scholarly journals Patient’s perspective regarding the elective surgical procedure during Covid 19 pandemic.

2021 ◽  
Author(s):  
Mayank Badkur ◽  
Ashok Puranik ◽  
Naveen Sharma ◽  
Suruthi Baskaran
Keyword(s):  
Surgical Procedure ◽  
Elective Surgery ◽  
Medical Profession ◽  
Patient’S Perspective ◽  
The Status ◽  
Choice Of Treatment ◽  
Progression Of Disease ◽  
Elective Surgical Procedure ◽  
Coronavirus Infection ◽  
Almost All

Abstract Context: The ongoing Covid-19 pandemic and the subsequent nationwide lockdown, has impacted all aspects of society including the medical profession. In hospitals, the focus has mainly shifted to prevention and treatment of Covid-19 infection. Owing to this, all elective surgeries are being postponed and only emergent surgeries are being performed. This has affected the patients differently depending on the progression of disease and development of complications.Methods and Material: A well-structured telephonic scripted questionnaire was administered to all patients who were given an appointment for any elective surgery. Data was collected regarding the status of disease including complications and the patient’s perspective on the method of treatment. Patients who developed complications or underwent emergency surgery or surgery elsewhere were excluded.Statistical analysis used: Collected data was entered in MS Office Excel spreadsheet and analysis was done using SPSS software.Results: The man to women ratio was 2.3:1. The mean age of patients was 41.16 years. A total of 86 patients were included in the study. Almost all (98.8%) were aware that the lockdown and withholding of elective surgeries were directed to prevent the spread of coronavirus infection. Among 34 patients with progressive disease, 88.2% were willing to undergo the surgical procedure and 73.5% were willing to visit hospital within a week or two. Among 46 patients, who were Willing to continue the treatment on wait and watch policy, 45.7% patients wanted to wait for more than 2 months for their treatment, and 93.5% patients were avoiding hospital visit because of infection.Conclusions: Patient’s attitude towards the choice of treatment (wait and watch Vs surgery) mainly depended on the progression of disease. It is critical, during these tough times of Covid-19 pandemic, that risks are weighed against benefits to decide the line of management for patients waiting for elective surgeries.

scholarly journals Patient’s perspective regarding the elective surgical procedure during Covid 19 pandemic.

2020 ◽  
Author(s):  
Mayank Badkur ◽  
Ashok Puranik ◽  
Naveen Sharma ◽  
Suruthi Baskaran
Keyword(s):  
Surgical Procedure ◽  
Elective Surgery ◽  
Medical Profession ◽  
Female Ratio ◽  
Patient’S Perspective ◽  
The Status ◽  
Choice Of Treatment ◽  
Progression Of Disease ◽  
Elective Surgical Procedure ◽  
Almost All

Abstract Introduction: The ongoing Covid-19 pandemic and the subsequent nationwide lockdown, has impacted all aspects of society including medical profession. In hospitals, the focus has mainly shifted to prevention and treatment of Covid-19 infection. Owing to this, all elective surgeries were postponed and only emergent surgeries were performed. This has affected the patients differently depending on the progression of disease and development of complications.Materials and Methods: A well-structured telephonic scripted questionnaire was administered to all patients who were given appointment for any elective surgery. Data was collected regarding the status of disease including complications and the patient’s perspective on method of treatment. Patients who developed complications or underwent emergency surgery or surgery elsewhere were excluded.Results: The male to female ratio was 2.3:1. Mean age of patients was 41.16 years. A total of 86 patients were included in the study. Almost all (98.8%) were aware that the lockdown and withholding of elective surgeries was to prevent spread of coronavirus infection. Among 34 patients with complications, 88.2% were willing to undergo surgical procedure and 73.5% were willing to visit hospital within a week or two. Among patients without complications, 71.2% were willing to continue treatment on wait and watch policy, for a period of 2 months or more (45.7%). 93.5% of patients avoided visit to hospital due to risk of infection.Discussion: Patient’s attitude towards the choice of treatment (wait and watch Vs surgery) mainly depended on the progression of disease. It is critical, during these tough times of Covid-19 pandemic, that risks are weighed against benefits to decide the line of management for patients waiting for elective surgeries.

