Search Results

Abstract : Immunization information systems (IISs), otherwise known as registries, are confidential, population-based databases that record all immunization related activities. This study aimed to evaluate immunization information system data quality between paper-based system and electronic based system comparatively. It is a cross-sectional study design for evaluation of data quality of reports generated by both paper-based immunization information system and electronic-based immunization information system, using WHO Data Quality Self-assessment Tool. Descriptive statistics (means) were used to describe the data acquired from the evaluation. An independent t-test was used to compare data quality between paper-based immunization information system and electronic-based immunization information system. As a result, it was found that when comparing its data quality, there is a significant difference in mean score for data quality generated between paper-based immunization information system and electronic-based immunization information system with p value of <0.001.Conclusively, this study has shown that even though paper-based immunization information system is generally good in term of its data quality, but electronic-based immunization information system proved to have better data quality.

Abstract : Cardiovascular diseases (CVD) are a major cause of death in India and worldwide. Awareness of cardiovascular disease among school children leaves much to be desired. HeartRescue India (HRI) is an international project working to improve care for cardiovascular diseases (CVD). Our aim was to develop a comprehensive school CVD education program and our objective was to assess for its effectiveness among high school children of urban Bangalore. Government and private schools within a 10 km radius of the authors’ institution were identified. 424 students of 8th standard were included after consent from principal and parents. The authors designed a 9-module program, each with pre- and post-assessments, an interactive session, a group activity, and a take-home assignment aimed at encouraging parental engagement in CVD discussions at home. Students received handouts on Hands-only CPR steps and stroke recognition to share and explain to their parents. Paired-sample t-tests and sigma two-tailed analysis were used to assess improvement after intervention. A two-tailed analysis of pre- and post-assessment scores for the modules showed significant improvement in mean scores of knowledge in 14 out of 18 assessment questions after the training. Modules 3-6, focusing on bystander response to sudden cardiac arrest, assessed both knowledge and skills where significant improvements were found in chest compression depth and recoil, with overall HOCPR scores increasing from 62.13 ± 28.40 to 72.64 ± 26.35 (p < 0.001). CVD education is the need of the hour and our modules are effective in educating high school children in CVD prevention and hands-only CPR.

Abstract : Endoscopic endonasal approach (EEA) has shown excellent results for most pituitary tumors. The purpose of this study is to evaluate and report the complications of EEA in patients with pituitary adenoma (PA) undergoing surgery between 2013 and 2021. A retrospective review of 152 consecutive patients with PA treated with EEA from May 2013 to January 2021/152 procedures was performed. Complications included electrolyte abnormalities, transient diabetic insipidus (DI) or new anterior pituitary hormone insufficiency on one axis, and major complications including CSF leak, hemorrhage and vascular injury, brain infection, new permanent panhypopituitary dysfunction (DI), new visual deficits, neurological deficits, and death ithin The first 48 hours after surgery and within the later 48 hours after surgery. Ninety-seven complications were seen in 152 patients (63.8%). The most common early complication at 48 hours postoperatively was hypokalemia (60.8%), treated with saline and potassium chloride; the second most common early complication was nausea and vomiting (40.2%), treated with antiemetic drugs, followed by diabetes insipidus (31.9%), treated according to blood sugar levels. After 48 hours, the most common late complication was cerebrospinal fluid leak (6.2%), which was treated surgically; the second most common late complication was vision loss (5.2%), which was treated conservatively. EEA can be considered a safe surgical treatment with acceptable complications and low mortality in PA management, and complications should be managed in a timely and appropriate manner.

Abstract : The study investigates the impact of cervical cancer supportive education (CCSE) on the psychosocial well-being of patients in tertiary healthcare facilities in Ebonyi State, Nigeria. The research, conducted using a quasi-experimental design, involved 60 clinically diagnosed cases from two Ebonyi State hospitals: the National Obstetric Fistula Center (NOFIC) and the Alex Ekwueme Federal University Teaching Hospital Abakaliki (AE-FUTHA). The study utilized a questionnaire developed by the researcher and verified by oncologists, oncologists, and specialists. Data was collected over 13 months, and the AE-FUTHA intervention group received support for cervical cancer. The study also compared quality of life, self-care management techniques, and religious practices between the intervention and control groups. The study found that the intervention group had a significant difference in self-care management, quality of life, and religious belief practices compared to the control group. The majority of the participants were Christians, widows, and those without formal education. The intervention group showed a significant influence on these variables, suggesting that the CCSE provided to the intervention group was the key factor in achieving these results. The study found significant differences in the quality of life (SCM), quality of life (QOL), and risk-benefit ratio (RBP) of cervical cancer patients exposed to CCSE compared to those not exposed. The results suggest that incorporating CCSE into oncology care can improve the quality of life for cervical cancer patients. However, the study also suggests that increasing the capacity of doctors and nurses to deliver such treatment is necessary.

Abstract : To conduct a comparative study between internal Lateral Osteotomy (linear transmucosal) and external Lateral Osteotomy (percutaneous) bony biopsy in rhinoplasty with the aim of choosing the optimal method that suits the patient's condition. A comparative study that included 60 patients, 30 patients underwent external biopsy and 30 patients underwent internal biopsy. Bruising was seen in external Lateral Osteotomy more than internal Lateral Osteotomy on the day following surgery, while it was greater in Internal Lateral Osteotomy after 10 days. No differences were observed regarding asymmetry and mucosal adhesions, and the percentage of patients who were satisfied with the surgical result after Internal Lateral Osteotomy was greater than in patients with external Osteotomy. Lateral Osteotomy of nasal bones is an essential part of rhinoplasty, and since there are no significant differences between the two Osteotomy methods, the surgeon's familiarity with both Osteotomy methods helps him choose the best method for each case.