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COMPARISON OF POST-OPERATIVE OUTCOMES OF MASS CLOSURE CONTINUOUS TECHNIQUE VS HUGHES REPAIR IN PATIENTS UNDERGOING EXPLORATORY LAPAROTOMY 在接受探查性开腹手术的患者中,大规模连续缝合技术与 Hughes 修复术的术后效果比较
Pub Date : 2024-04-20 DOI: 10.54112/bcsrj.v2024i1.807
SS Ullah, Murk Hiraj, MF SHAH, M. Zakria, M. Shahid
Surgical techniques for abdominal closure following exploratory laparotomy play a crucial role in determining postoperative complications. The mass closure continuous approach and Hughes repair are commonly employed methods with unique characteristics and outcomes. Objective: This retrospective comparative study aimed to evaluate the incidence of postoperative complications associated with the mass closure continuous approach and Hughes repair in patients undergoing exploratory laparotomy. Methods: The study was conducted at Nishtar Hospital Multan from July 2023 to December 2023. A total of 50 patients aged between 18 and 60 years of both genders, undergoing exploratory laparotomy, were included through non-probability sampling. Patients were treated either with the mass closure continuous technique or Hughes repair for abdominal closure. The mean operative time for each technique was recorded. The incidence of postoperative complications, including incisional hernia, wound infection, abdominal burst, and seroma, was assessed. Statistical analysis was performed using appropriate methods. Results: The mean operative time for the mass closure continuous technique was 16.32±2.1 minutes, significantly lower than that of Hughes repair (p<0.0001). Patients treated with Hughes repair demonstrated a significantly lower incidence of incisional hernia, wound infection, abdominal burst, and seroma compared to those treated with the mass closure continuous technique. Conclusion: Hughes's repair technique for abdominal closure following exploratory laparotomy is associated with reduced occurrence of postoperative complications, including incisional hernia and wound-related issues. Therefore, it may be considered a safe and effective option for abdominal closure in these patients.
探查开腹手术后的腹腔闭合手术技术在决定术后并发症方面起着至关重要的作用。大块闭合连续方法和休斯修补术是常用的方法,具有独特的特点和结果。研究目的这项回顾性比较研究旨在评估探查性开腹手术患者采用大块连续闭合法和休斯修补术相关术后并发症的发生率。研究方法研究于 2023 年 7 月至 2023 年 12 月在木尔坦的 Nishtar 医院进行。通过非概率抽样,共纳入了 50 名年龄在 18 至 60 岁之间、接受开腹探查术的男女患者。患者接受了大块腹腔闭合连续技术或休斯腹腔闭合修补术。记录了每种技术的平均手术时间。评估了术后并发症的发生率,包括切口疝、伤口感染、腹部破裂和血清肿。采用适当的方法进行统计分析。结果体块闭合连续技术的平均手术时间为(16.32±2.1)分钟,明显低于休斯修补术(P<0.0001)。采用休斯修补术治疗的患者切口疝、伤口感染、腹部破裂和血清肿的发生率明显低于采用大块缝合连续技术治疗的患者。结论休斯修补技术用于探查性开腹手术后的腹腔闭合,可减少术后并发症的发生,包括切口疝和伤口相关问题。因此,该技术可被视为此类患者腹腔闭合术的一种安全有效的选择。
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引用次数: 0
IMPACT OF AGING AND STRESS ON THE PERIODONTAL HEALTH OF THE GERIATRIC POPULATION BEFORE AND AFTER PERIODONTAL TREATMENT IN OLD HOMES OF KARACHI, PAKISTAN 巴基斯坦卡拉奇养老院牙周治疗前后老龄化和压力对老年人牙周健康的影响
Pub Date : 2024-04-19 DOI: 10.54112/bcsrj.v2024i1.800
U. Mushtaque, A. Iqbal, A. Naveed, AA Ali, E. Shahzad, I. Aslam
Age and stress-related periodontal diseases are prevalent in the geriatric population and continue to provide a significant epidemiological concern. Objective: To assess the impact of ageing and stress on the periodontal health of the senior population before and after periodontal treatment Method: A cross-sectional study was conducted between February and October 2023. Twenty-two senior patients aged 55 to 77 were selected through purposeful random sampling, excluding those unwilling or unable to participate. A semi-structured questionnaire, translated into the native language, assessed periodontal health using the Basic Periodontal Examination (BPE). Informed consent was obtained from participants, who were assured confidentiality and the right to withdraw. Data analysis was performed using SPSS version 23, employing mean and standard deviation for continuous data and frequency tables for categorized data. Cross-tabulation and significance testing were utilized to demonstrate associations. Results: The results of the prevailing cross-sectional study reveal that there exists an association between moderate to elevated levels of perceived stress and the manifestation of severe instances of periodontal disease. As per the study findings, periodontitis tends to afflict individuals across older adult age demographics. Conclusion: The study emphasised that stress and ageing are key risk factors for periodontal diseases, underlining the importance of addressing them during therapy. Consistent oral hygiene can prevent periodontitis in older adults.
