DocumentsDate added
Research article
AL Saleh, Essa M (DrPh)1,2 *, Ahmed Ibrahim (PhD)2 and Mwanri, Lillian (FAFPHM)1
Affiliation:-
1Discipline of Public Health, Flinders University, South Australia
2King Fahad Hofuf Hospital, Saudi Arabia
The name of the department(s) and institution(s) to which the work should be attributed:
Discipline of Public Health, School of Health Sciences, Faculty of Medicine, Nursing and Health Sciences, Flinders University
King Fahad Hofuf Hospital, Infection Control Department, Saudi Arabia
*To whom it corresponds:-
Dr. AL Saleh,Essa;
Infection Control Department, King Fahad Hofuf Hospital, Saudi Arabia. Post Box: 40461 AlAhsa 31982, Saudi Arabia
Tel: 0096650492681200966504926812
Abstract
Introduction: Healthcare workers (HCWs)’ education, awareness and adherence to clinical guidelines have been identified as necessary elements to prevent healthcare associated infections (HAIs) and multidrug resistant organisms (MDROs). The purpose of this study was to examine HCWs knowledge, attitudes and practices (KAP) towards HAIs management.
Methods: A cross sectional survey was conducted among HCWs including doctors and nurses in ICU of King Fahad Hofuf Hospital (KFHH), Saudi Arabia.
Results: 78.9% of participants responded to the survey and 63.4% of respondents had worked in the hospital for two to five years. There were differences in KAP in HAIs control between doctors and nurses. 56% of doctors compared to 83.6% of nurses responded appropriately regarding the necessity to inform all patients about HAIs especially MDROs (x2 = 7.32,p=0.07) . 92% of doctors compared to 68.9% of nurses reported that patients’ history influenced their decisions in choosing personal protective equipment (PPE) (x2 = 5.15,p=0.023). 68% of doctors compared to 88.5% of nurses reported that they always washed their hands before handling patients (x2= 6.32,p=0.042). 88% of doctors compared to all nurses reported that they always wore protective measures when handling patients with Acinetobacter infection (x2 = 7.59,p=0.023).
Conclusions: Although participants’ knowledge on various aspects of HAIs was generally high, it did not correspond to practices. Lack of strict adherence to HAIs management strategies could introduce and transmit HAIs and MDROs and may jeopardise patients’ life.
Keywords: Infection control; healthcare workers; knowledge; attitude; practices; Saudi Arabia.
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Article citation:
AL Saleh, Essa M, Ahmed Ibrahim and Mwanri, Lillian. Healthcare Workers’ Knowledge, Attitudes and Practices in King Fahad Hofuf Hospital, Saudi Arabia. J Pharm Biomed Sci 2014;04(05):410-421. Available at www.jpbms.info.
Source of support: None
Competing interest / Conflict of interest
The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
Copyright © 2014 AL Saleh, Essa M, Ahmed Ibrahim and Mwanri, Lillian. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Original article
M.Gandhi1,* ,R.Rajitha1 ,Dr.R.Padmini2
1Department of Biochemistry, SRM Institutes for Medical Sciences, Vadapalani, Chennai-600026
2Department of Biochemistry, VELS College of Science, Chennai-600117
3Department of Biochemistry, VELS College of Science, Chennai-600117
The name of the department(s) and institution(s) to which the work should be attributed:
1. Department of Biochemistry, SRM Institutes for Medical Sciences, Vadapalani, Chennai-600026
2. Department of Biochemistry, VELS College of Science, Chennai-600117
3. Department of Biochemistry, VELS College of Science, Chennai-600117
*To whom it corresponds:-
M.Gandhi M.Sc.,M.Phil., (PhD).,
Department of Biochemistry,
SRM Institutes for Medical Sciences, Vadapalani, Chennai-600026, Tamil Nadu, South India
E-mail: gandhivysya@gmail.com
Contact: 9841091636
Abstract:
This study was designed to determine the in vivo and in vitro anticancer potential of the ethanolic extract of Terminalia chebula fruits against U937 cell line. Terminalia chebula Retz. (Combretaceae) is a medium-sized tree that grows in the wild throughout India. T. chebula has been extensively used in Ayurveda, Unani, and homoeopathic medicine. The fruit has been used as a traditional medicine for a household remedy against various human ailments. Traditionally T. chebula is used to cure chronic ulcer, gastritis, and stomach cancers.
