scholarly journals The direct and indirect impact of the COVID-19 pandemic on the care of patients with pituitary disease: a cross sectional study

Pituitary ◽  
2020 ◽  
Author(s):  
Anneke Graf ◽  
Hani J. Marcus ◽  
Stephanie E. Baldeweg

Abstract Purpose The coronavirus disease 2019 (COVID-19) pandemic is widely believed to have had a major impact on the care of patients with pituitary disease. The virus itself may directly result in death, and patients with adrenal insufficiency, often a part of hypopituitarism, are thought to represent a particularly susceptible subgroup. Moreover, even in patients that do not contract the virus, the diversion of resources by healthcare institutions to manage the virus may indirectly result in delays in their management. To this end, the aim of this study was to determine the direct and indirect impact of the COVID-19 pandemic on patients with pituitary disease. Methods A cross-sectional study design was adopted, with all adult patients seen by our pituitary service in the year prior to the nationwide lockdown on March 23rd 2020 invited to participate in a telephone survey. Results In all, 412 patients (412/586; 70.3%) participated in the survey. 66 patients (66/412; 16.0%) reported having suspected COVID-19 infection. Of the 10 patients in this group tested for COVID-19 infection, three received a positive test result. No deaths due to COVID-19 were identified. 267 patients (267/412; 64.8%) experienced a delay or change in the planned care for their pituitary disease, with 100 patients (100/412; 24.3%) perceiving an impact to their care. Conclusions Whilst only a small percentage of patients had confirmed or suspected COVID-19 infection, over half were still indirectly impacted by the pandemic through a delay or change to their planned care.

2019 ◽  
Author(s):  
Amde Eshete Eshete

Abstract 1.Abstract Background Water is essential for life. The objective of this research was designed to assess the physicochemical & bacteriological quality of drinking water come from Ashebeka river as a supply of Asella town. Methods A cross-sectional study design was implemented on the study sites. Water samples had been taken for laboratory analysis. Statistical analysis were carried out with Epi info 7 for data entry & STATA 15 for data analysis. Results The first round laboratory test results for:-BOD test result 4mg/L at site one, 2 mg/L at fourth site, & 6 mg/L at site eight. COD test result 40mg/L at site one, 20 at fourth sites, & 60 at site eight. The result of total & fecal coliform count greater than 180CFU/100ml & Escherichia Coli 40 CFU/100ml of sample for the first sites. The laboratory investigation during the second round test results for:- turbidity measure 162.06 NTU at site one, 5.84NTU at site two, 6.94NTU at site three, 5.48NTU at site four, 6.57NTU at site five & 8.76NTU at site six. The chemical analysis result had found that fluoride concentration 0.5mg/L at site one, 0.48mg/L at site two, 0.44 mg/L at site three & at site four, 0.43mg/L at site five, & 0.01mg/L at site six. Aluminum taste result nill at first site, 0.54mg/L at second site, 0.24 at third site, 0.48mg/L at fourth site, 0.39mg/L at fifth site & 0.110mg/L at sixth sites. the calcium concentration had found that 8 mg/L at first sites & third sites, 6.4 mg/L at the rest sites. The magnesium test results had found that 0.96mg/L at first & fifth sites, 1.92mg/L for the rest sites. The dissolved oxygen concentration at first site was 3.667mgL, at second sites 5.333mg/L, at third sites 6.0mg/L, 4.667mg/L at fourth sites, 5mg/L at fifth sites & 2.667 mg/L at sixth sites. Conclusions Water quality was acceptable even though improvement will be required on chemical parameters. Keywords : Water pollution, Physico-chemical and bacteriological water quality, Escherichia Coli & coliform counts.


2019 ◽  
Author(s):  
Chanda Chalela

BACKGROUND ABSTRACT Introduction a study on prevalence of ITN use was carried out in Buchi community Kitwe Zambia from August to October 2019 OBJECTIVE Prevalence of ITN in BUchi METHODS Methodology: This was a cross sectional study design. A structured questionnaire was used to ascertain ownership and utilization and oral interviews, 200 households were targeted 844 individual covered across the 200 households. Data was analyzed with SPSS version 23. RESULTS ABSTRACT Introduction a study on prevalence of ITN use was carried out in Buchi community Kitwe Zambia from August to October 2019 Methodology: This was a cross sectional study design. A structured questionnaire was used to ascertain ownership and utilization and oral interviews, 200 households were targeted 844 individual covered across the 200 households. Data was analyzed with SPSS version 23. Findings: household ownership of at least an ITN was 52% and individual utilization at 37.6%, with 0.825 ITN/households and 0.195ITN /individual. Malaria prevalence of 52.4% /household and a 12.4% of the population. With 47.6% malaria patient coming from households with ITN and 60% of households with ITN have insufficient coverage.61% of malaria patient were female and 31 % male. however there was no significant relation between Gender and malaria prevalence in study area (p value was >0.05). Malaria cases distribution with age groups, 0-15yrs old represented 49.5%, 16-30 yrs., was at 27.6% and the over 30 yrs. case were at 22.9% .use of other preventive measures 23% used mosquito repellent ,others methods 1% with those not using any other methods 76%. CONCLUSIONS Conclusion The study showed clearly that malaria still poses a problem .the prevalence rate of malaria was still high 12.4% of the population and 52.4% of households. With high prevalence of malaria of 49.5% for 0-15yrs.the difference between ownership 52% and Utilization 37.6% showed that even household with ITN, the ITN were not sufficient.60% of households with ITN, the ITN were not sufficient for all occupants


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Mathilde Lolk Thomsen ◽  
Louise Scheutz Henriksen ◽  
Jeanette Tinggaard ◽  
Flemming Nielsen ◽  
Tina Kold Jensen ◽  
...  

