Aims The purpose of this study was to explore the relationship of social networking sites (SNSs) addiction on nurses’ performance and how this relationship was mediated by task distraction and moderated by self‐management. Design This cross‐sectional study is designed to empirically test the relationship of SNSs addiction, task distraction, and self‐management with the nurses’ performance. Methods Data were collected by conducting an online survey on nurses across the world using a web‐based questionnaire developed through ‘Google Docs’ and distributed through Facebook from 13 August 2018 – 17 November 2018. The Facebook groups were searched using the selected key terms. In total, 45 groups were found to have relevance to this research; therefore, request was made to the admins of these groups to participate in this research and to post a link in their groups. Only 19 group admins responded positively by uploading a link of the research instrument on their respective group pages and 461 members of these groups participated in the research. Results Results of the data collected from 53 different countries indicated that SNSs addiction results in lowering the nurses’ performance. This relationship is further strengthened by task distraction introduced as a mediating variable. The results show that self‐management mediates the relationship between SNSs addiction and employees’ performance. Moreover, the results of the study confirm that self‐management reduces the negative impact of SNSs addiction on nurses’ performance. Conclusion Social networking sites (SNSs) addiction and task distraction reduce the nurses’ performance, whereas self‐management enhances nurses’ performance. Impact This study addresses the problem of using SNSs at the workplace and its potential effect on nurses’ performance. Results demonstrate that SNSs addiction reduces the performance which is further decreased by task distraction; however, self‐management of nurses can enhance the nurses’ performance. The research has numerous theoretical and practical implications for hospital administration, doctors, and nurses.
Background: There are many reported techniques for the repair of hypospadias, and new ones are being reported, which suggests that none is perfect. This study reports the anatomical success rate when using Snodgrass Technique. Methods: In this descriptive case series, 296 patients who fulfilled the inclusion criteria, by being treated by Snodgrass urethroplasty, were enrolled. The study was conducted at the Department of Surgery, Unit-C, MTI, Ayub Teaching Hospital Abbottabad between May 2008 and June 2021. Results: Mean age of the patients was 2.4±.8 years, 79.7% (n=236) had anterior (glanular, coronal, sub coronal) meatal location and 20.3 % (n=60) had middle urethral meatus (distal & mid-shaft). The mean operative time was 52 min. 5.1% of patients developed neo-meatal stenosis (n=15), 7.1% (n=21) patients develop a urethral-cutaneous fistula (compared to 5% in larger centers, 16% from smaller centers), 11.8% (n=35) developed wound infection, 2% (n=6) had complete disruption. Follow-up: The cosmetic appearance of the penis was “excellent”/good (shape of meatus was slit-like and vertically oriented) in 60.1% (n=178) patients, “acceptable” in 30.1% (n=89), and “not acceptable” in 9.8% (n=29). Conclusion: Snodgrass technique has a low complication rate, offers an acceptable cosmetic outcome and can be successfully applied to a wide range of defects from distal to mid-shaft hypospadias. Common complications include urethral-cutaneous fistula and meatal stenosis; both occur in a low and acceptable number of patients.
Background: Herniotomy is standard treatment for inguinal hernia in children. Paediatric surgeons remain divided on whether ligation of sac is mandatory. In our study, we left the sac open to see early recurrence. Methods: This quasi=experimental study, done in emergency cases, was sequel to our previous study done in elective cases. It was carried out at surgical unit C of Ayub Hospital Complex, Abbottabad, from Jan 2016 to June 2020. Children from birth to 12 years of age were randomly divided into two groups. In group I (experimental), sacs were cut high up and left open during herniotomy while in group II (control), high ligation of hernia sac was done. Follow up was scheduled for day 10 and 1, 3 and 6 months. Patients were assessed for early recurrence and other complications. Results: A total of 151 emergency inguinal herniotomies were done including 147 males (97.4%) and 4 females (2.6%). 136 sacs (90.1%) were ligated with vicryl 3/0 or 4/0 while 15 sacs (9.9%) were left open. We did not find early recurrence, but found 1 case of scrotal hematoma (n=1/15) (6.7%) and 1 case of scrotal oedema (n=1/15) (6.7%) in the experimental group. In control group, complications were similar with 7 cases of hematoma (n=7/136) (5.1%) and 9 cases of scrotal oedema (n=9/136) (6.6%). Conclusion: Complications are comparable in herniotomy with or without ligation of sac but ligation adds an extra step. Herniotomy without sac ligation in children is safe and preferable in emergency setup.
