scholarly journals Assessment of self-reported adherence to ART and patient's virological/CD4 response in a tertiary care clinic and government free ART clinic

2021 ◽  
Vol 42 (1) ◽  
pp. 62
Author(s):  
AtulK Patel ◽  
Rushin Patel ◽  
Amee Pandya ◽  
KetanK Patel ◽  
Supriya Malhotra
Keyword(s):  
Tertiary Care ◽  
Care Clinic

scholarly journals Acromegaly and the information gap: patient perceptions of the journey from primary to tertiary care

2020 ◽  
Vol 9 (10) ◽  
pp. 971-977
Author(s):  
Hei Yi Vivian Pak ◽  
Andrew Lansdown ◽  
Peter Taylor ◽  
Dafydd Aled Rees ◽  
John Stephen Davies ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Rare Condition ◽  
Structured Interview ◽  
Online Resources ◽  
Care Clinic ◽  
Tertiary Centre ◽  
Information Gap ◽  
Long Term Impact ◽  
A Prospective Study ◽  
Patient Relationships

Objective Acromegaly is a rare condition and there is often a long path to diagnosis for many patients. We sought to explore patient’s perceptions and understanding of acromegaly, to examine the quality of communication and find gaps in the information provided at diagnosis. Design A prospective study using qualitative research methodology and grounded theory. A semi-structured interview was conducted with 18 patients treated for acromegaly in a single tertiary centre and verbatim transcripts were thematically analysed for overarching themes. Results Eighteen patients with acromegaly were interviewed. The mean age of participants was 52 (range 30–72). Four overarching themes emerged; (1) Patients rely on online resources to understand acromegaly in the time between diagnosis and tertiary care clinic; (2) There is not enough support available for patients; (3) Patients have a basic understanding of acromegaly and associated conditions, but the long-term impact is underestimated; and (4) Patients initially felt intimidated by the multidisciplinary team panel, but overall found it useful. Conclusion Acromegalic patients have a strong need for information at the point of initial diagnosis, in particular online resources and interaction with other experienced patients. Wider dissemination of patient educational resources into primary and secondary care settings may improve overall patient satisfaction, treatment adherence and subsequent health care provider–patient relationships.

scholarly journals The Prevalence of Root Fractures among Patients Visiting a Specialised Tertiary Care Dental Care Clinic

2018 ◽  
Vol 1 (12) ◽  
pp. 377-381
Author(s):  
Savita Sharma ◽  
Abhey Chowdhry
Keyword(s):  
Dental Care ◽  
Tertiary Care ◽  
T Test ◽  
Endodontic Treatment ◽  
Endodontically Treated Teeth ◽  
Care Clinic ◽  
Root Fracture ◽  
Vertical Fracture ◽  
Study Population ◽  
Root Fractures

INTRODUCTION: Following endodontic therapy, the development of root fracture(s) is considered to be a risk factor. It can be diagnosed accurately with the help of various radiographic aids.AIM: To assess the prevalence of horizontal and vertical root fractures among endodontically treated teeth among patients visiting a specialised tertiary care dental care clinic.METHODOLOGY: Patients suspected of having root fracture (due to endodontic treatment or non-endodontic treatment) were confirmed with the help of radiographic aids (IOPAR, OPG and occlusal radiographs). Root fractures due to endodontic treatment were then classified as horizontal and vertical root factures and analysed using the student’s t-test, ANOVA and odd’s ratio (OR). Data was analysed using SPSS version 21.0RESULTS: The study population comprised of 383 subjects. Males (207, 54%) formed a majority of the study population. Majority of fractures were seen in females [(162, 58.5%), endodontically treated teeth], while a slightly increased prevalence was seen among males (92, 86.8%) in non-endodontically treated teeth. A total of 277(72.3%) teeth were endodontically treated [155(55.9%) horizontal and 122(44.1%) vertical fracture], while 106(27.7%) were 155 non-endodontically treated teeth [63(59.4%) horizontal and 43(40.6%) vertical fracture]. A significance difference between horizontal and vertical root fractures [p=.005(t-test), p=.0025(ANOVA)] was seen. Odd’s ratio analysis revealed that horizontal fractures (OR=2.2) were more prone to develop as compared to vertical fractures.CONCLUSION: Owing to the fact that endodontically treated teeth are more brittle as compared to non-endodontically treated teeth, it is advised that the dental clinician should closely routinely follow- up endodontically treated teeth for signs of root fracture and confirm with a radiographical aid when such fractures are suspected.

Pediatric ocular injuries: a 3-year follow-up study of patients presenting to a tertiary care clinic in Canada

2019 ◽  
Vol 23 (4) ◽  
pp. e16
Author(s):  
Cyril Archambault ◽  
Assia Mekliche ◽  
Jordan Isenberg ◽  
Patrick Hamel ◽  
Rosanne Superstein
Keyword(s):  
Tertiary Care ◽  
Care Clinic ◽  
Follow Up Study ◽  
Ocular Injuries

scholarly journals Prevalence and predictors of airflow obstruction in an HIV tertiary care clinic in Montreal, Canada: a cross‐sectional study

HIV Medicine ◽  
2019 ◽  
Vol 20 (3) ◽  
pp. 192-201 ◽  
Author(s):  
CT Costiniuk ◽  
R Nitulescu ◽  
Z Saneei ◽  
N Wasef ◽  
S Salahuddin ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Airflow Obstruction ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Clinic

Mortality in a cohort of chronically fatigued patients

2006 ◽  
Vol 36 (9) ◽  
pp. 1301-1306 ◽  
Author(s):  
WAYNE R. SMITH ◽  
CAROLYN NOONAN ◽  
DEDRA BUCHWALD
Keyword(s):  
Tertiary Care ◽  
Chronic Fatigue ◽  
Care Clinic ◽  
Death Rates ◽  
Fatigue Syndrome ◽  
All Cause Mortality ◽  
Control And Prevention ◽  
Table Analysis ◽  
History Of ◽  
The Difference

Background. Comprehensive studies of mortality among patients with chronic fatigue (CF) and chronic fatigue syndrome (CFS) have not been published, but several sources suggest that CFS is associated with an elevated risk for suicide.Method. Data on 1201 chronically fatigued patients followed in a university-affiliated tertiary-care clinic for up to 14 years were submitted to the Center for Disease Control and Prevention (CDC) National Death Index (NDI) to evaluate all-cause and suicide-caused death rates against standardized mortality rates (SMRs). We used Life Table Analysis to examine the influence of sex and diagnoses of CFS and depression.Results. All-cause mortality in chronically fatigued patients was no higher than expected, but suicide-caused death rates were more than eight times higher than in the US general population. The significant elevation in the SMR of suicide was restricted to those who did not meet criteria for CFS [SMRCF=14·2, 95% confidence interval (CI) 5·7–29·3 versus SMRCFS=3·6, 95% CI 0·4–12·9]. Among chronically fatigued patients who did not meet CFS criteria, those with a lifetime history of major depression (MD) had higher suicide-caused death rates than among their non-depressed counterparts (SMRMD=19·1, 95% CI 7·0–41·5 versus SMRNMD=5·6, 95% CI 0·1–31·4), although the difference was not significant.Conclusions. CFS does not appear to be associated with increased all-cause mortality or suicide rates. Clinicians, however, should carefully evaluate patients with CF for depression and suicidality.

Sign in / Sign up

Export Citation Format

Share Document