scholarly journals EFFECTS OF BUTEYKO BREATHING TECHNIQUE AND CONVENTIONAL PHYSICAL THERAPY IN ADULT BRONCHIAL ASTHMA: A RANDOMIZED CONTROL TRAIL

2017 ◽  
Vol 6 (1) ◽  
pp. 36-44
Author(s):  
Qurat ul Ain Ausaf ◽  
Ghazala Noor Nizami ◽  
Amna Aamir Khan
Keyword(s):  
Physical Therapy ◽  
Bronchial Asthma ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Treatment Session ◽  
Care Hospital ◽  
Significant Difference ◽  
Related Quality ◽  
Randomized Control

OBJECTIVE To assess the effectiveness of Buteyko Breathing Technique (BBT) and Conventional Physical Therapy (Conventional PT) for improving pulmonary functions and Health Related Quality of Life (HRQoL) in the management of chronic bronchial asthma. STUDY DESIGN & SAMPLING TECHNIQUE It is a Randomized Control Trial. Patients were selected through Simple Random Sampling. STUDY SETTING & PARTICIPANTS 24 patients diagnosed as chronic bronchial asthma were recruited from the outpatient department, pulmonary clinics of tertiary care hospital. INTERVENTION Subjects were randomly assigned into two groups, BBT (n=12) and conventional PT (n=12). FEV1, FVC and FEV1/FVC ratio were measured at the start and end of the treatment through MIR Spirolab-III. HRQoL was also measured using St George Respiratory Questionnaire (SGRQ) at start and end of treatment session. RESULTS No statistically significant changes were observed in FVC, FEV1 and FEV1/FVC ratio in BBT as well as in Conventional PT whereas significant changes in HRQoL through SGRQ is revealed in BBT (p <0.05). CONCLUSION BBT is found to be more effective in assessing HRQoL through SGRQ, whereas a larger sample size is required in patients with chronic bronchial asthma to evaluate the effectiveness of BBT as no significant difference was shown in the study.

scholarly journals Comparing efficacy of Rifaximin plus Lactulose vs. Lactulose alone in treating Hepatic Encephalopathy

2020 ◽  
Vol 24 (4) ◽  
pp. 339-343
Author(s):  
Tanveer Hussain ◽  
Misbah Sattar ◽  
Sara Mustafa ◽  
Uzma Batool ◽  
Shafqat Iqbal ◽  
...  
Keyword(s):  
Hepatic Encephalopathy ◽  
Local Population ◽  
Tertiary Care ◽  
Simple Random Sampling ◽  
Complete Recovery ◽  
Treatment Modalities ◽  
Care Hospital ◽  
Significant Difference ◽  
Group A ◽  
Group B

Background: Hepatic Encephalopathy is a syndrome observed in patients with liver cirrhosis. Various treatment modalities are in use for treatment of Porto Systemic Encephalopathy (PSE). Our study aimed to compare the efficacy of Rifaximin plus Lactulose vs.Lactulose alone in treating Hepatic Encephalopathy in local population. Materials & Methods: The study was conducted at a tertiary care hospital recruiting decompensated chronic liver disease(DCLD) patients with PSE. Using simple random sampling, patients were divided in two groups (A & B). Patients in group A received Lactulose plus Rifaximin while group B received Lactulose alone. Efficacy of treatment was assessed as return of the conscious level to pre-encephalopathy state as per clinical examination within 1 week after  start of the treatment. Results: A total of 124 patients were included in the study with each group (A & B) containing 62 patients. Frequency and percentage of efficacy among group A (Rifaximin plus Lactulose) verses group B (Lactulose alone) in treating Hepatic encephalopathy was 45 (72.6%) and 32 (51.6%) respectively. Conclusion: The study concluded that there is a significant difference in proportions of patients showing complete recovery from Hepatic encephalopathy treated with Lactulose plus Rifaximin as compared to Lactulose alone.

