scholarly journals Clinical profile and outcome of snakebite poisoning in sub-district hospital Akhnoor

2021 ◽  
Vol 8 (5) ◽  
pp. 644
Author(s):  
Chandan Sharma ◽  
Ashima Badyal ◽  
Sanjeev Kumar
Keyword(s):  
Rainy Season ◽  
District Hospital ◽  
First Aid ◽  
Snake Bite ◽  
Rural Background ◽  
Study Results ◽  
Chief Complaints ◽  
History Of ◽  
Minimum Delay ◽  
Health Care Centers

Background: In a predominantly agricultural country like India, with rich in flora and fauna, long rainy season and rural background, the encounter between man and snake is a frequent occurrence. Viper-bites are more common than other poisonous snakebites. Only the cases of snakebite with severe envenomation reach the health care centers. This study was planned to analyze the presentation of complaints and symptoms in snake bite patients.Methods: This ‘record based descriptive observational study’ was carried out over a period of 6 months from May 2020 to November 2020 in Sub District hospital Akhnoor. A total of 96 patients with a history of snake bite and signs of envenomation were included in this study. Results: Incidence was higher among people from rural background (86.46%), more among males (67.71%) and highest among farmers (53.13%) and labourers (16.67%). Maximum no of snakebites took place during night and on the lower parts of body, mainly legs (54.17%); while the period of the study contained the peak rainy season of the region. As many as 39.58% of victims didn’t receive any kind of formal first aid at all and as many as 48.96% patients reported after a minimum delay of 6 hours, which could be considered as potentially fatal. Chief complaints among the reported patients of snake bite were found to be: Local edema, bleeding, vomiting, drowsiness, ptosis and Ophthalmoplegia.Conclusions: There is an urgent and dire need for awareness and education among rural population about the hazards involved and treatment of snakebite.

scholarly journals SNAKE BITE

2010 ◽  
Vol 17 (02) ◽  
pp. 263-268
Author(s):  
KAMRAN ZAHEER BUTT ◽  
FAHEEM ANWAR ◽  
MOHAMMAD RIZWAN
Keyword(s):  
First Aid ◽  
Snake Bite ◽  
Clinical Effects ◽  
Field Hospital ◽  
Laboratory Findings ◽  
Life Threatening ◽  
History Of ◽  
Male Patients ◽  
Age Range ◽  
Study Setting

Introduction: 15 percent of the snakes are poisonous and present a potential life threatening risk to human lives. Objectives: (1) To review the demographic, epidemiological, clinical and laboratory findings of 48 patients of snake bite treated in a field hospital. (2) To evaluate the treatment and outcome of these patients. Design: A retrospective study. Setting: Field hospital in rural Sindh. Period: From January 2002 to December 2003. Material & Methods: All patients diagnosed with snake bite had first aid treatment by a either a nursing staff close to the place of bite or by a quack and later on transferred to field hospital. The first aid treatment consisted of pain relief (injectable diclofenac, oral acetaminophen), application of bandage or tourniquet proximal to the bite, antihistamine (oral or injectable chlorpheniramine) anti- inflammatory (injection hydrocortisone) and immobilization of the affected limb with a splint. Results: We are treated 48 patients with snake bite. There were 45(94%) male patients and 3(6%) female patients. Age range was 18 to 56 years with a mean age of 29.8 years. 35(73%) patients suffered from snake bite between the months of May and September. The timing of the bite was also peculiar with 36(75%) patients bitten between 8pm and 8am whereas only 12(25%) patients during other times of the day. 38(79%) patients gave history of seeing the snake themselves and 10(21%) patients were not able to see the snake mainly because of darkness. Conclusion It should be remembered that not all snakes are poisonous and that they are more afraid of humans than we are of them. Psychological effects of the bite are at times more devastating than the clinical effects, therefore patient reassurance forms part of the treatment.

scholarly journals Clinical Spectrum and Outcome of Snake Bite Cases in Western Nepal

