IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Abstract—In the case of neurological disorders, patient autonomy is a fundamental principle which must be taken into consideration. In the case of this pathology, fluctuating mental deterioration is encountered most frequently in the case of mild forms of dementia. In the case of severe forms of dementia, the patient loses any autonomy and requires permanent medical care, as well as a permanent legal representative.
Aim of this study was to know autonomy of the patients with certain neurological disorders about ability of making decisions for their medical care.
Material and method: It is a quantitative retrospective observational study and data for which is gathered from the observation charts of 323 patients attended in either emergency or outpatient, between April to December 2006, in “Prof. Dr. Nicolae Oblu” Clinical Hospital of Emergency, Iasi, Romania. Study subjects were split into 2 groups: Group 1 (with a number of 215 cases) – a group of patients with the diagnostics of acute cerebrovascular accident, aphasia and dementia. Group 2 (with a number of 108 cases) – patients known or recently diagnosed with amyotrophic lateral sclerosis, multiple sclerosis and myasthenia gravis. Consent informed given by patient in the observation charts of above two groups was observed and number of patients who has given consent was compared in both the groups.
Results: On the cases under study, only for 13.6% of the patients of the first group there is consent informed in the observation chart, while for the patients in the second group this percentage was slightly smaller (9.3%).
Conclusions: As very few patients have given written informed consent and more sever the neurological disorder less the chances to have written informed consent by patients. So it can be concluded that medical performance brings indisputable benefits, however it should be done by a careful selection of the subjects and by following ethical principles.
Abstract—In the case of neurological disorders, patient autonomy is a fundamental principle which must be taken into consideration. In the case of this pathology, fluctuating mental deterioration is encountered most frequently in the case of mild forms of dementia. In the case of severe forms of dementia, the patient loses any autonomy and requires permanent medical care, as well as a permanent legal representative.
Aim of this study was to know autonomy of the patients with certain neurological disorders about ability of making decisions for their medical care.
Material and method: It is a quantitative retrospective observational study and data for which is gathered from the observation charts of 323 patients attended in either emergency or outpatient, between April to December 2006, in “Prof. Dr. Nicolae Oblu” Clinical Hospital of Emergency, Iasi, Romania. Study subjects were split into 2 groups: Group 1 (with a number of 215 cases) – a group of patients with the diagnostics of acute cerebrovascular accident, aphasia and dementia. Group 2 (with a number of 108 cases) – patients known or recently diagnosed with amyotrophic lateral sclerosis, multiple sclerosis and myasthenia gravis. Consent informed given by patient in the observation charts of above two groups was observed and number of patients who has given consent was compared in both the groups.
Results: On the cases under study, only for 13.6% of the patients of the first group there is consent informed in the observation chart, while for the patients in the second group this percentage was slightly smaller (9.3%).
Conclusions: As very few patients have given written informed consent and more sever the neurological disorder less the chances to have written informed consent by patients. So it can be concluded that medical performance brings indisputable benefits, however it should be done by a careful selection of the subjects and by following ethical principles.
Imogen Mitchell - Morphing the Recalcitrant ClinicianSMACC Conference
Imogen Mitchell’s SMACC Chicago talk 'Morphing the Recalcitrant Clinician’ talks us through the steps to engage the reluctant physician when implementing change.
Imogen initally touches on the stages of physician engagement from aversion, to apathy, to engaged and then outlines the steps to morphing the reluctant physician.
1. Seek out a clinical champion
2. Establish a common purpose/vision
3. Standardise what is standardisable
4. Communication, communication, communication
5. Work out barriers and overcome them
6. Deal with the ‘Whats in it for me?’WIFM
A talk by Pratik Pandharipande at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All of the conference content can be found here: https://scanfoam.org/ssai2017/
Developed in collaboration between scanFOAM, SSAI and SFAI.
A Pre Experimental Study to Assess the Effectiveness of Structured Teaching P...ijtsrd
Statement of problem A Pre Experimental Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge Regarding Cardio Pulmonary Resuscitation Among Gnm 2nd Year Students of Desh Bhagat University School of Nursing, Mandi Gobindgarh, Punjab. Material and method A pre experimental research design were used for the present study. A study sample of 50 students of GNM 2nd year were selected by non probability purposive sampling technique. The data was collected by self structured questionnaire regarding cardio pulmonary resuscitation among BGNM 2nd year students in Desh Bhagat University School of Nursing Mandi Gobindgarh, Punjab. The data was analyzed in terms of objectives of the study using descriptive and inferential statistics in terms of frequency, percentage distribution, mean, Standard deviation,‘t' value, and chi square. Results As per percentage distribution of student according to age and gender it was found that Maximum students were in 21yrs 64 followed by, in 20yrs 20 in above 21years 12 and in 19 yrs 4 included in age group. Majority of students were females 82 and only 18 were male students. As per religion and area of residence Most of the students were belongs to sikh religion 90 , than 6 had Hindu and only 4 had Muslim, Maximum students were living in rural area 72 and only 28 were living in urban area. In post test maximum number of 70 the subjects had good knowledge score followed by subjects who had average knowledge score 30 regarding cardio pulmonary resuscitation. The Knowledge score was calculated by ‘t' test and the value was 3.42 Conclusion It was concluded that STP was effective as evidence by the results as the difference between pre test and post test knowledge score regarding cardio pulmonary resuscitation. The knowledge and skills of GNM students can be improved through STP after Posttest. Ms. Ramanpreet Kaur | Dr. Priyanka Chaudhary | Nazpreet Kaur "A Pre-Experimental Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge Regarding Cardiopulmonary Resuscitation (CPR) among GNM" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-6 , October 2021, URL: https://www.ijtsrd.com/papers/ijtsrd47648.pdf Paper URL : https://www.ijtsrd.com/medicine/nursing/47648/a-preexperimental-study-to-assess-the-effectiveness-of-structured-teaching-programme-on-knowledge-regarding-cardiopulmonary-resuscitation-cpr-among-gnm/ms-ramanpreet-kaur
Research proposal focus cardiovascular and other disease biology - Pubrica ...Pubrica
• Heart failure (HF) stays a leading reason for morbidity and mortality, affecting 23 million human beings worldwide.
