scholarly journals Switching of antihypertensive drugs at tertiary care government hospital, Hyderabad, India: A cross-sectional retrospective investigation

2017 ◽  
Vol 49 (6) ◽  
pp. 438
Author(s):  
DineshKumar Bharatraj ◽  
Varsha Varakantham ◽  
AshokKumar Kurakula Sailoo ◽  
Venkaiah Kodali
Keyword(s):  
Antihypertensive Drugs ◽  
Tertiary Care ◽  
Government Hospital ◽  
Cross Sectional ◽  
Retrospective Investigation

A STUDY OF CORPORATE SOCIAL RESPONSIBILITY RESOURCES IN A TERTIARY CARE GOVERNMENT HOSPITAL

2021 ◽  
pp. 46-48
Author(s):  
Nitin Dutt Bhardwaj ◽  
Amit Kumar ◽  
Supriya Singh ◽  
John Paul G. Momin
Keyword(s):  
Corporate Social Responsibility ◽  
Social Responsibility ◽  
Tertiary Care ◽  
Budget Allocation ◽  
Paediatric Oncology ◽  
Government Hospital ◽  
Good Source ◽  
Cross Sectional ◽  
Burn Unit ◽  
Corporate Social

Aim: To study resources under corporate social responsibility of a tertiary care government hospital. Objectives: To identify revenue resources and identify resources under corporate social responsibility. Methodology: The study was conducted in tertiary care government hospital. It was a cross sectional, observational and descriptive type of study. Duration of study was 4 weeks. The data was collected by observational checklist. Parameters taken were various sources of revenue and various resources under CSR. Total Results: funds received under CSR for 2019 was 27 crore 99 lakh 85 thousand [Power Grid (48.73%), UPPCL (40.16%), Helping Hands (10.68%), State Bank of India (0.43%).] The funds received for doss house (48.73%), Burn unit (40.16%) and Paediatric oncology building (10.68%). Conclusion: CSR is a good source for non-patient revenue generation. CSR should be further explored in order to meet additional requirements not catered under routine budget allocation.

scholarly journals An observational study on patient compliance and adverse drug reactions of antihypertensives drugs in a tertiary care center of Bihar

2021 ◽  
Vol 6 (4) ◽  
pp. 190-193
Author(s):  
Mrityunjay Kumar Pandit ◽  
Kumar Gaurav ◽  
Jeetendra Kumar
Keyword(s):  
Blood Pressure ◽  
Combination Therapy ◽  
Antihypertensive Drugs ◽  
Care Center ◽  
Adult Population ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
High Dose ◽  
Cross Sectional ◽  
Institutional Ethics

Hypertension is among the most common non-communicable and lifestyle disease in our country that affects adult population of both the genders from all socio-economic backgrounds and urban and rural population. In-spite of this, early diagnosis and appropriate treatment are suboptimal. Adherence of prescribed treatment has been studied in patients of hypertension in this study. : An observational and cross-sectional study was conducted in the Department of Pharmacology, Jawahar Lal Nehru Medical College and Hospital, Bhagalpur, Bihar. Prior to the initiation of the study, clearance was obtained from the Institutional Ethics Committee. Study period was between January 2021 and June 2021.A predesigned pretested interview schedule was used to collect the data from the 247 study participants. This schedule contained information related to socio-demographic variables, comorbidity, a format to assess the compliance to antihypertensive drugs prescribed and any adverse event. : A significant improvement in maintain optimal in blood pressure was observed in patients treated with one pill per day as compared to patients prescribed with two and three pills per day. Compliance was significantly better in patients in combination therapy as compared to monotherapy. : Low dose combination therapy has been stated to be more effective than high dose monotherapy in controlling blood pressure. It shows better compliance and lesser incidence of side-effects.

scholarly journals Timely referral and safe transport of neonates admitted to neonatal intensive care unit of tertiary care government hospital of Agra district: a cross sectional study

2019 ◽  
Vol 6 (5) ◽  
pp. 2163
Author(s):  
Rudresh Negi ◽  
Renu Agrawal ◽  
Sunil K. Kaushal ◽  
Sunil K. Misra
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Government Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mean Values ◽  
District Hospitals ◽  
Safe Transport ◽  
Timely Referral ◽  
Direct Referral

