scholarly journals Estimation of Perceived Stress among Doctors in a Peripheral Tertiary Government Medical College of West Bengal: A Cross-sectional Study

2021 ◽  
Author(s):  
Ranjan Das ◽  
Nazrul Mallick ◽  
Ashis Debnath ◽  
Bijit Biswas ◽  
Sumit Mukherjee
Keyword(s):  
Logistic Regression ◽  
Perceived Stress ◽  
West Bengal ◽  
Tertiary Care ◽  
Moderate Level ◽  
Government Medical College ◽  
Cross Sectional ◽  
Medical College ◽  
Family Problem ◽  
The Impact

Introduction: Doctors working in a tertiary care teaching hospital suffers higher symptoms of psychological distress. The impact of excessive stress may affect the individual employee and the organisation in terms of productivity and performance. Aim: To estimate the perceived stress among doctors and to find out the sources of their stress in a peripheral Government Medical College of West Bengal. Materials and Methods: This was an observational study, cross-sectional in design, conducted to assess the perceived stress and specific stressors among 95 doctors who were posted in a peripheral Government Medical College from June to November 2019. A Perceived Stress Scale (PSS 10) questionnaire was used to assess the perceived stress. Psycho-social and Environmental stressors were assessed using 11 items questionnaire. Data were analysed using the IBM statistical package for social sciences, (SPSS) software program (version 20.0) (Chicago, USA). Results: The majority of the participant (80%) had moderate level of stress, while 10.5% had low stress and 9.5% had severe stress. The mean PSS score in this study was 20.49±5.61. In univariate logistic regression analysis, significant association was found with loneliness {Odds Ratios (OR) 9.3; 95% Confidence Interval (CI)= 2.9-29.9}, family problem (OR 2.7; 95% CI=1.1-6.6) and quality of food (OR 2.9: 95% CI=1.2-7.0). Finally, loneliness (AOR 9.6; 95% CI=2.7-34.1) and family problem (AOR 3.7; 95% CI=1.3-10.1) came out to be statistically significant predictors of stress in multivariable logistic regression. Conclusion: Majority of doctors had moderate level of stress and they felt upset, nervous and stressed in last one month of preceding the survey. Professional counseling for the doctors to improve their coping and resilience behaviours is highly recommended.

SOCIODEMOGRAPHIC AND ANTHROPOMETRIC PROFILE OF DIABETIC PATIENTS ATTENDING IN A DIABETIC CLINIC IN A TERTIARY MEDICAL COLLEGE AND HOSPITAL, WEST BENGAL

2021 ◽  
pp. 12-15
Author(s):  
Smarajit Banik ◽  
Sandip Saha ◽  
Sudipan Mitra ◽  
Ujjwal Pattanayak ◽  
Rajib Sikder ◽  
...  
Keyword(s):  
West Bengal ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Diabetes Clinic ◽  
Cross Sectional ◽  
Medical College ◽  
Study Participants

Background: Diabetes mellitus is one of the important causes of morbidity and mortality. With a rise in non communicable diseases in India, diabetes has become a modern epidemic showing a rising trend in West Bengal also. A large number of diabetes patients come to the diabetes clinic of our tertiary care hospital in North Bengal Medical College and Hospital, Darjeeling, West Bengal. The large proportion of patients presenting with this condition prompted us to study the Sociodemographic and Anthropometric Prole of such patients. Methods: This was a descriptive hospital based cross sectional study involving a total of 344 diabetic patients enrolled in the diabetes clinic of a tertiary care teaching hospital from December 2019 to February 2020. A self-administered questionnaire was used to collect data and was analyzed in Microsoft excel sheet and using SPSS 20.0 software. Results: Among the 344 study participants, we found that 220 (63.95%) were males and 124 (36.05%) were females. Diabetes was more common among those aged 51-60 years 108 (31.40%). Family history was present among 188 (54.65%) of the diabetic patients. Almost 160 (46.51%) patients have diabetes 1.1 – 5 years. Hypertension was present among 216 (62.79%) patients. Almost 218 (63.37%) of the patients were overweight and 84 (24.42%) were obese. Conclusions: The diabetic patients presenting to this tertiary care hospital belong lower socioeconomic strata and having limited education in their age group. There is high proportion of obesity and hypertension among them.