与年龄和压力有关的牙周病在老年人群中很普遍,并继续成为一个重要的流行病学问题。研究目的评估老龄化和压力在牙周治疗前后对老年人群牙周健康的影响:在 2023 年 2 月至 10 月期间进行了一项横断面研究。通过有目的的随机抽样,排除不愿意或无法参与的患者,选取了 22 名 55 至 77 岁的高龄患者。研究人员将半结构式问卷翻译成当地语言,使用基本牙周检查(BPE)评估牙周健康状况。调查获得了参与者的知情同意,并向他们保证了保密性和退出调查的权利。数据分析采用 SPSS 23 版本,连续数据采用平均值和标准差,分类数据采用频数表。交叉表和显著性检验用于证明相关性。结果横断面研究结果显示,中度至高度的压力感知与严重牙周病的表现之间存在关联。根据研究结果,牙周炎往往困扰着不同年龄段的老年人。结论该研究强调,压力和老化是牙周病的主要风险因素,强调了在治疗过程中解决这些问题的重要性。坚持口腔卫生可以预防老年人牙周炎。
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引用次数: 0
FREQUENCY OF LOW BACK PAIN AND ITS IMPACT ON MEDICAL STUDENTS OF BILAWAL MEDICAL COLLEGE: A RETROSPECTIVE SURVEY 腰痛的频率及其对比拉瓦医学院医学生的影响:回顾性调查
Pub Date : 2024-04-19 DOI: 10.54112/bcsrj.v2024i1.765
S. Baloch, W. Durani, RZ Durani, Z. Ali, M. Riyyan, HA Chania, S. Sajid, M. Fatima, S. Kumar, B. Ali, F. Laghari, A. Laghari, A. Lashari, M. Bughio, R. Rai, J. Bhatti, M. Jumman
Low back pain (LBP) is a significant health and economic problem among populations in high-resource countries. LBP is one of the prevalent complaints among all age groups. Objective: To assess the frequency of low back pain (LBP) among medical and its impact on their daily activities and life while exploring potential associations with socio-demographic factors, exercise habits, pain-relieving consumption, history of spine trauma, and body mass index (BMI) Methods: A retrospective survey was conducted at Bilawal Medical College (BMC) among first year to final year MBBS students. Data was collected during the period of January 2022 to February 2023 using a questionnaire created on Google Form that included questions regarding the information on socio-demographic characteristics and factors such as exercise, pain-relieving consumption, any history of spine trauma, specific questions pertaining to LBP pain frequency and issues. Results: A total of 62 medical students participated in the study, of which about half were in their fourth year (50.0%), followed by the third year (20.9%) of medical school. The 20–24 age group accounted for most individuals (64.5%), followed by the 25–30-year-old age group (33.9%). Only 25.8% of the participants were overweight, defined as having a BMI of more than 25 kg/m2. Conclusion: It was concluded that low back pain is one of the most frequent health crises among medical students. Students from senior academic years reported more frequent lower back pain, which was highly significant due to increased mental stress and increased physical strain due to clinical learning. Additionally, it was found that there is no potential link between BMI and a history of spine trauma on the frequency of lower back pain or its impact on the medical student's life and their daily activities.
