scholarly journals Handshake habit amongst medical practitioners, need to abandon and embrace an alternative: analytical study in view of COVID-19 pandemic

2020 ◽  
Vol 7 (6) ◽  
pp. 2352
Author(s):  
Abhinav Jain ◽  
Aqsa Shaikh ◽  
Kriti Malhotra
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Physical Contact ◽  
Care Hospital ◽  
Suitable Alternative ◽  
Medical Practitioners ◽  
Term Change ◽  
Community Transmission ◽  
Questionnaire Form

Background: Doctors are often ignorant of safeguarding their own health. The present COVID-19 pandemic has necessitated maintenance of social distancing. Handshake is one of the forms of greeting and physical contact to show empathy to patient, however it carries risk of transfer of microbes. The need of the hour is to find a suitable alternative to handshake. Aims was to study the knowledge, attitude and practice of medical doctors in an Indian tertiary care hospital towards hand shake.Methods: Study targeted 500 medical practitioners in a tertiary care hospital by presenting them with a google based questionnaire form. The questions were based on the practice of handshake amongst medical practitioners and the preferred alternatives. Statistical analysis used: Descriptive and analytic statistics.Results: Despite 100% respondents being aware about guidelines to avoid non-essential physical contact, 37.3% respondents shook hands. Out of the 85 respondents who had a handshake only 57.6% (n=49) washed hands after handshake. Namaste or Aadab followed by wave gesture are the most acceptable alternatives to handshake for medical practitioners.Conclusions: According to the study a large number of medical practitioners find it difficult to completely quit handshakes, mostly because of habit even in this pandemic emergency. Namaste or Aadab or hand waving are the best alternatives to handshake. A long term change of habit to a universally acceptable “wave” gesture needs to be developed to prevent possible community transmission of infectious diseases.

Assessment of medication adherence patterns and various causes of non-adherence in long term therapies in a tertiary care hospital

2020 ◽  
Vol 13 (5) ◽  
pp. 2420
Author(s):  
Abel C. Mathew ◽  
M. V Aneesa ◽  
Ashitha Rehman ◽  
Dhanush Suresh ◽  
T.N.K. Suriyaprakash ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital

Central Incisor Width as a Predictor of Appropriate Curette Size in Adenoidectomy

2001 ◽  
Vol 110 (9) ◽  
pp. 841-843
Author(s):  
Darren J. Hohn ◽  
Daniel G. Deschler ◽  
John A. Tucker
Keyword(s):  
Regression Analysis ◽  
Multiple Regression Analysis ◽  
Multiple Regression ◽  
Eustachian Tube ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Central Incisor ◽  
Short And Long Term

As inadvertent eustachian tube injury during adenoidectomy can have serious short- and long-term implications, a simple anatomic correlate that could predict the optimal curette choice for adenoidectomy, especially in severely hypertrophic cases, is beneficial. This study evaluates the correlation of the distance between the lateral borders of the upper central incisors and the distance between the tori tubarius in the nasopharynx. One hundred one consecutive patients undergoing adenoidectomy at a pediatric tertiary care hospital were enrolled in this study. The patients ranged in age from 7 months to 15 years. No complications were noted in any of the procedures. During the operation, the distance between the central upper incisors was measured in millimeters, as was the inter-tubarius width (ITW). A multiple regression analysis was completed to assess the correlation between central incisor width and ITW. Age and inter-incisor width were positively correlated with ITW in a statistically significant manner (p = .007 and p = .006, respectively). The distance between the lateral borders of the upper central incisors predicts the distance between the tori tubarius in the nasopharynx. Therefore, an adenoid curette the window of which does not overlap the lateral aspects of the central upper incisors can be used relatively safely, even in fields with poor visualization.

scholarly journals Sleep Quality among Medical Students of a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (222) ◽  
Author(s):  
Nabin Sundas ◽  
Saransh Ghimire ◽  
Suzit Bhusal ◽  
Rakshya Pandey ◽  
Krishna Rana ◽  
...  
Keyword(s):  
Academic Performance ◽  
Medical Students ◽  
Sleep Quality ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Poor Sleep ◽  
Care Hospital ◽  
Poor Sleep Quality ◽  
Cross Sectional

