Appropriateness of Medication Prescribing in Hospitalized Older Adults in a Tertiary Teaching Hospital in the Philippines: A Cross-Sectional Study

Introduction: Leave against medical advice has a potentially deleterious effect on the health of a child. This is particularly alarming in case of pediatric patients as they are unable to understand the implications of it and rely on parents to make decisions regarding their health. This study was undertaken to find out the prevalence of leave against medical advice among pediatric patients admitted in a tertiary teaching hospital in Nepal. Methods: A descriptive cross-sectional study was conducted in the Department of Pediatrics, Manipal Teaching Hospital between August 2019 and July 2020. Ethical clearance was obtained from the Institutional Review Committee (Ref: 256). Convenient sampling method was used. Data entry and analysis was done on Statistical Package for Social Sciences version 23. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.Results: Out of 1608 pediatric admissions taken in our study, the prevalence of leave against medical advice was found to be 67 (4.2%) at 95% Confidence Interval (3.22-5.18). Maximum 22 (33%) and minimum 6 (9%) patients respectively belonged to the age group from birth to 7 days and more than 10 years. Out of 67 cases, there were 36 (54%) males and 31 (46%) females.Conclusions: The prevalence of leave against medical advice among admitted pediatric patients in our study was similar to that of other studies. It is a social health problem which can be prevented by increasing the awareness and facilitating the use of health insurance schemes. More effective communication is required between the treating physicians and the parents to prevent this detrimental practice.

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Comorbidities associated with pediatric epilepsy at a Cameroonian tertiary teaching hospital: a cross-sectional study

PAMJ Clinical Medicine ◽

10.11604/pamj-cm.2020.3.127.22094 ◽

2020 ◽

Vol 3 ◽

Author(s):

Francklin Djifack Tetinou ◽

Seraphin Nguefack ◽

Félicitée Dongmo Nguefack ◽

Nadia Adjifack Tetinou ◽

Michael Ashu Agbor ◽

...

Keyword(s):

Teaching Hospital ◽

Cross Sectional Study ◽

Pediatric Epilepsy ◽

Sectional Study ◽

Cross Sectional ◽

Tertiary Teaching ◽

Tertiary Teaching Hospital

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Constructional apraxia screening and oral health among hospitalized older adults: A cross‐sectional study

Special Care in Dentistry ◽

10.1111/scd.12402 ◽

2019 ◽

Vol 39 (5) ◽

pp. 491-496

Author(s):

Lorenzo Bevilacqua ◽

Angelica Severin ◽

Erika Russi ◽

Daniele Angerame ◽

Giuliano Ceschia ◽

...

Keyword(s):

Older Adults ◽

Oral Health ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Constructional Apraxia ◽

Hospitalized Older Adults

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Workplace violence among nurses and physicians in a tertiary teaching hospital in Egypt

QJM ◽

10.1093/qjmed/hcab118 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Dena Ali Abozaid ◽

Mohamed Momen ◽

Nahla Fawzi Abou El Ezz ◽

Hanaa Abdelhakiem Ahmed ◽

Mahi Mahmoud Al-Tehewy ◽

...

Keyword(s):

Teaching Hospital ◽

Workplace Violence ◽

Cross Sectional Study ◽

Healthcare Sector ◽

Cross Sectional ◽

Tertiary Teaching ◽

Healthcare Professions ◽

Tertiary Teaching Hospital ◽

Nurses And Physicians ◽

Violence In The Workplace

Abstract Background Workplace violence (WPV) has been recognized as a major occupational hazard worldwide. Healthcare professions are particularly at a higher risk of WPV. Reported magnitude of WPV represents only the tip of an iceberg. The consequences of WPV in healthcare sector are dramatic; it affects the wellbeing of healthcare professions as well as the quality of the delivered service. Objective The study aimed to measure the magnitude of WPV, to identify factors associated with WPV among nurses and physicians working in a tertiary teaching hospital in Egypt. Methodology A descriptive cross-sectional study was conducted. A total of 114 physicians and 128 nurses were interviewed about exposure to WPV within the previous 12 months. Results The study found a high magnitude of WPV; nearly three fourth of physicians and nurses experienced violence in the workplace within the past 12 months. Female physicians experienced WPV more commonly compared to male physicians. There was a statistically significant association between type of patient nurses commonly cared for and experiencing WPV. Conclusion and Recommendations WPV among healthcare professions is an increasing problem that needs to be addressed. Increasing awareness of the problem among healthcare professions as well as the general public is warranted. Violence prevention program with a zero-tolerance policy is warranted.

