scholarly journals Assessment of Association between Domestic Violence and Antenatal Depression in Rural Indian Population

2021 ◽  
Author(s):  
Ashish kumar Shah ◽  
Sally John ◽  
Khushboo Chawla ◽  
Ganpat Kvankar ◽  
Arpita Jaiswal
Keyword(s):  
Domestic Violence ◽  
Tertiary Care ◽  
Depression Scale ◽  
Antenatal Depression ◽  
Public Health Issue ◽  
P Value ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Symptoms Of Depression ◽  
Age Range

Introduction: Domestic Violence (DV) on women during perinatal period is a major public health issue. DV is prevalent throughout the world and has huge adverse effects in postnatal period. Aim: To assess prevalence and to determine the association between DV and depressive symptoms among antenatal women. Materials and Methods: A cross-sectional study conducted in a tertiary care centre at Jawaharlal Nehru medical college, Dutta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India, from September 2018 to September 2019. A 200 antenatal women between age range of 18-50 years attending the Outpatient Department were included in the study. They were administered the Edinberg Postnatal Depression Scale (EDPS) to evaluate for DV and its association with Antenatal Depression (AND). For the purpose of bivariate logistic regression, a variable for depression was computed based on EPDS scores, i.e., symptoms of depression during pregnancy, whereby an optimal cut-off of ≥13 was chosen as representing the presence of symptoms of depression. Statistical analysis was done by using descriptive and inferential statistics using chi-square test. The p-value less than 0.05 was taken as statistically significant. Results: The most common age range of participants were between 21-30 years. A 28 (14%) of 200 women were found to have a history of DV. Majority of them experienced psychological abuse (39.3%), followed by verbal (28.6%), physical (7.4%) and combined types of abuses (25%). The perpetrators were mostly husbands and in- laws. Reasons for abuse included husband’s alcohol abuse, in- law’s interferences and dowry demand. Based on EDPS, 41.5% had depression and 9.5% had probable depression. DV was found to be significantly associated with AND. Income of the family and occupation of the patient were found to be other significant associated factors. Conclusion: Domestic Violence (DV) has a significant correlation with AND. Proper prenatal screening for DV, early diagnosis and management of AND including family interventions are necessary to improve the health and wellbeing of pregnant women.

scholarly journals Ectopic pregnancy: an observational study in a tertiary care centre of Southern Rajasthan, India

2020 ◽  
Vol 9 (2) ◽  
pp. 516
Author(s):  
Shrusti Parmar ◽  
Nalini Sharma ◽  
Vimla Dhakar
Keyword(s):  
Risk Factors ◽  
Ectopic Pregnancy ◽  
Tertiary Care ◽  
First Trimester ◽  
Treatment Modalities ◽  
Public Health Issue ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Early Presentation

Background: One among the three chief obstetric causes of bleeding in first trimester, ectopic pregnancy is the first thing to rule out as a gestation is suspected. The present study observes and analyses sociodemographic distribution, risk factors, presentation, diagnosis and treatment modalities in a tertiary care centre.Methods: An observational cross-sectional study, conducted among patients who were diagnosed and managed in department of obstetrics and gynaecology of a tertiary care centre. Data analyzed and explained as frequency, percentage, mean and standard deviation.Results: Age group between 21 to 30 years (69.9%) and multigravida (68.5%) are high risk for ectopic pregnancy (EP). Menstrual history was regular in 86.3%. Risk factors identified were previous abortion (30%) and history of pelvic inflammatory disease (30%). In 80.9% pain in abdomen was presenting complaints followed by bleeding per vaginum (60%), amenorrhoea (60%) and nausea and vomiting (32.9%). Right salpingectomy was most common in 43.8%, followed by left salpingectomy in 28.8%, methotrexate in 15.1%, left salpingo-ophorectomy in 5.5%, right salpingo-opherectomy in 5.5% and removal of tubal abortion in 1.3% patients. Laparoscopy was chosen route in majority 64.4% patients.Conclusions: Ectopic pregnancy - a gynecological catastrophe as well as a major challenge to the reproductive performance of women worldwide, should be considered a relevant public health issue. By providing adequate materials, manpower, well-equipped health facilities as well as a prompt and efficient referral system, good access roads and efficient transportation, will ensure early presentation in hospitals and prompt management of cases.

