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RISS 인기검색어
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- 저자 : ( Ananda Wijewickrama ) (검색결과 2 건)
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( Priyankara Jayawardena ),( Gaveshika Abeyrathne ),( Damayanthi Idampitiya ),( Deshapriya Ananda Wijewickrama ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Dengue Haemorrhagic Fever (DHF) is the commonest complication in Dengue. Early identifi cation of plasma leakage in DHF is very important to prevent patients from going into shock. Rising haematocrit (HCT) is the commonest parameter used to detect DHF. However, no data is available for dengue in pregnancy. Methods: Retrospective observational study was conducted on all pregnant Dengue patients admitted to two hospitals in Colombo during 2013 to identify parameters useful in diagnosing DHF. Dengue infection was confi rmed by positive serology; DHF by Ultra Sound Scan (USS). Results: 58 qualifi ed for the study. Mean age was 28.45(SD: 5.573) yrs. 32(55.2%) had Dengue fever (DF) while 26(44.8%) had DHF. All had fever. 86.2% had myalgia. Hepatic tenderness, persistent vomiting and postural dizziness were commoner with DHF (81.8%, 100% & 70% respectively). Temperature, pulse rate and urine output had no signifi cant differences between DF and DHF. The mean lowest platelet count in DF was 90.94 while in DHF was 37.81 (p<0.000). Both AST and ALT levels were higher in DHF. PT/INR (6.8%) and APTT (8.6%) were elevated in both DF & DHF. Of the 32 DF patients, 19 (59%) had HCT rise of <10%, and other 13(40.6%) had HCT rises between 11% to 19%. Of the 26 DHF patients, 3 (11.5%) had HCT rise of <10%, 12 (46.2%) had HCT rises between 11% to 19% while 11 had HCT rise of >20%. Only one patient went into shock. All patients recovered fully. Conclusions: Lower platelet count and higher ASOT & ALT were in favour of DHF. HCT changes are helpful to diagnose DHF only when it is >20%. However, lesser changes don`t exclude the possibility of DHF. Hence, we recommend that USS should be used routinely in all pregnant patients to diagnose DHF.
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( Nishamany Geethika Nanayakkara ),( Gveshika Abeyrathna ),( Rcw Rajapaksha ),( Ananda Wijewickrama ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Stigma and discrimination of HIV/AIDS patients in hospital settings is a major drawback in the treatment of patients. Knowledge, attitudes and practices of Sri Lankan nurses towards HIV/AIDS patients remains unclear. Methods: A cross sectional KAP study was done in a nursing training school in Sri Lanka on fi nal year nursing students. A self-administered questionnaire to assess the knowledge, attitudes and practices was given to fi ll anonymously. The responses were analyzed using SPSS version 17. Results: 222 students responded: 94.6% believing that HIV can be asymptomatic but infectious; 73% believing that a HIV patient can stay for >5 years without getting AIDS. 58.1% thought HIV is highly contagious while 10.4% thought it is transmitted through mosquitoes. >90% believed that it cannot be transmitted by using common toilets with patients by sharing bed linen. 82.9% and 24.3% respectively thought that proper condoms use and anti-retroviral treatment would reduce the transmission. Though 95% would adhere to universal precautions and 91.9% wash hands before touching patients, only 55% thought that gloves & gowns are not needed for any contact with patients. 44.1% would consider PEP after occupational needle stick injury. Although 86% believed that HIV patients has the right to same care as others, 31.1% believed that they should be kept separately from other patients. 34.7% were worried of getting HIV from the work place. 62.2% feel sympathetic towards the patients and 51.8% had little sympathy towards those who got HIV from sexual promiscuity. Only 65.3% believed patients are entitled to confi dentiality while 77% believed that HIV status should be revealed ward staff before venepuncture. Conclusions: Though nursing students` knowledge about HIV/AIDS pathogenesis is good, knowledge on transmission is inadequate. Attitudes and practices are poor and needs further improvement.
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