Assessment of surgical patients’ knowledge about anaesthesia and anaesthesiologist in a tertiary care teaching institute-a survey

Background: Anaesthesia is a speciality, playing a crucial role in the perioperative care of patients. Complex surgeries are facilitated due to the anaesthesiologists catering to the ever-advancing surgical field requirements. Although an important speciality, patients are unaware of the speciality of anaesthesia and anaesthesiologist. Patients are subjecting themselves for surgical procedures without having adequate knowledge of anaesthesia and anaesthesiologist. Hence, the survey was designed with the aim to assess the patients’ knowledge about anaesthesia and anaesthesiologist in surgical patients.Methods: A cross sectional study conducted on four hundred surgical inpatients using predesigned questionnaire containing questions related to the knowledge of anaesthesia and anaesthesiologist. The results were expressed as percentages. Chi-square/ Fisher Exact test was used to find the significance of study parameters.Results: Anaesthesiologists were considered as “doctors” by 60.5% of patients; Thirty three percent of the survey population had “no idea” of Anaesthesia. The survey populations’ knowledge about complications was 32.25%. Awareness about separate consent for anaesthesia was 49%. Anaesthesiologists’ work place was not known to 77.5% of survey population. Anaesthesiologists’ role in operation theatre was known only in 59.5% and remaining 40.5% were unaware of Anaesthesiologists’ role. None of the patients preferred to meet the Anaesthesiologists before surgery.Conclusions: Surgical inpatients in tertiary care hospital have a poor understanding of anaesthesia and poor recognition of the role of anaesthesiologist. The knowledge about anaesthesia and anaesthesiologist is not known in general population. Hence, anaesthesiologists must work towards getting recognition for the speciality of anaesthesiology and the anaesthesiologists

Assessment of surgical patients’ knowledge about anaesthesia and anaesthesiologist in a tertiary care teaching institute-a survey

Background: Anaesthesia is a speciality, playing a crucial role in the perioperative care of patients. Complex surgeries are facilitated due to the anaesthesiologists catering to the ever-advancing surgical field requirements. Although an important speciality, patients are unaware of the speciality of anaesthesia and anaesthesiologist. Patients are subjecting themselves for surgical procedures without having adequate knowledge of anaesthesia and anaesthesiologist. Hence, the survey was designed with the aim to assess the patients’ knowledge about anaesthesia and anaesthesiologist in surgical patients.Methods: A cross sectional study conducted on four hundred surgical inpatients using predesigned questionnaire containing questions related to the knowledge of anaesthesia and anaesthesiologist. The results were expressed as percentages. Chi-square/ Fisher Exact test was used to find the significance of study parameters.Results: Anaesthesiologists were considered as “doctors” by 60.5% of patients; Thirty three percent of the survey population had “no idea” of Anaesthesia. The survey populations’ knowledge about complications was 32.25%. Awareness about separate consent for anaesthesia was 49%. Anaesthesiologists’ work place was not known to 77.5% of survey population. Anaesthesiologists’ role in operation theatre was known only in 59.5% and remaining 40.5% were unaware of Anaesthesiologists’ role. None of the patients preferred to meet the Anaesthesiologists before surgery.Conclusions: Surgical inpatients in tertiary care hospital have a poor understanding of anaesthesia and poor recognition of the role of anaesthesiologist. The knowledge about anaesthesia and anaesthesiologist is not known in general population. Hence, anaesthesiologists must work towards getting recognition for the speciality of anaesthesiology and the anaesthesiologists

Anaesthetic management of a pregnant patient with intracranial space occupying lesion for craniotomy

Intracranial space occupying lesion [SOL] during pregnancy presents several challenges to the neurosurgeons, obstetricians and anaesthesiologists in not only establishing the diagnosis, but also in the perioperative management as it requires a careful plan to balance both maternal and foetal well-being. It requires modification of neuroanaesthetic and obstetric practices which often have competing clinical goals to achieve the optimal safety of both mother and foetus. Intracranial tuberculoma should be considered in the differential diagnosis of intracranial SOL in pregnant women with signs and symptoms of raised intracranial pressure with or without neurological deficits, especially when they are from high incidence areas. We report a 28-week pregnant patient with intracranial SOL who underwent craniotomy and excision of the lesion, subsequently diagnosed as cranial tuberculoma

Genetic Evaluation of Advanced Breeding Lines of Rice (Oryza sativa L.) for Grain Yield and Nutrient Characters in Upland Condition

The present study was carried out at Agricultural Research Station, Mugad, Karnataka during kharif 2023 using augmented block design in upland condition using sixty advanced breeding lines of rice (Oryza sativa L.) and six checks viz., IR64, BPT 5204, DRR Dhan 45, Kagisali and Chittimutyalu to evaluate genetic variability for yield component traits and grain quality traits, to evaluate the association of yield with quality traits and to validate the genotypes for quality traits using SSR markers. Analysis of variance revealed the presence of significant differences among the genotypes for all the traits under study. Genotypic and phenotypic coefficients of variances were high for number of productive tillers per hill and grain yield depicting the wide range of variation for these traits. High heritability allied with high genetic advance over mean was seen for the traits like plant height, number of tillers per hill, number of productive tillers per hill, panicles per sqm, grain yield, grain iron content, zinc content and protein content indicating the preponderance of additive gene action and least influence of environment on these traits, thus, they possess better scope for improvement through selection. The correlation analysis revealed the negative significant association of grain yield with grain zinc content and negative non-significant association with all other quality traits. Validation of the putative markers is generally carried out to check the reproducibility of those markers. SSR markers RM211 and RM242 were validated for grain iron content, RM303 and RM234 for grain zinc content and RM23914, RM1235, RM219, RM206 and RM1337 for grain protein content. Therefore, these markers can be further used for effective biofortification of rice

Uterine-sparing minimally invasive interventions in women with uterine fibroids: a systematic review and indirect treatment comparison meta-analysis.