scholarly journals Clinical and Etiological Profile of Mycotic Keratitis from a Tertiary Care Centre in South India

2021 ◽  
Vol 10 (27) ◽  
pp. 2001-2006
Author(s):  
John Britto Augustin ◽  
Sureshbaboo Variamkandi
Keyword(s):  
Risk Factors ◽  
Corneal Ulcer ◽  
Fusarium Species ◽  
Tertiary Care ◽  
Government Medical College ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Medical College ◽  
Corneal Ulcers ◽  
Prompt Treatment

BACKGROUND Corneal ulcer is the leading cause of ocular morbidity and monocular blindness worldwide. To effectively prevent blindness in patients with corneal ulcer, a proper understanding of the risk factors predisposing to ulceration, its clinical and microbiological characteristics are essential. Timely identification of aetiological agents causing corneal ulcers and their prompt treatment helps to save the vision. We wanted to detect aetiological agents of corneal ulcer with special references to fungal causes and characterize the fungal aetiological agents to species level. METHODS This is a cross sectional study, conducted in Government Medical college, Kozhikode, between January 2016 and June 2017. All patients who were clinically diagnosed as cases of infectious corneal ulcer in the Ophthalmology department, Government Medical College, Kozhikode were included in the study. Corneal scrapings collected from the infected eye were subjected to microbiological examination and culture. A total of 120 cases were analysed. Each patient was examined with the slit lamp bio microscope after staining with fluorescein. Scrapings from cornea at the site of corneal ulcer were collected by ophthalmologist after a detailed clinical history and examination of the affected eye. The laboratory procedures used in the diagnosis of infectious keratitis were based on direct visualization of organisms by subjecting corneal scrapings to Gram stain and KOH wet mount and inoculation of material on to blood agar and Sabouraud dextrose agar. RESULTS Among the 120 cases, a total of 49 cases were culture positive. Twenty-one [17.5 %] were bacterial, twenty-two [18.34 %] were fungal and six [5.0 %] were poly microbial [bacteria and fungus]. Among the fungal aetiology, fusarium species was most common [32.14 %], followed by aspergillus species - 25.0 %. Trauma was the major risk factor. Diabetes mellitus, exposure keratitis were the other comorbidities / risk factors. CONCLUSIONS This study shows majority of infected corneal ulcers are associated with risk factors and the aetiology are mainly fungi. Microscopy, culture, and clinical correlation helped in adequate management. Thus, prognosis and outcome of corneal ulcers rely on timely identification of their aetiology and prompt treatment. KEY WORDS Corneal ulcer, Fungal Keratitis

scholarly journals Perceived stress among doctors working in a dedicated COVID-19 hospital in North India

2021 ◽  
Vol 0 ◽  
pp. 1-4
Author(s):  
Rohit Garg ◽  
Aditi Singla ◽  
Jasmin Garg
Keyword(s):  
Perceived Stress ◽  
Tertiary Care ◽  
High Stress ◽  
Significant Negative Correlation ◽  
North India ◽  
Ethical Considerations ◽  
Cross Sectional ◽  
Stress Scale ◽  
Medical College ◽  
Junior Residents

Objectives: The present study was aimed to assess the level of perceived stress among doctors working in COVID-19 ward in a tertiary care medical college and hospital of North India and to find the association of stress with time spent in ward, age, and designation of the doctors. Material and Methods: It was a cross-sectional, Google-based survey conducted in October and November 2020. The form was circulated and recorded the sociodemographic data, time spent in the COVID-19 ward, etc. The perceived stress scale (PSS) was used to assess the level of stress. Appropriate statistical analysis was used and all ethical considerations were followed. Results: Mean PSS score of the sample was 22.22 ± 7.13. Twenty-five (10%) doctors reported low stress (mean PSS score 0–13). Moderate (mean PSS score 14-26) and high stress (mean PSS score >26) were found among 156 (62.4%) and 69 (27.6%) doctors, respectively. Perceived stress showed significant negative correlation with age and significant positive correlation with hours spent in COVID ward in a week. Senior residents and junior residents had significantly higher perceived stress than faculty (P - 0.001**). Nearly 50% of doctors (fairly often or very often) felt nervous and stressed, angered because they felt out of control, unable to control important things in their lives, and have been upset because of something that happened unexpectedly. About 40% felt (fairly often or very often) that they could not cope with all the things they had to do. Nearly one-third of doctors felt (fairly or very often) that difficulties were piling up so high that they could not overcome them. Conclusion: Doctors working in COVID-19 wards perceive considerable stress. Stress management should be an integral part of the curriculum of doctors so that they can serve the humanity efficiently and effectively during the pandemic and in future.

