scholarly journals EP.TH.531Occult breast cancer: Breast conservation or Mastectomy in terms of recurrence. A single center experience

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Muhammad Rizwan Javed ◽  
Syeda Sakina Abidi ◽  
Lubna Mushtaque Vohra

Abstract Aim We sought to compare breast conservation therapy & mastectomy as treatment of occult breast cancer in terms of recurrence. Methods It is a retrospective cross sectional study conducted on patients diagnosed to have occult breast cancer and going for either breast conservation therapy or mastectomy at The Aga Khan University Hospital Karachi between January 200o to December 2018, patients will be divided into two groups, first group will be consisting of patients who underwent breast conservation therapy and 2nd one will be of patients who had mastectomy. Patients will be included by consecutive sampling technique. Hospital database will be used to identify patients and data collected on a self designed tool using files and electronic patient records. Patients in both groups will be followed to see local recurrence from date of diagnosis to 2 years post operatively in hospital data base and their files, and then their data will be compared with the reference studies reported in this article. Results Awaited as the study is ongoing. Conclusions Awaited as study is ongoing.

2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Sidra Hameed ◽  
Faisal Faiyaz Zuberi ◽  
Sagheer Hussain ◽  
Syed Khalid Ali

Objective: To evaluate risk factors having significant effect on mortality of smear positive Pulmonary Tuberculosis (PTB) inpatients. Methods: A descriptive cross-sectional study was conducted at Ojha Institute of Chest Diseases, Dow University Hospital Ojha Campus, Karachi. One hundred and seventy (170) inpatients of smear positive PTB confirmed by Acid Fast Bacilli (AFB) smear, aged between 13-80 years were enrolled by using consecutive sampling technique while patients with drug resistant Tuberculosis (TB) and extra pulmonary TB were excluded from the study. Selected patients were interviewed for collecting demographic data and risk factor data by using a standard questionnaire. Results: Out of 170 PTB inpatients, mortality was observed in 23 (13.5%) patients among which male patients were 12 (52.2%), and female were 11 (47.8%). Mortality was significantly associated with increasing age (p=0.003), socioeconomic status (p=0.019), anemia (p=0.03), Chronic Liver Disease (CLD) (p=0.005), Diabetes Mellitus (DM) (p=0.001), Human Immunodeficiency Virus (HIV) (p=0.007), Hypertension (HTN) (p=0.006), recurrent TB (p=0.001), and smoking (p=0.001). Conclusion: Increasing age, poverty, smoking history, and presence of comorbidities like DM, CLD, HIV, hypertension, and anemia are associated with higher mortality in smear positive PTB cases. doi: https://doi.org/10.12669/pjms.35.5.919 How to cite this:Hameed S, Zuberi FF, Hussain S, Ali SK. Risk factors for mortality among inpatients with smear positive pulmonary tuberculosis. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.919 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


CoDAS ◽  
2021 ◽  
Vol 33 (6) ◽  
Author(s):  
Silvia Márcia Andrade Campanha ◽  
Roberta Lopes de Castro Martinelli ◽  
Durval Batista Palhares

ABSTRACT Purpose Verify the position of lips and tongue at rest in newborns with and without ankyloglossia. Methods Cross-sectional study, carried out with 130 newborns in University Hospital. Data collection was performed by the researcher and speech-language pathologists from the Hospital. Information on gestational age, sex, weight, height and days of life was collected. The position of the lips and tongue at rest was evaluated through visual inspection with the newborns asleep. After the newborns were awakened, Neonatal Screening of the validated Protocol for the evaluation of the lingual frenulum for infants was performed to detect the alteration of the lingual frenulum. The data obtained were described and submitted to statistical analysis using the Chi-Square test to verify the association between the position of the lips with the tongue and to compare the position of the lips and tongue with and without ankyloglossia. The Mann-Whitney test was used to verify the behavior of the variables the differed between newborns with and without ankyloglossia. The significance level of 5% was adopted. Results When comparing the data, a significant difference was found between: weight and height with and without ankyloglossia; position of lips and tongue. An association between the position of the tongue and lips with and without ankyloglossia was also found. Conclusion Newborns without alteration of the lingual frenulum have a tendency to remain with their lips closed and their tongue elevated during rest and newborns with ankyloglossia have a tendency to keep their lips parted and their tongue low during rest.


