{"title":"Experience of Conservative Management of Abdominal Solid Organ Blunt Trauma","authors":"Parilal Barman, Nilutpal Bhattacharjee, Prasenjit Baruah","doi":"10.52403/ijhsr.20240818","DOIUrl":"https://doi.org/10.52403/ijhsr.20240818","url":null,"abstract":"Abdominal solid organs like liver, spleen and kidneys are one of the most vital organs of the human body. Liver is the second largest organ of human body with about 2 percent of body weight in adults. The spleen is the largest organ of the lymphatic system. Both the kidneys together represent 0.4 percent of the total body weight. They perform many of the vital functions involving excretion and detoxification, coagulation, immune function, absorption and storage of essential minerals and storage and filtration of blood. Injury to the liver, spleen and kidneys are one of the most common solid organ injuries in blunt trauma. The expected line of management includes initial diagnostics and resuscitation in the emergency room (including chest and pelvic X-ray, and bedside ultrasonography) followed by cross-sectional imaging (protocol-based trauma imaging with CT and contrast-enhanced multiphase protocols according to need). Initial resuscitation should be done in parallel with monitoring of vital signs with observation preferably in an ICU or high-dependency ward until definitive imaging and reporting has been completed and a management is planned. Treatment should be planned as per age, presence of co-morbidities, and changes in physiological status of the patient. Non-operative management should be preferred in patients of all ages irrespective of the grade of injury and in the absence of other abdominal injuries requiring interventions provided that the haemodynamic status is stable.\u0000\u0000Key words: Abdominal, solid, liver, spleen, kidney, injury, non-operative","PeriodicalId":14119,"journal":{"name":"International Journal of Health Sciences and Research","volume":"24 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141928447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Isolation And Characterization of Kitchen Microbiome in Jaipur District","authors":"Mudit Sharma, Umema Ahmed, SS Daga","doi":"10.52403/ijhsr.20240748","DOIUrl":"https://doi.org/10.52403/ijhsr.20240748","url":null,"abstract":"The COVID-19 pandemic has underscored the critical role of household hygiene in preventing infectious diseases. This study investigates the prevalence and characterization of bacteria in kitchen environments, focusing on the effectiveness of 70% ethanol disinfection. Samples were collected from five areas in the kitchens of 10 households both pre- and post-disinfection. Detailed microbial analysis revealed significant reductions in colony counts post-disinfection. A total of five bacterial pathogens viz. Escherichia coli, Staphylococcus spp., Klebsiella pneumoniae, Salmonella spp., and Enterobacter were identified across kitchen area types. Each kitchen area contained at least one contaminated surface. The total number of bacterial pathogens in pre-disinfected kitchen areas was significantly higher as compared to the post-disinfected regions with 70% alcohol highlighting the need for regular and effective disinfection practices to minimize health risks associated with household microbial contamination. Results suggest that low-income consumers may be at risk of foodborne pathogen exposure from contaminated home kitchen surfaces and that regular disinfection with 70% ethanol effectively reduces microbial contamination in household kitchens.\u0000\u0000Key words: microbial contamination, household disinfection, ethanol efficacy, kitchen hygiene, public health","PeriodicalId":14119,"journal":{"name":"International Journal of Health Sciences and Research","volume":"34 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141802416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of Bladder Capacity and Pelvic Floor Muscle Strength in Children with Primary Nocturnal Enuresis","authors":"Vidhi Shah, Tushar J. Palekar","doi":"10.52403/ijhsr.20240751","DOIUrl":"https://doi.org/10.52403/ijhsr.20240751","url":null,"abstract":"Background: Enuresis is a health issue suffered in childhood. This problem is common and difficult to cure for 10-15% of the 5 years old children in their growing stage. Primary Nocturnal Enuresis (PNE) is commonest type of all other types of enuresis. The parents and family of children with enuresis suffers emotional trauma and anxiety as a part of adverse effect of the condition. Genetic, Obstructive sleep Apnea and detrusor muscle inactivity are the common associated factors of PNE. Urodynamic studies are the most evaluative method to check bladder functions for child enuresis or incontinence. There is a lack in uroflowmetry and surface electromyography values for effective diagnosis of PNE.\u0000Objectives: The present study focuses on to find out the score of uroflowmetry and surface electromyography in Paediatric Primary Nocturnal Enuresis.\u0000Methods: A cross-sectional Design was done on 21 Participants from the children of 5-15 years, of both genders and educational levels. The uroflowmetry and Surface Electromyography was performed to subjects who diagnosed as children with PNE by Paediatrician and who want to participate in the study.