• In distinction to different types of cardiovascular conditions, its occurrence and mortality rates continue to increase.
• Almost 50% of sufferers with HF will die within 5 years of diagnosis, and up to 40% of sufferers die within 1 year of hospitalization.
To Visit For More Details, Click here:-https://bit.ly/2WV27ue
Why Pubrica?
When you order our services, we promise you the following – Plagiarism free, always on Time, outstanding customer support, written to Standard, Unlimited Revisions support and High-quality Subject Matter Experts.
Contact us :
Web: https://pubrica.com/
Blog: https://pubrica.com/academy/
Email: sales@pubrica.com
WhatsApp : +91 9884350006
United Kingdom: +44- 74248 10299
Deborah Stein SMACC Chicago talk Trauma is Risky Business - delves into the risk patients and physicians undergo when treating or being treated for Trauma.
Stein’s speaks of the Risk Benefit Determination that physicians make daily and how this is used to best answer on going questions such as; can a patient have?, how do we care for this patient? and how do we best make all the these decisions?. Stein’s suggests a thorough Risk Benefit Determination will include:
Analysis of best available data
Use of best available judgement
Gathering of different opinions
An understanding that you won’t always make the right decision
To document the 'crap' out of it!
And to remember you’ll never know what you prevented from not occurring.
Stein’s also focuses on the risk to patients due to missed injuries and the processes physicians can take to help ensure that a patient injuries are not missed. Stating that 1.3-39% of injuries in trauma are missed (a majority of which present as orthopaedic cases).
Touching on the processes designed to prevent missed injuries such as;
Territory Trauma Survey
Roles of clinical decision rules
To scan the living ‘crap’ out of them - whole body CT scans (can decrease mortality but comes attached with its own risks).
Stein’s then delves into the risks trauma providers (physicians) face on a daily bases. Stating that in the USA trauma providers are one of the highest categories of physicians to be sued, have higher indemnity payment awarded against them and achieve a higher risk score in studies for being sued. While, lawsuits are more likely to increase the chance of physician burnout, career burnout, depression and are emotionally and physically exhausting. Steins sights recent studies that suggest the more open, honest and forthright a physician is with their error with their peers and their hospital the likelihood of being sued reduces.
Stein’s also notes that needle stick injuries in most departments have decreased in recent years due to universal precautions, yet have increased in trauma care due to the nature of the ER environment and proper precautions not being taken. Violence is of risk to attending ER nurses, physicians and paramedics, sighting an Australian study that 79% of triage nurses have experienced physical violence from patients. And, the emotional harm the trauma environment can have on trauma providers.
Steins suggests that trauma providers must be aware and learn how to manage risk better to ensure patient and provider safety.
Predicting Medical Test Results and Intra-Operative Findings in Chronic Pain ...Nelson Hendler
The Pain Validity Test can predict which patient will have abnormal medical test results with 95% accuracy, and surgical abnormalities with 94% accuracy. This on-line questionnaire takes only 5 minutes of staff time to administer, and takes only 15 minutes of patient time.Results are available immediately. This test can be used to document "medical necessity" for insurance pre-authorization for testing and surgery.
Predictive value of exercise myocardial perfusion imaging in the Medicare population: the impact of the ability to exercise
Authors: Deborah H. Kwon, Venu Menon, Penny Houghtaling, Elizabeth Lieber, Richard C. Brunken, Manuel D. Cerqueira, Wael A. Jaber
Austin Ophthalmology is an open access, peer reviewed, scholarly journal dedicated to publish articles covering all areas of Ophthalmology.
The journal aims to promote latest information and provide a forum for doctors, researchers, physicians, and healthcare professionals to find most recent advances in the areas of Ophthalmology. Austin Ophthalmology accepts research articles, reviews, mini reviews, case reports and rapid communication covering all aspects of Ophthalmology.
Austin Ophthalmology strongly supports the scientific up gradation and fortification in related scientific research community by enhancing access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed journals under one roof thereby promoting knowledge sharing.