scholarly journals Metoclopramide Pretreatment for Prevention of Pain on Propofol Injection: A Randomized Placebo-Controlled Study

2020 ◽  
Vol 7 (2) ◽  
pp. 71-75
Author(s):  
Muhammad Sazzad Hossain ◽  
Syed Ariful Islam ◽  
Md Afzalur Rahman ◽  
Md Mahiuddin Alamgir ◽  
Md Waliullah
Keyword(s):  
Surgical Procedure ◽  
Elective Surgery ◽  
Saline Group ◽  
Controlled Study ◽  
Induction Agent ◽  
Intravenous Anaesthetic ◽  
Group A ◽  
Elective Surgical Procedure ◽  
Group B ◽  
Considerable Concern

Background: Propofol, the most frequently used intravenous anaesthetic, is used for induction, maintenance of anaesthesia and for sedation in patients scheduled for routine elective surgical procedure. Pain on propofol injection still remains a considerable concern for the anaesthesiologist. Objective: Aim of this study was to observe the efficacy of metoclopramide as pretreatment for the prevention of pain caused by the propofol injection in patients undergoing elective surgery under general anaesthesia. Materials and method: A total of 80 patients were taken up in the study in the age group of 20 to 50 years of either sex, ASA grade I/II, scheduled for routine elective surgical procedure under general anesthesia with endotracheal intubation and using propofol as induction agent. The patients enrolled were divided randomly into two groups of 40 patients each. Group A received 10 mg metoclopramide IV diluted in 5 ml saline. Group B received 5 ml of normal saline as placebo before propofol injection. The patients were asked to report their pain according to the scale provided to them in the form of none, mild, moderate and severe after injection of propofol. Results: The overall incidence and severity of pain were significantly less in Group A (metoclopramide group) than in group B (placebo group) (p< 0.05). The incidence of mild and moderate pain in Group A versus group B was 15% vs 45% and 5% vs 25% respectively (p<0.05). The incidence of score ‘0’ (no pain) was higher in Group A (80%) thanGroup B (25%) (p< 0.05). Conclusion: Intravenous metoclopramide is effective for relief of pain on propofol injection without any significant side effects. Delta Med Col J. Jul 2019 7(2): 71-75

scholarly journals Patient’s Perspective Regarding the Elective Surgical Procedure during Covid19 pandemic

2021 ◽  
Vol 05 (05) ◽  
Author(s):  
Mayank Badkur ◽  
Ashok Puranik ◽  
Naveen Sharma ◽  
Suruthi Baskaran ◽  
Satya Prakash ◽  
...  
Keyword(s):  
Surgical Procedure ◽  
Patient’S Perspective ◽  
Elective Surgical Procedure

scholarly journals Preoperative and perioperative management of patients with pericardial diseases

2011 ◽  
Vol 58 (2) ◽  
pp. 45-53 ◽  
Author(s):  
Arsen Ristic ◽  
Dejan Simeunovic ◽  
Ivan Milinkovic ◽  
Jelena Seferovic-Mitrovic ◽  
Ruzica Maksimovic ◽  
...  
Keyword(s):  
Cardiac Output ◽  
Pericardial Effusion ◽  
Surgical Procedure ◽  
Elective Surgery ◽  
Hemodynamic Instability ◽  
Systemic Resistance ◽  
Positive Pressure ◽  
Low Cardiac Output ◽  
Pericardial Diseases ◽  
Elective Surgical Procedure

