iosr-JDMS   Volume-8 ~ Issue-3

Abstract:For adequate and appropriate distribution of health services, together with increasing financial pressures in the public sector, determination of staffing levels in the health facilities are important. The Workload Indicators of Staffing Need (WISN) method is one such method. It uses a form of activity analysis (activity standards), together with measures of utilization and workload to determine staffing requirements. The present study was conducted to calculate the nursing staff requirement and their work pressure in maternity ward of Medical College Kolkata. WISN method provides a useful mechanism for assessing priorities to address staff overloads or staff under-utilization.
Key words: WISN, activity standards, workload, hospital staffing

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[9]. John F. Mugisha, Grace Namaganda. USING THE WORKLOAD INDICATOR OF STAFFING NEEDS (WISN) METHODOLOGY TO ASSESS WORK PRESSURE AMONG THE NURSING STAFF OF LACOR HOSPITAL. Health policy and development.2008; 6(1):1-15.
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Abstract: Objective: To evaluate the effect of oral versus parenteral therapy to improve the Hb level among antenatal women with iron deficiency anaemia. Methods: This was a randomized controlled study conducted in northern India among antenatal women with iron deficiency anaemia. The inclusion criteria were Hb concentration less than 11 gm/dl and gestational age 21-36 weeks. A total of 230 women were included in the study and divided randomly into 2 groups: Group-A was given 240 mg elemental iron as ferrous sulphate for 8 weeks. Group B was given parenteral iron at the same interval as in Group A. Results: The Hb level was significantly (p=0.0001) increased in both the groups from before (Group A=8.56±1.18, Group B=8.31±1.03) supplementation to after supplementation (Group A=11.77±1.20, Group B=12.20±1.70). The increase was lower among the women of Group A (27.3%) as compared to Group B (31.9%). There was no association between age & gestational age of women and percentage increase in Hb in both the groups. About one third of the women of both Group A (32.2%) and Group B (31.3%) women experienced constipation. CONCLUSION We found that the parentral iron therapy in the form of iron sucrose was better choice to reduce iron efficiency anaemia as compared to oral therapy. Early supplementation will help to decrease the risk of blood transfusion during the peripartum period.

Key words: Iron sucrose, antenatal women, Hb, anaemia

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Abstract: Generally, Left Lung is divided into two lobes by a deep oblique fissure and right lung is divided into three lobes by oblique and horizontal fissures. But in our case study during the routine undergraduate dissection of the Thoracic region of a sixty five year old male cadaver in the department of Anatomy, Gandhi Medical College, it was incidentally observed that the left lung is divided into three lobes by oblique and horizontal fissures and incomplete horizontal fissure in the right lung. This type of variation is observed only once in our routine dissection in Anatomy Department and hence presented for its clinical importance.

Keywords – Horizontal Fissure in Left Lung, incomplete horizontal fissure in Right Lung, variation of Fissures in Lungs

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Abstract: Introduction: Hypertension is a common disease associated with high mortality and morbidity. Hypertension could have its origin in childhood and go undetected unless specially looked for during this period. With globalization bringing more lifestyle modifications, adolescents are exposed to multiple risk factors including obesity, diet, academic stress, lack of physical work apart from hereditary risk factors. Early diagnosis of hypertension is an important strategy in its control, effective treatment and prevention of complications.

Objectives: To estimate the prevalence of hypertension among school children in the age group of 13- 17 years and study the determinants.

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[2]. Tracking of Blood Pressure Among Adolescents and Young Adults in an Urban Slum of Puducherry MB Soudarssanane et al,Indian journal of community medicine-Vol. 33, Issue 2, April 2008.
Prevalence and determinants of hypertension among urban school children in the age group of 13- 17
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