DOCSLIB.ORG

Fundamental Critical Care Support Course

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Fundamental Critical Care Support Course Fundamental Critical Care Support Course DATE AND TIME: February 1st to 3rd. 2019 (Friday, Saturday & Sunday): 7am - 5pm Location: Faculty of Medicine, University of Jaffna, Jaffna, Sri Lanka. COURSE DIRECTOR & Course Consultant: Dr. Sri Sujanthy Rajaram, (Associate Professor of Medicine), Hackensack UniversityMedicalCenter,Hackensack, NJ,USA ASSOCIATE DIRECTORS: Dr. S.Premakrishna (Jaffna Teaching Hospital Sri Lanka Dr. S.Mathanalagan - Batticalo Teaching Hospital, Sri Lanka Dr. P.Thamil Vaanan - Emergency Physician, FCCS Instructor, Canada Dr. Malathy Varatharaja - JMFOA - President USA Dr. Kandasamy Rajaram, Nephrology - USA INSTRUCTORS: USA/ CANADA Dr.Anusuya Jeyakumar, USA Dr.Sathya Nagesparan, USA INSTRUCTORS: SRI LANKA Dr.Janaki Arulmoli, Consultant Anesthetist, Teaching Hospital Jaffna. Dr.N.Sooriyakumar, Consultant Anesthetist, Teaching Hospital Jaffna. Dr.Vasumathy Devanesan,Consultant Anesthetist, Teaching Hospital Jaffna. Dr.Geetha Sathiadas, Consultant Paediatrician, Teaching Hospital, Jaffna Dr.T.Kumanan, Consultant Physician, Teaching Hospital, Jaffna Dr.Ajini Arasalingam, Consultant Neurologist, Teaching Hospital Jaffna. Dr.S.T.Sharma, Consultant Surgeon, Teaching Hospital, Jaffna. Dr.N.Saravanabhava, Consultant Obstetrician &Gynecologist, Base Hospital, Tellippallai. Dr.S.Gobishankar, Consultant Surgeon, Teaching Hospital, Jaffna. Dr.P.Lakshman, Consultant Cardiologist, Teaching Hospital, Jaffna. Dr.K.Muhunthan, Consultant Obstetrics & Gynecologist Teaching Hospital, Jaffna. Dr.K.Guruparan, Consultant Obstetrics & Gynecologist Teaching Hospital, Jaffna. Dr.V.Sujanitha, Consultant Physician, Teaching Hospital, Jaffna. Dr.Nalagini Jegatheesan, Consultant Physician, Base Hospital, Point Pedro. Fundamental Critical Care Support Course FIRST DAY 7:00 a.m. Registration and continental breakfast. 7.00 - 8.00 Participants must take or hand in pre test. Pre Test 1: FCCS (20 questions) Pre Test 2: FCCS- Obstetrics (20 questions) 7:50 - 8.00 Welcome address, announcements and overview. Dr.S.Premachandran, 8.00 - 8.30 Recognition and Assessment of the Seriously Ill Patient. Dr.Sujanthy Rajaram, Lecture 1 8:30 - 9.10 Diagnosis and Management of Acute Respiratory Failure. Dr.Thamil Vaanan, Lecture 2 9.10 - 9.50 Mechanical Ventilation 1 Dr.Janaki Arulmoli, Lecture 3 9.50 - 10.30 Mechanical Ventilation 2 Dr.Janaki Arulmoli 10.30 - 10.45 Break Skill Station 1: 10.45 - 11.45: A. Mechanical Ventilation I (3 Cases) B. Recognition and Assessment of the Seriously Ill Patient (3 Cases) Lecture 4 11.45 - 12.30 Physiologic Changes in Pregnancy. Dr.Malathy Varatharajah, 12.30 - 1.30 Lunch Break Lecture 5 1.30 - 2.00 Hemodynamic Monitoring. Dr.Sujanthy Rajaram, Lecture 6 2.00 - 2.30 Airway Management/ Airway Management in Pregnancy. Dr.Thamil Vaanan, Lecture 7 2.30 - 3.10 Monitoring Oxygen Balance and Acid-Based Status Dr.N.Sooriyakumar. 3.10 - 3.30 Break Lecture 8 3.30 - 4.10 Diagnosis and Management of Shock. Dr.Vasumathy Devanesan, Skill Station2 4.10 - 5.00 A Integrated Skill station 1 Assessment of Seriously Ill Patient (2 Cases) B Non Invasive Positive Pressure Ventilation (2 Cases) 5.00 Adjourn Fundamental Critical Care Support Course 2ND DAY 7:15 a.m. Registration and continental breakfast 7:30 - 8.00 Pre-Test Discussion. Lecture 9 8.00 - 8.40 Management of Life-Threatening Electrolyte and Metabolic Disturbances (Including glucose Metabolism.) Dr.V.Sujanitha, Lecture 10 8.40 - 9.10 Special considerations: Management of Critically ill - Thromboembolic events, Gastrointestinal hemorrhage, Poisoning and Temperature related illness. Dr.Nalagini Jegatheesan, Lecture 11 9.10 - 9.40 Pregnancy related Acute Kidney Injury. Dr. Kandasamy Rajaram, Lecture 