R Kshirsagar

Abstract

Background: Evolution of Hospitals has occurred from being an isolated sanatorium to a hospital with five star facilities Expectations of patient and their relatives have increased manifold due to improved socio-economic status and education level of society. Therefore satisfaction levels of patients and their relatives, is an important indicator of performance of hospital. Objectives : This study was conducted to evaluate satisfaction among admitted patients of clinical departments of tertiary care hospital in central India, during calendar year 2019. Materials and Methods : This was cross-sectional study, started after obtaining permission from Institutional Ethics committee of Medical College in Central India. 3004 patients and their relatives, who were willing to participate in study, were requested to reply to 20 questions about health care services (Ten clinical and Ten non clinical questions); 20 pre validated,pre-tested , easy to understandquestions were used in this hospital in 2019, and questions were translated in local language Hindi and Marathi ,as per standard protocol. All included respondents were interviewed at time of discharge and were requested to reply to 20 questions. Results & Interpretation & Conclusions : Data of satisfaction level was analyzed using t-Test [unpaired]. Mean score in % of satisfaction in Ten Non clinical parameter was 82.49% with S.D. 10.07% and in clinical parameters was 97.45% with S.D. 0.90%. This difference is statistically significant (P-value Keywords: Behavior, Cleanliness, Expectation, Hospital services, Questionnaire, Satisfaction

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Abstract

The platelets play a vital role in the pathological changes in diabetes leading to micro-vascular complications. Platelet indices being indicators of platelet activity, may be useful predictive markers of these complications. The aim of this study was to evaluate the platelet indices in diabetic patients and correlate them with micro-vascular complications of the disease. We included 60 patients of Type 2 diabetes and 60 non-diabetics in this case-control study. Detailed clinical history including duration of diabetes and presence of micro-vascular complications was noted. Platelet indices - (Platelet count-PLT, Mean platelet volume-MPV, Platelet distribution width-PDW and Plateletcrit-PCT) were obtained using automated cell counter. Fasting blood glucose and HbA1c were also obtained. Diabetics were further categorized into patients with complications and without complications. Statistical analysis was performed by EPI INFO software version 7, Student's t-test and ANOVA test. The study showed that MPV was significantly higher in Diabetics than non-diabetic controls (p Keywords: Diabetes, Platelet indices, Platelet count, Mean platelet volume, Platelet distribution width, Plateletcrit.

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