腰背痛(LBP)是高资源国家人口中一个严重的健康和经济问题。腰背痛是各年龄段人群的普遍主诉之一。目的评估医务人员腰背痛(LBP)的频率及其对日常活动和生活的影响,同时探讨其与社会人口因素、运动习惯、止痛消费、脊柱外伤史和体重指数(BMI)之间的潜在关联:比拉瓦医学院(BMC)对医学学士学位一年级至毕业班学生进行了回顾性调查。数据收集时间为 2022 年 1 月至 2023 年 2 月,采用谷歌表格制作的调查问卷,其中包括有关社会人口学特征和因素的问题,如运动、止痛消费、脊柱外伤史、有关枸杞痛频率和问题的具体问题。结果共有 62 名医学生参与了研究,其中约一半是医学院四年级学生(50.0%),其次是三年级学生(20.9%)。20-24岁年龄段的学生最多(64.5%),其次是25-30岁年龄段的学生(33.9%)。只有 25.8% 的参与者超重,即体重指数超过 25 kg/m2。结论结论是腰背痛是医学生最常见的健康危机之一。高年级学生报告腰背痛的频率更高,这与临床学习导致的精神压力和身体负荷增加有很大关系。此外,研究还发现,体重指数(BMI)和脊柱外伤史与腰背痛的发生频率及其对医学生生活和日常活动的影响之间没有潜在联系。
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引用次数: 0
STUDY OF GENETIC VARIABILITY IN CHICKPEA GERMPLASM AND ITS CONTRIBUTION TOWARDS GENETIC ADVANCEMENT 研究鹰嘴豆种质的遗传变异及其对遗传进步的贡献
Pub Date : 2024-04-18 DOI: 10.54112/bcsrj.v2024i1.798
KL Cheema, S. Sardar, MA Amin, A. Hussain, J. Iqbal, A. Batool, T. Munir, S. Akbar, I. Rasool, A. Aziz, T. Majeed
Genetic variability is a pre-requisite to develop novel varieties in crop plants and to strengthen crop breeding programs at Research institutes. For this purpose, the genetic variability of nineteen chickpea genotypes was evaluated at Pulses Research Institute Faisalabad, Ayub Agricultural Research Institute during the Rabi season 2020-2021. The data were analyzed using D2 statistics, measured coefficient of variation, range, and standard deviation of various morphological traits of genotypes expressed significant value of variability. Seven principal components (PC) were extracted from the data by principal component analysis. Eigenvalues of the first two components were recorded>1 pointing out that these components have a major share in genetic variability. Data also expressed that no. of pods per plant (0.47) and root length (0.48) and plant height (0.48) and root length have the highest positive contribution of PC1 and PC2 respectively. In cluster - 1V genotypes with higher yield potential were grouped, therefore the members of cluster- 1V (D19025, D-19029, D-19036, and Bittle-2016) possessing higher grain yield along with sufficient amount of genetic diversity that can be incorporated into the genetic improvement program of chickpea.
基因变异性是开发作物新品种和加强研究所作物育种计划的先决条件。为此,费萨拉巴德豆类研究所(Pulses Research Institute Faisalabad)和阿尤布农业研究所(Ayub Agricultural Research Institute)在 2020-2021 年 Rabi 季节对 19 个鹰嘴豆基因型的遗传变异性进行了评估。采用 D2 统计法对数据进行了分析,测得的基因型各种形态性状的变异系数、范围和标准偏差表达了显著的变异值。通过主成分分析从数据中提取了七个主成分(PC)。前两个成分的特征值大于 1,表明这些成分在遗传变异中占主要份额。数据还表明,每株豆荚数(0.47)和根长(0.48)以及株高(0.48)和根长分别对 PC1 和 PC2 有最大的正贡献。在第 1V 组中,具有较高产量潜力的基因型被分组,因此第 1V 组的成员(D19025、D-19029、D-19036 和 Bittle-2016)具有较高的谷物产量和足够的遗传多样性,可纳入鹰嘴豆的遗传改良计划。
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引用次数: 0
CONJUNCTIVITIS INFECTION: A BRIEF REVIEW ON ITS CLASSIFICATION, ETIOLOGY AND THERAPEUTIC INTERVENTIONS 结膜炎感染:简要回顾其分类、病因和治疗措施
Pub Date : 2024-04-17 DOI: 10.54112/bcsrj.v2024i1.780
M. Zulfiqar, S. Rafique, A. Habib, A. Qader, A. Asghar, R. Riaz
Conjunctivitis is a common inflammatory disease in humans, and it has different types of categories, such as acute, chronic, infectious, and noninfectious. Conjunctivitis may break as an epidemic in different areas of the world. It causes discomfort in the eyes. Some signs and symptoms like redness of the eye, eye discharge, grittiness of the eyes, and lashes sticking together may appear. Based on etiologic agents, conjunctivitis is classified as viral conjunctivitis, bacterial conjunctivitis, allergic conjunctivitis, follicular conjunctivitis, and neonatal conjunctivitis. It may be due to contact with people having eye infections. Many strains of bacteria, viruses, and allergens cause different types of conjunctivitis. Many treatment strategies are applied to treat various kinds of conjunctivitis worldwide. Usually, antibiotics are used for the treatment of conjunctivitis, such as ophthalmic ointments erythromycin, chloramphenicol, and fusidic acid treatment. As a home remedy, many people wash their eyes with normal saline and water to reduce the duration of eye diseases.