Medical Co Morbidities in Patients of Frontal Temporal Dementia -A Hospital B...CrimsonpublishersMedical
Medical Co Morbidities in Patients of Frontal Temporal Dementia -A Hospital Based Study by Manjunadh Muralleedharan in Research in Medical & Engineering Sciences
Depresi dan bunuh diri sebagai masalah kesehatan mental yang lazim untuk pasien hemodialisis. Tujuan: Para penulis meneliti faktor-faktor demografi dan psikologis yang terkait dengan depresi pada pasien hemodialisis dan dijelaskan hubungan antara depresi, kecemasan, kelelahan, kualitas kesehatan yang berhubungan hidup yang buruk, dan meningkatkan risiko bunuh diri.
Depression is a state of feeling sad, miserable and down in the dumps with loss of self-confidence. Depression despite being a serious condition in all age groups is more common and significant in the
geriatric population as it is associated with morbidity and mortality. The cause of depression is multifactorial. Various scales have been developed to assess depression of which the Geriatric Depression
Scale is most suited for elderly population and those with dementia. In our study, we aim to analyse the prevalence of depression among elderly patients visiting the outpatient departments of a tertiary care hospital and determine the factors influencing depression in them. The study was an Observational study carried out on 51 elderly patients over the age of 60 years attending the outpatient departments of PSG Hospital. The Geriatric Depression Scale Short form was used to determine the prevalence of depression. A
self-designed questionnaire considering various factors causing depression was administered to determine
the factors influencing depression. It was found that among 51 elders in the age group of 60 to 80 years,
58.8% were depressed of which 54% were males and 68% were females. Financial fears regarding future
and income insufficiency were the most important factors contributing to depression. This shows that
monetary fear is a major factor resulting in depression. The government and other organizations must
ensure that better support both financial and other services like healthcare are provided to the elderly in
order to prevent depressive illnesses.
Imogen Mitchell - Morphing the Recalcitrant ClinicianSMACC Conference
Imogen Mitchell’s SMACC Chicago talk 'Morphing the Recalcitrant Clinician’ talks us through the steps to engage the reluctant physician when implementing change.
Imogen initally touches on the stages of physician engagement from aversion, to apathy, to engaged and then outlines the steps to morphing the reluctant physician.
1. Seek out a clinical champion
2. Establish a common purpose/vision
3. Standardise what is standardisable
4. Communication, communication, communication
5. Work out barriers and overcome them
6. Deal with the ‘Whats in it for me?’WIFM
A talk by Pratik Pandharipande at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All of the conference content can be found here: https://scanfoam.org/ssai2017/
Developed in collaboration between scanFOAM, SSAI and SFAI.
A Pre Experimental Study to Assess the Effectiveness of Structured Teaching P...ijtsrd
Statement of problem A Pre Experimental Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge Regarding Cardio Pulmonary Resuscitation Among Gnm 2nd Year Students of Desh Bhagat University School of Nursing, Mandi Gobindgarh, Punjab. Material and method A pre experimental research design were used for the present study. A study sample of 50 students of GNM 2nd year were selected by non probability purposive sampling technique. The data was collected by self structured questionnaire regarding cardio pulmonary resuscitation among BGNM 2nd year students in Desh Bhagat University School of Nursing Mandi Gobindgarh, Punjab. The data was analyzed in terms of objectives of the study using descriptive and inferential statistics in terms of frequency, percentage distribution, mean, Standard deviation,‘t' value, and chi square. Results As per percentage distribution of student according to age and gender it was found that Maximum students were in 21yrs 64 followed by, in 20yrs 20 in above 21years 12 and in 19 yrs 4 included in age group. Majority of students were females 82 and only 18 were male students. As per religion and area of residence Most of the students were belongs to sikh religion 90 , than 6 had Hindu and only 4 had Muslim, Maximum students were living in rural area 72 and only 28 were living in urban area. In post test maximum number of 70 the subjects had good knowledge score followed by subjects who had average knowledge score 30 regarding cardio pulmonary resuscitation. The Knowledge score was calculated by ‘t' test and the value was 3.42 Conclusion It was concluded that STP was effective as evidence by the results as the difference between pre test and post test knowledge score regarding cardio pulmonary resuscitation. The knowledge and skills of GNM students can be improved through STP after Posttest. Ms. Ramanpreet Kaur | Dr. Priyanka Chaudhary | Nazpreet Kaur "A Pre-Experimental Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge Regarding Cardiopulmonary Resuscitation (CPR) among GNM" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-6 , October 2021, URL: https://www.ijtsrd.com/papers/ijtsrd47648.pdf Paper URL : https://www.ijtsrd.com/medicine/nursing/47648/a-preexperimental-study-to-assess-the-effectiveness-of-structured-teaching-programme-on-knowledge-regarding-cardiopulmonary-resuscitation-cpr-among-gnm/ms-ramanpreet-kaur
Research proposal focus cardiovascular and other disease biology - Pubrica ...Pubrica
• Heart failure (HF) stays a leading reason for morbidity and mortality, affecting 23 million human beings worldwide.
• In distinction to different types of cardiovascular conditions, its occurrence and mortality rates continue to increase.
• Almost 50% of sufferers with HF will die within 5 years of diagnosis, and up to 40% of sufferers die within 1 year of hospitalization.
