scholarly journals Biomedical Waste Disposal Practices in a Tertiary Level Hospital – An Effort to Bridge the Gap Between Policy and Reality

2022 ◽  
pp. 314-319
Author(s):  
Prerna Gupta ◽  
SK Verma
Keyword(s):  
Waste Disposal ◽  
Tertiary Level ◽  
Biomedical Waste ◽  
Level Hospital

Current Practices and Challenges of Medical Services on Health Care System of Mandalay General Hospital

2019 ◽  
Vol 31 (2) ◽  
pp. 131
Keyword(s):  
Health Care ◽  
General Hospital ◽  
Health Care Providers ◽  
Quality Care ◽  
Healthcare Providers ◽  
Medical Services ◽  
Tertiary Level ◽  
Care Providers ◽  
Level Hospital ◽  
Care System

In Myanmar, the main challenge to provide quality healthcare by Universal Health Care approach is documented as low health services coverage with substantial wealth-based inequality. To achieve the effective health care system, strong medical care system is essential. Understanding on challenges and needs in provision of medical services among patients and health care providers is critical to provide quality care with desirable outcomes. The aim of the study was to explore the patients’ and health care providers’ perceptions on the challenges in provision of medical services at the Mandalay General Hospital. This was a qualitative study conducted at the tertiary level hospital (Mandalay General Hospital). The data was collected by using focus group discussions and in-depth interviews with hospitalized patients or attendants, healthcare providers such as medical doctors, nurses, laboratory scientists and hospital administrators in March 2017. The qualitative data was analyzed using themes by themes matrix analysis. Most patients were satisfied with the care provided by the doctors because they believed that they received quality care. However, some patients complained about long waiting time for elective operation, congested conditions in the ward, burden for investigations outside the hospital for urgent needs and impolite manners of general workers. Healthcare providers reported that they had heavy workload due to limited human and financial resources in the hospital, poor compliances with hospital rules and regulation among patients and attendants, and inefficient referral practices from other health facilities. Other challenges experienced by healthcare providers were lack of ongoing training to improve knowledge and skills, limited health infrastructure and inadequate medicinal supplies. The findings highlighted the areas needed to be improved to provide quality health care at the tertiary level hospital. The challenges and problems encountered in this hospital can be improved by allocating adequate financial and human resources. The systematic referral system and hospital management guidelines are needed to reduce workload of health staff.

In-Hospital Outcomes of Patients with Acute Kidney Injury Following Acute Coronary Syndrome in a Tertiary level Hospital

2019 ◽  
Vol 5 (6) ◽  
Author(s):  
MSI Tipu Chowdhury ◽  
Khaled Md. Iqbal ◽  
Zahidul Mostafa ◽  
Md. Fakhrul Islam Khaled ◽  
Sadia Sultana ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Acute Coronary Syndrome ◽  
Kidney Injury ◽  
Tertiary Level ◽  
Hospital Outcomes ◽  
Coronary Syndrome ◽  
Level Hospital

scholarly journals Management of post-operative discitis following discectomy in a tertiary-level hospital

2021 ◽  
Vol 29 (1) ◽  
pp. 230949902098821
Author(s):  
Md Kamrul Ahsan ◽  
Md Sariful Hasan ◽  
Md Shahidul Islam Khan ◽  
Najmus Sakeb
Keyword(s):  
Hospital Stay ◽  
Antibiotic Treatment ◽  
Demographic Data ◽  
Japanese Orthopaedic Association ◽  
Clinical Signs ◽  
Length Of Hospital Stay ◽  
Tertiary Level ◽  
Disc Space ◽  
The Difference ◽  
Level Hospital

Purpose: To perform retrospective analysis of 75 post-operative disc space infections after open lumbar discectomy (OLD) and to assess the outcome of their medical and surgical management in a tertiary-level hospital. Methods: Records of 50 men and 25 women aged 26–65 (mean, 42.53) years who underwent treatment for post-operative discitis (POD) after single level OLD at L3–4 (n = 8), L4–5 (n = 42), L5–S1 (n = 25) level. The POD was diagnosed according to specific clinical signs, laboratory and radiographic investigations and all of them received initial intravenous antibiotics (IVA) for at least 4–6 weeks followed by oral ones. Successful responders (n = 55) were considered in Group-C and remainder [Group-S (n = 20)] were operated at least after 4 weeks of failure. Demographic data, clinical variables, hospital stay, duration of antibiotic treatment and post-treatment complications were collected from the hospital record and assessment before and after treatment were done by using visual analogue scale (VAS) and Japanese Orthopaedic Association (JOA) score. Comprehensive outcome was evaluated by modified criteria of Kirkaldy-Willis. Results: The mean follows up was 36.38 months. Significant improvement of mean VAS and JOA score was achieved in both conservative (76.36% satisfactory) and operative (90% satisfactory) groups although the difference was statistically insignificant. Conclusion: Although insignificant, early surgical intervention provided better results (e.g. functional outcomes, length of hospital stay and duration of antibiotic treatment therapy) than conventional conservative treatment in post-operative discitis.

