scholarly journals Transfistula Anorectoplasty (TFARP): Better Surgical Technique for the Management of Vestibular Fistula

2012 ◽  
Vol 4 (1) ◽  
pp. 10-14
Author(s):  
JG Khan ◽  
MA Ali ◽  
MA Yusuf ◽  
MK Islam ◽  
MA Rahaman ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Wound Infection ◽  
Operation Time ◽  
Wound Dehiscence ◽  
Cross Sectional Study ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Aesthetic Appearance ◽  
Vestibular Fistula ◽  
Perineal Skin

Background: Many approach have been tried for management of vestibular fistula, most of them have post operative complication like wound infection, wound dehiscence, more hospital stay which compromise the functional out come and aesthetic appearance of the perineum. Objective: The aim of present study was to see the effectiveness of Transfistula Anorectplasty (TFARP) Which was required minimal dissection without interruption of perineal body and perineal skin. Methodology: The cross sectional study on 43 patients with vestibular fistula were held in Dhaka Shishu Hospital from September 2008 to April 2010. Patients were operated after obtaining informed consent and standard bowel preparation. Data on demographics, operation time and postoperative complications were collected as a questionnaire and plotted on Microsoft Excel and analyzed systematically by SPSS version 17. Patients were followed up for a period of 2½ months postoperatively. Results: There is no statistical deference in patient population regarding age, geographical distribution, and clinical presentation. Mean operation time was 76.5 min for TFARP and 84.34 min for ASARP. Two (02) cases had wound infection after TFARP operation and 11 patients after ASARP operation. One patient develops partial wound dehiscence after TFARP and was healed after conservative treatment within 7 days. On the other hand 05 patients developed partial wound dehiscence and 04 patients developed complete wound disruption after ASARP which were also treated conservatively need more than 2 weeks on an average. Mean hospital stay were 6.45 days after TFARP operation and mean hospital stay were 7.87 days after ASARP operation. 20 neonates and infant who were treated by TFARP operation have good bowel movement without laxative and symmetrical anal contraction after stimulation. Conclusion: TFARP is an operation produce less morbidity and is more effective procedures and superior procedures than that of ASARP operation and give aesthetic appearance of the perineum. DOI: http://dx.doi.org/10.3329/jssmc.v4i1.11996 J Shaheed Suhrawardy Med Coll, 2012;4(1):10-14

scholarly journals Comparison Between One Stage Correction of Vestibular Fistula by Transfistula Anorectoplasty (TFARP) and Anterior Sagittal Anorectoplasty (ASARP)

2014 ◽  
Vol 1 (2) ◽  
pp. 111-117
Author(s):  
Jaglul Gaffer Khan ◽  
Mohammad Kabirul Islam ◽  
M. A. Rahaman ◽  
Jamila Akter ◽  
Kaniz Hasina ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Wound Infection ◽  
Financial Burden ◽  
Operation Time ◽  
Wound Dehiscence ◽  
Cross Sectional ◽  
Parent Choice ◽  
Aesthetic Appearance ◽  
Vestibular Fistula ◽  
A New Technique

Background: Various innovative approach have been tried for the surgical management of vestibular fistula, most of them have post operative complication like wound infection, wound dehiscence, more hospital stay which compromise the functional out come, financial burden and aesthetic appearance of the perineum. This article details a new technique, Transfistula Anorectoplasty (TFARP), which includes minimal dissection without interruption of perineal body and perineal skin.Materials and methods: This cross sectional comparative study on 43 patients with vestibular fistula conducted in Dhaka Shishu (Children) Hospital from September 2008 to April 2010, about 20 months. Patients were operated according to parent choice after obtaining informed consent and standard bowel preparation. Data on demographics, operation time and ostoperative complications were analyzed systematically by SPSS program. Patients were followed up for a period of 2½ months postoperatively.Results: There is no statistical difference in patient population regarding age, geographical distribution and clinical presentation. Mean operation time was 76.5 min for TFARP and 84.34 min for ASARP. Two cases had wound infection after TFARP operation and 11 patients after ASARP operation. One patient developed partial wound dehiscence after TFARP and was healed after conservative treatment within 7 days. On the other hand 5 patients developed partial wound dehiscence and 4 patients developed complete wound disruption after ASARP which were also treated conservatively need more than 02 week on an average. Mean hospital stay were 6.45 days after TFARP operation and mean hospital stay were 7.87 days after ASARP peration. Twenty neonates and infant who were treated by TFARP operation have good bowel movement without laxative and symmetrical anal contraction after stimulation.Conclusion: TFARP is an operation which produces less morbidity and is more effective and superior procedure than that of ASARP operation and gives better aesthetic appearance of the perineum.DOI: http://dx.doi.org/10.3329/jpsb.v1i2.19525

