scholarly journals Estimation of Anti-HBs Titer in Health Care Professionals of a Tertiary Care Centre of Southern Assam

2021 ◽  
Vol 8 (8) ◽  
pp. 510-515
Author(s):  
Debadatta Dhar Chanda ◽  
Atanu Chakravarty ◽  
Barnamoy Bhattacharjee
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Protective Level ◽  
Serum Samples ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Chewing Tobacco ◽  
Increased Risk

Background- Due to occupational exposure to blood, body fluids and sharps, the health care professionals are at increased risk of contracting the Hepatitis B virus infection than general population. To combat this, all the health care professionals must be immunized with protective level of anti-HBs but anti-HBs titer gradually wanes with passage of time and may be influenced by gender, smoking or chewing tobacco, diabetes mellitus etc. This study was thus carried out to find the percentage of health care professionals with protective titer of anti-HBs and find the association (if any) of low anti-HBs titer and factors like gender, smoking, diabetes mellitus and time elapsed post vaccination. Method- This cross-sectional study has been carried out with proper ethical clearance from May2018- September2019 in Serology section of VRDL under Department of Microbiology in a Medical College of Southern Assam on serum samples collected from 150 health care professionals vaccinated with 3 doses of recombinant HBsAg vaccine atleast 5years back. Anti-HBs IgG concentration was measured by conventional ELISA in multistandard mode. Result- Out of 150 participants,95 were males and 55 were females.27 participants smoked/chewed tobacco,8 had diabetes mellitus. Booster dose was received by 23. Protective level of anti-HBs IgG (>10 IU/ml) was found in 66% (98/150) of HCP only. Low anti-HBs titer has been found to be significantly associated with Diabetes mellitus (p–0.03) and passage of more than 10 years post primary vaccination(p-0.005) but no significant association has been found with gender, smoking and history of blood transfusion. Conclusion- HBsAg vaccine doesn’t impart everlasting protection. So, all HCP, especially those with co-morbidities should get their anti-HBs titer estimated after vaccination to check out for adequate seroconversion and attainment of protective titer. If found inadequate, they should go for repeat vaccination /booster doses. Keywords: Healthcare professionals, Vaccinated, Anti HBs IgG, Assam,

scholarly journals Assisted dying and voluntary euthanasia: awareness and perception among health care professionals in a tertiary care centre, South India

2020 ◽  
Vol 7 (6) ◽  
pp. 2280
Author(s):  
Ashutosh Kothari ◽  
K. C. Premarajan ◽  
Sethuramachandran Adinarayanan
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Voluntary Euthanasia ◽  
Assisted Dying ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Supreme Court Of India ◽  
The Supreme Court

Background: On March 2018, the supreme court of India adjudicated passive euthanasia legal which was termed as obsolete by Indian Council of Medical Research. There are varied opinions because of difference in terminologies used in the country. As per the current Indian legislations, the procedure of voluntary euthanasia and assisted dying is illegal. Hence, this study aims in understanding the awareness and perception towards the same.   Methods: A descriptive cross-sectional study was conducted among all the 369 health care professionals employed in the selected departments of a tertiary care institute during the study period. The questionnaire used was content validated and pre-tested before administering it to the participants. It consisted of five domains (in a five-point Likert scale) and were summarized as proportions.Results: Most of the doctors (64%) and nurses (59.3%) said that euthanasia is illegal in India. About one fourth of the responders encountered a situation where the patient asked for assisted dying or voluntary euthanasia. A total of 65.3% of the participants agreed that it is helping the patient to die and not killing them.Conclusions: The study demonstrated that the health care professionals had favourable responses for half of the statements. Re-looking into the verdict by the supreme court of India, standardising the terminologies and advocating for ‘advance medical directive’ would be welcoming steps in deciding the future of assisted dying/voluntary euthanasia in the country.

scholarly journals Understanding and Perceptions of Skin Donation and Skin Banking among Health Care Professionals – Tertiary Care Centre in Eastern India

2021 ◽  
Vol 04 (06) ◽  
Author(s):  
Mrs. Serma Subathra Arunachalam ◽  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Attitude Scale ◽  
Clear Understanding ◽  
Cross Sectional Survey ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Average Hospital ◽  
Skin Banking

