Introduction: With time there have been major changes in the management of TB. No longer TB sanatoriums are preferred. However, in this 21st century, few sanatoriums do exist but are no longer in their original forms, to explore the admission patterns and duration of stay at the TB sanatorium Bhowali, Uttarakhand. Methodology: We retrieved the data between 1st January 2018 to 31st July 2021 from the inpatient Department (IPD) of TB sanatorium Bhowali. Data were extracted in an extraction sheet and descriptive data analysis was done to see the admission patterns and duration of stay. The place of residence was analysed as per the district-wise distribution. Results: There were 1247 admissions. These admissions were limited to six states, and the majority were from the state of Uttar Pradesh (50.7%) and Uttarakhand (46.7%). The highest cases were in the year 2018, and during April to July. As per the district-wise distribution, Udham Singh Nagar had the highest proportion of admissions (18.6%), followed by Bareilly (15%), Nainital (11.4%), and Rampur (10.9%). The mean (SD) and median (IQR) duration of stay were 22.7 days (SD–24.7) and 14 (IQR 7– 8) days, respectively. The median duration of stay was significantly higher for females (25.1 days) compared to males (21.6 days). Conclusion: TB sanatorium Bhowali (Uttarakhand) caters majority of the patients from the neighbouring state of Uttar Pradesh. The admissions were high during the spring and summer seasons. The median duration of hospital stay for patients admitted with TB was two weeks.
IntroductionCOVID-19 is one of the most formidable obstacles that humanity has encountered in this century. The death rate was high among the elderly in India; therefore, getting the elderly vaccinated was one of the most important things to do. ObjectiveWe conducted this study to assess the perception and attitude about the COVID-19 vaccines among the elderly population. MethodsThis cross-sectional study was conducted at Fatehpur Beri, New Delhi. We selected 108 participants using systematic random sampling. We used a semi-structured questionnaire to collect the data. ResultsOut of 108 participants, 52.8% were men. Among them, 9.3% of participants had tested positive before. The average number of days of illness among the participants was 5.3 (SD + 3.5). Males had a higher average day of illness (5.5, SD +3.7) than females (4.9, SD +3.3). Among those who had not been vaccinated, 73.3% of participants said they would receive the vaccine, 6.7% were unsure, and 20% were not willing to receive the vaccine. ConclusionCOVID vaccination in an elderly population showed a relatively high vaccine acceptance rate, and the willingness to get the vaccine was also high among the unvaccinated.
Introduction: India is currently experiencing a significant increase in its elderly population, and it is predicted to rise. Depression is prevalent among the elderly population. This study aimed at measuring the prevalence of depression among the elderly population in India. Methodology: This cross-sectional study was conducted in both urban and rural regions of Delhi, with a total of 230 participants recruited through systematic random sampling. This sampling method involved selecting households from a comprehensive list. The Patient Health Questionnaire 9 (PHQ-9) was used as a screening tool for depression. Participants with a PHQ-9 score above 9 were considered to potentially experience depression. Results: The study findings revealed that 68.2% (95%CI: 61.8%-74.2%) of the total sample of 230 participants screened positive for depression. Gender ( p = 0.02), age category ( p < 0.01), place of residence ( p < 0.01), and diabetes ( p < 0.01) were significantly associated with depression. Conclusion: The study found a high prevalence of depression among the elderly population, with females, urban dwellers, and those with a history of diabetes being significantly associated with depression. Early detection through screening programs and community-based interventions could help manage depression in this vulnerable group.
IntroductionWorkplace violence (WPV) is a significant problem for healthcare professionals across the world, regardless of whether they work in developed or developing countries. Studies have shown that in India, up to 75% of doctors have experienced some form of violence in the workplace. The purpose of the present study was to examine the extent of violence against doctors and its impact on patient management. MethodologyThis cross-sectional study was conducted in a tertiary care hospital in New Delhi in June 2022. A total of 326 resident doctors from six departments were selected using stratified random sampling. Data were collected using a semi-structured interview schedule and a pre-validated questionnaire. Statistical analysis was done using Stata 17, and ethical clearance was obtained from the Institute Ethical Committee. ResultWorkplace violence was prevalent among healthcare professionals, with 80.4% (95% confidence interval (CI): 75.6%-84.5%) experiencing verbal abuse and 21.7% (95% CI: 17.4%-84.5%) experiencing physical violence. Perceived delays in treatment and patient deaths were the most common causes of violence. Most participants were hesitant to report WPV due to time-consuming reporting processes and a lack of organisational support. WPV had a negative impact on doctors' mental and personal well-being, with 73.3% reporting its negative impact. WPV has led to a decrease in the provision of surgical and medical interventions. ConclusionThe study findings suggest that a significant proportion of doctors in a tertiary care hospital in Delhi encounter some form of workplace violence. Despite the high incidence of WPV, reporting of these events remains low due to inadequate support and deficient reporting procedures within healthcare organisations. The negative impact of WPV is not limited to the physicians' psycho-social well-being but extends to their approach to patient care as well. Therefore, taking appropriate actions to prevent WPV is crucial for ensuring the safety and well-being of healthcare professionals and improving patient outcomes.
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