Hemodynamic instability is the major concern in surgical patients with pericardial diseases, since general anesthesia and positive pressure ventilation may precipitate cardiac tamponade. In advanced constriction diastolic impairment and myocardial fibrosis/atrophy may cause low cardiac output during and after surgery. Elective surgery should be postponed in unstable patients with pericardial comorbidities. Pericardial effusion should be drained percutaneously (in local anesthesia) and pericardiectomy performed for constrictive pericarditis before any major surgical procedure. In emergencies, volume expansion, catecholamines, and anesthetics keeping cardiac output and systemic resistance should be applied. Etiology of pericardial diseases is an important issue is the preoperative management. Patients with neoplastic pericardial involvement have generally poor prognosis and any elective surgical procedure should be avoided. For patients with acute viral or bacterial infection or exacerbated metabolic, uremic, or autoimmune diseases causing significant pericardial effusion, surgery should be postponed until the causative disorder is stabilized and signs of pericarditis have resolved.

Amputation in fictional literature: the case of Hippolyte in Madame Bovary

VASA ◽  
2001 ◽  
Vol 30 (Supplement 58) ◽  
pp. 3-5 ◽  
Author(s):  
Kauss
Keyword(s):  
Surgical Procedure ◽  
Medical Profession ◽  
Major Amputation ◽  
Madame Bovary

In his famous novel, published in 1856, Flaubert describes the circumstances of a failed surgical procedure ending up in a major amputation. Flaubert, whose father was a physician in Rouen/France, mocks at the medical profession and its victims and proves himself to be compassionate at the same time. About his writing, he explained: "I only measure shit into doses." ("Je ne fais autre chose que de doser de la merde.")

Contemporary Qur'anic Studies in Iran and its Relationship with Qur'anic Studies in the West

2012 ◽  
Vol 14 (1) ◽  
pp. 45-72
Author(s):  
Morteza Karimi-Nia
Keyword(s):  
Islamic Law ◽  
Human Sciences ◽  
The West ◽  
Communications Technologies ◽  
Religious Learning ◽  
The Status ◽  
Islamic Republic Of Iran ◽  
Almost All ◽  
The Impact ◽  
The Relationship

The status of tafsīr and Qur'anic studies in the Islamic Republic of Iran has changed significantly during recent decades. The essay provides an overview of the state of Qur'anic studies in Iran today, aiming to examine the extent of the impact of studies by Western scholars on Iranian academic circles during the last three decades and the relationship between them. As in most Islamic countries, the major bulk of academic activity in Iran in this field used to be undertaken by the traditional ʿulamāʾ; however, since the beginning of the twentieth century and the establishment of universities and other academic institutions in the Islamic world, there has been increasing diversity and development. After the Islamic Revolution, many gradual changes in the structure and approach of centres of religious learning and universities have occurred. Contemporary advancements in modern sciences and communications technologies have gradually brought the institutions engaged in the study of human sciences to confront the new context. As a result, the traditional Shīʿī centres of learning, which until 50 years ago devoted themselves exclusively to the study of Islamic law and jurisprudence, today pay attention to the teaching of foreign languages, Qur'anic sciences and exegesis, including Western studies about the Qur'an, to a certain extent, and recognise the importance of almost all of the human sciences of the West.

COMMITTEE ON NUTRITION

PEDIATRICS ◽  
1956 ◽  
Vol 18 (3) ◽  
pp. 509-510
Author(s):  
Keyword(s):  
Code Of Ethics ◽  
Medical Profession ◽  
Consumer Good ◽  
Childhood And Adolescence ◽  
Promotional Material ◽  
Executive Board ◽  
American Academy Of Pediatrics ◽  
The Status ◽  
The Mind