Keywords: LDH; DNA;HPLC;PBMCs.
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Source of funding: None
Competing interest / Conflict of interest
The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
Article citation:
Gandhi M,Rajitha R,Padmini R. Cytotoxic effect of ethanolic extract of terminalia chebula fruit pulp on U937 cell line. J Pharm Biomed Sci 2014; 04(05):395-403.Available at www.jpbms.info.
Copyright © 2014. Gandhi M,Rajitha R,Padmini R. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
Original Article
P. Jhanwar 1,*, Harish Kumar Jain1, Suresh Dhakar2, Anshul Jhanwar3
Affiliation:-
1Associate Professor, 2Senior Resident, 3Demonstrator, Jhalawar Medical College, Jhalawar (Rajasthan),India
The name of the department(s) and institution(s) to which the work should be attributed:
Department of Orthopaedics, Jhalawar Medical College, Jhalawar (Rajasthan) India
*To whom it corresponds:-
Dr. P. Jhanwar;
Department of Orthopaedics, Jhalawar Medical College, Jhalawar (Rajasthan) India
Abstract
Purpose: To assess the results of minimal internal and hybrid external fixation for the management of a tibial plateau fracture with compromised soft tissue.
Methods: Total 17 cases of tibial plateau fracture with compromised soft tissue underwent minimal internal and hybrid external fixation between June 09 to June 12 in orthopedic department of S.R.G. Hospital & Medical College,Jhalawar (Rajasthan),India after a minimum of 12 months of follow-up (range 12–24 months) each affected knee was evaluated using Rasmussen’s radiological and functional scoring system.
Results: Fourteen procedures involved the right and three procedures involved the left knee. Five procedures were open and twelve were closed injuries with compromised soft tissue and skin blisters. Twelve cases of tibial plateau fractures were Schatzker type I, II & III, 2 were type IV and three type V & VI. Complications consisted of 2 pin site infections and 2 superficial infections. Soft tissue necrosis and proximal tibial bone exposure occurred in one patient, who was managed with split skin grafting. The mean Rasmussen radiological score was 12.62(range, 4–18).This score was excellent in 5 cases, good in 9 cases, fair in 1 and poor in 2 cases. The mean Rasmusssen functional score was 26.22(range, 9–30). This score was excellent in 10 patients, good in 4 patients, fair in 2 patients, and poor in 1 patient. Functional results were not parallel to radiological results. Fourteen patients (82.35%) had acceptable functional results (sum of excellent and good results).
Conclusion: Minimal internal and hybrid external fixation for management of a tibial plateau fracture is more biological, requires less surgical and hospital stay time, can be done in the presence of compromised soft tissue, is cost effective, and has minimal complications and good functional outcomes.
Keywords: External fixator; tibial plateau fractures; hybrid fixator.
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Source of support: None
Competing interest / Conflict of interest
The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
Article citation:
Jhanwar P, Jain HK, Dhakar S, Jhanwar A. Management of a tibial plateau fracture with compromised soft tissue using minimal internal and hybrid external fixation. J Pharm Biomed Sci 2014;04(05):427-433.Available at www.jpbms.info.
Copyright © 2014 Jhanwar P, Jain HK, Dhakar S, Jhanwar A. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Case report
Girish Gopal1,*, Gangadhar.B. Belavadi2
Affiliation:-
1Senior Resident, Department of Pediatrics, Mysore Medical College and Research Institute, Mysore -570001, Karnataka, India
2Professor and Head, Department of Pediatrics, Bangalore Medical College and Research Institute, Bangalore - 560002, Karnataka.
The name of the department(s) and institution(s) to which the work should be attributed:
Department of Pediatrics, Mysore Medical College and Research Institute, Mysore -570001, Karnataka,India
Department of Pediatrics, Bangalore Medical College and Research Institute, Bangalore - 560002, Karnataka,India
Abstract
Ichthyosis constitutes a heterogenous family of skin disorders with Harlequin ichthyosis being the most severe genetic form. It is an autosomal recessive disorder characterized by dry, severely thickened skin with large plaques of hyperkeratotic scales, separated by moist and deep erythematous fissures. Altered development of the skin in utero due to defective lipid metabolism in the lamellar granules of the keratinocytes results in this condition and is usually fatal in the neonatal period. We report a neonate with this rare form of congenital ichthyosis.
