scholarly journals A study of collagen dressing versus conventional dressings in burns at tertiary health care centre

2020 ◽  
Vol 7 (4) ◽  
pp. 1061
Author(s):  
Paritoshsingh B. Thakur ◽  
T. Ramachandrudu ◽  
Anant Arunrao Takalkar
Keyword(s):  
Health Care ◽  
Wound Healing ◽  
Treatment Group ◽  
Burn Injury ◽  
Cross Sectional Study ◽  
Complete Healing ◽  
Burn Wound ◽  
Health Care Centre ◽  
Cross Sectional ◽  
Time Required

Background: Worldwide, burn injury is a problem and cause intense pain, biological dressings like collagen as it forms physiological interface prevents infection effective for burn wound healing. The objective of the study was to study of collagen dressing versus conventional dressings in burns at tertiary health care centre.Methods: This was a cross sectional study carried out in the Department of Surgery during September 2018 to September 2019. Out of 50 patients, 25 were enrolled to collagen treatment group (group A) and remaining into conventional treatment group i.e. (group B). The statistical analysis was done by unpaired t-test and chi-square test.Results: Average less time required for granulation tissue to appear p<0.001, df=48, t=4.56); average less time requires for sterile wound swab culture (weeks) (p<0.05, df=48, t=3.45); less discomfort score (0-10) (p<0.001, df=48, t=6.78); less dressing removal pain score (0-10) (p<0.0001, df=48, t=9.87); less average time required for complete healing (days ) (p<0.001, df=48, t=7.79).Conclusions: It can be concluded that collagen dressings were superior to conventional dressing in wound healing of burns.

scholarly journals The effect of dietary intake of antioxidant micronutrients on burn wound healing: a study in a tertiary health institution in a developing country

2015 ◽  
Vol 3 ◽  
pp. 1-7 ◽  
Author(s):  
Mary Adjepong ◽  
Pius Agbenorku ◽  
Patricia Brown ◽  
Ibok Oduro
Keyword(s):  
Wound Healing ◽  
Vitamin C ◽  
Dietary Intake ◽  
Burn Injury ◽  
Dietary Assessment ◽  
Cross Sectional Study ◽  
Burn Patients ◽  
Burn Wound ◽  
Cross Sectional ◽  
Nutrient Analysis

Abstract Background Burn injury results in emotional stress affecting dietary intake and antioxidant micronutrient intake, which is known to have effects on recovery outcomes. The study aimed to assess dietary intake of antioxidant micronutrients and recovery outcomes of burn patients. Methods Questionnaires were administered to 40 burn patients at Komfo Anokye Teaching Hospital (Ghana) from January 1, 2014 to May 30, 2014. The data taken include anthropometric measurements and dietary assessment. Their nutrient intakes were assessed with the Nutrient Analysis Template. The average intakes were compared to the recommended daily allowance. Assessment of recovery was based on records of wound healing assessments and infection rates from the health practitioners. Results A cross-sectional study of 40 patients revealed an average total burn surface area (TBSA) of 31.4 %, where 70.0, 35.0, 75.0, 52.5, 12.5 and 32.5 % patients were deficient in vitamins A, C and E, zinc, copper and selenium, respectively and adequate amounts of vitamin C intake were related with significantly better wound healing progress. Positive wound healing outcomes were observed for patients with adequate vitamins A and E and zinc intake. Less infection presented among patients with adequate amount of vitamins A and C and zinc, but this was not observed for patients with adequate vitamin E, copper and selenium. Conclusions Most burn patients did not meet their dietary requirements for antioxidant micronutrients and this was due to meals not tailored to suit individual requirements. Adequacy of the antioxidants especially vitamin C resulted in positive wound healing outcomes. Hence, there is need for planned well-balanced meals of high vitamin C.

scholarly journals Knowledge, attitude and practices of lactating mothers towards breastfeeding in a tertiary care hospital Nagpur: a cross sectional study

2020 ◽  
Vol 7 (5) ◽  
pp. 1941
Author(s):  
Sushama S. Thakre ◽  
Subhash B. Thakre ◽  
Priti N. Tiwari ◽  
Hitesh C. Tayade
Keyword(s):  
Health Care ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Care Centre ◽  
Sectional Study ◽  
Health Care Centre ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
Breastfeeding Rate