Background: Vesical calculi refer to stones in the urinary bladder. The causes of bladder stones include bladder outlet obstruction, neurogenic voiding dysfunction, infection, or foreign bodies. Very rarely, these vesical calculi may reach very large sizes and the largest dimension can sometimes reach 13 centimeters. Methods: This descriptive cross-sectional study was conducted from 1ST May 2019 to 31st October, 2019 at Institute of Kidney Diseases, Urology Department, Hayatabad Peshawar. 164 patients with vesical stone were included in study. Ultrasound-KUB was used for diagnosis of vesical stone and after informed consent, and they underwent transurethral nephroscopic lithotripsy via the pneumatic Swiss Lithoclast. Results: Frequency of stone clearance was 96.34%. No statistically significant association of stone clearance was observed with age, gender, number of stones or max dimension of largest stone in the bladder (p > 0.05). Conclusion: Transurethral nephroscopic pneumatic lithotripsy via pneumatic Swiss Lithoclast is safe and effective procedure for treatment of large vesical stones. However, this being the first such study in adults, more data is needed to confirm these findings.
Introduction: Pyloric stenosis is an uncommon condition in infants characterized by abnormal thickening of the pylorus muscles in the stomach leading to gastric outlet obstruction. Clinically infants are well at birth. Then, at 3 to 6 weeks of age, the infants present with "projectile" vomiting which can lead to dehydration and weight loss. Objective: To determine the frequency of pyloric stenosis in patient presenting with persistent vomiting. Material and Method: This Cross Sectional Study was conducted in the department of Gastroenterology, ATH, Abbottabad from 5th October 2020 to 5th April 2021. A total of 115 patients of both gender with persistent vomiting for more than 5 days were included in the study. Abdominal ultrasound was done by a consultant gastroenterologist of three years post fellowship experience. Pyloric stenosis was noted. Results: Age range in this study was from 1 to 40 years with mean age of 6.226±6.62 years and mean duration of complaints was 9.869±3.76 days. Male patients were 88.7%% and females were 11.3%%. Pyloric Stenosis was observed in 93% patients. Conclusion: Our study concluded that that pyloric stenosis is 4 times more common in males compared to females and is more common among younger age groups as compared to adult patients. Keywords: Persistent vomiting, pyloric stenosis, Ultrasound, Frequency
investigating for vomiting and elevated aminotransferase levels in outpatient control. In one of the cases of biliary atresia with microcephaly, deafness and mental-motor retardation was considered due to congenital CMV infection. Other cases were evaluated as perinatally infection. Five patients were given ganciclovir therapy. Duration of the therapy was; six weeks for patient with congenital CMV infection and two weeks for the other four patients. Conclusion Biliary atresia were seen in all our cases with cholestasis and there is importance of seeing it with CMV hepatitis which, in our conclusion, requires comprehensive studies. In addition, seeing these patient in such a short period of time was found interesting in epidemiological perspective.
Objective: To calculate the frequency of wound dehiscence after midline laparotomies; as well as look into the factors associated with the grave complication. Study Design: Cross Sectional Design. Setting: Department of Surgery, Ayub Teaching Hospital, Abbottabad. Period: 25-05-2019 to 24-11-2019. Material & Methods: Data including factors studied and diagnosis of abdominal wound dehiscence were noted on prepared pro forma. Patients were followed and final outcome was assessed. Results: Of these 134 cases, 94 (70.1 %) were male whereas 40 (29.9 %) were female. Mean age was 31.57 ± 11.38 years. Significant association of wound dehiscence with age (p=0.007), residential status (p=0.001), preoperative use of antibiotics (p=0.001), obesity (p=0.002), suture material used (p=0.011) and use of drain (p=0.001) was determined. Wound dehiscence was noted in 23 patients (17.2%). Conclusion: High frequency of wound dehiscence was observed in patients undergoing midline laparotomies during the study. Wound dehiscence was significantly associated with age, residential status, preoperative antibiotics usage, obesity, suture material preferences and drain placement. These complications must be anticipated for early diagnosis and proper management to decrease the burden of related morbidities and mortalities.
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