Background: Timely referral and safe transport form a crucial link for the survival and safety of sick newborn. Thus the study aimed at assessing referral and transport of sick neonates admitted to NICU of a tertiary care government hospital and the factors associated with direct referral and safe final transport.Methods: A hospital based cross-sectional study was carried out in among 450 neonates and was based on face to face interview with caregivers. The data was analyzed using proportions and mean values Chi square test of significance and independent t test were appropriately applied and p<0.05 was taken to be statistically significant. Odds ratios were calculated for dichotomous variables.Results: 72.6% of high risk pregnancies were transferred timely in utero to district hospitals. Around two thirds (65.8%) of neonates were referred by doctors. Treatment during transportation was administered to 29.6% of the neonates. 50.2% of neonates have used the services of an ambulance at some point of time during their travel. Highly significant association of direct referral was observed with earlier age at admission (2.3 days), early development of neonatal symptoms (1.45 days), lesser gestational age (33.1 weeks) and lesser total distance travelled (15.7 km). The odds of final transport of newborns in ambulance was significantly more in males (OR=1.5), rural residents (OR=1.5) and registered pregnancies (OR=4.3).Conclusions: Wide variations remain in neonatal referral and transport with some glaring gaps which need to be adequately addressed.

scholarly journals Patterns of use of drugs in hypertension in geriatric patients in the department of medicine at tertiary care hospital of Nepal.

2020 ◽  
Vol 5 (3) ◽  
pp. 1155-1160
Author(s):  
Binod Raut ◽  
Anjan Khadka
Keyword(s):  
Combination Therapy ◽  
Calcium Channel ◽  
Antihypertensive Drug ◽  
Calcium Channel Blockers ◽  
Geriatric Patients ◽  
Antihypertensive Drugs ◽  
Tertiary Care ◽  
Channel Blockers ◽  
Care Hospital ◽  
Cross Sectional

Introduction: In Nepal, the prevalence of hypertensive in elderly population is 41.7% aged 65 years or more.  Hypertension increases with age leading to arterial stiffness and endothelial dysfunction. The prevalence of hypertension is 20% of urban populations. Blood pressure control with the use of antihypertensive drugs reduces cardiovascular complications in geriatric patients. Objectives: The objective of our study is to know  the various patterns of drugs used in geriatrics hypertensive patient along with their co-morbidities and to know  the most commonly used antihypertensive drug in geriatric patient. Methodology: It was a hospital based cross sectional study involving 130 patients based on non-probability sampling. The study involved the hypertensive elderly patients of age > 65 years prescribed with antihypertensive drugs. Data were collected from patients attending outpatient  department of medicine .    Medical and nursing records were analyzed for patient’s characteristics (e.g. age, gender), systolic and diastolic BP readings, number of drugs, monotherapy, combination therapy, co morbidities. Data were analysed by using SPSS version 20. Results: The total 130 geriatric patients under treatment with antihypertensive drugs were included, in which 55.38% were male and 44.62% were female. The total numbers of antihypertensive drugs prescribed were 212 either as monotherapy or as a component of a combination therapy. The average number of drugs prescribed per patient was found to be 1.66. Among these drugs 56.92% were prescribed as monotherapy,26.92% were prescribed as two drugs combination therapy,12.30% were prescribed as three drugs combination and 3.84% were prescribed as four drugs combination therapy. calcium channel blockers (amlodipine )was the most commonly prescribed antihypertensive. Conclusion: The study showed male patient were more predominant hypertensive compare to female. calcium channel blockers group of drugs in which amlodipine was the most commonly prescribed antihypertensive drug and more than half of the patients were in monotherapy.

scholarly journals Pattern of use of anti-hypertensive drugs amongst hypertensive patients in a tertiary care hospital: a cross sectional, observational study