\u0000Results: The uroflowmetry records of 21 Enuretic children shows that the mean value of voiding volume is 158.28± 53.41ml/sec and mean of Average flowrate is 10.36± 2.62ml/sec. The surface electromyography shows that the highest maximum voluntary activity (MVA) of perianal muscle is 513µv and the lowest value is 111µv.\u0000Conclusion: This small cross-sectional study, which expands the scant existing literature on uroflow parameters and Surface electromyography (sEMG) in Enuretic children, will hopefully promote wider application of uroflowmetry testing and surface EMG of pelvic muscles in the paediatric population having PNE.\u0000\u0000Key words: Primary Nocturnal Enuresis, Uroflowmetry, Surface Electromyography, Voiding volume, Pelvic floor muscles","PeriodicalId":14119,"journal":{"name":"International Journal of Health Sciences and Research","volume":"43 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141803872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bacterial Colonization of Stethoscope used by Health Care Professionals at a Rural-Based Tertiary Care Hospital and Effective Measures for Its Disinfection","authors":"Nidhi Bhalodia, Sara Arora, Tanuja Javadekar","doi":"10.52403/ijhsr.20240740","DOIUrl":"https://doi.org/10.52403/ijhsr.20240740","url":null,"abstract":"INTRODUCTION: Stethoscopes can be a potential source for transmission of infection among patients as it is most commonly used device by all health professionals. This study was conducted in a rural based tertiary care hospital to determine the growth of different types of pathogens from diaphragms of stethoscopes used by health care professionals and whether decontamination by 70% isopropyl alcohol will be effective in reducing bacterial load.\u0000AIMS AND OBJECTIVES:\u0000AIM: To detect presence of microorganisms on the diaphragm of stethoscope used by Health care workers.\u0000OBJECTIVES:\u00001) To identify the types of organisms, present on stethoscopes.\u00002) To determine the effectiveness of 70% isopropyl alcohol as a disinfectant.\u0000MATERIAL AND METHODS: Fifty stethoscopes of health care professionals of different departments were used for microbiological sampling. Further, the diaphragms of all the stethoscopes were cleaned with 70% isopropyl alcohol and were resampled to detect the effectiveness of 70% isopropyl alcohol as a disinfectant. Antibiotic sensitivity testing of pathogenic bacteria was carried out.\u0000RESULTS: Out of randomly selected 50 stethoscopes from different clinical departments 35 stethoscopes (70%) showed significant bacterial growth. Out of the different organisms isolated, Coagulase-negative staphylococci (CoNS) 11 (22%) were predominantly found.\u0000On cleaning with 70% isopropyl alcohol, there was a significant decrease in the colonization of organisms.\u0000CONCLUSION: The findings of this study demonstrated that stethoscopes are colonized with pathogenic bacteria and use of 70% isopropyl alcohol can significantly reduce contamination and thus should be adopted as a regular practice.\u0000\u0000Key words: Stethoscope,70% isopropyl alcohol, MRSA","PeriodicalId":14119,"journal":{"name":"International Journal of Health Sciences and Research","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141804228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Pre-Experimental Study to Assess the Effectiveness of Information Booklet on Knowledge Regarding Growth and Development of Infants Among Parents at Selected Rural Area, Udaipur, Rajasthan","authors":"Sonika Pujari, Jitendra Pujar, Harish K. Kumawat","doi":"10.52403/ijhsr.20240745","DOIUrl":"https://doi.org/10.52403/ijhsr.20240745","url":null,"abstract":"Background: Infancy is a critical stage marked by rapid physical and cognitive changes. Development involves the emergence of new abilities and capacities, progressing through stages of maturity. Caregivers' understanding of growth and development aids in anticipating and addressing children's needs, detecting deviations from the norm, and facilitating early intervention for developmental issues. Therefore, present study aimed to assess impact of an information booklet on infant growth and development among parents.\u0000Method: This study utilized a quantitative, pre-experimental design to gauge the impact of an information booklet on infant growth and development among parents in Bedwas, Udaipur. The sample comprised 60 parents of children under five from the selected rural area, chosen via non-probability purposive sampling. Data collection involved socio-demographic information and a structured knowledge questionnaire, with analysis conducted using descriptive and inferential statistics.\u0000Results: The pre-test showed that 56.7% had poor knowledge, while 43.3% had average knowledge. In the post-test, 68.3% demonstrated good knowledge, while 31.7% had average knowledge. Mean pre-test knowledge score was 11.20±2.98, and mean post-test score was 21.52±2.50, with a significant mean difference of 10.32 (t=21.29, df=59, p=0.001). The information booklet effectively improved knowledge on infant growth and development. Demographic variables did not show significant associations with knowledge levels among parents.\u0000Conclusion: The study concluded that the information booklet effectively enhanced parents' knowledge on infant growth and development. Understanding these changes prepares caregivers to actively guide early learning, crucial for later development. The findings emphasize the importance of educating mothers on nutrition and infant growth. Implementing educational programs can further enhance mothers' understanding of nutrition's role in infant development.