结膜炎是人类常见的炎症性疾病,分为急性、慢性、传染性和非传染性等不同类型。结膜炎可能在世界不同地区流行。结膜炎会引起眼睛不适。可能会出现一些症状和体征,如眼睛发红、眼屎多、眼睛发涩、睫毛粘在一起等。根据病原体,结膜炎可分为病毒性结膜炎、细菌性结膜炎、过敏性结膜炎、滤泡性结膜炎和新生儿结膜炎。结膜炎可能是由于与患有眼部感染的人接触所致。许多细菌、病毒和过敏原都会引起不同类型的结膜炎。世界上有许多治疗各种结膜炎的方法。治疗结膜炎通常使用抗生素,如红霉素眼膏、氯霉素眼膏和夫西地酸眼膏。作为一种家庭疗法,许多人用生理盐水和清水清洗眼睛,以缩短眼疾的病程。
{"title":"CONJUNCTIVITIS INFECTION: A BRIEF REVIEW ON ITS CLASSIFICATION, ETIOLOGY AND THERAPEUTIC INTERVENTIONS","authors":"M. Zulfiqar, S. Rafique, A. Habib, A. Qader, A. Asghar, R. Riaz","doi":"10.54112/bcsrj.v2024i1.780","DOIUrl":"https://doi.org/10.54112/bcsrj.v2024i1.780","url":null,"abstract":"Conjunctivitis is a common inflammatory disease in humans, and it has different types of categories, such as acute, chronic, infectious, and noninfectious. Conjunctivitis may break as an epidemic in different areas of the world. It causes discomfort in the eyes. Some signs and symptoms like redness of the eye, eye discharge, grittiness of the eyes, and lashes sticking together may appear. Based on etiologic agents, conjunctivitis is classified as viral conjunctivitis, bacterial conjunctivitis, allergic conjunctivitis, follicular conjunctivitis, and neonatal conjunctivitis. It may be due to contact with people having eye infections. Many strains of bacteria, viruses, and allergens cause different types of conjunctivitis. Many treatment strategies are applied to treat various kinds of conjunctivitis worldwide. Usually, antibiotics are used for the treatment of conjunctivitis, such as ophthalmic ointments erythromycin, chloramphenicol, and fusidic acid treatment. As a home remedy, many people wash their eyes with normal saline and water to reduce the duration of eye diseases.","PeriodicalId":504575,"journal":{"name":"Biological and Clinical Sciences Research Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140693776","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}
引用次数: 0
FREQUENCY OF THROMBOCYTOPENIA AMONG PATIENTS WITH CIRRHOSIS 肝硬化患者血小板减少的频率
Pub Date : 2024-04-17 DOI: 10.54112/bcsrj.v2024i1.797
.. Maaz, A. Hameed, S. Shah, N. Mazari, Y. Shabbir
Thrombocytopenia is a frequently observed condition in individuals suffering from liver cirrhosis. Objective: To find out the frequency of thrombocytopenia in patients with cirrhosis. Methodology: This cross-sectional study was conducted in the Department of Medicine, Khyber Teaching Hospital, Peshawar, from January 2022 to January 2023. All patients with cirrhosis of duration > six months, with ages of 18-60 years, both genders, and any grade of cirrhosis severity were included in the study. Patients with diseases like malaria, dengue fever, ITP and haematological malignancy, SLE, leukaemia, aplastic anaemia, or on drugs like quinine, penicillin, and digoxin were excluded from the study. Platelet counts were done by sending blood to the hospital laboratory. Result: Mean age was 47.43 ± 6.22 years, mean BMI was 25.29 ± 4.06 kg/m2, and mean disease duration was 14.86 ± 5.36 years. Males were 75 (53.1%), and females were 67 (46.9%). Thrombocytopenia was present in 108 (75.5%) and not in 35 (24.5%) patients. There was no association of age, gender, or Child-Pugh score with the occurrence of thrombocytopenia. Still, the increased BMI and increased disease duration were significantly associated with thrombocytopenia (p-value <0.05). Conclusion: There is quite a high prevalence of thrombocytopenia in patients with liver cirrhosis. The duration of the disease and increased BMI are significantly associated with the occurrence of thrombocytopenia. Further studies are recommended to have further proof.
