Musculoskeletal Injuries Among Victims of the Battagram, Pakistan Earthquake in October 2005

2012 ◽  
Vol 27 (5) ◽  
pp. 489-491 ◽  
Author(s):  
Ghulam Mustafa Kaim Khani ◽  
Akhtar Baig ◽  
Mujahid Humail ◽  
Manzoor Memon ◽  
M.A. Quarashi
Keyword(s):  
Soft Tissues ◽  
Head Injuries ◽  
Cross Sectional Study ◽  
Musculoskeletal Injuries ◽  
Publication Type ◽  
Disaster Plan ◽  
Cross Sectional ◽  
Surgical Interventions ◽  
North West ◽  
Wound Debridement

AbstractObjectiveThis study was conducted to assess the type, pattern, and severity of musculoskeletal injuries, as well as the type of simple orthopedic surgical procedures, that can be performed at the site of a disaster.MethodsThis was a cross-sectional study conducted in Battagram, located in the North West Frontier Province of Pakistan after the October 2005 earthquake. Researchers arrived in the affected area during the second week after the earthquake, and remained there for one week. During this period, patients were received from distant areas of the district. These patients were admitted to a tent hospital because the district headquarters hospital was completely damaged. Those requiring orthopedic surgical intervention or closed manipulation and plaster of paris casts were included in the study.ResultsOf 110 patients, 61 were female and 49 were male, and 140 bones were involved. In this series, 92 fractures were closed, while 48 were open. A total of 67.3% of the patients were <40 years of age. The tibia was involved in 32.1% of cases and the femur 16.4%. No cases of compartment syndrome were found. Wound debridement was performed in 35 cases. An external fixator was applied to 10 cases of open tibia fractures. Four humerus fractures and a fracture to the radius and ulna were fixed with the Rashnail method. One open femur fracture was repaired with external fixation. Pre- and post-operative antibiotics were administered in all cases. Thirty patients sustained injuries in addition to orthopedic trauma: 13 vertebral injuries, eight head injuries, six fractured ribs, three blunt injuries to the abdomen, and 10 significant soft tissues injuries without bony involvement.ConclusionsAfter the earthquake in Battagram, young persons, especially females, were prone to orthopedic injuries, mainly involving the extremities. A comprehensive disaster plan would have helped to manage these emergencies, and further experience is needed for on-site surgical interventions.Kaim KhaniGM, BaigA, HumailM, MemonM, QuarashiMA. Musculoskeletal injuries among victims of the Battagram, Pakistan earthquake in October 2005. Prehosp Disaster Med.2012;27(5):1-3.

scholarly journals Factors associated with delayed diagnosis of breast cancer; a study in North-West of Iran

2019 ◽  
Vol 6 (1) ◽  
pp. e02-e02 ◽  
Author(s):  
Nasrin Fouladi ◽  
Maedeh Barahman ◽  
Firouz Amani ◽  
Mohammad Bahadoram ◽  
Sevda Eghbali
Keyword(s):  
Breast Cancer ◽  
Clinical Symptoms ◽  
Delayed Diagnosis ◽  
Cross Sectional Study ◽  
Breast Cancer Patients ◽  
Related Factors ◽  
Cross Sectional ◽  
Surgical Interventions ◽  
North West ◽  
Factors Associated

Introduction: Delayed diagnosis and treatment of breast cancer leads to the presentation of the disease in advanced stages necessitating more invasive surgical interventions, increasing health care costs and mortality rate, and finally reduced patients’ survival. Objectives: This study aimed to investigate the factors associated with delayed diagnosis of breast cancer in the north-west of Iran. Patients and Methods: This retrospective cross-sectional study was conducted on 70 breast cancer patients referred to the cancer registry of Ardabil city, north-west of Iran. The time from the presentation of clinical symptoms to the initiation of treatment was determined by interviews to identify the system and patients’ delays. The data was analyzed in SPSS 19 with the level of significance as P<0.05. Results: The mean age of the patients was 43.3 ± 13.2 years. The means of total, patient, and system related delays were 9.4±1.6 weeks, 6.3 ± 9.9 weeks, and 3.1 ± 2.8 weeks respectively. Regression analysis showed that age, marital status, educational level, monthly income, fear of cancer, and residency were significantly associated with patients’ delay. Conclusion: Our results highlighted the important role of patients’ related factors in delayed diagnosis of breast cancer. Therefore, it is essential to educate individuals for timely referrals to physicians.