\u0000\u0000Key words: Knowledge, Parents, Infants, developmental milestone, Information Booklet","PeriodicalId":14119,"journal":{"name":"International Journal of Health Sciences and Research","volume":"2 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141803247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Scoping Review on the Impacts of Electronic Health Record Systems on Healthcare Delivery","authors":"Anthony Vincent Razzano","doi":"10.52403/ijhsr.20240737","DOIUrl":"https://doi.org/10.52403/ijhsr.20240737","url":null,"abstract":"Background: Electronic health record (EHR) systems have evolved significantly since their introduction in the early 1960s, replacing traditional paper-based medical records with computerized storage of patient health information. The adoption of EHR systems has expanded across various healthcare settings due to advancements in technology, necessitating systems that offer diverse functionalities and seamless integration capabilities. As healthcare technology continues to progress, EHR systems must adapt by incorporating additional features such as predictive algorithms and clinical decision support. However, the widespread use of EHR systems has also led to challenges in interoperability, prompting the development of standards.\u0000Methodology: This scoping review uses the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist to systematically search and select relevant literature from PubMed. A research inquiry included full-text studies published in 2023, utilizing keywords \"electronic health record system,\" \"quality care,\" \"patient safety,\" \"clinical outcomes,\" and \"hospital.\" Initial screening involved reviewing abstracts and titles, followed by a full-text review of 5 selected articles. Three articles that met eligibility criteria were synthesized to explore the impact of EHR systems on healthcare delivery.\u0000Conclusion: This study draws conclusions based on the evidence synthesized, which highlights the critical role of standardized EHR systems in improving hospital patient outcomes through enhanced safety, care coordination, and data quality. The integration of advanced functionalities like clinical decision support systems, SNOMED CT, and closed-loop electronic medication management systems has demonstrated significant benefits in reducing errors, streamlining workflows, and supporting informed decision-making. Despite these advancements, challenges such as scalability, alert fatigue, and implementation costs persist, requiring ongoing collaboration among stakeholders and continuous research efforts. Future research on harnessing the capabilities of artificial intelligence and machine learning to further enhance EHR systems and address remaining barriers can ultimately optimize patient care and safety in hospital setting.\u0000\u0000Key words: electronic health record, information system, information technology management","PeriodicalId":14119,"journal":{"name":"International Journal of Health Sciences and Research","volume":"19 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141803527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness of Breathing Exercise and Posture Correction Exercise in Improving Peak Expiratory Flow Rate in Adults with Forward Head Posture: \u0000A Randomized Controlled Trial","authors":"Priyanka Parida, Aparna Pattnaik, Swati Parija","doi":"10.52403/ijhsr.20240739","DOIUrl":"https://doi.org/10.52403/ijhsr.20240739","url":null,"abstract":"Background & Aim: Forward Head Posture (FHP) causes the diaphragm to lose its ability to expand and ventilate, decreasing lung functioning which results in decreased forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and peak expiratory flow rate (PEFR). This study aimed to determine the effects of breathing exercises in adults with FHP and to find out the co-relationship between PEFR and cranio-vertebral angle (CVA).\u0000Method: An experimental study with 30 subjects aged between 18 to 50 years were included. The subjects were divided into two groups. The experimental group was instructed to perform breathing exercises and posture correction exercises five days a week for four weeks, whereas the control group was asked to perform only posture correction exercises. Craniovertebral Angle and Peak Expiratory Flow Rate values were measured before and after the intervention in both groups.\u0000Results: Within- and between-group changes in CVA and PEFR were observed in both the experimental and control groups. The peak expiratory flow rate showed a significant difference between the experimental and control groups (p = 0.042), and the craniovertebral angle measurements were also highly significant among both groups (p = 0.000).\u0000Conclusion: This study concluded that the inclusion of the breathing exercise program along with posture correction exercises is more effective than posture correction exercise alone in people with forward head posture.\u0000\u0000Key words: forward head posture, breathing exercises, posture correction exercises, peak expiratory flow, CVA craniovertebral angle","PeriodicalId":14119,"journal":{"name":"International Journal of Health Sciences and Research","volume":"57 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141804625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}