scholarly journals Frequency of hospitalization of infants with bronchiolitis during 2017 in Puerto Madryn, Argentina

2021 ◽  
Author(s):  
Damián L. Taire ◽  
Bruno A. Pazos
Keyword(s):  
Length Of Stay ◽  
Hospital Readmissions ◽  
Basic Needs ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Place Of Origin ◽  
The Mean ◽  
Hospital Administrative

ABSTRACTIntroductionBronchiolitis is considered the most frequent disease in infants and still represents an important cause of morbidity and mortality worldwide. Despite its viral etiology, socioeconomic variables could influence the disease outcome. We aimed to determine the frequency of hospital discharge for bronchiolitis in a local Hospital in the city of Puerto Madryn, in the province of Chubut, Patagonia Argentina.Population and methodsWe performed a cross-sectional study that analyzed all hospitalized patients discharged for bronchiolitis in Hospital “Dr. Andrés R. Isola” during the year 2017 and based on data provided by the hospital administrative staff. The study variables were the length of stay, readmission rate and place of origin of hospitalized patients.ResultsA total of 120 patients were included. The median age was 4.45 months (3.9-5). The mean length-of-stay (LOS) was 7.30 days (5.52-9.08). Of the total number of patients, 24 (20%) had a LOS ≤3 days and 96 (80%) a >3 days. One hundred patients (88.33%) had no hospital readmissions and 10 patients (8.33%) had hospital readmissions. The median age of patients with readmissions was 4.2 months (2.69-5.71). The mean LOS during readmission was 17.3 days (5.25-29.35). Of the 120 hospitalized children, 100 infants (83.33%) live in areas identified as having “unsatisfied basic needs” in Puerto Madryn.ConclusionsThe overcrowding as a result of the demographic transformation on the frequency of hospitalization of infants with bronchiolitis was homogeneous within the Puerto Madryn population with “unsatisfied basic needs”.

The Social and Psychological Impact of Superficial Dermatophytic Infection using Dlqi and Ghq-12: A Cross-Sectional Study in 174 Patients at a Tertiary Care Centre in Southern-East Rajasthan

2021 ◽  
pp. 1-6
Author(s):  
Shivani Saini ◽  
◽  
Agarwal Shail ◽  
Jain Manish ◽  
Yadav Devendra ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Psychological Impact ◽  
Cross Sectional Study ◽  
World Population ◽  
Sectional Study ◽  
Cross Sectional ◽  
Number Of Patients ◽  
The Mean ◽  
The Impact

Background: Dermatophytosis is a common fungal infection affecting 20-25% of the world population. Aims: Our study was aimed to assess its impact on health-related quality of life(QoL), mental health, and various variables. Materials and Methods: A cross-sectional study was done from April 2019 to September 2019 on 174 patients of dermatophytosis of aged more than 16 years with their informed consent. The impact of infection on the quality of life was assessed by using the Dermatology life quality index questionnaire and General health questionnaire-12 was used to assess psychological impact. A visual analogue scale was used to assess the severity of pruritus. Appropriate statistical tests were applied. Results: Males to females ratio was 1.4:1. The age group of 21-30 was having the highest number of patients with the mean age of 27.8±9.97. Most patients had BSA under 10%. The mean value of DLQI and GHQ-12 were found 15.989±7.407 and 2.8563±2.8964, respectively. We found that dermatophytosis had a very large effect on the quality of life as the maximum number of patients(39%) were within this category. The “work and school” part in the questionnaire gained maximum importance(52.8%). The mean VAS score was 6±2.733 with most patients(32.7%) had moderate itching. We found a positive correlation between VAS and DLQI, VAS and GHQ-12, DLQI, and GHQ-12 with the statistical significance. Conclusion: In our study dermatophytosis affected the quality of life as well as the psychological health of patients. Therefore proper treatment of superficial dermatophtytosis is essential to prevent it from further complications

Prevalence of pressure ulcers in hospitalised patients: a cross-sectional study

2020 ◽  
Vol 29 (Sup3) ◽  
pp. S20-S28
Author(s):  
Stella Olivo ◽  
Cristina Canova ◽  
Angela Peghetti ◽  
Maurilio Rossi ◽  
Renzo Zanotti
Keyword(s):  
Risk Factors ◽  
Length Of Stay ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hospitalised Patients ◽  
Number Of Patients ◽  
Present On Admission

