scholarly journals Perineal Lacerations: A Retrospective Study in a Habitual-Risk Public Maternity

2021 ◽  
Vol 43 (08) ◽  
pp. 588-594
Author(s):  
Lauro Henrique Heinsch Domenighi ◽  
Angela Regina Maciel Weinmann ◽  
Leris Salete Bonfanti Haeffner ◽  
Marcelo Lorensi Feltrin
Keyword(s):  
Skin Color ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Study Data ◽  
Significant Variable ◽  
Cross Sectional ◽  
Perineal Lacerations ◽  
Obstetric Nurses ◽  
Increased Risk ◽  
Logistic Regressions

Abstract Objective In around 85% of vaginal births, the parturients undergo perineal lacerations and/or episiotomy. The present study aimed to determine the incidence of lacerations and episiotomies among parturients in 2018 in a habitual-risk public maternity hospital in southern Brazil, and to determine the risk and protective factors for such events. Methodology A retrospective cross-sectional study. Data were obtained from medical records and analyzed using the Stata software. Univariate and multivariate logistic regressions were performed. Values of p < 0.05 were considered significant. Results In 2018, there were 525 vaginal births, 27.8% of which were attended by obstetricians, 70.7% by obstetric nurses, and 1.5% evolved without assistance. Overall, 55.2% of the parturients had some degree of laceration. The professional who attended the birth was a significant variable: a greater number of first- and second-degree lacerations, as well as more severe cases, occurred in births attended by nurses (odds ratio [OR]: 2,95; 95% confidence interval [95%CI]: 1,74 to 5,03). Positions at birth that did not enable perineal protection techniques (expulsive period with the “hands-off” method), when analyzed in isolation, determined the risk; however, in the final regression model, this relationship was not confirmed. Although reported in the literature, there were no associations between the occurrence of laceration and age, skin color, or birth weight. In 24% of the births, episiotomy was performed, and doctors performed 63.5% of them. Conclusion Births attended by nurses resulted in an increased risk of perineal lacerations, of varying degrees. In turn, those assisted by physicians had a higher occurrence of episiotomy.

scholarly journals Food Insecurity and Associated Factors in Brazilian Undergraduates during the COVID-19 Pandemic

Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 358
Author(s):  
Bruna Leal Lima Maciel ◽  
Clélia de Oliveira Lyra ◽  
Jéssica Raissa Carlos Gomes ◽  
Priscilla Moura Rolim ◽  
Bartira Mendes Gorgulho ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Diet Quality ◽  
Skin Color ◽  
Associated Factors ◽  
Mental Distress ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Black Skin ◽  
Logistic Regressions ◽  
Socio Economic Variables

Undergraduates may face challenges to assure food security, related to economic and mental distress, especially during the COVID-19 pandemic. This study aimed to assess food insecurity and its associated factors in undergraduates during the COVID-19 pandemic. An online cross-sectional study was conducted from August 2020 to February 2021 with 4775 undergraduates from all Brazilian regions. The questionnaire contained socio-economic variables, the validated Brazilian food insecurity scale, and the ESQUADA scale to assess diet quality. The median age of the students was 22.0 years, and 48.0% reported income decreasing with the pandemic. Food insecurity was present in 38.6% of the students, 4.5% with severe food insecurity and 7.7% moderate. Logistic regressions showed students with brown and black skin color/race presented the highest OR for food insecurity; both income and weight increase or reduction during the pandemic was also associated with a higher OR for food insecurity, and better diet quality was associated with decreased OR for food insecurity. Our study showed a considerable presence of food insecurity in undergraduates. Policy for this population must be directed to the most vulnerable: those with brown and black skin color/race, who changed income during the pandemic, and those presented with difficulties maintaining weight and with poor diet quality.

scholarly journals Health beliefs about hypertension among hypertensive elderly people in Khammam urban locality: health belief model

2020 ◽  
Vol 7 (10) ◽  
pp. 3892
Author(s):  
Nagapraveen Veerapu ◽  
Philip Ravi Kumar Baer ◽  
Meghana Kudumula
Keyword(s):  
Health Belief Model ◽  
Health Beliefs ◽  
Health Belief ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Study Data ◽  
Cross Sectional ◽  
Increased Risk ◽  
Life Style Changes ◽  
Belief Model

