Introduction: The knowledge of proper communication skills with the patients plays a pivotal role in success of medical professionals. A practical approach would be to initiate its training at an early stage of education period of undergraduate medical students. Aim:To assess perception and attitude of medical students towards Communication Skills Lab (CSL) and teaching module in Central India.
Amaç: Bu çalışmada birinci basamak sağlık hizmetlerini yürütmekte olan hekimlerin akut bakteriyel rinosinüziti (ABRS) değerlendirme ölçütlerinin saptanması planlandı. Bulgular: Hekimlik süresi 20.0±5.5 yıldı ve hekimlerin %52.2'si Aile Hekimi, %47.8'i Pratisyen Hekim idi. Tanıda öykü (%87.3) ve Waters grafisi (%74.6) en çok yararlanılan araçlar olarak belirtildi. Antibiyotiklerden, amox-clu'nun, sefuroksim aksetil'in ve levofloksasin'in sırasıyla %80.9, %76.1 ve %60.3 oranında tercih edildiği saptandı. Hekimlerin %74.6'sının radyolojik inceleme ve %96.8'inin kültür yapma olanağının bulunmadığı saptandı. Hastalar veSonuç: Ziyaret edilen hekimlerin %48.6'sı anketi yanıtla-mayı kabul etti. Yapılan anket sonucunda birinci basamak sağlık hizmetlerinin yürütülmesinde görev alan Pratisyen ve Aile Hekimlerinin ABRS tanı ve tedavisi için gereken ölçütleri benimsemediği saptandı. Mezuniyet sonrası eği-tim kapsamında ABRS tanı ve tedavi eğitimlerinin yer almasının yararlı olacağı sonucuna varıldı.Anahtar Sözcükler: Birinci basamak; rinosinüzit; anket.Objectives: This study was planned to determine the evaluation criteria for acute bacterial rhinosinusitis (ABRS) among primary health care physicians. Patients and Methods:This study was conducted with face-to-face survey method between April 2009 and June 2009. The physicians were asked to answer the prespecified questions about the etiopathogenesis, diagnosis and treatment criteria for ABRS by grading from 1 to 5. The demographic and undergraduate education information of the physicians, daily number of patients they see, the number of patients diagnosed with ABRS and family physicians specialization were asked. One hundred and forty two physicians visits were performed at 33 Health Centers or Public Health Centers. Sixty-nine doctors (34 males, 35 females; mean age 44.5±5.5 years; range 33 to 57 years) answered the survey.Results: Medical experience was 20.0±5.5 years and 52.2% of the physicians were Family Physicians and 47.8% were General Practitioners. For diagnosis, the history (87.3%) and Waters X-ray (74.6%) were reported as the most utilized tools. Among antibiotics, amox-clu, cefuroxime axetil and levofloxacin were found to be preferred at rates of 80.9%, 76.1% and 60.3%, respectively. 74.6% and 96.8% of the physicians lacked the facility to perform radiological examination and culture, respectively. Conclusion:48.6% of the visited physicians agreed to answer the questionnaire. According to the results of the survey, General Practitioners and Family Physicians involved in conducting the basic health services did not assimilate criteria for diagnosis and treatment of ABRS. Training targeting ABRS should be involved for postgraduate period.
The COVID-19 pandemic has raised challenges in dealing with the dead body of deceases who have been a suspected case or a confirmed case of Covid-19, considering the extreme shortage of trained and experienced manpower in dealing with various duties and responsibilities in the COVID-19 scenario it is very important to ensure safety of the health care workers.All the guidelines issued from time to time for control of spread and treatment of Covid-19 are speculations depending on the current trends and none are based on robust research due to lack of scientific literature and work as the Covid-19 virus in new to the human race .The main driver of transmission of COVID-19is through droplets. There is unlikely to be an increased risk of COVID-19 infection from a dead body to health workers or family members who follow standard precautions while handling body. Only the lungs of dead COVID-19 patients, if handled during an autopsy, can be infectious.1and there is no evidence so far of transmission of virus through the handling of corpses.2There are a lot of speculations in the mind of forensic medicine experts regarding the ongoing mortuary work and dead body management in the Covid-19 scenario considering the risk of acquiring the infection during handing or bodies or while conducting a medico legal post mortem examination.
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