Background: Breastfeeding is the most important intervention for reducing infant mortality and ensuring normal growth and development of a child. Objective of this study was to assess the knowledge, attitude, and practices toward Breastfeeding among lactating mothers visiting immune-prophylaxis clinic of tertiary health care centre, Nagpur Maharashtra.Methods: A hospital-based cross-sectional study was conducted among 400 mothers at tertiary health care centre, Nagpur in the state of Maharashtra, India. The lactating mothers whose children under the age of 3 years were interviewed.Results: Maximum number of women were in the age group of 26-30 years (46%). Mothers with parity >1 had satisfactory knowledge regarding breastfeeding (p=0.0001). Prevalence of exclusive breastfeeding rate was found to be 86%.Conclusions: Efforts should be strengthened to make mothers aware of health benefits of breastfeeding for themselves and their offspring to improve the overall maternal and child health.

scholarly journals Topical steroid addiction among paramedical staff: a cross sectional study in a tertiary health care centre

2019 ◽  
Vol 5 (4) ◽  
pp. 844
Author(s):  
Maitreyee Panda ◽  
Ipsita Debata ◽  
Debasmita Behera ◽  
Chinmoy Raj ◽  
Ajaya Jena
Keyword(s):  
Health Care ◽  
General Population ◽  
Topical Corticosteroid ◽  
Medical Profession ◽  
Topical Steroid ◽  
Cross Sectional Study ◽  
Topical Steroids ◽  
Contributing Factors ◽  
Health Care Centre ◽  
Cross Sectional

<p class="abstract"><strong>Background:</strong> Topical corticosteroid misuse is one of the major causes of concern for dermatologist now-a-days. It is not only prevalent in general population but also among individuals associated with medical profession like paramedical staffs. The aim of the present study was to understand the various causes and demographic profile of paramedical staffs using steroids alone or in combination as fairness creams.</p><p class="abstract"><strong>Methods:</strong> All paramedical staffs using topical steroids as fairness creams were screened for the exclusion criteria and included in our study.<strong></strong></p><p class="abstract"><strong>Results:</strong> Females staffs (82.24%) predominated our study group. Betamethasone valerate (46.16%) was found to be the most common topical corticosteroid being misused and the source of recommendation was mostly from pharmacy (37.06%) without any prescriptions.</p><p class="abstract"><strong>Conclusions:</strong> With increasing misuse of topical corticosteroids it is the need of the hour to evaluate the intensity of the problem, contributing factors and the associated morbidity leading to impaired quality of life, not only in the general population but also among the health care provider.</p>

scholarly journals A study of effectiveness of topical insulin on healing of diabetic ulcers at tertiary health care centre: a cross sectional study from Puducherry

2020 ◽  
Vol 7 (3) ◽  
pp. 857
Author(s):  
Paritoshsingh B. Thakur ◽  
T. Ramachandrudu ◽  
Anant A. Takalkar
Keyword(s):  
Health Care ◽  
Granulation Tissue ◽  
Cross Sectional Study ◽  
Care Centre ◽  
Sectional Study ◽  
Health Care Centre ◽  
Cross Sectional ◽  
Diabetic Ulcers ◽  
Group A ◽  
Group B

Background: Insulin being a growth factor was proved to stimulate angiogenesis, collagen formation, matrix formation and granulation tissue proliferation in several preclinical studies. The objective was to study effectiveness of topical insulin on healing of diabetic ulcers at tertiary health care centre.Methods: This was a cross sectional study carried out in the Department of surgery of a tertiary health care centre during August 2018 to August 2019 so during this period there were 60 patients. Group A was given topical insulin application. Group B was given saline application. The statistical analysis was done by using SPSS 24.0 version and un-paired t-test and chi-square tests are applied as test of significance.Results: Average time required for granulation tissue to appear (mean±SD) was significantly less in group A as compared to Group B (p<0.001, df=58, t=5.87); Average surface area of wound (mm2) at day 6th day was significantly less in group A (p<0.05, df=58,t=3.98); average depth of the wounds (mm) at day 6th day was significantly less in Group A as compared to in Group B (p<0.001, df=58, t=4.92).Conclusions: The topical application of insulin is significantly associated with fastening of wound healing in the diabetic ulcer.

scholarly journals Profile of refractive errors and amblyopia in 5-15 yrs of school going children at a Union territory tertiary health centre

