

Health Care ◽

Developing Countries ◽

Infection Control ◽

Health Care Providers ◽

Nosocomial Infections ◽

Infection Prevention ◽

College Teaching ◽

Care Providers ◽

Medical College ◽

Regular Training

Nosocomial infections (NIs) are one of the most important health issues, particularly in developing countries, because these infections cause high mortality and morbidity, and economic and human resource loss as a consequence Nosocomial infections can be defined as those occurring within 48 hours of hospital admission, 3 days of discharge or 30 days of an operation. Many studies have examined risk factors of nosocomial infections. However, knowledge of frontline workers (attendants) in infection prevention have been reported rarely in developing countries. The aim of this study was to investigate the knowledge of attendants working in different wards and OPDs about infection prevention. S: Data were collected from 100 attendants in Chitwan Medical College Teaching Hospital. Regarding the knowledge on hand washing, gloving and personal accessories for Infection Prevention, majority of the respondents had good knowledge ranging from 94-100%. Though hospital has established Infection Prevention Committee and regular training on infection prevention is provided to all the staffs, the data indicated that only 68% respondents were benefitted by the infection prevention training and proper use of virex solution to disinfect the equipment’s was found unsatisfactory. Infection control is the responsibility of all Health Care Facility (HCF) personnel. The goal of the infection control policies are to identify and reduce risks of acquiring and transmitting infections among patients, staff, students, volunteers, contract service workers, and visitors Although significant effort has been made to reduce the Nosocomial infections, regular training as well as monitoring supervision will enhance the capacity of the health care providers and front line workers for cleaning services they are our valued respondents.DOI: http://dx.doi.org/10.3126/jcmc.v6i1.55069

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A comparison of women’s expectations of labour and birth with the experiences in primiparas and multiparas with normal vaginal delivery

Journal of Kathmandu Medical College ◽

10.3126/jkmc.v4i1.15024 ◽

2016 ◽

Vol 4 (1) ◽

pp. 16-25 ◽

Cited By ~ 1

Author(s):

Manijeh Pirdil ◽

Leila Pirdel

Keyword(s):

Health Care ◽

Vaginal Delivery ◽

Health Care Providers ◽

Normal Vaginal Delivery ◽

Care Providers ◽

Medical College ◽

Childbirth Experience ◽

Significant Difference ◽

Negative Expectations

Background: Maternal childbirth expectations play an important role in determining a woman’s response to her childbirth experience. Women need to be helped to develop realistic and positive expectations and identify the factors that influence these expectations.Objective: The aim of this study was to compare woman’s expectations and experiences of childbirth.Methods: This descriptive-comparative study was carried out in Tabriz Alzahra Hospital from 2006 to 2007. For this purpose, a total of 600 primiparas and multiparas women who were candidates for vaginal delivery, were randomly selected and interviewed. The data were collected by questionnaire.Results: Comparison of the means of mothers expectation and experience of labor and birth between the two groups demonstrated a statistically significant difference (p<0.05). The findings indicated a number of differences exist between primiparas and multiparas women in relation to expectations and experiences of birth when compare two groups. The majority of women had negative expectations and experiences of childbirth.Conclusion: The evaluation and understanding of birth expectations and experiences as positive and negative is priority of maternity system. Antenatal educators need to ensure that pregnant women are appropriately prepared for what might actually happen to limit this expectation-experience gap. Health-care providers should improve the quality of antenatal care which can change negative childbirth expectations and experiences of womenJournal of Kathmandu Medical College, Vol. 4(1) 2015, 16-25

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Birth Companions, Health workers perspective: Mixed Method Study in St. Paul’s Hospital and Millennium Medical College and its Catchment Centers in Addis Ababa, Ethiopia

10.21203/rs.3.rs-216483/v2 ◽

2021 ◽

Author(s):

Kidist Gizachew ◽

Tewodros Getinet ◽

Delayehu Bekele

Keyword(s):

Health Care ◽

Quality Of Care ◽

Health Care Providers ◽

Health Workers ◽

Addis Ababa ◽

Post Partum ◽

Care Providers ◽

Child Birth ◽

Medical College

Abstract Background: Birth companions have been shown to improve quality of care provided to laboring women. Various studies have shown the benefits of companion during child birth. The objective of this study was to assess the knowledge, attitude and practice of health care providers towards the involvement of birth companions during child birth in St Paul’s Hospital Millennium Medical College (SPHMMC) and its selected catchment health centers. Methods: The study used a cross-sectional study which was supplemented by qualitative study design which employed phenomenological design was conducted using in depth interview of health care providers who were on practice during the study period in SPHMMC. Result: The study included a total 58 health care providers. The finding from the study showed that great proportion of health care providers involved in the study (90 %) have positive attitude towards involvement of birth companions but majority 82.4 % didn’t allow birth companions. The commonest reasons mentioned for not involving companions include fear of breach of privacy, interference with routine medical care and risk of litigation/complaints.Conclusion and Recommendation: The findings from this study showed that majority of the health care providers are against the practice of involving birth companions. Since involvement of birth companions is one way to ensure the quality of care provided there should be an effort to increase the knowledge of health professionals on benefits of birth companions. There is also a need for improvement of the work setup. Simple measures like providing screens, providing separate rooms for laboring and post-partum women will have a significant impact on the quality of care provided.