Objective: The main aim of this study was to estimate the prevalence of pressure ulcers (PU) and related risk factors of PU development in hospitalised patients in Italy. Furthermore, the study investigated the association between risk factors for PU present on admission and the development during hospitalisation (hospital-acquired pressure ulcer, HAPU). Methods: A cross-sectional study, using two separate designs at two separate timepoints: 2010 and 2015. The methodology used to measure PU prevalence was that recommended by the European Pressure Ulcer Advisory Panel (EPUAP). Results: The total sample was 7681 hospitalised patients (3011 patients in 2010, 4670 in 2015). Prevalence of PU in hospital was 19.5% in 2010 and 17% in 2015. The number of patients with PU present on admission were 9.60% in 2010 and 9.42% in 2015. Patients with HAPU were 5.08% in 2010 and 5.87% in 2015. Older age and comorbidities, and a total Braden score of ≤16 were positively associated with PU present on admission and HAPU in hospitals (p<0.05). A longer length of stay appeared to correlate positively with a better clinical outcome for PU if there were already present on admission. Heterogeneous results emerged for length of stay of >30 days and being admitted to intensive care unit (ICU). Conclusion: Our results are comparable with other European and Italian studies. Most of the risk factors associated with PU development have been confirmed. However, further studies are needed to examine the effects of context on PU present on arrival and HAPU, especially regarding hospital length of stay.

scholarly journals Stomach Cancer in Patients Referred to Tohid Hospital in Sanandaj, 2012 - 2018: An Epidemiological Study

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Mastore Rahimi ◽  
Ghodratollah Roshanaei ◽  
Javad Faradmal ◽  
Bayazid Ghaderi ◽  
Leila Moradi
Keyword(s):  
Gastric Cancer ◽  
Stomach Cancer ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Quit Smoking ◽  
Common Cancer ◽  
Number Of Patients ◽  
High Prevalence ◽  
The Mean ◽  
Spss Software

Background: Stomach cancer is the fourth most common cancer in the world and first cancer in Iran. The northern and northwestern regions of the country are areas with a high prevalence of gastrointestinal cancers, especially gastric cancer. Different factors are effective in the incidence of this cancer. Objectives: The present study aimed to evaluate the epidemiology of gastric cancer. Methods: This research was a cross-sectional study. All patients referred to Tohid Hospital in Sanandaj between 2012 and 2018 were examined. Data were extracted using patients' medical records. Descriptive information was collected through SPSS software, and the results were analyzed. Results: The number of patients in this study was 553. The mean age was 66.9 years, and the highest age group was 60 - 80 years. Four hundred twelve patients were male, and 141 were female. In 50% of patients, the location of the cardiac tumor was gastric. Chemotherapy was the most common treatment in more than 60% of patients. Conclusions: The results of this study show that smoking is unfortunately high in patients in this province. An educational intervention to quit smoking is recommended. Smoking is an important risk factor for gastric cancer, and this intervention may also be effective in reducing the incidence of this disease.

scholarly journals ASSESSMENT OF MEAN DISTANCE OF MANDIBULAR INCISIVE CANAL USING CONE BEAM COMPUTERIZED TOMOGRAPHY; A CROSS-SECTIONAL STUDY

2021 ◽  
Vol 71 (5) ◽  
pp. 1801-05
Author(s):  
Mubashir Sharif ◽  
Nighat Haroon ◽  
Muhammad Anwaar Alam ◽  
Adil Umar Durrani ◽  
Talib Hussain ◽  
...  
Keyword(s):  
Computerized Tomography ◽  
Mental Foramen ◽  
Cross Sectional Study ◽  
Cone Beam ◽  
Sectional Study ◽  
Cross Sectional ◽  
Incisive Canal ◽  
Number Of Patients ◽  
Cone Beam Computerized Tomography ◽  
The Mean