scholarly journals Clinico-biochemical profile of chronic kidney disease patients in elderly age group in a tertiary care centre

2019 ◽  
Vol 7 (11) ◽  
pp. 4227
Author(s):  
Atul V. Rajkondawar ◽  
Amit Yele
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Elderly Patients ◽  
Tertiary Care ◽  
P Value ◽  
Age Group ◽  
Elderly Age ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Significant Difference

Background: Chronic kidney disease (CKD) remains one of the major health problems in India. Renal function steadily deteriorates as age advances and advancing age has been indicted to have adverse implications in the disease progression to end stage renal disease (ESRD). With the present study, clinico-biochemical profiling of chronic kidney disease patients in geriatric age group as well as comparison with non-elderly patients was undertaken.Methods: In this cross-sectional observational study, 100 patients of CKD admitted in the tertiary care study centre were enrolled consecutively and assessed for symptoms, signs and biochemical parameters over two years. Study subjects were divided into two groups:- Group 1: Elderly patients- aged 60 years or more, and Group 2: Non-elderly patients- less than 60 years of age. Relevant comparisons were drawn statistically and tested for significance.Results: Pallor and pedal edema were observed to be the commonest clinical features across groups. Elderly group shows higher prevalence of severe anaemia (mean hemoglobin- 7.4 gm%). Higher prevalence of clinical and biochemical derangement was found in patients with relatively lower GFR. Elderly age group also had more prevalence of electrolyte abnormalities compared with non-elderly population, with statistically significant difference observed for hyponatremia (p value- 0.023), hypoproteinemia (p value- 0.0078) and blood urea level (p value- 0.0054).Conclusions: Understanding beforehand the biochemical abnormalities associated with old age in CKD patients helps in appropriate modifications in patient management.

scholarly journals Prevalence of Depression among Antenatal Women in Sriperumbudur, Chennai

2021 ◽  
pp. 347-354
Author(s):  
Jayashree Kannappan ◽  
Abhilash Kannappan ◽  
V. S. Prema Subathiraa ◽  
Shanthi Dinakaran ◽  
P. S. Jikki Kalaselvi
Keyword(s):  
Pregnant Women ◽  
Economic Status ◽  
Depression Scale ◽  
Antenatal Depression ◽  
Cross Sectional Study ◽  
P Value ◽  
Hamilton Depression Scale ◽  
Cross Sectional ◽  
Exact Test ◽  
Prevalence Of Depression

Background: Women are twice as likely as males to suffer from mood disorders, which tend to cluster around the childbearing years. Depression negatively influences maternal and neonatal outcomes. Objective: The objective of the study is to estimate the prevalence of depression in pregnant women aged 18 – 35 yrs and to identify predictors accounting for variability across estimates during pandemic. Methodology: This is a cross sectional study, conducted among 74 pregnant women coming for antenatal checkups in the Sriperumbudur, Chennai. Using height and weight values obtained from the sample, Body Mass Index (weight in kg/height in metre squares) was calculated. Hamilton – Depression Scale (HAM-d) was applied after initial psychiatry work up to all women who were selected for the interview. Mean of parameters were assessed and correlation value were calculated by Fisher’s exact test. The statistically significant P value was less than 0.05. Results: The sociodemographic variables have been found as significant contributors in explaining the variability of the prevalence rates of antenatal depression. It showed positive correlation between economic status and depression (p<0.05) and a negative correlation between obesity and depression (p>0.05). According to the findings, fewer than 1/3rd of pregnant women experience depression as a result of life circumstances such as economic crises in order to support their families. These were identified as significant associate variables (P>0.05). And also, this study identified insufficient socioeconomic assistance were more likely to experience multiple psychological discomfort [atleast 1] than women who got appropriate economic support. (r = -0.118, P < 0.001) Conclusion: In rural Tamilnadu, the prevalence of antenatal depression among women is significant. Antenatal Depression is caused by a number of circumstances, including physical, obstetric, economic, and family-related issues. To treat these antenatal depression risk factors, comprehensive therapies are required.

scholarly journals Out of pocket expenditure among Rashtriya Swasthya Bima Yojana beneficiary and non-beneficiary patients admitted to a tertiary care centre, Berhampur, India: a comparative study