血小板减少症是肝硬化患者经常出现的一种症状。目的了解肝硬化患者血小板减少的频率。研究方法:这项横断面研究于 2022 年 1 月至 2023 年 1 月在白沙瓦开伯尔教学医院医学部进行。所有病程超过六个月、年龄在 18-60 岁之间、男女不限、肝硬化严重程度不限的肝硬化患者均被纳入研究范围。患有疟疾、登革热、ITP、血液恶性肿瘤、系统性红斑狼疮、白血病、再生障碍性贫血等疾病,或正在服用奎宁、青霉素和地高辛等药物的患者不在研究范围内。血小板计数通过将血液送至医院实验室进行。研究结果平均年龄(47.43 ± 6.22)岁,平均体重指数(25.29 ± 4.06 kg/m2),平均病程(14.86 ± 5.36)年。男性 75 例(53.1%),女性 67 例(46.9%)。108名患者(75.5%)出现血小板减少,35名患者(24.5%)未出现血小板减少。血小板减少与年龄、性别或 Child-Pugh 评分没有关系。但是,体重指数(BMI)增加和病程延长与血小板减少显著相关(P 值<0.05)。结论肝硬化患者中血小板减少的发病率相当高。病程和体重指数的增加与血小板减少症的发生明显相关。建议开展进一步研究,以进一步证明这一点。
{"title":"FREQUENCY OF THROMBOCYTOPENIA AMONG PATIENTS WITH CIRRHOSIS","authors":".. Maaz, A. Hameed, S. Shah, N. Mazari, Y. Shabbir","doi":"10.54112/bcsrj.v2024i1.797","DOIUrl":"https://doi.org/10.54112/bcsrj.v2024i1.797","url":null,"abstract":"Thrombocytopenia is a frequently observed condition in individuals suffering from liver cirrhosis. Objective: To find out the frequency of thrombocytopenia in patients with cirrhosis. Methodology: This cross-sectional study was conducted in the Department of Medicine, Khyber Teaching Hospital, Peshawar, from January 2022 to January 2023. All patients with cirrhosis of duration > six months, with ages of 18-60 years, both genders, and any grade of cirrhosis severity were included in the study. Patients with diseases like malaria, dengue fever, ITP and haematological malignancy, SLE, leukaemia, aplastic anaemia, or on drugs like quinine, penicillin, and digoxin were excluded from the study. Platelet counts were done by sending blood to the hospital laboratory. Result: Mean age was 47.43 ± 6.22 years, mean BMI was 25.29 ± 4.06 kg/m2, and mean disease duration was 14.86 ± 5.36 years. Males were 75 (53.1%), and females were 67 (46.9%). Thrombocytopenia was present in 108 (75.5%) and not in 35 (24.5%) patients. There was no association of age, gender, or Child-Pugh score with the occurrence of thrombocytopenia. Still, the increased BMI and increased disease duration were significantly associated with thrombocytopenia (p-value <0.05). Conclusion: There is quite a high prevalence of thrombocytopenia in patients with liver cirrhosis. The duration of the disease and increased BMI are significantly associated with the occurrence of thrombocytopenia. Further studies are recommended to have further proof.","PeriodicalId":504575,"journal":{"name":"Biological and Clinical Sciences Research Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140694037","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}
引用次数: 0
PARTIAL MASTECTOMY IN A DAIRY BEETAL GOAT AFFECTED WITH A MAMMARY TUMOR – A CASE REPORT 乳腺肿瘤奶山羊的乳房部分切除术 - 病例报告
Pub Date : 2024-04-15 DOI: 10.54112/bcsrj.v2024i1.792
M. Asif, FU Rehman, M. Ali, D. Hussain, S. Iqbal, A. Ali, .. Nasrullah, A. Aziz, S. Khan, A. Jan
Mammary tumors are relatively common in dairy goats, negatively impacting production and farmers' economies. Irreversible loss of respective udder reduces milk yield or culling of the animals. In a current case report, A Beetal goat was presented at the UVAS surgery clinic with a udder tumor. After confirmation, a partial mastectomy was performed under general anesthesia and aseptic surgery. The neoplastic growth was resected, and surgery was completed. The overall health status of the animals was improved with an increase in milk yield during post-operative care and a follow-up period of 30 days. The surgical removal of udder tumor could be useful in small ruminants to restore udder health and milk production.
