scholarly journals Pediatric poisoning pattern: A comparison of preadolescent and adolescent groups in Hong Kong over 3 years

2021 ◽  
pp. 102490792110511
Author(s):  
Safiyyah Nok Sze Lui ◽  
Chi Keung Chan

Objective: To compare local poisoning patterns of preadolescents and adolescents. Methods: Retrospective cross-sectional study. Data collected through the Hong Kong Poison Information Centre (HKPIC) Poisoning Information and Clinical Management System (PICMS). Patients aged 10 to 17 years old from January 2016 to December 2018 were included and divided into preadolescent (10–12 years old) and adolescent (13–17 years old) groups. Statistical analysis for categorical variables was performed using chi-square test of independence, p < 0.05. Strength of association examined with Cramer’s V. Rate ratios with 95% confidence interval were used to determine nature of association, using preadolescents as comparison group. Results: A total of 703 cases were analyzed. There were 107 cases in the preadolescent group and 596 cases in the adolescent group. Three variables showed moderate association: intentional exposure (rate ratio: 2.91, 2.13–3.98), exposure in school (rate ratio: 0.30, 0.21–0.44), and the use of pharmaceuticals (rate ratio: 1.95, 1.57–2.44). The most common substance of exposure were analgesics (n = 213, 24.94%) and fumes, gases, and vapors (n = 19, 15.08%) in adolescents and preadolescents, respectively. Conclusion: Epidemiological difference still exists between preadolescents and adolescents. The association of adolescents with intentional poisoning, and the use of pharmaceuticals was highlighted. The study acts as a recent update of pediatric poisoning patterns and hopes to act as a reference for future studies.

2020 ◽  
Author(s):  
Milad Al-kalisi ◽  
Manal Al-Hajri ◽  
Sarah Al-Rai

Abstract Background: Undernutrition is an inadequate supply of energy and nutrients. Periodontal diseases (PDs) defined as a broad form of chronic inflammatory diseases of the gingiva, bone and ligaments supporting the teeth. This study aimed to reveal the effect of undernutrition, using body mass index (BMI) and serum albumin level (Alb) on PDs and other risk factors as age, smoking and khat chewing. Methods: This was a cross-sectional study conducted at the faculty of dentistry, Sana’a University. Of 1920 patients attended to clinics, only 229 matched the study criteria. Oral examination was performed to assess the periodontal clinical parameters measurements. BMI and Alb was measured. Statistical analysis was used to present the association between categorical variables was assessed using Chi square test and Fisher-Exact test. ANOVA was used to assess the differences in the mean values of the quantitative outcomes. Chi square test was used to evaluate the association between BMI and age, gender, occupation, education level, smoking, khat chewing as well as BMI with PDs. Results: Most of participants (58.5%) were males and most of the study sample (91.3%) was at the age group of (18-35). Among all subjects, (81.2%) of cases were diagnosed with gingivitis. (60.7%) of study participants were mildly undernourished according to BMI. (93%) of participants showed normal Alb level. Regarding to habits, only (18.2%) of patients were smokers and more than half of participants (59.4%) were khat chewers. Conclusion: There was a relationship between PDs and undernutrition which was obviously seen between gingivitis and mild undernutrition.


Author(s):  
Pritish K. Raut ◽  
Shubhada S. Avachat ◽  
Sachin Gupta ◽  
Rutuja D. Pundkar

