Suchergebnisse

Opioid use disorders are one of the most serious global health problems. According to the latest national survey, current use of any opioid was 2.1% and an estimated 8.5 Lakh people who inject drugs (PWID) are in India. Opioid Agonist Treatment (OAT) is the most effective evidence-based strategy for management of opioid use disorders. In India, OAT is provided in government hospitals and through community-based OAT clinics. The covid-19 pandemic and nation-wide lockdown have adversely impacted OAT services delivery in the country. The National Drug Dependence Treatment Centre (NDDTC) runs a community drug treatment clinic in an urban impoverished area of East Delhi and provides low-threshold, free-of-cost OAT services for patients residing in the clinic's vicinity. The clinic responded to the COVID-19 pandemic challenge and continued OAT throughout the pandemic by making substantial changes in its operations. This symposium shares the experience of NDDTC in running community-based OAT services using Clinical Workflow Automation based digital platform, teleconsultations, and various strategies adapted to deliver uninterrupted services during this unprecedented time. The feasibility, perceived satisfaction and retention rates of the patients receiving the tele medication assisted treatment offered is assessed among 100 patients will also be discussed. The various operational challenges faced and lessons learned during delivery of OAT services would also be discussed.

India has a huge burden of substance use disorder (SUD). The national response to the problem of SUD has been to support addiction treatment centers either in government hospitals or in nongovernmental settings. The existing number of addiction treatment facilities is less compared to the burden of substance use in India. The existing models of treatment in India place undue emphasis on inpatient treatment of SUD. Community-based treatment aims to bring the treatment of SUD closer to the patients in their community. Community-based treatment of SUD utilizes existing services available in the community by establishing an integrated network of community-based services. There have been different models of community-based care for the management of SUD in India. Most of them, however, address short-term withdrawals and do not provide long-term treatment in community. National Drug Dependence Treatment Centre, AIIMS, New Delhi, has been providing community-based treatment for SUD since the 1990s. Two of the three community drug treatment clinics (CDTCs) are in operation for more than 5 years now and cater to the population residing within a defined catchment area. The CDTCs use infrastructure available in the community to operate the clinics. The clinics are run daily by a team of nursing staff, while the doctor is available only twice a week. A menu of options, ranging from short-term treatment to long-term agonist maintenance treatment is provided in the clinic. Both pharmacotherapy and psychosocial interventions are provided. Each clinic caters to hundreds of patients through these facilities. There is a need to expand CDTCs in India considering their cost-effectiveness, acceptability, and overall effectiveness, especially in urban colonies with higher substance-related problems.

Introduction: Maxillofacial injuries are less frequent in children than adults and are more often minimally displaced. Literature reveals that the incidence of maxillofacial injuries accounts for 1% - 14.7% in children below age 16 years. There is lack of information on epidemiological data for pediatric maxillofacial injury from Nepal. Objectives: The objective of the study is to determine the pattern of maxillofacial injuries in the pediatric population who had been treated in one of the tertiary level hospitals in western Nepal. Methodology: Among 303 cases of maxillofacial trauma registered between March 2017 to February 2019 at UCMS College of Dental Surgery, Bhairahawa, Rupandehi, Nepal; 57 cases of pediatric maxillofacial injuries that were admitted and received treatment were enrolled in the study. Parameters recorded were demographic data, mode of injury, the pattern of maxillofacial injuries and treatment provided. Results: Majority of patients were males (66.67%) among which 51% were adolescents (12-16 years). The mode of injury was road traffic accidents (77.2%) in most cases. Mandibular fractures were commonly seen in which parasymphysis region (40%) was common anatomic site. Most of the injured patients (45.6%) were managed with open reduction and internal fixation. Post-operative results were uneventful. Conclusion: The road traffic accident was the predominant mode for injury. Mandible is one of the most commonly involved bones to get a fracture. Good traffic sense needs to be imbibed and developed by the government as well as the public to prevent road traffic accidents. In addition, children need to carry out their outdoor activities under adult supervision.