2018 ◽  
Vol 71 (5) ◽  
pp. 2535-2542 ◽  
Author(s):  
Richardson Augusto Rosendo da Silva ◽  
Romanniny Hévillyn Silva Costa ◽  
Laísi Catharina da Silva Barbalho Braz ◽  
Indira de Araújo Lucena ◽  
Kalyane da Silva Ferreira ◽  
...  

ABSTRACT Objective: To analyze the association between nursing diagnoses and sociodemographic and clinical characteristics in people living with AIDS. Method: Cross-sectional study with 100 people living with AIDS in a University Hospital. Data collection took place between January and July 2015, using an interview script and physical examination. The association occurred through Pearson's Chi-Square Test and Fisher's Exact Test. Results: The most prevalent nursing diagnoses were: ineffective protection, poor knowledge, lack of adherence and sexual dysfunction. Significant associations were observed among nursing diagnoses with the following sociodemographic and clinical characteristics: marital status, place of residence, level of schooling, family income, modes of transmission of acquired immunodeficiency virus, current opportunistic infection, abandonment of treatment, difficulty of access to health services and use of alcohol and illicit drugs. Conclusion: The diagnoses presented significant associations with sociodemographic and clinical aspects.


Author(s):  
I. N. Usman ◽  
S. O. Olanrewaju ◽  
Saheed Opeyemi Usman

Background: Breast cancer is the most common invasive cancer affecting women worldwide. It comprises 22.9% of invasive cancers in women and 16% of all female cancers.   It affects about 12% of the women population worldwide. In Nigeria, about one breast cancer death is reported in every 25 cases identified and the practice of breast self-examination has been reported to range from 19% to 43.2%. This cross sectional study assessed the knowledge, attitude and practice of breast self-examination (BSE) among female secondary school students in Osogbo Metropolis. Methods: A total of 400 respondents were selected using multistage sampling technique. Data were collected using pre-tested self-administered semi structured questionnaire, analyzed using Statistical Package for Social Sciences and presented using appropriate tables and charts. Level of significance set at < 0.05. Results: The mean age ± SD is 14.77 ± 1.46 years.  390 (97.5%) respondents reported that they have heard of breast cancer while 235 (58.8%) respondents stated that they have heard of breast self-examination (BSE). 15 (3.8%) respondents said the procedures is time wasting while 82 (20.5%) respondents said the procedures were strenuous. 199 (49.8%)  strongly disagree that performing breast self-examination may expose them to breast cancer. Individuals with poor knowledge are one time less likely to do breast self-examination (OR = 1.245, CI = 0.647 - 2.394) while in terms of attitude, those with unfavorable attitude are one time less likely to do breast self-examination (OR = 1.025 CI = 0.949 -1.107). Conclusion: This study revealed a larger proportion of respondents have heard about breast cancer and breast self-examination but with inadequate knowledge of the correct procedures of breast self-examination (BSE) thereby resulting into poor attitude & practice of breast self-examination (BSE). This challenge therefore indicates an urgent need for continuous awareness and sensitization programs in the communities.


2017 ◽  
Vol 22 (1) ◽  
Author(s):  
Fernanda Kottwitz ◽  
Helga Geremias Gouveia ◽  
Annelise de Carvalho Gonçalves

Abstract Objective: Identify the route of birth delivery preferred by mothers and their motivations. Method: Cross-sectional study with 361 mothers from a university hospital. Data were obtained using a structured questionnaire from February to April 2013. Descriptive analysis was performed and the Chi-square test was used to verify association among the variables. Results: 77.6% of the women preferred vaginal delivery and the reason reported by 81.8% of them was easier recovery postpartum; 20.5% believed they took part in the decision-making concerning the type of delivery; 64.5% believed the type of delivery they experienced did not involve risk for themselves, while 21.9% believed it involved risk for the newborn. Statistical association was found between number of deliveries and type of previous delivery with the preferred route of delivery. Conclusion: Women did not have adequate knowledge regarding the risks and benefits of different types of delivery and for this reason were not empowered to exert their autonomy in regard to this decision.