2019 ◽  
Vol 9 (1) ◽  
pp. 89
Author(s):  
Sharmin Khan ◽  
Ram N. Maiti ◽  
Sekhar Mandal
Keyword(s):  
Observational Study ◽  
Calcium Channel ◽  
Treatment Guidelines ◽  
Antihypertensive Drugs ◽  
Tertiary Care ◽  
Renal Diseases ◽  
National Committee ◽  
Care Hospital ◽  
Cross Sectional ◽  
Hypertensive Patients

Background: Hypertension is one of the primary modifiable risk factors for cardiac and renal diseases and is the single most important risk factor for stroke. Despite different guidelines for management of hypertension like Joint National Committee, British Hypertension Society, National Institute for Health and Care Excellence; there are still the clouds of controversy. The objective of the study was to evaluate the prescribing pattern of antihypertensive drugs among the patients attending medicine outpatient department of a tertiary care teaching hospitalMethods: A cross-sectional, observational study was conducted in our hospital over a period of six months. Relevant information was collected from medical records of 209 hypertensive patients fulfilling inclusion criteria. The collected data were sorted and analyzed.Results: Out of 209 patients, maximum were of age group of 45-65 years (55.02%). 115 (55.02%) were male and 94 (44.97%) were female. Diabetes mellitus (24.4%) was the most common associated disease with hypertension. Most of the patients had received single antihypertensive drugs (49.28%). Among the monotherapy category calcium channel blocker (82.78%) was the most commonly prescribed antihypertensive drug class followed by angiotensin receptor blocker (36.36%). Amlodipine (81.82%) was the most common among calcium channel blockers. The most frequent fixed drug combination prescribed consisted of amlodipine and atenolol. Most of the drugs were prescribed in generic name (90.9%).Conclusions: The treatment pattern, in general, conformed to standard treatment guidelines.

A STUDY ON SOCIODEMOGRAPHIC PROFILE OF PATIENTS OF INTESTINA OBSTRUCTION IN DR. SUSHEELA TIWARI GOVERNMENT HOSPITAL, HALDWANI

2021 ◽  
pp. 4-6
Author(s):  
Prateek Shakya ◽  
Rajeev Kumar Singh ◽  
Deepak Goyal
Keyword(s):  
Intestinal Obstruction ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Abdominal Tuberculosis ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Age Group ◽  
Government Hospital ◽  
Cross Sectional ◽  
Sociodemographic Profile

Background/Aim: This study was aimed to provide a sociodemographic prole of intestinal obstruction in a tertiary care hospital in Kumaun region of Uttarakhand, India. Materials and Methods: This was a cross-sectional study of patients admitted in our hospital with a diagnosis of intestinal obstruction between the years 2019 and 2020 at Dr. Susheela Tiwari Government Hospital, Haldwani, Uttarakhand. The study comprised of 250 patients. Results: The commonest age group affected was 18-30 years. In our patients, the main cause of obstruction was adhesions followed by abdominal tuberculosis with MALIGNANCY coming third. Conservative management was advocated in 72 patients while the rest underwent surgery. Conclusion: Adhesion was the main etiology in Intestinal Obstruction. The odds of malignant bowel obstruction are increasing in the proportion of Intestinal Obstruction. There were some differences towards the etiologic spectrum compared with western countries.

A STUDY ON UNIT COST OF DIET IN A TERTIARY CARE GOVERNMENT HOSPITAL

2021 ◽  
pp. 52-54
Author(s):  
Nitin Dutt Bhardwaj ◽  
John Paul G. Momin ◽  
Supriya Singh ◽  
Amit Kumar
Keyword(s):  
Indirect Cost ◽  
Direct Cost ◽  
Unit Cost ◽  
Tertiary Care ◽  
High Protein Diet ◽  
Normal Diet ◽  
Government Hospital ◽  
Cross Sectional ◽  
Total Cost ◽  
Diet Cost

Aim:To study the diet cost per meal per patient admitted in a Tertiary Care Government Hospital. Objectives:To estimate direct cost, indirect cost and total unit cost of various types of diets. Methodology: It was a cross sectional, observational and descriptive type of study conducted in a tertiary care government hospital over a period of 4 weeks. Results: It was observed that the total cost of Normal diet was ₹122.8 per day per diet and ₹130.5 per day per diet for high protein diet.