scholarly journals HEALTH RELATED QUALITY OF LIFE OF CHILDREN WITH THALA SSEMIAAT TERTIARY CARE HOSPITAL IN BELAGAVI.- A CROSS SECTIONAL STUDY

2020 ◽  
pp. 1-2
Author(s):  
Arer AR ◽  
Hulagbali M
Keyword(s):  
Quality Of Life ◽  
Tertiary Care ◽  
Age Groups ◽  
Sampling Technique ◽  
Care Hospital ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related

A study was conducted on 90 children suffering with thalassemia who are attending thalassemia unit of KLES Dr. Prabhakar Kore Charitable Hospital Belagavi. To assess the health related quality of life of children with thalassemia and to find out the association between health related quality of life of children with Thalassemia and selected demographic variables. Purposive sampling technique was used to select the samples. Data was collected using standardized paediatric inventory quality of life (PedsQL 4.0 Generic Core Scales) tool. Data obtained was tabulated and analysed in terms of objectives of the study using descriptive and inferential statistics. The study revealed that Majority 70 (77.78%) of thalassemia children had average level of quality of life where as minimum 10 (11.11%) of thalassemia children had low and high level of quality of life. The association between age groups and levels of QOL is found to be not statistically significant (Chi-square= 6.3530, p=0.1740) and the association between religions and levels of QOL is found to be not statistically significant.

scholarly journals Stress among Nurses in a Tertiary Care Hospital

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Rajeswari. H ◽  
Dr. B. Sreelekha
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Work Organization ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Mild Stress ◽  
Care Hospital ◽  
Severe Stress ◽  
Cross Sectional ◽  
Younger Age

Stress is a part and parcel of human lifestyle. Stress is a bodily or mental tension resulting from factors that tend to alter an existent equilibrium. Nursing is generally perceived as demanding profession. Along with the increased demand and progress in the nursing profession, stress among the nurses has also increased. The study is carried out with the objectives to assess the level of stress among nurses and to associate the level of stress among nurses with their socio demographic variables. METHODS: Cross sectional research design was adopted.200 nurses working in selected tertiary care hospital were selected by using probability simple random sampling technique. Data was collected by using modified stress inventory. RESULTS: The study revealed that among 200 samples 2(1%) had mild stress, 79(39.5%) had moderate stress and 119(59.5%) had severe stress. In associating the sociodemograpic variables with the level of stress, the variables like age, sex, religion, marital status, educational qualification, designation, area of working, programme attended related to stress, relaxation technique used have no significant association at the level of p<0.05 where as variables income, years of experience, area of living have significant association with level of stress at the level of p<0.001 &p<0.20. CONCLUSION: The study concludes that majority of the nurses have stress. It is also found that stress due to work organization and inter personal relationship at work is harder which adds up to the stress. It is evident in the present study that younger age group and women were commonly affected with severe stress .Income earned and place where they live also influences the stress. It is recommended to implement strategies for reducing stress and to organize stress management programme.

scholarly journals NURSE KNOWLEDGE REGARDING INTRAVENOUS THERAPY IN A TERTIARY CARE HOSPITAL: A CROSS-SECTIONAL STUDY

2020 ◽  
Vol 8 (11) ◽  
pp. 69-73
Author(s):  
Sunil Kumar Tailor ◽  
◽  
Shiv K Mudgal ◽  
Digpal Singh Chundawat ◽  
Krishan Kumar Nehra
Keyword(s):  
Professional Education ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Simple Random Sampling ◽  
Care Hospital ◽  
Intravenous Therapy ◽  
Cross Sectional ◽  
Nurses Knowledge