CHILDREN'S AWARENESS OF MEDICINES, DRUG COMPLIANCE AND HEALTH PROTECTION DURING COVID 19 PANDEMIC: A DETAILED CROSS SECTIONAL STUDY

2021 ◽  
pp. 20-24
Author(s):  
Radhika Vijay
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Great Role ◽  
Drug Compliance ◽  
Online Questionnaire ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
North West ◽  
Adult Lives ◽  
Prevention Of Infections

OBJECTIVES: Nobody is refrained from the use of medications in today's times, not even kids,The objective of this study is to focus on the knowledge and awareness level, perception, of children of primary and secondary grade towards medicines , prevention of Infections and Diseases and drug compliance. This descriptive, cross sectional observational study was done METHODS: amongst the kids of North West Rajasthan ,India from August 2020 to October 2020 via an online questionnaire . A sample size of 100 kids , 50 each from Primary and Secondary grade was chosen for the study. The data was entered in Microsoft Excel and was statistically analysed. Results are outcomes of various RESULTS: questions put up to conduct detailed analysis of kids' awareness and medicinal knowledge, drug preferences, factors inuencing and attitude related to hygiene, safety and protection from Covid 19 infection. Kids are the young budding phys CONCLUSION: icians and their childhood beliefs and perceptions might affect their behaviour and decisions in adult lives. Parents and schools can play a great role through educational programs . It's well said, “Children are like wet cement, whatever falls on them, leaves an impression.”

scholarly journals Prevalence of Acute Kidney Injury in Patients with Liver Cirrhosis

2020 ◽  
Vol 58 (228) ◽  
Author(s):  
Pukar Thapa ◽  
Sudhamshu KC ◽  
Achyut Bikram Hamal ◽  
Dilip Sharma ◽  
Sandip Khadka ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Liver Cirrhosis ◽  
Hospital Stay ◽  
Hepatorenal Syndrome ◽  
Kidney Injury ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Tubular Necrosis ◽  
Advanced Liver Cirrhosis ◽  
Life Threatening

Introduction: Acute kidney injury is a common and life-threatening event in patients with liver cirrhosis occurring in approximately 20-50% of hospitalized patients of liver cirrhosis. Pre-renal acute kidney injury, the hepatorenal syndrome type of acute kidney injury and acute tubular necrosis represent the common causes. The aim of this study was to study the profile of acute kidney injury in patients with liver cirrhosis. Methods: Consecutive patients of liver cirrhosis admitted in Liver unit of Bir Hospital were studied to see the presence of acute kidney injury in this hospital based descriptive cross-sectional study. Clinical and laboratory parameters along with various clinical outcome were compared between different groups categorized by the severity of liver disease and renal dysfunction. Results: Out of 302 liver cirrhosis patients, 56 (18.5%) had acute kidney injury among which 23 (46%) were found to have pre-renal acute kidney injury, 15 (30%) with hepatorenal syndrome– acute kidney injury and 12 (24%) with intrinsic renal disease. Patients with higher stages of acute kidney injury had longer duration of hospital stay and hepatorenal syndrome-acute kidney injury was seen in patients with higher grade of ascites and with hyponatremia. Conclusions: Acute kidney injury is a common occurrence in patients with advanced liver cirrhosis with pre-renal acute kidney injury being the commonest cause. Median hospital stay is directly affected by the severity of acute kidney injury and hepatorenal syndrome–acute kidney injury was seen in patients with higher grade of ascites and hyponatremia. Early identification of patients at high risk for acute kidney injury may help to reduce mortality and contain costs.  

scholarly journals Perfil dos diagnósticos de enfermagem de fumicultores

2019 ◽  
Vol 13 ◽  
Author(s):  
Naise de Moura Dantas ◽  
Alexandre Wendell Araujo Moura ◽  
Andreivna Kharenine Serbim ◽  
Cristiane Araujo Nascimento ◽  
Ana Caroline Melo dos Santos ◽  
...  
Keyword(s):  
Elementary Education ◽  
Family Health ◽  
Cross Sectional Study ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Safety Standards ◽  
The North ◽  
Nursing Diagnosis ◽  
Quantitative Descriptive ◽  
Nursing Diagnoses