2015 ◽  
Vol 23 (1) ◽  
pp. 90-97 ◽  
Author(s):  
Carmen Maria Dornelles Prolla ◽  
Patrícia Santos da Silva ◽  
Cristina Brinckmann Oliveira Netto ◽  
José Roberto Goldim ◽  
Patricia Ashton-Prolla

OBJECTIVE: To assess the knowledge of nurses involved in the care of oncology patients in a public university hospital, regarding breast cancer and hereditary breast cancer, and to verify the use of such knowledge in their daily practice.METHODS: This is a descriptive cross-sectional study. Data were obtained through a structured, self-administered questionnaire. Out of 154 nurses, 137 (88.9%) agreed to participate in the study. Two questionnaires were excluded such that 135 questionnaires were analyzed.RESULTS: The global percentage of correct answers was not associated with age (p=0.173) or degree/specialization (p=0.815). Questions were classified into categories. In categories involving knowledge of established breast cancer risk factors and indicators of hereditary breast cancer, the rate of correct answers was 65.8% and 66.4%, respectively. On the practice of genetic counseling, 40.7% of those interviewed were not sure about the definition of genetic counseling and 78.5% reported never having identified or referred a patient at genetic risk for specialized risk assessment. Practice of educational actions regarding this subject was reported by 48.5% of those interviewed.CONCLUSION: This study reinforces the need to develop qualifying actions for nurses, so that strategies to control breast cancer become effective in their health care practice.


Author(s):  
Larissa Paranhos Silva Campos ◽  
Márcia Maria Carneiro Oliveira ◽  
Lucinéia Santos da Silva ◽  
Jessica Alves Sacramento de Moraes ◽  
Ridalva Dias Martins Felzemburgh ◽  
...  

Objetivo: descrever a conduta inicial de técnicos e auxiliares de enfermagem na assistência às crianças em parada cardiorrespiratória. Método: trata-se de um estudo quantitativo, descritivo, transversal, com técnicos e auxiliares de enfermagem do setor de Pediatria de um hospital universitário. Coletaram-se os dados com um formulário autoaplicável. Utilizou-se o SPSS 21.0 para a análise descritiva dos dados. Resultados: analisou-se que o conhecimento dos 38 participantes sobre a conduta inicial frente à parada cardiorrespiratória abrangeu a identificação da ausência de movimentos respiratórios (90%). Relatou-se, na sequência, “chamar por ajuda” (84%) e, quando avaliada a relação de acertos nas condutas a serem realizadas, 86% dos profissionais acertaram parcialmente as descrições das ações. Conclusão: percebe-se que os participantes do estudo apresentam conhecimento sobre as condutas iniciais na assistência à parada cardiorrespiratória, porém, a detecção dessa situação em crianças abrange outras ações que não foram mencionadas pela maioria dos participantes. Indica-se a necessidade de ações permanentes realizadas com a equipe de técnicos e auxiliares de enfermagem para a atualização de conhecimento que possibilitem as decisões e respostas rápidas em casos de parada cardiorrespiratória. Descritores: Auxiliares de Enfermagem; Técnicos de Enfermagem; Parada Cardiorrespiratória; Criança Hospitalizada; Enfermagem; Conhecimento.AbstractObjective: to describe the initial conduct of nursing technicians and assistants in assisting children in cardiopulmonary arrest. Method: this is a quantitative, descriptive, cross-sectional study with nursing technicians and assistants from the Pediatrics sector of a university hospital. Data was collected with a self-applying form. SPSS 21.0 was used for descriptive data analysis. Results: it was analyzed that the knowledge of the 38 participants about the initial conduct regarding cardiopulmonary arrest included the identification of the absence of respiratory movements (90%). Following, it was reported “call for help” (84%) and, when evaluated the ratio of correct answers in the conduct to be performed, 86% of professionals partially agreed the descriptions of actions. Conclusion: it is clear that the study participants have knowledge about the initial conducts in assisting cardiopulmonary arrest, however, the detection of this situation in children covers other actions that were not mentioned by most participants. It indicates the need for permanent actions carried out with the team of nursing technicians and assistants to update knowledge to enable quick decisions and responses in cases of cardiac arrest. Descriptors: Nursing Assistants; Licensed Practical Nurses; Heart Arrest; Child, Hospitalized; Nursing; Knowledge.ResumenObjetivo: describir la conducta inicial de técnicos y asistentes de enfermería en la asistencia a los niños en el paro cardiorrespiratorio. Método: se trata de un estudio cuantitativo, descriptivo, transversal con técnicos y asistentes de enfermería del sector de pediatría de un hospital universitario. Los datos se recopilaron con un formulario de aplicación automática. Se utilizó SPSS 21.0 para el análisis descriptiva de los datos. Resultados: se analizó que el conocimiento de los 38 participantes sobre la conducta inicial con respecto al paro cardiorrespiratorio incluía la identificación de la ausencia de movimientos respiratorios (90%). A continuación, se informó "llamada de ayuda" (84%) y, cuando evaluada la relación de respuestas correctas en la conducta a realizar, el 86% de los profesionales estuvieron de acuerdo parcialmente con las descripciones de las acciones. Conclusión: se percibe que los participantes del estudio presentan conocimiento sobre las conductas iniciales en la asistencia al paro cardiorrespiratorio, sin embargo, la detección de esta situación en niños cubre otras acciones que no fueron mencionadas por la mayoría de los participantes. Se indica la necesidad de acciones permanentes llevadas a cabo con el equipo de técnicos y asistentes de enfermería para actualizar el conocimiento para permitir decisiones rápidas y respuestas en casos de paro cardiorrespiratorio. Descriptores: Asistentes de Enfermagem; Enfermeros no Diplomados; Paro Cardíaco; Niño Hospitalizado; Enfermería; Conocimiento.


