scholarly journals Assessment of epidemiological factors and work related injuries amongst class IV workers involved in handling and disposal of biomedical wastes in a tertiary teaching hospital of Nagpur

Author(s):  
Pawan V. Meshram ◽  
Najuka Tawale ◽  
Mahesh B. Jajulwar

Background: Biomedical wastes generated from hospital settings are a potent source of various infections and diseases like AIDS, Hepatitis and other bacterial diseases causing serious threat to health. Health care workers which include class IV workers are at greater risk of various morbidities due to their job profile, including transport and disposal of biomedical waste. The study aims to find out the work related injuries among class IV workers involved in handling and disposal of biomedical wastes. The objective of the study was to assess the epidemiological factors and describe the work related injuries among class IV workers in a tertiary teaching hospital of Nagpur. Methods: A cross-sectional study amongst 100 class IV workers was conducted using a structured questionnaire mentioning the socio-demographic profile and injury details at the work place. Results: Of the 100 subjects, majority (37%) fall into the age group of 40-49 years. There were 77 females and 23 males. 58% were educated till high school and there were 4 illiterates among the workers. On enquiring about the details of injury in past 6 months, 45 workers were injured during their working hour of which maximum was by needle. There were 3 workers who in spite of being injured, didn’t report to higher authority. Conclusions: Injuries at work place are fairly common and this holds truth for the class IV workers handling and disposing biomedical wastes. Proper disposal of sharps and other biomedical wastes correctly can minimize the risk of hazard. 

2021 ◽  
Vol 59 (241) ◽  
pp. 897-901
Author(s):  
Sahisnuta Basnet ◽  
Ganesh B.K ◽  
Aslam Ansari ◽  
Suraj Adhikari

Introduction: Leave against medical advice has a potentially deleterious effect on the health of a child. This is particularly alarming in case of pediatric patients as they are unable to understand the implications of it and rely on parents to make decisions regarding their health. This study was undertaken to find out the prevalence of leave against medical advice among pediatric patients admitted in a tertiary teaching hospital in Nepal. Methods: A descriptive cross-sectional study was conducted in the Department of Pediatrics, Manipal Teaching Hospital between August 2019 and July 2020. Ethical clearance was obtained from the Institutional Review Committee (Ref: 256). Convenient sampling method was used. Data entry and analysis was done on Statistical Package for Social Sciences version 23. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.Results: Out of 1608 pediatric admissions taken in our study, the prevalence of leave against medical advice was found to be 67 (4.2%) at 95% Confidence Interval (3.22-5.18). Maximum 22 (33%) and minimum 6 (9%) patients respectively belonged to the age group from birth to 7 days and more than 10 years. Out of 67 cases, there were 36 (54%) males and 31 (46%) females.Conclusions: The prevalence of leave against medical advice among admitted pediatric patients in our study was similar to that of other studies. It is a social health problem which can be prevented by increasing the awareness and facilitating the use of health insurance schemes. More effective communication is required between the treating physicians and the parents to prevent this detrimental practice.


QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Dena Ali Abozaid ◽  
Mohamed Momen ◽  
Nahla Fawzi Abou El Ezz ◽  
Hanaa Abdelhakiem Ahmed ◽  
Mahi Mahmoud Al-Tehewy ◽  
...  

Abstract Background Workplace violence (WPV) has been recognized as a major occupational hazard worldwide. Healthcare professions are particularly at a higher risk of WPV. Reported magnitude of WPV represents only the tip of an iceberg. The consequences of WPV in healthcare sector are dramatic; it affects the wellbeing of healthcare professions as well as the quality of the delivered service. Objective The study aimed to measure the magnitude of WPV, to identify factors associated with WPV among nurses and physicians working in a tertiary teaching hospital in Egypt. Methodology A descriptive cross-sectional study was conducted. A total of 114 physicians and 128 nurses were interviewed about exposure to WPV within the previous 12 months. Results The study found a high magnitude of WPV; nearly three fourth of physicians and nurses experienced violence in the workplace within the past 12 months. Female physicians experienced WPV more commonly compared to male physicians. There was a statistically significant association between type of patient nurses commonly cared for and experiencing WPV. Conclusion and Recommendations WPV among healthcare professions is an increasing problem that needs to be addressed. Increasing awareness of the problem among healthcare professions as well as the general public is warranted. Violence prevention program with a zero-tolerance policy is warranted.


