Archives November 2024

Dr Abhishek Sharma (PhD, Consultant), Dr Smita Sharma (Assistant Professor, TAPMI School of Business, Manipal University Jaipur)

Year: 2024, Volume: 1, Issue: 3, Date of Publication: 30 November 2024;

Abstract: Patient satisfaction surveys are essential for evaluating healthcare quality, driving improvements, and benchmarking institutional performance. In India, while numerous studies have been conducted across diverse healthcare settings, they often face limitations such as restricted scope, survey biases, and methodological gaps. This review examines trends and methodologies in patient satisfaction studies, analyzing data from journals, institutional reports, and credible organizations like NABH and SCImago. Key findings reveal a narrow focus on specific departments or patient groups, biases in survey design and administration, and exclusion of critical domains like telemedicine and grievance redressal. Methodological inconsistencies further hinder cross-comparative analyses. Addressing these challenges through standardized tools, inclusive sampling, and comprehensive evaluation can enhance the utility of patient satisfaction surveys, guiding healthcare policies and improving patient outcomes..

Keywords: Patient satisfaction, healthcare quality, survey methodology, India, healthcare evaluation.

Dr Mittal Patel (ENT Consultant, Ahmedabad, Gujarat), Dr Deepak Chhatbar (ENT Consultant, Dhoraji City, Rajkot, Gujarat)

Year: 2024, Volume: 1, Issue: 3, Date of Publication: 30 November 2024;

Abstract: Neck swellings are a common clinical presentation encountered in medical practice, varying significantly in etiology, pathology, and prevalence based on demographic and geographic factors. This study aims to assess the clinicopathologic features and prevalence of neck swellings in patients presenting to a tertiary care hospital in a Tier 2 city over a 1-year period. A retrospective observational study was conducted, analyzing clinical records, histopathological reports, and diagnostic imaging of 550 patients with neck swellings. Data were categorized based on age, gender, duration of swelling, and pathological diagnosis. The findings highlighted a diverse range of etiologies, including reactive lymphadenopathy, thyroid disorders, congenital anomalies, and malignancies, with notable differences in prevalence based on age and gender. Thyroid swellings were found to be the most common cause among adults, while lymphadenopathy predominated in pediatric cases. The study underscores the importance of early and accurate diagnosis for effective management and better clinical outcomes. This study provides valuable insights into the spectrum of neck swellings in a Tier 2 city setting, emphasizing the need for tailored diagnostic and therapeutic strategies in resource-limited environments.

Keywords: Neck swellings, clinicopathologic assessment, Prevalence, tertiary care hospital, Tier 2 city, Reactive lymphadenopathy, thyroid disorders, congenital anomalies, histopathological analysis, Diagnostic imaging

Dr Ramesh Kumar ( Deputy Director, Govt Sub District Hospital, Bheem, Rajsamand Rajasthan)

Year: 2024, Volume: 1, Issue: 3, Date of Publication: 30 November 2024;

Abstract: Doctors in private hospitals often face significant occupational stress due to demanding work environments and job insecurity. This study assessed the health status of 54 doctors using the GHQ-28, focusing on somatic symptoms, anxiety and insomnia, social dysfunction, and severe depression. Findings revealed that 68% of participants experienced psychological distress, with high stress levels reported by 82%, largely attributed to job insecurity (61%). Anxiety and insomnia were the most affected domains. The study underscores the urgent need for mental health screenings, supportive workplace policies, and stress management interventions to improve the well-being and resilience of healthcare professionals.

Keywords: General Health Questionnaire, doctors’ health, occupational stress, job insecurity, private hospital, mental well-being.

Dr Sunit Saxena ( MD (Anaesthesiology), HOD Anaesthesia and OT, Manipal Hospital, Jaipur), Dr Bhavya Sinha ( 3rd Year PG, DNB Anaesthesia)

Year: 2024, Volume: 1, Issue: 3, Date of Publication: 30 November 2024;

Abstract: Sleep endoscopy (DISE) is a vital diagnostic tool for assessing upper airway obstruction in obstructive sleep apnea (OSA). This study reviews anesthesia techniques and safety considerations for DISE in 100 patients over one year. Using propofol titration guided by the Schnider model, a controlled sedative state mimicking natural sleep was achieved in all cases, enabling effective visualization of airway dynamics. Moderate sedation was attained with minimal complications, such as rare instances of airway obstruction, promptly managed with established protocols. The findings emphasize the importance of precise anesthesia techniques and vigilant monitoring to enhance DISE’s diagnostic accuracy and patient safety.

Keywords: Sleep endoscopy, Obstructive sleep apnea, Drug-induced sleep endoscopy, Anesthesia, Propofol, Airway management, Sedation protocols.

Dr Sankhadeb Acharya (Consultant Orthopaedics, Durgapur, West Bengal)

Year: 2024, Volume: 1, Issue: 3, Date of Publication: 30 November 2024;

Abstract: Prolapsed intervertebral disc (PIVD) is a common spinal disorder managed conservatively with physical therapy, medications, and lifestyle modifications. This study retrospectively analyzed 100 patients undergoing conservative treatment for PIVD over a year. Results showed 75% achieved significant pain reduction, and 68% improved functional status, with early adherence to therapy linked to better outcomes. However, 12% required surgery due to persistent symptoms. Challenges included therapy compliance and emotional strain from chronic pain. Conservative management proves effective for most patients, emphasizing the importance of early intervention, patient education, and personalized care plans to optimize recovery.

Keywords: PIVD, conservative management, patient experience, physical therapy, pain management, functional recovery.