Publications by authors named "Pritish Raut"

2 Publications

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Lying down looking down test: Evaluating patient suitability for small incision cataract surgery using assisted topical anesthesia.

Indian J Ophthalmol 2021 Feb;69(2):268-273

Department of Preventive and Social Medicine, DVVPF, Ahmednagar, Maharashtra, India.

Purpose: The objective of this study was to evaluate an OPD-based Lying down looking down (LDLD) test for the assessment of patient suitability for assisted topical anesthesia (ATA) during manual small incision cataract surgery (MSICS), and to compare it with assisted local anesthesia (ALA).

Methods: The LDLD test was carried out during preoperative assessment of 250 consecutive patients. A standard LED torch was shined in patient's eye after pupil dilation, with the patient in lying down position, while simultaneously elevating the upper eyelid digitally. A positive test was indicated by the ability to maintain downward gaze and the lack of squeezing of eyes or withdrawal. Chi-square and Fisher's exact tests were used to assess the association between LDLD results and suitability for ATA. The positive predictive value and specificity of the test as an indicator of patient suitability for ATA were calculated. Complications (intra- and post-operative) and postoperative inflammation at day 1 and week 6 were compared between the ATA and ALA groups.

Results: A total of 250 patients were included in the study, 138 in ALA group and 112 in ATA group. There were 109 males (43.6%) and 141 females (56.4%). Around 7.4% of LDLD- positive patients were converted to ALA during the surgery. Chi-square and Fisher's exact tests demonstrated a significant association of a positive LDLD test with successful ATA (P value 0.002). The positive predictive value and specificity of the test were 92.56% (95% CI86.87-95.9%) and 93.48% (95% CI87.98-96.97%), respectively. Intraoperative complications were similar in both the groups. Congestion and visually significant corneal edema were significantly less in ATA group.

Conclusion: The LDLD is a simple, highly specific, OPD-based test to determine patient suitability for MSICS under ATA.
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February 2021

Perspectives of medical interns regarding female feticide and declining sex ratio in India.

N Am J Med Sci 2013 Aug;5(8):469-72

Padmashri Dr. Vitthalrao Vikhe Patil Foundation Medical College, Ahmednagar, Maharashtra, India.

Background: Female feticide, skewed sex ratio, and its attendant social evils have grave ethical undertones for medical professionals and our commitment to save lives. A concerted effort by all is essential against female feticide.

Aim: This study was to assess the knowledge of female feticide, declining sex ratio, and corrective measures among medical interns.

Materials And Methods: A cross-sectional study was conducted among 79 medical interns. Data werecollected with the help of predesigned structured questionnaire. Chi-square tests, Kruskal-Wallis tests, and Z tests were used to test the significance level.

Results: Knowledge of current sex ratio was significantly better among female interns than male interns. Majority of interns opined that creating awareness is an effective measure to combat declining sex ratio and only 33 interns had correct knowledge regarding all measures. Only 37.9% of interns knew all the legal indications for use of prenatal diagnostic techniques. However, 81% of interns were aware of punishments mentioned for violation of the Act. Mean score of knowledge was 22.06 among males and 24.4 among females.

Conclusion: The findings in our study underline the need to sensitize doctors regardingevery aspect of Pre-Conception and Prenatal Diagnostic Techniques Act and selective sex determination.
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August 2013