Introduction: The skin is our body’s most diverse organ. Other organs, such as the kidneys and liver, could be impaired and somehow still function, but the loss of 40percent of someone’s skin can be fatal. In developing countries, burns led to the deaths of the majority of people. The study aimed to establish the relationship between medical professionals’ awareness and attitudes regarding skin donation and skin banking. Methods: This cross-sectional survey was conducted at the All India Institute of Medical Sciences, Bhubaneswar, AIIMS, Odisha, between August 2020 to November 2020. A total of 124 health care practitioners from AIIMS, BBSR responded to the survey questions. It is divided into five sections: Social and economic data; Skin donation awareness survey, and skin bank attitude scale. Results: Less than half of health care professionals, 53.74 %, reported a lack of awareness of skin donation, and 56.16 per cent said lack of understanding of skin bank. The fair, positive relationship prevailed among skin donation awareness, and then either attitude (r=0.36, P=0.01), and a similar relationship existed between skin banking awareness and attitude (r=0.32, P=0.01). According to the report’s findings, having a clear understanding of skin donation and skin banking leads to positive behaviours. Conclusion: In this review, health care professionals’ awareness of skin donation and skin banking is average. Hospital and nursing administrators should be actively involved in education programmes to enhance nurses’ education and increase awareness about skin donation and skin banking.

scholarly journals Study of thyroid dysfunction in type 2 diabetes mellitus

2020 ◽  
Vol 7 (12) ◽  
pp. 1815
Author(s):  
Mausam Jain ◽  
Pramod R. Jha ◽  
Gaurang Patel
Keyword(s):  
Diabetes Mellitus ◽  
Glycaemic Control ◽  
Thyroid Dysfunction ◽  
Tertiary Care ◽  
Type Ii Diabetes Mellitus ◽  
Diabetic Patients ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Long Duration

Background: Aim was to study prevalence of thyroid dysfunction in type II diabetes mellitus (T2DM) patients.Methods: The present study was a cross sectional observational study, which focused on cases of diabetes mellitus. Study was conducted in Departments of Medicine, SBKS MI & RC, a tertiary care centre for a period of 6 months. All the patients of T2DM were included. Total of 263 patients were enrolled which involved indoor, outpatient and diabetic clinic attending patients. A detailed history taking, clinical examination and relevant investigations (Hb%, Total count, platelet count, serum creatinine, FBS, PP2BS, HbA1C, S.TSH, F.T3 and F.T4). Appropriate statistical analytics were used and important correlations and conclusions were drawn.Results: A study of thyroid dysfunction (TD) in T2DM patients which included 263 diabetic patients, out of them 67 had thyroid dysfunction. Out of these 67 patients 43 were female and 24 were male. This suggests that female was more prone to thyroid dysfunction than males. Out of 67 TD patients, 42 were above the age of 50 year. So, as the age increases the prevalence of TD also increases thyroid dysfunction also depends on the glycaemic control of the patients. Out of 67 patients 22 patients had>8.0 HbA1C level. In our study we found that as the glycaemic control became poorer the prevalence of TD increase in hypothyroid but not in hyperthyroidism.Conclusions: Following conclusions were drawn from this study TD is more common in female than male, more after the age of 50 year, in T2DM patients. Hypothyroidism is more common with poor glycaemic control and long duration of T2DM patients. But for hyperthyroidism data which we evaluated was not significant and further conclusion bigger study is needed.

scholarly journals A Study of awareness, attitude and practice of pharmacovigilance among health care professionals in a tertiary care teaching hospital in Bareilly, India

2017 ◽  
Vol 6 (7) ◽  
pp. 1784
Author(s):  
Krishna Singh ◽  
Kauser Sayedda ◽  
Richa Bhardwaj ◽  
Neha Yadav ◽  
Quazi Shahir Ahmed
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Response Rate ◽  
Tertiary Care ◽  
Faculty Members ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Know How ◽  
Attitude And Practice ◽  
Knowledge And Attitude

Background: Awareness towards Pharmacovigilance among health professionals in any hospital is an important part of health care system. So, the present study was conducted to know the extent of awareness of Pharmacovigilance among health care professionals.Methods: A cross-sectional questionnaire based study about knowledge, attitude and practices towards adverse drugs reaction (ADRs) and Pharmacovigilance was carried out at Shri Ram Murti Smarak Institue of Medical Sciences, Bareilly (U.P). 153 questionnaires were distributed among the Post graduate students, faculties, interns, nurses and pharmacists. 2-3 days time was given to fill the questionnaire.Results: Out of 153 questionnaires distributed, 99 filled forms were turned up for evaluation. Hence, response rate was 64.70%. 73.33% PGs, 100% faculty members, 53.33% interns, 36% nurses and 18.75% pharmacists were aware of adverse drugs reactions (ADRs) and Pharmacovigilance. Regarding reporting of ADRs, 86.66% PGs, 91.66% faculties, 73.33% interns, 88% nurses and 81.25% pharmacists were agreed to report ADR as it is mandatory and related to increased patients’ safety. Regarding discouraging factors for practice of reporting ADRs, 20% PGs, 16.66% faculties, 80% interns, 40% nurses and 68.75% pharmacists found ADR forms difficult to be filled. According to 66% faculties, 80% PGs, 66.66% interns managing patients are more important than reporting ADRs while 93.75% nurses and 76% pharmacists did not know how to report and where to report.Conclusions: The results of our study indicate that the acceptable number of health-care professionals had a good knowledge and attitude towards pharmacovigilance. There was a huge gap between the ADR experienced, and ADR reported by the health-care professionals. So, there is need of conductance of CMEs, workshops and seminars related to pharmacovigilance for all heaith care professionals especially nurses and pharmacists so, that whole community can be benefitted.