Context: In hospital settings, most of the time intravenous fluids and drugs administered to patients and nurses are responsible for administration and care of intravenous therapy. However, patients may develop complications related to intravenous therapy due to inadequate competency and knowledge of nurses regarding intravenous therapy. Aims: The present study was conducted to ascertain the knowledge regarding administration and care of intravenous therapy among the staff nurses working at tertiary care hospitals. Methods: A Cross-Sectional research design was adopted to ascertain the nurses knowledge of intravenous therapy. A total of 400 nurses were selected through simple random sampling technique from a tertiary care hospital. A self-structured questionnaire was used to assess the nurses knowledge of IV therapy. The data were analyzed using descriptive and inferential statistic. Result: The finding of the study indicated that the overall mean knowledge score of nurses was 15.71±4.18. The demographic variables which influenced the level of nurses knowledge significantly were their professional education (p=0.003) and attended refresher courses on IV therapy (p=0.000). Conclusion: Nurses had an inadequate level of knowledge on administration and care of IV therapy. The administration of IV therapy could be improved by the provision of the in-service education programme.

scholarly journals Effectiveness of planned health education on knowledge of nurses working at tertiary care hospital regarding early detection of cancer cervix Karad, Western Maharashtra, India

2017 ◽  
Vol 7 (1) ◽  
pp. 173
Author(s):  
Sunita Tata ◽  
Radhika Joshi ◽  
A. Pratinidhi ◽  
Vaishali Vhaval ◽  
Simi Elsa Philip ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Health Education ◽  
Early Detection ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Care Hospital ◽  
Study Results ◽  
Post Test

Background: Cervical cancer is a major and devastating cause of mortality worldwide with an estimated global incidence of 5 lakhs new cases and 2.7 lakhs deaths annually among women. The objective of this study was to assess the existing level of knowledge and to determine the effectiveness of planned health education among the nurses regarding early detection and prevention of ca cervix.Methods: Evaluative approach with Quasi experimental one group pre-test-post-test design was used.168 sample were selected with simple random sampling technique, who those are working in tertiary care hospital, Karad. A pre-test given related to cervical cancer questionnaires followed by planned health education imparted for the duration of 45 minutes. Post-test using the same questionnaire were conducted after 7 days.Results: The study results showed that, the planned health education was effective in increasing the knowledge at the level of P <0.001.Conclusions: It is seen that training of nurses less than 30 years, even with lesser experience lesser than 5 years and with unmarried status benefited most. In service education training at the time of induction program and also frequently to refresh to sensitize the nurses with updating knowledge is recommended so that they can motivate the symptomatic and asymptomatic women who those are attending hospital as an outdoor patient or coming with the indoor patient as caretakers.

Vaccination Status of Demonstrator’s of a Private Dental College/Institiute of Multan Against The Hepatitis B Virus

2021 ◽  
Vol 15 (11) ◽  
pp. 3225-3227
Author(s):  
Nousheen Khan ◽  
Mustafa Sajid ◽  
Isma . ◽  
Muhammad Mohsin Javaid ◽  
Rabia Mahmood ◽  
...  
Keyword(s):  
Hepatitis B Virus ◽  
Hepatitis B ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
B Virus ◽  
To Receive

Background: One of most hazardous infections that can prompt death is Hepatitis B and it is familiarized as highest ten dangerous afflictions of life1. Hepatitis B has been ranked among those diseases which can cause death. Medical care experts have greater chance of getting infested with this infection since they are straightforwardly in contact with contaminated patients. Aim: To assess percentage of inoculated Demonstrators in a tertiary care hospital. This examination additionally rules out or precludes various causes which diminish the immunization rate. Setting: Multan Dental College Multan Methodology: It was the questionnaire-based cross-sectional study. Here the simple random sampling technique had been utilized in a private sector hospital of Multan city. 40 participants completed a questionnaire. Information was collected & tabulated Results: 80% of the participants were vaccinated while 20% were not vaccinated & reasons for non-vaccine were also stated. Busy Schedule & forget to receive vaccine were the main reasons among non-vaccinated individuals. Conclusion: Self-reported rate of vaccination among demonstrators has been satisfactory against hepatitis B virus in this environment where they have direct contact with this dangerous disease but needs to be improve further. Medical institutes should furthermore assume responsibility to teach and explain their employees with respect to immunization and cautionary measures against hepatitis B infection. Keywords: Hepatitis B, Demonstrators, Immunization, Vaccination

scholarly journals EARLIEST SYMPTOMS OF PRESENTATION IN COVID-19 PATIENTS IN TERTIARY CARE HOSPITAL

