Pub Date : 2022-05-01DOI: 10.4103/jssrp.jssrp_5_22
C. Kalyani, A. Parashar, P. Verma, Pankaj Khandwal, Y. Payal, Kusum K. Rohilla
Background: Pain is a highly deleterious experience for human being during disease condition.Post operative pain of patient is an important concern for health care professional. Aim: The aim of the study was to assess the level of pain and pattern of analgesic practices among patient undergoing orthopedic surgeries and to develop patient tailored analgesic practice. Objectives: The present study objective is to assess the level of pain and pattern of analgesic practices among patient undergoing orthopedic surgeries with a view to develop patient tailored analgesic practice. Materials and Methods: Quantitative research approach with a prospective Observational Design was used for the present study to assess the level of pain and pattern of analgesic practices among patient under going orthopedic surgeries with a view to develop patient tailored analgesic practice in selected orthopedic inpatient department at All India Institute of Medical Sciences, Rishikesh, India.This study consisted of 100 patient undergone orthopedic surgery among them majority (49%) of patient were suffering from lower extremity injury. Results: The result of study revealed that majority (85%) ofpatient were suffering from severe pain and pattern of analgesic were tramadol, paracetamol used by them intravenous route. Conclusion: Pain management in Postoperative period after orthopedic surgery should be given a high priority. While, appropriate pain management strategy should be implemented to decrease postoperative pain.
{"title":"Patient-tailored analgesic practice for orthopedic patients","authors":"C. Kalyani, A. Parashar, P. Verma, Pankaj Khandwal, Y. Payal, Kusum K. Rohilla","doi":"10.4103/jssrp.jssrp_5_22","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_5_22","url":null,"abstract":"Background: Pain is a highly deleterious experience for human being during disease condition.Post operative pain of patient is an important concern for health care professional. Aim: The aim of the study was to assess the level of pain and pattern of analgesic practices among patient undergoing orthopedic surgeries and to develop patient tailored analgesic practice. Objectives: The present study objective is to assess the level of pain and pattern of analgesic practices among patient undergoing orthopedic surgeries with a view to develop patient tailored analgesic practice. Materials and Methods: Quantitative research approach with a prospective Observational Design was used for the present study to assess the level of pain and pattern of analgesic practices among patient under going orthopedic surgeries with a view to develop patient tailored analgesic practice in selected orthopedic inpatient department at All India Institute of Medical Sciences, Rishikesh, India.This study consisted of 100 patient undergone orthopedic surgery among them majority (49%) of patient were suffering from lower extremity injury. Results: The result of study revealed that majority (85%) ofpatient were suffering from severe pain and pattern of analgesic were tramadol, paracetamol used by them intravenous route. Conclusion: Pain management in Postoperative period after orthopedic surgery should be given a high priority. While, appropriate pain management strategy should be implemented to decrease postoperative pain.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132278058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-01DOI: 10.4103/jssrp.jssrp_2_22
S. Soundararajan, K. Kanppan
Background: There is the scarcity of population-based studies on knowledge, attitude, and practice (KAP) about COVID-19 in Tamil Nadu and no literature on the rural-urban differences in KAP about COVID-19 in Tamil Nadu. Aims and Objectives: The study was conducted with the primary objective of estimating KAP regarding SARS-COV2 virus in Tamil Nadu and secondary objectives of determining the rural-urban differences in KAP and identifying the association between KAP and certain sociodemographic factors. Materials and Methods: An analytical cross-sectional study was done on 305 participants selected from the rural and urban population of Tamil Nadu. Urban data were collected using Google Forms through social media and the rural population data were collected through simple random sampling from three villages in the outskirts of Chennai District. The study tool had ten items to evaluate the knowledge, three items to evaluate the attitude and four items to evaluate the practice regarding COVID-19. Results: The overall KAP scores had a mean of 7.88 out of 10 (78.8%) for correct knowledge, 2.51 out of 3 (83.5%) for positive attitude, and 3.68 out of 4 (92%) for good practice. The knowledge score was slightly higher in the urban region, but the mean practice score (P ≤ 0.001) and attitude score (P < 0.001) were significantly more among the rural population. There was a statistically significant association between higher knowledge score and educational status (P = 0.0000001), male gender and better attitude (P = 0.0052) and higher age (>40 years) and better practice (P = 0.014). Conclusions: The study revealed reasonably good levels of KAP in regard to COVID-19 in Tamil Nadu in both the urban and rural populations.