Introduction: Medical students are under constant stress due to demanding academic load, fearof exam failure and hectic schedules. These factors can lead to poor sleep quality among medicalstudents. Sleep quality of medical students not only determine their academic performance but isalso important in determining long term effect on cognitive, psychosocial, behavioural as well asphysical health of individuals. Although there are not enough recent studies to assess sleep qualityof students, it is necessary to evaluate the condition of sleep among students. This study aims to findout the prevalence of poor sleep quality among medical students. Methods: This descriptive cross-sectional was conducted among undergraduate medical studentsof Kathmandu Medical College from October to November 2019 after taking ethical clearance fromInstitutional Review Committee of a tertiary care hospital before collecting data from participants.Subjects were recruited by simple random sampling from students of first, second, third and finalyears and were asked to fill the self-reported questionnaires, using Pittsburgh Sleep Quality Index.Descriptive statistical analysis was done using Statistical Software for Social Sciences version 24. Results: Out of 217 selected medical students, 96 (44.23%) of students have poor sleep quality withprevalence among male and female students as 41 (39.8%) and 55 (48.2%) respectively. The meanduration of sleep among students was 6.7±1.6 hours. Conclusions: Significant numbers of medical students have poor sleep quality which may affecttheir academic performance and may have long term impact on their health. Efforts must be directedtowards educating about the sleep hygiene as well as proper time management skills.

Long-Term, Low-Frequency Cluster of a German-Imipenemase-1-Producing Enterobacter hormaechei ssp. steigerwaltii ST89 in a Tertiary Care Hospital in Germany

2018 ◽  
Vol 24 (9) ◽  
pp. 1305-1315 ◽  
Author(s):  
Andreas F. Wendel ◽  
Sebastian Meyer ◽  
René Deenen ◽  
Karl Köhrer ◽  
Susanne Kolbe-Busch ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Low Frequency ◽  
Care Hospital ◽  
Enterobacter Hormaechei

Skin Autoimmunity Secondary to Alemtuzumab in a Tertiary Care Spanish Hospital

2021 ◽  
pp. 10.1212/CPJ.0000000000001126
Author(s):  
Rocío López Ruiz ◽  
Félix Sánchez Fernández ◽  
María Ruiz de Arcos ◽  
Julio Dotor García-Soto ◽  
Alejandro Fuerte Hortigón ◽  
...  
Keyword(s):  
Adverse Events ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Case Series ◽  
Autoimmune Disorders ◽  
Care Hospital ◽  
Retrospective Case ◽  
Spanish Hospital ◽  
Infusion Reactions

AbstractBackground and Objective:The most common adverse events following Alemtuzumab include adverse infusion reactions, infections and autoimmune disorders. Skin adverse events are common during infusion but there are few reported cases of long-term skin autoimmune disease.Methods:A retrospective case series of patients developing long-term autoimmune skin disorders following alemtuzumab administration in a tertiary care hospital.Results:Of 133 patients treated with alemtuzumab, eight patients (6.02%) developed nine autoimmune cutaneous adverse events, including four events of alopecia areata, two of vitiligo, two of chronic urticaria and one of inflammatory atrichia. Three of them occurred between the first and the second infusion.Discussion:The lesions described are secondary to autoimmune disorders, probably related to immune dysregulation due to a differential lymphocyte repopulation following alemtuzumab. Autoimmune cutaneous adverse events may be frequent, and it would be recommended to monitor its appearance in order to treat them.

scholarly journals Long-term outcomes and predictors of survival after cardiopulmonary resuscitation for in-hospital cardiac arrest in a tertiary care hospital in Thailand

2018 ◽  
Vol Volume 14 ◽  
pp. 583-589 ◽  
Author(s):  
Panita Limpawattana ◽  
Wannaporn Aungsakul ◽  
Chomchanok Suraditnan ◽  
Anupol Panitchote ◽  
Boonsong Patjanasoontorn ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Long Term Outcomes ◽  
Hospital Cardiac Arrest
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