Background: Increased globalization, urbanization, improvements in science and technology, information technology made life style changes; prone to increased risk of non communicable diseases. Beliefs about hypertension determine behaviour of the hypertensive people towards hypertension and its complications. Health beliefs about hypertension can be studied by health belief model. The objectives were to know the socio-demographic characteristics and to quantify the health beliefs among elderly hypertensive people in the light of Health belief model.Methods: A cross sectional study was done for a period of 6 months from January 2018 to June 2018 among people aged 50 years and above who were hypertensives in Khammam urban locality. Randomly 160 people were selected for the study. Data was collected by using a semi-structured questionnaire. Analysis will be done using proportions.Results: The average number of years the individuals known to have hypertension was 6.38 years. The current systolic blood pressure in most of the elderly was in between 140-149 mm of Hg. The current diastolic BP in most of the elderly was 81-90 mm of Hg was followed by less than 80 mm of Hg. In the study, health beliefs were quantified. More than half of elderly had perceived threat of hypertension (54.6%). The health beliefs of perceived benefits were 44%. Perceived threats of barriers were 62.7%.Conclusions: The information obtained will be useful for planning the health education or health promotion programs based on the needs and deficiencies of the people.

scholarly journals Consumption of sugar-sweetened beverages and its association with overweight among young children from China

2016 ◽  
Vol 19 (13) ◽  
pp. 2336-2346 ◽  
Author(s):  
Pan Yu ◽  
Yun Chen ◽  
Ai Zhao ◽  
Ying Bai ◽  
Yingdong Zheng ◽  
...  
Keyword(s):  
Weight Gain ◽  
Young Children ◽  
Rural Areas ◽  
Urban Areas ◽  
Positive Association ◽  
Cross Sectional Study ◽  
Study Data ◽  
Healthy Children ◽  
Cross Sectional ◽  
Increased Risk

AbstractObjectiveTo fully understand the sugar-sweetened beverage (SSB) consumption status among Chinese young children and to explore its association with weight gain.DesignIn this cross-sectional study, data on sociodemographic characteristics, SSB intake and weight/height were collected by means of face-to-face interviews. The intake of SSB among young Chinese children in relation to their age, different characteristics and types of SSB consumed is described, and the association between SSB intake and BMI-for-age Z-score and overweight is explored.SettingSeven large cities and two villages in China.SubjectsNine hundred and forty-six healthy children, aged 3–7 years.ResultsThe proportion of SSB intake among Chinese young children was 80·5 %; 3·4 % were daily consumers, 34·0 % (31·4 %) consumed at least once per week (month). The per capita and per consumer SSB intake was 63·1 9 (sd 100·8) and 78·4 (sd 106·9) ml/d. Children from rural areas consumed twice, or even triple, the amount of SSB as those from urban areas (P<0·001) and great disparities existed between the types of SSB consumed by urban and rural children. An association was found between increased SSB intake and higher BMI-for-age Z-score (P<0·05) after adjusting for potential confounders; there was also an association between SSB intake and increased risk of being overweight or obese.ConclusionsThe consumption status of SSB in Chinese young children is of concern. There was a positive association between SSB intake and weight gain. Measures should be taken to improve the present situation of SSB consumption among Chinese young children.

Social impact of menstrual problems among adolescent school girls in rural Tamil Nadu

2017 ◽  
Vol 30 (5) ◽  
Author(s):  
Rama Ravi ◽  
Pankaj B. Shah ◽  
Shanthi Edward ◽  
Palani Gopal ◽  
B.W.C. Sathiyasekaran
Keyword(s):  
Adolescent Girls ◽  
Tamil Nadu ◽  
Social Impact ◽  
Statistical Significance ◽  
Holistic Approach ◽  
Cross Sectional Study ◽  
Study Data ◽  
Psychosocial Impact ◽  
Cross Sectional ◽  
Increased Risk

