Self-Medication Practices among MBBS students in North Indian Medical College

2021 ◽  
pp. 2653-2658
Author(s):  
Ranjodh Jeet Singh ◽  
Kanika Kohli
Keyword(s):  
Tertiary Care ◽  
North India ◽  
Care Hospital ◽  
Self Medication ◽  
Combination Drug ◽  
Time Saving ◽  
Cross Sectional ◽  
Advantages And Disadvantages ◽  
Study Results ◽  
Second Year

Background: Self-medication is defined as selection and use of medicines by individuals to treat self-recognized or self-diagnosed conditions or symptoms. Self-medication can lead to various health problems like adverse drug reactions, prolonged suffering, and drug-dependence and increase resistance among various pathogens. Very few studies have evaluated its pattern and prevalence in physiotherapy students. Material and Methods: Study setting: A cross-sectional questionnaire-based study was conducted on the second year MBBS students of Maharishi Markandeshwar institute of Medical sciences and research collaborated with a tertiary care hospital in North India. Study design: A questionnaire consisting of open and close ended questions related to various aspects of self-medication was distributed to the students. An informed consent was given to them and only the students, who gave consent, anonymously filled the questionnaire and participated in this present study. Results: A total of 104 students, two incomplete questionnaires were excluded and remaining 102 were analyzed. The most common ailment for seeking self-medication was common cold and cough (44.11%), sore throat (24.50%), fever (12.74%), pain abdomen, heartburn, diarrhoea, menstrual cramps, gynecological infections (18.62%) are the main factors attributed to predominant ailment which leads them to self medicate. The commonly/frequently used drugs or combination drug therapy included were antipyretics including paracetamol (32.35%), NSAIDs including aspirin(23.52%), antibiotics including antimicrobials(15.68%), Antihistaminics (9.5%), Antifungals including topical ointments/lotions(10.78%%), and other miscellaneous accounting for 7.84%.According to our documented results cost effectiveness (65.68%) has emerged as the prominent reason for self medication, followed by time saving (13.72%), further ease (12.74%) for reaching the drug/medicine as considered by participants as the valid point through pharmacy or leftovers. and last but not least learning opportunities (07.84%) were also accounting as the interesting reason for this pattern of self medication. Conclusions: Our study concludes that self-medication pattern is widely practiced among second year MBBS students of this institute. As the pattern of self medication is very high as documented in this study thus, there is affirm need to make them aware about the advantages and disadvantages of self-medication in order to ensure optimistic usage of pattern of self medication with reduced errors and wholesome advantages.

scholarly journals Self medication practices of over the counter analgesic drugs among medical students in a tertiary care hospital in Jharkhand, India

2019 ◽  
Vol 8 (5) ◽  
pp. 903
Author(s):  
Kusum Kumari ◽  
Mary Sunita Toppo ◽  
Priyanki .
Keyword(s):  
Medical Students ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Self Medication ◽  
Cross Sectional ◽  
Over The Counter ◽  
Analgesic Drugs ◽  
Advantages And Disadvantages ◽  
Otc Drugs

Background: Self-medication is a very common practice which is gradually spreading all over the world. Analgesics are the most commonly available over the counter (OTC) drugs. They are used for pain relief in many diseases. Use of these analgesics has become a serious ailment because self- medication practices of analgesic drugs are increasing among general population as well as medical students. Being future medical practitioners, self-medication has a special impact in medical students. Various data are available regarding usage of OTC analgesic drugs but still data in Jharkhand are lacking. So, the present study aims to provide an insight into the practice of OTC analgesics among 3rd and 4th year medical students in RIMS, Ranchi, Jharkhand.Methods: It was a cross-sectional study conducted among medical students in RIMS, Ranchi, Jharkhand in November-December 2018. Data were collected through  questionnaire filled by the students and results were expressed as percentage frequency.Results: Questionnaire were filled completely by 253 students out of 287 students. 85.8% of males and 90.41% of females were practicing self-medication. Advice from seniors and books were the major source of information about the drugs. Paracetamol was the most common drug used (54.87%) and headache (27.43%) was the most common indication. Mild nature of illness (30.34%) and quick relief (29.10%) were the most common reason of self-medication. About 83.39% of them were using these drugs according to need.50.98% had not felt any side effects. 51.38% students were of  the view that self-medication practices are not always acceptable.Conclusions: Medical students use OTC analgesics for various kinds of pain like headache, muscle pain, menstrual pain etc. They generally use different non-steroidal anti-inflammatory drugs (NSAIDS) among which paracetamol is the most common. But self-medication practices are always associated with some risks. So, the students must be educated properly regarding their rational use and advantages and disadvantages of OTC drugs.