To Visit For More Details, Click here:-https://bit.ly/2WV27ue
Why Pubrica?
When you order our services, we promise you the following – Plagiarism free, always on Time, outstanding customer support, written to Standard, Unlimited Revisions support and High-quality Subject Matter Experts.
Contact us :
Web: https://pubrica.com/
Blog: https://pubrica.com/academy/
Email: sales@pubrica.com
WhatsApp : +91 9884350006
United Kingdom: +44- 74248 10299
Deborah Stein SMACC Chicago talk Trauma is Risky Business - delves into the risk patients and physicians undergo when treating or being treated for Trauma.
Stein’s speaks of the Risk Benefit Determination that physicians make daily and how this is used to best answer on going questions such as; can a patient have?, how do we care for this patient? and how do we best make all the these decisions?. Stein’s suggests a thorough Risk Benefit Determination will include:
Analysis of best available data
Use of best available judgement
Gathering of different opinions
An understanding that you won’t always make the right decision
To document the 'crap' out of it!
And to remember you’ll never know what you prevented from not occurring.
Stein’s also focuses on the risk to patients due to missed injuries and the processes physicians can take to help ensure that a patient injuries are not missed. Stating that 1.3-39% of injuries in trauma are missed (a majority of which present as orthopaedic cases).
Touching on the processes designed to prevent missed injuries such as;
Territory Trauma Survey
Roles of clinical decision rules
To scan the living ‘crap’ out of them - whole body CT scans (can decrease mortality but comes attached with its own risks).
Stein’s then delves into the risks trauma providers (physicians) face on a daily bases. Stating that in the USA trauma providers are one of the highest categories of physicians to be sued, have higher indemnity payment awarded against them and achieve a higher risk score in studies for being sued. While, lawsuits are more likely to increase the chance of physician burnout, career burnout, depression and are emotionally and physically exhausting. Steins sights recent studies that suggest the more open, honest and forthright a physician is with their error with their peers and their hospital the likelihood of being sued reduces.
Stein’s also notes that needle stick injuries in most departments have decreased in recent years due to universal precautions, yet have increased in trauma care due to the nature of the ER environment and proper precautions not being taken. Violence is of risk to attending ER nurses, physicians and paramedics, sighting an Australian study that 79% of triage nurses have experienced physical violence from patients. And, the emotional harm the trauma environment can have on trauma providers.
Steins suggests that trauma providers must be aware and learn how to manage risk better to ensure patient and provider safety.
Predicting Medical Test Results and Intra-Operative Findings in Chronic Pain ...Nelson Hendler
The Pain Validity Test can predict which patient will have abnormal medical test results with 95% accuracy, and surgical abnormalities with 94% accuracy. This on-line questionnaire takes only 5 minutes of staff time to administer, and takes only 15 minutes of patient time.Results are available immediately. This test can be used to document "medical necessity" for insurance pre-authorization for testing and surgery.
Predictive value of exercise myocardial perfusion imaging in the Medicare population: the impact of the ability to exercise
Authors: Deborah H. Kwon, Venu Menon, Penny Houghtaling, Elizabeth Lieber, Richard C. Brunken, Manuel D. Cerqueira, Wael A. Jaber
Austin Ophthalmology is an open access, peer reviewed, scholarly journal dedicated to publish articles covering all areas of Ophthalmology.
The journal aims to promote latest information and provide a forum for doctors, researchers, physicians, and healthcare professionals to find most recent advances in the areas of Ophthalmology. Austin Ophthalmology accepts research articles, reviews, mini reviews, case reports and rapid communication covering all aspects of Ophthalmology.
Austin Ophthalmology strongly supports the scientific up gradation and fortification in related scientific research community by enhancing access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed journals under one roof thereby promoting knowledge sharing.
Medical Co Morbidities in Patients of Frontal Temporal Dementia -A Hospital B...CrimsonpublishersMedical
Medical Co Morbidities in Patients of Frontal Temporal Dementia -A Hospital Based Study by Manjunadh Muralleedharan in Research in Medical & Engineering Sciences
Depresi dan bunuh diri sebagai masalah kesehatan mental yang lazim untuk pasien hemodialisis. Tujuan: Para penulis meneliti faktor-faktor demografi dan psikologis yang terkait dengan depresi pada pasien hemodialisis dan dijelaskan hubungan antara depresi, kecemasan, kelelahan, kualitas kesehatan yang berhubungan hidup yang buruk, dan meningkatkan risiko bunuh diri.
Depression is a state of feeling sad, miserable and down in the dumps with loss of self-confidence. Depression despite being a serious condition in all age groups is more common and significant in the
geriatric population as it is associated with morbidity and mortality. The cause of depression is multifactorial. Various scales have been developed to assess depression of which the Geriatric Depression
Scale is most suited for elderly population and those with dementia. In our study, we aim to analyse the prevalence of depression among elderly patients visiting the outpatient departments of a tertiary care hospital and determine the factors influencing depression in them. The study was an Observational study carried out on 51 elderly patients over the age of 60 years attending the outpatient departments of PSG Hospital. The Geriatric Depression Scale Short form was used to determine the prevalence of depression. A
self-designed questionnaire considering various factors causing depression was administered to determine
the factors influencing depression. It was found that among 51 elders in the age group of 60 to 80 years,
58.8% were depressed of which 54% were males and 68% were females. Financial fears regarding future
and income insufficiency were the most important factors contributing to depression. This shows that
monetary fear is a major factor resulting in depression. The government and other organizations must
ensure that better support both financial and other services like healthcare are provided to the elderly in
order to prevent depressive illnesses.
