ABSTRACT
Background: The word “stress” was defined by different scholars. The word was first defined by Hans Selye in 1936 as “a nonspecific response of the body to any demand of change”. The modern medical workplace is a complex environment, and doctors respond differently to it, some finding it stimulating and exciting, whereas others become stressed and burned. The medical workplace also provides an environment where new skills are continually being learned, both as a result of medical knowledge evolving and because a doctor's work changes. Objective of the present study was to find out the level of stress among the doctors working in CMSDH and to find out the possible sources of stress from their perspective.Methods: The study was an institution-based cross-sectional study conducted from 26th October 2017 to 22nd November 2017 among the enlisted 257 working doctors of CMSDH present during the period of data collection. It was intended to include all the doctors working in this college for this study.Results: A total of 257 doctors including faculty132 (51.4%), interns 80 (31.1%) and house staffs 45 (17.5%) consented and participated in the study of whom 172 (67.0%) were male and 85 (33.0%) female. Interns are the most stressed ones mean 20.4, SD±5.2, followed by house staff mean 17.5, SD±5.1 and faculty mean 16.9, SD±5.3. Unmarried faculty members mean 19.2, SD±5.2 are slightly more stressed than married mean 17.0, SD±5.3. Preclinical faculty has more stress, mean 17.1 ±SD5.2, where the clinical intern has maximum level of stress, mean 20.4 ±SD5.2.Conclusions: Doctors who are in massive stress need counseling and regular psychotherapy to reduce their stress level. A system of monitoring information and communication between administrative and working doctors should be evolved regularly.
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Background: Gestational trophoblastic disease (GTD) is a group of rare tumors that involve abnormal growth of cells inside a woman's uterus. GTD does not develop from cells of the uterus like cervical cancer or endometrial (uterine lining) cancer do. Instead, these tumors start in the cells that would normally develop into the placenta during pregnancy. GTD is unique because the maternal lesions arise from the fetal tissue as a molar pregnancy. All forms of GTD can be treated. In most cases the treatment produces a complete cure. The study was conducted to assess the various presenting features of GTD and factors associated with it.Methods: It was an observational hospital based prospective epidemiological study. Complete enumeration technique was followed and a total of 305 female patients were included in the sample. A pre-designed and pre-tested interview schedule was used to record different information and detailed history.Results: Of the 305 patients studied, 67.2% were diagnosed with H. mole, 23% patients were diagnosed with gestational trophoblastic tumor, among them 4.9% had choriocarcinoma. Majority were primigravida and of blood group O type. Pregnancy outcome after successful management of GTD were 63.3% had full term pregnancy, 20% cases had repeat molar pregnancy, 10% had spontaneous abortion while 6.7% (2/30) had pre term delivery.Conclusions: Gestational trophoblastic disease is seen most commonly in reproductive age group. If it is not diagnosed on time it can be fatal. This is a highly curable tumor even in the presence of distant metastasis.
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Background: Non communicable diseases (NCDS) also referred to as “lifestyle diseases” are the leading cause of death globally. Most of the NCD risk factors are behaviorally acquired which are due to change in lifestyle during adolescent age groups With this in mind the present study was conducted with the following objective to determine the prevalence of risk factors of NCDS among medical undergraduates of a district of West Bengal.Methods: Cross-sectional observational study among 96 medical students of a medical college in a district of West Bengal using WHO STEPS questionnaire. Analysis of results was done by percentage and proportion.Results: A total of 96 students were interviewed and examined. Mean age was 19.3 years.12.5% were current smokers, 8.3% were alcohol users. 53.1% did no exercise. 46.5% female and 37.7% male had mild to moderate risk of high BMI, 51.2% female had abnormal waist circumference. 46.5% girls had abnormal waist hip ratio. 34.8% female and 35.8% males were pre hypertensive while 4% boys were hypertensive. Out of 22 students who had undergone blood test, 4.5% were early diabetic. 13.6% had borderline risk and 4.5% high risk for blood cholesterol.Conclusions: A high prevalence of risk factors for non-communicable diseases was found in the present study which emphasizes the need of interventions to reduce these risk factors among these future doctors.
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Background: Patient satisfaction is perhaps is a proxy indicator to measure the success of a hospital. The aim of this study was to evaluate the level of patient satisfaction among patients attending Otorhinolaryngology outpatient department (OPD) of a tertiary care teaching hospital in a district.Methods: Cross-sectional observational study among 230 patients attending Otorhinolaryngology outpatient department (OPD) of a tertiary care teaching hospital in a district using a modified validated Bengali questionnaire. Analysis of results was done by percentage and proportion.Results: Overall satisfaction was above 60% for only 42.6% of patients. Major dissatisfaction was with the registration system. 50.4% were dissatisfied for waiting at the queue of registration counter to get OPD ticket. Other causes of dissatisfaction were infrastructure e.g. non-availability of adequate seating arrangement (39.6%), fans (58.7%), non-availability of drinking water (71.7%). 78.3% were dissatisfied for the available washroom facilities. However 92% were satisfied by attention paid by doctors.Conclusions: The present study was an attempt to assess the level of satisfaction of the patients. It highlights maintaining privacy during history taking examination and improving infrastructure like drinking water and washroom facilities, improving registration system to decrease waiting time can improve patient satisfaction which can be easily done with help of stakeholders.
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OBJECTIVE: An epidemiological study on measles was conducted among the under five children in slum areas of Kolkata to assess the incidence of measles. METHODS: 20 cluster sampling technique was followed and in each cluster 250 under five children were covered. Paramedical workers identified children of the target of age group who had history of measles in past one year and the medical officer confirmed the diagnosis following standard case definition. RESULTS: Incidence of measles was found as 5.76%. Incidence was equal in both the sex groups, but found more among infants. The incidence of measles gradually declined with the increase of age strengthening the view in favor of early immunization. Amongst the measles cases only 19.7% were immunized with measles vaccine. 100% of measles cases gave history of rash, 98.9% had history of fever, 82.8% reported that the rash started from face and progressed downwards to abdomen and leg. Cough, redness of eye and discoloration of skin were reported by 97.5%, 83.8% and 65.2% measles cases respectively. Only 16.9% and 8.6% children received Vitamin A oil before and after the illness respectively. 49% gave history of exposure to measles cases and 46.6% cases had measles within 2 weeks incubation period. CONCLUSION: The study highlighted the necessity of timely measles vaccine coverage, additional dose at a higher age and Vitamin A supplementation through IEC activities.