{"title":"Knowledge, attitude, and practice regarding COVID-19 with emphasis on the rural: Urban divide in Tamil Nadu, India","authors":"S. Soundararajan, K. Kanppan","doi":"10.4103/jssrp.jssrp_2_22","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_2_22","url":null,"abstract":"Background: There is the scarcity of population-based studies on knowledge, attitude, and practice (KAP) about COVID-19 in Tamil Nadu and no literature on the rural-urban differences in KAP about COVID-19 in Tamil Nadu. Aims and Objectives: The study was conducted with the primary objective of estimating KAP regarding SARS-COV2 virus in Tamil Nadu and secondary objectives of determining the rural-urban differences in KAP and identifying the association between KAP and certain sociodemographic factors. Materials and Methods: An analytical cross-sectional study was done on 305 participants selected from the rural and urban population of Tamil Nadu. Urban data were collected using Google Forms through social media and the rural population data were collected through simple random sampling from three villages in the outskirts of Chennai District. The study tool had ten items to evaluate the knowledge, three items to evaluate the attitude and four items to evaluate the practice regarding COVID-19. Results: The overall KAP scores had a mean of 7.88 out of 10 (78.8%) for correct knowledge, 2.51 out of 3 (83.5%) for positive attitude, and 3.68 out of 4 (92%) for good practice. The knowledge score was slightly higher in the urban region, but the mean practice score (P ≤ 0.001) and attitude score (P < 0.001) were significantly more among the rural population. There was a statistically significant association between higher knowledge score and educational status (P = 0.0000001), male gender and better attitude (P = 0.0052) and higher age (>40 years) and better practice (P = 0.014). Conclusions: The study revealed reasonably good levels of KAP in regard to COVID-19 in Tamil Nadu in both the urban and rural populations.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"463 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127008577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jssrp.jssrp_18_21
Rakesh Sharma, P. Jelly, A. Vishwas, L. Chadha, Shine Stephen
The use of simulation is a unique teaching–learning approach in medical and nursing education to empower undergraduates with desired clinical skills. Simulation duplicates the events from the real world and influences the learner in a naturalistic setup and evokes a real experience to the learner. This method of learning facilitates students to practice multiple times to attain proficiency in a particular technique without compromising on patient safety. They can rely on simulation exercises in clinical skill laboratories (CSL), which boost their confidence level, reduce anxiety, and promote satisfaction before performing or dealing in real clinical settings. Simulation has been widely used for formative evaluation and is a reliable assessment tool as it ensures a high level of objectivity. The simulation-based approach in undergraduate medical and nursing education is an effective way of learning that can be incorporated into the educational strategy. This article presents the evolutionary growth, modalities, prerequisites, usefulness, and challenges for simulation-based learning.
{"title":"Modalities and essentials of simulation facility for facilitation of clinical skills to medical and nursing students: Need for the present era","authors":"Rakesh Sharma, P. Jelly, A. Vishwas, L. Chadha, Shine Stephen","doi":"10.4103/jssrp.jssrp_18_21","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_18_21","url":null,"abstract":"The use of simulation is a unique teaching–learning approach in medical and nursing education to empower undergraduates with desired clinical skills. Simulation duplicates the events from the real world and influences the learner in a naturalistic setup and evokes a real experience to the learner. This method of learning facilitates students to practice multiple times to attain proficiency in a particular technique without compromising on patient safety. They can rely on simulation exercises in clinical skill laboratories (CSL), which boost their confidence level, reduce anxiety, and promote satisfaction before performing or dealing in real clinical settings. Simulation has been widely used for formative evaluation and is a reliable assessment tool as it ensures a high level of objectivity. The simulation-based approach in undergraduate medical and nursing education is an effective way of learning that can be incorporated into the educational strategy. This article presents the evolutionary growth, modalities, prerequisites, usefulness, and challenges for simulation-based learning.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"208 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123080545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jssrp.jssrp_19_21
N. Sharma, Manish Kumar, Sanket Vashist
Toenails provide stability to the foot. A stubbed toe may result in nail injury or fracture. Toe injuries are often ignored, leading to inappropriate or delayed management. The COVID-19 pandemic has badly affected the health services leading to further delay in treatment. We present a case report of an adult male who presented with an injured toe at a primary care clinic in India. Due to the apprehension of contracting severe acute respiratory syndrome coronavirus 2 infection and lockdown restrictions, the patient neither wanted to go to a higher center or get investigations done. The case report discusses the management and ways to handle such cases for primary care doctors in a resource-constrained setting.
