Effectiveness of short-term resuscitation training programming among medical trainees of a peripheral medical college and practicing professionals

2021 ◽  
Vol 2 (3) ◽  
pp. 68
Author(s):  
Arvind Kumar ◽  
Rohini Sharma ◽  
Upendra Baitha ◽  
NeerajKumar Swarnkar ◽  
CPrasanth Unnikrishnan ◽  
...  
1987 ◽  
Vol 12 (3) ◽  
pp. 65-68
Author(s):  
Benjamin M. Pulimood

Just befme taking over as the Director of Christian Medical College and Hospital, Vellore, Dr Benjamin Pulimood spent a few months at the Indian Institute of Management, Ahmedabad. He took keen interest in the PGP students and attended several seminars and courses. Major hospitals today have large budgets and immense problems of administration. Given these complexities, Dr Pulimood feels that management training would be useful for hospital administrators. He recommends short-term. management programmes for medical experts who have to administer large hospitals.


2012 ◽  
Vol 3 (2) ◽  
pp. 41-43
Author(s):  
Farzana Rabee Choudhury ◽  
Maliha Rashid ◽  
Ratu Rumana ◽  
ABM Zakir Uddin ◽  
Nilufar Nasrin Ava

Background: Genital prolapse is a common gynaecological problem in developing country like Bangladesh.Objectives: The aim of this study was to evaluate the advantages of short term catheterization in comparison to long term catheterization after genital prolapse surgery. Methodology: This was a prospective analytical cross sectional study being carried out from 1st July 2005 to 30th July 2006 in the Department of Gynaecology & Obstetrics of Sir Salimullah Medical College & Mitford Hospital. A total of 200 patients undergoing genital prolapse surgery were selected for this study. Patients were divided into two groups. In short term catheterization group the urinary catheter was withdrawal within one day after surgery and in the short term catheterization group the catheter was remained in situ for 5 days after surgery. Result: Positive urine culture was found in 16% in long term catheterization group compared with 6% in short term group (P=0.02). Mean duration of hospital stay was 6.98 days in long term catheterization group and 4.68 days in short term catheterization group (P<0.01). Residual volume was more than 200 ml and need for re-catheterization occurred in 3% in group whereas it was 10% in case group (P=0.04). Conclusion: This study permits to conclude that short term catheterization is better than long term catheterization. J Shaheed Suhrawardy Med Coll, 2011;3 (2): 41-43 DOI: http://dx.doi.org/10.3329/jssmc.v3i2.12077


Author(s):  
Sandeep Shetty ◽  
Ammu George ◽  
Shilpa Chandrashekar ◽  
Bhadravathi Ganesh Prakash

<p class="abstract"><strong>Background:</strong> To study the efficacy of intratympanic injection of dexamethasone in cases of subjective idiopathic tinnitus.</p><p class="abstract"><strong>Methods:</strong> Prospective interventional study at the Department of ENT, JSS Medical College and Hospital, Mysore, in which 45 patients diagnosed clinically as subjective idiopathic tinnitus, for a duration of 2 years from October 2016 were included in the study. The patients were subjected to 3 intratympanic injections of dexamethasone once in a week for 3 weeks.  They received a 0.5 ml intratympanic injection of 4mg/ml dexamethasone solution. After topical anaesthesia, using a 2 ml syringe and a spinal needle no. 22, the assigned solution was administered under direct vision using an endoscope in the postero- inferior quadrant of the tympanic membrane. They were followed up at the end of 1 and 3 months from the last injection. Tinnitus handicap inventory was repeated during the follow up and was compared to the value at presentation.  </p><p class="abstract"><strong>Results:</strong> There was a statistically significant improvement in the THI at the first follow up compared with the baseline THI. Whereas there was no statistically significant change in improvement rate from the 1st follow up to the 2nd follow up (p=0.7), however there is decrease in the improvement, which means the improvement is temporary, and starts reverting by the second visit to some extent.</p><p class="abstract"><strong>Conclusions:</strong> It was observed that the improvement in the tinnitus was for a short term after intratympanic injection of dexamethasone.</p>


