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Satisfaction with Postnatal care Services Among Women Delivering in EmbuHospital, Embu County, Kenya
Get PDFPatient satisfaction has been increasingly recognized as an important outcome for the health care deliverysystem and is increasingly studied in developing countries. Many women report lower levels ofsatisfaction with care and support they receive during the postnatal period than any other phase of theirmaternity care. The objectives of the study were; determining the level of women's satisfaction withpostnatal care, determining the influence of socio-demographic characteristics on satisfaction withpostnatal care. Descriptive cross-sectional research design was used. The study population waspostpartum women aged 15-49 years who had delivered in Embu hospital. The study employedsystematic random sampling method to come up with a sample size of 205 respondents. A structured clientexit questionnaire, focused group discussions and key informant interviews were used to collect data.Data was analyzed using SPSS version 20 and presented in percentages, frequencies and crosstabulations. The study findings revealed that majority of the women 54.6% were satisfied with postnatalcare services provided. Findings from this study also showed that socio-demographic variables like age,marital status, education level, occupation and monthly income did not have a significant relationshipwith women's satisfaction with postnatal care. The study concluded that there is still a percentage ofwomen 45.4% who were still dissatisfied with the postnatal care services provided. The studyrecommended that the county government together with the hospital administration should help ininstallation of Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS) to helpseek feedback from customers hence improve the satisfaction level of clients. The study alsorecommended that the same study should be done in other hospitals within the Sub Counties and in the restof 47 Counties to enable generalization of results
WHY REDUCE AND FIX AN ISOLATED AND DISPLACED ACROMIAL FRACTURE? REPORT OF A CASE
Get PDFThe fracture of the acromion is rare, only 8% of all scapular fractures. The purpose of the clinical case is to highlight the rarity of this condition, and the indication of surgical treatment to prevent subsequent functional damages as well as chronic pain conditions. We report the case of a 54-year-old patient who suffered a fall from a high height on the right shoulder following which he presented pain and total functional impotence of the upper limb without neurovascular disorders. The diagnosis of the acromion fracture was suspected by physical examination and confirmed by imaging. The treatment consisted of an open reduction with racking fixation. Then, reeducation was started early. The evolution was marked by the disappearance of the pain and the resumption of a good mobility of the shoulder after a retreat of 6 months. The fracture of the acromion is a rare condition that occurs following direct violent trauma. The scanner plays an important role in the management. Surgical treatment is intended to avoid complications and to obtain a functional shoulder especially in displaced forms
ANTERIOR DISLOCATION OF SHOULDER WITH IPSILATERALFRACTURES OF THE PROXIMAL, MID-SHAFT AND DISTALHUMERUS: RARE COMPLEX INJURY (CASE REPORT)
Get PDFDislocation of the shoulder joint with fractures of the humerus on the same side is rare; the literature related to this rareinjury is limited to few case reports. We present a case of a 43-year-old, who suffered from a job-related accident andsustained fractures of midshaft and distal humerus associated to ipsilateral anterior shoulder dislocation and fracture ofgreater tuberosity; after reduction of the anterior shoulder dislocation. The treatment was surgical and demonstrated asuccessful outcome at one year follow-up
BRAIN TUMOR WITH PREGNANCY A RARE ENTITY
Get PDFA case of brain tumor with pregnancy in third trimester is reported. The literature is reviewed to show the effect ofpregnancy on these tumors, the method of diagnosis and management. The presence of a brain tumor in pregnancy is a stateof a diagnosis of scarce presentation in the medical practice. A high clinical suspicion on the part of the obstetrician is thekey to timely diagnosis; as the symptoms of headache, vomiting and blurred vision are often encountered in pregnancy withor without pre-eclampsia
PREVALENCE OF METABOLIC SYNDROME IN WOMEN OFDIFFERENT AGE GROUPS IN RURAL POPULATION OF ANDHRAPRADESH
Get PDFBackground & Objectives: The main objective of the study is to identify the prevalence of Metabolic syndrome as peoplewith the Metabolic syndrome are at increased risk for developing diabetes mellitus, cardiovascular disease as well asincreased mortality from cardiovascular disease risk factors.Materials & Methods: A total number of 60 female subjects participated in the study. The subjects were grouped into twodifferent age groups i.e. 30-40 and 40-50 years age. The study was approved by the Institutional Ethics Committee. Lipidprofile, Fasting blood glucose, Blood pressure, Height, Weight & Waist circumference were recorded in all the subjects.Results: We observed that the prevalence of metabolic syndrome was 20% in women of 30-40 age group and 63.33% inwomen of 40-50 years of age group based on the NCEP ATP-III criteria.Conclusion: Programs aimed at detection and treatment of dyslipidemia, hypertension, diabetes, and obesity may reducethe burden of Metabolic syndrome in our population. Metabolic Syndrome present in epidemic proportions among theelderly represents one of the major threats to longevity and healthy aging
EMERGENCE OF DRUG RESISTANCE IN BACTERIAL ISOLATESFROM HOSPITAL WASTEWATER: A POTENTIAL HEALTHHAZARD