2017 ◽  
Vol 15 (2) ◽  
pp. 26-28 ◽  
Author(s):  
Sujeeta Bajracharya ◽  
R. Joshi ◽  
D. B. Shrestha
Keyword(s):  
Lower Limb ◽  
Clinical Symptoms ◽  
First Aid ◽  
Snake Bite ◽  
Male Victims ◽  
Mortality And Morbidity ◽  
Army Hospital ◽  
Tingling Sensation ◽  
History Of ◽  
Exact Figure

Background: Prevalence of snake bite is high in Nepal. However, there is no exact figure of mortality and morbidity associated with snake-bite probably due to poor reporting. Objectives: To study demographic characters of snake bite victims, to see clinical symptoms of the bite, outcome of snake bite, use of ASVS and its associated anaphylactic reaction. Methods: A retrospective observational hospital based study carried out through July- October 2017 of the patients with the history of snake bite and visited to secondary level hospital (Army Hospital) at Nepalganj. Result: Among 169 cases of snake bite between 6 months to 83 years, 49.70% was between 20-54 years. Highest number of cases (n=110) came from local areas of Nepalganj like Manikapur, Alanagar, Fulltegra, Daduwa, Gayatrinagar and Samsherganj. Male victims were 61.53% (n=104) and 38.46% (n=65) were female. Commonest site of bite was in lower limb (n=116), followed by upper limb (n=47), head, neck and trunk. Maximum number of cases came to the center within 90 minutes of bite while only n= 28 came after 180 minutes of bite. Use of tourniquet as first aid was seen in 68% (n=115) and 3 cases came in with incised wound and sucked wound. A total of 97.04% (n=164) were dry bite with 26.62% (n=45) only had suspicion of snake bite (snake not seen due to invisibility or bite other than snake). A majority of cases presented without any other symptoms (with only history of bite), 45.56% had bite marks, 17.16% had pain and swelling at the bite site, 6.7% had bleeding from the site and burning and tingling sensation. A total of 2.95% (n=5) of snake bite cases needed ASVS and one developed ASVS complication. Conclusion: Snake bite is more common in adult male between 20-54 years and the commonest site is lower limb. Maximum number of cases presented within in 90 minutes of bite using tourniquet on the affected limb as first aid. Only small percentage of snake bite required anti-snake venom treatment and its complication rate is high.

scholarly journals DIABETIC RETINOPATHY

2010 ◽  
Vol 17 (02) ◽  
pp. 257-262
Author(s):  
NAUMAN AYUB SHAIKH ◽  
FAROOQ AHMAD
Keyword(s):  
First Aid ◽  
Snake Bite ◽  
Clinical Effects ◽  
Field Hospital ◽  
Laboratory Findings ◽  
Life Threatening ◽  
History Of ◽  
Male Patients ◽  
Age Range ◽  
Study Setting

Introduction: 15 percent of the snakes are poisonous and present a potential life threatening risk to human lives. Objectives: (1) To review the demographic, epidemiological, clinical and laboratory findings of 48 patients of snake bite treated in a field hospital. (2) To evaluate the treatment and outcome of these patients. Design: A retrospective study. Setting: Field hospital in rural Sindh. Period: From January 2002 to December 2003. Material & Methods: All patients diagnosed with snake bite had first aid treatment by a either a nursing staff close to the place of bite or by a quack and later on transferred to field hospital. The first aid treatment consisted of pain relief (injectable diclofenac, oral acetaminophen), application of bandage or tourniquet proximal to the bite, antihistamine (oral or injectable chlorpheniramine) anti- inflammatory (injection hydrocortisone) and immobilization of the affected limb with a splint. Results: We are treated 48 patients with snake bite. There were 45(94%) male patients and 3(6%) female patients. Age range was 18 to 56 years with a mean age of 29.8 years. 35(73%) patients suffered from snake bite between the months of May and September. The timing of the bite was also peculiar with 36(75%) patients bitten between 8pm and 8am whereas only 12(25%) patients during other times of the day. 38(79%) patients gave history of seeing the snake themselves and 10(21%) patients were not able to see the snake mainly because of darkness. Conclusion It should be remembered that not all snakes are poisonous and that they are more afraid of humans than we are of them. Psychological effects of the bite are at times more devastating than the clinical effects, therefore patient reassurance forms part of the treatment. 