scholarly journals Nonadherence to tuberculosis treatment and associated factors among patients using directly observed treatment short-course in north-west Nigeria: A cross-sectional study

2021 ◽  
Vol 9 ◽  
pp. 205031212198949
Author(s):  
Cylia Nkechi Iweama ◽  
Olaoluwa Samson Agbaje ◽  
Prince Christian Ifeanachor Umoke ◽  
Chima Charles Igbokwe ◽  
Eyuche Lawretta Ozoemena ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Cross Sectional Study ◽  
Medication Nonadherence ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
North West ◽  
Short Course ◽  
Directly Observed Treatment

Introduction: Tuberculosis is a public health problem in Nigeria. One of the most effective ways of controlling tuberculosis is the directly observed treatment short-course. However, some factors influence tuberculosis patients’ treatment nonadherence via directly observed treatment short-course. The study objective was to assess medication nonadherence and associated factors among tuberculosis patients in north-west Nigeria. Methods: A cross-sectional study enrolled tuberculosis patients using directly observed treatment short-course in public health facilities in Kano and Kaduna States from January 2015 to June 2016. The sample selection was conducted via a multistage sampling procedure. Data were collected using tuberculosis patients’ demographic and clinical characteristics forms, well-validated structured instruments, and medical records. SPSS version 20 was used for data analysis. Logistic and multivariable logistic regression analyses to determine factors of medication nonadherence ( P < 0.05) Results: Complete responses from 390 patients out of the 460 patients recruited for the study were used for data analyses. The mean age was 51.5 (standard deviation = ±13.8) years. The mean tuberculosis medication adherence questionnaire score was 4.35 ± 1.12. The prevalence of nonadherence to tuberculosis medication was 30.5%. Multivariable logistic regression analysis showed that having a monthly income between #100,000 and #199, 000 (adjusted odds ratio = 0.01; 95% confidence interval: 0.00–0.13), being widowed (adjusted odds ratio = 26.74, 95% confidence interval: 2.92–232.9), being married (adjusted odds ratio = 120.49, 95% confidence interval: 5.38–271.1), having a distance <5 km to directly observed treatment short-course center from home (adjusted odds ratio = 0.06, 95% confidence interval: 0.00–0.01), having a tuberculosis/HIV co-infection (adjusted odds ratio = 0.01, 95% confidence interval: 0.12–0.35), use of antiretroviral treatment and cotrimoxazole prophylaxis therapy medications (adjusted odds ratio = 24.9, 95% confidence interval: 19.6–304.3) were associated with tuberculosis medication nonadherence. Conclusion: Tuberculosis medication nonadherence was high among the patients. Thus, patient-specific adherence education, attenuation of potential factors for tuberculosis medication nonadherence, and continual resource support for tuberculosis patients are needed to improve treatment outcomes.

Measurement of Empathy Levels in Undergraduate Paramedic Students

2013 ◽  
Vol 28 (2) ◽  
pp. 145-149 ◽  
Author(s):  
Brett Williams ◽  
Mal Boyle ◽  
Tracy Earl
Keyword(s):  
Medical Condition ◽  
Cross Sectional Study ◽  
First Year ◽  
Significant Variable ◽  
Health Provider ◽  
Patient Relationship ◽  
Publication Type ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Assessment And Treatment

AbstractIntroductionParamedics rely on establishing a health provider-patient relationship with patients that promotes two-way communication, patient satisfaction, and facilitates appropriate patient assessment and treatment. Paramedics also must have an ability to empathize with patients and their family members in order to develop a successful health provider-patient relationship. The objective of this study was to assess paramedics’ empathy and attitudes toward patients with specific conditions.MethodsThis was a cross-sectional study using a convenience sample of first-, second-, and third-year, Australian undergraduate paramedic students. Student empathy levels were assessed using two standardized self-reporting instruments: the Jefferson Scale of Physician Empathy (JSPE) Health Professional (HP) version and the Medical Condition Regard Scale (MCRS).ResultsA total of 94 paramedic students participated in the study. The JSPE demonstrated that male paramedic students had higher mean empathy scores than did female paramedic students (113.25 and 107.5, respectively; P = .042). The JSPE empathy level scores were lowest among first-year paramedic students (mean = 107.53); age was not found to be a significant variable on empathy scores. The Medical Condition Regard Scale revealed lowest scores in compassion towards substance abuse (mean = 46.42).ConclusionsThe results of this study provide the discipline of paramedic health care with useful data, and provide students, academics, and other educators with important information regarding the improvement of the health provider-patient relationship and paramedic education curriculum development.WilliamsB, BoyleM, EarlT. Measurement of empathy levels in undergraduate paramedic students. Prehosp Disaster Med. 2013;28(2):1-5.

