Anxiety Level Among Patients Admitted with Chest Pain in Tertiary Care Hospital

Introduction: Anxiety, as defined by Wilson-Barnett, is the fear of the unknown, disproportionate to the threat and related to the future. It is characterized by an individual’s inability to specify the source of the threat.  Chest pain can be a major source of stress and anxiety. These feelings are directly related to the invasive nature of the procedure and to uncertainties related to diagnosis. Chest pain and anxiety, relatives are also stressed and share feelings and uncertainties with the patients.Method: Quantitative cross-sectional study design was used to determine the anxiety level among patient with chest pain at tertiary care hospital. 56 patients with chest pain admitted at emergency department were selected as sample. Data was collected through the standardized well adopted 40 items questionnaires.Results: the results revealed that only (25) 47 % patients have low level of anxiety and majority (31) 53% have suffered from high level of anxiety. Further the demographical characteristics revealed that the gender of the participants was found 45 (80.4%) were male and 11 (19.6%) were female. Age of participants was found minimum 21 to highest 60, participant’s age group 21-30 years frequency was 6 (10.7%), moderately 12 (21.4%) participants were belonging to age group 31-40 years, majority 29 (51.8%) were fall in age group 41- 50 years and 9 (16.1%) were 51-60-year-old. Conclusions: It is apparent from our study that counseling before cardiac procedure unquestionably reduces the anxiety level of the patients. Other factors, such as providing beds and other physical facilities to the patients further reduce the level of anxiety. Keywords: anxiety, chest pain, emergency department, patients. DOI: 10.7176/JHMN/102-01 Publication date:September 30th 202

Efficacy of resomal versus low osmolar ORS in severe acute malnutrition children with diarrhea age 6 months to 59 months

Objective: To compare the efficacy of Resomal versus low Osmolar ORS in severe acute malnutrition in children with diarrhea age 6 months To 59 months.Methodology: This Randomized Control Trial was carried out at Nutrition stabilization Centre pediatrics Department, Liaquat university hospital, Hyderabad, with duration of one year from 1st April-2016- to 31st March-2017. All the children having severe acute Malnutrition were included. After admission, severity of diarrhea was assessed on clinical basis. After informed consent, patients of Severe Acute Malnutrition were divided into two groups i.e Group-A and Group-B on randomized selection. Group A was given Resomal and Group–B was given low Osmolar ORS. Electrolytes were sent on admission then again after 12 hours of giving rehydration solution, response of diarrhea was assessed on the basis of Laboratory investigations and clinical assessment.Results:  Mean age of the children was 20.83 months and standard deviation was 3.52 months. Female children were in the majority 172 as compared to males 152 out of 324 cases. No significant difference was found in Z-score of both groups, P-value 0.07. Acute diarrhea was the most common in both groups, Diarrhea frequency-1 was found significantly more in both groups, having p-value 0.001, while frequency 2 and 3 were found without significant difference in both groups.  Statistically there was a significant difference in pre rehydration electrolytes in both groups, having p-value 0.001.  After rehydration no significant difference was found in electrolytes in both groups.Conclusion: It was concluded that resomal and low osmolar ORS were similarly efficacious in the rehydration of severely malnourished children with diarrhea and dehydration after rehydration