Miscellaneous Articles

A STUDY OF ADVERSE DRUG REACTIONS IN A TERTIARY CARE HOSPITAL OF PUNE

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ABOUT AUTHOR
Steffi Jerry Mammen
Inamdar Multispeciality Hospital,
Pune, Maharashtra

ABSTRACT:
Purpose: To study the adverse drug reactions (ADR’s) reported from wards and critical units in a tertiary care hospital of Pune. The adverse drug reactions were analyzed by Naranjo’s algorithm scale and Hartwig severity assessment scale and the outcomes were studied.
Methods:  This observational and cross-sectional study was conducted for 6months from November 2016-May 2017 in an inpatient setting of a tertiary care hospital of Pune. The data collection was done only in wards and critical units. Patients of all age groups and either sex were included in this study. The adverse drug reactions were assessed for their causality and severity by performing the Naranjo’s algorithm scale and Hartwig’s scale respectively. The outcomes were studied. Data analysis was done by descriptive statistics.

Result: Total 50 adverse drug reactions were reported from wards and critical units. 21-30 years age group was reported to have more adverse drug reactions. The most commonly affected organ is the Skin 32 (71.11%), followed by Respiratory system 3 (6.66%) and nervous system 3 (6.66%). Vancomycin 5 (20%) was the drug having majority of the ADR’s. The commonly reported ADR in this study was rash and itching 29 (64.44%). According to Naranjo’s algorithm scale, 23 (51.11%) suspected ADR’s were probable, 17 (37.77%) ADR’s were possible and 5(11.11%) were definite. As per Hartwig’s severity assessment scale, majority of the ADR’s were mild 21 (46.66%), followed by moderate 20 (44.44%) and severe 4 (8.88%). The outcome of the ADR’s was all recovered 38 (84.44%) during the study period.
Limitations: Study was conducted only in wards and critical units not in all departments of the hospital. Some of the ADR’s have gone un-reported by Resident Medical Officer (RMO) due to increased work pressure, lack of awareness or busy environment.

ASSESSING THE DIMENSIONS OF HOSPITAL RECORDS (MEDICAL RECORDS) IN DELIVERING QUALITY OF SERVICE TO PATIENTS

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ABOUT AUTHORS
Kenneth Amoah-Binfoh1, Collins Marfo Agyeman2, Pradhyuman Singh Lakhawat1
1 Dept. of Business Studies,
SHUATS University, Allahabad, U.P, India.
2
Dept. of Business,
All Nations University, Koforidua, Ghana.

ABSTRACT
Medical records through which hospital statistics are generated serve as eyes and ears to the hospital administrator. Medical records are of importance to the hospital for evaluation of its services for better patients care. Failure of duty towards the patient is failure to maintain proper medical records. Recently, medical records have become very importance in the area of education and training of physicians and others being the basis for clinical research. Medical records make research effective and require scientific observational records. Medical records as perceived to be the instructions documented in a patients file serve as a means of communication between the physicians and other health professionals caring for the patient. The essence of medical record is to ensure continuity of care. Ensuring continuity of care means medical records must be comprehensive, planned, economical, time-honored and classified in a right way. Managing these records are found concerned with several types of problems. The record keeping, making use of the records, destroying the old records of no use; documenting the important records found useful to the researchers and the medical scientists. The objectives of this paper were to find the challenging dimensions of medical records in delivering quality of service to patients and to identify the significant role of medical records in delivering quality service to patients. The researchers employed systematic sampling with a population of about 123 which included nurses, medical records and admission office (clinic-administrative departments) with a desired sample size of 60. It was found that creating as one of the dimensions of medical record was very difficult to do. It was recommended that indexing or cataloguing should be more innovative and simple within time limit, so that the required papers or records are easily made available to the concerned person.

HEALTH RISK ASSESSMENT TO ZINC IN DRINKING WATER OF RURAL RESIDENTS LIVING IN BHUSAWAL CITY, MAHARASHTRA (INDIA)

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PhotoABOUT AUTHORS
Sanjay A. Nagdev*1, Mayur R. Bhurat1 and Krishna R. Gupta2
1 K.Y.D.S.C.T’s College of Pharmacy, Sakegaon-Bhusawal, Maharashtra
2 Smt. Kishoritai Bhoyar college of Pharmacy, Kamptee, Maharashtra
*snsanjurocks@gmail.com

ABSTARCT
The Present study was designed for the estimation of essential trace element Zinc in drinking water from natural sources like well, bore-well and river of Bhusawal (Maharashtra) (21.0455° N, 75.8011° E).Samples were evaluated as per Bureau of Indian standards 10500 for Zinc, Concentration of Zinc in water samples of River, well and Bore well was found within the safe limits of World Health Organization guidelines for zinc and also study finding suggest that bore well is the better and rich source of Zinc as compared to Well and river and population residing in the region and consuming water from bore well would be less prone to Zinc deficiency as compared to Population consuming water from other sources like well and river.

IS THE CHEMOTHERAPY REALLY NECESSARY FOR SOLID TUMORS?

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ABOUT AUTHOR
Dr. Vishwas B. Chavan
Aditya Jyot Hospital & Foundation
vishwaschavan2003@yahoo.co.in

Cancer is a leading cause of morbidity and mortality in the world today. According to one study, there were 14.1 million new cases of cancer and 8.2 million cancer-related deaths worldwide in 2012. The most commonly diagnosed cancers were lung (1.82 million), breast (1.67 million), and colorectal (1.36 million). The most common cancer deaths are due to lung cancer (1.6 million deaths), liver cancer (745,000 deaths), and stomach cancer (723,000 deaths) (Ferlay, J. et al, 2015).

