Dr Sankhadeb Acharya (Consultant Orthopaedics, Durgapur, West Bengal)

Year: 2024, Volume: 1, Issue: 3, Date of Publication: 30 November 2024;

Abstract: Prolapsed intervertebral disc (PIVD) is a common spinal disorder managed conservatively with physical therapy, medications, and lifestyle modifications. This study retrospectively analyzed 100 patients undergoing conservative treatment for PIVD over a year. Results showed 75% achieved significant pain reduction, and 68% improved functional status, with early adherence to therapy linked to better outcomes. However, 12% required surgery due to persistent symptoms. Challenges included therapy compliance and emotional strain from chronic pain. Conservative management proves effective for most patients, emphasizing the importance of early intervention, patient education, and personalized care plans to optimize recovery.

Keywords: PIVD, conservative management, patient experience, physical therapy, pain management, functional recovery.

Dr Sunit Saxena ( MD (Anaesthesiology), HOD Anaesthesia and OT, Manipal Hospital, Jaipur), Dr Bhavya Sinha ( 3rd Year PG, DNB Anaesthesia)

Year: 2024, Volume: 1, Issue: 3, Date of Publication: 30 November 2024;

Abstract: Sleep endoscopy (DISE) is a vital diagnostic tool for assessing upper airway obstruction in obstructive sleep apnea (OSA). This study reviews anesthesia techniques and safety considerations for DISE in 100 patients over one year. Using propofol titration guided by the Schnider model, a controlled sedative state mimicking natural sleep was achieved in all cases, enabling effective visualization of airway dynamics. Moderate sedation was attained with minimal complications, such as rare instances of airway obstruction, promptly managed with established protocols. The findings emphasize the importance of precise anesthesia techniques and vigilant monitoring to enhance DISE’s diagnostic accuracy and patient safety.

Keywords: Sleep endoscopy, Obstructive sleep apnea, Drug-induced sleep endoscopy, Anesthesia, Propofol, Airway management, Sedation protocols.

Dr Ramesh Kumar ( Deputy Director, Govt Sub District Hospital, Bheem, Rajsamand Rajasthan)

Year: 2024, Volume: 1, Issue: 3, Date of Publication: 30 November 2024;

Abstract: Doctors in private hospitals often face significant occupational stress due to demanding work environments and job insecurity. This study assessed the health status of 54 doctors using the GHQ-28, focusing on somatic symptoms, anxiety and insomnia, social dysfunction, and severe depression. Findings revealed that 68% of participants experienced psychological distress, with high stress levels reported by 82%, largely attributed to job insecurity (61%). Anxiety and insomnia were the most affected domains. The study underscores the urgent need for mental health screenings, supportive workplace policies, and stress management interventions to improve the well-being and resilience of healthcare professionals.

Keywords: General Health Questionnaire, doctors’ health, occupational stress, job insecurity, private hospital, mental well-being.