ABSTRACT
The aim of this clinical research was to assess the pattern of injection addiction [substance abuse] in a group of hospital attenders, 'which is a common addiction among medical and it's a related profession. Clinical cross-sectional study. Psychiatric out patients clinics of Liaquat University Hospital and Sir Cowasjee Jehanghir, Institute of Psychiatry, Hyderabad, Sindh, Pakistan from 1[st], January 2009 to 30[th], June, 2009. 59patients [47 male and 12 female cases] were diagnosed on DSM-IV[1] diagnostic Criteria for substance abuse to establish diagnosis and the socio-derno graphic data was collected on semi structure proforma of the study. The male cases dominated the study [79.66%] as compared to female cases [20.33%] which is significant [p-value < 0.02] while 34 cases [57.62%] were from the medical and its related professions like medical representatives, medical store owners and hospital staff and result is significant [P- 0.005 +/- SD]. 11 cases [18.64%] were the results of surgical intervention for acute pains and other surgical reasons, leading to injection addiction and is significantly positive [P-value < 0.02], while 05 patients [8.47%] were chronic drug addicts used the injections for escalation purpose. This study reflects the existence of injection addiction among medical professionals but seems to be less frequent in the community. This is alarming situation in the community for psychosocial attitudinal considerationwhile selecting the profession high as in surgical in-patients. [32.3% and about three and half times as compared to gynecological patients [18.4%]
Subject(s)
Humans , Male , Female , Injections , Health OccupationsABSTRACT
The purpose of the study was to evaluate darn repair in terms of morbidity and recurrence rate. Descriptive study. Combined Military Hospital, Muzaffarabad from February 1997 to April 2001. Four hundred and sixty-five consecutive patients above the age of 20 years, with primary inguinal hernia underwent darn repair using polypropylene suture. Two hundred and forty-two patients were operated under spinal anaesthesia, 100 under local anaesthesia while 123 patients had general anaesthesia. Patients were examined on 7th and 12th postoperative day for early complications. Subsequently, they were examined at third month, six-month and then yearly for three years. Mean age in our study was 52 years [range 20-75]. Indirect hernia was present in 305 [65.5%] patients while 160[34.5%] patients had direct hernia. There were 11 [2.4%] postoperative wound infections. Three [0.6%] patients had hematoma formation. Twenty-one [4.5%] patients went into postoperative urinary retention. Three [0.6%] patients developed recurrence; all these patients were among those who had postoperative wound infection. There was no seroma formation. None of the patients developed any testicular complication or postoperative hydrocele. There was no case of dysejaculation or chronic residual neuralgia. It can be concluded from our results that darn repair using non-absorbable suture is safe procedure. It is easily performed and has a very low recurrence rate which is comparable to any other procedure for primary inguinal hernia