Objective: To determine the mean distance of mandibular incisive canal from the mental foramen in patients reporting to a tertiary care centre using Cone Beam Computerized Tomography for placement of dental implants in the anterior/interforaminal region. Study Design: Cross-sectional study. Place and Duration of Study: Department of Prosthodontics, Foundation University College of Dentistry Rawalpindi, Jun to Nov 2019. Methodology: A total of 70 patients participated between the age of 20-45 years. Cone Beam Computerized Tomography (the investigation was carried out and measurements of the mandibular incisive canal from mental foramen were recorded with the help of measuring tools in the software and noted down on the proforma. Data were analyzed using SPSS-20. Results: The number of patients selected for this study was 70. Out of these 70 patients, 33 (47.1%) were males and 37 (52.9%) were females. The mean age of patients in this study was 36.31 ± 6.38 years. The mean distance/extension of the mandibular incisive canal from left mental foramen and right mental foramen in all patients was recorded to be 14.49 ± 6.31 mm and 14.97 ± 7.10 mm respectively. Conclusion: Within the limitations of this study, it is concluded that a maximum distance of 22mm of the incisive canal from the mental foramen was observed using cone-beam computerized tomography.

scholarly journals Emergency Stay Duration of Patients in Emergency Department of A Tertiary Care Hospital in Nepal: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (222) ◽  
Author(s):  
Prashant Simkhada ◽  
Shradha Acharya ◽  
Roshan Lama ◽  
Sujata Dahal ◽  
Nita Lohola ◽  
...  
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Duration Of Stay ◽  
The Mean

Introduction: Emergency department of a hospital is responsible for providing medical and surgical care to patients arriving at the hospital in need of immediate care. Emergency department is not staffed or equipped to provide prolonged care. Duration of stay in the Emergency department directly affects the quality of patient care. Longer length of stay is associated with Emergency department overcrowding, decline in patient care, increased mortality and decreased patients satisfaction. The main aim of this study is to find the mean stay duration of patients in the emergency department of a tertiary care hospital in Nepal.Methods: This is a descriptive cross-sectional study which was conducted in a tertiary care teaching hospital from Jan 15,2019 to Jan 30, 2019. Ethical clearance was obtained from Kathmandu Medical College- Instutional Review Committee. The calculated sample size was 587. Consecutive sampling technique was used. The data thus obtained was entered in SPSS version 20 and necessary calculations were done. Results: The mean emergency stay duration was obtained to be 3.18 hours at 95% confidence interval (C.I  and standard deviation was 2.51 hours. Female had longer mean duration of stay (3.25 hours) compared to male (3.11 hours). The maximum length of stay was 15.3 hours. Most of the patients attending the emergency department were discharged right through the emergency department 398 ( 67.8%). Mean duration of stay was longest (5.06 hours) for the referral group. Conclusions: The mean stay duration in Emergency Department of tertiary care hospital in Nepal is getting shorter compared to similar study done previously.

scholarly journals Blood Pressure Measurements with Different Currently Available Methods in Elderly Hypertensive Hospitalized Patients: A Real World Cross-Sectional Study

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Rosaria Del Giorno ◽  
Pascal Simon Heiniger ◽  
Lorenzo Balestra ◽  
Luca Gabutti
Keyword(s):  
Blood Pressure ◽  
Kappa Statistic ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Mean Difference ◽  
Women Patients ◽  
Cross Sectional ◽  
Elderly Hypertensive ◽  
The Mean ◽  
Elderly Hospitalized Patients

Background. The reliability of blood pressure (BP) measurement in hospitalized patients is a topic of debate and the therapeutic implication of the routinely collected BP profiles is probably overestimated. When measurements are performed in elderly patients, further potential sources of misinterpretation occur. Methods. We conducted a subanalysis of a previous study including 79 over 80-year-old hypertensive patients, hospitalized in an internal medicine ward. Five modalities of BP evaluations (measurement by physicians and nurses, self-measurement by patients, Finometer® beat-to-beat finger monitoring, and 24h monitoring) were analyzed, considering agreement and accuracy. Results. The mean (SD) age of the patients was 86.9±4.9 years (50% women). Patients’ self-measurements of both systolic and diastolic BP (SBP and DBP) did not differ significantly from daytime 24-hour monitoring (D24hBPM) (mean difference -1.52, SE 1.71; p: ns and -0.58, SE 1.19 mmHg; p: ns). Conversely, SBP and DBP registered by nurses did significantly differ (mean difference -7.34, SE 1.42; p=0.007 and -4.7, SE 1.05 mmHg; p=0.003). SBP and DBP measured by patients also showed the better concordance, with lowest biases, and narrowest limits of agreements (LoA) and for SBP higher Kappa statistic values (bias 1.5, LoA -28.9 to 31.9; κ 0.563 and bias 0.6, LoA -20.4 to 21.5 mmHg; κ 0.412). The patients’ sensitivity and specificity in predicting hypertensive systolic D24hBPM were 84.8% and 69.7%, respectively. Conclusions. In elderly hospitalized patients an alternative to 24hBPM, self-measurements by patients offer the better agreement and reliability in detecting hypertensive values.