{"title":"Tackling nail injury in a primary care setting: A tricky turf","authors":"N. Sharma, Manish Kumar, Sanket Vashist","doi":"10.4103/jssrp.jssrp_19_21","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_19_21","url":null,"abstract":"Toenails provide stability to the foot. A stubbed toe may result in nail injury or fracture. Toe injuries are often ignored, leading to inappropriate or delayed management. The COVID-19 pandemic has badly affected the health services leading to further delay in treatment. We present a case report of an adult male who presented with an injured toe at a primary care clinic in India. Due to the apprehension of contracting severe acute respiratory syndrome coronavirus 2 infection and lockdown restrictions, the patient neither wanted to go to a higher center or get investigations done. The case report discusses the management and ways to handle such cases for primary care doctors in a resource-constrained setting.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125878089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jssrp.jssrp_21_21
T. Sharma, Jitender Singh
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), also known as Coronavirus disease 2019 (COVID-19), is a novel coronavirus first identified in December 2019 and has a broad spectrum of clinical presentations. With the expansion of related research, it was found that in addition to respiratory symptoms, digestive involvements and liver injury were reported among COVID-19 patients. Abnormal liver function was observed in cases of COVID-19, manifesting mainly as isolated elevated serum transaminase and lactate dehydrogenase levels. The current review highlights the possible explanation for liver injury among COVID-19 patients.
{"title":"Liver injury among coronavirus disease patients","authors":"T. Sharma, Jitender Singh","doi":"10.4103/jssrp.jssrp_21_21","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_21_21","url":null,"abstract":"The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), also known as Coronavirus disease 2019 (COVID-19), is a novel coronavirus first identified in December 2019 and has a broad spectrum of clinical presentations. With the expansion of related research, it was found that in addition to respiratory symptoms, digestive involvements and liver injury were reported among COVID-19 patients. Abnormal liver function was observed in cases of COVID-19, manifesting mainly as isolated elevated serum transaminase and lactate dehydrogenase levels. The current review highlights the possible explanation for liver injury among COVID-19 patients.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123897359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jssrp.jssrp_20_21
N. Bhat, Hiba Salam, Sushma Javvaji, A. Chakraborty
Context and Objectives: There is a strong urban-rural divide in India in terms of education, economic status, and availability of health care. This became more prominent during the COVID-19 pandemic. Hence, the government emphasized on preventive aspects, especially in terms of safety practices. With this context, this study sought to evaluate and compare the knowledge, attitudes, practices, and psychological impact of COVID-19 among the urban and rural population of Bangalore to study the differential effects on both communities. Materials and Methods: An online questionnaire was distributed to 142 participants between December 1 and 31, 2020. The goal was to receive responses from both urban and rural population of Bangalore. Informed consent was taken from all participants. The response scores were tabulated and analyzed using statistical software. Results and Conclusion: A total of 138 responses were evaluated. In comparison to the urban population, there was a statistically significant link between inferior education and occupation in the rural population. (P 0.001). There was a statistically significant difference between rural and urban respondents in terms of knowledge (P 0.001) and attitude (P 0.05). The rural population's COVID-19 practices and the psychological impact were shown to be worse, but this was not statistically significant. A holistic approach is required to increase the rural population's knowledge and practices to integrate them with the rest of the country and combat the COVID-19 pandemic more effectively.