scholarly journals Correlation of days of illness on which oseltamivir was started with outcome in swine flu patients, in Government Medical College, Aurangabad (Jan-2015 to May 2015)

2015 ◽  
Vol 1 (6) ◽  
pp. 245
Author(s):  
Mangala S. Borkar ◽  
Sagar P. Patil ◽  
Vimlesh R. Pandey ◽  
Gajanan A. Surwade ◽  
Uddhav S. Khaire
Keyword(s):  
Tertiary Care ◽  
Time Lag ◽  
Cross Sectional Study ◽  
Swine Flu ◽  
Care Hospital ◽  
Government Medical College ◽  
Invasive Ventilation ◽  
Cross Sectional ◽  
Medical College ◽  
Non Invasive Ventilation

<p class="abstract"><strong><span lang="EN-US">Background:</span></strong><span lang="EN-US"> Since 2009, Government Medical College, Aurangabad, a tertiary care hospital in the Marathwada region of Maharashtra, India, has been regularly admitting cases of pneumonia and ARDS, that are labeled as swine flu suspects.</span> Oseltamivir is effective in swine flu cases if given within 48 hours and better, within 24 hours of start of illness. However most of our patients do not get oseltamivir within 48 hours. Hence we decided to compare the outcome in patients who received oseltamivir within 48 hours and after that.</p><p class="abstract"><strong><span lang="EN-US">Methods:</span></strong><span lang="EN-US"> This is an observational, cross-sectional study comparing the time lag between the start of symptoms and getting the first dose of oseltamivir. 59 H1N1 positive patients were admitted to the swine flu ward between January to May 2015. We compared the two groups, one that received oseltamivir within 48 hours of start of symptoms and one that received after 48 hours and compared it with the outcome, i. e survival or death.</span></p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>38 patients (64.40%) in our study belonged to the age group of 31-50. Out of 59 positive patients, only 7 received oseltamivir within 48 hours, of whom 4 died. 52 received oseltamivir after 48 hours of whom 20 died. All the 11 who were given non-invasive ventilation, whereas only 1 of the 25 on invasive ventilation survived.  </p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>Oseltamavir does not appear to have made a difference for survival whether it was given within 48 hours as compared to after 48 hours of onset of symptoms. However, these two groups were not comparable.</p>

scholarly journals COVID 19 Pandemic: Impact on Admission, Diagnosis and Treatment of Non-Covid 19 Patients Admitted in SARI ICU

2020 ◽  
Author(s):  
Sunil Ravindranath ◽  
Bhumika Tumkur Venkatesh ◽  
Margiben Tusharibai Bhatt ◽  
Amitha Puranik ◽  
Shwethapriya Rao ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Respiratory Illness ◽  
Diagnosis And Treatment ◽  
Admission Diagnosis ◽  
Cross Sectional ◽  
Economic Implications ◽  
Medical College ◽  
Severity Scores ◽  
The Government ◽  
The Impact