乳腺肿瘤在奶山羊中较为常见,对奶山羊的生产和农民的经济产生了负面影响。不可逆转的乳房缺失会降低产奶量或导致动物死亡。在当前的病例报告中,UVAS 外科诊所接诊了一只患有乳房肿瘤的贝塔尔山羊。经确认后,在全身麻醉和无菌手术下进行了乳房部分切除术。肿瘤切除后,手术结束。在术后护理和 30 天的随访期间,动物的总体健康状况有所改善,产奶量也有所提高。手术切除乳房肿瘤对小型反刍动物恢复乳房健康和产奶量很有帮助。
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引用次数: 0
COMPARISON OF SURGICAL SITE INFECTION BETWEEN DIABETIC AND NON-DIABETIC PATIENTS IN CLEAN SURGICAL PROCEDURES 清洁手术中糖尿病患者与非糖尿病患者手术部位感染的比较
Pub Date : 2024-04-12 DOI: 10.54112/bcsrj.v2024i1.805
RA Raja, MH Abbasi, Mru Taj, .. Talha, T. Qayyum
Surgical site infections (SSIs) are a major concern in healthcare, especially for individuals with diabetes. Diabetes can impair wound healing and weaken the immune system, increasing the risk of SSIs. Studying SSIs in diabetic versus non-diabetic patients undergoing clean surgeries is vital for improving patient care. Objective: The primary objective of this study was to investigate the incidence of surgical site infections (SSIs) in individuals with diabetes compared to those without diabetes who underwent clean surgical procedures. Methods: After the ethical approval from the institutional review board, this comparative study was conducted at Combined Military Hospital Jhelum from July 2022 to December 2023.  A consisted of people with diabetes (n=50), while Group B comprised patients who did not have diabetes (n=50). All patients were administered suitable antibiotics before surgery. Each patient received a singular intravenous dose of Ceftriaxone 1g, administered thirty minutes before initiating the initial incision. The patients were monitored for surgical site infections (SSI), defined as the presence of redness, fever, tenderness at the incision site, discharge from the surgical wound, or the development of an abscess within 28 days after surgery. Results: Most participants in both study groups underwent open ventral hernia repair procedures, 54% in group A and 58% in group B. Mean± S. D of the Hb1Ac levels of the participants in both groups was 8.46±1.16 and 4.14±1.01 (P=<0.0001). 58% of participants in Group A, while 22% in Group B had surgery-associated complications (p<0.0001). 30% of participants in Group A, while 10% in Group B had SSI (p<0.0001). Conclusion: Individuals with diabetes are more susceptible to experiencing higher rates of surgical site infection, especially in cases of procedures that are considered clean, in comparison to individuals without diabetes.
手术部位感染(SSI)是医疗保健领域的一个主要问题,尤其是对糖尿病患者而言。糖尿病会影响伤口愈合并削弱免疫系统,从而增加 SSI 的风险。研究接受清洁手术的糖尿病患者与非糖尿病患者的 SSI 情况对于改善患者护理至关重要。研究目的本研究的主要目的是调查接受清洁手术的糖尿病患者与非糖尿病患者的手术部位感染(SSI)发生率。研究方法在获得机构审查委员会的伦理批准后,这项比较研究于 2022 年 7 月至 2023 年 12 月在杰赫勒姆联合军事医院进行。 A组包括糖尿病患者(50人),B组包括非糖尿病患者(50人)。所有患者在手术前都接受了适当的抗生素治疗。每名患者在开始手术前 30 分钟静脉注射单剂量的头孢曲松(Ceftriaxone)1 克。对患者进行手术部位感染(SSI)监测,SSI 的定义是手术后 28 天内切口部位出现发红、发热、触痛、手术伤口有分泌物或出现脓肿。研究结果两组参与者 Hb1Ac 水平的平均值(± S. D)分别为 8.46±1.16 和 4.14±1.01 (P=<0.0001)。58% 的 A 组参与者和 22% 的 B 组参与者出现了手术相关并发症(P<0.0001)。30% 的 A 组患者出现了 SSI,而 10% 的 B 组患者出现了 SSI(P<0.0001)。结论与非糖尿病患者相比,糖尿病患者的手术部位感染率更高,尤其是在被认为是清洁的手术中。
{"title":"COMPARISON OF SURGICAL SITE INFECTION BETWEEN DIABETIC AND NON-DIABETIC PATIENTS IN CLEAN SURGICAL PROCEDURES","authors":"RA Raja, MH Abbasi, Mru Taj, .. Talha, T. Qayyum","doi":"10.54112/bcsrj.v2024i1.805","DOIUrl":"https://doi.org/10.54112/bcsrj.v2024i1.805","url":null,"abstract":"Surgical site infections (SSIs) are a major concern in healthcare, especially for individuals with diabetes. Diabetes can impair wound healing and weaken the immune system, increasing the risk of SSIs. Studying SSIs in diabetic versus non-diabetic patients undergoing clean surgeries is vital for improving patient care. Objective: The primary objective of this study was to investigate the incidence of surgical site infections (SSIs) in individuals with diabetes compared to those without diabetes who underwent clean surgical procedures. Methods: After the ethical approval from the institutional review board, this comparative study was conducted at Combined Military Hospital Jhelum from July 2022 to December 2023.  