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Management of services in total quality management implemented and non-implemented health facilities

Asian Journal of Medical and Biological Research ◽

10.3329/ajmbr.v6i4.51235 ◽

2021 ◽

Vol 6 (4) ◽

pp. 689-696

Author(s):

Muhsina Begum ◽

Ashees Kumar Saha ◽

Sheuly Begum ◽

Nasima Akhter ◽

Pritikona Borua ◽

...

Keyword(s):

Health Care ◽

Quality Management ◽

Total Quality Management ◽

Health Care Providers ◽

Service Providers ◽

Health Facilities ◽

Working Environment ◽

Care Providers ◽

Total Quality ◽

Medical College

5S-CQI-TQM is a management technique that is aimed at bringing satisfaction of staff as well as the patients through improvement of working environment. A cross-sectional comparative study was carried out among 226 respondents who were selected purposively from the selected study place from 1st January to 31st December 2017. Among 226 respondents, 113 were taken from Dhaka Medical College and another 113 were taken from Mugdha Medical College. Among 113 respondents, 56 respondents were health care providers and 57 respondents were health care receivers. The purpose of this study to compare the management of services in Total Quality Management implemented (Dhaka Medical College and Hospital) and non-implemented (Mugdha Medical College and Hospital) health facilities. A Semi-structured interviewer administered questionnaire and an observational check list were developed to collect the data. Separate questionnaire was used for health care providers and health care receivers. The statistical analysis was conducted using SPSS (statistical package for social science) version 20 statistical software. Significant statistical differences were found between TQM implemented and TQM non-implemented hospital regarding workload (p=0.043), hospital authority always seriously consider staff’s suggestions for the improvement of quality of service (p<0.001), employees always respect to each other in the hospital (p<0.001) and 35 (62.5%) service providers expressed satisfactory opinion regarding management of the hospital. Asian J. Med. Biol. Res. December 2020, 6(4): 689-696

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Disease Profile and Death Pattern among the Children Admitted in Rajshahi Medical College Hospital

TAJ Journal of Teachers Association ◽

10.3329/taj.v34i1.54906 ◽

2021 ◽

Vol 34 (1) ◽

pp. 55-62

Author(s):

Be Nazir Ahmmad ◽

Fazlur Rahman ◽

Naznin Parvin ◽

Md Shamsul Alam ◽

Shitangshu Banerjee ◽

...

Keyword(s):

Health Care ◽

Case Fatality Rate ◽

Age Groups ◽

Case Fatality ◽

Medical College Hospital ◽

Watery Diarrhea ◽

Fatality Rate ◽

College Hospital ◽

Under Five ◽

Medical College

Background: Rajshahi medical college hospital is a tertiary care teaching and referral center in the North-West part of Bangladesh. To assess the epidemiological trend in hospital admission, including morbidity and mortality pattern of illness in the pediatric population, it needs to develop effective health care planning, appropriate resource allocation, and integration of existing health care service facilities. Objective: To evaluate the diseases and deaths of children admitted in the department of pediatrics, Rajshahi medical college hospital, Rajshahi. Materials and methods: This is a retrospective study. The collected case records of all patients admitted in the department of pediatrics from 1st January 2017 to 31st December 2019 (3 years) were analyzed. Result: A total of 62000 children were admitted during the mentioned study period. All the patients were distributed into three age groups infant, under five, and more than five, contributing 22%, 27.5%, and 19%, respectively. Acute watery diarrhea (21%), hereditary hemolytic anemia (18%), bronchopneumonia (10.4%), acute gastritis (9.4%), and acute bronchiolitis and wheezy child (7.17%) were the top five diseases in each of the three years of admission. Among the total admitted patients, 1003 (1.61%) patients died. Infant, under five, and more than five age groups constitute 61.3%, 28.1%, and 15.1%, respectively. Encephalitis and fulminant hepatic failure found the top two diseases causing death with a case fatality rate was 61% and 43%, respectively. The next highest case fatality rate was found in acute leukemia (15%). Other common causes of death include meningitis, cerebral palsy with complications (7.5%), bronchopneumonia with complications (3.8%). Conclusion: An admission-related comprehensive evaluation of this study will help to understand the diseases and death patterns of a hospital, leading to the development of more effective planning and case management strategies. TAJ 2021; 34: No-1: 55-62

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Hotline for Exposure to Occupational Hazards

Handbook of Research on Developments in E-Health and Telemedicine ◽

10.4018/978-1-61520-670-4.ch038 ◽

2010 ◽

pp. 805-826

Author(s):

Ken Bleakley

Keyword(s):

