scholarly journals Knowledge of clinicians/pediatricians about neonatal resuscitation in a tertiary care hospital

2019 ◽  
Vol 35 (3) ◽  
Author(s):  
Ayesha Muneer ◽  
Attia Bari ◽  
Arslan Haider ◽  
Agha Shabbir Ali

Objective: To analyze the knowledge of the doctors dealing with pediatric patients about neonatal resuscitation. Methods: This was a cross sectional study conducted at The Lahore General Hospital over one year. Total 137 doctors related to pediatrics with different job descriptions were enrolled and requested to fill a questionnaire proforma regarding their knowledge about basic equipment required and about neonatal resuscitation steps. Data was entered and analyzed using SPSS 20. Results: Out of 137 participants, majority (71%) had >2 years of experience in pediatrics and 52.5% had higher postgraduate qualification. Neonatal resuscitation workshop was attended by 57% doctors. In resuscitation of newborns at the time of delivery, resuscitating doctors were assisted by nurse in 50%, by junior doctor in 35%, paramedic staff 11% and it was done by single doctor in 4% cases. Oxygen (central or O2 cylinder) and warmer facilities were available in 90% and 82% of health facilities respectively. Majority (86%) of participants were of view that every neonate must be attended at birth. Not a single doctor followed all the standard steps of neonatal resuscitation although 90% had knowledge about resuscitation equipment and common resuscitation drugs. Conclusion: Pediatric health care professionals had knowledge about neonatal resuscitation but there are gaps in the practical application. There is a strong need of frequent neonatal resuscitation workshops for improving neonatal outcomes. doi: https://doi.org/10.12669/pjms.35.3.987 How to cite this:Muneer A, Bari A, Haider A, Ali AS. Knowledge of clinicians/pediatricians about neonatal resuscitation in a tertiary care hospital. Pak J Med Sci. 2019;35(3):---------. doi: https://doi.org/10.12669/pjms.35.3.987 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author(s):  
SAGARANANDA GIRI ◽  
GULAM MUHAMMAD KHAN

Objective: The current study aims to evaluate prescribing pattern and potentially inappropriate medicine (PIM) among elderly patients in a tertiary care hospital of western Nepal. Methods: A prospective cross-sectional study was conducted in the outpatient department of Manipal Teaching Hospital of Western Nepal. The World Health Organization prescribing indicators and Beers’ 2015 updated criteria were assessed to analyze the result. Results: The mean±standard deviation of the age was 73.47±6.42 years and the majority of patients were in the age group 65–74 (58.81%). Male preponderance (male: female=1.20:1) was found. The value of prescribing indicator includes the average number of drug per prescription (4.91), percentage of generic name prescription (3.40%), percentage of antimicrobials prescribed (19.40%), percentage of injections prescribed (2.70%), and percentage of the drug from essential drug list of Nepal (42.22%). At least one PIM was prescribed to 87 (21.6%) patients. Non-cyclooxygenase-selective nonsteroidal anti-inflammatory drugs (44%) and anticholinergics (18%) were the most frequently prescribed PIMs. Conclusions: Polypharmacy, PIMs, and potential drug-drug interaction were prevalent in this study. It is recommended that all the doctors, pharmacists, other concerned health-care professionals, patients, policymakers, and all other stakeholders must be aware of these situations and a multidisciplinary approach must be developed for the promotion of rational use of drugs.


Author(s):  
Jyothsna Guduru ◽  
T. Rohit Singh ◽  
Somnath Motgi ◽  
Jamuna Rani

Background: Many studies have investigated the prevalence of self medication practices. World health organization promotes the practice of self medication for relief of symptoms without medical consultation to reduce the burden on health care services. Majority of the individuals in developing country like India have poor knowledge about appropriate use of self mediction, but still they practice taking it without knowing the benefits and risk factors.Methods: The present study was a cross sectional study aimed to gather information about prevalence of self medication in common illness among non health care professionals in a tertiary care hospital. The sample size comprised of 215 participants. Data was collected through an open ended semi structured questionnaire. All the descriptive data was coded, entered in micro soft excel and analysed with frequencies and proportions.Results: The prevelance of self medication was found to be 96%. Near about 30% of participants got information from pharmacist regarding self medication. 27% participants followed allopathy medicine.16% participants used becosules and mucaine gel for mouth and throat ulcers.26% participants used D-cold total for cough and cold.15% participants used dolo 650mg for fever and headache.41.7% participants used ciprofloxacin for ear and eye infections.26.6% participants used gelusil for GI infection .25.7% participants used calamine lotion for skin infections and 48% participants used turmeric for other minor ailments as self medication medicines.Conclusions: As the prevalence of self medication is high among educated participants. The present study suggest the growing trend of self medication has to be prevented by applying strong policies and prohibiting the supply of medicines without a valid prescription.


2018 ◽  
Vol 35 (1) ◽  
Author(s):  
Attia Bari ◽  
Rizwana Kamran ◽  
Farah Haroon ◽  
Iqbal Bano

Objective: To determine the burnout among postgraduate residents’ and junior consultants in a tertiary care hospital. Methods: This cross-sectional study was conducted among the postgraduate residents (PGR) and junior consultants (JC) working at The Children’s Hospital Lahore in 2018. Participants were asked to complete Copenhagen Burnout Inventory questionnaire about burnout on 5 point Likert scale. ‘100 (always), 75 (often), 50 (sometimes), 25 (seldom) and 0 (never/almost never or according to intensity ranging from ‘a very low degree’ to ‘to a very high degree’. Data was analyzed using SPSS version 22. Three questions were added related to hospital factors but scored separately. Students t-test and chi square test were used to compare the burnout. Results: A total of 227 participants including 177 PGR and 50 JC completed the questionnaire with a response rate of 84% and 86% respectively. There was a female predominance, 140 participants (61.7%) were female. Majority was from pediatric medicine 173 (76.2%). The mean personal and work related-burnout was high among PGRs as compared to JCs (18.68±5.01 vs 16.62±4.57) (p=0.008) and (21.14±5.57 vs. 18.56±5.52) (p=0.004) respectively. Similarly, there was significantly more burnout among pediatric medicine study participants as compared to surgery and diagnostic in all domains (personal BO; p=0.030, work-related BO; p=0.021, patient related BO; 0.033 and hospital related BO; 0.001). No difference was noted based on gender and year of training. Conclusion: Tertiary care hospital postgraduate residents and junior consultants face moderate burnout. Postgraduate residents had significantly more burnout as compared to junior consultants and majority were from pediatric medicine. How to cite this:Bari A, Kamran R, Haroon F, Bano I. Burnout among pediatric residents and junior consultants working at a tertiary care hospital. Pak J Med Sci. 2019;35(1):---------. doi: https://doi.org/10.12669/pjms.35.1.43 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  

Author(s):  
Nandini Chatterjee ◽  
Supratick Chakraborty ◽  
Mainak Mukhopadhyay ◽  
Sinjon Ghosh ◽  
Bikramjit Barkandaj ◽  
...  

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