2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Michael K. Hole ◽  
Keely Olmsted ◽  
Athanase Kiromera ◽  
Lisa Chamberlain

Objective. The WHO estimates that 99% of the 3.8 million neonatal deaths occur in developing countries. Neonatal resuscitation training was implemented in Namitete, Malawi. The study's objective was to evaluate the training's impact on hospital staff and neonatal mortality rates.Study Design. Pre-/postcurricular surveys of trainee attitude, knowledge, and skills were analyzed. An observational, longitudinal study of secondary data assessed neonatal mortality.Result. All trainees' (n=18) outcomes improved, (P=0.02). Neonatal mortality did not change. There were 3449 births preintervention, 3515 postintervention. Neonatal mortality was 20.9 deaths per 1000 live births preintervention and 21.9/1000 postintervention, (P=0.86).Conclusion. Short-term pre-/postintervention evaluations frequently reveal positive results, as ours did. Short-term pre- and postintervention evaluations should be interpreted cautiously. Whenever possible, clinical outcomes such as in-hospital mortality should be additionally assessed. More rigorous evaluation strategies should be applied to training programs requiring longitudinal relationships with international community partners.


2017 ◽  
Vol 8 (2) ◽  
pp. 157-161
Author(s):  
Md Ehteshamul Hoque ◽  
Shanaz Karim ◽  
Md Mahmudur Rahman Siddiqui ◽  
Tanvir Ahmed

Ovarian cancer is an alarming health problem in Bangladesh. The annual mortality rate per 100,000 people from ovarian cancer in Bangladesh has increased by 40.3% since 1990, an average of 1.8% a year. Globcan predicts a change in the reported incidence of ovarian cancer from 2912 in year 2012 to 3132 in 2015. Recurrent high-grade ovarian cancer is usually associated with short term survival. There are few guidelines to surgically and medically treat long term survivors with ovarian cancer. We are reporting three cases on advance ovarian cancer patients; all are married, age ranging from 40-60 years, primarily treated with chemotherapy. After that, they were experienced with FDA approved (Nov 14, 2014) monoclonal antibody Bevacizumab (AVASTIN), additionally with chemotherapy.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 157-161


2014 ◽  
Vol 2 (3) ◽  
pp. 156-161 ◽  
Author(s):  
Hem Sagar Rimal ◽  
Archana Pokharel

Corporal punishment in children is still a major problem throughout the globe and more common in developing countries like Nepal. Several researches done across the globe have clearly established the fact that use of corporal punishment at home, school or alternative settings is associated with higher prevalence of externalizing behaviour of youth, substance use, depression, juvenile delinquency, poor academic performance and marital conflict as an adult. Authors have reviewed the journals, websites and books to find out the magnitude of problem in the national as well as international context. It has also looked at the long-term and short term adverse effects of corporal punishment in children, current legislative status, and suggested strategies to discipline children. Reinforcing legal actions against this practice can contribute to expedite the process to end corporal punishment of children globally with strong advocacy from paediatricians and other health professionals.Journal of Kathmandu Medical College Vol. 2, No. 3, Issue 5, Jul.-Sep., 2013 Page: DOI: http://dx.doi.org/10.3126/jkmc.v2i3.9968Uploaded date : 3/4/2014


2022 ◽  
Vol 19 (1) ◽  
pp. 97-100
Author(s):  
Piush Kanodia ◽  
Arun Kumar Verma ◽  
Sumit Adhikari