Efficacy of intrauterine administration of autologous peripheral blood mononuclear cells prior to embryo transfer in patients with recurrent implantation failures in assisted reproductive technology programmes

GYNECOLOGY ◽  
2018 ◽  
Vol 20 (2) ◽  
pp. 28-33
Author(s):  
T S Amyan ◽  
S G Perminova ◽  
L V Krechetova ◽  
V V Vtorushina
Keyword(s):  
Embryo Transfer ◽  
Peripheral Blood Mononuclear Cells ◽  
Peripheral Blood ◽  
Mononuclear Cells ◽  
Peripheral Blood Mononuclear ◽  
Study Objective ◽  
Study Results ◽  
Blood Mononuclear Cells ◽  
History Of ◽  
Group 2

Study objective. To evaluate the efficacy of intrauterine administration of autologous peripheral blood mononuclear cells (PBMC) prior to embryo transfer in patients with recurrent implantation failures in IVF program. Materials and methods. The study enrolled 129 patients with recurrent implantation failures in an IVF programme. Group 1 - 42 patients who had intrauterine administration of autologous PBMC activated with hCG (Pregnyl 500 IU). Group 2 - 42 patients who had intrauterine administration of autologous PBMC without hCG activation. Group 3 (placebo) - 45 patients who had intrauterine administration of saline. Study results. In the hCG-activated PBMC group, the rates of positive blood hCG tests, implantation, and clinical pregnancy were significantly higher than the respective rates in the non-activated PBMC group and in the placebo group, both in a stimulated cycle and in an FET cycle (р≤0.05). Conclusion. Intrauterine administration of autologous PBMC prior to embryo transfer in an IVF/ICSI programme increases the efficacy of IVF program in patients with a history of recurrent implantation failures.

STUDI BIONOMIK VEKTOR MALARIA DI KECAMATAN KALIBAWANG, KULONPROGO

2018 ◽  
Vol 4 (2) ◽  
Author(s):  
Sardjito Eko Windarso dkk
Keyword(s):  
Land Use ◽  
Malaria Vector ◽  
Rainy Season ◽  
Dry Season ◽  
Physical Factors ◽  
Mosquito Vector ◽  
Anopheles Species ◽  
Commercial Farming ◽  
Study Results ◽  
Dry And Rainy Seasons

The increasing of malaria cases in recent years at Kecamatan Kalibawang has been suspected correspond with the conversion of farming land-use which initiated in 1993. Four years after the natural vegetation in this area were changed become cocoa and coffee commercial farming estates, the number of malaria cases in 1997 rose more than six times, and in 2000 it reached 6085. This study were aimed to observe whether there were any differences in density and diversity of Anopheles as malaria vector between the cocoa and mix farming during dry and rainy seasons. The results of the study are useful for considering the appropriate methods, times and places for mosquito vector controlling. The study activities comprised of collecting Anopheles as well as identifying the species to determine the density and diversity of the malaria vector. Both activities were held four weeks in dry season and four weeks in rainy season. The mea-surement of physical factors such as temperature, humidity and rainfall were also conducted to support the study results. Four dusuns which meet the criteria and had the highest malaria cases were selected as study location. Descriptively, the results shows that the number of collected Anopheles in cocoa farming were higher compared with those in mix horticultural farming; and the number of Anopheles species identifi ed in cocoa farming were also more varied than those in the mix horticultural farming.Key words: bionomik vektor malaria, anopheles,

Wilderness Medicine Education

2021 ◽  
Vol 9 (1) ◽  
pp. 49-55
Author(s):  
Seth C. Hawkins ◽  
Corey Winstead
Keyword(s):  
Continuing Education ◽  
First Aid ◽  
Program Director ◽  
End User ◽  
First Responder ◽  
Remote Areas ◽  
History Of ◽  
Single Use ◽  
Field Schools ◽  
Medicine Education

