scholarly journals Study of snake bite cases admitted in tertiary care hospital in Nagpur

Author(s):  
Sandeep M. Bhelkar ◽  
Sanjay D. Chilkar ◽  
Suresh M. Morey

Background: In developing countries major portion of individuals bitten by snakes first consult traditional practitioners before visiting a medical centre and resulting delay in transportation leads to mortality. Present study planned to study clinical features and epidemiological factors in snake bite cases.Methods: Hospital based cross sectional study was planned including all snake bite cases admitted during study period. Epi Info 7 used for analysis.Results: Out of 156 snake bite patients, 66.04% subjects were from month of July to September (mean age 37.78 years). About 30.77% of study subjects sought traditional healer for medical care, which was found to be significant when compared with not seeking treatment (Chi square =4.74, df =1, P =0.029). Maximum study subject i.e. 52 (33.33%) received ASV within 1 hour. Only 85 (54.49%) subjects reached the tertiary care hospital within 1- 6 hours following the bite. Mortality was higher in urban area as compared to rural area (P =0.104). Death was higher who had bites on upper limb (11.67%) as compared to bite on lowers limb (2.08%) (P =0.012). Proportion death was higher among those who did not received first Aid measures or took herbal medicine (P =0.022). Mortality was significantly higher in study subjects with complications such as cellulitis and DIC (P =0.006).Conclusions: Mortality among those who received first aid before coming to the hospital was lower (5.56%). Mortality was higher (6.25%) in cases where time interval between bite and initiation of treatment was more than 6 hours. 

2021 ◽  
Vol 11 (3) ◽  
pp. 151-157
Author(s):  
Raima Asif ◽  
Naila Azam ◽  
Fatima Ali Raza ◽  
Mehwish Riaz ◽  
Shaista Zulfiqar ◽  
...  

Background: The objective is to assess the knowledge, attitude and practices regarding first aid towards home related injuries among mothers of children less than 5 years of age at tertiary care hospital of Islamabad. Methods: A questionnaire based cross sectional study was conducted in Fauji Foundation Hospital Islamabad. 400 participants were selected using convenience sampling the mother of children under 5 years of age were included and mother of children with any major co morbidity, congenital abnormalities and who didn’t give consent were excluded from the study. A pretested, structured, self-administered questionnaire was used for data collection after obtaining permission from Institutional Ethical Committee. Statistical analysis was carried using SPSS version 20. Frequencies and percentages were computed, descriptive statistical analysis was done. Chi- Square was applied for association between socio demographic variables and knowledge of mothers regarding first aid. Results: About 44% of the mothers and 63% children fall in age group of 31 and 2-5 years respectively. Half of the mothers (48%) are below intermediate level of education. About 34% of the respondents stated bleeding as most urgent and important injury requiring first aid. Regarding attitudes, 50% of the mothers strongly agree towards necessity of first aid and lack of awareness about dealing with domestic injuries. Sixty-five (65%) of the mothers had given first aid to their child. About 33%, 75%, 44% and 39% of the mothers have faced a child with difficulty in breathing; bleeding, burning and insect/sibling bite respectively. Age of mother (p=0.041), education of mother (p=0.001) and total no of children (p=0.001) were significantly associated with knowledge of first aid. Conclusion: Although home accidents are a common problem, mother’s knowledge regarding home accidents was deficient although majority of the respondents have positive attitude.


Author(s):  
Anusha Taarinie Jha ◽  
George P. Jacob ◽  
Mahathi Ramireddy ◽  
Yogesh Kini K.

Background: Compliance with standard precautions reduces the risk of exposure to blood and body fluids. The awareness regarding infection control and appropriate practices among hospital support staff is critical to prevent HAIs. Hence this study was conducted with the objectives of evaluating the awareness regarding standard precautions for infection control among hospital support staff and to identify the barriers, if any, to comply with standard infection control protocol among them. Methods: A cross-sectional study was conducted in a tertiary care hospital after obtaining the necessary ethical clearance and required permissions. Sample size was calculated to be 80. Written informed consent was taken from the participants. A questionnaire in the local language was used to collect the data. The statistical analysis was done using SPSS version 15. The results were expressed as proportions. Chi-square test was applied to study the association. Results: 81 workers participated in the study. 91.4% knew that hand washing is the most effective way to prevent health care associated infections. 75.3% were aware about categories of wastes. Among 59 staff who were liable to come in contact, 57 (96.6%) used protective barriers while serving HIV/TB patients. 51.9% of the participants were vaccinated against Hepatitis B infection. Conclusions: The awareness and practices of the hospital support staff regarding standard precaution for prevention of infection was inadequate. 


2020 ◽  
Vol 11 (SPL2) ◽  
pp. 308-313
Author(s):  
Siddharth A R ◽  
Shiny Chrism Queen Nesan G ◽  
Timsi Jain

A selfie is a self-portrait photograph typically taken with a camera phone held in hand or supported by a selfie stick. Studies suggest that the level of selfie addiction among youngsters has been increasing over the years. is the term that is being widely used to denote selfie addiction. This study aims at assessing the level of selfie addiction and various factors associated with it, and to evaluate the relationship between selfie addiction and addictive selfie habits. A cross-sectional study was conducted among the Allied Health Science students of a tertiary care hospital in Chennai. Two hundred seventy-three students were studied by convenient sampling method. A , validated, structured and self-administered questionnaire was given, and the desired information was elicited. Chi-square test was used to test the significance (p <0.05)A total of 287 students were studied, of which 65 (22.6%) were males, and 222 (77.4%) were females. It is observed that age, year of study, the place from which they come, place of stay and father's occupation have a statistically significant relationship with selfie addiction. Most of the selfie addictive have a female preponderance. A significant portion of the youth is in the early stage of selfie addiction. it is highly essential to spread awareness about the ill effects of selfie addiction among the youngsters to curb this addiction earlier.


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):  
Sarwat Memon

Background: The palatal rugae are special constructions that are inalterable in their position and pattern during the lifestyles of an individual. This imparts them an exceptional role in the forensic dentistry and may play potential role in malocclusion identification. This study was aimed to see association of rugae pattern with sagittal skeletal malocclusion in orthodontic patients visiting tertiary care hospital. Methods: This cross-sectional examination was completed on pretreatment records (lateral Cephalometric radiographs and maxillary dental casts) of 384 subjects at the orthodontic department of Ziauddin Dental Hospital, Karachi. The study duration was from January to July 2019. The samples were sub-divided into three sagittal skeletal groups based on ANB angle proposed by Steiner’s on lateral Cephalometric radiographs (Class I with ANB angle between 0° to 4°; Class II: ANB angle greater than 5°; Class III: ANB angle less than 0°). The shapes of three most-anterior primary rugae were then evaluated bilaterally using Kapali et al., Classification. Chi Square test was applied to find association of rugae pattern among sagittal skeletal malocclusions groups. Results: Circular and curved rugae shapes were the most prevalent in all skeletal malocclusions. The primary palatal rugae pattern was seen to be significantly different among three skeletal malocclusion groups (p<0.05). The right and left sided palatal rugae pattern showed significant difference in all three skeletal malocclusion groups (p<0.05). Conclusion: The present study showed no specific palatal rugae pattern associated with sagittal skeletal malocclusion. Further studies on larger sample and use of modern 3D technologies to scan the maxillary casts are required for results that are more precise.


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

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