iosr-JDMS   Volume-17 ~ Issue-5 ~ May-2018

Abstract: Needle stick injury is a major occupational health and safety issue among the health care workers. The Objectives of the present study were to evaluate the knowledge and attitude regarding safe injection practices and to explore the occurrence of needle stick injuries among the nursing personnel in a tertiary care hospital in Kolkata. It was a cross-sectional, descriptive study conducted in Medical College, Kolkata. Total 63stuff nurses were studied during the 3 month study period (Feb 2014-April 2014).The mean age of the nursing personnel was 36.78± 7.58 years (range 25 to58 years). Out of the study population 92.05% were vaccinated against Hepatitis B and 56(88.88%) had received training of "safe injection practice" in last 2 years. Among them 90.47% (57) had knowledge regarding "safe injection practice" and 82.54% (52) had knowledge regarding necessary to wear gloves during injection procedure............

Key Words: Safe injection practices, needle stick injuries (NSI), nursing personnel

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Abstract: : Acute appendicitis is a common surgical emergency. Though it is a clinical diagnosis,to avoid negative laparotomy various scoring systems are used. As USG is considered extended tool of surgeon,this study compared the efficacy of Tzanakis and modified Alvarado score in diagnosis of acute appendicitis in female patients presented with RLQ abdominal pain. 60 female patients admitted with RLQ abdominal pain suspected acute appendicitis where included in thisstudy .This study carried out from June 2008 to January 2011in K.A.P.V.Medical college hospital,Trichy. Final diagnosis of acute appendicitis was based on histological findings. Hence forth the above study showed that Tzanakis score is an effective modality to establish the accurate diagnosis of acute appendicitis. of choice.

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Abstract: We compared outcome and complications after uncomplicated ureteroscopic treatment of distal ureteral calculi with or without the use of ureteral stents. 80 patients, prospectively divided into two groups to receive a double j stent (group 1, 42 patients), no stent (group 2, 38 patients), underwent ureteroscopic treatment of distal ureteral calculi. Stone characteristics, operative time, postoperative pain, lower urinary tract symptoms (LUTS), analgesia need, rehospitalization, stone-free rate, and late postoperative complications were all studied. There was no significant difference between the two groups regarding hematuria, fever, flank pain, urinary tract infection, and rehospitalisation. At 48 hours and 1 week, frequency/urgency and dysuria were significantly less in the nonstented group. When comparing group 1 and group 2, patients with double j stents had statistically significantly more bladder pain (P-0.003), frequency/urgency (P-0.002), dysuria (P-0.001), and need of analgesics (P-0.001). All patients who underwent imaging postoperatively were without evidence of obstruction or ureteral stricture.

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Abstract: Distal tibial fracture is one of the commonest fracture following accidents in over 15% of total fracture cases.The triumph key in managing these niggling fractures is to proficiently preserve, reconstruct the soft tissues, acceptable reduction & early mobilization.AO/OTA classification system is used now a days to classify these fractures.The concept of "biological osteosynthesis", a terminology introduced to designate a new & novel type of osteosynthesis leading to a sufficiently stable fixation of bone fragments allowing early mobilization, and that too without major disturbance of the vascular supply.The advantages of distal tibiallocking plates (DTLP) apply most directly to highly comminuted fractures, unstable metadiaphyseal segments, and osteoporotic fractures.

Key Words: DTLP, biological osteosynthesis, distal tibial fractures.

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