Keywords: Autosomal recessive, erythematous fissures, Harlequin ichthyosis, hyperkeratotic scales.
*To whom it corresponds:-
Dr. Girish Gopal;
Senior Resident,
Department of Pediatrics, Mysore Medical College & Research Institute, Irwin Road, Mysore – 570001, India
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Article citation:
Girish G,Belavadi GB. Harlequin Ichthyosis – A case report. J Pharm Biomed Sci 2014;04(05):439-442. Available at www.jpbms.info.
Copyright © 2014 Gopal Girish,Belavadu GB. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Source of support: None
Competing interest / Conflict of interest
The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
Research article
Tandon Anupama1,*,Srivastava Dhiraj Kumar2,Sharma Pradeep3,Sarawat Neeraj4,Pandey AK5,Shukla Dipendra4
Affiliation:-
1Associate Professor, 4Post Graduate Student, Department of ophthalmology, UP Rural Institute of medical sciences and research , Saifai Etawah (UP)
2Assistant Professor, Department of Community Medicine,3Associate Professor, Department of Biochemistry, UP Rural Institute of Medical Sciences & Research, Saifai, Etawah(UP),India
5Assistant Professor,Department of Psychiatry, UP Rural Institute of Medical Sciences & Research, Saifai, Etawah(UP),India
The name of the department(s) and institution(s) to which the work should be attributed:
UP Rural Institute of Medical Sciences & Research, Saifai, Etawah(UP),India
*To whom it corresponds:-
Dr. Anupama Tandon.
Associate Professor,
Dept of Ophthmology,
UP Rural Institute of Medical Sciences & Research, Saifai, Etawah(UP) 20613,India
Contact No: 09917661687.
Abstract
Aims: The main was to analyse trends of traumatic cataract in rural areas and to evaluate the results of PCIOL Implantation in terms of final visual outcome, considering also factors affecting its outcome; various intraoperative and postoperative complications.
Material and Methods:
Study Design: Interventional, Consecutive, Non comparative, Case series.
Methodology: 50 patients of traumatic cataract who came to OPD between September 2013 to April 2014 of our institute with a minimum followup of 4 months were included in the study. Complete history; diagnostic evaluation including special investigations were done in each visit. Surgical protocol was decided and functional success in terms of best corrected visual acuity was noted.
Results: 50 cases of traumatic cataract with mean age of 24 years, male preponderance of 4 times and vision with accurate projection of rays were included. In these cases penetrating trauma with wooden stick was the most common cause (75% cases).the duration of cataract varied between 24 hours to 10 years. Most common associated ocular pathology was sealed tear in 98% cases. Ring application for IOFB localisation and electromagnets were required for its removal. Most common hinderance in regaining vision was pigment dispersion in early cases (60%). Still ECCE with PCIOL remains the most common modality of treatment. The best results in final visual acuity were only possible when cataract surgery and treatment was done as soon as possible. Final visual outcome were best in patients aged 16 & above.
Conclusion: The present study hereby conclude that clear relationship could be established between duration of cataract and final visual outcome but no clear relationship was seen between presurgical visual acuity and final visual outcome. Patients presented earlier showed better visual gains.
Keywords: BCVA best corrected visual acuity; IOL intraocular lenses; IOFB intraocular foreign body; PCO posterior capsular evaluation; ECCE extra capsular cataract evaluation.
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Source of support: None
Competing interest / Conflict of interest
The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
Article citation:
Tandon Anupama,Srivastava Dhiraj Kumar,Sharma Pradeep,Sarawat Neeraj,Pandey AK,Shukla Dipendra. Traumatic cataract and its management in a tertiary care institute in rural area of Central Uttar Pradesh,India. J Pharm Biomed Sci 2014;04(05):404-409. Available at www.jpbms.info.
Copyright © 2014 Tandon Anupama,Srivastava Dhiraj Kumar,Sharma Pradeep,Sarawat Neeraj,Pandey AK,Shukla Dipendra.This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.