Abstract BackgroundHealthcare systems worldwide are overwhelmed in the treatment of ever-increasing number of COVID 19 patients which has affected the management of non COVID 19 patients as well. We tested the adherence to Severe Acute Respiratory Illness (SARI) definition laid down by The Government of India for triaging of suspected COVID 19 cases, and the impact of this strategy on the non covid patients admitted to SARI ICU as suspected cases of covid 19 disease.MethodsA cross-sectional study was conducted to reflect the appropriateness and adherence of SARI definition in two tertiary care medical college hospitals in triaging COVID 19 suspect cases and assessed the challenges in admission, diagnosis and treatment of non COVID 19 diseases. The study involved 78 patients in two multidisciplinary units of medical college hospitals in the month of June – July 2020. Data related to demographics, severity of illness, advanced life supports required, delay in diagnosis, intervention and treatment of patients in SARI ICU due to suspect COVID 19 status was documented. ResultsAdherence to SARI definition for triaging COVID suspect cases was 19.2%. Respiratory symptoms amounted to 24% of presenting complaints. Despite hindrance in the diagnosis (17.9%) and treatment (12.8%), mortality among patients in SARI ICU was limited to 14.10%. The results were in-significant when checked for the various factors associated with mortality.ConclusionThe adherence to SARI definition while triaging COVID suspect cases to intensive care units was low among the clinicians. There were hindrances in the diagnosis and treatment of non COVID diseases due to COVID suspect status of the patient. However, treatment outcomes of these patients were comparable to critically ill population with similar disease severity scores suggesting that quality of care may not have been compromised despite the pandemic. Poor adherence to SARI definition while triaging might have led to economic implications on patients and healthcare systems but further studies are required to comment regarding the same.

scholarly journals A study on traditional practice of squeezing of breasts in newborn care among mothers in a tertiary care centre in Malda, West Bengal, India

2021 ◽  
Vol 8 (4) ◽  
pp. 1710
Author(s):  
Sushama Sahoo ◽  
Arpita Singh
Keyword(s):  
West Bengal ◽  
Tertiary Care ◽  
Newborn Care ◽  
Integrated Approach ◽  
Cross Sectional Study ◽  
Mustard Oil ◽  
Tertiary Care Centre ◽  
Traditional Practice ◽  
Cross Sectional ◽  
Medical College

Background: Newborn care is culturally and traditionally sensitive in every society. India is a vast country with different communities having their own traditional practices of newborn care. Squeezing of breasts in newborn period is one such unique traditional practice prevalent among population of rural background of West Bengal. This study was conducted to explore the traditional practice of squeezing of neonatal breasts and to highlight its related morbidities following the procedure among newborns.Methods: This was a descriptive, cross-sectional study conducted at triage of Special Newborn Care Unit (SNCU) of Malda Medical College and Hospital among 352 mothers who presented to us with their sick newborns following squeezing of neonatal breasts. After obtaining proper informed consent, mothers were interviewed. The data were collected using pre-designed questionnaires. Statistical analyses of the data were done using SPSS version 21.Results: In the present study, majority (33.52%) of mothers were 18-21 years old and 92.90% were Muslims. Squeezing of neonatal breasts was usually done on 10th day of life (40.34%) and on 4th day of life (27.27%). Local application following squeezing was done with hot turmeric paste (31.25%) and mustard oil (27.56%). Majority of newborns presented with features of mastitis (39.49%), 15.91% with breast abscess and 35.51% with sepsis.Conclusions: This study highlights the harmful aspects of traditional practice of breasts-squeezing among newborns prevalent in rural Bengal. This practice must be condemned by everyone through an integrated approach of proper health education and counseling of mothers and family members.

scholarly journals Knowledge, attitude and practice study on awareness and preventing cyber threats among the electronic devices used by the doctors of government medical college Vellore, Tamil Nadu, India

2019 ◽  
Vol 7 (1) ◽  
pp. 283
Author(s):  
Balaji J. ◽  
Ganesh G.
Keyword(s):  
Logistic Regression ◽  
Cyber Security ◽  
Tamil Nadu ◽  
Statistical Significance ◽  
Electronic Devices ◽  
Government Medical College ◽  
Chi Square ◽  
Cross Sectional ◽  
External Resources ◽  
Medical College

Background: Now a days the whole World is submerged with digital electronics devices round the clock for all utilities. Even the doctor community also is not spared by these digital gadgets. Almost every doctor in India is permanently having and operating a smart phone and laptops or desktops plus vide computer applications.Methods: This cross-sectional study was conducted among 45 doctors across 7 departments of Government Medical College, Vellore. Mean, median, mode, standard deviation was used for quantitative data and Pearson chi square test and logistic regression was used for qualitative data using trial version of SPSS 22.Results: The mean score was 11.2±2.8 with mean scoring percentile of 38.8±6.5. There was Pearsons Chi square significance for Variables like exposure to external resources and, Books related to cyber security, age less than 34 years and average spending time with electronic devices >2.5 hours per day, designation MD versus MBBS, gender difference.Conclusions: On running logistic regression the multivariate analysis for study variables with statistical significance was seen for four variables- exposure to external resources, and books related to cyber security, age <34 years, average spending time with electronic devices >2.5 hours per day. Designation and gender variables lost their significance on logistic regression analysis.