FACTORS INFLUENCING JOB SATISFACTION OF NURSES IN PUBLIC AND PRIVATE SECTOR'S HOSPITALS: A CROSS SECTIONAL STUDY

2018 ◽  
Vol 8 (3) ◽  
pp. 147-151
Author(s):  
Habib Ullah ◽  
Sehrish A. ◽  
Anwar CH ◽  
Meerub . ◽  
Saleem M Rana
Keyword(s):  
Job Satisfaction ◽  
Service Delivery ◽  
Private Sector ◽  
Private Hospital ◽  
Tertiary Care ◽  
Working Environment ◽  
Hospital Nurses ◽  
Government Hospital ◽  
Cross Sectional ◽  
Public And Private

Background: Human resource works as an engine to provide sustainable service delivery. An individual's perception in the organization plays a vital role in job satisfaction. In Health Care Nurse's job satisfaction in their jobs determines whether their roles are fulfilled towards service delivery for their clients of various communities. Better performance has been directly related with organizational working environment, social and financial aspects of the job are also important factors. Methods: A cross sectional descriptive study was carried out. 100 nursing officers working in two tertiary care hospitals (50 from each) was randomly selected from age group 22 to 60 years. The data was collected by using a self-administered structured questionnaire and was analyzed statistically to compare both the variables by using SPSS version 20. Results: Pay is the most important factor that leads to job satisfaction. Majority of nurses from government hospital are moderately satisfied from their pay scales only 2% were observed satisfied working in private hospital. Government hospital nurses were more satisfied (82%) with their job due to job security as compared to private hospital nurses. Conclusion: The study developed the significant differences in the job satisfaction of nursing officers between public and private sector hospitals. Workload, professional support, training arrangement, and working environment found main factors that influence job satisfaction. It is evident from the study that the nurses working in Public sectors are more satisfied than in Private sector.

scholarly journals Amlodipine-Induced Pedal Edema and Its Relation to Other Variables in Patients at a Tertiary Level Hospital of Kathmandu, Nepal

2018 ◽  
Vol 35 (2) ◽  
pp. 51-55
Author(s):  
Sitaram Khadka ◽  
Rinku Joshi ◽  
Dhan Bahadur Shrestha ◽  
Drishti Shah ◽  
Niroj Bhandari ◽  
...  
Keyword(s):  
Antihypertensive Drugs ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Antihypertensive Medications ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Dose Combination ◽  
Pedal Edema

Background: Vasodilatory edema is a frequently encountered side effect among hypertensive patients using antihypertensive drugs. This dose-dependent adverse effect is seen more commonly with amlodipine, so low-dose combination therapy is often used and preferred in practice. Pedal edema following use of amlodipine is scarcely studied in Nepalese population so far. Objectives: To find out the prevalence of amlodipine-associated pedal edema and its relation with other variables among patients presenting to a tertiary care center of Kathmandu, Nepal. Methods: A prospective cross-sectional study was conducted among hypertensive patients using amlodipine in combination with or without other antihypertensive medications under regular follow-up in an outpatient department of internal medicine of Shree Birendra Hospital, Kathmandu, Nepal, during the 7-month period from September 2017 to March 2018. The prevalence of pedal edema and its relation with amlodipine dose, duration, and other factors were studied using χ2 test and logistic regression using SPSS version 22. Results: A total of 505 patients were observed during the study period, with the mean age of the population being 61.5 ± 13.4 years. Among the cases studied, edema was present in 79 (15.6%) cases. Use of amlodipine longer than 5 years was 21.65 (confidence interval [CI] = 9.575-48.970, P ˂ .001) times more likely to exhibit pedal edema; similarly, there was 2.149 (CI = 1.209-3.820, P = .009) times higher risk of having pedal edema in hypertensive individuals with other comorbidities. Increasing the dose of amlodipine has increased the likelihood of having pedal edema, but it is not statistically significant (odds ratio = 2.804, CI = 0.423-18.584, P = .285). Conclusion and Relevance: Significant number of hypertensive patients using amlodipine developed pedal edema. Likelihood of vasodilatory edema increases with the presence of comorbidities, higher dose, along with longer duration of amlodipine use.

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