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Kumar, Avinash
- Knowledge and Perception Regarding Pre Anaesthetic Check-up (PAC) among Patients in a Tertiary Care Hospital in Sub Urban South India
Authors
1 Department of Anaesthesia, Srinivas Institute of Medical Sciences & Research Centre, IN
2 Department of Community Medicine, Kasturba Medical College, Mangalore, IN
Source
Indian Journal of Public Health Research & Development, Vol 10, No 12 (2019), Pagination: 730-733Abstract
Background: Anaesthesiology branch has traded a long journey from a branch managed by physicians to a specialised branch which handles not just operative cases but also pain management and critically sick patients. Pre anaesthetic evaluation has long journey to go, the various roles of pre anaesthetic evaluation is still not well known to patients, which leads into wastage of resources and increased morbidity and mortality. Thepresentstudy was done to assess the knowledge and perception of patients regarding pre anaesthetic evaluation in suburban area of coastal district of south India.
Methodology: Across sectional study, conducted in a tertiary care medical college and hospital in Dakshin Kannada district of India.The patients were inducted in the study by using convenience sampling technique. A pre tested, semi structured questionnaire were used as the data collection tool. Data were analysed using SPSS version 16.0 and results wereexpressed as frequency and percentage.
Results: The reason to go to PAC clinic as pre operative evaluation was known by 30.90% participants but that will help in optimisation and risk reduction was known by only 3.03%. Only an anaesthesiologist can conduct a PAC was known to 23.03% and it will help in anaesthesia and surgery risk reduction was known to 18.18%. Almost half 48.48% participants were willing to communicate about their co morbidities to anaesthesiologist but that need to be optimised before surgery was known by 16.16%.
Keywords
Pre Anaesthetic Check-Up, Optimisation, Anaesthesiologist.
- Neck Circumference as an Indicator of Obesity and its Comparison with Body Mass Index and Waist Circumference in Coastal Karnataka
Authors
1 Associate Professor, Department of Community Medicine, Srinivas Institute of Medical Sciences and Research Centre, Mangalore,
2 Associate Professor, Department of Community Medicine, Kasturba Medical College, Mangalore, IN
3 Professor, Department of Community Medicine, Kasturba Medical College, Mangalore, IN
4 Assistant Professor, London School of Hygiene and Tropical Medicine, London, GB
Source
Indian Journal of Public Health Research & Development, Vol 11, No 1 (2020), Pagination: 580-586Abstract
Background: Neck circumference can be a simple screening tool for measurement of overweight and obesity. The present study aims to depict neck circumference as a valid measurement of obesity and tries to find out its correlation with BMI and waist circumference among young adults in the age group of 20-30 years.
Methodology: A community based cross-sectional study was conducted in 6 coastal villages of Udupi taluk, Udupi district, Karnataka, among 750 subjects. A pre-tested, semi structured questionnaire was administered to the study subjects after obtaining their consent. The questionnaire comprised of details on socio-demographic variables and anthropometric measurements.
Results: The study showed a strong positive correlation (r) between weight (0.7), waist circumference (0.7) and hip circumference (0.7) with neck circumference among the males, it showed a correlation of (0.6) for all the parameters like weight, waist circumference and hip circumference among the females. ROC analysis showed that the cut off for males at 36.25 cm has a sensitivity of 80% and specificity 77% and the area under the curve is 0.84. Whereas the cutoff for females was found to be 31.75 cm having the sensitivity of 69% and specificity 77% and the area under curve was 0.73.
Conclusion: Neck circumference (NC) measurement is simple and time saving screening measure that can be used to identify overweight and obesity. Patients with NC >36.25 cm cm for men and >31.75 cm for women require additional evaluation of overweight/obesity.