RESUMO
Background: The present study was conducted to know the distribution of various health problems among doctors and to assess professional and financial satisfaction levels among doctors. Methods: A Google Form questionnaire-based cross-sectional study was conducted among 122 doctors in Vadodara selected purposively after taking consent. Google form was circulated by email and WhatsApp groups. The form consisted of questions related to demographic details, health problems, financial and job satisfaction. All the responses were recorded and analyzed in MS Excel 2019. Results: Among the 122 doctors, 89 (72.95%) were male and 33 (27.04%) were female and 101 (82.78%) doctors were taking treatment for some ailment. Around 86.9% of doctors regularly opt for a health check-up. Among the health problems reported by doctors, the most common were musculoskeletal ailments (72.13%) followed by hypertension (28.9%), diabetes (17.2), cardiac (12.3%), endocrinal (10.65%), eye (9.01), mental (6.55) problems. Approximately 37.70% of doctors answered that health problems temporarily affect their work; 5.73% of doctors felt the need to modify their work pattern. About 91.80% of doctors were satisfied by their profession, while 108 (88.52%) doctors were financially satisfied with their work. Conclusion: More than half of the professionals complained of musculoskeletal problems. The majority of health care professionals were professionally and financially satisfied.
RESUMO
Background: In spite of the ongoing Universal immunization program (UIP), National family health survey data shows declining trend in the number of children fully immunized in Maharashtra. Hence this study was undertaken to determine immunization status in 12-23 months age children admitted to pediatric wards of a tertiary care hospital and factors affecting it.Methods: A prospective, cross sectional study was carried out in which children between 12-23 months age admitted to paediatric wards of a tertiary care hospital were included. Immunization history for Universal immunization program vaccines and socio-demographic information was collected and analysed to find the immunization status and its correlation with various demographic factors.Results: Of total 418 children, 70.3% were completely immunized, 27.8% incompletely immunized and 1.9% unimmunized. Majority were immunized in government centers. 83.3% subjects were of 1st/2nd birth order, 90.4% were delivered institutionally and 76.1% were delivered vaginally. Around half of the children’s fathers and mothers were illiterate. Only father was employed in 75.4% while both parents were employed in 23.4%. Birth order, place of delivery, mode of delivery, father and mother’s education and employment status were statistically associated with immunization while gender, presence of immunization card, migrant status and place of immunization were not associated. Reasons for incomplete immunization included lack of knowledge about immunization and ‘child not well’ at time of immunization.Conclusions: Even in a population with health seeking behaviour almost one third of the children were incompletely immunized. Special efforts are required for finding groups of children with high chances of being incompletely immunized.
RESUMO
Background: Audit of transfusion practices in pediatric patients was performed to study indications, clinical profile and whether transfusions were in accordance to guidelines.Methods: Retrospective analysis of all episodes of transfusions from a tertiary care centre was done. The study period was from January 2018 to December 2018.Patients in the age group of 4 months to 12 years were enrolled in the study. The data was reviewed according to the British Committee for Standards in Haematology guidelines for transfusion.Results: During the study period of 12 months,168 units of hemocomponents were transfused to children, 66.07% (111/168) of the total products transfused were packed red cell units, followed by 36 units (21.42%) of fresh frozen plasma and 21 units (12.5%) platelets. Overall usage of blood components was found to be appropriate in 58.33% (98/111). Red blood cells were the most appropriately transfused (64.86 %) (72 units out of 111) blood product as compared to 42.85% of platelets (9/21) and 47.22% of FFP (17/36).Conclusions: Most frequently transfused blood components are red blood cells in pediatrics. Inappropriate transfusion of blood components is hinders the utility of this valuable resource, Thus it becomes necessary to conduct regular audit of blood component transfusion for optimum utilization.