CHILDREN'S AWARENESS OF MEDICINES, DRUG COMPLIANCE AND HEALTH PROTECTION DURING COVID 19 PANDEMIC: A DETAILED CROSS SECTIONAL STUDY

2021 ◽  
pp. 20-24
Author(s):  
Radhika Vijay
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Great Role ◽  
Drug Compliance ◽  
Online Questionnaire ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
North West ◽  
Adult Lives ◽  
Prevention Of Infections

OBJECTIVES: Nobody is refrained from the use of medications in today's times, not even kids,The objective of this study is to focus on the knowledge and awareness level, perception, of children of primary and secondary grade towards medicines , prevention of Infections and Diseases and drug compliance. This descriptive, cross sectional observational study was done METHODS: amongst the kids of North West Rajasthan ,India from August 2020 to October 2020 via an online questionnaire . A sample size of 100 kids , 50 each from Primary and Secondary grade was chosen for the study. The data was entered in Microsoft Excel and was statistically analysed. Results are outcomes of various RESULTS: questions put up to conduct detailed analysis of kids' awareness and medicinal knowledge, drug preferences, factors inuencing and attitude related to hygiene, safety and protection from Covid 19 infection. Kids are the young budding phys CONCLUSION: icians and their childhood beliefs and perceptions might affect their behaviour and decisions in adult lives. Parents and schools can play a great role through educational programs . It's well said, “Children are like wet cement, whatever falls on them, leaves an impression.”

scholarly journals Preferred Learning Styles of Nurses in In-Service Training Courses in Tabriz University of Medical Sciences

2019 ◽  
Vol 36 (1) ◽  
pp. 69-78
Author(s):  
Neda Safaeifard ◽  
Hossein Namdar Areshtanab ◽  
Fariborz Roshangar ◽  
Hossein Ebrahim ◽  
Hossein Karimi Moonaghi ◽  
...  
Keyword(s):  
Learning Styles ◽  
Learning Style ◽  
Work Experience ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
North West ◽  
The North ◽  
Service Training ◽  
Training Courses

Summary Generally, progress, productivity and success of any organization depends on the skills and knowledge of their manpower. Thus, better and more accurate training programs in organizations will lead to their growth and efficiency will be eventually achieved. Due to the many advances in the field of medicine, nurses are the backbone of activities in organizations of medical sciences and patient’s affairs. For this purpose, in-service training courses for employees are the most important courses in nursing. This study was conducted at the University of Medical Sciences (Tabriz-Iran) aiming to determine the preferred learning styles of nurses in in-service training courses. In this cross-sectional study, all nurses working in medical and educational centers in a university in the North West of Iran were randomly selected. To collect data, a two-part questionnaire of Kolb’s demographic and social information was used. Data was analyzed by using descriptive and analytical statistics SPSS version 17 software. A total of 470 nurses with an average age of 36.46 ± 5.77 were studied. There was a significant correlation between preferred learning styles of nurses with nursing position, employment status, and income level. There was no a significant statistical relationship between the preferred learning style of nurses with age, work experience and experience in the center. The present study shows that the highest percentage of Kolb’s learning style is related to the preferential converging learning style (57.8%). This study aimed to determine the preferred learning styles of nurse’s in-service training courses in Tabriz University of Medical Sciences. The results of the study showed that converging and assimilating styles were the preferred learning ones among the majority of nurses; these styles are effective and interpreted according to their profession requiring a lot of information and knowledge. Due to the dominance of converging learning style among nurses, it is recommended to use appropriate teaching methods tailored to the style including the use of diagrams, presentations, lectures and self-learning with enjoyable materials.

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