Background: POP management, like other aspects of healthcare, is a teamwork. In most health-care settings, nurses constitute the biggest health workforce and have round the clock contact with patients. Many a time knowledge among nursing staff also is inadequate so that their practices and decisions cannot be relied on. So it becomes important to analyse the scenario in a scientific way. Method: This was a cross-sectional study done on Nursing staff working in tertiarty hospital attached to KRIMS for a period of two months. Nursing staff working at KRIMS Hospital i.e, 86 Nurses formed the study sample. An adapted version of the Knowledge and Attitudes Survey Regarding Pain instrument was used to test the knowledge of nurses. Results: 64% nurses had adequate knowledge on POP management. It was seen that knowledge regarding pain assessment was significantly lesser than knowledge regarding practise (chi square: 43.66, P<0.05). Conclusion:Nurses in this study self-reported inadequacy of knowledge but not alarming considering to other countries.
Background: Acute appendicitis is one of the most common surgical emergencies. Different techniques and number of scoring systems have been used for aiding in early diagnosis of acute appendicitis and its prompt management of which Alvarado score is the most popular. So we retrospectively applied and compared Alvarado and RIPASA score in the diagnosis of acute appendicitis in Indian population. Materials and Methods: We compared retrospectively RIPASA and Alvarado scoring system by applying them to 85 patients in between June 2018 to November 2019. Both scores were calculated for patients who presented with right iliac fossa pain during the study period. Sensitivity, specificity, positive predictive value (PPV), negative predictive (NPV), diagnostic accuracy for RIPASA & Alvarado system was done. Results: The sensitivity and specificity of RIPASA score were 91.78% and 66.66% respectively. The sensitivity and specificity of Alvarado score were 64.38% and 58.33% respectively. The diagnostic accuracy of RIPASA scoring system is 88.23% and that of Alvarado scoring system is 63.52%. The results indicate that the RIPASA scoring system is a better diagnostic tool for the diagnosis of acute appendicitis (p<0.001). Conclusion: RIPASA scoring system is accurate, more convenient, and specific scoring system for Indian population than Alvarado scoring system.
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