Abstract Background Adolescence is a period of physiological, psychological and social transition between childhood and adulthood and is characterized by the onset of menstruation in girls. A adolescent girls are naïve about menstruation and they take time to adapt to these changes both socially and psychologically. This study was carried out to assess the psychosocial impact of menstrual problems among schoolgoing adolescent girls. Methods This study is a cross-sectional study carried out in 350 schoolgoing adolescent girls in the year 2012 in the Thiruvallur district of Tamil Nadu. Girls who attained menarche 1 year prior to the data collection were included in the study. Data regarding background characteristics and psychosocial impact of menstrual problems were collected. Data was analyzed using SPSS ver. 15 software. The χ2-test was carried out to assess the statistical significance at the 95% level of significance. Results The mean age of the participants was 14.7 years. In this study, 87.7% of the girls had at least one menstrual problem. Among these, 78.5% could not attend school during menstruation, 51.1% were unable to perform household/sports activities (p < 0.001). It was observed that dysmenorrhea and menorrhagia were at increased risk of absenting the girls from school (p < 0.05). Conclusion The key to a sound adolescent health programme is a holistic approach which also focuses on the psychological and social domain of health. This could be achieved by involving all the stakeholders like parents, teachers, etc. to work as a team. It is also essential to develop adolescent friendly health services at the grass root level.

scholarly journals Poor Physical Fitness Performance as a Predictor of General Adiposity in Taiwanese Adults

2020 ◽  
Vol 17 (8) ◽  
pp. 2686
Author(s):  
Yi-Tien Lin ◽  
Po-Fu Lee ◽  
Tian-Shyug Lee ◽  
Chien-Chang Ho
Keyword(s):  
Physical Fitness ◽  
Cardiorespiratory Fitness ◽  
Cross Sectional Study ◽  
Study Data ◽  
Overweight And Obesity ◽  
Cross Sectional ◽  
Obesity Status ◽  
Increased Risk ◽  
Fitness Tests ◽  
Health Related

The purpose of the present study was to investigate the association between different levels of health-related physical fitness measurements and obesity status in Taiwanese adults. A cross-sectional study was conducted by reviewing the National Physical Fitness Survey in Taiwan (HPFSIT) database. Responses from 60,056 participants, aged 23–64 years from the database were collected in the present study. Data from a standardized structured questionnaire and health-related physical fitness tests were analyzed. The quartiles of each physical fitness measurement were used for unconditional logistic regression analyses. Our results indicated clear trends in the association between cardiorespiratory fitness and overweight/obesity. Overweight and obesity were associated with a 10% to 60% increased risk of low levels of cardiorespiratory fitness in men and a 10% to almost 30% increased risk in women. However, the association between muscle strength/endurance and obesity status as well as flexibility and obesity status needs further investigation.

scholarly journals Self-rated health and hearing disorders: study of the Brazilian hearing-impaired population

2021 ◽  
Vol 26 (suppl 2) ◽  
pp. 3725-3732
Author(s):  
Paula Anderle ◽  
Rafaela Soares Rech ◽  
Alexandre Baumgarten ◽  
Bárbara Niegia Garcia de Goulart
Keyword(s):  
Hearing Aids ◽  
Social Life ◽  
Skin Color ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
Study Data ◽  
Hearing Impaired ◽  
Daily Activities ◽  
Cross Sectional ◽  
Prevalence Ratios

Abstract Hearing impairment (HI) is one of the most impacting handicaps related to social life, and 21% have intense limitation compromising daily activities. However, few studies have investigated SRH in HI. This article aims to verify the association between HI and SRH and factors related to hearing characteristics. Cross-sectional study data from National Health Survey (NHS, 2013) conducted with 1,100 hearing impaired adults (≥18 years old). The outcome was SHR, categorized as good or poor. Poisson regression with robust variance was used to calculate Prevalence Ratios. Sociodemographic variables and characteristics of HI, such as congenital or acquired HI, type of HI, wear hearing aids, and limitation were used in adjusted analysis. Poor SRH was more prevalent in acquired HI, limitation of daily activities, sociodemographic characteristics such as aging, female, black or other skin color, and lower schooling. Poor SRH is related to acquired HI, limitation of daily activities and sociodemographic conditions.

scholarly journals Prevalence of obesity among Bangladeshi pregnant women at their first trimester of pregnancy

2013 ◽  
Vol 2 (2) ◽  
Author(s):  
Shatabdi Goon
Keyword(s):  
Pregnant Women ◽  
Weight Status ◽  
Maternal Obesity ◽  
Recurrent Miscarriage ◽  
First Trimester ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Increased Risk ◽  
Prevalence Of Obesity