Exploring the Relationship between the Platelet Indices and Psychosocial Morb...CrimsonPublishersGGS
Exploring the Relationship between the Platelet Indices and Psychosocial Morbidity in Elderly Patients at a Rural Medical College Hospital by Sunil Kumar in Geriatrics studies Journal
Factors that affect the Quality of Life of Patients with Behcet's DiseaseMinistry of Health
Objective: To assess the quality of life in patients with Behçet's disease, and to address the factors impact the domains of Quality of Life.
Methods: We surveyed101 patients with Behcet's disease no less than 3 months before the study. Data were collected using Short Form 36 Quality of life Scale. Results: The quality of life scores in patients with Behçet's disease were low and were adversely influenced by socio-demographic characteristics such as gender, age, work status and education status. Furthermore, disease manifestations such as oral and genital ulcerations, arthritis, and skin lesions affected the quality of life scores. Moreover, patients who experienced pain, poor sleep and fatigue lower the quality of life scale and patients whose social relations were influenced by the disease had significantly lower the quality of life scores. Conclusion: Patients with Behcet's disease reported a low level of quality of life.
Keywords: Behcet's disease, Factors affecting, Quality of life, Jordan.
Persistent PTSD among Patients with Fragile X Syndrome: Case Seriessemualkaira
Posttraumatic stress disorder (PTSD) affects
about 3.6% of the US population and has clear diagnostic criteria
and treatment modalities. Individuals with autism spectrum disorder (ASD) and intellectual disabilities (ID) are at an elevated
risk for exposure to trauma and development of PTSD. Fragile X
syndrome (FXS) is the most common inherited cause of ID, and
there is currently need for further research regarding presentation
of PTSD among these individuals.
Persistent PTSD among Patients with Fragile X Syndrome: Case Seriessemualkaira
Posttraumatic stress disorder (PTSD) affects
about 3.6% of the US population and has clear diagnostic criteria
and treatment modalities. Individuals with autism spectrum disorder (ASD) and intellectual disabilities (ID) are at an elevated
risk for exposure to trauma and development of PTSD. Fragile X
syndrome (FXS) is the most common inherited cause of ID, and
there is currently need for further research regarding presentation
of PTSD among these individuals.
Persistent PTSD among Patients with Fragile X Syndrome: Case Seriessemualkaira
Posttraumatic stress disorder (PTSD) affects
about 3.6% of the US population and has clear diagnostic criteria
and treatment modalities. Individuals with autism spectrum disorder (ASD) and intellectual disabilities (ID) are at an elevated
risk for exposure to trauma and development of PTSD. Fragile X
syndrome (FXS) is the most common inherited cause of ID, and
there is currently need for further research regarding presentation
of PTSD among these individuals.
Persistent PTSD among Patients with Fragile X Syndrome: Case Seriessemualkaira
Posttraumatic stress disorder (PTSD) affects
about 3.6% of the US population and has clear diagnostic criteria
and treatment modalities. Individuals with autism spectrum disorder (ASD) and intellectual disabilities (ID) are at an elevated
risk for exposure to trauma and development of PTSD. Fragile X
syndrome (FXS) is the most common inherited cause of ID, and
there is currently need for further research regarding presentation
of PTSD among these individuals.
Introduction: Migraine is a chronic disease evolving through recurrent attack; it constitutes a frequent reason of consultation in
neurology. It has a signifi cant impact that can affect all spheres of life. Thus, it is one of the most disabling primary headaches.
Objective: To evaluate the impact of migraine in population of Brazzaville
Work–related Musculoskeletal Disorders Among Healthcare Workers in a General ...CSCJournals
Background. Musculoskeletal disorders is the most common disease among healthcare workers. Which affects not only the quality of life but also the income, the health, the economy. In Vietnam, there are some research about the MSDs among healthcare workers and the factors affect this problem, especially, the ergonomic factors. Objective. To assess the prevalence of musculoskeletal disorders among healthcare workers in Cao Bang General Provincial Hospital, Vietnam and determine risk factors associated with musculoskeletal disorders. Material and methods. A cross-sectional study was conducted among 85 healthcare workers in a general provincial hospital in Vietnam using the Nordic questionnaire and questionnaire. Results. High prevalence of musculoskeletal among healthcare workers during the past 12 months (62.4%) and last 7 days (45.9%), with the two most common sites being low back pain (48.2%) and neck (40%). Gender, work experience, total working hours, night shift work, and stress level showed the association with the MSDs in the past 12 months. Conclusion. Due to the high prevalence of MSDs among healthcare workers in a general provincial hospital, preventive actions are needed to improve the working conditions and to raise the awareness of healthcare workers about MSDs prevention.