12 9.40 - 10.10 Life- Threatening Infections: Diagnosis and antimicrobial therapy selection. Dr.T.Kumanan, 10.10 - 10.30 Break Lecture 13 10.30 - 11.00 Neurologic Support Dr.Ajini Arasalingam, Lecture 14 11.00 11.30 Acute Coronary Syndromes.selection Dr.P.Lakshman, Lecture 15 11:30 - 12.00 Basic Trauma and Burn Support. Dr.S.T.Sharma, Lecture 16 12.00 - 12.30 Sepsis in Pregnancy. Dr.Sujanthy Rajaram, 12:30 - 1.30 Lunch Break. Lecture 17 1:30 - 2.00 Ethics in Critical Care Medicine. Dr.K.Muhunthan, Lecture 18 2.00 - 2.30 Critical Care in Infants and Children: The Basics. Dr.Geetha Sathiadas, Skill Stations 3 2.40 - 3.30 A Severe Sepsis Scenario A B Severe Sepsis Scenario B. C Urosepsis complicated by Acute Respiratory Distress Syndrome in Pregnancy Scenario. 3.30 - 3.45 Break Skill Stations 4 3:45 - 4.30 A Integrated Hemorrhagic Shock. B Integrated Traumatic Brain Injury Scenario. C Airway Mangement. Fundamental Critical Care Support Course 3RD DAY 7:15 a.m. Registration and continental breakfast. 7:30 - 8.00 Post Test Discussion. (FCCS) Lecture 19 8:00 - 8.30 Pre-eclampsia and Eclampsia. Dr.K.Muhunthan, Lecture 20 8:30 - 9.00 Thromboembolism Disease and Pregnancy. Dr.N.Saravanabhava Lecture 21 9.00 - 9.30 Management of Delivery and Newborn. Dr.K.Guruparan, Lecture 22 9.30 - 10.00 Fetal Evaluation and Fetal Concerns in the Seriously Ill Pregnant Patient. Dr.K.Guruparan, 10.00 - 10.15 Break Lecture 23 10.15 - 10.45 Obstetric Hemorrhage. Dr.K.Guruparan, Lecture 24 10.45 - 11.15 Maternal Mortality and Cardiac Arrest. Dr.S.Premkrishna, Skill stations 5 11.15 - 12.30 A Management of severe Pre-Eclampsia and Eclampsia. B Post Partum Hemorrhage. C Cardio-Pulmonary Arrest in Pregnancy. D Delivery and Neonatal Resuscitation. 12.30 - 1.30 Lunch Break. Lecture 25 1.30 - 2.10 Non Obstetric surgical disease in Pregnancy. Dr.S.Gobyshankar, Lecture 26 2.10 - 2.40 Transport of critically ill pregnant patient. Dr.S.Premakrishna 2.40 - 3.00 Break 3.00 - 4.00 Post Test OB/FCCS 4.00 - 5.00 Post Test discussion, closing remarks. Awarding certificates. 5.00 Conclusion. Fundamental Critical Care Support Course The Society of Critical Care Medicine (SCCM) organized FCCS course to provide a framework for the management of a Critically ill patient. Designed for physicians and health care providers this course teaches participants how to prioritize and stabilize a critically injured patient. The FCCS course was prepared under the direction of the SCCM by leading international multi professional critical care educators in anesthesiology, emergency medicine, internal medicine, surgery, pediatrics, pharmacy and nursing. During the two-day FCCS course, attendees participate in lectures and hands-on training for important critical care skills including mechanical ventilation, hemodynamic monitoring, neurological support and life threatening infections. This course is for Physicians, Physician Assistants, Nurse Practitioners, Nurses, Respiratory Therapists, EMS and other healthcare professionals. Course Purpose: • To better prepare the non-intensivist for the first 24 hours of management of the critically ill patient until transfer or appropriate critical care consultation can be arranged. • To assist the non-intensivist in dealing with sudden deterioration of the critically ill patient. • To prepare house staff for ICU coverage. • To prepare nurses and other critical care practitioners to deal with acute deterioration in the critically ill patient. Course Objectives: • Prioritize assessment needs for critically ill and injured patients. • Select appropriate diagnostic tests. • Identify and respond to significant changes in unstable patients. • Recognize and initiate management of acute life threatening conditions. • Determine the need for expert consultation and/or patient transfer. Upon completion of the FCCS