PREVALENCE OF HYPERTENSION AMID PATIENTS WITH TYPE-2 DIABETES MELLITUS- AT A TERTIARY LEVEL HOSPITAL IN CENTRAL INDIA

2021 ◽  
pp. 57-59
Author(s):  
Hakimuddin Malvi ◽  
Syed Maqsood Husain
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Central India ◽  
P Value ◽  
Tertiary Level ◽  
Cross Sectional ◽  
Study Results ◽  
Level Hospital

Background: India has been recognized as the diabetes capital of the world by the year of 2025 Hypertension is a signicant danger factor for cardiovascular infection, stroke and ischemic coronary illness. Objective: The aim of this paper is prevalence of hypertension amid patients with type 2 diabetes mellitus- at a tertiary level hospital in central India. Methods: Present work is hospital based cross-sectional study was conduct in Chirayu Medical College & Hospital, Bhopal. The study population consisted of total 300 subjects. Data obtained directly from patients and patients medical les, and the following data were included in the study . Results: The results showed that the after using chi-square test we found that hypertension was signicantly higher p value(<0.05) among female patients (69%),patients with long duration diabetes (77%)10 years and more, also it was signicantly higher among patients with current smokers (69%). Conclusion: In this study the prevalence of hypertension is increasing in patient with T2DM. Hypertension was the most danger factor for micro vascular and macro vascular confusion of T2DM.

scholarly journals Awareness & attitude regarding biomedical waste disposal among post-graduate students, under-graduate students & auxiliary staff of a dental college – a questionnaire survey

2017 ◽  
Vol 5 (1) ◽  
pp. 64
Author(s):  
Rahul Chopra ◽  
Shivani Mathur ◽  
Vidya Dodwad ◽  
Nikhil Sharma ◽  
Siddharth Tevatia
Keyword(s):  
Graduate Students ◽  
Waste Disposal ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Waste Generation ◽  
Sectional Study ◽  
Cross Sectional ◽  
Biomedical Waste ◽  
Care Facilities ◽  
Indiscriminate Disposal

Purpose: Indiscriminate disposal of bio medical waste poses a serious threat to environment and human health and is currently a burning issue with increasing health care facilities and associated waste generation. Hence this study assesses the awareness levels and attitude regarding biomedical waste disposal among post-graduates, under-graduates & auxiliary staff of a dental college.Materials and Method: This was a cross-sectional study conducted among post-graduates, under-graduates & auxiliary staff using a questionnaire. A total of 120 participants, 40 in each group answered the questionnaire. The answers were analyzed and graded for each group.Results: The results depict satisfactory awareness about biomedical waste disposal among post-graduates and under-graduates. However, the auxiliary staff lacks the awareness about proper biomedical waste disposal.Conclusion: The study reveals that there is a need to increase knowledge among the auxiliary staff regarding biomedical waste management by continuing training program.

scholarly journals KNOWLEDGE, AWARENESS, AND PRACTICES REGARDING BIOMEDICAL WASTE MANAGEMENT AMONG UNDERGRADUATE DENTAL STUDENTS

2017 ◽  
Vol 10 (8) ◽  
pp. 341
Author(s):  
Santhosh Kumar ◽  
Reshma Rahman
Keyword(s):  
Waste Management ◽  
Waste Disposal ◽  
Dental Students ◽  
Management Policy ◽  
Biomedical Waste ◽  
Significant Difference ◽  
Control Procedures ◽  
Materials Used ◽  
Level Of Significance ◽  
Policy Systems

Objective: The objective of this study was to assess the knowledge, awareness, and practices of dental students regarding biomedical waste (BMW)management.Methods: A self-administered structured questionnaire consisting of 16 questions on knowledge, awareness, and practices about BMW managementwas distributed among 100 students randomly belonging to 3rd year, final year and intern students of Saveetha Dental College, Saveetha University,Chennai. The data extracted were tabulated, statistically analyzed using SPSS version 20.0 and results obtained. The data were analyzed using ANOVAtest (all the results are calculated at 1% level of significance) and Post-hoc test.Results: Overall, 67% respondents were aware of the existing BMW management policy systems in India. 62% of students were aware about thecorrect color coding management system for hospital waste management that prevails in India. 86% of students knew about the dental wastecategories of materials used in dentistry. There was a statistically significant difference of knowledge levels among the 3rd year, final year students andthe interns. 100% practice discarding sharps in the puncture-proof containers. Only 27% of the respondents discarded the extracted tooth in a properway. Only 51% of them have attended previous training programs on dental waste management. There was also a statistically significant difference ofBMW disposal practices among the three groups.Conclusion: The majority of dental students in our study have good level of knowledge and awareness regarding BMW management in dental clinics.However, their practice toward BMW disposal was poor. Hence, the knowledge acquired must be put into practice. Intern students have the highestlevel of knowledge and practices toward dental waste disposal when compared to final year and 3rd year students. Hence, these findings imply thatproper training, continuing education programs, and short-term courses about BMW management, and infection control procedures are requiredto motivate the dental students and dental auxiliaries. The importance of training regarding BMW management must be emphasized as the lack ofproper and complete knowledge about BMW management impacts practices of appropriate waste disposal.

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