scholarly journals Etiological Factors of Non Alcohol Non Gallstone Related Acute Pancreatitis: A Cross sectional hospital based study from Medical College and Hospital, Kolkata, West Bengal

2014 ◽  
Vol 4 (3) ◽  
pp. 351-362 ◽  
Author(s):  
Indraneel Banerjee ◽  
Indrajit Banerjee ◽  
K N Das ◽  
Brijesh Sathian ◽  
Bakthavatchalam Pugazhandhi ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Logistic Regression ◽  
West Bengal ◽  
Gall Stone ◽  
Specific Treatment ◽  
Sphincter Of Oddi ◽  
Gallstone Pancreatitis ◽  
Cross Sectional ◽  
Etiological Factors ◽  
Medical College

Background  Gall  stone  diseases and  alcohol  are  the  two  most  common causes  of  acute  pancreatitis. The  present  work  was undertaken  to  identify the  various etiological  factors  in  acute  pancreatitis  after  excluding  alcoholism  and  gall  stone  diseases. The etiology of an attack of non alcohol non gall stone acute pancreatitis is highly variable. The main objective was to identify the causing factor, because it can have an effect on the specific treatment of acute pancreatitis. . This is a rare cross- sectional study of its kind which is the first one to be reported from India. Materials and Methods A cross-sectional community based study was designed and conducted in Medical College and Hospital, Kolkata, West Bengal, India from July 2009 to June 2011. Z test and Chi square test were used to observe the variation between different variables and strength of the relationship with logistic regression.  Odd ratios were calculated and their 95% confidence intervals (95% CI). p < 0.05 was considered as statistically significant. Results CMV was the commonest etiology of non alcohol and non gallstone acute pancreatitis 26.7% followed by HEV 6.7% and Pancreas Divisum 6.7%%, SOD 3.3%, EBV 3.3%, Mumps 3.3%, Hepatitis 3.3%, Tumour 3.3%, Choledochal cyst 3.3%,Drugs 3.3% and Gallstone 3.3%. Logistic regression analysis finding indicates that acute pancreatitis was found more prevalent in < 40 yrs [OR 2.076,95%(CI 0.339, 12.716)] and among patients  having monthly income of <5000 rs/month yrs [OR 1.4,95%(CI 0.224, 8.768)] . According to the severity of CT grading, Patients had Grade D severity  [OR 2.667,95%(CI 0.158, 45.141)], Grade C[OR 1.333,95%(CI 0.104, 17.098)] and Grade E [OR 1.333,95%(CI 0.88, 20.108)]as compared to Grade B severity of CT.  Conclusion In the  study  an  etiological  factor  was  evident  among  almost 3/4th   of the patients  of  non-alcoholic  and  non-gallstone  pancreatitis. The most common etiological factors were CMV followed by HEV.  These  results  rather  suggests  that the most diligent  workup  including  a  biliary  microcrystal  analysis,  a  sphincter  of  Oddi  manometry  and  possible  gene  analysis  for  hereditary  disorders  may  further  reduce   the  apparently  idiopathic  group in  the  analysis  of  such  patients. DOI: http://dx.doi.org/10.3126/nje.v4i3.10663 Nepal Journal of Epidemiology 2014; 4(3): 351-62

scholarly journals A study on Hyperprolactinaemia and associated factors among women attending Gynecology outpatient department at a tertiary teaching hospital in West Bengal

2021 ◽  
Vol 12 (9) ◽  
pp. 120-125
Author(s):  
Debajyoti Tapadar ◽  
Debjani Sengupta
Keyword(s):  
West Bengal ◽  
Tertiary Care ◽  
Sample Size Calculation ◽  
Cross Sectional Study ◽  
Age Group ◽  
Drug Induced ◽  
Cross Sectional ◽  
Medical College ◽  
Gynecology And Obstetrics ◽  
Tertiary Teaching

