Przeglądanie według Autor "Biswas, Ratnadeep"

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Risk and associates of tobacco, alcohol and cannabis use among undergraduate university students – a Pan-India cross-sectional study
(Publishing Office of the University of Rzeszow, 2022-12) Biswas, Ratnadeep; Joshi, Rishabh; Rao, Rajath; Rajan, Ratnesh; Gaur, Rituj; Rangnath; Sahoo, Saikrishna
Introduction and aim. Substance abuse and its associated problems are a global concern. Young adults, particularly college- going students, remain among the highest at-risk groups for various substance use disorders. So, this study was conducted to find out the prevalence of substance use and its correlates among undergraduate (UG) university students. Material and methods. We did an online cross-sectional survey among 1003 undergraduate university students across India using a pre-structured, self-reported questionnaire consisting of basic demographic details, standard tool (WHO-ASSIST), and the results were tabulated. A multivariable binary logistic regression analysis was performed to find out the correlates of substance use and Pearson correlation to find a correlation between ASSIST scores. Significance was attributed to a p-value <0.05. Results. A total of 320 (31.9%), 167 (16.7%), and 125 (12.5%) among 1003 students used alcohol, tobacco, and cannabis respectively. 70 (21.9%), 116 (69.5%), and 62 (49.6%) were at moderate-high risk of abuse for alcohol, tobacco, and cannabis respectively. There was a strong positive statistically significant (p<0.001) correlation between all three substance-specific scores (Pearson’s Coefficients r = 0.643, 0.763, and 0.725 respectively). Conclusion. One, two, and three out of every ten students used cannabis, tobacco, and alcohol respectively. Many of them fall into the moderate-high risk category. The data suggest that a student at high risk for any one substance is also at a higher risk of using another substance as well. This calls for an integrated ‘bundle’ approach to focus on all substances together as one unit.
Satisfaction levels of patients attending the outpatient department of a tertiary care center of India
(Publishing Office of the University of Rzeszow, 2023-12) Kumar, Vijay; Biswas, Ratnadeep; Ojha, Vishnu S.; Kaushal, Kishore
Introduction and aim. Any hospital’s outpatient department (OPD) is regarded as the storefront of the facility, and patient satisfaction is an important measure of healthcare quality. Hence, this cross-sectional study was conducted in different OPDs at a tertiary care center. Material and methods. Two hundred patients were recruited, and structured personal interviews were conducted with questions based on the Patient Satisfaction Questionnaire Short Form (PSQ-18). T-tests and analysis of variance (ANOVA) were used to compare satisfaction scores between variables. Results. Upon analysis, 86% of the patients rated their overall experience as either ‘very good’ or ‘good’. Interpersonal manners (mean score±SD; 4.60±0.55), communication (4.39±0.66), general satisfaction (4.03±0.79), and technical qualities (3.86±0.57) were the domains in which the patients were most satisfied, while time spent with the doctor (3.77±0.89), accessibility and convenience (3.77±0.67), and financial aspects (3.37±0.83) were the areas that lagged. Conclusion. Satisfaction scores were found to vary significantly with gender, age, waiting times, and the number of visits per day. Regular patient satisfaction surveys should be conducted in all hospitals for devising interventions to provide patients with the best possible care.
Secondary Fahr’s syndrome mimicking meningoencephalitis
(Publishing Office of the University of Rzeszow, 2023-12) Vamshikrishnapatel, Kotha; Kumar, Vijay; Biswas, Ratnadeep; Ojha, Vishnu S; Hegde, Aniketh V.
Introduction and aim. Fahr’s disease is a rare neurological disorder characterized by bilateral basal ganglia calcifications. The aim of this report is to highlight a case of Fahr’s disease with atypical features such as neck rigidity and peripheral nerve involvement. Description of the case. Here, we present the case of a South Asian patient with secondary Fahr’s disease whose clinical presentation mimicked that of meningoencephalitis. The patient had neurological and neuropsychiatric symptoms along with abnormal body movements. She also had restricted neck mobility. Computed tomography of the head revealed bilateral dense calcifications in the basal ganglia suggestive of Fahr’s syndrome. Investigations revealed severe hypocalcemia, hyperphosphatemia, and low parathyroid hormone levels, which led to the identification of hypoparathyroidism as the underlying cause. The presence of pre-existing epilepsy and neck rigidity made the diagnosis difficult. The relatively rapid development of symptoms along with the presence of peripheral nerve involvement made this case even more unique. Calcium levels were corrected, and there was a marked symptomatic improvement. Conclusion. Neck rigidity and restricted neck mobility may be present in cases of Fahr’s syndrome due to calcifications of the nuchal ligament or other spinal ligaments and thus must be differentiated from meningoencephalitis. Although the symptoms of Fahr’s syndrome are generally limited to the central nervous system, there may be involvement of the peripheral nerves as well.