Get PDFIntroduction:Release of sewage effluent containing bacteria having elevated antibiotic resistance levels poses threat toenvironment. The antimicrobial selective pressure through indiscriminate use of antibiotics has played a significant role inenriching the MDRstrains in the hospital practice.Materials and methods: Study was conducted at the department of agricultural microbiology, Aligarh Muslim University,Aligarh, UP (India). Wastewater samples were collected from a drain of J. N. Medical College, Aligarh. Isolation of theenterobacteria was done. All isolates were tested for their sensitivity to antimicrobial agents by means of disc diffusionmethod[1].Results:In the present study, a total of 50 enterobacteria were isolated from hospital wastewater. All the isolates weretentatively identified by morphological, cultural and biochemical characteristics. All the isolates were further tested for theirantibiotic susceptibility (Table 2). A high level of resistance against penicillin-G (90%) was observed in strains isolatedfrom hospital wastewater. Resistance against cloxacillin, novobiocin, nalidixic acid and polymixin Bwas 66%, 56%, 28%,2% respectively (Table 3). All the isolates were sensitive to erythromycin, doxycycline, gentamycin, kanamycin andchloramphenicol. Majority of isolates from wastewater were found to be resistant to multiple drug/antibiotics. Among thefifteen antibiotics/drugs tested, sevendifferent resistance patterns were observed in enterobacteria isolated from hospitalwastewater.Conclusion: Results of this study may be beneficial to design environment-friendly techniques for the removal of antibioticsfrom wastewater to overcome the problem of antibiotic resistance development in the aquatic environment
Stature estimation by Length of Femur
Get PDFStature is important parameter of personal identification of individual there are many studies conducted along with others parameters such as age, sex, race, etc. This study was done to estimate the stature of an individual by the length of femur. It was conducted in the department of Forensic Medicine of Al-Ameen Medical College, Bijapur. A total of 160 cases out of which 80 males and 80 females were studied. The results of present study showed that there was a definite relationship between the length of femur and cadaveric length. It was also clear from this study that prediction of stature is also influenced by sex and racial factor. This study indicates that all the segments of femur have a definite relation with the cadaveric length
BUILD VERY SIMPLE DESIGN AND COST EFFECTIVE GEIGER-MULLER COUNTER
Get PDFThis paper describes our first undergraduate project experience, final report and findings on the subject matter. Initially according to our project title, we were focused on developing a low cost detector which can detect radiation only. To make one of these kinds of detector doesn't take much and can be prepared at fairly low cost being very common project in nuclear science arena. The Geiger-Muller tube, or GM tube, is an extremely useful and inexpensive way to detect radiation. While the GM tube can only detect the presence and intensity of radiation, this is often all that is needed
ASSOCIATION BETWEEN ABO RH BLOOD GROUPS AND ORALPOTENTIALLY MALIGNANT DISORDERS
Get PDFBackground: A number of potentially malignant disorders like leukoplakia, erythroplakia, oral submucous fibrosis constitute a detectable pre-clinical phase of oral cancer. There is a high prevalence of these lesions in India, which is attributed to culture, ethnic, geographic factors, low socio-economic status and varying lifestyle factors. The genetic relation of these lesions is less studied. Blood groups play an important role in the immunogenetic system. Very few studies have been done in India to see the association between blood group and potentially malignant disorders. Hence the present study was under taken to assess the relationship between ABO Rh blood group and oral potentially malignant disorders. Materials and methods: 154 cases with oral potentially malignant disorders diagnosed based on the WHO criteria (1980) were included in the study. Patients reporting to M.S.Ramaiah Dental and Hospital, Bangalore and Kaiwara center (a peripheral outreach center) were included in the study after obtaining an informed consent. Information regarding sociodemographic details was collected using proforma and blood group was assessed using blood group kit with Rapid slide test method. Statistical analysis was done using SPSS software11. Descriptive statistics and chi square test were used to find the correlation. Result: Out of 154 cases, 88(57.14%) were males and 66(42.86%) females. 84(54.5%) cases were leukoplakia, 2(1.3%) cases were erythroplakia, 53(34.4%) cases were OSMF and 15(9.7%) cases were with multiple oral potentially malignant disorders. 57(37.01%) of cases belonged to B+ve blood group followed by 37(20.43%) belonged to A+ve blood group. Conclusion: The cases with B +ve blood group were more susceptible for the development of oral potentially malignant disorders, followed by A+ve blood group
Prevalence and Consequences of Hypothyroidism among Maternal Aged Group Women (15-49 years)
Get PDFPregnancy-related hypothyroidism is harmful to both the mother and the foetus. Future intellectual development of children born towomen who received inadequate care or no care at all is greatly impacted. Women with a low thyroid reserve or an iodine shortage maydevelop hypothyroidism during pregnancy because this is a demanding time for the thyroid gland. During a typical pregnancy, the levels ofthyroid stimulating hormone (TSH), total thyroid hormone, and thyroxine-binding globulin all vary. Different aspects of pregnancyoutcome are impacted by thyroid disease. Autoimmune thyroid illness increases the risk of miscarriage. Children born to severelyhypothyroid mothers may have permanent neurological deficits. GD (Graves' disease) Pregnancy can be viewed as a state in which acombination of events concurs lead to pregnancy loss as well as fetal thyroid dysfunction. All women who already have thyroiddysfunction are advised to undergo thyroid function tests as soon as the pregnancy is confirmed in addition to following a healthy diet.During pregnancy, the medication needs to be carefully monitored. To find pregnant women who are at risk, one should utilise thetrimester-specific reference intervals for thyroid hormones that were developed for the pregnant Indian population after serially observingthe pregnant women. Regarding the iodine nutritional status of pregnant women in India, very little information is known. As a result, thecurrent inquiry will be conducted to determine the prevalence and risk factors that are linked to an increased risk of producinghypothyroidism in expectant moms