scholarly journals Job Satisfaction Among Dentists According to Workplace in Tehran

2021 ◽  
Author(s):  
Reza Emrani ◽  
Katayoun Sargeran ◽  
Ahmad Reza Shamshiri ◽  
Hossein Hessari
Keyword(s):  
Job Satisfaction ◽  
Marital Status ◽  
Low Income ◽  
Work Experience ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Cross Sectional ◽  
Number Of Children ◽  
Number Of Patients ◽  
The Mean

Objectives: The purpose of the present study was to assess the level of job satisfaction among dentists in Tehran, according to background determinants, working environment elements, and type of workplace in 2018. Materials and Methods: In this cross-sectional study, 350 dentists, selected by convenience sampling, completed a validated Persian job satisfaction questionnaire in a dental congress (with about 1100 participants) in Tehran, and in 59 dental clinics. The questionnaire included 39 structured questions (in 12 domains) on job satisfaction, reporting the satisfaction level according to a 5-point Likert scale. The level of satisfaction was measured by summing the weighted scores of each domain. The mean job satisfaction score (out of 100) was reported according to demographic factors (age, gender, level of income, years of experience, marital status, and number of children), working environment elements (number of assistants, number of colleagues, type of workplace), and stress score (8 questions). Linear regression was applied for statistical analysis. Results: The mean score of job satisfaction was 70±10. The analysis showed that women, dentists with a low income, those working in the public sector, and those with higher stress scores had lower job satisfaction scores (P<0.05). The number of dental assistants, number of colleagues, age, work experience, marital status, number of children, and monthly number of patients had no significant correlation with job satisfaction (P>0.05). Conclusion: The level of job satisfaction was mainly related to individual determinants. Improving job satisfaction can foster the whole dental care system and working environment elements.

scholarly journals Analgesia of acute abdominal pain in the Emergency Department

2019 ◽  
Vol 5 (3) ◽  
pp. 86
Author(s):  
Panteleimon Kalaronis ◽  
Antonia Kalogianni ◽  
Martha Kelesi ◽  
Eytichia Evagelidou ◽  
Ioulia-Maria Mpalla ◽  
...  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
International Guidelines ◽  
Closed Type ◽  
Number Of Patients ◽  
The Mean ◽  
First Time

Introduction: Pain accounts for 40% of all patients admitted to the Emergency Department (ED). The most common cause of pain is abdominal pain, which accounts for 8%. In contrast to the international guidelines, pain is under-treated making the phenomenon of oligoanalgesia apparent.Aim: The purpose of this study was to explore the incidence of analgesia in patients admitted to the ED suffering from acute abdominal pain.  Material and Method: This is a descriptive cross-sectional study. The studied sample consisted of 197 patients, who admitted to the ED of a General Hospital of Athens, Greece with reported symptom: acute abdominal pain. For data collection, a special designed form of closed-type questionnaires was used. Data analysis was performed by using the Statistic Package for Social Sciences (SPSS) statistical packet ver.19.Results: Out of the total number of patients admitted to ED with reported abdominal pain, 74.6% received analgesia and the mean time of analgesia administration during ED admission was 46.43 minutes. The mean pain intensity at the first time point measurement was 7.16 and at the second one was 4.04, according to pain recording scale (0-10 scale). Non-opioid anti-inflammatories (52.3%),  non-steroidal analgesics (22.8%) and opioids (9.1%) were mainly administered patients during their ED stayConclusions: Despite the published international guidelines which refer to analgesia time and type, pain and especially abdominal pain, is under-treated. The key to tackling oligoanalgesia is to educate health professionals.

scholarly journals Is hypoalbuminemia a predictor marker of mortality?