Full course participants may receive up to 32.0 Continuing Medical Education (CME) hours for a full certification. There are no prerequisites for this course for the full certification course. For a renewal course, your certification must be current. Fundamental Critical Care Support Course Topics covered: • Recognition and Assessment of the Seriously Ill Patient • Airway Management • Cardiopulmonary/Cerebral Resuscitation • Diagnosis and Management of Acute Respiratory Failure • Mechanical Ventilation • Monitoring Blood Flow, Oxygenation, and Acid-Base Status • Diagnosis and Management of Shock • Neurologic Support • Basic Trauma and Burn Support • Acute Coronary Syndromes • Life-Threatening Infections: Diagnosis and Antimicrobial Therapy Selection • Management of Life-Threatening Electrolyte and Metabolic Disturbances • Special Considerations • Critical Care in Pregnancy • Ethics in Critical Care Medicine • Critical Care in Infants and Children: The Basics Approximate Length: 24 Hours for 3 days course (Full Course combined FCCS & FCCS Obstetrics) Required Materials: FCCS Student Manual The FCCS textbook is required for all participants, and must be present in the classroom during instructions. Fundamental Critical Care Support Course FEATURED LECTURES: • Recognition and Assessment of the Seriously Ill Patient • Airway Management • Cardiopulmonary/Cerebral Resuscitation • Oxygen Balance and Acid-Base Status • Diagnosis Diagnosis and Management of Acute Respiratory Failure • Mechanical Ventilation I • Mechanical Ventilation II • Monitoring and Management of Shock • Neurologic Support • Basic Trauma and Burn Support • Acute Coronary Syndromes • Life-Threatening Infections: Diagnosis and Antimicrobial Therapy Selection • Management of Life-Threatening Electrolyte and Metabolic Disturbances • Special Considerations • Critical Care in Pregnancy • Ethics in Critical Care Medicine • Critical Care in Infants and Children: The Basics FEATURED SKILL STATIONS: • Mechanical Ventilation I • Mechanical Ventilation II
Load more

Recommended publications
  • PTC Course Report, Jaffna, Jan 2004
    Primary Trauma Care Course, Jaffna, Sri Lanka January 20 th ­22 nd 2004 Purpose of the visit To visit Jaffna in Northern Sri Lanka to teach a PTC course and Instructor course, prior to the attendance of the instructors and others at the Scientific Sessions of the College of Anaesthesiologists of Sri Lanka, whose focus was on Trauma. Executive summary A team of 3 instructors from the UK were joined by Professor Rebecca Jacob from South India and Dr Shirani Hapuarachchi from Colombo to teach the course. The local co­ordinators had selected twenty doctors from the Jaffna and the Northern province of Sri Lanka, who would form the nucleus of the future instructor body in that region. A two day PTC course and subsequent one day instructor course were run, with in addition a half day BLS training session run in parallel to the morning of the Instructor course. Presentations at the Plenary Sessions of the College of Anaesthetists introduced PTC to a wider audience of several hundred and this was enthusiastically received. Over the past year the PTC programme has been extensively adopted in Sri Lanka and this has also impacted very substantially at a much broader level on Trauma management as a whole in the country. Background In January 2003 a joint approach was made to PTC headquarters by the Colleges of Anaesthesiologists and Surgeons of Sri Lanka for a PTC course and instructor course to be run in Colombo associated with the Annual Scientific Sessions of the Sri Lankan College of Anaesthesiologists. This proved very successful as further outlined below, and following this two of the 2003 instructors, James de Courcy and Sarah Bakewell, were invited back to speak (on subjects other than PTC) to the 2004 Sessions.