Final PaperThis Final Paper involves the critical review and ana.docxssuser454af01
Final Paper
This Final Paper involves the critical review and analysis of a published epidemiological research study, using the epidemiological concepts covered in Modules 1–6. You do not choose your own study; your Instructor will provide the research study to review and analyze. The audience for this 5–8 page scholarly paper is other epidemiological researchers.
The Final Paper must include, but is not limited to, the following:
Part I. Study Summary (2–3 pages)
(Note: this summary must be in your own words)
· The study objective/research question
· Primary exposure(s) and outcome(s) of interest
· Identification of study design
· Description of study population and the sampling/selection process
· Description of the statistical analysis used and the primary measures of association reported
· Identification of potential confounders (if any) and the technique used to minimize them or analyze their effects
· Identification of potential effect modifiers (if any) and the technique used to analyze their effects
· Summary of major study results
Part II. Critical Analysis (3–5 pages)
· Discussion of random error and how it might have affected the results
· Explanation of possible selection bias and how it might have affected the results, including a discussion of the size and direction of any possible bias
· Explanation of possible misclassification (information) bias and how it might have affected the results, including a discussion of the size and direction of any possible bias
· Evaluation of the other limitations of the study
· Critique of the discussion section of the paper and whether it adequately addresses the strengths and limitations of the study
· Description of the potential generalizability of the study results
· Critique of the authors’ conclusions and whether or not they are appropriate given the study findings
· Descriptions of future studies that would be appropriate given the study findings
Original Contribution
Physical Activity, Sedentary Behavior, and Cause-Specific Mortality in Black and
White Adults in the Southern Community Cohort Study
Charles E. Matthews*, Sarah S. Cohen, Jay H. Fowke, Xijing Han, Qian Xiao, Maciej S. Buchowski,
Margaret K. Hargreaves, Lisa B. Signorello, and William J. Blot
* Correspondence to Dr. Charles E. Matthews, Nutritional Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer
Institute, 9609 Medical Center Drive, Room 6E340, MSC 9704, Bethesda, MD 20892-9704 (e-mail: [email protected]).
Initially submitted November 15, 2013; accepted for publication May 6, 2014.
There is limited evidence demonstrating the benefits of physical activity with regard to mortality risk or the harms
associated with sedentary behavior in black adults, so we examined the relationships between these health behav-
iors and cause-specific mortality in a prospective study that had a large proportion of black adults. Participants
(40–79 years of age) enrolled in the Southern Community ...
A Study of Clinical and Socio-Demographic Profile of Patients with Dissociati...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Life style factors in late onset depressionramkumar g s
this study explores lifestyle factors like diet, exercise, socialization, leisure activities and alcohol, tobacco use in geriatric depression. it is a cross-sectional comparative study of elderly with depression and age, sex and education matched healthy controls.
Johns Hopkins Hospital doctors report that 40%-80% of chronic pain patient are misdiagnosed, and that MRIs and CTs miss pathology 56%-78% of the time, Therefore, during extensive chart reviews of current medical data will produce a classic case of GIGO-garbage in giving garbage out. The need for accurate diagnoses and testing is critical for AI to work.
Similar to Psychiatric Morbidity in Patients with Lower Limb Long Bone Fracture (20)
An Examination of Effectuation Dimension as Financing Practice of Small and M...iosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Does Goods and Services Tax (GST) Leads to Indian Economic Development?iosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Childhood Factors that influence success in later lifeiosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Emotional Intelligence and Work Performance Relationship: A Study on Sales Pe...iosrjce
IOSR Journal of Business and Management (IOSR-JBM) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of business and managemant and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications inbusiness and management. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
Customer’s Acceptance of Internet Banking in Dubaiiosrjce
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Psychiatric Morbidity in Patients with Lower Limb Long Bone Fracture
1. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 14, Issue 11 Ver. VIII (Nov. 2015), PP 116-119
www.iosrjournals.org
DOI: 10.9790/0853-14118116119 www.iosrjournals.org 116 | Page
Psychiatric Morbidity in Patients with Lower Limb Long Bone
Fracture
Manmeet Singh 1
, Sunil G. Gupte 2
1
(Psychiatry, Acharya Shri Chander College of Medical Sciences, Jammu, India)
2
(Psychiatry, Dr. Vasantrao Pawar Medical College and Research centre, Nashik/ Maharashtra, India)
Abstract:
Objective: The aim of this study was to evaluate the psychiatric morbidity amongst patients with lower limb
long bone fracture.
Method: The present study was approved by the Institutional Ethics Committee of the medical college. The
study was carried out amongst 38 randomly selected patients in the age group of 18- 65 yrs who had sustained
lower limb long bone fracture. Patients were evaluated 4-6 weeks after the trauma over a period of 4 months
after their written informed consent. All findings were reported on semi-structured Proforma and cases were
screened using MINI version 6.0 (Mini International Neuropsychiatric Interview).
Results: 34.21% patients of lower limb long bone fracture had psychiatric morbidity study. The most common
diagnosis was Major depressive disorder alone or with other co morbidities, found in 31.5% cases. Anxiety
disorders were the second most common diagnosis. Psychiatric morbidity found more in road traffic accident
cases. Females (50%) were more affected as compared to males. The study also shows that psychopathology
appears to be more common in compound fracture (55.4%).
