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We report a case of acute popliteal artery occlusion in a young male farmer as a result of prolonged squatting

The purpose of this study was to determine the availability and adequacy of antidote stocking at hospitals in north Palestine based on published guidelines for antidote stocking. Methodology: This study is a cross sectional survey of all hospitals at north Palestine (n=11) using a questionnaire which was completed by the director of the pharmacy department at each hospital. The questionnaire was divided into 2 parts. The first part contained a list of 25 antidotes while the second part contained a list of 12 antidotes. This classification is based on the guideline proposed by the British Association for Emergency Medicine (BAEM). The net antidote stock results were compared with the American guidelines as well. Result: The overall availability of each antidote in the first list varied widely from zero for glucagon to 100% for atropine. The number antidotes of the first list that were stocked in the 11 hospitals ranged from 5 to 12 antidotes but none of the hospitals stocked all the 25 antidotes. Additionally, availability of antidotes in the second list varied widely from zero for polyethylene glycol to 100% for dobutamine. The number of antidotes stocked ranged from 5 to 9 but none of the hospitals stocked all the 12 antidotes. Discussion and Conclusion: hospitals in north Palestine do not have adequate stock of antidotes. Raising awareness of the importance of antidotes by education, regular review of antidote storage, distribution plans, and appropriate legislation might provide solutions. Coordination between Palestinian hospitals and the PCDIC at An-Najah National University is also important.

There is a low papillary to follicular ratio in iodine deficient areas. A study of malignant thyroid tumors done over a period of 4 years in Goa shows that the ratio of papillary to follicular carcinoma in Goa conforms to a iodine deficient status of the population.

Background: Transmission of microorganisms from the hands of health care workers is the main source of cross-infection in hospitals and can be prevented by hand washing. The aim of this study was to identify predictors of noncompliance with hand washing during routine patient care. Materials And Methods: This is an observational study. The participants in the study were Health Care Workers (HCWs). Doctors, nurses and ward aides working in different wards of the hospital who were observed for compliance with hand washing. Results: In 270 observed opportunities for hand washing, average compliance was 63.3%. Noncompliance was highest among doctors followed by nurses. Ward aides were most compliant. Conclusions: Compliance with hand washing was moderate. Variation across the hospital ward and type of HCW suggests that targeted educational programs may be useful. Noncompliance suggests that understaffing may decrease quality of patient care.

The study aims at analyzing economic and policy factors impinging upon population stabilization measures at the district (sub-state level) in India. It reflects upon popularly debated notions, namely, that development is the best contraceptive or whether contraceptive is the best development. In order to reflect upon this notion, we hypothesize that the factors determining the success of population stabilization measures are likely to be different across rich and poor states. It is more likely that in a rich state economic development becomes a significant factor for population stabilization relative to a direct intervention by the state. By contrast, in a poorer state, direct intervention acquires main significance relative to supporting influence of economic development. To test the validity of our assumption, we have the district level data for the three categories of Indian states belonging to different income levels relative to overall average of the country. Thus we focus on the district level information of the three states, namely, Maharashtra, Madhya Pradesh and Orissa, which in terms of per capita income, belong to rich, middle income and poor category of states respectively. Our regressions using district level data for three states depict the significance of difference in influential variables across the categories. The results thus confirm our hypothesis that direct intervention acquires main significance at a lower level of per capita state income and economic development becomes a major influential factor at higher levels of per capita state income. The results also support our earlier results using state level data. In the light of these results, it could be emphasized that in the long run development is the best contraceptive. However, in the short run, a considerable achievement could be made by improving basic health and family planning services and by increasing the level of facilities including basic amenities, media and infrastructure development.