ABSTRACT
The incidence of burn injuries varies from country to country. Burn trauma has been one of the most devastating health problems for all the times. It requires a treatment process including a multidisciplinary approach by experienced burn surgeons and health care professionals in a well-equipped burn unit or center. The aim of this study was to ascertain and analyze the epidemiology and outcome in major burns patients at our center. Methods: This prospective study was conducted at Department of Surgery, Hamdard Institute of Medical Sciences and Research, Jamia Hamdard, New Delhi India from April 2017 to july 2019. A total of 627 patients were enrolled in study. The principal investigator obtained the variables of clinical histories from the admission records, case notes, operation details, anesthesia charts, and nursing monitoring charts. Help of a biostatistician was taken for data collection and analysis. The data collected were thoroughly cleaned and entered into MS-Excel spread sheets and analysis was carried out. Results: Patient in age group less than 15 yrs were 76 (12%), majority of the patients i.e. 514 (82%) were in age group between 15 and 45 years and only 37 patients(6%) were of age more than 45 years. Most common area of burn was the upper limb in our patients (39.78%), followed by head and neck (24.21%), lower limbs (26.49%) and anterior trunk (9.52%).Of the 627 patients, 167 patients (26.6%) had ARDS (Acute respiratory distress syndrome), 232 patients (37.0%) had septicemia, 465 patients (74.16%) had wound infection (as diagnosed by wound cultures), 123 patients (19.6%) had urinary tract infection, and 12 patients (1.9%) had clostridium difficile colitis. Total of 232(37%) patients died during their hospital stay. Discussion: Age and sex are essential elements of any epidemiological study.The age distribution seen in our study is in concordance with that seen in other studies . In our study 370/627 (59%) patients were males with a male to female ratio of about 1.5:1. Comparing data regarding the gender preponderance, our observations are in agreement with other authors. In our study most common area of burn was the upper limb in our patients (39.78%), followed by head and neck (24.21%), lower limbs (26.49%) and anterior trunk (9.52%). This finding of our study is similar to that of Sadeghi Bazargani et al. Conclusion: It is a well known fact that burns are serious but preventable accidents and without recognition of affecting factors we cannot plan any preventive program. Most victims of major burns come from poor, underdeveloped areas. These people have little formal education about burns and are either low skilled temporary workers or unemployed. So the knowledge of affecting factors in relation to demography and epidemiology of patients is a must for proper management of burn victims
ABSTRACT
Background: This study aimed to assess the reasons for which patients seek rhinoplasty, viz aesthetic, functional and psychosocial reasons. The study included 20 patients with traumatic, infective and congenital nasal deformities and were taken up for open septorhinoplasty. Methods: This study was carried out in the Department of Surgery at Hamdard Institute of Medical Sciences and Research, Jamia Hamdard, New Delhi. The duration of study was from April 2017 to May 2018. It was a prospective study. All the patients who underwent open septorhinoplasty were assessed for outcome using Alsarraf questionnaire. Other patient data including demographic data, comorbid conditions etc were considered. Results: After completion of surgeries patients were subjected to the questions of the questionnaire and final results were noted. Results were also assessed on the basis of comparative photographs, both taken pre and post operatively. Conclusions: Based on the conducted studies and after analysis of available literature, it may be concluded that functional and aesthetic results after open septorhinoplasty have an influence on quality of life of the patients. This study includes all the three aspects ie, aesthetic, functional and psychosocial, for which most of the patients seek rhinoplasty and the results of our study is comparable to various other studies.
ABSTRACT
Background: To compare the effectiveness, side effects, and patient satisfaction of buccal versus vaginal misoprostol administration in first trimester abortions.Methods: Women opting for first trimester abortion received oral Mifepristone followed 48 hours latermisoprostol. Group A received Misoprostol via buccal route whereas group B received Misoprostol vaginally. A comparative analysis using SPSS was done.Results: Giving 800µg Misoprostol by either buccal or vaginal route after oral Mifepristone have comparable efficacy in terms of complete abortion rate (96% in buccal group versus 98% in vaginal group; p value = 0.495), failure rate being statistically similar (4% versus 2%). Drug abortion interval was comparable in the two groups. (11.16 hour in buccal group and 12.32 hours in vaginal group). Few side effects like nausea and vomiting, shivering, diarrohea was significantly higher with vaginal Misoprostol while abdominal cramps, altered taste were found more with the buccal group.Conclusions: Buccal Misoprostol is comfortable and easier to administer when compared to other routes and it has potential to be developed as a self-administered regimen. Buccal Misoprostol is as efficacious as vaginal Misoprostol with significantly lesser side effects up to 7 weeks of period of gestation.