EVALUATION OF GRADING OF BREAST MALIGNANCIES ON FINE NEEDLE ASPIRATES AND COMPARISON OF TWO GRADING SYSTEMS AT A TERTIARY CARE HOSPITAL OF NORTH INDIA

2021 ◽  
pp. 192-194
Author(s):  
Shazia Bashir ◽  
Aamir Hussain ◽  
Irm Yasmeen
Keyword(s):  
Tertiary Care ◽  
North India ◽  
Care Hospital ◽  
Breast Cancers ◽  
Cross Sectional ◽  
Fine Needle Aspirates ◽  
Grading Systems ◽  
Grade Ii ◽  
Grade 3 ◽  
High Degree

AIM: To evaluate and compare the cytograding of breast cancers using Robinson's and Moriquand's grading methods MATERIAL AND METHODS: This study was a cross-sectional retrospective study conducted over a period of three years w. e .f October 2014 to October 2017 and includes diagnosed or highly suspicious malignant cases of breast carcinoma. Slides were retrieved from the cytology section of Department of Pathology, GMC Jammu. A total of 84 cases of breast cancers were studied and grading was done using Robinson's and Mouriquand's methods and the two grading methods were then compared. RESULTS: Out of 84 cases of breast cancers , on using Robinson's grading method , 11 cases [13.10%] were graded as grade 1, 65 cases [77.38%] were graded as grade 2 and 8 cases [9.52%] cases as grade 3. 9 (10.71%) cases are graded as Grade I by Mouriquand's method with score less than 5. 68(80.95%) cases were graded as Grade II with score 5-9 and 7 (8.33%) were graded ad Grade III with score ≥10. On doing comparison between the two cytograding methods, we found a high degree of concordance between the two systems [ 96.42% ] . The relationship observed between the scores obtained by the two methods was also seen to be highly signicant. CONCLUSION: There is possibility of comprehensive cytograding of breast cancers by using the two different methods proposed by Robinson's and Moriquand's but out of the two methods inspite of a high degree of concordance between the two methods , the grading system of Robinson's because of its more objective set of criterias and easy reproducibility has been found to be easier and better.

scholarly journals Stigma for Mental Disorders among Nursing Staff in a Tertiary Care Hospital

2020 ◽  
Vol 11 (02) ◽  
pp. 237-244
Author(s):  
Sandeep Grover ◽  
Neha Sharma ◽  
Aseem Mehra
Keyword(s):  
Mental Disorders ◽  
Nursing Staff ◽  
Mentally Ill ◽  
Positive Attitude ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
North India ◽  
Care Hospital ◽  
Cross Sectional

Abstract Objective This study aimed to evaluate the prevalence of stigma for mental disorders among nursing staff in a tertiary care hospital, and the secondary objective of the study was to assess the correlation of stigma with the socio-demographic profile and previous experience with mentally ill patients. Methods This cross-sectional study was performed among the 210 nurses working in a tertiary care multispecialty teaching public sector hospital in north India. They were evaluated on community attitudes toward the mentally ill (CAMI) scale. Results About two-thirds of the participants (67.1%) were females and had done graduation (64.2%) in nursing. Nearly 50% of the study participants had an experience of working with mentally ill patients. Female had a more significant positive attitude on the domain of social restrictiveness. Authoritarianism had a significant positive correlation with benevolence and social restrictiveness domains. The benevolence domain had a significant correlation with all other domains. Social restrictiveness domain also had a significant correlation with other domains. Conclusion Nurses have a positive attitude toward mentally ill patients.

scholarly journals Antimicrobial Resistance Patterns in Clinically Significant Isolates from Medical Wards of a Tertiary Care Hospital in North India

2020 ◽  
Vol 12 (03) ◽  
pp. 196-202
Author(s):  
Venkatesh Sudharsan Vaithiyam ◽  
Neha Rastogi ◽  
Piyush Ranjan ◽  
Niranjan Mahishi ◽  
Arti Kapil ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
North India ◽  
Resistance Pattern ◽  
Resistant Organism ◽  
Care Hospital ◽  
Cross Sectional ◽  
Drug Resistance Pattern ◽  
Clinically Significant ◽  
Medical Wards

