Orofacial injury by human bite: experience at a rural health centre

Human bite injuries are rare and are usually the result of fight and an inevitable helpless state of opponent who commit such crime. The aim of this article is to present two such cases which were managed at a rural health centre. The first patient is a young 22-year male who was bitten by same age group person over the tip of nose resulting in an avulsion injury. The second case is 29-year male patient was bitten at right upper lip. Both patients were managed at a rural health centre and both had satisfactory results.

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EVALUATE OF THE PREVALENCE AND SEVERITY OF SYMPTOMS OF TEMPOROMANDIBULAR JOINT DYSFUNCTION (TMJD).

The Professional Medical Journal ◽

10.29309/tpmj/2020.27.06.3830 ◽

2020 ◽

Vol 27 (06) ◽

pp. 1157-1164

Author(s):

Safia Khatoon ◽

Sarang Suresh ◽

Muhammad Ilyas ◽

Priya Rani ◽

Maimuna Khokhar ◽

...

Keyword(s):

Rural Health ◽

Health Centre ◽

Cross Sectional Study ◽

Subjective Response ◽

Age Group ◽

Dental Clinic ◽

Stiff Neck ◽

Cross Sectional ◽

Rural Health Centre ◽

Index Of Severity

Objectives: The objective of this study is to evaluate the prevalence and severity of TMJD and distribution of associated symptoms with respect to gender and age among the patients visiting Dental Clinic of a Rural Health Centre (RHC). Study Design: Descriptive cross-sectional study. Setting: Dental Clinic of Rural Health Centre (RHC) Nasirabad, District Kambar Shadadkot, Sindh, Pakistan. Period: December 2018 to May 2019. Material & Method: The study sample comprises of total 132 patients meeting the inclusion and exclusion criteria. Fonseca’s questionnaire and Fonseca’s Anamnestic Index are employed to assess the subjective response and severity of TMJD symptoms respectively vis-a-vis age and gender of patients. Data collected from patients is entered in SPSS ® version 16.0 for statistical analysis. Results: The results are arranged and statistically evaluated. Overall 43% answered positive to questions with respect to symptoms. Majority of patients reported positive for neck pain or stiff neck (15%) and muscular fatigue while chewing (15%). 50 % of patients suffering from TMJD symptoms belong to Age Group 1 (15 – 35 years). 94.3 % female patients suffer from some degree of TMJD. Based on Fonseca’s Anamnestic Index of severity, 65.9% of patients have Mild TMJD symptoms, 18.9% with Moderate severity and 1.5% with severe symptoms of TMJD. Conclusion: This study concludes that TMJD are more common in females with age group of 15 – 35 years of age. The most prevalent symptom is muscular pain / tiredness of jaws during chewing and stiffness of neck. In this study sample, majority of patients suffer from Mild TMJD symptoms.

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Second Year Nursing Students’ Experiences of Clinical Placement in a Rural Health Centre

International Journal of Studies in Nursing ◽

10.20849/ijsn.v3i2.417 ◽

2018 ◽

Vol 3 (2) ◽

pp. 107

Author(s):

Vistolina Nuuyoma ◽

Daniel Opotamutale Ashipala

Keyword(s):

Nursing Education ◽

Nursing Students ◽

Rural Health ◽

Positive Impact ◽

Health Centre ◽

Learning Context ◽

Rural Health Centre ◽

Satellite Campus ◽

Health Centres ◽

Second Year

Introduction: In nursing education, it is expected that students take theoretical and practical courses. Practical components are an integral part of learning in nurses’ training, which is effected through placement of students in different clinical settings. In Namibia, hospitals, clinics and health centres are popularly utilized as a clinical environment for placing nursing students at all levels of studies. However, little is known on how students experience the placement at the health centres. In 2016 Nursing students from a satellite campus were placed at a health centre.Methods: The study followed qualitative research principles, and it was explorative, descriptive and contextual in nature. Data were collected from reflections submitted by second year nursing students from a UNAM satellite campus upon completion of their two weeks placement at a health centre in 2016. Data were analyzed using content analysis as a data analysis strategy. Trustworthiness of this study was ensured by applying the criteria of Lincoln and Guba, namely: credibility, transferability, dependability, and confirmability of the study.Results: The five themes that emerged from the study are: ‘interpersonal factors’, ‘students’ reactions to the learning context’, ‘enablers of students’ learning at a rural health centre’, ‘challenges experienced by students’, and ‘recommendations made by students on learning in a rural health centre’.Conclusion: It is evident that good interpersonal interaction between nursing staff, students and patients appear to have a positive impact on learning. Students reflected on limited supply of equipment, and limited cases available as challenges experienced during their placement. Furthermore, students made suggestions to improve placements in a rural health centre.

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