2019 ◽  
Vol 6 (2) ◽  
pp. 376
Author(s):  
Sushree Priyadarsini Satapathy ◽  
Nivedita Karmee ◽  
Durga Madhab Satapathy ◽  
Radha Madhab Tripathy
Keyword(s):  
Health Insurance ◽  
Life Support ◽  
Insurance Coverage ◽  
Tertiary Care ◽  
Total Sample ◽  
Health Insurance Coverage ◽  
P Value ◽  
Indian Government ◽  
Tertiary Care Centre ◽  
Cross Sectional

Background: RSBY, a health insurance scheme, was launched by the Indian government to protect BPL families from incurring financial liabilities which are likely to occur due to hospitalization. Objectives was to compare over all OOPE among RSBY beneficiaries and non-beneficiaries and to estimate its extent during hospitalization in different domains among RSBY beneficiaries and non-beneficiaries.Methods: It was a cross-sectional study conducted for 2 months (January-February 2018) among BPL families residing in Ganjam district, Odisha. Multistage random sampling was done. Total sample size was 256, the number of beneficiaries and non beneficiaries taken was 128 each.Results: Non beneficiaries incurred higher overall OOPE higher i.e. 95.3% than the Beneficiaries and it was found to be statistically significant with x²=74.8 and P-value <0.001. Among beneficiaries out of pocket expenditure was found in 46.1% of the study population. 45.3% of beneficiaries had to borrow partially from friends and relatives to fulfil their hospital related expenses followed by 32% borrowing fully for their treatment. Among beneficiaries, most out of pocket expenditure was for life support services as they sought treatment mostly for surgical conditions.Conclusions: Health insurance coverage should be improved by increasing enrolment. People should be made aware about the services covered under the schemes.

scholarly journals Comparison of Retinal Sensitivity by Automated Perimetry in Middle Aged Type 2 Diabetic Patients with and without Diabetic Retinopathy - A Cross-Sectional Study in a Tertiary Care Centre in West Bengal

2021 ◽  
Vol 8 (13) ◽  
pp. 835-839
Author(s):  
Abhinav Marlapati ◽  
Sambuddha Ghosh ◽  
Swati Majumdar
Keyword(s):  
Diabetic Retinopathy ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
P Value ◽  
Diabetic Patients ◽  
Retinal Sensitivity ◽  
Automated Perimetry ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Group 2

BACKGROUND We wanted to measure and compare retinal sensitivity in central 30 degree in diabetic patients, with and without diabetic retinopathy in different stages, evaluate changes in retinal sensitivity in relation to change in HbA1c values, measure and compare GCL thickness in various stages of DR with the help of optical coherence tomography (OCT). METHODS This observational, cross-sectional study involving 100 eyes of 100 middle aged (45 - 64 years) type 2 diabetes mellitus patients (50 eyes without DR - group 1 & 50 eyes with DR - group 2) without any other ocular abnormalities was conducted in the outpatient and in-patient departments of department of ophthalmology in a tertiary care centre in West Bengal. Non-randomised sequential sampling was performed with corrected visual acuity better than or equal to 6 / 12. Fasting and postprandial blood glucose and HbA1c were estimated. Detailed ocular examination was performed using direct and indirect ophthalmoscope with + 20 D lens and slit lamp bio-microscope using + 90D lens. Retinal sensitivity was assessed by Humphrey visual field analyser by Swedish Interactive Thresholding Algorithm (SITA) standard strategy (30 - 2 programme). Spectral domain optical coherence tomography (SD OCT) was performed in all patients. SPSS version 20 has been used for the analysis. RESULTS Among DR patients, 33 had mild non-proliferative diabetic retinopathy (NPDR) (male = 15, female = 18) and 17 had moderate NPDR (male = 7, female = 10). Mean age in DR (Gr. 2) and no DR (Gr. 1) group were 52.62 and 50.74 years respectively. Mean foveal sensitivity and mean retinal sensitivity decreased significantly (P-value 0.001 and 0.002 respectively) in group 2 patients. It further decreased with increased severity of DR. Mean ganglion cell + inner plexiform layer (GC + IPL) thickness in temporal quadrant decreased in DR group compared to no DR group with significant difference between the two (P-value < 0.001). Mean retinal nerve fibre layer (RNFL) thickness was significantly reduced in DR group (P-value < 0.001). HbA1c mean in no DR (6.7 %) and DR group (8.07 %) and in mild (7.5 %) and moderate NPDR (9.17 %) shows significant association of poor control of blood sugar with severity of DR. CONCLUSIONS Retinal sensitivity decreased significantly in diabetes even without retinopathy as detected by automated perimetry. Significant decrease in retinal thickness as detected by OCT suggested that neurodegeneration occurs in diabetes even without retinopathy. So automated perimetry and OCT could be helpful in identifying persons at an early stage who are at risk of future vision loss due to diabetes. KEYWORDS Diabetic Retinopathy, Retinal Neurodegeneration, Retinal Sensitivity, Automated Perimetry, GCL + IPL Thickness, RNFL Thickness