Abstract Background The global burden of infections due to multidrug-resistant organism (MDRO) has a significant impact on patients’ morbidity and mortality along with increased healthcare expenditure. Aim This article estimates the prevalence of MDRO and the spectrum of clinical infectious syndromes caused by these organisms in medical wards of a tertiary care hospital in India. Design and Methods A cross-sectional observational study was performed among patients admitted in medicine wards diagnosed with the various infectious syndromes and one or more clinically significant positive culture at a tertiary care hospital in North India over a period of 18 months. Results Out of 323 clinically significant microbiological culture isolates from 229 patients included in the study, 86 (27%) isolates showed multidrug resistance (MDR) pattern, 197 (61%) isolates showed possible extremely drug-resistance pattern, and only 40 (12%) isolates showed nonmultidrug-resistance pattern of antibiogram. Conclusion The prevalence of MRDOs is high in clinically significant culture isolates from medicine wards in India. This emphasizes the importance of appropriate antibiotic usage and implementation of antibiotic stewardship programs in this part of the world.

scholarly journals Evaluation of smear microscopy and geneXpert for the rapid diagnosis of pulmonary and extrapulmonary tuberculosis in a tertiary care hospital in North India: a descriptive prospective study

2018 ◽  
Vol 6 (5) ◽  
pp. 1756
Author(s):  
Danish Zahoor ◽  
Anjum Farhana ◽  
Farhath Kanth ◽  
Munazah Bha
Keyword(s):  
Extrapulmonary Tuberculosis ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Rapid Diagnosis ◽  
North India ◽  
Smear Microscopy ◽  
High Morbidity ◽  
Care Hospital ◽  
Cross Sectional ◽  
Xpert Assay

Background: Tuberculosis is a global health problem associated with high morbidity and mortality. Rapid diagnosis of tuberculosis is essential for early disease management. Conventional methods like microscopy and culture are associated with low sensitivity and longer time to positivity respectively. The GeneXpert is an integrated device for the rapid detection of Mycobacterium tuberculosis and its sensitivity to rifampicin. We evaluated the performance of gene expert MTB/ RIF assay for the diagnosis of pulmonary and extrapulmonary tuberculosis.Methods: A prospective cross sectional study was carried out in the Department of Microbiology. Samples were subjected to smear microscopy by ZN staining, culture on solid (LJ) and liquid media (BacT Alert) and GeneXpert assay.Results: 122 pulmonary samples and 153 extrapulmonary samples collected from 275 patients were included in the study. Out of these, 48 samples were positive by both culture and Xpert assay and 2 samples were culture positive only. Out of 225 culture negative samples, 3 were positive by GeneXpert. The sensitivity for GeneXpert was much higher compared to smear micrscopy (96 Vs 46% respectively). The Xpert assay also detected 3 rifampcin resistant cases.Conclusions: The test appeared to be as sensitive as culture for the detection of tuberculosis in smear positive, smear negative and extrapulmonary tuberculosis. We recommend the use of GeneXpert assay for the early detection of tuberculosis. We conclude that the test is simple and routine staff can perform the test with minimal training.

scholarly journals The profile of patients’ complaints in a tertiary care hospital in South India

2018 ◽  
Vol 5 (8) ◽  
pp. 3567
Author(s):  
Mohammed Jezeel Nalakath ◽  
P. M. Thasneem ◽  
K. V. Deepak ◽  
N. A. Uvais
Keyword(s):  
Medical Staff ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
High Standard ◽  
Cross Sectional Study ◽  
High Rate ◽  
Care Hospital ◽  
Cross Sectional ◽  
Study Results ◽  
Research Population

Background: Complaints from patients and their carers are important indicators of problems in a healthcare system and provide valuable insights into safety-related problems within healthcare organisations. The objectives of the present study are to identify the frequency distribution of the people complained about, the units complained about and the total number of complaints.Methods: We employed a descriptive, cross-sectional study to conduct this research. The research population included cases registered at the complaints unit of a tertiary care hospitals in selected months of May 2017 to August 2017. The data were collected through observation of available documents. Excel software program was used for data analysis.Results: The administration received 692 complaints between the study period. The highest rate of complaints was filed against admission process (30.06%) and the lowest rate of complaints are filed against staff (2.51%). Our study results showed a significantly less complaints against nursing staff and no complaints against medical staff, indicates that the nursing and medical staff of the hospital might be observing medical ethics and professional commitment to a high standard and communicating well with the patients. High rate of complaints against admission unit, house keeping unit and high billing amount indicates the unrealistic expectations prevailing in the minds of clients from the health care provider.Conclusions: The current study generated the profile of patient’s complaints in a tertiary care hospital running in a charitable model. Such data can be utilised to identify common problems and to plan strategies. 

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