scholarly journals Risco cardiovascular em usuários hipertensos da atenção primária à saúde

2018 ◽  
Vol 12 (5) ◽  
pp. 1303 ◽  
Author(s):  
Ludmilla Borges Santos ◽  
Wellington Luiz Lima ◽  
Josiane Maria Oliveira Souza ◽  
Marcia Cristina Da Silva Magro ◽  
Tayse Tâmara Paixão Duarte
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Cardiovascular Diseases ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Primary Health ◽  
Increased Risk ◽  
Diuretic Drugs ◽  
Insuficiencia Cardiaca

RESUMOObjetivo: identificar os fatores associados ao risco de doenças cardiovasculares em usuários da atenção primária à saúde (APS) hipertensos. Método: estudo quantitativo e transversal realizado com 115 usuários hipertensos cadastrados em uma unidade básica de saúde (UBS). Os dados foram registrados em questionáriosemiestruturado. Realizou-se análise descritiva e inferencial (teste t de Student e regressão logística multivariada). Valores p < 0,05 foram considerados significativos. Resultados: houve predomínio do sexo feminino (67,8%), idosos (> 60 anos) (66,1%), em uso contínuo de diuréticos (65,2%). Ao estratificar os usuários da APS de acordo com o risco para doenças cardiovasculares, observou-se que a maioria apresentou risco elevado (59,1%), risco médio (26,1%) e baixo risco (14,8%). Estão associados ao maior risco de eventos cardiovasculares os hipertensos com diabetes mellitus (DM) (p = 0,000), infarto agudo do miocárdio (IAM) (p = 0,000), insuficiência cardíaca congestiva (ICC) (p = 0,000) e aqueles em uso de diuréticos (p = 0,001). Conclusão: usuários da APS hipertensos com DM, IAM, ICC e em uso de diuréticos evoluíram com maior risco de evento cardiovascular. Nesse contexto, faz-se necessário proporcionar uma assistência integrada e pautada na prevenção não apenas para minimizar a ocorrência de complicações, mas principalmente para prolongar qualitativamente a vida dos usuários da APS hipertensos. Descritores: Hipertensão; Doenças Cardiovasculares; Atenção Primária à Saúde; Fatores de Risco; Consulta de Enfermagem; Assistência à Saúde.ABSTRACTObjective: to identify the factors associated with risk for cardiovascular diseases in hypertensive primary health care (PHC) users. Method: quantitative and cross-sectional study conducted with 115 hypertensive users enrolled in a Brazilian primary health center (UBS). Data were recorded in a semi-structured questionnaire. A descriptive and inferential analysis was performed (Student’s t-test and multivariate logistic regression). P values < 0.05 were regarded as significant. Results: there was predominance of women (67.8%), the elderly (> 60 years) (66.1%), continuous users of diuretic drugs (65.2%). By stratifying PHC users according to the risk for cardiovascular diseases, we observed that the majority showed high risk (59.1%), medium risk (26.1%), and low risk (14.8%). Hypertensive patients with diabetes mellitus (DM) (p = 0.000), acute myocardial infarction (AMI) (p = 0.000), congestive heart failure (CHF) (p = 0.000), and those using diuretic drugs (p = 0,001) are associated with an increased risk for cardiovascular events. Conclusion: hypertensive patients with DM, AMI, CHF, and those using diuretic drugs evolved with a greater risk for a cardiovascular event. In this context, there is a need for providing an integrated and preventive care based on prevention not only to minimize the occurrence of complications, but mainly to extend the life of hypertensive PHC users on a qualitative basis. Descriptors: Hypertension; Cardiovascular Diseases; Primary Health Care; Risk Factors; Office Nursing; Delivery of Health Care.                                                       RESUMENObjetivo: identificar los factores asociados con el riesgo de enfermedades cardiovasculares en usuarios de la atención primaria de salud (APS) hipertensos. Método: estudio cuantitativo y transversal realizado con 115 usuarios hipertensos inscritos en un centro de salud primaria (UBS) brasileño. Los datos se registraron en un cuestionario semi-estructurado. Se realizó un análisis descriptivo e inferencial (prueba t de Student y regresión logística multivariable). Los valores p < 0,05 se consideraron significativos. Resultados: hubo predominio de mujeres (67,8%), ancianos (> 60 años) (66,1%), usuarios continuos de diuréticos (65,2%). Al estratificar a usuarios de la APS de acuerdo con el riesgo de enfermedades cardiovasculares, observamos que la mayoría mostraba alto riesgo (59,1%), medio riesgo (26,1%) y bajo riesgo (14,8%). Los pacientes hipertensos con diabetes mellitus (DM) (p = 0,000), infarto agudo de miocardio (IAM) (p = 0,000), insuficiencia cardíaca congestiva (ICC) (p = 0,000) y aquellos que usan diuréticos (p = 0,001) están asociados con un mayor riesgo de eventos cardiovasculares. Conclusión: pacientes hipertensos con DM, IAM, ICC y aquellos que usan diuréticos evolucionaron con un mayor riesgo de evento cardiovascular. En este contexto, existe la necesidad de proporcionar una atención integrada y preventiva basada en la prevención no solo para minimizar la aparición de complicaciones, sino principalmente para extender la vida de los usuarios de la APS hipertensos sobre una base cualitativa. Descriptores: Hipertensión; Enfermedades Cardiovasculares; Atención Primaria de Salud; Factores de Riesgo; Enfermería de Consulta; Prestación de Atención de Salud.

