scholarly journals Evaluating the extent of agreement between the EARP (Early Arthritis for Psoriatic Patients) and PEST (Psoriasis Epidemiology Screening Tool) questionnaires in screening for psoriatic arthropathy in patients with psoriasis in a tertiary-care dermatology outpatient department

2020 ◽  
Vol 11 (4) ◽  
pp. 346-350 
Author(s):  
Suyash Singh ◽  
Aradhana Sood ◽  
Preema Sinha ◽  
Rajneesh Joshi ◽  
Seema Patrikar ◽  
...  
Keyword(s):  
Screening Tool ◽  
Tertiary Care ◽  
Early Arthritis ◽  
Outpatient Department ◽  
Psoriatic Arthropathy

Evaluation of patients with psoriatic arthropathy attending tertiary care institute

2019 ◽  
Vol 11 (1) ◽  
pp. 40-45
Author(s):  
Nagesh Vyenktesh Gaddam ◽  
◽  
Smita Maharudrappa Chakote ◽  
Ajay Govindrao Ovhal ◽  
◽  
...  
Keyword(s):  
Tertiary Care ◽  
Psoriatic Arthropathy ◽  
Care Institute

scholarly journals Communications and Screening for 2019 Novel Coronavirus at a Tertiary-Care Medical Center

2020 ◽  
Vol 41 (S1) ◽  
pp. s84-s84
Author(s):  
Lorinda Sheeler ◽  
Mary Kukla ◽  
Oluchi Abosi ◽  
Holly Meacham ◽  
Stephanie Holley ◽  
...  
Keyword(s):  
Screening Tool ◽  
Medical Center ◽  
Academic Medical Center ◽  
Tertiary Care ◽  
The United States ◽  
World Health ◽  
Communication Campaign ◽  
Electronic Screening ◽  
Novel Coronavirus ◽  
The Impact

Background: In December of 2019, the World Health Organization reported a novel coronavirus (severe acute respiratory coronavirus virus 2 [SARS-CoV-2)]) causing severe respiratory illness originating in Wuhan, China. Since then, an increasing number of cases and the confirmation of human-to-human transmission has led to the need to develop a communication campaign at our institution. We describe the impact of the communication campaign on the number of calls received and describe patterns of calls during the early stages of our response to this emerging infection. Methods: The University of Iowa Hospitals & Clinics is an 811-bed academic medical center with >200 outpatient clinics. In response to the coronavirus disease 2019 (COVID-19) outbreak, we launched a communications campaign on January 17, 2020. Initial communications included email updates to staff and a dedicated COVID-19 webpage with up-to-date information. Subsequently, we developed an electronic screening tool to guide a risk assessment during patient check in. The screening tool identifies travel to China in the past 14 days and the presence of symptoms defined as fever >37.7°C plus cough or difficulty breathing. The screening tool was activated on January 24, 2020. In addition, university staff contacted each student whose primary residence record included Hubei Province, China. Students were provided with medical contact information, signs and symptoms to monitor for, and a thermometer. Results: During the first 5 days of the campaign, 3 calls were related to COVID-19. The number of calls increased to 18 in the 5 days following the implementation of the electronic screening tool. Of the 21 calls received to date, 8 calls (38%) were generated due to the electronic travel screen, 4 calls (19%) were due to a positive coronavirus result in a multiplex respiratory panel, 4 calls (19%) were related to provider assessment only (without an electronic screening trigger), and 2 calls (10%) sought additional information following the viewing of the web-based communication campaign. Moreover, 3 calls (14%) were for people without travel history but with respiratory symptoms and contact with a person with recent travel to China. Among those reporting symptoms after travel to China, mean time since arrival to the United States was 2.7 days (range, 0–11 days). Conclusion: The COVID-19 outbreak is evolving, and providing up to date information is challenging. Implementing an electronic screening tool helped providers assess patients and direct questions to infection prevention professionals. Analyzing the types of calls received helped tailor messaging to frontline staff.Funding: NoneDisclosures: None

scholarly journals Co-morbidity pattern among type-II diabetes mellitus patients attending outpatient department of a rural tertiary care institute of North India

2021 ◽  
Vol 12 (7) ◽  
pp. 69-74
Author(s):  
Ravinder Pal ◽  
Ramesh Kumar Verma ◽  
Navtej Singh ◽  
Tarun Dr
Keyword(s):  
Diabetes Mellitus ◽  
Type Ii Diabetes ◽  
Tertiary Care ◽  
Type Ii Diabetes Mellitus ◽  
Outpatient Department ◽  
North India ◽  
Comorbid Conditions ◽  
Care Institute ◽  
Co Morbidity ◽  
Study Participants