2021 ◽  
Vol 71 (Suppl-3) ◽  
pp. S500-03
Author(s):  
Maqbool Raza ◽  
Muhammad Ali Raza ◽  
De Emmal Asjad Cheema ◽  
Maham Asjad Cheema ◽  
Atif Rafique ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Sampling Technique ◽  
Military Hospital ◽  
P Value ◽  
Care Hospital ◽  
Chi Square ◽  
Cross Sectional ◽  
Presenting Symptoms ◽  
Significant Difference ◽  
Chi Square Test

Objective: To determine the frequency of earliest symptoms of COVID-19 infection among patients with confirmed SARSCOVID-19 infection. Study Design: Cross-sectional analytical study. Place and Duration of Study: Combined Military Hospital Multan, from Jun to Dec 2021. Methodology: Data from 299 patients admitted in tertiary care settings was collected on a questionnaire. Patients regardless of gender and age who had confirmed COVID-19 infection through Real Time Polymerase Chain Reaction (RT-PCR) were included in the study. A nonprobability consecutive sampling technique was used to select samples. Data was entered and analyzed through SPSS version 22. Frequencies and percentages of various presenting symptoms were calculated. Sample size calculated at 95% level of confidence, 1% required precision, and 27% anticipated population proportion were 299. The overall difference in frequencies of symptoms in various groups was compared by using chi-square test. p-value <0.05 was taken as significant. Results: A total of 299 participants were included in this analysis. The median age for participants (interquartile range [IQR]) was 46 (36-54) years. Among 299 adults the reported symptoms were cough 238 (79.6%), fever 176 (58.7%) and, dyspnea 113 (37.8%). Only 78 (26.1%) of participants with confirmed infection reported having all three symptoms of cough, fever, and dyspnea. Other reported symptoms in patients were diarrhea 54 (18.1%), fatigue 128 (42.8%), myalgia 113 (37.8%), and anosmia 98 (32.8%). There was no significant difference in the frequency of symptoms across both genders. Conclusion: The most frequent symptoms of COVID-19 are cough, fever, and dyspnea.

scholarly journals Assessment of Incidence of Hydroureteronephrosis among Pregnant Women of a Tertiary Care Hospital

2021 ◽  
pp. 736-745
Author(s):  
S. Rithanya ◽  
M. Sivasankar ◽  
M. Griffin ◽  
P. S. Premanand ◽  
V. Kamaraj ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Pregnant Women ◽  
Imaging Modality ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Care Hospital ◽  
Contributing Factors ◽  
The Right ◽  
In Pregnancy

Background: Some degree of dilatation of the upper two-thirds of the ureter and the pelvicalyceal system is observed in physiological hydroureteronephrosis. It may be present in 90% of pregnancies and is more pronounced on the right side. It develops as early as 6-10 weeks of gestation and disappears a few weeks after birth. Smooth muscle-relaxant effects of progesterone and mechanical compression have been postulated as contributing factors. Ultrasound is the imaging modality of choice. Most of the cases resolve with conservative measures. Objectives: The study aimed to assess the incidence of hydroureteronephrosis in pregnancy using ultrasound, to assess the laterality of hydroureteronephrosis in pregnancy and to assess the proportion of subjects with hydroureteronephrosis in pregnancy requiring intervention. Materials and Methodology: A prospective study was conducted among the pregnant women presenting to the department of obstetrics and gynecology in a tertiary health care hospital from January 2021 to April 2021. A simple random sampling technique was employed, 40 subjects were identified for the study. The relationship between hydroureteronephrosis and gestational age, urinary tract problems and parity were compared. Results: Unilateral right-sided hydroureteronephrosis was present in 7 (36.8%) of the study subjects with hydroureteronephrosis. Hydroureteronephrosis was observed in 22.5% and 15% of the study subjects on the right and left side respectively during the second trimester. Hydroureteronephrosis was observed in 30% and 15% of the study subjects with urinary tract problems on the right and left side respectively. Hydroureteronephrosis was observed in 13 (52%) of the study subjects with no previous delivery. Conclusion: The incidence of hydroureteronephrosis was found to be 47.5%. Differentiation of physiological and pathological hydroureteronephrosis is necessary. A coordinated approach between obstetricians and urologists is essential to provide the best care for the mother and the fetus.