Conclusion: Psychopathology was found more in Road traffic accidents as compared to falls .Psychopathology
was found more in females as compared to males. Psychopathology was found more in compound fracture as
compared to closed fracture.
Keywords: Limb fractures, Road traffic accidents, Major depressive disorder
I. Introduction:
The term ‘trauma’ stems from the Greek word meaning ‘a piercing of the skin or a wound’. Limb
fractures due to traumatic injury cause pain, prolonged discomfort, loss of function and immobility and are
expected to produce adverse psychological effects, but have not been systematically studied.
Behavioural disturbances and psychiatric disorders are reported to be three to five times more frequent
among people with injuries severe enough to require a stay in hospital. 1
Undetected psychiatric morbidity in medical and surgical wards have been estimated to vary from 20%
to 80%, but only a small fraction of these are correctly identified and treated. 2, 3, 4
Undiagnosed psychological morbidity leads to suffering in the patient which could have been
avoidable. In addition, maladaptive behaviour due to anxiety, depression, acute and chronic brain syndromes,
psychosis and substance abuse may modify the clinical presentation and complicate the management of the
underlying medical or surgical condition. 3 -5
Long limb bone trauma leading to loss of a limb for whatever reason is a major event with profound
implications for psychological health of an individual involved. 6, 7
The identification and treatment of psychological disorders in these patients may not only ease
treatment but also speed up and complete the patient's recovery process.
This study endeavours to explore any psychiatric morbidity in patients of traumatic lower limb long
bone fracture.
II. Material and methods:
The present study was approved by the Ethics Committee of Dr Vasantrao Pawar Medical College,
Nashik- Maharashtra.
Present study was carried out amongst 38 randomly selected patients from the Department of
Orthopaedics of a tertiary health care centre in the age group of 18- 65 yrs who had sustained lower limb long
bone fracture. Unconscious patients, patients with traumatic brain injury, mental retardation, pre existing mental
or psychological illness excluded by history are not included in the study. Patients were evaluated 4-6 weeks
after the trauma over a period of 4 months from AUG 2012 – NOV 2012 after their written informed consent. .
All privacy and confidentiality safeguard were observed.
All findings were reported on semi-structured Performa and cases were screened using MINI version
6.0 (Mini International Neuropsychiatric Interview). 8
Statistical analysis was done by using SPSS (version) 16.
2. Psychiatric Morbidity in Patients with Lower Limb Long Bone Fracture
DOI: 10.9790/0853-14118116119 www.iosrjournals.org 117 | Page
III. Result:
TABLE 1: Socio-demographic Profile of the study population
Characteristics Categories Frequency Percentage (%)
Gender
Male 26 68.42
Female 12 31.57
Age (years)
Up to 20 yrs 2 5.2
21 - 30 yrs 11 28.9
31 - 40 yrs 09 23.6
41- 50 yrs 4 10.5
Above 50 yrs 12 31.5
Education
Illiterate 10 26.3
Up to class 5 2 5.2
Class 6 to 10 18 47.3
Above class 10 4 10.5
Graduate 4 10.5
Family income
( Rs per month)
Up to Rs 2000/- 6 15.7
Rs 2001 to 4000/- 14 36.8
Rs 4001 to 6000/- 7 18.4
Above Rs 6000/- 11 28.9
Marital status
Un married 7 18.42
Married 27 71.05
Widowed 2 5.2
Separated 1 2.6
Divorced 1 2.6
Religion
Hindu 36 94.7
Muslim 2 5.2
Place of
Residence
Urban 36 94.7
Rural 2 5.2
This table shows Demographic profile of lower limb long bone fracture patients in which majority of
the cases were males 26 (68.42%), fall in age group of 21-40 yrs constitute (52.5%), majority of cases studied
upto 10 th std (47.3%), 36.8% had family income of Rs 2000- 4000, 71.05 %cases were married, 94.7 %
belongs to hindu religion & are from rural areas.
TABLE 2: Distribution of Cause of fracture and Gender
CAUSE OF FRACTURE
GENDER
MALES FEMALES Total
ROAD TRAFFIC ACCIDENTS 20 6 26
FALL 4 8 12
Total 24 14 38
TABLE 3: Gender wise distribution of Psychiatric morbidity and Cause of fracture
CAUSE OF FRACTURE
PSYCHIATRIC MORBIDITY
MALES FEMALES Total
ROAD TRAFFIC
ACCIDENTS
06 03 09
FALL 01 03 04
Total 07 06 13
Analysis of Psychiatric morbidity reveals it was found more in Road traffic accidents (n=09) 6 males, 3
females as compared to cases of fall.