    [Show full text]
  • An Ominous Anterior T Wave Changes: a Case Report On
    icine- O ed pe M n l A a c n c r e e s t s n I Dayaratna et al., Intern Med 2017, 7:6 Internal Medicine: Open Access DOI: 10.4172/2165-8048.1000261 ISSN: 2165-8048 Case Report Open Access An Ominous Anterior T Wave Changes: A Case Report on Wellens’ Syndrome Dayaratna J*, Nisahan B, Guruparan M and Peranantharajah T Jaffna Teaching Hospital, Jaffna, Sri Lanka *Corresponding author: Dayaratna J, Registrar in Medicine, Jaffna Teaching Hospital, Jaffna, Sri Lanka, Tel: 94718663548; E-mail: [email protected] Received date: November 12, 2017; Accepted date: November 16, 2017; Published date: November 22, 2017 Copyright: © 2017 Dayaratna J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract Coronary heart disease (CHD) is one of the main causes for mortality and morbidity in both develop and developing countries throughout the world. CHD had claimed nearly 7.4 million deaths worldwide according to WHO in 2015. Welle’s syndrome is now being increasingly recognized as a distinct entity causing acute coronary syndrome. The syndrome is due to critical narrowing of proximal left anterior descending (LAD) coronary artery. Identification of this syndrome is paramount important because this is a preinfarction stage of CHD that often progresses to a devastating anterior myocardial infarction within a mean time of 8.5 days . We report a 62 year old recently diagnosed, well controlled diabetic gentleman who presented with ischemic type of chest pain with normal ECG and normal cardiac biomarkers on admission, found to have Welle’s syndrome.
    [Show full text]
  • Joint Humanitarian Update NORTH EAST | SRI LANKA
    Joint Humanitarian Update NORTH EAST | SRI LANKA JAFFNA, KILINOCHCHI, MULLAITIVU, MANNAR, VAVUNIYA and TRINCOMALEE DISTRICTS Report # 18 | 16 - 29 January 2010 Displacement after April 2008 IDP situation as reported by the Government Agents as of 22 January 2010 IDPs Between 1 April 2008 and 22 January 2010 Vavuniya Camps: 101,646 107,258 people are accommodated in temporary camps. Mannar Camps: 1,950 Jaffna Camps: 3,662 RELEASES & RETURNS 29,008 people have been released from temporary camps into host Releases: families and elders’ homes as of 20 January 2010. The majority of these people are elders, people with disabilities and other vulnerable groups. Returns to places of origin: 159,495 have been returned to Jaffna, Vavuniya, Mannar, Trincomalee, Batticaloa, Mullaitivu, Kilinochchi, Ampara, Kandy and Polonnaruwa districts between 5 August and 22 January 2010. 1 United Nations Office of the Resident Coordinator and Humanitarian Coordinator Sri Lanka | Joint Humanitarian Update | 2010 | Web site: http://www.hpsl.lk Joint Humanitarian Update NORTH EAST | SRI LANKA I. Situation Overview & highlights • The 2010 Presidential Elections concluded on 26 January, with official results announced on 27 January. The incumbent President Mahinda Rajapaksa claimed victory with 57.88% of the votes, while the opposition common candidate General Sarath Fonseka received 40.15%. Out of a total of 14,088,500 registered voters, 10,495,451 (74.50%) exercised their right during the elections. • On 29 January, UN Secretary-General Ban Ki-Moon expressed relief that Sri Lanka’s Presidential Elections concluded relatively free of violence and he reiterated his call to the country’s political parties to abide by the official results and to pursue any concerns peacefully.
