<p class="abstract"><strong>Background:</strong> Clavicle fracture is one of most common bony injuries. Despite of high frequency, choice of proper treatment is still a challenge. So a comparative randomized study was planned to compare Plating verses TENS for clavicle fractures management.</p><p class="abstract"><strong>Methods:</strong> Study was conducted in Department of Orthopedics, M.K.C.G Medical College, Berhampur from November 2015 to October 2017.Patients aged from 20-55 years with closed displaced were included in study. Patients were randomized in two groups- One group (25 pateints) treated with TENS and second group (25) with plate. Outcome assessed by pain VAS score, Constant & Murley score, DASH score, cosmetic result, radiological fracture healing time.<strong></strong></p><p class="abstract"><strong>Results:</strong> Mean fracture union time in TENS group was 11.4±2.12 weeks and in plate group 13.4±3.46 weeks (difference was significant p=0.016). Mean pain VAS score in TENS group was 2.56±0.91 and in plating group 3.12±0.8 (p=0.023). Tens group were cosmetically more satisfied (mean score 4.48±0.7) than plate group (mean score 3.8±1.0, p=0.009). Mean DASH and Constant Shoulder Score in TENS group were 1.87±3.4, 9.36±7.04 and plate group 4.8±9.0 and 15.08±9.4 respectively. Both were significant (p=0.039, p=0.000).</p><p class="abstract"><strong>Conclusions:</strong> Our study found that patients treated with TENS showed excellent outcome in 84% cases while 60% in plating group for displaces mid-shaft clavicle fracture. Patients in TENS group better in terms of Constant & Murley score and DASH score than treated with plate.</p>
Background: In India bilateral corneal blindness constitute one percent of total blindness, With huge addition of cases of corneal blindness annually. Corneal transplantation offers the potential for sight restoration. The patients for corneal transplantation are growing due to insufficient number of eye donations in India. The gap between demand and supply is due to low awareness. Especially there is a need to study the knowledge of first line health counsellor in health facility where potential donors are available.Methods: A cross-sectional study was conducted on May 2016 with 140 first year Nursing students to assess their perception towards eye donation. Data were expressed as proportions and percentages using SPSS 16.Results: All participants knew about eye donation and 95.7% said these can be done irrespective of age and sex of the deceased. 55% students told HIV is a contraindication, 10% said that request for eye donations can be made by person himself alive or relatives after death. 15% knew that eye can be donated within six hours of death but none were aware regarding storage of donated eyes before transplantation. Only 2.1% of them heard about Hospital Corneal Retrieval Programme. Television (100%) was the main source of information. All of them personally supported eye donation.Conclusions: The present study revealed that nursing students had heard about eye donation but knew less about the details of the procedure. They can contribute to awareness and motivating people for eye donation during their postings in various department in hospital.
Background: Laryngoscopy and endotracheal intubation causes stimulation of symphatho-adrenal system resulting in increase in blood pressure and heart rate. The present study compared oral clonidine, gabapentin and placebo premedication in attenuating haemodynamic response to laryngoscopy and endotracheal intubation. Methods: About 90 adult patients of ASA grade I and II patients in age group of 18-60 yrs, of either sex posted for surgery under general anaesthesia were randomly divided into three groups (30 patients in each group). The study drugs were given orally 90minutes before induction. Group 1 and Group 2 were pre treated with oral clonidine (0.2mg) and gabapentin (800mg) respectively and Group-3 received placebo. The HR, systolic blood pressure, diastolic blood pressure and mean arterial blood pressure were recorded before induction of anesthesia and 1, 3, 5, 10min after laryngoscopy and intubation. Results: It was found that both clonidine and gabapentin reduces HR, SBP, DBP, MAP than placebo group at lminute, 3minutes, 5minutes and 10minutes after intubation. But reduction is more with clonidine as compared to gabapentine and difference was statistically significant (P = <0.0001). Conclusions: Both oral clonidine and gabapentine attenuate hemodynamic response to laryngoscopy and endotracheal intubation but effect is better with clonidine than oral gabapentine.
Background: India accounts for 25% of total deaths from cervical cancer. Screening for cervical cancer reduces mortality by early detection and treatment. So, a study was conducted among rural women of Ganjam district with the objective to know knowledge, attitude and practice of cervical screening among them.Methods: A community based cross sectional study was conducted from January to February 2019 among ever married women of more than 30 years of age residing in villages of Chhatrapur block of Ganjam district. Sample size was calculated to be 280 by formula Z2pq/l2. Multistage random sampling and PPS method were used to select participants. A semi-structured questionnaire was used to collect data and all data were analysed in SPSS.Results: Among 280 participants, though 70.7% had heard about cervical cancer, only 32.5% knew that there are tests for screening. Only 13.2% of participants said that Pap smear test was to be taken regularly. However, majority didn’t know who should undergo screening test and what age tests should be started. Main source of information for them was health worker (39%). Only 14.6% had any type of cervical screening in their lifetime. The main reason for not going for screening was ignorance (53.9%) followed by thinking tests are not needed unless any symptoms appearedConclusions: Proportion of participants with proper knowledge and awareness regarding cervical cancer screening was low which led to poor uptake of screening. So, awareness regarding cervical cancer screening should be increased. Health camps and education programs should be conducted regularly.
BACKGROUND In lower limb orthopaedic surgery, post-operative pain management is a major issue as spinal anaesthesia provides short duration analgesia. Many adjuvants like opioids are added to prolong the effects of spinal anaesthesia. we wanted to determine the better additive (fentanyl/nalbuphine) for bupivacaine for lower limb orthopaedic surgery by comparing nalbuphine (1 mg) with fentanyl (25 µg) as intrathecal adjuvants to 0.5% hyperbaric bupivacaine in patients undergoing elective lower limb orthopaedic surgery. MATERIALS AND METHODS This study is a double blinded randomized controlled trial conducted at MKCG Medical College, Berhampur from April 2018 to October 2018. Patients scheduled for elective lower limb orthopedic surgery under subarachnoid block were enrolled. Sample size was 30 per group. Intervention (A) group received 3 ml (15 mg) of 0.5% bupivacaine with 0.5 ml of nalbuphine (1 mg) intrathecally and control (B) group received 3 ml of 0.5% bupivacaine with 0.5 ml of fentanyl (25 mg). The outcome variables were-onset of sensory and motor blockade, duration of sensory and motor blockade, duration of analgesia, intra-operative hemodynamic changes and adverse effects like sedation, pruritus, nausea and vomiting. Data was analysed with SPSS, and independent sample t test was applied. RESULTS There was no significant difference in onset of sensory and motor blockade between the two groups. Duration of sensory blockade was significantly prolonged (112.6 ± 8.3 min) in group A than in group B (103.7 ± 7.5 min) and duration of motor block was significantly extended in patients of Group A (155.7 ± 16.8 min) than group B (133.1 ± 12.4 min). The duration of effective analgesia was significantly more in group A than group B. There was no significant difference in sedation score between two groups. There was no occurrence of intraoperative nausea, vomiting, respiratory depression, shivering or supplemented analgesia. CONCLUSION Nalbuphine (1 mg) as intrathecal adjuvants to 0.5% hyperbaric bupivacaine increases the duration of sensory block, motor block and the effective analgesia time more efficiently than fentanyl in patients scheduled for elective lower limb orthopedic surgery under subarachnoid block.
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