Review Article
Mohamed Amine Baba, Youssef Bouchriti, Abderrahmane Achbani, Ahmed Kharbach, Hasnaa Sine, Aziz Naciri
European Journal of Medical and Educational Technologies, Volume 13, Issue 3, Article No: em2008
ABSTRACT
In March 2020, the WHO declared COVID-19 as a pandemic. At present, the curative vaccine has not yet been developed, older age and higher comorbidity levels are associated with more severe COVID-19 symptoms. Indeed, the cancer community currently faces many difficult questions.
Keywords: Coronavirus, COVID-19, cancer, 2019-nCoV, pneumonia, oncology
Original Article
Arshad Rashid, Mubasher Bhat, Sheikh Junaid, Majid Mushtaque
European Journal of Medical and Educational Technologies, Volume 13, Issue 3, Article No: em2011
ABSTRACT
Introduction: Postoperative pain relief is of paramount importance in any surgery.
Objective: To compare the effect of local infiltration of bupivacaine versus placebo for post-operative pain relief following inguinal hernioplasty.
Materials and Methods: Ours was a prospective randomized controlled trial conducted on 120 patients undergoing elective Lichtenstein hernioplasty. Patients were divided into two groups of 60 each. One group received local infiltration with 10 mL bupivacaine 0.25% below the external oblique aponeurosis and 15 mL bupivacaine 0.25% subcutaneously after completion of the surgical procedure. The other group received an equal amount of normal saline infiltrated in the similar manner. Visual Analogue Scale measured the pain.
Results: The baseline parameters were similar in both the groups. Postoperative pain was significantly decreased in patients receiving bupivacaine (p < 0.05). Mean time to first request for rescue analgesic was increased from 245 + 19.42 minutes to 472 + 19.42 minutes (p < 0.05). The consumption of supplementary analgesics during the 24-hour study period reduced from a mean of 2.8 + 0.12 to 1.7 + 0.09 doses in bupivacaine group (p < 0.05).
Conclusion: Local infiltration of bupivacaine is an effective modality for post-operative pain relief in inguinal hernioplasty.
Keywords: bupivacaine, analgesia, post-operative, hernia, lichtenstein
Original Article
Abdul Rahim Chandio
European Journal of Medical and Educational Technologies, Volume 13, Issue 3, Article No: em2012
ABSTRACT
The current study provides an overview of the COVID-19 implications on the health workers by means of their mental health and psychosocial aspects. It develops the sense of fear and susceptibility of the health workers for coping the strategies and medical targets and such perceived stress remained so fatal and harmful to the workers psyche to meet the job satisfaction under the prevailing situation due to the outbreak of the pandemic COVID-19. The prevention measures failed and became a futile attempt to seize the atmosphere of stressfulness for the frontline workers to combat the COVID-19 and it returned in the form of fear, anxiety and emotional dilemmas of isolation and loneliness. This study assists to investigate perception of the medical workers by empirical means either they face psychosocial worriness and mentally stress relating to their service during the COVID-19 outbreak in Pakistan. For the data collection, an online survey was conducted from 30 April to 20 May in which 392 questionnaires were distributed among Pakistani doctors and paramedical staff and the response rate remained 256 (65.3%) to discover their concern on the rising dilemma of the COVID-19. For the empirical analysis, proposed variables were adopted to carry out the study in order to find out the intentional level of the health workers regarding their mental distress and psychosocial problems. For the data collection, respondents were participated from the Sindh province of Pakistan in which data was analyzed through SPSS version 24 as it applied the regressions and Pearson‘s correlation to test the hypothesis that resulted to reveal all factors to sustain the significant positive relationship with dependent construct.
Keywords: Pakistan, COVID-19, implications, mental health