Chronic kidney disease (CKD) is a worldwide public health problem, both for the number of patients and the cost of treatment involved. A retrospective study of 2 years was conducted among CKD Stage-V (End stage renal disease) patients admitted in nephrology wards, those undergoing dialysis and kidney transplantation in SKIMS between 1 st October 2015 and 30st September 2017. The prevalence of catastrophic health expenditure on ESRD patients was 95% in our retrospective study. The prevalence of distress financing on ESRD patients was 70% in our both retrospective studies.
Introduction: Poisoning is a common medico-social problem. It is a significant contributor to morbidity and mortality. Knowledge of the epidemiology of poisoning and its changes is important to both emergency physicians and public health practitioners. Our study was to determine the socio-demographic profile, pattern and outcome of the poisoning cases reported to the Emergency Department of a tertiary care hospital. Methods: The study was a Retrospective observational type of study conducted at Sheri-Kashmir Institute of medical sciences, Srinagar J&K. The patients with acute poisonings presenting to and managed in the Emergency Medicine department between February 2016 to February 2018 were reviewed for inclusion. Data was collected by reviewing records . Using a pre-structured format, case records of poisoning cases were reviewed for gender, age, residence, type of poison, route of poison and outcome of treatment. The collected data was analyzed using descriptive statistical analysis. Results: In the present study the Female: male ratio was 1.9:1 (131 Females and 68 Males).Females outnumbered the males. Highest cases of Poisoning were reported in the age group of 10-20 years. The poisoning in extreme of ages was less observed. Maximum cases of Poisoning belongs to rural areas (60.8%). The most common implicating agents were Pesticides (75.3%). The second common cause of poisoning was drug overdose (20.52%) Maximum cases recovered after treatment (94%). Conclusion: Pattern and magnitude of poisoning are multidimensional and demand multi-sectorial approach for facing this problem. There is a need for stringent pesticide regulation laws and counseling and training programs to reduce the incidence of poisonings. JMS 2018;21(1):24-30
Introduction: The Right to Information Act 2005 is a significant development in Indian Democratic fabric. It Provides a platform for Citizens where they have the right to gain access to information which is under Public authority. The access to information under the RTI act 2005 includes a right to obtain Personal medical information generated within the hospitals and their research projects. The citizens are utilizing the tool of RTI in health care services which has resulted in improved care and better management of health centers. The Present study was conducted in 794 bedded tertiary care teaching hospital with an aim to find out the profile and pattern of applications received through RTI act protocol. Material and Methods: This hospital record based prospective observational study was carried out in Sherikashmir institute of medical sciences (SKIMS), a tertiary care hospital from October 2016 to February 2018. All the RTI applications received during the study period were selected for the study. The data was collected by an investigator after scrutiny of received applications and was verified from the designated PIO. Results: Among 119 applications, 115 cases (96.6%) were solved by providing required information Among 115 resolved RTI applications, majority i.e 47(40.8%) of cases were resolved between 15-30 days, the process of 46 (40%) RTI applications was expedited by issuing only one (1) reminder to concerned quarters, 105 cases were concluded at PIO level while 10 applicants appealed to First appellant authority (FAA) which happened to be the Medical superintendent of Hospital, most of the applications were for Policy and Personal section (50, 42.01%), most common subject matter was information regarding a Hospital staff member (21, 17.64%) and among the queries, most were information inquiry (83%, 69.74%). Conclusions: Healthcare personnel must acquire, process, store, retrieve and transfer clinical, administrative and financial health information. Privacy and confidentiality are important issues and their protection in the fiduciary doctor patient relationship encourages citizens to seek necessary medical care and disclosure of information is vital if larger public interest is involved.
Introduction: Older adults comprise majority of people receiving hospital services in many regions of our country. The Present Research was carried out to see physical facilities and problems faced by Geriatric patients in a tertiary care hospital. Material and Methods: It was a prospective type of study undertaken on elderly people based on Questionnaire. Cases were selected by Systematic Random sampling method by picking every 5th patient of the target population after checking the admission files in all wards. A total of 421 cases selected through systematic random sampling were studied. The questionnaire was developed and validated by a pilot study. The study population in the study were elderly (Geriatric) group of people with age = or > 60years as per their medical record. All those patients who do not agree to participate in the study and those patients who were comatose or on ventilator were excluded from the study. Results: Various parameters studied were Waiting time, availability of wheel chair / stretcher, separate counters at admission, nursing aides; difficulties in locating admission office, in getting the investigations done; 'Respect for age' and privacy, Routine cleanliness,pattern of toilets, Quality/ Quantity of food served, Information given at discharge about the management at home. Conclusion: The study on conclusion establishes that hospitals need to be made Geriatric friendly and Hospital management needs to introduce practicum in order to train and retrain the hospital patient care staff including doctors and nurses to improve their behaviour and skills to deal with the elderly patients so that their stay in the hospital is facilitated.
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