scholarly journals Pattern of Pediatric Supracondylar Fracture Operated at A Rural Teaching Hospital of Nepal: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (223) ◽  
pp. 153-157
Author(s):  
Poojan Rokaya ◽  
Dhan Bahadur Karki ◽  
Mangal Rawal ◽  
Deoman Limbu ◽  
Suryaman Menyangbo ◽  
...  

Introduction: Supracondylar fracture of humerus is one of the common pediatric fractures encountered in our daily clinical practice. The purpose of this study is to determine the pattern of supracondylar fracture operated at rural teaching hospital of Jumla, Karnali Nepal. Methods: A descriptive cross sectional study was conducted at Jumla, Karnali after Institutional Review Committee approval. Operating room notes from 15 May 2017 to 16 November 2019 were retrieved to gather the following information: patients address, age, sex, side, injury mechanism, displacement, neurovascular injury, concurrent injuries, initial management by traditional bone setters, time between injury and surgery, operative technique. Data analysis was done using Statistical Package for Social Sciences version 20. Results: A total of 138 children underwent operative fixation with mean age of 7.47 years and gender ratio of 2:1 boy to girl. Fall from cliff, ladders and rooftops were the prevailing cause of injury 72 (52.8%). Left side predominated with 88 (63.7%) and extension type was common in 135 (97.8%). Thirteen (9.4%) patients were initially managed by traditional bonesetters. Average time between injury and surgery was 5.2 days. Closed reduction was done in 100 (72.4%) patients whereas open reduction was necessary in 38 (27.5%) patients. Conclusions: Closed extension type pediatric supracondylar fracture was common in this study. Fall from cliff, rooftop and ladder are the major cause of fracture. Delayed presentation and initial management of the fracture by the traditional bonesetters makes supracondylar fracture more challenging in resource limited setting like ours.    

2020 ◽  
Vol 58 (224) ◽  
Author(s):  
Rekha Shah ◽  
Roshan Pradhan ◽  
Arbindra Shah

Introduction: Drug utilization research is an important tool to analyze the use of drugs with specialemphasis on medical, social, and economic consequences in society. This study aims to find out theutilization of pre-anesthetic medications in a major surgical procedure. Methods: A descriptive cross-sectional study was conducted from 15th April - 15th August 2019 inthe postoperative ward at Birat Medical College and Teaching Hospital. The convenience samplingmethod was used after ethical clearance from the Institutional Review Committee (IRC) of BiratMedical College and Teaching Hospital, Biratnagar, Nepal. About 400 patients were studied.The collected data were entered into a statistical package for social science version 20 for furthercalculations at 95% Confidence Interval. Results: Out of 400 patients, 215 (53.8%) of patients were underwent into different major surgeries.All patients received midazolam 2 mg except children (1 mg) and Pethidine 25 mg along with 0.2 mgglycopyrrolate 352 (88%), ondansetron 276 (69%) and others 58 (14.5%) as a preanesthetic agent. Forgeneral anesthesia propofol, 30 mg have been utilized followed by fentanyl 306 (76.5%) and others(halothane, isoflurane, etc) 115 (28.8%). In case of prophylactic drug were ceftriaxone 500 mg, 100 mgmetoclopramide 387 (96.8%), dexamethasone 251 (62.8%), tramadol 237 (59.3%), 15 mg ketorolac 368(92%), ranitidine 163 (40.8%), and pantoprazole 237 (59.3%). Conclusions: The most commonly administered pre-anesthetic drugs were midazolam, pethidine,glycopyrrolate, and ondansetron. The incidence of postoperative nausea and vomiting the patientwithin 24 hours after surgery was significantly very low.  