BACKGROUND: Paradoxically, the escalating global epidemic of maternal obesity coexists with malnutrion in many areas of Bangladesh. This proves a major challenge to obstetric practice from preconception to postpartum due to related comorbid conditions including: maternal death or severe morbidity, gestational diabetes and hypertension, increased risk of early and recurrent miscarriage, pre-eclampsia, thromboembolism, post-caesarean wound infection, postpartum haemorrhage, and low breastfeeding rates. A dramatic increase in birth defects and other pregnancy-induced disorders related to maternal obesity has added millions of dollars to health care costs leading great economical loss to the country.OBJECTIVE: The study was designed to determine the prevalence of obesity among Bangladeshi pregnant women in their 1st trimester of pregnancy.STUDY DESIGN: 426 pregnant women presenting to the antenatal care until of Azimpur maternity hospital of Dhaka, Bangladesh were randomly selected for this cross sectional study to determine their weight status using body mass index (BMI, kg/m2).RESULT: 90 (21.2%) pregnant women were reported as obese with pregnancy BMI of >30 kg/m2. 171 (40.1%) and140 (32.8%) pregnant women were reported as overweight and healthy with pregnancy BMI of 25-29.9 kg/m2 and 18.5-24.9 kg/m2, respectively.Statistical analysis revealed obesity and overweight status were found to be significantly associated with age; women aged 31 or above were more likely to be obese (OR=2.5; 95% CI 1.53–3.96) and overweight (OR=3.3; 95% CI 2.15–4.99).CONCLUSION: This study provides evidence of increasing trends in obesity among Bangladeshi pregnant women, which poses possible health risks both for mother and child. The findings of this study may act as baseline data for monitoring the effectiveness of national programs for the prevention and control of maternal obesity.

Studying and More: Part-Time Employment as an Educational Challenge?

2020 ◽  
Vol 1 (1) ◽  
pp. 57-63
Author(s):  
Silke Heuse ◽  
Cathrin Dietze ◽  
Daniel Fodor ◽  
Edgar Voltmer
Keyword(s):  
Health Care ◽  
Perceived Stress ◽  
Health Care Professionals ◽  
Cross Sectional Study ◽  
Study Data ◽  
Future Health ◽  
Cross Sectional ◽  
Professional Students ◽  
Educational Challenge ◽  
Part Time

Background: Future health-care professionals face stress both during education and in later professional life. Next to educational trainings, many students are forced to assume part-time employment. Objective: Applying the Job Demands-Resources Model to the educational context, we investigate which role part-time employment plays next to health-care professional students’ education-specific demands and resources in the prediction of perceived stress. Method: In this cross-sectional study, data from N = 161 health-care students were analysed, testing moderation models. Results: Education-specific demands were associated with higher and education-specific resources with lower amounts of perceived stress. Part-time employment functioned as moderator, i.e. demands were less associated with stress experiences in students who were employed part-time. Conclusion: Identifying part-time employment as a resource rather than a demand illustrates the need to understand students’ individual influences on stress. Both educators and students will benefit from reflecting these resources to support students’ stress management.

Nigerian physiotherapists’ perception of direct access and patients’ self-referral

2015 ◽  
Author(s):  
Chidozie Emmanuel Mbada ◽  
Kayode D. Ojetola ◽  
Rufus Adesoji Adedoyin ◽  
Udoka A. C. Okafor ◽  
Olubusola E. Johnson ◽  
...  
Keyword(s):  
Public Support ◽  
Cross Sectional Study ◽  
Study Data ◽  
Professional Autonomy ◽  
Direct Access ◽  
Cross Sectional ◽  
Major Barrier ◽  
Physiotherapy Practice ◽  
South West ◽  
Validated Questionnaire