TABLE 4: Psychopathology found in study group males and females
PSYCHIATRIC MORBIDITY MALE PATIENTS n (%) FEMALE PATIENTS n (%) TOTAL
MDD 4 (15.38) 2 (16.66) 6
PTSD 1 (3.84) 0 1
MDD + PTSD 1 (3.84) 0 1
MDD + PD current 0 2 (16.66) 2
MDD + GAD 1 (3.84) 0 1
MDD + PD with AG + GAD current 0 2 (16.66) 2
Total 7 (26.92) 6 (50) 13 (34.21)
No Psychiatric Morbidity 19 (73.07) 6 (50) 25 (65.78)
GRAND TOTAL 26 12 38
X2
( with Yates Correction) = 1.306, Fisher’s exact test p = 0.226, Not significant
3. Psychiatric Morbidity in Patients with Lower Limb Long Bone Fracture
DOI: 10.9790/0853-14118116119 www.iosrjournals.org 118 | Page
MDD: Major depressive disorder, PTSD: Post traumatic stress disorder, PD: Panic disorder, GAD-
Generalized anxiety disorder, AG: Agoraphobia
In our study of 26 males and 12 females, 13 (34.21%) patients were diagnosed with psychiatric
morbidity and it was found more in females (50%) as compared to males (26.92 %).
TABLE 5: Distribution of Psychiatric Morbidity and Type of fracture
PSYCHIATRIC MORBIDITY CLOSED FRACTURE
n (%)
COMPOUND
FRACTURE n (%)
TOTAL
MDD 2 4 6
PTSD 1 0 1
MDD + PTSD 1 0 1
MDD + PD current 2 0 2
MDD + GAD 0 1 1
MDD + PD with AG + GAD current 2 0 2
Total 8 (27.58) 5 (55.5) 13 (34.21)
No Psychiatric Morbidity 21 (72.41) 4 (44.5) 25 (65.78)
Grand Total 29 9 38
X2
( with Yates Correction) = 1.306, Fisher’s exact test p = 0.226, Not significant
MDD: Major depressive disorder, PTSD: Post traumatic stress disorder, PD: Panic disorder, GAD-
Generalized anxiety disorder, AG: Agoraphobia
Psychiatric morbidity is equally distributed among patients with closed fracture but Major depressive
disorder appears to be more predominant in patient with compound fracture. It was also observed that
Psychiatric morbidity was found more in compound fracture 5 out of 9 which is (55%) as compared to closed
fracture, 8 out of 29 which is ( 27.58%).
IV. Discussion
There were no statistically significant differences in demographic profile of patients with and without
psychiatric morbidity. Majority of patients were males as they are more frequently exposed to combat,
accidents, and physical attacks and have a higher prevalence of exposure in general.9
Majority of them
belong to Hindu community because of preponderance of Hindus in the population. Most of the patients come
from rural area as the medical college is located in rural area. In most of our study cases fractures had occurred
due to road traffic accidents and psychiatric morbidity found more in road traffic accident cases, this is in
agreement with earlier studies. 2, 3
In the present study 34.21% patients of lower limb long bone fracture had psychiatric morbidity
comparable to other study 10
which has psychiatric morbidity in 35% of leg fracture patients. Incidentally this
study 10
was conducted on security force personnel in counter insurgency area and those personnel had
additional stress of working in counter insurgency area.
In the present study the most common diagnosis was Major depressive disorder alone or with other co
morbidities, found in 31.5% cases which is in agreement with previous western studies.11
Anxiety disorders
were the second most common diagnosis found. In the present study prevalence of Post traumatic stress
disorder (PTSD) was 5.2% where as in other studies, the prevalence of PTSD between 1 and 6 months after
trauma has been variously quoted as 29.9% 12
, 23.1% 13
& 42 % 14
.
In the present study prevalence of other anxiety disorder include Generalized anxiety disorder (7.9%),
Panic disorder ( 10.5%) where as in other studies , the reported prevalence of other anxiety disorders includes
rates for travel anxiety (28%) 15
, panic disorder (6%), generalized anxiety disorder (4%), and simple phobia
(4%)16
.
In our study, females (50%) were more affected as compared to males this could be because
depression and anxiety are more common in females 17
. The study also shows that psychopathology appears to
be more common in compound fracture (55.4%). Our search for references did not yield any useful information
comparing the psychopathology found in compound and closed fracture. However, it is speculated that
compound fractures with more severe degree of injury, pain, swelling and requiring more time for healing may
lead to increased incidence of psychopathology.
There could be bidirectional relationship between long bone trauma and psychopathology which
needs to be carefully evaluated18, 19
.
V. Limitation:
The most important limitation of our study was Small Sample size. The trends needs to be further
carefully evaluated in patients with larger sample size. Causality of associations cannot be confirmed because
4. Psychiatric Morbidity in Patients with Lower Limb Long Bone Fracture
DOI: 10.9790/0853-14118116119 www.iosrjournals.org 119 | Page
relationship between psychiatric morbidity and traumatic lower limb long bone fracture against other socio-
demographic factors were not evaluated
VI. Conclusion:
Our study revealed the following trends:
Psychopathology was found more in Road traffic accidents as compared to falls .Psychopathology was
found more in females as compared to males. Psychopathology was found more in compound fracture as
compared to closed fracture.
VII. Recommendation
Psychopathology was found more in Road traffic accidents as compared to falls. Preventive measures
aimed at improving mechanical transport discipline could bring down psychiatric morbidity associated with
Road traffic accidents.
In view of the possibility of increased psychiatric morbidity among patients with lower limb long bone
trauma, psychiatric assessment and management will enhance the patient care.
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