2020 ◽  
Vol 8 (4) ◽  
pp. 383-388
Author(s):  
Safieh Gooran ◽  
Masoumeh Simbar ◽  
Sepideh Hajian ◽  
Soheila Nazarpour ◽  
Malihe Nasiri ◽  
...  

Objectives: Breast cancer is the most common malignancy in women. In addition, it is the most mentally powerful cancer in women due to affecting the most important female sexual part. Patients with breast cancer experience problems in their marital relationship because of their disrupted mental image and sexual relations. In this regard, this study was conducted to investigate the relationship between sexual self-concept and mental body image in women with breast cancer. Materials and Methods: This descriptive cross-sectional study was conducted on a sample of 120 women with breast cancer. Using a convenience sampling technique, patients were selected from among those hospitalized in the selected hospitals of Tehran in 2018. Data were collected using demographic details, the Multidimensional Sexual Self-Concept Questionnaire (MSSCQ), and the Fisher’s Body Focus questionnaire. Finally, the data were statistically analyzed in SPSS-21. Results: According to the descriptive and analytical statistics, women with breast cancer obtained the highest scores in avoiding risky sex and sexual problem prevention while the lowest scores in terms of sexual preoccupation. Based on the results, there was no disruption in the body image of any of the examined women. Eventually, a significant correlation was observed between sexual self-concept and body image (P<0.001, r=0.4). Conclusions: In general, body image has a positive relationship with sexual self-concept in women with breast cancer and is considered an important predictor of sexual health and behaviors of this group. Accordingly, psychological interventions, along with midwifery and sexual consultations offered by trained personnel can help empower these patients.


1970 ◽  
Vol 8 (3) ◽  
pp. 166-168
Author(s):  
Puspa Parajuli ◽  
GN Mandal

The aim of this descriptive cross sectional study was to assess knowledge about breast cancer and breast self examination practices among medical, dental and B.Sc nursing students and to identify the associated factors which influence towards the breast self examination (BSE). The survey was conducted among 220 graduate levels female students by using non probability convenience sampling technique. Mean knowledge about the breast cancer, as indicated by the results were 63.67±16.22, 71 ±18.16 and 76 07 ±18.60 among BDS, B.SC nursing and MBBS students respectively. Similarly mean practices regarding BSE were found to be 34.67 ± 15. 41, 47.85 ±14.08 and 46.76 ±14.77 among BDS, B.Sc nursing and MBBS respectively. Knowledge was less among BDS students whereas, it was found quite higher in MBBS and B.Sc nursing students. Similarly, mean practice in relation to BSE was found to be low in BDS, high in B.Sc nursing, and higher in MBBS students. Overall level of knowledge was found to be mordantly adequate among all disciplines, however practices among them were found to be inadequate. Keywords: knowledge; practices; breast cancer; breast self examination; medical; dental and B.Sc Nursing students. DOI: 10.3126/hren.v8i3.4209Health Renaissance, September-December 2010; Vol 8 (No.3);166-168


Sign in / Sign up

Export Citation Format

Share Document