scholarly journals ALLERGIC RHINITIS

2011 ◽  
Vol 18 (02) ◽  
pp. 289-294
Author(s):  
MUHAMMAD ZAHID RAFIQ GILL ◽  
SALAHUDDIN AYUBI
Keyword(s):  
Allergic Rhinitis ◽  
Symptom Score ◽  
Mucociliary Clearance ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Topical Steroids ◽  
Care Hospital ◽  
India Ink ◽  
Significant Difference ◽  
Before And After

Introduction: Allergic rhinitis is one of the most common ENT diseases in Faisalabad. The affects of topical steroids on nasal mucosal environment has not been studied reliably. Objectives: To see the affects of topical steroids on symptom score and mucociliary clearance in Allergic Rhinitis. Rationale: To see whether symptom score change with change in mucociliary clearance after topical application of steroids. Study design: A quasi-experimental study. Setting: ENT Unit, Madina Teaching Hospital, Faisalabad ( a tertiary care hospital). Subjects: (sample, sampling technique): Non-probability convenience sampling. Fifty patients in total. Intervention: Saccharine with dye: india ink (Indigocarmine) application on anterior end of inferior turbinate to check mucociliary clearance. Methods (Main outcome measures): To assess change in mucociliary clearance time and symptom score (total as well as individual) before and after application of steroid at one, three and six months in patients having allergic rhinitis. Each nasal symptom was scored as zero to 3 on a severity scale (absent-mild-moderatesevere). Results: Patients were tested for nasal mucociliary clearance and symptom score before and after application of steroid. The results showed statistically significant difference in these groups. Conclusions: 1.Topical steroids modify the nasal mucosal environment in terms of mucociliary clearance and thus affects the patients quality of life in terms of allergic rhinitis symptom score 2. More long term follow up and wider studies are required to study the definite affects of steroids on nasal mucosa.

scholarly journals Impact of Preoperative Counselling on Early Postoperative Mobilization and Its Role in Smooth Recovery

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Sunil Sadruddin Samnani ◽  
Muhammad Farooq Umer ◽  
Syed Hussain Mehdi ◽  
Farah Naz Farid
Keyword(s):  
Abdominal Surgery ◽  
Tertiary Care ◽  
Pulmonary Complications ◽  
Care Hospital ◽  
Inclusion Criteria ◽  
Group I ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
Randomized Control ◽  
Preoperative Counseling

Background and Objectives. Preoperative counseling is effective to foster early postoperative mobilization that reduces pulmonary complications following abdominal surgery. This study aims at evaluating the effect of preoperative counseling regarding postoperative mobilization and its impact on reducing pulmonary complications. Design and Setting. Randomized control trial was conducted at the Department of Surgery of a tertiary care hospital, Karachi. Patients and Materials. Patients who underwent abdominal surgery and met inclusion criteria were recruited. All participants were randomly divided into two groups. Both groups received information about the surgery and Group I received additional counseling for postoperative mobilization. All patients were encouraged for postoperative mobilization. Scholes et al. criteria were used to evaluate postoperative pulmonary complications. Results. In total 232 participants were recruited and divided into two groups. There was no significant difference in participants’ age (P=0.79), duration of surgery (P=0.5), and pain score (P=0.1) of both groups. However, significant difference was identified in mobilization from bed to chair and mobilization for >10 minutes. Patients in Group I experienced less pulmonary complications in comparison with Group II.

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