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Background: Acute respiratory infections (ARIs) are the leading cause of death among children less than 5 years in India. Poverty and malnutrition underlie both the high incidence and deaths of young children from pneumonia in SEAR countries.Methods: A hospital based prospective observational study was conducted in a tertiary care hospital. A total of 200 children admitted with signs of ALRI were included in the study. A portable oximeter was used to measure oxygen saturation with an appropriately sized sensor on the finger or the toe. Weight was recorded on a standardized digital weighing scale and plotted on standard WHO weight for age chart. Chi-square test was used to test the significance.Results: Out of 200 children studied hypoxemia was present in 90 children with a percentage of 45% and absent in 110 children with a percentage of 55%. Out of 90 children who had hypoxemia, 40 children had weight less than 3rd centile. Out 110 children who had did not have hypoxemia, only 24 children had weight less than 3rd centile. It was observed that children with Weight for age less than 3rd centile according to standard WHO charts had higher incidence of hypoxemia. This correlation was statistically significant at p value of 0.001.Conclusions: Based on the results of this study hypoxemia is widely prevalent in children aged between six months to five years presenting with acute lower respiratory tract infection. There was significant correlation with weight and hypoxemia in children aged between six months to five years with acute lower respiratory tract infection.
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Introduction: Acute appendicitis is the most common surgical emergency faced in today’s world. The inguinal hernia is the most common type of hernia seen in surgical practice. It can be of a direct and an indirect type. While the indirect type has a congenital cause, direct hernias are attributable to the weakness of abdominal wall musculature. Aim: This study aims to study the prevalence of right (direct) inguinal hernia in patients who underwent open surgery for appendicitis. Materials and Methods: In this retrospective study, 100 patients who underwent surgery for the right direct inguinal hernia were included in the study. Patients’ demographic details, history of open appendectomy, and the clinical presentation were collected. The examination consisted of inspection, palpation, percussion, and auscultation and included various tests such as cough impulse and three-finger test. These findings were later confirmed with an ultrasound abdomen examination. Results: Among these 100 patients, 13 of them had the previous history of open appendectomy, all the study patients were male and they had the right direct inguinal hernia after 5 years of surgery. Among these 13 patients, 10 had perforated appendicitis, 2 had abscess, and 1 had purulent appendicitis. Among these 13, 11 of them had cosmetic Rutherford Morrison or Lanz incision and 2 of them had classical McBurney’s incision. Conclusion: The choice of the incision during open appendectomy is important and the surgeon should avoid injury to the ilioinguinal nerve motor branches which supplies the internal oblique and transverse abdominis muscles, care must be taken during surgery, especially below the horizontal line extending from the anterosuperior iliac spine to the rectus muscle.
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Introduction: Intubating trachea and securing the airway remain a challenge although it is a routine practice for theanesthesiologist. Failure to successfully intubate the trachea remains a leading cause of morbidity and mortality in anestheticand emergency setting.Aim: This study aims to compare the intubating conditions in adult surgical patients using Airtraq optical laryngoscope withMacintosh laryngoscope with respect to ease of intubation, the time taken for intubation, airway trauma, and hemodynamicresponse to laryngoscopy.Methods: In a single-center, prospective, randomized, parallel group, open-label, interventional study, 40 adult patients postedfor surgery under general anesthesia need of endotracheal intubation were recruited and allocated into two groups: Group A(n = 20) intubated with Airtraq laryngoscope and Group B (n = 20) intubated with conventional Macintosh laryngoscope instandard intravenous induction.Results: Mean duration of intubation with the Airtraq group was 15.93 s, whereas in the Macintosh group, it was found to be38.70 s (P < 0.0001). The increase in mean heart rate from the pre-induction to post-intubation in Airtraq group was 20.9/min,whereas in Macintosh group was 31.9/min. The increase in mean arterial pressure from pre-intubation to post-intubation inAirtraq group was 12.6 mmHg, whereas in Macintosh group was 30.3 mmHg. Three patients in the Macintosh group and twopatients in the Airtraq group experienced trauma to the airways (P = −0.958).Conclusion: A study concluded that endotracheal intubation is easier, less time is taken for intubation, less trauma, and lesshemodynamic response when using Airtraq laryngoscope than Macintosh laryngoscope.
ABSTRACT
Background: Stress has become common among the working people in this era. This may lead to further dire psychological consequences such as anxiety, depression etc. India being the information technology (IT) hub with lakhs involved as IT Professionals, there is a need to assess prevalence of professional stress. Not many studies have been conducted regarding this research topic in urban areas. Hence, this study has been exclusively done in Coimbatore which is an urban area in which IT is still developing. Aim of the study was to assess the stress levels of IT professionals in a software company in urban Coimbatore, Tamil Nadu.Methods: Cross–Sectional Study based on a validated questionnaire based on professional life stress scale (PLSS).Results: Out of the 105 employees interviewed 68% were in mild degree of stress. The remaining 32% had moderate degree of stress and none of the participants had high degree of stress.Conclusions: India being a leading sector in IT, its development largely depends on its employees’ physical and mental health. Occupational stress (job stress/work stress) need to be kept harnessed and minimized to provide conducive work environment in the organization.