Background: Prolactin has multiple biological functions and hyperprolactinaemia is a common condition in clinical practice in both females and males. It has many etiologies and may present with variable symptoms to health care workers. Aims and Objectives: To study the various etiologies and clinical presentation of patients presenting with hyperprolactinaemia in a tertiary care medical college and hospital in West Bengal to aid in quick decision management. Materials and Methods: The current study was a cross-sectional study with follow up conducted over a period of one year in the Department of Gynecology and Obstetrics, Jagannath Gupta Institute of Medical College and Hospital. Following sample size calculation, a total of 1824 women were enrolled for the study of which 53 were found to have raised prolactin level (after following proper inclusion and exclusion criteria) They were subsequently further examined and followed up. Results: Majority of the subjects studied belonged to 20-29 age group (49.05%) followed by 30-39 years age group (35.85%). The most common cause of hyperprolactinaemia in our study were idiopathic (24.53%) followed by drugs (22.64%) and pituitary adenoma. Most of the patients with hyperprolactinaemia, presented with complain of infertility (56.6%), menstrual abnormality (50.94%) and galactorrhoea (18.87%) in our study. Therapeutic drugs used for various reasons were one of the main cause of hyperprolactinaemia (22.64%) and mainly due to use of proton pump inhibitor with prokinetics use. Conclusion: Hyperprolactinaemia is very much common in patients with infertility, menstrual abnormality or galactorrhoea and mostly are due to idiopathic or drug induced causes. With early initiation of treatment most of the causes and effects can be cured.

scholarly journals Persistence of Symptoms after Acute COVID-19 Infection- An Experience from a Tertiary Care Centre in South India

2021 ◽  
Author(s):  
Binu Areekal ◽  
Sudhiraj Thiruthara Sukumaran ◽  
Andrews Mekkattukunnel Andrews ◽  
Sreejith Parayil Nanu ◽  
Indira Madhavan ◽  
...  
Keyword(s):  
Symptom Onset ◽  
Tertiary Care ◽  
Structured Interview ◽  
P Value ◽  
Government Medical College ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Medical College ◽  
Persistent Symptoms ◽  
Number Of Patients

Introduction: Coronavirus Disease-19 (COVID-19) pandemic is posing a challenge not only with sheer number of people infected but also with the large number of patients with persistent symptoms of COVID-19 infection. A proper understanding of the magnitude and associated factors of persistent COVID-19 symptoms will go a long way in planning treatment and control strategies. Aim: To determine the proportion of patients who have persistent symptoms post acute COVID-19 infection and to determine the factors associated with it, among those who have been discharged from Government Medical College, Thrissur, Kerala, India. Materials and Methods: The current cross-sectional study was conducted among 335 patients who were admitted and discharged with COVID-19 infection in Government Medical College, Thrissur, Kerala, a tertiary care institution in southern India between December 2020 and February 2021. They were contacted through a telephonic interview 28 days from symptom onset through a semi-structured interview schedule. The questions included basic demographic details, symptomatology at admission, persistent symptoms at 28 days after onset and other clinical details including comorbidities. For defining post COVID-19 symptom persistence National Institute for Health and Care (NICE) guidelines were used. Association between persistent symptoms and selected factors was done by Chi-square test. Results: Out of the 335 patients, the persistence of symptoms of COVID-19 infection after 28 days of symptom onset was 221 (66%) (CI 60.7-79.8). Persistence of two or more COVID-19 symptoms after 28 days of onset was seen in 120 (35.8%). The most common persistent symptoms among the patients were fatigue in 109 (32.5%) of people followed by dyspnoea in 77 (23%), cough in 45 (13.4%) and myalgia in 37 (11%) patients. Highest persistence was seen in Category C patients where symptoms were persisting in 75%. Persistence was also higher in those with Diabetes Mellitus (DM), those who received oxygen support and those who were in Intensive Care Unit (ICU) or on ventilator and the association was statistically significant (p-value <0.05). Conclusion: The study shows that two-third of patients still continues to have persistent symptoms even after 28 days of symptom onset. Health systems should be prepared to face the consequences of morbidities caused by post COVID-19 syndrome.

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