OBJECTIVE: To evaluate the effectiveness of uterine-sparing interventions for women with symptomatic uterine fibroids who wish to preserve their uterus. DESIGN: Systematic review and indirect comparison meta-analysis. METHODS: MEDLINE, EMBASE, CENTRAL, conference proceedings, trial registers and reference lists were searched up to October 2013 for randomized controlled trials. MAIN OUTCOME MEASURES: Outcome measures were patient satisfaction, re-intervention and complications rates, reproductive outcomes, and hospitalization and recovery times. RESULTS: Five trials, involving 436 women were included; two compared uterine artery embolization with myomectomy and three compared uterine artery embolization with laparoscopic uterine artery occlusion. Indirect treatment comparison showed that myomectomy and uterine artery embolization resulted in higher rates of patient satisfaction (odds ratio 2.56, 95% credible interval 0.56-11.75 and 2.7, 95% credible interval 1.1-7.14, respectively) and lower rates of clinical failure (odds ratio 0.29, 95% credible interval 0.06-1.46 and 0.37, 95% credible interval 0.13-0.93, respectively) than laparoscopic uterine artery occlusion. Myomectomy resulted in lower re-intervention rate than uterine artery embolization (odds ratio 0.08, 95% credible interval 0.02-0.27) and laparoscopic uterine artery occlusion (odds ratio 0.08, 95% credible interval 0.01-0.37) even though the latter techniques had an advantage over myomectomy because of shorter hospitalization and quicker recovery. There was no evidence of difference between the three techniques in ovarian failure and complications rates. The evidence for reproductive outcomes is poor. CONCLUSION: Our study's results suggest that laparoscopic uterine artery occlusion is less effective than uterine artery embolization and myomectomy in treatment of symptomatic fibroids. The choice between uterine artery embolization and myomectomy should be based on individuals' expectations and fully informed discussion

Uterine-sparing minimally invasive interventions in women with uterine fibroids: a systematic review and indirect treatment comparison meta-analysis.

OBJECTIVE: To evaluate the effectiveness of uterine-sparing interventions for women with symptomatic uterine fibroids who wish to preserve their uterus. DESIGN: Systematic review and indirect comparison meta-analysis. METHODS: MEDLINE, EMBASE, CENTRAL, conference proceedings, trial registers and reference lists were searched up to October 2013 for randomized controlled trials. MAIN OUTCOME MEASURES: Outcome measures were patient satisfaction, re-intervention and complications rates, reproductive outcomes, and hospitalization and recovery times. RESULTS: Five trials, involving 436 women were included; two compared uterine artery embolization with myomectomy and three compared uterine artery embolization with laparoscopic uterine artery occlusion. Indirect treatment comparison showed that myomectomy and uterine artery embolization resulted in higher rates of patient satisfaction (odds ratio 2.56, 95% credible interval 0.56-11.75 and 2.7, 95% credible interval 1.1-7.14, respectively) and lower rates of clinical failure (odds ratio 0.29, 95% credible interval 0.06-1.46 and 0.37, 95% credible interval 0.13-0.93, respectively) than laparoscopic uterine artery occlusion. Myomectomy resulted in lower re-intervention rate than uterine artery embolization (odds ratio 0.08, 95% credible interval 0.02-0.27) and laparoscopic uterine artery occlusion (odds ratio 0.08, 95% credible interval 0.01-0.37) even though the latter techniques had an advantage over myomectomy because of shorter hospitalization and quicker recovery. There was no evidence of difference between the three techniques in ovarian failure and complications rates. The evidence for reproductive outcomes is poor. CONCLUSION: Our study's results suggest that laparoscopic uterine artery occlusion is less effective than uterine artery embolization and myomectomy in treatment of symptomatic fibroids. The choice between uterine artery embolization and myomectomy should be based on individuals' expectations and fully informed discussion

Evaluation of in vitro antioxidant activity of a few wild cucurbitaceae plants against cancer

The methanolic extract of whole plant of Diplocyclos palmatus, roots of Corallocarpus epigaeus and fruits of Lagenaria siceraria were evaluated for their antioxidant efficacy by DPPH radical scavenging assay. Reactive Oxygen Species (ROS) and many of the free radicals are natural by-products of metabolism of drugs, environmental chemicals and other Xenobiotics as well as endogenous chemicals, especially stress hormones like adrenalin and noradrenalin. ROS has a high reactive potential and is responsible for many of the human diseases like diabetes, cancer, viral infections, cardiovascular diseases and inflammations and is known to cause oxidative damage to DNA, proteins and lipids in humans. Antioxidants nowadays are increasingly sought as components of the diet owing to their benefits upon human health through protection of cells against oxidative stress which might otherwise lead to cell damage and death. The antioxidants present in the medicinal plants quench the free radicals by donating a hydrogen atom. The antioxidant activity of the medicinal plants namely, Diplocyclos palmatus, Corallocarpus epigaeus and Lagenaria siceraria were estimated by using 2, 2�Diphenly 1-Picryl Hydrazyl (DPPH) assay. The present study aims at evaluating therapeutic potential of these medicinal plants due to their high free radical scavenging activity