Health Care ◽

Health Care Providers ◽

Call Center ◽

Medical Personnel ◽

Swine Flu ◽

Care Providers ◽

Source Information ◽

Safety Issues ◽

Department Of Health ◽

Advanced Information Technology

Health care providers, first responders and law enforcement professionals face serious safety issues when they find themselves exposed to health-threatening incidents on the job. Rapid, reliable and documented guidance by specially-trained medical personnel is essential to the safety of the exposed person and their contacts. Florida Hospital Centra Care and FONEMED, an accredited medical call center, offer a 24X7 hotline to provide counseling to employees who sustain an occupational exposure. Paper - based systems proved inadequate to handle sophisticated protocols using the compliance guidelines of the U.S. Department of Health & Human Services and Centers for Disease Control. Therefore, they developed advanced information technology for registered nurses to process the protocols, obtain source information, fully document all calls and transmit the reports immediately to the treating health care provider and other concerned parties. Nurses also have immediate access to advice from on-call occupational medicine physicians for unusual environmental exposures, pandemics such as H1N1 Flu, or bioterrorism issues. The Exposure Hotline has since become the backbone of a Swine Flu Hotline now serving the general public

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Awareness about human papilloma virus vaccine among medical students

Asian Journal of Medical Sciences ◽

10.3126/ajms.v7i4.14613 ◽

2016 ◽

Vol 7 (4) ◽

pp. 64-67 ◽

Cited By ~ 2

Author(s):

Snigdha Kamini ◽

Devi Madhavi Bhimarasetty

Keyword(s):

Health Care ◽

Cervical Cancer ◽

Medical Students ◽

Human Papilloma Virus ◽

Health Care Providers ◽

Hpv Vaccination ◽

Human Papilloma Virus Vaccine ◽

Care Providers ◽

Papilloma Virus ◽

Medical College

Background: Human papilloma virus is a causative agent of cervical cancer. Hence,vaccination against HPV is an important mode of primary prevention against cervical cancer. Two vaccines against HPV have been approved and recommended for use in India. However the availability of these vaccines is hardly known and seldom utilised even among the medical fraternity.Aims and Objectives: This study aims to find out the awareness about HPV vaccination among medical students of Andhra Medical College, India. Results of this study will help in assessing the need for awareness programs among health care professionals regarding this important public health issue. Materials and Methods: An observational descriptive study was conducted to know the awareness of HPV infection and vaccination among medical students of a government medical college at Visakhapatnam in Andhra Pradesh. A pretested questionnaire was administered to students of final MBBS Part 1 and final MBBS part 2. Results were analyzed in MS excel and the statistical significance of difference in knowledge between males and females was assessed. Results: Overall, the level of awareness reported was 54.5%. Females had slightly better knowledge than males. Students of final year Part 2 had better knowledge the Final year part 1. The most commonly cited source of information was medical education and the most important factor that deterred subjects from receiving/advising HPV vaccination was lack of knowledge. Conclusion: There exists a large gap in knowledge regarding HPV vaccination. Addressing this gap is necessary if we want to decrease the burden of cervical cancer in India. Medical students, health care providers should be sensitized first and then we should reach out to the public.Asian Journal of Medical Sciences Vol.7(4) 2016 64-67

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A cross sectional study to assess the operationalization of national tobacco control program in a tertiary level hospital of central India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20185140 ◽

2018 ◽

Vol 6 (1) ◽

pp. 119

Author(s):

Rupali Saroshe ◽

Satish Saroshe ◽

Sanjay Dixit

Keyword(s):

Health Care ◽

Tobacco Control ◽

Health Effects ◽

Service Providers ◽

Medical College Hospital ◽

Health Care Personnel ◽

Family Welfare ◽

Tertiary Level ◽

College Hospital ◽

Medical College

Background: To implement the Anti- Tobacco laws and to sensitize all stakeholders, The National Tobacco Control Programme (NTCP) was launched by the Ministry of Health and Family Welfare (MoHFW), Government of India in 2007- 08, during the 11th five year plan. This study aims to identify the level of the awareness of ill health effects of tobacco, the basic tenets of NTCP and COTPA among the hospital staff of the tertiary level medical college hospital (M.Y Hospital Indore) involved in the process.Methods: An analytical study. Was carried out in tertiary level medical college hospital among service providers involved in anti-tobacco cell using inter-personal interview of the service providers (Medical Officers, Staff Nurses, Health Care Personnel) using pre-designed pretested semi structured questionnaire based on the salient features of NTCP and provisions of COTPA- cigarettes and other tobacco products act, 2003.Results: Regarding the ill health effects of tobacco doctors had slightly better knowledge awareness than nurses. However, it was ironical that nurses had a slightly better awareness when it comes to NTCP. Doctors were better aware of new COTPA guidelines as compared to nurses. Thus, nurses had less knowledge about ill effects of tobacco consumption and new COTPA guidelines as compared to doctors.Conclusions: Although most of the health care personnel involved in operationalization of NTCP are aware of the basic tenets of NTCP, COTPA and ill health effects of tobacco there is a dire need of the refresher training of both the doctors and the nurses. Also this type of the present study should be contemplated on multi-centric basis on a larger scale for better data results.

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