2021 ◽  
Author(s):  
Nur Fatin Aqilah Mohd Fadzli ◽  
Ali Aminuddin Mohd Rasani ◽  
Soon Lean Keng

Background: Patients with chronic kidney disease (CKD) spend substantial money on hemodialysis (HD) treatment. The growing intersection between socioeconomic status and financial burden represents an emerging challenge to the CKD community. Objective: This study assessed the financial burden of HD treatment on patients at a Malaysian tertiary teaching hospital. Methods: A cross-sectional study was carried out in the HD unit at a Malaysian tertiary teaching hospital from January to February 2021. Patients undergoing HD were purposively selected. A self-administered questionnaire was used to collect data on socio-demographic, finances, the patient's health history, treatment costs, and healthcare utilization. In addition, Pearson Chi-Square tests were used to analyze the data. Results: A total of 100 patients receiving HD treatment were included in the study. The mean age was 62.06 years (SD = 27.50), with 52% reporting moderate financial burdens. The financial burden was associated with employment status, salary, and income class among HD patients (p <0.05).  Conclusion: Evidence showed a large proportion of Malaysian patients receiving HD treatment came from the B40 income bracket. The findings indicate that financial burdens can impact HD patients and are related to employment status, salary, and income class. Therefore, the ability to identify HD patients' financial needs is critical in nursing practice.


2019 ◽  
Vol 6 (1) ◽  
pp. 28-31
Author(s):  
Asma Khan ◽  
Afroza Sultana ◽  
Benzir Ahammad ◽  
Shamsun Nahar ◽  
Shafeya Khanam

Background: Self-medication is a common practice worldwide and the irrational use of drugs is a cause of concern. Objective: This present study was designed to assess the rate of self-medication among the medical students in a tertiary teaching hospital in Dhaka. Methodology: This descriptive cross-sectional study was conducted in the Department of Pharmacology at Shaheed Suhrawardy Medical College, Dhaka, Bangladesh from October to December 2017 for a period of three (03) months. The participants were briefed about the nature of the study; the consent was taken and a pre‐tested semi‐structured questionnaire was administered to them. The information pertaining to the pattern of self‐medication, indications for self‐medication and drugs used for self‐medication was included in the questionnaire. Result: A total of 303 students were included in this study. The rate of self-medication was 100.0%. A larger number of females were self-medicating (81.2%) than males (75.3%). The majority of the students self-medicated because of the illness being too trivial for consultation (43.2%) and previous experience of illness (43.2%). Fever (73.3%) and headache (65%) are the most common cause of self-medication. Antipyretics were most commonly self–medicated by the participants (98%). 45.5% 0f students told that self-medication is not an acceptable practice. 40% of the participants opined that self-medication was a part of self-care. Conclusion: In conclusion self-medication is widely practiced among students of the institute Journal of Current and Advance Medical Research 2019;6(1):28-31


2020 ◽  
Vol 3 ◽  
Author(s):  
Francklin Djifack Tetinou ◽  
Seraphin Nguefack ◽  
Félicitée Dongmo Nguefack ◽  
Nadia Adjifack Tetinou ◽  
Michael Ashu Agbor ◽  
...  

2009 ◽  
Vol 127 (2) ◽  
pp. 61-65 ◽  
Author(s):  
Patrícia Colozza ◽  
Adriana Ribeiro Tavares Anastasio

CONTEXT AND OBJECTIVE: Infant hearing deficiency is a human disorder with devastating effects and serious implications for the development of speech and language. Early diagnosis of hearing loss should be the objective of a multidisciplinary team, and early-intervention programs should immediately follow this. The aim of this study was to investigate the knowledge and conduct of pediatricians and pediatric residents in a tertiary teaching hospital regarding deafness. DESIGN AND SETTING: Cross-sectional study in a tertiary hospital in the state of São Paulo, Brazil. METHODS: Eighty-eight questionnaires were randomly distributed to pediatricians and pediatric residents. RESULTS: Thirty-six questionnaires were analyzed. Most respondents (61.1%) were residents in pediatrics and/or neonatology. Eighty-three percent of them performed special procedures on babies presenting a high risk of deafness, and 55% reported that they had no knowledge of techniques for screening hearing. Most of them were unaware of the classifications of level and type of hearing loss. According to 47.2% of them, infants could begin to use a hearing aid at six months of age. Most of them reported that infants could undergo hearing rehabilitation during the first six months of life, and all respondents stated 's responsibilities. CONCLUSIONS: Even though most of the participants followed special procedures with babies presenting a high risk of deafness, they did not routinely investigate hearing. All respondents believed that it is a doctor's responsibility to be concerned about child communication.


Author(s):  
I Putu G Kayika ◽  
Teuku K I Utama

Objective: To evaluate adverse obstetrical outcome in teenage pregnancy, and to investigate whether the social factor, demographic factor, and antenatal care is associated with the management of delivery in teenage pregnancy. Methods: A cross-sectional study was conducted by evaluating medical records teenage mothers who went to Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia during the period of January 2010 to December 2015. Results: From 186 teenage pregnancies, 75 pregnancies was terminated by cesarean section procedures (40.3%). The amount of antenatal care visit was significantly associated with teenage pregnancy (OR 4.14, CI95% 1.86-9.21). The provider of antenatal care, maternal age classification, education, and insurance were not signifcantly associated with management of labour. Conclusion: Teenage pregnancy is associated with higher cesarean section rate. [Indones J Obstet Gynecol 2017; 5-3: 131-134] Keywords: cesarean section, profile, teenage pregnancy


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