Devinewelch7068
2. To assess utility of hypoguesia and hyposmia as discriminant clinical features that might be used for the diagnosis of COVID-19 in patients with ILI. Conclusion We concluded that patients with COVID 19 positive status had severe spectrum of olfactory dysfunction like anosmia, hyposmia and they will have long recovery time compared to COVID negative /suspect patients .Taste perception was more impaired in COVID positive patients compared to COVID negative /suspects.Covid positive patients had higher sQOD-NS score compared to COVID negative patients and significant associations are seen.Inadequate sleep has a negative association with general health and well-being. Information about the quantity and quality of sleep-in patients admitted to general hospital in our hospital is lacking. Sleep improves cognitive and emotional functioning, which is necessary while staying in the hospital. This study will help us to study the sleep quality and quantity in hospitalized medical general ward patients of General Medicine Department and to identify the modifiable factors associated with sleep disturbances and will help us in introducing remedial measures.
Patients from general wards were interviewed regarding their previous night's perceived sleep quality and quantity using Verran-Snyder Halpern sleep scale. The VSH scale is 15 item questionnaire. The VSH scale has three dimensions i.e., sleep disturbance (SD), sleep effectiveness (SE) and sleep supplementation (SS).
In our study, we found that general ward patients' sleep was affected. Subjective quality of sleep mean was 51.30. The three most common factors that were affecting the patients' sleep and were statistically significant were light, noise and frequent staff interruptions. Few patients complained about the bed discomfort and mosquito bites.
Sleep is affected in general ward hospitalized patients, both in quality and quantity. Patients' sleep can be improved by using reducing the unwanted disturbing noise and light and by using stringent measures to control the mosquitoes in the hospital.
Sleep is affected in general ward hospitalized patients, both in quality and quantity. Patients' sleep can be improved by using reducing the unwanted disturbing noise and light and by using stringent measures to control the mosquitoes in the hospital.The aim of the study was to ascertain the prevalence of osteoporosis in a apparently healthy adult population of a Central Public Sector Enterprise (NTPC) located in Jharkhand.
The study population include 132 subject, out of which 99 were male (75%) and 33 were female (25%). Based on clinical history, 3 men and 5 women were excluded from the study as they were already on medication for osteoporosis. Rest 124 people( 96 male & 28 female) were subjected to Bone Densitometry Test by a Portable Bone Densitometer and based on T-Score(WHO classification of Osteoporosis), data was studied in 2 age group, >40 and <40 Year. In the below 40 age group, 41 male and 11 were female. In the age group of above 40, 55 were male & 17 were female.
In <40 age group, 87.8% male & 18.18 % female showed normal T-Score,12.19% male & 63.63% female showed Osteopenia while 18.18% female were having osteoporosis. No man was having T-Score of Osteoporosis range in this age group. I as T-Score is concerned as compared to their counterparts. Male population in the age group of >40, showed poor bone heath as compared to comparatively younger age group (<40) and their risk to develop oteopenia or osteoporosis is quite similar to female population. This study also depicts the demographic distribution of bone health of a well to do section of population though can't be generalized to common mass as the study population is very small in number and needs further study with large population size.Albumin is the most abundant plasma protein in humans. It works to maintain the colloid oncotic pressures, acts as a carrier protein, and is involved in metabolism, antioxidant, and various other functions. Patients who are admitted to the Intensive Care Unit (I.C.U.) are at an increased risk of mortality due to the severity of their illness. It is thus, important to identify patients at the time of admission who are likely to have a poor outcome so that such patients can be managed aggressively. Serum Albumin appears to be one such prognostic indicator. Its utility as a prognostic indicator has been studied in various contexts including critically ill patients. A low serum albumin concentration correlates with the increase in length of stay in ICU, increasing the risk of death and frequent readmission. The daily trend of serum albumin can be a useful tool in predicting the weaning capability of patients needing mechanical ventilation.
The study was conducted on 100 adult patients of both sexes who are criti mortality. A steep decline in serum albumin indicates a poor prognosis.
The result shows that serial measurement of serum albumin can accurately predict the outcome. Survivors had significantly higher serum albumin levels all day compared to non-survivors. Serum albumin is routinely measured in all patients and it is a cheap and easily available test facility in all laboratories.
The result shows that serial measurement of serum albumin can accurately predict the outcome. Survivors had significantly higher serum albumin levels all day compared to non-survivors. Serum albumin is routinely measured in all patients and it is a cheap and easily available test facility in all laboratories.Hyponatremia prevalence is 22.2% in the geriatric age group as compared to 6% for other patients. Symptomatology of hyponatremia is subtle and is often interpreted as age-related in the geriatric patients. We use various Comprehensive Geriatric Assessment (CGA) parameters to analyze the impact of improvement in serum sodium levels.