{"title":"Comparison of knowledge, attitude, practices, and psychological impact of COVID-19 among the urban and rural population of Bangalore, Karnataka","authors":"N. Bhat, Hiba Salam, Sushma Javvaji, A. Chakraborty","doi":"10.4103/jssrp.jssrp_20_21","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_20_21","url":null,"abstract":"Context and Objectives: There is a strong urban-rural divide in India in terms of education, economic status, and availability of health care. This became more prominent during the COVID-19 pandemic. Hence, the government emphasized on preventive aspects, especially in terms of safety practices. With this context, this study sought to evaluate and compare the knowledge, attitudes, practices, and psychological impact of COVID-19 among the urban and rural population of Bangalore to study the differential effects on both communities. Materials and Methods: An online questionnaire was distributed to 142 participants between December 1 and 31, 2020. The goal was to receive responses from both urban and rural population of Bangalore. Informed consent was taken from all participants. The response scores were tabulated and analyzed using statistical software. Results and Conclusion: A total of 138 responses were evaluated. In comparison to the urban population, there was a statistically significant link between inferior education and occupation in the rural population. (P 0.001). There was a statistically significant difference between rural and urban respondents in terms of knowledge (P 0.001) and attitude (P 0.05). The rural population's COVID-19 practices and the psychological impact were shown to be worse, but this was not statistically significant. A holistic approach is required to increase the rural population's knowledge and practices to integrate them with the rest of the country and combat the COVID-19 pandemic more effectively.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114702722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jssrp.jssrp_17_21
T. Ansari, G. Dharmshaktu
The human myiasis or infestation of larvae of various species of fly bots is uncommon but interesting health challenge in some parts of the world. The basic knowledge of this disease, however, should be beneficial to clinicians across disciplines as a spectrum of manifestations involving various organs are described in the medical literature. The extremity involvement is rather uncommon and is often found with underlying associated conditions. The diagnosis and identification of the causative species is important for documentation and management. Clinical suspicion, wound lavage, dressing, and debridement are important steps in optimal management. Appropriate systemic pharmacotherapy is supplemented for quick recovery. Prevention, however, coupled with avoidance of predisposing factors is the best management in both community and health-care settings. As the disease is more commonly noted in lower socioeconomic conditions and rural settings, the working knowledge of this condition should come in handy in anticipating, suspecting, and thus diagnosing the condition early for a prompt recovery.
{"title":"Myiasis and extremity involvement: A concise update","authors":"T. Ansari, G. Dharmshaktu","doi":"10.4103/jssrp.jssrp_17_21","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_17_21","url":null,"abstract":"The human myiasis or infestation of larvae of various species of fly bots is uncommon but interesting health challenge in some parts of the world. The basic knowledge of this disease, however, should be beneficial to clinicians across disciplines as a spectrum of manifestations involving various organs are described in the medical literature. The extremity involvement is rather uncommon and is often found with underlying associated conditions. The diagnosis and identification of the causative species is important for documentation and management. Clinical suspicion, wound lavage, dressing, and debridement are important steps in optimal management. Appropriate systemic pharmacotherapy is supplemented for quick recovery. Prevention, however, coupled with avoidance of predisposing factors is the best management in both community and health-care settings. As the disease is more commonly noted in lower socioeconomic conditions and rural settings, the working knowledge of this condition should come in handy in anticipating, suspecting, and thus diagnosing the condition early for a prompt recovery.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126586921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-01DOI: 10.4103/jssrp.jssrp_12_21
Raman K Kumar
The population of India is 1.380 billion. Sixty-five percent of the Indian population lives in rural habitat. However, the healthcare facilities are largely concentrated in urban areas. The first peak of the COVID pandemic peaked in September 2020 gradually declining till mid-February 2021. Rural India has often travel to urban centers for treatment and disease management. The second wave started in March and peaked with a daily number ranging more than 400,000 till May 10th. It is now spreading into rural India. The culture of access to healthcare among rural populations is different from the urban areas. Facilities and infrastructure are also scarce as compared to the urban areas.