2020 ◽  
Vol 11 (2) ◽  
pp. 121-125
Author(s):  
Siti Maemun ◽  
Nina Mariana ◽  
Surya Otto Wijaya ◽  
Dina Oktavia ◽  
Vivi Lisdawati ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Poor Prognosis ◽  
Cross Sectional Study ◽  
Albumin Level ◽  
Hospitalized Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
Final Logistic Regression Model ◽  
The Mean ◽  
Hiv Aids

Latar belakang : Hipoalbuminemia pada pasien rawat inap berkaitan dengan prognosis buruk pasien. Penelitian ini, mengidentifikasi bahwa hipoalbuminemia berat pada awal pasien masuk rawat inap sebagai prediktor andalan penanda laboratorium dalam mortalitas. Metode : Sebuah studi cross sectional pada pasien dewasa dengan hipoalbuminemia (kadar albumin < 3,5 g / dL) pada pasien rawat inap (usia > 18 tahun) pada periode Januari 2013 - Maret 2018. Kami mengevaluasi penanda prediktor kematian. Multivariat dengan regresi logistik diterapkan dalam penelitian ini. Hasil : Dari 747 hipoalbuminemia pada pasien rawat inap dengan rata-rata kadar albumin  pada awal adalah 2,0 ± 0,6 g / dL. Sebagian besar pasien (83,4%) memiliki kadar albumin ≤ 2,5 g / dL (hipoalbuminemia berat), 16,6 persen memiliki > 2,5 g / dL (hipoalbuminemia ringan-sedang). Kondisi yang mendasari pasien adalah infeksi HIV / AIDS (26,9%) dan sepsis (26,6%). Proporsi multiple komorbiditas pada kelompok hipoalbuminemia berat adalah 55,1 persen Pada kelompok hipoalbuminemia berat terutama untuk kadar albumin 2,01 - 2,5 g / dL, angka mortalitas adalah 28,3 persen. Berdasarkan model regresi logistik akhir, faktor risiko kematian meliputi kadar albumin pada awal dan lama rawat pasien. Mortalitas lebih tinggi pada pasien dengan hipoalbuminemia berat (rasio odds yang disesuaikan 2,91, 95% CI 1,88-4,50) dibandingkan pasien dengan hipoalbuminemia ringan-sedang. Kesimpulan: Hipoalbuminemia berat pada awal pasien rawat inap sebagai prediktor penanda kematian di rumah sakit.  Kata kunci: hipoalbuminemia, pasien rawat inap, mortalitas   Abstract Background: Hypoalbuminemia in hospitalized patients has been associated with poor prognosis. In this study, we attempted to identify that severe hypoalbuminemia at baseline in hospitalized patients is a reliable predictor of laboratory marker for mortality. Methods: A cross sectional study on adults of hypoalbuminemia (albumin level < 3.5 g/dL) in hospitalized patients (aged > 18 years old) in period January 2013 - March 2018. We evaluated the predictor marker of mortality. Multivariate with the logistic regression was applied in this study. Results: Of the 747 hypoalbuminemia in hospitalized patients with the mean albumin level at baseline was 2.0 ± 0.6 g/dL. Most patients (83.4 %) had less than or equal to 2.5 g/dL albumin level (severe hypoalbuminemia), 16.6 percent had over 2.5 g/dL (mild-moderate hypoalbuminemia). The underlying condition of patients was HIV/AIDS infection (26.9%) and sepsis (26.6 %). The proportion of multiple comorbidities in the severe hypoalbuminemia group was 55.1percent. In the severe hypoalbuminemia group especially for 2.01 – 2.5 g/dL albumin level, the mortality rate was 28.3 percent. Based on the final logistic regression model, known risk factors of mortality include albumin level at baseline and length of stay. Mortality was higher among patients with severe hypoalbuminemia (adjusted odds ratio 2.91, 95 % CI 1.88-4.50) than patients with mild-moderate hypoalbuminemia. Conclusion: Severe hypoalbuminemia at baseline in the hospitalized patients was a predictor laboratorymarker of hospital mortality.  Keywords: hypoalbuminemia, hospitalized patients, mortality

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