scholarly journals Assessment of awareness towards pharmacovigilance programme of india and reporting of adverse drug reactions among nurses in a tertiary care hospital

2018 ◽  
Vol 7 (7) ◽  
pp. 1357
Author(s):  
Atul Jain ◽  
Arpita Singh ◽  
Ajay Kumar Verma ◽  
Manish Soni
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Care Hospital ◽  
Feedback Form ◽  
Cross Sectional ◽  
Reporting Practices ◽  
Adr Reporting ◽  
Proper Training ◽  
First Contact

Background: The success of PvPI depends upon spontaneous reporting of ADRs by health care professionals especially nurses as they are usually first contact persons for patients in case of ADRs after use of medicines. Underreporting of ADRs due to inadequate reporting culture among health care professionals is the main hindrance in the path of this programme. So, to assess the awareness, attitude and practices of nurses regarding PvPI and ADR reporting this study was undertaken.Methods: It was a cross-sectional, questionnaire-based study in which 130 nurses responded. The 12-items questionnaire feedback form provided by Indian Pharmacopoeia Commission (IPC) was used to assess the awareness of nurses towards pharmacovigilance programme and Adverse Drug Reaction (ADR) reporting practices.Results: After analysing the questionnaire, it was observed that, despite satisfactory level of awareness and interest of the nurses to participate in this programme, still there is meagre ADR reporting practices among the nurses.Conclusions: Lack of reporting culture and improper communication is the root of problem which should be overcome in future by proper training for patient safety.

scholarly journals A STUDY TO DOCUMENT LIFESTYLE ASSOCIATED RISK FACTORS FOR NON COMMUNICABLE DISEASES AMONG ADOLESCENTS

2020 ◽  
pp. 14-15
Author(s):  
Gunjan Jain ◽  
Jigisha Patadia ◽  
Praful Bambhroliya
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Low Income ◽  
Communicable Disease ◽  
Tertiary Care ◽  
Age Groups ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Primordial Prevention ◽  
Associated Risk Factors

The burden of morbidity and mortality from Non-Communicable disease has risen worldwide and is accelerating in low-income and middle-income countries. Lifestyle-associated risk factors among adolescent are rampantly increasing throughout the world. They place a tremendous demand on health care systems and social welfare, cause decreased productivity in the workplace, prolong disability and diminish resources within families. A life course approach to preventive efforts addressing NCDs and their risk factors and behaviors will improve child and adolescent health but also decrease lifetime health care costs. Nevertheless, those risk behaviors are initiated usually in the adolescent’s age groups which are continued to adult. Therefore, this group is important target for primordial prevention. This study is a cross-sectional study which aims to determine the prevalence of risk factors among adolescents attending the tertiary care centre in Surat, district of Gujarat, conducted in March 2019 to June 2019. A total of 498 adolescents were screened using a structured questionnaire. The study documented that improper diet is the major risk factor while habits like smoking and alcohol consumption is fairly uncommon. Study recommends creating awareness among adolescents and promoting healthier lifestyle habits.

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