In endemic areas, paediatricians should have a low threshold of suspicion for perinatal or neonatal chikungunya in any infant presenting with signs and symptoms mimicking sepsis, especially with skin manifestations, seizure and/or encephalopathy.
Background and Objective: Childbirth ranks amongst the most painful experiences a woman has to endure. In developing countries issues related to awareness, acceptability and availability of analgesia exist. This study aims to assess the knowledge, attitude and practices for labor analgesia amongst healthcare workers and patients. Methods: We performed a cross-sectional study conducted at Shaikh Saeed Memorial Campus of The Indus Hospital (TIH), Karachi. The study was performed in November 2016. Two surveys were conducted for this study; one for healthcare workers with patient interaction and second on patients attending their first antenatal clinic. The participants were asked to complete a survey following consent. Results: A total of 71 healthcare workers and 1005 patients participated in the study. Among healthcare workers, 43.7% felt that pain relief should be administered, 14.1% believed analgesia had adverse effects on fetus and 11.3% reported increased risk of cesarean section. Results from patients showed 27.9% were aware of labor analgesia and when informed, 85.2% were willing to have labor analgesia. In 14.1% of patients, labor analgesia was unsupported as they stated being a mother meant to endure pain. Conclusion: There is a wide gap between knowledge and practice of labor analgesia. Healthcare workers have a role in educating women, to be advocates for labor analgesia and to educate patients timely for this service. doi: https://doi.org/10.12669/pjms.36.ICON-Suppl.1715 How to cite this:Ali M, Sultan SF, Kumar A, Ghouri N. Knowledge, Attitude and Practices of Labor Analgesia amongst healthcare workers and patients: a single center cross sectional study. Pak J Med Sci. Special Supplement ICON 2020. 2020;36(1):S4-S8. doi: https://doi.org/10.12669/pjms.36.ICON-Suppl.1715 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
BACKGROUND:The second most common reason for blindness worldwide is refractive error. Not only is the global burden of refractive error very high, but also increasing every day. A number of associated serious complications and the various modes of treatment aspect of the refractive errors, warrants the necessity to explore the various factors that have impact on them. The present study was done with the purpose of establishing the relation of refractive error with corneal curvature of the eye in adult subjects. This study was done on one thousand eyes, of five hundred adult cases, over a total period of 2 years. The cases included were of both sex's male and female, taken from Patiala and around Patiala. The subjects were recruited on the basis of inclusion criteria: refractive error-myopia and hyperopia, aged between 20-40 years. The subjects in our study included students of M.B.B.S. (Bachelor of Medicine and Bachelor of Surgery) and B.D.S. (Bachelor of Dental Sciences) and routine OPD (outpatient door) patients falling in the range of concern of my study. The instruments used in this study were: Auto refractor and Auto keratometer for measuring refractive error and corneal curvature respectively. Each subject was explained thoroughly about the whole procedure. Their informed written consent was also taken. General examination was done in each and every case. Thereafter local examination was done and the two concerned ocular parameters were recorded. The aim was to find in the subjects the type and degree of refractive error and corneal curvature and to find the relationship in between the two parameters. Statistical analysis was done of the data obtained. The results of our present study have showed that the spherical refractive error has statistically highly significant positive correlation with corneal curvature, in right eye (r=0.159, p<0.01) and in left eye (r=0.184, p<0.01). It means that as we progress from myopic to hyperopic refractive error accordingly the corneal curvature increases. In myopia or shortsightedness, image is formed in front of retina. Increase in myopic refractive error is found to be in close association with decreased corneal curvature. In hyperopia or long sightedness, image is formed behind the retina. Increased corneal curvature of the eyeball is found to be closely associated with hyperopia.
Purpose This study is aimed to determine the frequency, sociodemographic profile, clinical presentation, patterns of injury, treatment and outcomes of cases of simultaneous bilateral ocular trauma treated in a teaching hospital of Northern India. Methods This retrospective study was conducted from May 2015 to April 2019. The medical records of patients presenting with bilateral ocular injuries were reviewed. Results Among the 402 patients presenting with ocular injuries, 34 (8.5%) had simultaneous bilateral ocular trauma. The majority were male (70.6%), and the mean age was 26.82 ± 15.86 years (range: 2-70 years). The most frequently affected age group has been 16-25 years (35.3%). Most injuries occurred away from home (64.7%), mainly on roads (32.4%) or playgrounds (14.7%), and the vast majority (91.2%) were non-occupational in nature. Mechanical injuries were most frequent (47.1%), followed by cracker (17.7%), chemical (17.7%) and thermal (11.8%) injuries. Most cases occurred due to assault (26.5%), road traffic injury (20.6%) or sports/recreational activities (17.7%). The majority of victims were not using protective devices at the time of injury (82.4%) and had associated polytrauma (58.8%). Closed and open globe injuries accounted for 29.4% and 14.7% of cases, respectively, mostly involving zones I (55.0%
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