GATEWAYS TO DRUG ABUSE: A BRIEF REPORT ON PUNJAB & HARYANA

ABOUT AUTHORS
Piyush Tripathi*,  Abhishek Arora
GMSCL,
GUJARAT(INDIA)
*piyushtripathi1992@rediffmail.com

Drug addiction is a serious problem in one country that is known for its culture, traditions & social values all over the world. The country where people commit suicide either because of love affairs or due to drug addiction related issues. Undoubtedly, this writing is talking about India.

APPEARING IN B.PHARMACY EXAMINATION ( SESSIONAL/ SEMESTER END/ YEAR END FINAL EXAMINATION) : AN ART OR SCIENCE?

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ABOUT AUTHORS
BALVINDER SINGH1*, PAWAN JALWAL 1, VIKASH KUMAR RUHIL 2, NEHA MINOCHA1
1.Department of Pharmaceutical Sciences & Research, Baba Mastnath University, Asthal Bohar, Rohtak, Haryana, India
2. P.D.M. College of Pharmacy, Bahadurgarh, Haryana, India
balvindersinghpharmaco@gmail.com

ABSTRACT
B.Pharmacy course is one of the leading professional courses in India. Two types of examinations are prevalent in B.Pharmacy course. One is the sessional examinations for internal evaluation. Second is the semester end/year end examination. Each examination has its own importance. The student should be well prepared for appearing in the examination. Appearing in the B.Pharm. Examination is not only merely science but it requires amalgamation of science and art.

CHALLENGES ENCOUNTERED BY PHARMA PROJECT MANAGER

ABOUT AUTHOR
Purva Gupta.
IIHMR, New Delhi.
purvagupta456@gmail.com

New Domain: This problem arises when organisation has not handled similar project earlier and stake holders have no prior experience on the project.

New Technology / Challenging Technology: Selected Project involves use of new technology or new equipment or specially trained staff may pose delay in completion of task, thereby project.

A PROSPECTIVE STUDY ON ROLE OF DOCTOR OF PHARMACY IN IMPROVING QUALITY OF LIFE OF HIV PATIENTS BY PATIENT COUNSELLING IN AN ANTIRETROVIRAL THERAPY WARD OF A TERTIARY CARE TEACHING HOSPITAL

ABOUT AUTHORS
M. Manasa Rekha*,
Department of Pharmacy Practice,
Annamacharya college of Pharmacy,
Rajampet, Andhra Pradesh,  India.
*manasarekharoyal@gmail.com

ABSTRACT:
The study aims to assess the role of clinical pharmacist in Improving the quality of life of HIV patients in an antiretroviral therapy wards of a teritary care teaching hospital

INDIAN DOCTOR, INDIAN PATIENTS & GENERICS: A TRIO OR OPPONENTS

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ABOUT AUTHORS
S.P.Sethy*, Tahseen Sameena, Prathima Patil
Department Of Pharmaceutical Chemistry,
Sushrut Institute of Pharmacy,
Medak, Andhra Pradesh, India

*sarada9439504350@gmail.com

ABSTRACT
This is a review aimed towards the current scenario of health care system in India with respect to the approach of Indian doctors towards the use of generics for a convenient and cost effective healthcare which is a major concern for all Indian citizens and this scenario should get clear for the betterment of Indian patient and the overall healthcare scenario in India. We can say the health care system is four tare system consisting doctors, patients, pharmacist and medicines, so there is a need to establish a significant relation between these four systems for a better health care facility in the country. In this review we have analyzed the Indian doctor’s perception status towards generic medicines, a patient’s feedback status towards generic medicines and from the side of pharmacist in dispensing generics medicines in India. We found that a major part of this system is running out of track and if it remains unsolved an Indian patient can’t expect a cost effective and efficient health services in future

MULTI ORGAN DYSFUNCTION FOLLOWING CONSUMPTION OF TUBERS OF GLORIOSA SUPERBA : A RARE CASE REPORT

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ABOUT AUTHORS
*K. Vinod1, B, Dr. N. Surendra Reddy1,Dr. K. Chandra Sekhar2, Dr. D. Ranganayakulu1

1Department of Pharmacy Practice,
Sri Padmavathi School of Pharmacy,
Tiruchanoor, Tirupati, India.
2 Department of General Medicine,
Sri Venkateswara Medical College,
Tirupati, Andhra Pradesh, India .

*drvinodkatiboina@gmail.com

ABSTRACT:
A 25 years married man was admitted on to emergency acute medical care unit. He had fallen ill after an afternoon meal from 4 days ago which consisted of rice and 3 tubers identified as gloriosa superb. About 3hrs after the ingestion, he developed abdominal pain, vomiting (15-20 episodes), and watery diarrhoea 15-20 episodes. He developed bleeding gums, yellowish discoloration, hematemesis 30-50 ml, 24episodes, haematuria, decreased urine output along with continued diarrhoea and vomiting. He was treated with iv fluids crystalloids and colloids titrated, 1 fresh frozen plasma (FFP), 1fresh platelet transfusion, inj. vit K, supportive treatment with close monitoring of vitals. Therapy as planned for ventilator support, however had ever had bleeding per rectum and hematemesis with aspiration, even with best available resuscitative efforts he succumbed to his illness and declared clinically dead after 36hrs of admission, his cause of death was given as multiorgan dysfunction see to gloriosa superb. Though poisoning with gloriosasuperba is rare it is mostly fatal and requires aggressive and prompt treatment is mandatory from saving the patient from death.

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