Introduction: Small for gestational age (SGA) refers to birth weight of neonates less than 10th percentile for gestational age or 2nd standard deviation below the population norms on the growth charts. Aims: To identify common risk factors and common morbidities for small for gestational age babies. Methods: This is a cross sectional descriptive study and it has been conducted at Department of pediatrics, Nepalgunj Medical college which is a tertiary level teaching hospital located in western part of Nepal. All term small for gestational age neonates born during study period from January 2020 to December 2020 were included. Detailed baseline demographic and clinical profile has been collected and recorded in the predesigned Proforma. Results: The most common risk factors associated with small for gestational age babies in our study were maternal hypertension (14.6%) , maternal GDM(9.6%), Urinary Tract Infection (UTI) in 1st or 2nd trimester of pregnancy, maternal anemia, smoking, alcohol consumption, hypothyroidism and congenital heart disease. The most common short term complications associated with Small for gestational age babies were hypoglycemia and Meconium aspiration syndrome. Conclusion: The most common risk factors associated with Small for gestational age  babies in our study were maternal hypertension, maternal Gestational diabetes Mellitus (GDM), Urinary Tract Infection  in 1st or 2nd trimester of pregnancy, maternal anemia, smoking, alcohol consumption, hypothyroidism and congenital heart disease. The most common short term complications associated with Small for gestational age  babies were hypoglycemia and Meconium aspiration syndrome (MAS).


Author(s):  
Sangeeta Gahlot ◽  
Makkhan Lal Saini

Background: The present study aimed to find out the antimicrobial susceptibility pattern of the organisms isolated from cases of VAP Methods: This study was carried out in the Department of Microbiology,  by taking samples from clinically suspected cases of  VAP from different ICU( Medical, Surgical, Neonatal and Pediatric ICU) at tertiary care hospital attached to S. P. Medical College, Bikaner. Results: Out of 79 GNB, 63 (79.74%) isolates were found to be MDR, including 10 (66.67%)) isolates of MDR Pseudomonas. Conclusion: Adherence to infection control protocols and short term use of invasive devices and judicious use of antibiotics are also important in preventing VAP caused by these MDR pathogens Keywords: VAP, MDR, ICU


1970 ◽  
Vol 33 (3) ◽  
pp. 83-89 ◽  
Author(s):  
Nilufar Shireen ◽  
Nazmun Nahar ◽  
AH Mollah

Background: Perinatal asphyxia is the most important preventable cause of cerebralinjury in the neonatal period leading to very high neonatal mortality and morbidity indeveloping countries. Little can be done for a baby affected by severe perinatalasphyxia. So, prevention is unquestionably desired.Objective: To identify the maternal and fetal risk factors for the development of birthasphyxiated babies and to see the short term outcome of the affected babies.Methods: An analytical type of or observational study was done in the Special CareBaby Unit (SCBU) of Dhaka Medical College Hospital from October 2003 to March2004. Identification of the risk factors was done by retrospective comparison of thecases and controls. Outcome was analyzed by cross sectional comparative study.One hundred consecutive cases of birth asphyxia, admitted in SCBU, were enrolledin the study. Another 30 neonates admitted during this period for other reasons (i.e.,jaundice, septicemia, low birth weight) were taken as control. Necessary informationwere collected by detailed history taking, clinical examination and close follow up ofthe hospital course, using pre-designed questionnaire and recording form.Results: Male: female ratio 3:2 both in the cases and controls. Mean age on admissionwas 13.8 hours and 2.6 days for case and control respectively. Identified importantmaternal risk factors were primiparity (57% in cases vs. 33.3% in control), hypertension(16.6% vs. 3.3%), pre-eclamptic toxemia of pregnancy (24% vs. 13.3%), prolongedrupture of membrane (33.3% vs. 6.7%), prolonged labour (34% vs. 3.3%) and useof oxytocin during labour (16% vs. none). All these were statistically significant (p<0.05).Serious neonatal complications noted among the asphyxiated babies were convulsion,hypoxic ishchemic encephalopathy and necrotizing enterocolitis. These were not seenamong the control group. Mortality among the asphyxiated babies was 16% duringhospital stay, whereas no fatality was recorded among the control. Neurologicalsequelae was observed in 28% of asphyxiated babies but was absent in controls.Conclusion: All the identified risk factors as well as neonatal complications weresignificantly higher in asphyxiated babies. Most of these could have been preventedeven with our limited resources.Key words: Birth Asphyxia; risk factors; immediate outcome.DOI: 10.3329/bjch.v33i3.5688Bangladesh Journal of Child Health 2009; Vol.33(3): 83-89


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