    [Show full text]
  • Establishment of a Road Traffic Trauma Registry for Northern Sri Lanka
    Practice BMJ Glob Health: first published as 10.1136/bmjgh-2019-001818 on 20 January 2020. Downloaded from Establishment of a road traffic trauma registry for northern Sri Lanka 1 2 3 2 Thayasivam Gobyshanger, Alison M Bales, Claire Hardman, Mary McCarthy To cite: Gobyshanger T, ABSTRACT Summary box Bales AM, Hardman C, et al. Road traffic injuries are a neglected global public health Establishment of a road traffic problem. Over 1.25 million people are killed each year, and ► Establishment of a trauma registry is the first step trauma registry for northern middle- income countries, which are motorising rapidly, are Sri Lanka. BMJ Global Health to understanding the regional epidemiology of injury the hardest hit. Sri Lanka is dealing with an injury- related 2020;5:e001818. doi:10.1136/ and establishing an effective trauma system. healthcare crisis, with a recent 85% increase in road traffic bmjgh-2019-001818 ► Road traffic crashes result in 30%–86% of all trau- fatality rates. Road traffic crashes now account for 25 ma admissions in low-income and middle- income 000 injuries annually and 10 deaths daily. Development Handling editor Seye Abimbola countries. of a trauma registry is the foundation for injury control, ► Almost half of all motor vehicle collision victims were This information was presented care and prevention. Five northern Sri Lankan provinces at the International Injury Care the main providers for their family. collaborated with Jaffna Teaching Hospital to develop a Committee (I2C2), American ► Data from the Sri Lankan Trauma Registry demon- local electronic registry. The Centre for Clinical Excellence College of Surgeons Committee strated that only 52% of patients arrived at the and Research was established to provide organisational on Trauma meeting, San hospital within 2 hours after injury, with very few of leadership, hardware and software were purchased, Antonio, Texas, 7 March 2018.
    [Show full text]
  • 11803467 01.Pdf
    Preface In response to a request from the Government of Sri Lanka, the Government of Japan decided to conduct a basic design study on the Project for The Improvement of Central Functions of Jaffna Teaching Hospital In The Democratic Socialist Republic of Sri Lanka and entrusted the study to the Japan International Cooperation Agency (JICA). JICA sent a study team to Sri Lanka from February 13 to March 14, 2005. The team held discussions with the officials concerned of the Government of Sri Lanka, and conducted a field study at the study area. After the team returned to Japan, further studies were made. Then, a mission was sent to Sri Lanka from July 17 to 26, 2005 in order to discuss a draft basic design, and as this result, the present report was finalized. I hope that this report will contribute to the promotion of the project and to the enhancement of friendly relations between our two countries. I wish to express my sincere appreciation to the officials concerned of the Government of Sri Lanka for their close cooperation extended to the teams. August 2005 Seiji Kojima Vice President Japan International Cooperation Agency The Project for The Improvement of Central Functions of Jaffna Teaching Hospital in The Democratic Socialist Republic of Sri Lanka Project Site City of Jaffna Project Location Map Perspective of the Project List of Abbreviations ADB Asian Development Bank AFC Anti Filaria Campaign AIDS Acquired Immunodeficiency Syndrome AMC Anti Malaria Campaign AVR Automatic Voltage Regulator CSSD Central Supply and Sterilization