Background: Diabetes mellitus (DM) describes a group of metabolic disorders characterized by high blood glucose levels. People with diabetes have an increased risk of developing a number of serious life-threatening health problems resulting in higher medical care costs, reduced quality of life and increased mortality. Knowledge of the prevalence about coexisting medical conditions in specific population groups helps healthcare providers and policymakers to allocate health resources efficiently and tailor diabetic care management to effectively utilize healthcare programs while decreasing healthcare expenditure. Aims and Objectives: To find out the pattern of comorbidity burden among Type-II diabetes mellitus patients attending outpatient department of a rural tertiary care institute of North India. Materials and Methods: Study setting: Outpatient department (OPD) of General Medicine of Rural Tertiary Care Institute in North India. Study design: Descriptive, cross-sectional. Study population: Patients who had already been diagnosed by a physician of having Type 2 diabetes mellitus (T2DM) and attended OPD for follow-up during study period i.e. 1st November 2019 to 31st January 2020. Results: Among 82 study participants, 36 were males and 46 females. A total of sixty-six study participants had co-morbidities along with diabetes mellitus. Most common co-morbidity recorded was related to cardiovascular system and neuropathies. Adherence to treatment was followed by 46 (56%) and dietary advice by 42 (51%) study participants. Conclusion: In light of the chronicity of the disease and increasing prevalence of diabetes with associated comorbid conditions, there is a need for clearcut guidelines to address health risks of diabetes with other comorbid conditions. There should be provision for regular formal health education sessions to address co-morbidities, complications due to diabetes.

scholarly journals Impact of Running a Behavior Therapy Room for Various Categories of Urinary Incontinence Cases in Different Age Groups in Obstetrics-Gynecology Outpatient Department of a Tertiary Care Hospital

2014 ◽  
Vol 48 (4) ◽  
pp. 159-163
Author(s):  
Vanita Jain ◽  
Puja Dudeja
Keyword(s):  
Urinary Incontinence ◽  
Behavior Therapy ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Age Groups ◽  
Outpatient Department ◽  
Care Hospital ◽  
Kegel Exercises ◽  
Therapy Room ◽  
Trained Staff

ABSTRACT Introduction Urinary incontinence (UI) affects > 60% women. Its management is simple with the use of Kegel exercises. However, very few studies have been done in India about this problem and its solution. Objective To assess the impact of running a behavior therapy room (BTR) for various categories of UI cases in different age groups in obstetrics gynecology outpatient department (OBG-OPD) of a tertiary care hospital. Materials and methods Patients of UI were referred from gynecology OPD to BTR. There was trained staff available in BTR to teach Kegel exercises and related behavior therapy to the patients. Records of the patients were maintained. Follow-up was done through phone calls and personal visits of UI patients. Results A total of 251 cases were registered in BTR over 2 years. Overall 126 patients got relief from urine incontinence and prolapse of pelvic floor organs after BT. Conclusion Establishment of a separate room (BTR) with trained staff can be done in OBG department to teach Kegel exercises and to provide relief to women suffering from UI and pelvic organ prolapse (POP). Recommendation Behavior therapy room should be established in gynecology OPDs of all hospitals. How to cite this article Kaur T, Dudeja P, Sharma M, Jain V, Singh A. Impact of Running a Behavior Therapy Room for Various Categories of Urinary Incontinence Cases in Different Age Groups in Obstetrics-Gynecology Outpatient Department of a Tertiary Care Hospital. J Postgrad Med Edu Res 2014;48(4):159-163.

scholarly journals An Observational Cross-Sectional Study of the Proportion of Cutaneous Lesions Affecting External Ear, Presenting to Outpatient Clinic of a Tertiary Care Medical College in the Eastern Part of India

2021 ◽  
Vol 8 (19) ◽  
pp. 1414-1419
Author(s):  
Kanishka Chowdhury ◽  
Sabyasachi Banerjee
Keyword(s):  
Seborrheic Dermatitis ◽  
Tertiary Care ◽  
Skin Lesions ◽  
Cross Sectional Study ◽  
Outpatient Department ◽  
Basic Knowledge ◽  
External Ear ◽  
Cutaneous Lesions ◽  
Cross Sectional ◽  
Medical College

BACKGROUND Cutaneous lesions of external ear are quite common in clinical practice. Patients often present with various cutaneous lesions of the external ear to various disciplines. They are often underdiagnosed as many lesions, though commonly diagnosed by our dermatologist colleague are missed by other clinicians. These lesions can be classified in various ways, according to the aetiology, and according to the anatomic sites. In the present study, we tried to assess the prevalence of different skin lesions affecting external ear presenting to an ENT and skin outpatient department of a tertiary care medical college in Eastern part of India. METHODS This is a descriptive observational study, cross sectional in design. 240 patients attended the outpatient department with cutaneous lesions affecting external ear from January 2019 to February 2020. The patients presenting in both ENT and skin outpatient department were chosen randomly. Cases were diagnosed based on history and clinical examination and appropriate investigation as required. All cases were categorised into 5 types (infective, inflammatory, autoimmune, neoplasm & naevi, and reactive & reparative) according to the aetiology. In each category, prevalence of various skin lesions was recorded. RESULTS A total number of 240 cases were detected during the study period. Among them, infective 43.33 %, inflammatory 30.83 %, autoimmune 9.17 %, neoplasm & naevi 4.17 % and reactive & reparative were 12.82 %. Taenia was the most common lesions encountered (20.51 %) followed by keloid (12.5 %). Impetigo and seborrheic dermatitis shared same number of cases (9.4 %). Neoplastic lesions were the least common. CONCLUSIONS With some awareness and basic knowledge, many of the cutaneous lesions of external ear can be diagnosed and treated whenever patients report to a clinician, thus saving valuable time, effort and money of the patient. KEYWORDS Cutaneous Lesions, Skin Lesions, External Ear

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