RESUMO Objetivo: descrever os diagnósticos de Enfermagem segundo a taxonomia da American Nursing Diagnosis Association II.  Método: trata-se de estudo quantitativo, descritivo, transversal, com 51 produtores de tabaco expostos a agroquímicos que viviam na comunidade rural. Coletaram-se os dados por meio das consultas de Enfermagem. Tabularam-se os dados n Programa Microsoft Excel 2010, posteriormente inseridos no banco de dados utilizando o programa SPSS, versão 22.0, for Windows, e submetidos à revisão e análise estatística. Apresentaram-se os resultados em tabelas. Resultados: verificou-se, por meio das consultas de Enfermagem, que a maioria era do sexo feminino, tinha ensino fundamental incompleto e não praticava nenhum tipo de exercício físico. Acrescenta-se, além disso, que eles desconheciam os riscos para a saúde colocados pelos pesticidas e negligenciaram os padrões de segurança recomendados para o manuseio desses produtos. Conclusão: pode-se observar, a partir deste estudo, que o enfermeiro tem um papel importante no cuidado e na educação, nos diversos espaços de promoção, prevenção e manutenção do cuidado em saúde. Descritores: Enfermagem; Diagnósticos de Enfermagem; Estratégia Saúde da Família; Área Rural; Saúde Pública; Saúde do Trabalhador.ABSTRACT Objective: to describe Nursing diagnoses according to the Taxonomy II proposed by the North American Nursing Diagnosis Association. Method: this is a quantitative, descriptive, cross-sectional study conducted with co plantations. The research was carried out with 51 tobacco growers exposed to agrochemicals living in the rural community. The data were collected through nursing consultations. The data collected were tabulated in the Microsoft Excel 2010 software and later entered into a database using the SPSS software version 22.0, for Windows, and subjected to statistical review and analysis. The results were presented in tables. Results: the Nursing consultations revealed that the majority of the farm workers were females, had incomplete elementary education, and did not practice any type of physical exercise. In addition, they were unaware of the health risks posed by pesticides and neglected the recommended safety standards for the handling of these products. Conclusion: it was observed in this study that nurses have an important role in care and education, in the various spaces of promotion, prevention and maintenance of health care. Descriptors: Nursing; Nursing Diagnoses; Family Health Strategy; Rural Area; Public Health; Occupational Health.RESUMEN Objetivo: se buscó describir los diagnósticos de Enfermería según la taxonomía de la American Nursing Diagnosis Association II. Método: se trata de un estudio cuantitativo, descriptivo, transversal, realizado con 51 productores de tabaco expuestos a agroquímicos que vivían en la comunidad rural. Se recogieron los datos por medio de las consultas de Enfermería. Se tabularon los datos recogidos en el programa Microsoft Excel 2010, posteriormente inseridos en el banco de datos utilizando el programa SPSS, versión 22.0, for Windows, y sometidos a la revisión y análisis estadística. Se presentaron los resultados en tablas. Resultados: se verificó, por medio de las consultas de Enfermería, que la mayoría era del sexo femenino, tenía enseñanza primaria incompleta y no praticaba ningún tipo de ejercicio físico. Además de eso, ellos desconocen los riesgos para la salud colocados por los pesticidas y negligenciaron los patrones de seguridad recomendados para el manoseo de esos productos. Conclusión: se puede observar, a partir de este estudio, que el enfermero tiene un papel importante en el cuidado y en la educación, en los diversos espacios de promoción, prevención y mantenimiento del cuidado en salud. Descriptores: Enfermería; Diagnósticos de Enfermería; Estrategia Salud de la Familia; Zona Rural; Salud Pública; Salud Laboral.

scholarly journals Differences in Surgical Outcome in Near Total Thyroidectomy for Benign Nodular Goiter: A Comparison of LigaSure Vessel Sealer versus Conventional Clamp Knot Tie Technique

2021 ◽  
pp. 65-69
Author(s):  
Shiraz Shaikh ◽  
Champa Sushel ◽  
Ahsan Ali Laghari ◽  
Qamber Ali Laghari ◽  
Zameer Hussain Laghari ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Total Thyroidectomy ◽  
Calcium Level ◽  
Operative Time ◽  
Nodular Goiter ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Post Operative Pain ◽  
Significant Difference ◽  
One Year