2020 ◽  
Vol 58 (221) ◽  
Author(s):  
Mukta Singh Bhandari ◽  
Jagdish Chataut

Introduction: Medical students are more prone to suffer from various physiological and psychologicalproblems but rather than seeking for formal health care, they tend to do informal consultation andoften practice self medication. Thus, this study aimed to find out the health seeking behavior ofmedical students. Methods: This descriptive cross-sectional study was done among first and second year medicalstudents of a teaching hospital from September to November 2019 after taking ethical approvalfrom Institutional Review Committe. Total of 235 students were included in the study and selfadministered questionnaire was used. Data entry and analysis was done using Statistical Packagefor Social Sciences version 20.0. Results: Among 235 students who participated in the study, 172 (73%) reported having healthproblems in the last 12 months, and fever and headache were commonly reported by 21 (13%) and 18(50%) students, respectively. Total of 112 (65%) students visited hospital/clinic for health problemsand reason given for not visiting hospital/clinic was 12 (28%) thinking that the problem was minor.University hospital was the most preferred place 189 (80%) during health problem and parents werethe first people for consultation 116 (49%). Mean duration of absenteeism was 2.17±4.1 days and 167(88%) visited hospital more than five times. Conclusions: Health problems were common among students and most of them required multiplehospital visits. Many students seeked for health from hospital/ clinic but informal consultationswere also seen.


2021 ◽  
Vol 15 (9) ◽  
pp. 2399-2400
Author(s):  
Aisha Malik ◽  
Syed Atif Hasnain Kazmi

Background: Alopecia areata (AA) is a wide spread and chronic skin condition of unknown origin. It affects the patient's quality of life. This study was designed to assess the perception of the disease in patients with AA. Aim: To determine the belief, perception and knowledge among alopecia areata patients visiting the university of Lahore teaching hospital. Study design: Descriptive cross-sectional study. Place and duration of study: Dermatology OPD, University of Lahore Teaching Hospital Lahore from September 2019 to February 2020. Methodology: This was a description cross-sectional study from September 2019 to February, 2020 and carried out in Out- Patient Department of Dermatology at University of Lahore Teaching Hospital. The study included all the patients in the age range of 20 to 42 years of age with patchy alopecia. The duration of the study was six months, total participants were 67. A questionnaire was designed for the collection of data in the data base, such as age and gender, the onset of the disease, level of education, and is based on the knowledge, beliefs and behaviors regarding alopecia areata. The data was analyzed by using the version SPSS 25. Results: Result shows that mean age of the participant’s was 29.5±4. About 77.6 participants were married and 23.4 were unmarried. The 85.6% participants of study give yes response that alopecia areata affected the people result showed 38% considered it a serious health issue. The 76.1% participants of study give yes response that alopecia areata participants have serious financial problem. About causative factors, almost half (28%) of the participants believed that germs and viruses causes Alopecia Areata. Keywords: Alopecia areata (AA), Knowledge, Perception, Belief.


1970 ◽  
Vol 2 (3) ◽  
pp. 203-206 ◽  
Author(s):  
MS Leena ◽  
Shafee Mohd

Background: The magnitude of transfusion transmitted infections (TTI) varies from country to country depending on TTI’s load in that particular population. The aim of the study was to study the trend and prevalence of sero-markers among blood donors in one of the tertiary health center in south India. Materials and Methods: A retrospective cross-sectional study was performed from 2004 to 2010 in a blood bank of teaching hospital in South India. All blood donors who presented to blood bank during the study period were included. Data regarding demography and serological tests were collected on predesigned proforma. Results: There were a total of 6939 blood donors during study period. Out of these, 94(1.35%) were positive for sero-markers for TTIs. The number of blood donors as well as sero-positivity increased from year 2004 to 2010. Conclusions: Trend and sero-prevalence of TTIs increased over period of time. Sero-positivity for TTIs decreased from year 2004 to 2010. DOI: http://dx.doi.org/10.3126/jpn.v2i3.6022 JPN 2012; 2(3): 203-206