2019 ◽  
Vol 7 (5) ◽  
pp. 1929
Author(s):  
Ezhilvathani N. ◽  
Suruthi P. ◽  
Jeiganesh M.
Keyword(s):  
Health Care ◽  
Refractive Error ◽  
Positive Family History ◽  
Public Health Problem ◽  
Population Based ◽  
Cross Sectional Study ◽  
Strong Impact ◽  
Refractive Errors ◽  
Health Care Centre ◽  
Cross Sectional

Background: Poor vision in childhood affects performance in school and has a significant impact on future life of child in terms of education and development. Current study aims at detecting the magnitude and patterns of refractive errors with amblyopia screening so that effective measures can be planned at the right time to minimize the burden.Methods: Hospital based cross sectional study conducted on 200 children between 5-15 years attending the ophthalmology OPD of a tertiary health care centre, Puducherry. Interpretation and data analysis were done by SPSS software version 13.0.Results: Mean age of presentation was 9 years. Female to male ratio in the present study was 1.3:1. Positive family history was noted among 48 children suggesting strong impact of genetic factor in refractive errors. Among 20 children who were already on spectacle correction, the most common refractive error was compound myopic astigmatism. Among 30 children who were diagnosed with amblyopia, 8 children below 8 years of age had improved vision on 1 month follow up of post treatment with spectacles and occlusion therapy and 22 children did not show improvement suggesting amblyopia can be corrected if intervention was instituted before the age of 8 years.Conclusions:Refractive errors with or without amblyopia is a significant cause of childhood visual impairment. Though it is a hospital-based study, the results were in consistent with previously published hospital and population based study. This study also expected to serve as a tool for primary health care physicians to have an overview of magnitude and patterns of refractive errors in children presenting to hospital since refractive error is a significant public health problem worldwide.Background: Poor vision in childhood affects performance in school and has a significant impact on future life of child in terms of education and development. Current study aims at detecting the magnitude and patterns of refractive errors with amblyopia screening so that effective measures can be planned at the right time to minimize the burden.Methods: Hospital based cross sectional study conducted on 200 children between 5-15 years attending the ophthalmology OPD of a tertiary health care centre, Puducherry. Interpretation and data analysis were done by SPSS software version 13.0.Results: Mean age of presentation was 9 years. Female to male ratio in the present study was 1.3:1. Positive family history was noted among 48 children suggesting strong impact of genetic factor in refractive errors. Among 20 children who were already on spectacle correction, the most common refractive error was compound myopic astigmatism. Among 30 children who were diagnosed with amblyopia, 8 children below 8 years of age had improved vision on 1 month follow up of post treatment with spectacles and occlusion therapy and 22 children did not show improvement suggesting amblyopia can be corrected if intervention was instituted before the age of 8 years.Conclusions: Refractive errors with or without amblyopia is a significant cause of childhood visual impairment. Though it is a hospital-based study, the results were in consistent with previously published hospital and population based study. This study also expected to serve as a tool for primary health care physicians to have an overview of magnitude and patterns of refractive errors in children presenting to hospital since refractive error is a significant public health problem worldwide.

Awareness of Diabetic Retinopathy among Diabetic Patients in a Tertiary Health Care Center

2020 ◽  
Vol 11 (4) ◽  
pp. 7358-7365
Author(s):  
Keerthana S ◽  
Sanjeev Kumar Puri
Keyword(s):  
Health Care ◽  
Diabetic Retinopathy ◽  
Care Center ◽  
Cross Sectional Study ◽  
Treatment Modalities ◽  
Eye Disease ◽  
Diabetic Patients ◽  
Health Care Centre ◽  
Cross Sectional ◽  
Health Care Center

The study aimed to assess the awareness of diabetic retinopathy among diabetic patients in a tertiary health care centre.  A hospital-based, cross-sectional study was conducted using a pre-tested semi-structured questionnaire on 115 diabetic patients. Male (76%) participated in the study were more than female (39%). Mean age of the study population being 50.44 years. There were no significant statistical associations between the demographic details and awareness of DR. In our study, 80.87% of people with diabetes were aware that DM could cause eye disease and 59.13% were aware that DR is an eye disease due to DM. There was a significant statistical association between them. The importance of regular eye visits was known by only 80% and followed by only 51.3%. Half of the subjects (52.17%) knew that DR could cause blindness. Only 57.39% knew about the treatment modalities of DR. Doctors should convey the importance of the disease and its risk factors to the patients. Thus, better prevention strategies of DR should be implemented among people with diabetes. Lack of awareness and lesser screening practices makes it difficult to prevent DR; thus, steps should be taken towards spreading awareness.

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