Objective: To compare the efficacy of LigaSure Vessel Sealer in Near Total Thyroidectomy versus Conventional Clamp Knot Tie Technique in terms of bleeding, operative time and postoperative drainage. Methodology: This comparative cross sectional study was conducted at Department of Surgery, Liaquat University of Medical and Health Sciences, Jamshoro. Study duration was one year from November 2019 to October 2020. All patients of any age with benign multinodular goiter and either of gender were included. The study subjects were grouped into two categories by randomization (odd / even). The odd numbers were given to patients operated for ligasure and even numbers were given to patients operated with conventional clamp knot tie technique.  Outcomes were observed with respect to post-operative calcium level, intra-operative bleeding, operative time, post-operative pain & post-operative hospital stay. All the data was recorded via study proforma. Data was analyzed by using SPSS version 20. Results: Total 55 patients were observed. Mean age was 33.25±10.60 years in clamp knot tie procedure group and 35.16±07.96 years in ligasure technique group; without significant difference (p-0.448). Pre and post-operative calcium levels were statistically insignificant among both groups (p-0.358 and 0.163), while loss of blood, hospital stay, post-operative pain and operative duration were significantly greater in clamp knot tie technique group in comparison to ligasure technique group (p-<0.001). Conclusion: LigaSure Vessel Sealer is a feasible and reliable surgical technique and significantly more effective as compared to conventional clamp knot tie technique in terms of post-operative bleeding, operative time, post-operative pain and post-operative hospital stay. However, calcium level was statistically insignificant.

scholarly journals Prevalence and costs of hospitalizations for poisoning and accidental intoxication in Brazilian elderly

2013 ◽  
Vol 49 (4) ◽  
pp. 679-687
Author(s):  
Marcelle Silva de Abreu ◽  
Silvandro Diego de Albuquerque Ferreira ◽  
Larissa Pelágia de Lima Ferreira ◽  
José Ferreira Toneo Júnior ◽  
Wamberto Vieira Maciel ◽  
...  
Keyword(s):  
Hospital Admissions ◽  
Average Length ◽  
Length Of Hospital Stay ◽  
Secondary Data ◽  
Mortality Rates ◽  
Cross Sectional Study ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Alcohol And Drugs ◽  
Elderly Males

A cross-sectional study of secondary data/information obtained from the Hospital Information System (HIS) spanning the years 2008 - 2009 was performed. The distribution of the main hospital admissions by gender, age, color/race, region and federal unit of residence, average expenditure and average length of hospital stay, year of hospitalization and mortality rates (MR) were studied. The data collected were tabulated by TabNet and keyed into Microsoft Excel 2007. It was verified that elderly males (54.3%), from 60 to 69 years old (50.6%), nonwhites (36.3%) and residents of Southeast and North regions of the country had the highest rates of hospitalization. Seniors were hospitalized for an average of 4.8 days, and the major causes were exposure to alcohol (43.7%) and to drugs (33.9%). Expenses related to hospital admissions were, on average, R$ 529,817.70. The highest mortality rates were recorded among females (MR = 4.34), in elderly, 80 years or older (MR = 10.16) and Caucasians (MR = 3.95), where pharmacological substances with action on the Autonomic Nervous System were the leading cause of death. There are demographic differences in morbi-mortality of these elderly since, although men and younger elderly were the main victims, women and elderly of advanced age have greater mortality. The leading causes of hospitalization were alcohol and drugs.

scholarly journals Prevalence of obesity amongst bank employees in Latur city of Maharashtra, India

2019 ◽  
Vol 6 (9) ◽  
pp. 3685
Author(s):  
Pramod P. Kulkarni ◽  
Bhaskar S. Gaikawad ◽  
Anant A. Takalkar ◽  
Mukund D. Bhise
Keyword(s):  
Who Classification ◽  
Sedentary Lifestyle ◽  
Cross Sectional Study ◽  
Social Characteristics ◽  
Sectional Study ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Prevalence Of Obesity ◽  
Bank Employees ◽  
Associated Risk Factors

Background: India is currently experiencing rapid epidemiological transition with rising prevalence of obesity which may be due to sedentary lifestyle and changing dietary pattern. Certain occupations like the job of bank employees are sedentary which predispose individuals to obesity. Hence the present study was carried out to study the prevalence of obesity in bank employees in Latur city of Maharashtra.Methods: A cross-sectional study was carried out amongst 400 bank employees of Latur city. Banks were listed according to sectors i.e. government, co-operative and private. The study subjects were interviewed by predesigned and pretested proforma including bio-social characteristics like age, gender, height, weight etc. The anthropometric measurements were taken like height, weight etc. Data was entered in Microsoft Excel and analysed by using appropriate test whenever necessary.Results: According to body mass index (BMI) classification by WHO classification 34.5% subjects were overweight and obese and 25.75% of bank employees had obesity by waist-hip ratio as per WHO classification and 18.5% of bank employees had isolated abdominal obesity.Conclusions: The prevalence of generalized as well as abdominal obesity by WHO classification was more in bank employees. The associated risk factors like age, gender and designation was found to be significant.