    [Show full text]
  • JOINT HUMANITARIAN and EARLY RECOVERY UPDATE August 2012 – Report #45
    August 2012 – Report #45 JOINT HUMANITARIANJOINT HUMANITARIAN AND EARLY AND RECOVERY EARLY RECOVERY UPDATE UPDATE This report indicates the UN and NGO partner response to continuing humanitarian needs and early recovery concerns, in supporAugustt to the 201 Sri Lankan2 – Report Government’s #45 efforts to rebuild the former conflict-affected regions. Activities show progress towards the sectoral priorities and goals described in the 2012 Joint Plan for Assistance. I. SITUATION OVERVIEW & HIGHLIGHTS Returns and displacement By the end of August 2012, 447,269 people (133,518 families) had returned to the Northern Province. This figure includes 234,024 people (74,192 families) displaced after April 2008 and 213,245 persons (59,326 families) displaced before April 20081. At the end of August, 3,058 IDPs (884 families), displaced after April 2008, remained in camps awaiting return to their areas of origin. During September there were several resettlement movements from Menik Farm and host families to their areas of origin. There was also a voluntary relocation movement of 214 IDPs (55 families) originally from Keppappilavu village of Maritimepattu Divisional Secretariat Division (DSD) to Sooripuram village. This relocation was completed by the Government of Sri Lanka, without assistance from the international agencies. As of 21 September, 1,185 IDPs (361 families) remained in Menik Farm (See Table 1). 3,058 IDPs remained in Vavuniya camps as of 31 August 2012 447,269 people have returned as of 31 August 2012 Source: Compiled by UNHCR from district and Government data An additional 7,329 IDPs (1,981 families) from the protracted or long-term caseload, displaced prior to April 2008, remained in welfare centres in Jaffna and Vavuniya districts.
    [Show full text]
  • Sri Lanka Post-Closure Evaluation 2015
    VSO Sri Lanka post-closure evaluation 2015 Sri Lanka post-closure evaluation Report Karen Iles September 2015 0 VSO Sri Lanka post-closure evaluation 2015 This report This report presents the findings of the post-closure evaluation of the VSO program in Sri Lanka, which took place between March and June 2015. Acknowledgments We would like to thank all those who participated in and supported the post-closure evaluation. Our thanks are extended to: VSO’s Partners in Sri Lanka for so generously sharing their time, experiences and rich insights: Dr. Mendis and all the NIMH staff, and the occupational therapists; Mr Thayaparan and the team at PCA, Mr. Thatparan and the team at Shantiham, and Mr. Sukirtharaj and the team at JSAC; all the former VSO volunteers for so readily and openly shared their experiences and thoughts; the former VSO country program team in Sri Lanka for taking time out of their busy schedules to share their reflections; and the staff at VSO for sharing their thinking on theory of change and post closure evaluations. A very special thanks to Mrs. Ruvanthi Sivapragasam and Mrs. Manchula Selvaratnam for their absolutely invaluable role in liaising with the Partners to organise the evaluation and logistics, which enabled the activities to run smoothly. Many thanks are also extended to our two translators, Mr. Kennedy and Mr. Tilak Karunaratne, who were valuable members of the evaluation team, contributing their own insights. The feedback on the evaluation findings and draft report from the Steering Group was very valuable and much appreciated. Finally, many thanks to Janet Clark and Patrick Proctor of VSO for their support throughout the process.