Author(s):  
Ervilla Dass ◽  
Maulin D Mehta

Introduction: The Coronavirus Disease 2019 (COVID-19) pandemic has enforced a huge burden on the primary health care systems around the world to deal with this global health challenge. The recent global threat of this pandemic is rapidly progressing and has placed a high priority on investigation of medicaments. The rapid rise in COVID-19 occurred during the first week of March 2020, wherein, cases of COVID-19 reached over 100 countries with more than 100,000 cases reported. Aim: To assess the knowledge and perception regarding COVID-19 amongst non-teaching professionals of a rural teaching hospital. Materials and Methods: This was a cross-sectional study and was conducted over a period of two months from start of May, 2020 to end of June, 2020. Total number of participants enrolled were 70. Each questionnaire had a total of 27 questions in their vernacular language, through which their knowledge (9 questions) and perception (18 questions) regarding COVID-19 were assessed. Moreover, one question related to five steps of the 20 second handwash technique was also included with pictorial graphics. Questionnaires filled by the participants were collected for statistical analysis and the results were expressed as percentage. Results: A total of 70 participants were included in the present study. Regarding questions related to knowledge of coronavirus, 91.43% of participants had heard about the recent coronavirus. However, 68.57% were not aware about coronavirus spread from person-to-person through small drops from the nose or mouth, that can be dispersed widely through an infected person when they cough or breathe. Nearly 44.29% participants knew that coronavirus can cause difficulty in breathing. Concerning questions related to prevention and safety, all the participants were aware of wearing face masks. Conclusion: Though majority of the participants are aware about coronavirus, they had lack of in-depth knowledge as seen in their perception of knowledge through detailed questions. Hence, there is a need for increased awareness regarding the symptoms, implementation of precautionary measures and guidelines laid down by the authorities from time to time.


2014 ◽  
pp. 90-93
Author(s):  
Van Tuan Nguyen ◽  
Tam Vo ◽  
Bui Bao Hoang

Elevated serum Transforming growth factor-beta1 (TGF-beta1) levels have been linked to tissue fibrosis including chronic kidney disease. Objectives: (1) Investigate serum TGF-beta1 levels in healthy adult people and (2) Examined the relation between serum TGF-beta1 level and gender, age, body mass index (BMI). Method: A cross-sectional study. TGF-beta1 were quantified by ELISA. Results: Levels of serum TGF-beta1 in healthy people were 13,45 ± 7,17 ng/mL mL (0,59 - 33,10 ng/mL). There are no difference of serum TGF-beta1 levels between men and women, between the age groups (<40 years, 40 to < 60 years and ≥ 60 years), between BMI groups < 23 and BMI group ≥ 23. Key words: TGF-beta1, healthy people


2020 ◽  
Vol 15 ◽  
Author(s):  
Solomon Hambisa ◽  
Rediet Feleke ◽  
Ameha Zewudie ◽  
Mohammed Yimam

Background:: Rational drug use comprises aspects of prescribing, dispensing and patient use of medicines for different health problems. This study is aimed to assess drug prescribing practice based on the world health organization prescribing indicators in Mizan-Tepi University teaching hospital. Methods:: An institutional based retrospective cross sectional study was conducted to evaluate prescribing practices in Mizan-Tepi University teaching hospital. Data were collected based on World health organization drug use indicators using prescription papers. 600 prescriptions dispensed through the general outpatient pharmacy of the hospital were collected by systematic random sampling method from prescriptions written for a 1-year time in Mizan-Tepi University teaching hospital. Results:: The present study found that the average number of drugs per prescription was 2.04 ± 0.87 in Mizan-Tepi University teaching hospital with a range between 1 and 5. Prescribing by generic name was 97.6 % and 47.8% of prescriptions contained antibiotics in the hospital. 27.7% of prescriptions contained at least one injectable medication in Mizan-Tepi University teaching hospital. From prescribed drugs, 96.7% of them were prescribed from Ethiopian essential drug list. Conclusion:: Present study indicated that the average number of drugs prescribed per encounter, the percentage of generic prescribing and prescribing from the EDL were close to optimal value. However, the percentage of encounters with antibiotics and injections prescribed were found be very high. Thus, the study highlights some improvements in prescribing habits, particularly by focusing on the inappropriate consumption of antibiotics and injections.


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