scholarly journals Domestic violence in pregnancy: a cross sectional study in tertiary care centre

2020 ◽  
Vol 7 (1) ◽  
pp. 58-62
Author(s):  
Sonali S Deshpande ◽  
Vidula R Daundkar ◽  
Shrinivas Gadappa ◽  
Prashant E Bhingare
Keyword(s):  
Domestic Violence ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Centre ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
In Pregnancy

scholarly journals ANALYSIS OF FACTORS ASSOCIATED WITH DELAYED GASTRIC EMPTYING AFTER WHIPPLE’S PROCEDURE

2021 ◽  
Vol 71 (Suppl-1) ◽  
pp. S235-39
Author(s):  
Talha Yasin ◽  
Nasir Mehmud Wattoo ◽  
Qasim Butt ◽  
Kamran Safdar ◽  
Muhammad Asif
Keyword(s):  
Gastric Emptying ◽  
Delayed Gastric Emptying ◽  
Tertiary Care ◽  
Military Hospital ◽  
P Value ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Whipple’S Procedure ◽  
Surgical Unit ◽  
High Bmi

Objective: To assess the frequency and analyze associated factors of delayed gastric emptying among the patients undergoing Whipple’s procedure at surgical unit of a tertiary care centre in Pakistan. Study Design: Cross sectional study. Place and Duration of Study: Pak Emirates Military Hospital and Combined Military Hospital Rawalpindi,Pakistan, Apr 2018 to Mar 2019. Methodology: A prospective study was conducted on 80 patients of both the genders who underwent Whipple’s procedure at the surgical unit of abovementioned hospitals. Delayed gastric emptying was diagnosed based on the criteria as defined by the International Study Group of Pancreatic Surgery by the consultant surgeons involved. Factors studied in our analysis included age, gender, smoking, presence of co morbidities, peroperative blood transfusion, sepsis, operative time and BMI. Results: Out of 80 patients included in the final analysis, 61 (76.25%) were male and 19 (23.75%) were female.Mean age of patients included in our study was 46.31 ± 6.711 years. Thirty six (45%) patients had delayed gastricemptying while 44 (55%) did not meet the criteria as mentioned above. With binary logistic regression we foundthat presence of sepsis and high BMI had a strong relationship (p-value <0.05) with delayed gastric emptyingafter the Whipple’s procedure. Conclusion: Delayed gastric emptying is a fairly common phenomenon among the patients undergoingWhipple’s procedure. High BMI and post-operative sepsis constitute the group which is at the highest risk ofdeveloping this post-operative complication in our study.

scholarly journals Lipid profile pattern in controlled and uncontrolled diabetic patients in a tertiary care centre

2020 ◽  
Vol 8 (4) ◽  
pp. 1528
Author(s):  
Smita Gupta ◽  
Rajat Mangal ◽  
Ankit Grover
Keyword(s):  
Glycemic Control ◽  
Total Cholesterol ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
P Value ◽  
Diabetic Patients ◽  
Tertiary Care Centre ◽  
Good Glycemic Control ◽  
Cross Sectional ◽  
Lipid Panel