A consisted of people with diabetes (n=50), while Group B comprised patients who did not have diabetes (n=50). All patients were administered suitable antibiotics before surgery. Each patient received a singular intravenous dose of Ceftriaxone 1g, administered thirty minutes before initiating the initial incision. The patients were monitored for surgical site infections (SSI), defined as the presence of redness, fever, tenderness at the incision site, discharge from the surgical wound, or the development of an abscess within 28 days after surgery. Results: Most participants in both study groups underwent open ventral hernia repair procedures, 54% in group A and 58% in group B. Mean± S. D of the Hb1Ac levels of the participants in both groups was 8.46±1.16 and 4.14±1.01 (P=<0.0001). 58% of participants in Group A, while 22% in Group B had surgery-associated complications (p<0.0001). 30% of participants in Group A, while 10% in Group B had SSI (p<0.0001). Conclusion: Individuals with diabetes are more susceptible to experiencing higher rates of surgical site infection, especially in cases of procedures that are considered clean, in comparison to individuals without diabetes.","PeriodicalId":504575,"journal":{"name":"Biological and Clinical Sciences Research Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140712296","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}
引用次数: 0
THE OUTCOME OF ANTIBIOTICS VS OPEN APPENDECTOMY FOR ACUTE NON-PERFORATED APPENDICITIS 抗生素与开腹阑尾切除术治疗急性非穿孔性阑尾炎的疗效比较
Pub Date : 2024-04-10 DOI: 10.54112/bcsrj.v2024i1.804
RA Raja, MH Abbasi, Mru Taj, .. Talha, T. Qayyum
Acute appendicitis is a common surgical emergency. While appendectomy has been the conventional treatment for this condition, recent advancements in antibiotic therapy have led to exploring the use of antibiotics as a non-surgical alternative for treating non-complicated acute appendicitis. Objective: The objective of the present study was to compare the outcomes of administering antibiotics and performing emergency appendicectomy in a cohort of individuals diagnosed with non-perforated acute appendicitis based on CT evaluation. Methods: After the ethical approval from the institutional review board, this randomised control trial was conducted at Combined Military Hospital Jhelum from July 2022 to December 2023. The patients were randomly assigned, using a closed envelope method, to either have open appendectomy (Group A, n=60) or receive antibiotic therapy (Group B, n=60) with intravenous ertapenem. Open appendectomy was conducted utilising the McBurney technique. The patient’s outcomes were assessed during their hospitalization period, specifically on days 0, 1, and 2, and by telephone interviews one week and two months following the intervention. Pain scores were collected at two specific time points, one week and two months after randomisation, utilising a visual analogue scale (VAS). Results: No significant differences were observed in the baseline characteristics in both groups. Mean± S.D of the pain experience of the study participants in both groups was 4.16±1.04 and 3.68±1.02 (days) (P value=0.008). Mean± S.D of the hospital stay of the study participants in both groups was 3.13±0.87 and 3.16±0.83 (days) (P value=0.843). A significant difference in the VAS score was observed (p <0.0001) in the participants of both groups at discharge and after a one-week follow-up period. Conclusion: The findings of the study indicate that a significant proportion of individuals who received antibiotic therapy for non-perforated acute appendicitis did not necessitate the surgical procedure of appendectomy within the two-month post-treatment observation period.