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Association between multimorbidity and fear of falling: a cross-sectional study with hospitalized older adults / Associação entre multimorbidade e medo de cair: um estudo transversal com idosos hospitalizados

Brazilian Journal of Development ◽

10.34117/bjdv7n8-303 ◽

2021 ◽

Vol 7 (8) ◽

pp. 80272-80284

Author(s):

Letícia Vieira Crispim ◽

Rodrigo Lázaro Rocha Veloso ◽

Tábatta Renata Pereira De Brito ◽

Daniella Pires Nunes ◽

Bruna Luísa Melo de Aquino Lemos Corrêa ◽

...

Keyword(s):

Older Adults ◽

Regression Analysis ◽

Older People ◽

Emergency Treatment ◽

Fear Of Falling ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Preventable Hospitalizations ◽

Hospitalized Older Adults

The aim of this study was to analyze the association between multimorbidity and fear of falling among hospitalized older adults. This is a quantitative study with an analytical sectional design, conducted with 83 individuals aged 60 years or older, hospitalized for falls in a referral hospital for emergency treatment in Brazil. Data collection took place through the application of a questionnaire containing socioeconomic and health information as well as characteristics of the fall. The logistic regression analysis revealed that older people who reported multimorbidity are 3.16 times more likely to be afraid of falling than older people who did not report multimorbidity, regardless of sex, age, frailty, and the number of falls in the last year. These results could aid in improving hospital approaches in relation to multimorbidity and fear of falling, decreasing preventable hospitalizations due to falls.

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HIV testing uptake and prevalence among hospitalized older adults in Togo: A cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0246151 ◽

2021 ◽

Vol 16 (2) ◽

pp. e0246151

Author(s):

Fifonsi Adjidossi Gbeasor-Komlanvi ◽

Wendpouire Ida Carine Zida-Compaore ◽

Arnold Junior Sadio ◽

Martin Kouame Tchankoni ◽

Balakiyem Magnim Kadangha ◽

...

Keyword(s):

Older Adults ◽

Hiv Infection ◽

Hiv Testing ◽

Cross Sectional Study ◽

Hiv Positive ◽

Newly Diagnosed ◽

Sectional Study ◽

Cross Sectional ◽

Testing Uptake ◽

Hospitalized Older Adults

Objectives This study aimed to describe HIV testing uptake, as well as HIV prevalence and its associated factors among older adults aged ≥50 years in health facilities in Togo. Methods A cross-sectional study was carried out from February 2018 to June 2019 among hospitalized older adults aged ≥50 years in tertiary and secondary hospitals in Togo. HIV testing was performed according to the national algorithm. Socio-demographic data and HIV testing history were collected using a standardized questionnaire. Results A total of 619 patients (43.9% female) of median age 61 years, (IQR: 55–70) were recruited and offered HIV testing. Among them, 25.7% had never previously tested for HIV. In total, 91.6% (567/619) accepted HIV testing while 8.4% (52/619) refused to be tested. Of those who tested, forty patients were HIV positive, yielding a prevalence of 7.1%. Twenty-three patients (57.5%) were newly diagnosed with HIV infection. In multivariable analysis, two factors were associated with HIV infection: living alone (aOR = 5.83; 95%CI = [2.26–14.53]) and being <60 years (aOR = 3.12; 95%CI = [1.51–6.66]). Conclusion The majority of older adults in this study accepted testing for HIV and almost three in five HIV positive older adults were newly diagnosed with HIV as a result of this testing. There is an urgent need to integrate older adults into responses to the HIV epidemic and to strengthen targeted prevention care and treatment in this population.

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Assessing the financial burden of hemodialysis treatment in Malaysia

Belitung Nursing Journal ◽

10.33546/bnj.1804 ◽

2021 ◽

Author(s):

Nur Fatin Aqilah Mohd Fadzli ◽

Ali Aminuddin Mohd Rasani ◽

Soon Lean Keng

Keyword(s):

Teaching Hospital ◽

Employment Status ◽

Financial Burden ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Income Class ◽

Tertiary Teaching ◽

Tertiary Teaching Hospital ◽

Financial Burdens

Background: Patients with chronic kidney disease (CKD) spend substantial money on hemodialysis (HD) treatment. The growing intersection between socioeconomic status and financial burden represents an emerging challenge to the CKD community. Objective: This study assessed the financial burden of HD treatment on patients at a Malaysian tertiary teaching hospital. Methods: A cross-sectional study was carried out in the HD unit at a Malaysian tertiary teaching hospital from January to February 2021. Patients undergoing HD were purposively selected. A self-administered questionnaire was used to collect data on socio-demographic, finances, the patient's health history, treatment costs, and healthcare utilization. In addition, Pearson Chi-Square tests were used to analyze the data. Results: A total of 100 patients receiving HD treatment were included in the study. The mean age was 62.06 years (SD = 27.50), with 52% reporting moderate financial burdens. The financial burden was associated with employment status, salary, and income class among HD patients (p <0.05). Conclusion: Evidence showed a large proportion of Malaysian patients receiving HD treatment came from the B40 income bracket. The findings indicate that financial burdens can impact HD patients and are related to employment status, salary, and income class. Therefore, the ability to identify HD patients' financial needs is critical in nursing practice.

