Tertiary Care Hospital
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(FIVE YEARS 11447)



2021 ◽  
Vol 71 (11) ◽  
pp. 2645-2647
Ayesha Abubakar Mitha ◽  
Usman Mahboob

Background: Patient Safety (PS) emerging as global health problem. PS attitudes are being assessed worldwide but behaviors and attitudes in young doctors have not been studied in great depth. Aim: To assess knowledge and attitude towards PS in Foundation Year Trainees (Interns) in a tertiary care hospital. Method: A cross sectional Survey was applied to 126 Interns of Combined Military Hospital Lahore using Questionnaire (APSQ) in December 2019. The survey was kept anonymous. Statistical analysis was by utilizing SPSS Version 23. Results: Interns had PS knowledge. Highest domain score was “Attitude to medical error reporting” (53.34 + 7.62) followed by “PS knowledge” (50.88 + 6.85). The lowest domain score was “Attitude to PS Skills” (16.34 + 3.46). Pearson correlations revealed significant correlation between domains. Conclusion: The study showed that there was prevalence of PS knowledge among interns but limited understanding requiring training. KEYWORDS: Attitude, patient safety, medical errors, interns Continuous...

Harsha Prasada Lashkari ◽  
Manisha Madkaikar ◽  
Aparna Dalvi ◽  
Maya Gupta ◽  
Jacinta Bustamante ◽  

Abstract Objectives To study the incidence, clinical manifestations, and genetic spectrum of primary immunodeficiency diseases (PID)/inborn errors of immunity (IEI) in a tertiary care hospital in Southern India. Methods A retrospective analysis of all patients with a clinical suspicion of PID/IEI seen at a tertiary care hospital was performed. All patients had at least one or more warning signs of PID. Serum immunoglobulin levels and other targeted investigations were performed as warranted by the clinical presentation. All families with suspected PID were counseled and offered genetic testing. Results A total of 225 children were evaluated for PID during the study period of 6 y. Fifty-six of them did not meet the European Society of Immunodeficiencies (ESID) criteria (working definition of clinical diagnosis) and were excluded. An IEI was found in 30/49 (61.2%) patients. The most frequent reason for referral was recurrent/unusual or serious infections (28%), or cytopenia (16%). Group IV diseases of immune dysregulation was the most common category (19%), followed by group III predominant antibody deficiencies in 23/163 (14%), as per the International Union of Immunological Societies (IUIS) classification. Conclusions This study highlights the heterogeneity of the present cohort, the underuse of genetic tests, and efforts to provide optimal care for children with possible IEI in this center.

Nidhi Prasad ◽  
Dharamvir Ranjan Bharati ◽  
Sanjay Kumar Choudhary ◽  
Binay Kumar

Introduction: Sociodemographic factor, awareness of the health effects and legislative law can lead to an increase in cessation of tobacco. Tobacco related knowledge and awareness are found to be better in people working in the health care sector as compared to the general population. The objective of the study was to find the prevalence of quitting rate amongst the health workers and perceived harmful effects on health, tobacco types and awareness of the anti -smoking legislation law in India among the health care workers working in a tertiary care hospital. Methods: A cross-sectional study was conducted among 306 hospital staff (196 housekeeping staff and 110 nursing orderlies) at a tertiary care hospital of Faridabad in 2018. Convenience sampling was conducted, and data were collected through pre tested semi structured questionnaires on sociodemographic details, awareness of ill effects of tobacco and intention to quit. Results: Among 133 current tobacco users, intention to quit smoking was present in only 96 respondents (72.18%). There was association between age, marital status and type of family with the intention to quit. 63 respondents (21%) were unaware that smoking causes lung cancer and 115 (38%) of the total respondents did not consider smokeless tobacco as a causal risk factor for cancer. A total of 180 respondents (58.8%) were not aware of anti-tobacco control laws in India. Moreover, it was found that health concern was commonest reason of intention to quit. Conclusions: Intention to quit tobacco among study participants was low, so there is need to look for knowledge gaps about harms of different types of products and anti-tobacco legislation. More comprehensive tobacco cessation services should also be prioritized in the heath sector.Keywords: awareness of ill effects, COTPA, India, intention to quit, tobacco

Rohit Harchandani ◽  
Manoj Kela ◽  
Abhishek Bawa ◽  
Ashish Rathod ◽  
Sheikh Wajid ◽  

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a highly transmissible and infectious virus. It belongs to the family coronavirus and it is a single strand positive sense virus. There are many theories which relate to the origin and transmission of this virus and hence the virus has been tagged with many names according to various taxonomical guidelines. The conventional clinical spectrum of this infection includes cough, fever, dyspnea, anorexia and gastrointestinal symptoms. It has been seen during the course of this disease that there are also some properties relating this virus to the hypercoagulability in the disease spectrum. The cases involving arterial and venous thromboembolism are not rare. This case series is a collection on three such cases from the red zone (zone separated for COVID-19 infected patients) of a tertiary care hospital in central India which showcase acute limb ischemia in patients infected with SARS-CoV-2.

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