Background: Diabetes Mellitus is a metabolic disorder characterized by hyperglycemia with disturbances of carbohydrate, lipid as well as protein metabolism virtually affecting every organ in the human body. Dyslipidemia is a group of biochemical disorders, which is frequently seen in diabetic individuals. Dyslipidemia associated with diabetes has a major role in atherosclerosis and cardiovascular complications.Methods: This cross-sectional study was conducted in diabetic patients visiting OPD of Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly over a period of 6 months. A total of 320 patients were randomly selected for the study and divided into 2 groups depending on HbA1c levels.Results: BMI of controlled diabetics was 26.2±1.91 kg/m2 and of uncontrolled was 27.56±4.36 kg/m2 respectively with a statistically significant p value. Total Cholesterol levels in controlled group was 185.63±52.32 mg% and 217.83±61.33 mg% in uncontrolled group with a p value of 0.0005 which is highly significant. Same was seen in triglyceride and VLDL levels in controlled group which was 173.88±101.77 mg% and 31.5±12 mg% respectively and 203.33±83.7 mg% and 40.67±17.66 mg% in uncontrolled group respectively.Conclusions: The diabetic patients with poor glycemic control had statistically significant high values of Total Cholesterol, Triglycerides, VLDL levels and significant low HDL Levels. Good glycemic control can result in improvement in the lipid panel and the patients can be prevented from the high cardiovascular and neurological risk.

scholarly journals Depression during Pregnancy in a Tertiary Care Center of Eastern Nepal

2008 ◽  
Vol 47 (171) ◽  
Author(s):  
Rabi Shakya ◽  
S Sitaula ◽  
P M Shyangwa
Keyword(s):  
Pregnant Women ◽  
Care Center ◽  
Tertiary Care ◽  
Depression Scale ◽  
Antenatal Depression ◽  
Cross Sectional Study ◽  
Hamilton Depression Scale ◽  
Cross Sectional ◽  
The Family ◽  
Work Up

This is a cross sectional study, conducted in 45 pregnant women coming for antenatal check ups in the eastern regional hospitals in Nepal. Hamilton -Depression Scale (HAM-d) was applied after initial psychiatry work up to all women who were selected for the interview. Analysis revealed about half of the pregnant women having some form of depression. Life events (e.g. chronic illness in the family, marital disharmony, economic crisis to sustain the family) were found to be important risk factors (P<0.05). Antenatal depression is a more common than generally thought.JNMA J Nepal Med Assoc. 2008 Jul-Sep;47(171):128-131.

scholarly journals Study of thyroid function in patients admitted in intensive care unit in a tertiary care centre

2018 ◽  
Vol 6 (8) ◽  
pp. 2717
Author(s):  
T. V. D. Sasi Sekhar ◽  
Ramya Appalaneni ◽  
Avinash Jada ◽  
Shalima Pinnamaneni
Keyword(s):  
Intensive Care ◽  
Venous Blood ◽  
Tertiary Care ◽  
P Value ◽  
Care Hospital ◽  
Tertiary Care Centre ◽  
Reverse T3 ◽  
Cross Sectional ◽  
Hormone Levels ◽  
Low T3

Background: Thyroid hormones play a key role in the maintenance of body growth by modulating metabolism and the immune system. These alterations in thyroid hormone levels are referred to as “euthyroid sick syndrome” or “non thyroidal illness syndrome” (NTIS), which is characterized by low serum levels of free and total triiodothyronine (T3) and high levels of reverse T3 (rT3) accompanied by normal or low levels of thyroxine (T4) and thyroid-stimulating hormone (TSH). During critical illness, changes in circulating hormone levels are a common phenomenon. These alterations are correlated with the severity of morbidity and the outcomes of patients in ICU.Methods: This study was carried out at a tertiary care hospital. 100 patients of age above 18yrs, both sexes, admitted to intensive care units with following diseases Septicemia, ARF, Respiratory failure, CCF, DKA, Stroke were taken into the cross-sectional study. Relevant hematological and radiological examination are done. Fasting venous blood samples were collected immediately on admission to ICU from all patients and were subjected for hormone analyses. Samples were tested for total T3, total T4, and TSH. The hormone estimation was done by chemiluminescence assay.Results: Patients (59%) had low T3 level, 41(41%) patients had normal T3, 31 patients (31%) had low T4, 69 patients (69%) had normal T4 level and TSH was low in 11 patients (11%), 76 patients (76%) had normal TSH and 14 patients (14%) slightly high. Our study showed low T3 (59%) is the commonest abnormality in ICU admitted patients. There is a significant relation present between T3 and mortality (p value-0.0001) and need for ventilation (p value 0.004).Conclusions: Our study suggests that low T3 is an important marker of mortality in ICU admitted patients. We suggest that in ICU patients T3 levels should be done and used as a prognostic marker for mortality and need for ventilation.

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