    [Show full text]
  • Jaffna Integrated Multi-Modal Transport Study
    JAFFNA INTEGRATED MULTI-MODAL TRANSPORT STUDY DRAFT FINAL REPORT PROJECT MANAGEMENT UNIT STRATEGIC CITIES DEVELOPMENT PROJECT MINISTRY OF MEGAPOLIPROJECTS & WESTERN MANAGEMENT DEVELOPM UNITENT STRATEGIC CITIES DEVELOPMENTJANUARY PROJECT 2019 MINISTRY OF MEGAPOLIS & WESTERN DEVELOPMENT Strategic Cities Development Project [SCDP] Jaffna Multi-Modal Transport Study TABLE OF CONTENTS Table of Contents ........................................................................................................................ i List of Tables ............................................................................................................................. vi List of Figures .......................................................................................................................... viii Acronyms and Abbreviations ...................................................................................................... i 1 Background ...................................................................................................................... 1-1 1.1 Introduction.............................................................................................................. 1-1 1.2 Description of the Overall Project ............................................................................ 1-1 1.3 Background to Studying Mobility Issues .................................................................. 1-2 1.4 Jaffna Integrated Multimodal Transport Study (JIMMTS) ....................................... 1-3 1.5 Scope of
    [Show full text]
  • Journal of Pediatric Sciences
    Journal of Pediatric Sciences Irrational Prescribing of Antibiotics in Pediatric Outpatients: A Need for Change Edita ALILI-IDRIZI, Merita DAUTI, Ledjan MALAJ Journal of Pediatric Sciences 2015;7:e228 How to cite this article: Alili-Idrizi E, Dauti M, Malaj L. Irrational prescribing of antibiotics in pediatric outpatients: a need for change. Journal of Pediatric Sciences. 2015;7:e228 DOI: http://dx.doi.org/10.17334/jps.09285 2 ORIGINAL ARTICLE Irrational Prescribing of Antibiotics in Pediatric Outpatients: A Need for Change Edita ALILI-IDRIZI 1, Merita DAUTI 1, Ledjan MALAJ 2 1Department of Pharmacy, Faculty of Medicine, State University of Tetovo; 2 Faculty of Pharmacy, University of Medicine, Tirana, Albania. Abstract: Background and Aims: Antibiotics play a major role in the treatment of infectious diseases and are among the drugs most commonly prescribed for children. Respiratory tract infections in pediatric patients are a common cause of antibiotic prescribing which increases morbidity, mortality, patient cost and the likelihood for emergence of antibiotics-resistant microorganisms. This study was undertaken to determine the proportion of common respiratory tract infections and to generate data on the extent of rational/irrational prescribing of antibiotics in patients attending the pediatric out-patient department. Material and Methods: retrospective study carried out during one year (January to December, 2013) in the pediatric out-patient department of the Clinical Center in Tetovo. Patients of either sex at age group between 1 week and 14 years who attended the pediatric out-patient department and were prescribed antibiotics for respiratory tract infections were included in the study. The data was compared against national guideline-based medicine, major antibiotic guidelines recommended by World Health Organization (WHO) and American Academy of Pediatrics (AAP), and cross-referenced against Cochrane studies.
    [Show full text]
  • Democratic Socialist Republic of Sri Lanka the Project for Development
    Ministry of Economic Development Democratic Socialist Republic of Sri Lanka Democratic Socialist Republic of Sri Lanka The Project for Development Planning for the Rapid Promotion of Reconstruction and Development in Jaffna District Final Report - Appendix - November 2011 Japan International Cooperation Agency (JICA) IC Net Limited Oriental Consultants Co., Ltd. EID JR 11-142 The Project for Development Planning for the Rapid Promotion Of Reconstruction and Development in Jaffna District Draft Final Report – Appendixes - Table of Contents Appendix for Chapter 1 Introduction Appendix 1-1 Important Documents and Records on PDP Jaffna (Related with Section 1.10) Appendix 1-2 Procured Equipment by the Project (Related with Section 1.10) Appendix 1-3 The Project in the Press (Press cut) (Related with Section 1.10) Appendix for Chapter 2 