Background: The global advocacy for Direct Access (DA) and Patients’ Self-Referral (PSR) to physiotherapy is consistent with the quest for promoting professional autonomy and recognition. It was hypothesized in this study that the attainment of this clarion call in Nigeria may be hamstrung by challenges similar or different from those reported in other climes. Objective: This study assessed the perception of DA and PSR among Physiotherapists (PTs) in South-West, Nigeria. Methods: One hundred PTs from ten purposely selected public-funded out-patient facilities from South-West, Nigeria responded in this cross-sectional study, yielding a response rate of 75% (100/150).  A previously validated questionnaire for World Confederation of Physical Therapists (WCPT) on the global view of DA and PSR for physical therapy was used in this study. Data was analyzed using descriptive statistics. Results: There was a high awareness on legislation regulating practice (91%) and scope (84%) of the profession. Respondents assert that the extant legislation allows for DA (49%) and PSR (97%). However, 40% of the respondents opined that the baccalaureate qualification of PTs was inadequate for competence in DA and PSR; and a post-professional residency programme was mostly recommended (52%). Public support for DA and PSR to physiotherapy was rated more than the advocacy role of the Nigeria Society of Physiotherapy (60% vs. 40%). Physicians’ (71%) and politicians’ (65%) views were rated the major barrier to achieving DA and PSR status in physiotherapy. Similarly, physicians’ (90%) and politicians’ (88%) support was perceived as the major facilitator.  Conclusion: Physiotherapy practice in Nigeria has the semblance of autonomy in DA and PSR but is devoid of legislative support. Most Nigerian physiotherapists assume professional autonomy but were not aware of the lack of legal support for DA and PSR. The current entry-level academic curricula were considered to be deficient and inadequate for autonomous practice in Nigeria.  Physicians and politicians were the most important barrier or facilitator to achieving legal support for DA and PSR in physiotherapy in Nigeria.

scholarly journals SARS-CoV-2 seroprevalence and asymptomatic viral carriage in healthcare workers: a cross-sectional study

Thorax ◽  
2020 ◽  
Vol 75 (12) ◽  
pp. 1089-1094 ◽  
Author(s):  
Adrian Shields ◽  
Sian E Faustini ◽  
Marisol Perez-Toledo ◽  
Sian Jossi ◽  
Erin Aldera ◽  
...  
Keyword(s):  
Intensive Care ◽  
Healthcare Workers ◽  
Venous Blood ◽  
Cross Sectional Study ◽  
Nasopharyngeal Swab ◽  
Sectional Study ◽  
University Hospitals ◽  
Cross Sectional ◽  
General Internal ◽  
Increased Risk

ObjectiveTo determine the rates of asymptomatic viral carriage and seroprevalence of SARS-CoV-2 antibodies in healthcare workers.DesignA cross-sectional study of asymptomatic healthcare workers undertaken on 24/25 April 2020.SettingUniversity Hospitals Birmingham NHS Foundation Trust (UHBFT), UK.Participants545 asymptomatic healthcare workers were recruited while at work. Participants were invited to participate via the UHBFT social media. Exclusion criteria included current symptoms consistent with COVID-19. No potential participants were excluded.InterventionParticipants volunteered a nasopharyngeal swab and a venous blood sample that were tested for SARS-CoV-2 RNA and anti-SARS-CoV-2 spike glycoprotein antibodies, respectively. Results were interpreted in the context of prior illnesses and the hospital departments in which participants worked.Main outcome measureProportion of participants demonstrating infection and positive SARS-CoV-2 serology.ResultsThe point prevalence of SARS-CoV-2 viral carriage was 2.4% (n=13/545). The overall seroprevalence of SARS-CoV-2 antibodies was 24.4% (n=126/516). Participants who reported prior symptomatic illness had higher seroprevalence (37.5% vs 17.1%, χ2=21.1034, p<0.0001) and quantitatively greater antibody responses than those who had remained asymptomatic. Seroprevalence was greatest among those working in housekeeping (34.5%), acute medicine (33.3%) and general internal medicine (30.3%), with lower rates observed in participants working in intensive care (14.8%). BAME (Black, Asian and minority ethnic) ethnicity was associated with a significantly increased risk of seropositivity (OR: 1.92, 95% CI 1.14 to 3.23, p=0.01). Working on the intensive care unit was associated with a significantly lower risk of seropositivity compared with working in other areas of the hospital (OR: 0.28, 95% CI 0.09 to 0.78, p=0.02).Conclusions and relevanceWe identify differences in the occupational risk of exposure to SARS-CoV-2 between hospital departments and confirm asymptomatic seroconversion occurs in healthcare workers. Further investigation of these observations is required to inform future infection control and occupational health practices.

Sign in / Sign up

Export Citation Format

Share Document