scholarly journals Study of factors influencing central corneal thickness among patients attending ophthalmology outpatient department at a tertiary care center in North Kerala

2016 ◽  
Vol 28 (3) ◽  
pp. 193
Author(s):  
LathaN Vadakkemadam ◽  
VivekOommen Varghese ◽  
Shamin Jacob ◽  
KK Praveena ◽  
Ratheesh Raj ◽  
...  
Keyword(s):  
Central Corneal Thickness ◽  
Care Center ◽  
Corneal Thickness ◽  
Tertiary Care ◽  
Outpatient Department ◽  
Tertiary Care Center ◽  
Factors Influencing

scholarly journals Usefulness of the Non-Contact Tonometry in Out-Patient Screening

2016 ◽  
Vol 15 (2) ◽  
Author(s):  
Satheesh Solomon T Selvin ◽  
Chris Elsa Samson Jacob ◽  
Thomas Kuriakose
Keyword(s):  
Central Corneal Thickness ◽  
Care Center ◽  
Corneal Thickness ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Applanation Tonometry ◽  
Cross Sectional ◽  
Significant Difference ◽  
Iop Measurement ◽  
The Mean

Purpose: Goldmann applanation tonometry (GAT) is considered the gold standard for Intraocular Pressure (IOP) measurement. It has the disadvantages of being a contact device, need for a slit-lamp, non-portability and need of a skilled examiner. Many hospitals are using a Non Contact Tonometry (NCT) as a screening device to save clinician time, however the usefulness is not proved in terms of reliability. This study was aimed to determine the usefulness of the Air-puff tonometer (TONOREF NIDEK II, NIDEK CO., LTD., JAPAN) over a GAT in a tertiary care center. Design: Cross-sectional Study Methods: This was a cross-sectional, non interventional observational study conducted on 224 eyes (right eye) from 224 patients. All patients underwent the IOP measurement with both methods and a central corneal thickness (CCT) measured. The data was analyzed using SPSS 20.0 software. Results: The mean age of the patients was 40.3±11.29 years. There was a statistically significant difference (p<0.001) between the mean NCT and GAT readings which persisted even after correction for central corneal thickness. The correlation between NCT and GAT using Pearson’s correlation coefficient was strong irrespective of the corrections for their corneal thickness (r = 0.751 and 0.718 for uncorrected and corrected values respectively). The correlation of the individual clinicians for the readings varied from moderate to strong. The ROC curve showed the best sensitivity and specificity to occur at around 13 to 14 mmHg. Conclusion: NCT seems to overestimate the IOP at low ranges as compared to the GAT and underestimate at higher ranges. The crossover of the values is seen between 12 to 13 mmHg.  The clinician should do an individualized analysis of his/her GAT measurements to the readings of the NCT machine at the clinic to obtain clinician specific nomogram. 

scholarly journals Safe otorhinolaryngological outpatient practices in COVID-19 in Indian scenarios

2021 ◽  
Vol 4 (2) ◽  
pp. 46-49
Author(s):  
Zafar Saleem ◽  
Amit Kumar Rana ◽  
Shivesh Kumar
Keyword(s):  
Close Contact ◽  
Care Center ◽  
Tertiary Care ◽  
Outpatient Department ◽  
Tertiary Care Center ◽  
Corona Virus ◽  
The World ◽  
Low Levels

The 2019 novel corona virus has created havoc across the world for whole of last year and still doing so with its continuing second and third waves. It is hypothesized that SARS CoV 2 virus can spread by sneezing, coughing, and even talking to close contact (less than 2 meters) in as little time as few minutes. This exercise was done in patients who attended the Otorhinolaryngological outpatient department from July 2020 to December 20 in a tertiary care center in Lucknow. A total of 1556 patients were included in this study. Keeping this is mind, after careful discussion we propose a OPD consultation protocol which would not only be useful during this pandemic but even after the peaks have passed and COVID-19 transmission comes down to low levels. This protocol if followed properly would prevent transmission of many such possible infections in future as well.

scholarly journals Outcomes and factors influencing outcomes of critically ill HIV-positive patients in a tertiary care center in South India

2019 ◽  
Vol 8 (1) ◽  
pp. 97
Author(s):  
I Ramya ◽  
Shubankar Mitra ◽  
Shilpa D'Sa ◽  
Sowmya Sathyendra ◽  
Anand Zachariah ◽  
...  
Keyword(s):  
Critically Ill ◽  
South India ◽  
Care Center ◽  
Tertiary Care ◽  
Hiv Positive ◽  
Tertiary Care Center ◽  
Factors Influencing

scholarly journals Etiological pattern of problems in an orthopaedics outpatient department of a tertiary care center