AbstractWilderness medicine classes are widely available to archaeologists and field scientists, but because wilderness medicine is an unregulated field, knowing what the various courses and products mean can be difficult. Based on the education chapter in the recently published textbook Wilderness EMS, this article—written by same two authors as the book—explores a number of topics relevant for the field scientist, program director, or administrator seeking to obtain wilderness medicine training for archaeologists. The article first explores the history of wilderness medicine products and certificates available to interested parties. It then differentiates between the various products available today along with their benefits and limitations for the end user. Products and trainings described include certifications (including Wilderness First Aid [WFA], Wilderness Advanced First Aid [WAFA], Advanced Wilderness First Aid [AWFA], and Wilderness First Responder [WFR]), as well as single use or continuing education trainings (including Stop the Bleed, CPR, conference courses, and field schools). Particular attention is paid to the specific and actionable needs of a field scientist in remote areas.

scholarly journals Sociopolitical Approach to the Launch History of the KBO League: Application of Complex System Paradigm

2021 ◽  
Vol 18 (10) ◽  
pp. 5471
Author(s):  
Won-Chul Bing
Keyword(s):  
Complex System ◽  
Bifurcation Point ◽  
Positive Feedback ◽  
Professional Baseball ◽  
Sports Culture ◽  
Edge Of Chaos ◽  
Study Results ◽  
History Of ◽  
System Paradigm ◽  
Chun Doo Hwan

The Korean Baseball Organization (KBO) League is a sports culture that Koreans love and enjoy most. However, the launch of the KBO League is related to political issues in Korea. The purpose of this study is to explain the launch history of the KBO league through a sociopolitical approach. The history of the KBO league was explained by applying a complex paradigm that explains sociocultural phenomena from a new perspective. This study used historical analysis, a qualitative study approach. Literature related to Korean professional baseball, complex system theory, sports, and politics were reviewed. This study introduces the characteristics and theory of the complex system paradigm and analyzes the history of the KBO League based on this theory. The edge of chaos, bifurcation point, positive feedback, emergence of the theory of complex system are used as elements of an overall theoretical framework to analyze the history and development of the KBO league. The study results are explained in four frameworks. First, the KBO was launched on the edge of chaos, or in the midst of social chaos provoked by Chun Doo-Hwan, who seized power through a military coup. Second, the Chun Doo-Hwan regime launched the professional baseball league to divert the public’s attention from politics to sports and provided support to construct baseball fields as venues for the national pastime. The Chun Doo-Hwan regime’s appeasement policy became a bifurcation point, which promoted the launch of the professional baseball league. Third, from the viewpoint of the complex system paradigm, the launch of the Korean baseball league was enabled by the positive feedback of the Korea professional baseball promotion committee, established in 1975 under the initiative of Korean American businessman Hong Yoon-Hee. Fourth, the Korean professional baseball league led to the emergence of the consumption culture of professional sports, and it became a national leisure and a crucial part of Korea’s sports culture. In terms of sociopolitical, the KBO League started in the dark of Korean society, but it is becoming a vitality for Korean sports culture and health.

scholarly journals Management of unexplained: poly-consultation and hyperfrequency on Primary Health Chilean Attention. A qualitative and exploratory study

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Nicolás Fuster Sánchez ◽  
Diego Rivera López ◽  
Hugo Sir Retamales ◽  
Constanza Gómez Pérez ◽  
Magdalena Rodríguez Torres
Keyword(s):  
Exploratory Study ◽  
Quantitative Methods ◽  
Qualitative Content Analysis ◽  
Family Health ◽  
Complex Problem ◽  
Study Results ◽  
Management Positions ◽  
Unexplained Symptoms ◽  
New Research ◽  
Health Care Centers