Abstract Background Exposure to perfluoroalkyl substances (PFASs) has been associated with changes in body mass index and adiposity, but evidence is inconsistent as study design, population age, follow-up periods and exposure levels vary between studies. We investigated associations between PFAS exposure and body fat in a cross-sectional study of healthy boys. Methods In 109 boys (10–14 years old), magnetic resonance imaging and dual-energy X-ray absorptiometry were performed to evaluate abdominal, visceral fat, total body, android, gynoid, android/gynoid ratio, and total fat percentage standard deviation score. Serum was analysed for perfluorooctanoic acid, perfluorooctane sulfonic acid (PFOS), perfluorohexane sulfonic acid, perfluorononanoic acid, and perfluorodecanoic acid using liquid chromatography and triple quadrupole mass spectrometry. Data were analysed by multivariate linear regression. Results Serum concentrations of PFASs were low. Generally, no clear associations between PFAS exposure and body fat measures were found; however, PFOS was negatively associated with abdominal fat (β = -0.18, P = 0.046), android fat (β = -0.34, P = 0.022), android/gynoid ratio (β = -0.21, P = 0.004), as well as total body fat (β = -0.21, P = 0.079) when adjusting for Tanner stage. Conclusions Overall, we found no consistent associations between PFAS exposure and body fat. This could be due to our cross-sectional study design. Furthermore, we assessed PFAS exposure in adolescence and not in utero, which is considered a more vulnerable time window of exposure.


2021 ◽  
Vol 70 (Suppl-4) ◽  
pp. S828-32
Author(s):  
Sajid Khan ◽  
Abdul Hameed Siddiqui ◽  
Ariz Samin ◽  
Syed Hassan Mustafa ◽  
Akhtar Gul ◽  
...  

Objective: To determine the frequency of acute kidney injury among patients undergoing coronary angiography. Study Design: Descriptive cross-sectional study. Place and Duration of Study: Department of Cardiology, Hayatabad Medical Complex, Peshawar, from Jan 2018 to Jul 2018. Methodology: This study was conducted in the in the Department of Cardiology, Hayatabad Medical Complex, Peshawar from 22nd Jan 2018 to 22nd Jul 2018. Through a descriptive cross-sectional study design, a total of 116 patients scheduled for coronary angiography were included in the study in a consecutive manner and baseline / follow up serum creatinine was recorded to detect acute kidney injury. Results: In this study 116 patients were included, 61.2% males and 38.8% females. Mean age of the patients was 55.6 years with a standard deviation of 6.6 years. Mean baseline serum creatinine level was 0.9 ± 0.11mg/dl which was 1.5 ± 0.11 48 hours after coronary angiography (p 0.000). AKI was recorded in 19.8% of patients. Conclusion: Acute kidney injury after coronary angiography is not uncommon in our population. More studies are recommended on its risk factors and complications to draw future directions for its control and prevention.


2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Alifa Dinda Septifani ◽  
Apriningsih Apriningsih

Posyandu was one manifestation of Health Efforts on Community Based (UKBM). Based on data Posyandu Mawar 2 in February 2015 there were a decreased number of mothers’s visit from 81.25% to 62.5%, so the researchers wanted to know about association of the mother’s perception with the utilization of The Posyandu. This research used cross sectional study design using total sampling (80 mothers). Data collection was done by direct interviews based on the questionnaire and analyzed using Chi Square. The result there’s a significant association between mother’ss perception of the distance to the utilization of Posyandu RW 06 Posyandu Mawar 2 Kebagusan South Jakarta and there’s no significant relationship between education, employment and the knowledge and mothers’perceptions about the completeness of facilities, the attitude of cadres and the presence of health workers. Suggestions for Posyandu is to increase  of  mother’confident to visit Posyandu


2019 ◽  
Vol 3 (1) ◽  
pp. 14
Author(s):  
Triyanti Triyanti ◽  
Wita Nurul Aini ◽  
Ratu Ayu Dewi Sartika

Calcium is one of important mineral for female student to obtain the peak bone mass.This study aims to find out how the amount and adequacy of calcium intake, and the contribution of dairy products to calcium intake among female student. This study used a cross-sectional study design. A total 58 third and fourth level nutrition student were selected randomly as samples.Calcium intake is obtained by using semiquantitative FFQ that has been validated. The results of the study showed an average calcium intake was 630�395 mg/day, with 417.8�367.7 mg coming from dairy products.There was 13% student who obtained Requirement Daily Allowance for calcium. Keywords: calcium intake, dairy products, female student


2021 ◽  
Author(s):  
Gregory Knowles ◽  
Emily Warmington ◽  
Lisa Shepherd ◽  
Jonathan Hazlehurst ◽  
Bray Anne De ◽  
...  

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