Objective: The objective of the study was to determine the knowledge, attitude and practices of surgical interns, residents and surgeons in the time of COVID-19.Methods: A cross-sectional study was conducted on surgical interns, trainees, registrar and consultants working in public and private sector tertiary care hospitals of Karachi. The non-Convenience sampling technique is used. A total of 184 patients were included. The study was performed on assessing patients' demographics, basic knowledge and awareness of COVID 19 and individuals' practices toward COVID 19 in their professional routines. Data were stored and analyzed using IBMSPSS version 23.0. Pearson Chi Square test was used to test the association outcomes, awareness and attitude items on COVID-19 between private and public sector hospitals. P-values less than 0.05 were considered statistically significantResults: The study comprised a total of 184 participants. Mostly from public 115(63%) rest 69(37%) belonged private sector hospitals. Most respondents 122(66.3%) were aware of COVID 19 incubation, symptoms and the detection of patients at risk and modalities of transmission in operating rooms.Results showed among public vs Private sector hospitals (81.7% / 68.1%) were treating corona virus, there were (35.7% / 46.3%) screening and admitted the cases, (56.5% / 62.4) tentative numbers of COVID-19 cases reported range from 0-25, (40.9%/ 11.6%) surgeons were assigned additional duties for COVID -19 by hospital management found statistically significant with "p<0.01".Conclusion: It is concluded after this study that the surgeons in Pakistan are well aware of the situation, have adequate knowledge of the risk factors and symptoms of COVID-19. But statistically, probably because of limited resources and workload, there is a substantial gap in practices between public and private sector surgeons. There is also a dire need to develop local guidelines related to preventive measures in our health care systems according to our demands and supply.
Introduction: Forearm fractures are the most common fractures in children, accounts 30% to 40% of all fractures. Most of these fractures are treated by close reduction and immobilization. Both national (80%) and international (58.8%) literature shows marked variation in the outcome of conservative management of forearm fractures. Operative management becomes popular due to complications of conservative treatment, which includes re-displacement, compartment syndrome, residual deformation and loss of mobility. Materials and Methods:The study was conducted at Department of Orthopedic unit 2 of Abbasi Shaheed Hospital. All children of less than 14 years of age with forearm fractures were included. Data was collected through a self-administered proforma. Closed reduction and POP cast was done under sedative analgesia. Patients were followed up initially after 3 days and a check X-ray was done and re-manipulation was performed if needed. Then patients were followed every week for four weeks and fresh X-ray was done on every visit. Data was analyzed by using IBM SPSS v.20. Results:The study included thirty patients with forearm fractures, males being dominant. The mean age was 7.47 years. Majority of males 16 (76.2%) and females 8 (88.8%) had combined fractures of radius and ulna. The most common cause of injury was fall during play 22 (73.3%). Majority of the children 21 (70%) had fractures of radius shaft. Shaft of ulna was fractured in 18 (60%) children. Satisfactory outcome was achieved in 23 (76.7%) of the participants. Re-displacement was seen in 3 (10%) patients during follow-up. Conclusion:Conservative management for pediatric forearm fractures is a successful treatment with high success and low complication rate. Therefore we recommend conservative management for pediatric forearm fractures.
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