RESUMO
Objective: the purpose of this study is to assess health status, needs and available services of the community
Material and Methods: it was a cross sectional study of 50 participants, studying medical/public health in various institutes, belonging to different areas of Punjab. In addition to collecting basic demographic details, questions were asked to assess the health. Needs [in their particular community area]. All the data were noted down on a short structured questionnaire. Categorical data were presented as percentages and in form of graphs while descriptive and frequency distribution was used for quantitative analyses
Results: there were an equal proportion of males and females in our respondents. The mean age of our respondent was 23+/-2 years. Out of total 50 respondents only 40 had access to health facility within 5 km range. Only 25 [50%] participants responded a satisfactory health status of their family. 43 participants responded to their family disease status as chronic diseases and 07 responded as infectious diseases. Allopathic treatment was the most preferred one. 55% of the participants responded that they had sufficient access to health facilities in their areas. With respect to improvement in health needs 85% participants responded that they need improvement in health facilities in their communities
Conclusions: a significant proportion of the participants responded to their family disease status as chronic diseases which may be due to changing patterns and exposure to certain risk factors. Awareness regarding health needs was demonstrated by only 40% of the participants in their respective communities. This information demonstrates that family health is still an important indicator of health need assessment and needs to be evaluated
RESUMO
Objective: the aim of the study is to see the effect of aortic cross clamp time on renal function post operatively
Material and Methods: in a prospective study 90 patients were selected for CABG first time with normal renal function. A questionnaire was made to see the effect of aortic cross clamp time on post-operative renal function. Demographic factors, pre-operative, intra operative and post-operative variables were evaluated. The patient were divided into two groups according to aortic cross clamp time, patient with aortic cross clamp time 50 minutes and patients with aortic cross clamp time > 50 minutes ultimately they were evaluated to see the occurrence of acute kidney injury [AKI]
Results: AKI was observed in 6 patients with aortic cross clamp time = 50 minutes and 36 patients with aortic cross clamp time > 50 minutes. The aortic cross clamp time was highly associated with blood urea post operatively at day 1 [p value 0.002], day 2 [p-value 0.000] and day 3 [p-value 0.000]. It had significant effects on serum creatinine postoperatively day 1 [p-value 0.000], day 2 [p-value 0.005] and day 3 [p-value 0.001]. It also had significant effect on reduction of GFR postoperatively day 1 [p-value 0.011], day 2 [p-value 0.003] and day 3 [p-value 0.001]
Conclusion: the greatest likelihood of developing acute kidney injury [AKI] after CABG was observed with prolonged aortic cross clamp time. The levels of blood urea and serum creatinine was increased in patients with aortic cross clamp time> 50 minutes. Glomerular filtration rate [GFR] was reduced with aortic cross clamp time> 50 minutes
RESUMO
Objective: to see the effect of aortic cross clamp time on renal function in patients undergoing CABG post operatively
Material and Methods: in a prospective study 90 patients were selected for CABG first time with normal renal function. A questionnaire was made to see the effect of aortic cross clamp time on post-operative renal function. Demographic factors, pre-operative, intra-operative and post-operative variables were evaluated. The patient were divided into two groups according to aortic cross clamp time, patient with aortic cross clamp time 50 minutes and patients with aortic cross clamp time > 50 minutes; ultimately they were evaluated to see the occurrence of acute kidney injury [AKI]
Results: AKI was observed in 6 patients with aortic cross clamp time 50 minutes. The aortic cross clamp time was highly associated with blood urea post operatively at day 1 [p = 0.002], day 2 [p=0.000] and day 3 [p=0.000]. It had significant effects on serum creatinine postoperatively day 1 [p=0.000], day 2 [p=0.005] and day 3 [p=0.001]. It also had significant effect on reduction of GFR post operatively day1 [p=0.011], day2 [p=0.003] andday3 [p=0.001]
Conclusion: the greatest likelihood of developing acute kidney injury [AKI] after CABG was observed with prolonged aortic cross clamp time. The levels of blood urea and serum creatinine were increased in patients with aortic cross clamp time > 50 minutes. Glomerular filtration rate [GFR] was reduced with aortic cross clamp time of more than 50 minutes