scholarly journals Factors associated with post-acute discharge location after hospital stay: a cross-sectional study from a Swiss hospital

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Bettina M. Zimmermann ◽  
Insa Koné ◽  
Michael Rost ◽  
Agnes Leu ◽  
Tenzin Wangmo ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Discharge Location

scholarly journals Laparoscopic Approach for Management of Hydatid Cyst of Liver

2017 ◽  
Vol 15 (1) ◽  
pp. 67-70
Author(s):  
Suman Kumar Shrestha ◽  
Prabin Bikram Thapa ◽  
Dhiresh Kumar Maharjan ◽  
Tseten Yonjan Tamang
Keyword(s):  
Hydatid Cyst ◽  
Bile Leak ◽  
Laparoscopic Approach ◽  
Operation Time ◽  
Cross Sectional Study ◽  
Hepatic Hydatid Cyst ◽  
Cross Sectional ◽  
Laparoscopic Management ◽  
Laparoscopy Surgery ◽  
The Mean

Background: Laparoscopy surgery trials are small and unconvincing at present and are limited to higher centers. The objective of the study is to determine the clinical features, prevalence of site of hydatid cyst and complications of this modality of this treatment.Methods: A cross sectional study was carried out in all patients with one or two hepatic hydatid cyst who underwent laparoscopic management in KMCTH from January 2013 to March 2015 were included in the study. Aspiration, deroofing and evacuation of the hydatid cyst were done.Results: Twenty six patients underwent laparoscopic management for liver hydatid cysts. Males were seven (65.38%) and females were 9(34.61%).The mean age was 35.5±13.1 years (range 21-55years.) The commonest complaint was pain and discomfort in 13(50%) patients and lump in 6(13.06%) patients. Twenty four (92.3%) patients were successfully treated with laparoscopic approach. Two (7.69%) patients had to be converted to laparotomy because of dense adhesions and bleeding. Mean operation time was 43.6±10.6 minutes. Two (7.69%) patients had port site infection. One (3.84%) patient had bile leak and no recurrence and mortality in our series.Conclusions: Laparoscopic management of liver hydatid cyst was safe and effective in selective group of patients in equipped hospital.

scholarly journals Bacteriological analysis of infected wound and their antibiotic sensitivity following emergency caesarean section-a study of 100 cases

KYAMC Journal ◽  
2018 ◽  
Vol 9 (2) ◽  
pp. 61-64
Author(s):  
Sushmita Paul ◽  
Debashis Paul ◽  
Ashraful Haque ◽  
Bijan Kumar Nath ◽  
Md Rezaur Rahman Miah ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Wound Infection ◽  
Antibiotic Sensitivity ◽  
Cross Sectional Study ◽  
Emergency Caesarean Section ◽  
Klebsiella Pneumonia ◽  
Infected Wound ◽  
College Hospital ◽  
Cross Sectional ◽  
Emergency Caesarean

Background: Emergency caesarean section is one of the commonly performed operation in the department of gynae and obstetrics.Objectives: The aim and objective of the study was to evaluate the organisms responsible for post emergency caesarean wound infection and their antibiotics sensitivity.Materials & Methods: The study is a prospective type of cross sectional study where 100 patient of post emergency caesarean wound infection was evaluated during July 2012 to December 2012 (6 Month Duration) at Rajshahi Medical College Hospital (RMCH) Rajshahi. The wound swab was sent for culture and sensitivity test.Results: The peak incidence of wound infection to between 6th - 8th post operative day. In wound discharge shows various organism but 16% showed no growth. The most of the infected wound showed (48%) thick creamy pus and the organisms isolated is Staphylococcus. antibiotics mostly used were Ciprofloxacin, Cephradine and Metronidazole. This study revealed that maximum wound infection is due to S. aureus. Regarding antibiotic sensitivity of the cultured organisms, all of them are sensitive to Imepenem (100%). Staphylococcus aureus mostly sensitive to Flucloxacillin (79.16%). Ciprofloxacin sensitivity is found in 58.33% cases. E coli mostly sensitive to Imepenem (100%) followed by Ceftriaxone (53.84%). Klebsiella pneumonia found mostly sensitive to Imepenem (100%) followed by Ceftriaxone (75%) and Cephradine (50%).Conclusion: Selection of appropriate antibiotic is important to reduce post caesarean wound infection.KYAMC Journal Vol. 9, No.-2, July 2018, Page 61-64

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