Abstract Background In Europe, Latin-America, and Asia, poly-consultation has become a complex problem for managing different healthcare systems. However, in the current literature, little attention has been paid to exploring territorial and critical analysis perspectives to manage unexplained symptoms. The purpose of this study is to analyze the socio-structural elements that underlie the users’ phenomenon of poly-consultation or hyperfrequency in the Chilean primary healthcare system (PHCS). Methods This paper represents qualitative data collected as part of an exploratory study that used mixed methods across three metropolitan areas of Santiago, Valparaíso, and Concepción, Chile. The study involved a sample of 24 subjects from administrative and management positions in PHC who were recruited from Family Health Care Centers, considering urban municipalities from the low, medium, and high stratum. The study collected data using one set of semi-standardized interviews during a year—data analysis using qualitative content analysis. Results This article shows that poly-consultant patients provide a critical clinic category to management that cannot be cover by current biomedical models. Data showed the strain of a somatoform category, especially in the clinic and epistemological exercise. Precisely, the relevance of Chile’s case, a mixed health system, and their effects: the naturalization of collective problems managed as individual problems. Conclusions The study results can inform healthcare professionals and managers of developing practical and territorially based. We conclude that hyperfrequency and poly-consultation in Chile reveal relevant stratification in the territory. Those particularities open an opportunity to study quantitative methods, including current analysis categories, to develop new research.

A Useful Diagnostic Method for Drug-induced Pneumonitis

1994 ◽  
Vol 22 (03n04) ◽  
pp. 329-336 ◽  
Author(s):  
Akira Kawasaki ◽  
Yutaka Mizushima ◽  
Hitoshi Kunitani ◽  
Masanobu Kitagawa ◽  
Masashi Kobayashi
Keyword(s):  
Bronchoalveolar Lavage Fluid ◽  
Challenge Test ◽  
Lavage Fluid ◽  
Peripheral Blood Lymphocytes ◽  
Lymphocyte Stimulation Test ◽  
Drug Induced ◽  
Chief Complaints ◽  
History Of ◽  
Chest X Ray

A 51 year-old male was admitted to our hospital with chief complaints of fever, dry cough and dyspnea. Chest X -ray films and his history of taking Chinese medicine for liver dysfunction were suggestive of drug-induced pneumonitis. Lymphocyte stimulation test (LST) to causative Chinese medical drugs of Sho-saiko-to and Dai-saiko-to was negative with peripheral blood lymphocytes (PBL), but was positive with Iymphocytes from bronchoalveolar lavage fluid (BALF). In vivo challenge test for Sho-saiko-to was positive. The LST with BALF-lymphocytes proved to be very useful in making a diagnosis of drug-induced pneumonitis.

Attempted suicide attention at an emergency room: A hospital-based descriptive approach

2016 ◽  
Vol 33 (S1) ◽  
pp. S603-S603
Author(s):  
D. Torres ◽  
G. Martinez-Ales ◽  
M. Quintana ◽  
V. Pastor ◽  
M.F. Bravo
Keyword(s):  
Emergency Room ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Psychiatric Hospitalization ◽  
Study Results ◽  
History Of ◽  
Competing Interest ◽  
Reported Data ◽  
Medium Cost ◽  
Rule Out

IntroductionSuicide causes 1.4% of deaths worldwide. Twenty times more frequent, suicide attempts entail an important source of disability and of psychosocial and medical resources use.ObjectiveTo describe main socio-demographical and psychiatric risk factors of suicide attempters treated in a general hospital's emergency room basis.AimsTo identify individual features potentially useful to improve both emergency treatments and resource investment.MethodsA descriptive study including data from 2894 patients treated in a general hospital's emergency room after a suicidal attempt between years 2006 and 2014.ResultsSixty-nine percent of the population treated after an attempted suicide were women. Mean age was 38 years old. Sixty-six percent had familiar support; 48.5% had previously attempted a suicide (13% did not answer this point); 72.6% showed a personal history of psychiatric illness. Drug use was present in 38.3% of the patients (20.3% did not answer this question); 23.5% were admitted to an inpatient psychiatric unit. Medium cost of a psychiatric hospitalization was found to be 4900 euros.ConclusionThis study results agree with previously reported data. Further observational studies are needed in order to bear out these findings, rule out potential confounders and thus infer and quantify causality related to each risk factor.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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