Overview of Jaffna Appendix 2-1: Women Rural Development Societies Assessment Report (Related with Section 2.5.2 / 7.2) Appendix 2-2: Summary of Widow’s Society Individual Survey (Related with Section 2.5.3) Appendix 2-3: A Summary of Mahinda Chinthana (Related with Section 2.7 / 2.8) Appendix 2-4: A Summary of Uthuru Vasanthaya (Related with Section 2.7 / 2.8) Appendix 2-5: A Summary of the Northern Province Five Year Investment Plan (Related with Section 2.7 / 2.8) Appendix 2-6: A Summary of Jaffna City Council Plan (Related with Section 2.7 / 2.8) Appendix 2-7: Summaries of Other Plans (Related with Section 2.7 / 2.8) Appendix for Chapter 3 Agriculture Appendix 3-1: Focus Group Discussion Report (Related
    [Show full text]
  • Jemds.Com Original Research Article
    Jemds.com Original Research Article IRRATIONAL PRESCRIBING OF ANTIBIOTICS FOR VIRAL RESPIRATORY TRACT INFECTIONS IN CHILDREN AGED 1 - 14 YEARS- A STUDY IN RURAL AREA OF CHANDU-BUDHERA Satya Kiran Kapur1, Yamini2, Harish Gupta3, Pawan Kumar4 1Associate Professor, Department of Paediatrics, Faculty of Medicine and Health Sciences, SGT University, Budhera, Gurugram, Haryana. 2Professor and HOD, Department of Surgery, SHKM Government Medical College, Nalhar, Nuh, Haryana. 3Senior Resident, Department of Paediatrics, Faculty of Medicine and Health Sciences, SGT University, Budhera, Gurugram, Haryana. 4Junior Resident, Faculty of Medicine and Health Sciences, SGT University, Budhera, Gurugram, Haryana. ABSTRACT BACKGROUND During the winter season, viral respiratory tract infections are most common amongst children and prescribing of antibiotics has become a routine practice. This study was undertaken to know the extent of irrational prescribing of antibiotics by General Practitioners (GPs) and Practicing Paediatricians (PPs) for viral respiratory tract infections in children. MATERIALS AND METHODS The study was done from 15.11.2016 to 15.03.2017 (Winter season) in the Paediatric OPD of SGT Hospital, Faculty of Medicine and Health Sciences, SGT University, Budhera, Gurugram (Gurgaon). Children aged 1 - 14 years who attended the Paediatric OPD and were prescribed antibiotics for viral respiratory tract infections by the General Practitioners as well as by Practicing Paediatricians before visiting the SGT Hospital were included in the study. RESULTS The most common symptoms in children aged 1 - 14 years in viral respiratory infections were sore throat, cough, runny nose, sneezing and fever, for which antibiotics were prescribed by General Practitioners as well as by Practicing Paediatricians. The most common prescribed antibiotics were penicillins (80.30%) followed by cephalosporins (15.12%).
    [Show full text]
  • International Medical Health Organization (IMHO) | PO Box 61265 | Staten Island | NY | 10306
    International Medical Health Organization (IMHO) Issue: #33 April 2012 In This Issue Empowering Marginalized Women & Other Sri Lanka Efforts 2 New Videos Highlight IMHO's Impact on Health Services in Sri Lanka Please VOTE for our ALCS Training Video Pitch See you this weekend in Toronto for the Annual Convention! Upcoming IMHO Events Past IMHO Events Empowerment of Marginalized Women Trishaw Quick Links: Recent Drivers in Jaffna & Other Sri Lanka Efforts Reports 2011 IMHO Annual Coordinated by the Women's Education and Research Centre Report (WERC), a handful of marginalized from various communities were given vocational and life skills training, provided with a trishaw HGD Foundation (Haiti) (three-wheeler), and organized into small collectives for financial 2011 Appeal accountability and group support. The trishaws were handed over Empowering to these deserving women on March 8th in Jaffna, Sri Lanka in Marginalized Women in commemoration of International Women's Day. Around 50-60 civil Sri Lanka as Trishaw society members, NGOs, government officials, and community Drivers leaders were present for this momentous occasion. At the end of the ceremony, the women drove away in their new trishaws--a Gondar University Hospital Surgical proud moment for all of them and their families. These women are Textbook Appeal not only empowered to now provide for themselves and their families, they are also breaking down gender stereotypes and Rebuilding Haiti: norms about the role of women in society and challenging the Serving the Health and male-dominated order of this profession. It also has the potential to Education Needs in Petit-Goave enhance the mobility and sense of security of women passengers, particularly those that travel alone.
    [Show full text]