急性阑尾炎是一种常见的外科急症。虽然阑尾切除术一直是治疗这种疾病的传统方法,但近年来抗生素疗法的进步促使人们开始探索使用抗生素作为治疗非并发急性阑尾炎的非手术替代方法。研究目的本研究旨在比较根据 CT 评估确诊为非穿孔性急性阑尾炎的一组患者使用抗生素和实施急诊阑尾切除术的结果。研究方法在获得机构审查委员会的伦理批准后,本随机对照试验于 2022 年 7 月至 2023 年 12 月在杰赫勒姆联合军事医院进行。采用封闭信封法随机分配患者接受开腹阑尾切除术(A 组,n=60)或静脉注射厄他培南的抗生素治疗(B 组,n=60)。开腹阑尾切除术采用麦克伯尼技术。在患者住院期间,特别是住院第 0、1 和 2 天,以及干预后一周和两个月通过电话访谈对患者的治疗效果进行了评估。在随机分配后一周和两个月的两个特定时间点,使用视觉模拟量表(VAS)收集疼痛评分。结果显示两组的基线特征无明显差异。两组参与者疼痛体验的平均值(± S.D)分别为 4.16±1.04(天)和 3.68±1.02(天)(P 值=0.008)。两组患者住院时间的平均值(± S.D)分别为 3.13±0.87(天)和 3.16±0.83(天)(P 值=0.843)。两组患者在出院时和一周随访后的 VAS 评分均有明显差异(P <0.0001)。结论研究结果表明,相当一部分接受抗生素治疗的非穿孔性急性阑尾炎患者在治疗后两个月的观察期内无需进行阑尾切除手术。
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引用次数: 0
ASSESSMENT OF ATTITUDES OF NURSING STAFF TOWARDS FEMALE OBESE PATIENTS 评估护理人员对肥胖女病人的态度
Pub Date : 2024-04-10 DOI: 10.54112/bcsrj.v2024i1.802
R. George, S. Bashir, QU Nisa
Obesity is a pervasive healthcare challenge impacting patient care and outcomes. Despite the crucial role of nurses in patient management, stigmatising attitudes towards obesity among nurses remain inadequately explored, particularly concerning female obese patients. Objective: This cross-sectional study aimed to assess nurses' stigmatising attitudes towards female obese patients and explore associated factors. Methods: The current study was conducted at Nishter Medical College and Hospital, Multan, from January 2022 to January 2023. It involved 100 nurses. A structured questionnaire gathered demographic data and utilised the Fat Phobia Scale (FPS) to gauge attitudes towards obesity. Data analysis employed descriptive and inferential statistics, including chi-square tests and regression analysis. Results: Predominantly female participants (70%) with a mean age of 32.5 years and an average experience of 8.2 years were included. The mean FPS score was 3.2, indicating moderate stigmatising attitudes towards obesity. Regression analysis revealed significant predictors of attitudes towards obesity, with years of experience and educational background playing key roles (p < 0.05). Conclusion: The findings underscore moderate levels of stigmatising attitudes towards female obese patients among nurses. Addressing these attitudes through targeted educational interventions and professional development initiatives holds promise for enhancing patient care and outcomes.
肥胖是一项普遍存在的医疗挑战,影响着患者护理和治疗效果。尽管护士在患者管理中扮演着重要角色,但护士对肥胖的鄙视态度仍未得到充分探讨,尤其是对女性肥胖患者。研究目的本横断面研究旨在评估护士对女性肥胖患者的鄙视态度,并探讨相关因素。研究方法本研究于 2022 年 1 月至 2023 年 1 月在木尔坦的 Nishter 医学院和医院进行。共有 100 名护士参与。结构化问卷收集了人口统计学数据,并利用 "脂肪恐惧症量表"(FPS)来衡量人们对肥胖的态度。数据分析采用了描述性和推论性统计方法,包括卡方检验和回归分析。研究结果参与者主要为女性(70%),平均年龄为 32.5 岁,平均工作年限为 8.2 年。平均 FPS 得分为 3.2,表明对肥胖持中度鄙视态度。回归分析显示,对肥胖的态度有重要的预测因素,其中工作年限和教育背景起着关键作用(p < 0.05)。结论研究结果表明,护士对肥胖女病人的鄙视态度处于中等水平。通过有针对性的教育干预和专业发展计划来解决这些态度问题,有望改善患者护理和治疗效果。
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Biological and Clinical Sciences Research Journal
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