2019 ◽  
Vol 5 (6) ◽  
pp. 1118 ◽  
Author(s):  
Jairam D. Jagiasi ◽  
Tushar Ubale ◽  
Harsh Marfatiya ◽  
Abhijit More ◽  
Dipit Sahu
Keyword(s):  
Upper Limb ◽  
Lower Limb ◽  
Tertiary Care Hospital ◽  
Care Center ◽  
Tertiary Care ◽  
Outpatient Department ◽  
Care Hospital ◽  
Tertiary Care Center ◽  
Degenerative Spine ◽  
Number Of Patients

<p class="abstract"><strong>Background:</strong> Outpatient orthopaedics department of a tertiary care hospital sees large number of patients. However, the funds and resources are limited and have to be judiciously distributed. This study aims to study the etiological pattern of different patients that present to the outpatient department (OPD).</p><p class="abstract"><strong>Methods:</strong> Nine consecutive OPD’s data was studied for the etiology of the different diagnosis of new patients presenting to the OPD. Etiology of various diagnoses was studied as a percentage of the total patients.<strong></strong></p><p class="abstract"><strong>Results:</strong> Trauma of upper limb and lower limb formed a higher percentage of the total patients. Degenerative spine was more common than traumatic spine.</p><p class="abstract"><strong>Conclusions:</strong> Traumatic conditions of the lower and upper limb make up majority of the cases. Degenerative spine is more common than the traumatic etiology.</p>

scholarly journals Geriatric morbidity pattern in a tertiary care center in the hilly state of Sikkim

2018 ◽  
Vol 5 (3) ◽  
pp. 1010
Author(s):  
Kulwant Singh ◽  
Sowmya Dey
Keyword(s):  
Geriatric Patients ◽  
Care Center ◽  
Tertiary Care ◽  
Outpatient Department ◽  
Care Hospital ◽  
Tertiary Care Center ◽  
Organ Systems ◽  
Wide Range ◽  
Specific Organ ◽  
Case Files

Background: This study was done to find out geriatric morbidity pattern in a tertiary care hospital in the hilly state of Sikkim.Methods: The study was conducted in Central Referral Hospital, a tertiary care center, in the hilly state of Sikkim, over a period of three months. All geriatric patients, 60 years or above, were included in the study. Morbidity affecting specific organ systems was classified based on the outpatient department (OPD) visited and case files of those patients.Results: 215 elderly patients visited outpatient department during the study period. Morbidity related to eyes was most common followed by cardiovascular, gastrointestinal and respiratory systems.Conclusions: Our study compares well with range of distribution of complaints in other studies. However, there is a wide range of proportionate distribution of different morbidities in different geographic areas of our country. Hence, before deciding about resource allocation for geriatric health facilities related to different specialties, distribution of morbidities should be determined for that region.

scholarly journals CAUSES OF VISUAL HANDICAP AMONGST PATIENTS ATTENDING OUTPATIENT DEPARTMENT OF A TERTIARY CARE CENTER FOR VISUAL HANDICAP CERTIFICATE

2020 ◽  
pp. 62-64
Author(s):  
Bhavika Patel ◽  
Wilhemina Asari ◽  
Chandni Sinojia
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Visual Outcome ◽  
Outpatient Department ◽  
Tertiary Care Center ◽  
Visual Disability ◽  
Visual Rehabilitation ◽  
Phthisis Bulbi ◽  
Corneal Opacities ◽  
One Year

PURPOSE- To analyse various ocular diseases leading to permanent visual handicap in a district based on visual handicap certification issued by ophthalmologist at tertiary care center after verification of the domicile of the person. METHOD – This is a retrospective analysis of patients attending outpatient department of tertiary care center for visual handicap certification. It was done over the period of one year with total recruitment of 311 patients. All patients were examined for best corrected visual acuity according to Snellen’s chart, anterior and posterior segment examination. Ultrasonography and/or Optical Coherence Tomography and/or electroretinography / visual evoked potential was done in selected cases. After diagnosis, percentage of blindness was determined according to the categories of visual disability and blindness certificate was issued. RESULT- Maximum of the certified visually disabled individuals are of 21- 30 years (73 patients, 23.47%). 212 patients were males and 99 were females. Visual disability of 100% was seen in 258 cases. Retinitis Pigmentosa was the most common cause seen in 67(21.54%) cases. Other major causes include congenital ocular malformation(16.40%) optic atrophy(13.83%), phthisis bulbi (8.68%), corneal opacities(8.36%), glaucoma(6.75%). CONCLUSION- The burden of the blindness can be decreased by public educationand genetic counselling regarding common and preventable causes of blindness, as early diagnosis, treatment and visual rehabilitation can help to improve visual outcome and ultimately visual handicap in the society for the better future.

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