THE Committee on Nutrition has been designated by the Executive Board of the American Academy of Pediatrics to serve in a consultative capacity in determining the suitability of advertisements of nutritional products in the official publications of the Academy. Understanding between industry and the medical profession will be fostered by a readily available statement of the basis upon which judgment of advertisements of nutritional products will be made. Assurance can be given that this will be applied objectively, fairly and with sympathetic understanding of the position of industry. It is hoped that thereby this statement can assume the status of a Code of Ethics and Etiquette in the promotion of products intended for maintenance of optimal nutrition or treatment of disorders of nutrition in infancy, childhood and adolescence. The Committee on Nutrition will remain receptive to counsel from all sources, and sensitive to the implications of its own statements and actions. The following principles will be continuously re-examined in the light of experience and pertinent evidence. Good Advertising Good advertising serves the interest of both merchant and consumer. Good advertising begins with a reliable product. Good advertising achieves a pleasant informative memory of the product and its usefulness in the mind of the consumer. In short, this implies an honest product, truthfully and artistically advertised. Honesty is the best cornerstone upon which to build the type of promotion that will serve the mutual interest of industry, the consumer, and the medical profession. Quality of the Product Proof of quality of the product must at all times be available to those who must evaluate promotional material. This applies to foods and to individual ingredients such as vitamins, minerals, amino acids, fatty acids, etc.

CHANGING PROFESSIONAL MOTIVATION AMONG NURSING STAFF IN THE PANDEMIC

2021 ◽  
pp. 72-79
Author(s):  
Elizaveta O. Nechaeva ◽  
Keyword(s):  
Health Care ◽  
Comparative Analysis ◽  
Nursing Staff ◽  
Great Majority ◽  
Practical Skills ◽  
World Community ◽  
Personal Motivation ◽  
Coronavirus Infection ◽  
Entire World ◽  
Almost All

The pandemic of the new coronavirus infection, which swept the entire world community in 2020, has made strong adjustments in almost all spheres of life, but first of all, in health care. The great majority of the medical staff at the onset of the pandemic had no clinical experience with the COVID-19 patients. In addition to the lack of practical skills in treatment for the period of the onset of mass infections, doctors faced great physical and emotional stress. The article provides a comparative analysis of the questionnaires results from among nursing staff in SRC Burnasyan FMBC in 2018 and 2020. The research results show that in the process of treatment and rehabilitation of pa- tients with COVID-19 in the professional motivation of doctors some changes took place towards personal motivation associated with serving and helping people.

scholarly journals Roe Deer, Fallow and Sika

Oryx ◽  
1954 ◽  
Vol 2 (6) ◽  
pp. 388-391
Author(s):  
P. H. Carne
Keyword(s):  
Roe Deer ◽  
Capreolus Capreolus ◽  
Human Control ◽  
The Status ◽  
Almost All

Although roe deer, Capreolus capreolus, are at present fairly widely distributed in Britain, and in many areas are undoubtedly increasing and extending their range, their numbers and numerical trends vary greatly in different localities. It is, moreover, apparent that the status of the species, in given habitats, is conditioned by factors other than human control and the availability of adequate cover and keep. Relevant comparison may be made between the respective success and failure of attempts to reintroduce roe to Dorset and to Epping Forest. The increase of roe after their release near Milton Abbas, in Dorset, about the year 1800, was remarkably rapid and within a few decades they had become common in almost all suitable localities in the county. During the two world wars, particularly the 1939–1945 war, they suffered heavy casualties at the hand of farmers and others, yet in the opinion of many observers roe actually increased in Dorset during these periods.

scholarly journals NURSE IN THE POLISH HEALTH CARE SYSTEM

2020 ◽  
Vol 73 (8) ◽  
pp. 1771-1779
Author(s):  
Małgorzata Paszkowska
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Medical Staff ◽  
Medical Profession ◽  
Legal Norms ◽  
The Status ◽  
Medical Order ◽  
Definition Of ◽  
Care System

Nurses are the largest group of Polish medical staff. There are currently approximately 230,000 nurses employed in Poland. There is a statutory profession for many years. Nurses provide health services on the basis of a medical order or on their own. As a result of changes in the law, the scope of their professional competences has been increasing for several years, including to independently administer medicines and issue prescriptions. The purpose of the article is to present and analyze legal norms determining the status of a nurse in the Polish health care system. In addition, the definition of the statutory principles of cooperation between doctors and nurses. The analysis shows that changes in law in recent years have significantly influenced the increase in the role of nurses in the health care system and they are also relevant to the practice of the medical profession.

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