{"title":"Protecting Rural India from COVID-19: Second wave 2021","authors":"Raman K Kumar","doi":"10.4103/jssrp.jssrp_12_21","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_12_21","url":null,"abstract":"The population of India is 1.380 billion. Sixty-five percent of the Indian population lives in rural habitat. However, the healthcare facilities are largely concentrated in urban areas. The first peak of the COVID pandemic peaked in September 2020 gradually declining till mid-February 2021. Rural India has often travel to urban centers for treatment and disease management. The second wave started in March and peaked with a daily number ranging more than 400,000 till May 10th. It is now spreading into rural India. The culture of access to healthcare among rural populations is different from the urban areas. Facilities and infrastructure are also scarce as compared to the urban areas.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"150 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116350927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-01DOI: 10.4103/jssrp.jssrp_8_21
Nishantadeb Ghatak, S. Saleem, Sudip Bhattacharya
Many newborns and infants on exclusive breastfeeding who appear to be healthy report to the emergency room with a sudden start of intense intermittent crying lasting 2-3 days with no obvious clinical explanation. They may also have moderate gaseous distension of the abdomen, abdominal wall contractions, and the refusal to sip their mothers' milk on occasion. Because the onset is rapid and is linked with abdominal distension, a surgical aetiology is frequently explored. Because vomiting is almost never present, the potential of obstruction is ruled out. Even so, an ultra-sonogram is frequently performed to rule out surgical causes of intermittent intussusception. What should be done in this situation? It is necessary to obtain a complete food history from the mother. Surprisingly, in clinical practice, almost all of these instances have a history of the mother eating chicken, mutton, or another spicy food within 24–48 hours after the onset of these atypical symptoms. Around the world, different societies have distinct dietary restrictions for nursing women. Caffeine, spicy meals, raw foods, cold foods, and sikhye are the most commonly self-restricted foods among Korean women. Cold, hot, and spicy meals are traditionally suggested to Asian moms to avoid because they are bad for both the mother and the infant. Similarly, foods such as pork, green chilies, and tomatoes are prohibited among Hispanic mothers despite the lack of supporting evidence. According to the research, maternal dietary components are eliminated in breast milk, either partially or completely. Some are well tolerated, while others cause GI intolerance or allergic reactions in the newborns gastrointestinal tract. Breastfeeding intolerance is characterised by abdominal bloating, colic, indigestion, and a change in stool colour, texture, and odour. More evidence-based study on this topic is needed, and it should be done briefly to help parents relieve their anxiety and save out-of-pocket medical expenses by ruling out surgical causes or emergency hospital visits or admissions.
{"title":"Infantile colic in exclusive breast feed babies: A clinical dilemma","authors":"Nishantadeb Ghatak, S. Saleem, Sudip Bhattacharya","doi":"10.4103/jssrp.jssrp_8_21","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_8_21","url":null,"abstract":"Many newborns and infants on exclusive breastfeeding who appear to be healthy report to the emergency room with a sudden start of intense intermittent crying lasting 2-3 days with no obvious clinical explanation. They may also have moderate gaseous distension of the abdomen, abdominal wall contractions, and the refusal to sip their mothers' milk on occasion. Because the onset is rapid and is linked with abdominal distension, a surgical aetiology is frequently explored. Because vomiting is almost never present, the potential of obstruction is ruled out. Even so, an ultra-sonogram is frequently performed to rule out surgical causes of intermittent intussusception. What should be done in this situation? It is necessary to obtain a complete food history from the mother. Surprisingly, in clinical practice, almost all of these instances have a history of the mother eating chicken, mutton, or another spicy food within 24–48 hours after the onset of these atypical symptoms. Around the world, different societies have distinct dietary restrictions for nursing women. Caffeine, spicy meals, raw foods, cold foods, and sikhye are the most commonly self-restricted foods among Korean women. Cold, hot, and spicy meals are traditionally suggested to Asian moms to avoid because they are bad for both the mother and the infant. Similarly, foods such as pork, green chilies, and tomatoes are prohibited among Hispanic mothers despite the lack of supporting evidence. According to the research, maternal dietary components are eliminated in breast milk, either partially or completely. Some are well tolerated, while others cause GI intolerance or allergic reactions in the newborns gastrointestinal tract. Breastfeeding intolerance is characterised by abdominal bloating, colic, indigestion, and a change in stool colour, texture, and odour. More evidence-based study on this topic is needed, and it should be done briefly to help parents relieve their anxiety and save out-of-pocket medical expenses by ruling out surgical causes or emergency hospital visits or admissions.","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116594916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-01DOI: 10.4103/jssrp.jssrp_3_21
G. Dharmshaktu
{"title":"Safe disposal of pins and wires removed from seropositive cases: An additional safety tip","authors":"G. Dharmshaktu","doi":"10.4103/jssrp.jssrp_3_21","DOIUrl":"https://doi.org/10.4103/jssrp.jssrp_3_21","url":null,"abstract":"","PeriodicalId":355285,"journal":{"name":"Journal of Surgical Specialties and Rural Practice","volume":"2012 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128077349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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