We utilized four simple CGA parameters, the new Hindi Mental State Examination (HMSE) for assessing the cognition, Barthel index of activities of daily living (ADL) for the level of independence, Timed up and go test (TUG test) for risk of fall evaluation, and handgrip strength (HG) by hand dynamometer for frailty. All parameters were analyzed at admission and at discharge, and their relation with the severity of hyponatremia in 100 geriatric patients (>60 years) was seen. Equal number of hyponatremic geriatric patients were taken, matched for comorbidity, reason for presentation, and age.
Mean age of the study population was 68.1 ± 5.8 years, with a male female ratio of e difference was not statistically significant.
Ours is the first study utilizing HMSE for assessing the cognition in the Indian patients. Hyponatremic patients have poor baseline CGA parameter values, and severity of hyponatremia correlates with poor motor and cognitive functions. Improvement in serum sodium levels improve CGA parameters. Hyponatremia correction should be prioritized in the elderly as it significantly impacts the quality of life in the elderly.
Ours is the first study utilizing HMSE for assessing the cognition in the Indian patients. Hyponatremic patients have poor baseline CGA parameter values, and severity of hyponatremia correlates with poor motor and cognitive functions. Improvement in serum sodium levels improve CGA parameters. Hyponatremia correction should be prioritized in the elderly as it significantly impacts the quality of life in the elderly.The type 2 diabetes mellitus (T2DM) specific dementia risk score (DSDRS) was conceived to assess the stake of Dementia in older adults with T2DM. Factors associated withT2DM- are shown to increase the risk of age-related conditions, which also can increase threat of Dementia. Hence, in the study here, we assess the correlation of DSDRS with frailty, disability, quality of life (QoL) and cognitive assessment of patients with type 2 diabetes mellitus coming to the tertiary care centre.
In this study we assessed 286 patients with Type 2 diabetes mellitus to assess the correlation between DSDRS and Mini-mental state examination (MMSE), Isaac's set-test (IST), clock drawing test (CDT), quality of life (SF-36), risk of malnutrition (Mini-Nutritional Assessment or MNA), as well as frailty, Katz' and Lawton-Brody scores. We also evaluated the phenotype and correlates of high estimated dementia risk by doing assessing of individuals with DSDRS >75th age specific percentiles.
Study population mean age was 77.. These findings support that T2DM-related factors have significant burden on functional status, QoL, disability and dementia risk.Poisoning and drug overdose are the medical emergencies in which it is important to identify the incidence, pattern and the outcome in order to take relevant steps for stringent planning not only at the hospital level but also at the community level for its prevention and management. The current pandemic of COVID-19 has had a tremendous effect on the psychological state of the people.
An observational, prospective study was conducted for 100 patients reporting to medical emergency with history of poisoning intake from April 2020 to January 2021. Age range was 14-85 years. Obtained data were analysed using descriptive statistics and results were expressed as percentage and mean.
Out of 100 patients (77M,33F), mean age of 32.6 years, most cases belong to age group of 20-30 years and 50% were matriculates and majority of the patients belonged to Punjab and Himachal Pradesh. The most common poisoning agents consumed were corrosives (34%) followed by cellular toxins (24%). Respiratory distress (53%), loss of cossment tools for degree of severity of poisoning at an early stage.Organophosphate compounds (OPC) cause most selfpoisoning deaths in India due to their easy availability and lack of stringent laws.
To evaluate the clinical profile and outcome of the patients presenting with OPC poisoning and to study the prognostic value of Peradeniya Organophosphorus Poisoning Scale (POPS) in predicting the clinical outcomes.
This was a prospective study involving 100 patients of OPC poisoning admitted to Tata Main Hospital from June 2018 to May 2020 based on the inclusion criteria. Demographic profile, clinical features, treatment details, and need for ventilatory support were noted. POPS was applied on admission, and the patients were followed up for the outcome in terms of morbidity and mortality.
Of the 100 patients, most patients were between 20 and 29 years with male to female ratio being 1.21. Vomiting (94%), followed by excessive secretions (84%) were the most common symptoms. read more Overall mortality was 22%. On grading of severity as per the POP scale, 27% of the patients had mild poisoning, 37% patients had moderate, whereas 36% had severe poisoning. Only 11.11% of the patients with POPS 0-3 required ventilator support, whereas 16.2% of the patients with POPS 4-7, and 100% of patients with POPS 8-11 required ventilator assistance (P < 0.0001). Similarly, the total dose of atropine required (P < 0.0001), length of intensive care unit (ICU) stay, complications, and mortality (P < 0.0001) were significantly associated with higher POPS.
POPS at admission, correlated well with the need for ventilator support, the total dose of atropine required, length of stay in the ICU, complications, and mortality. It can thus be used for prognostication and risk stratification of patients with OPC poisoning.
POPS at admission, correlated well with the need for ventilator support, the total dose of atropine required, length of stay in the ICU, complications, and mortality. It can thus be used for prognostication and risk stratification of patients with OPC poisoning.