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Self-Medication Practice among Medical Students of a Tertiary Teaching Hospital in Dhaka City

Journal of Current and Advance Medical Research ◽

10.3329/jcamr.v6i1.40780 ◽

2019 ◽

Vol 6 (1) ◽

pp. 28-31

Author(s):

Asma Khan ◽

Afroza Sultana ◽

Benzir Ahammad ◽

Shamsun Nahar ◽

Shafeya Khanam

Keyword(s):

Medical Students ◽

Teaching Hospital ◽

Cross Sectional Study ◽

Self Medication ◽

Cross Sectional ◽

Medical College ◽

Tertiary Teaching ◽

Tertiary Teaching Hospital ◽

Experience Of Illness ◽

Structured Questionnaire

Background: Self-medication is a common practice worldwide and the irrational use of drugs is a cause of concern. Objective: This present study was designed to assess the rate of self-medication among the medical students in a tertiary teaching hospital in Dhaka. Methodology: This descriptive cross-sectional study was conducted in the Department of Pharmacology at Shaheed Suhrawardy Medical College, Dhaka, Bangladesh from October to December 2017 for a period of three (03) months. The participants were briefed about the nature of the study; the consent was taken and a pre‐tested semi‐structured questionnaire was administered to them. The information pertaining to the pattern of self‐medication, indications for self‐medication and drugs used for self‐medication was included in the questionnaire. Result: A total of 303 students were included in this study. The rate of self-medication was 100.0%. A larger number of females were self-medicating (81.2%) than males (75.3%). The majority of the students self-medicated because of the illness being too trivial for consultation (43.2%) and previous experience of illness (43.2%). Fever (73.3%) and headache (65%) are the most common cause of self-medication. Antipyretics were most commonly self–medicated by the participants (98%). 45.5% 0f students told that self-medication is not an acceptable practice. 40% of the participants opined that self-medication was a part of self-care. Conclusion: In conclusion self-medication is widely practiced among students of the institute Journal of Current and Advance Medical Research 2019;6(1):28-31

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Assessment of epidemiological factors and work related injuries amongst class IV workers involved in handling and disposal of biomedical wastes in a tertiary teaching hospital of Nagpur

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20173621 ◽

2017 ◽

Vol 4 (9) ◽

pp. 3243

Author(s):

Pawan V. Meshram ◽

Najuka Tawale ◽

Mahesh B. Jajulwar

Keyword(s):

Teaching Hospital ◽

Cross Sectional Study ◽

Work Place ◽

Cross Sectional ◽

Bacterial Diseases ◽

Work Related ◽

Epidemiological Factors ◽

Tertiary Teaching ◽

Tertiary Teaching Hospital ◽

Class Iv

Background: Biomedical wastes generated from hospital settings are a potent source of various infections and diseases like AIDS, Hepatitis and other bacterial diseases causing serious threat to health. Health care workers which include class IV workers are at greater risk of various morbidities due to their job profile, including transport and disposal of biomedical waste. The study aims to find out the work related injuries among class IV workers involved in handling and disposal of biomedical wastes. The objective of the study was to assess the epidemiological factors and describe the work related injuries among class IV workers in a tertiary teaching hospital of Nagpur. Methods: A cross-sectional study amongst 100 class IV workers was conducted using a structured questionnaire mentioning the socio-demographic profile and injury details at the work place. Results: Of the 100 subjects, majority (37%) fall into the age group of 40-49 years. There were 77 females and 23 males. 58% were educated till high school and there were 4 illiterates among the workers. On enquiring about the details of injury in past 6 months, 45 workers were injured during their working hour of which maximum was by needle. There were 3 workers who in spite of being injured, didn’t report to higher authority. Conclusions: Injuries at work place are fairly common and this holds truth for the class IV workers handling and disposing biomedical wastes. Proper disposal of sharps and other biomedical wastes correctly can minimize the risk of hazard.

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