Background: Anaemia is one of the important silent morbidity in childhood that affects the development of a child. Disabled children are more vulnerable for nutritional problems like under-nutrition or anaemia due to inadequate nutrient intake either due to feeding problems or poor feeding knowledge among care providers. However there are very few studies regarding nutritional problems of intellectually disabled. The aims of the study were to assess the nutritional status and magnitude of anaemia among mentally challenged children and to study the socio-demographic variables associated with anaemia among them.Methods: A Cross sectional study was conducted in a Day School for mentally challenged in Ahmednagar. All 45 children (Day scholars) were enrolled in the study. Data collection was done using a predesigned proforma for detail history. Anthropometric measurements and Body mass index were used for assessment of nutritional status. Haemoglobin estimation was done by using Sahali's Haemoglobinometer. The details of socioeconomic status and intelligence quotient (I.Q.) were taken from the official records of the school. Percentages, proportions and Chi square test were used for Statistical Analysis.Results: The mean age was 12.5 years, mean IQ was 37.8. More than half of the children were undernourished (64% had BMI<18.5). Mean Haemoglobin was 10.3 and 33 (73%) children were suffering from mild to moderate anaemia. Significant association was observed between degree of mental retardation and anaemia.Conclusions: Majority of mentally challenged children in our study were suffering from under nutrition and anaemia.


2021 ◽  
Vol 71 (2) ◽  
pp. 405-08
Author(s):  
Noureen Malik ◽  
Hannan Masud ◽  
Imran Basit ◽  
Palwasha Noor

Objective: To see the frequency and compare the type of refractive error and strabismus in amblyopic versus non amblyopic children. Study Design: Comparative cross sectional study. Place and Duration of Study: Armed Forces Institute of Ophthalmology, Rawalpindi, from Jan to Jul 2019. Methodology: The sample population comprised of 250 patients of new or previously diagnosed children with refractive error and strabismus presenting at children eye outdoor patient department of armed forces institute of ophthalmology. Strabismus was diagnosed by the consultant eye specialist on the basis of heterotropia at near or distance fixation. Amblyopia and refracttive error was assessed by a trained optometrist. Patients were classified into amblyopia and non- amblyopia groups. The type of squint and refractive error was noted down along with demographic details. Chi square test was used to assess thesignificance of association between various categorical variables. Results: A total of 250 participants were included with a mean age of 5.00 ± 1.07 years. Out of total, 132 (52.8%) were males while 118 (47.2%) were females. One hundred and fifty (59.5%) patients were suffering from amblyopia while 100 (39.5%) patients were normal with comparable vision in both the eyes. Out of 150 amblyopic patients 134 (89.3%) were suffering from unilateral amblyopia while 16 (10.6%) patients had amblyopia in both the eyes. Out of refractive errors astigmatism was present in 83 (55.3 %) of amblyopia patients while hypermetropia was present in 54 (36%) of the patients. Out of total patients of strabismus, 95 (63.3%) of non-alternating esotropic patients..........


2019 ◽  
Vol 31 (2) ◽  
pp. 93-103 ◽  
Author(s):  
Gustavo Freitas de Sousa Viana ◽  
Geilson Lessa de Magalhães ◽  
Eulália Heleodora Santana Martins dos Santos

Little is known about the knowledge of pharmacy students about the correct ways for drug disposal. Thus, this study aimed to evaluate the knowledge and practice of the pharmacy students about drug disposal. A descriptive and cross-sectional study was carried out with questionnaire application to 182 pharmacy students in Brazil between October and November of 2016. Data analyzes of the categorical variables were performed using descriptive statistics. The Chi-square test (X2) was used to evaluate the possible differences in the frequency between the form of medication discard according to dichotomous variables. Sixty-four point eight percent of the students reported discarding the drugs incorrectly, being that 48.8% do it in the household garbage. About 32% of the interviewers believed that the dispensation of the medicines beyond the exact amount for treatment is the main reason for the leftover. The chi-square test showed a higher correct disposal index from the 6th to the 10th period compared to the 1st to the 5th and according to previous guidance. Sixty-seven point six percent considered incorrect your way of drug disposal, 63.7% suggested the special collection as the correct destination and 84.6% reported knowing the consequences of improper disposal. This study showed that the majority of pharmacy students discards the overdue and/or unused drugs in an environmentally inadequate manner, but the correct disposal is more significant with the advance of the course period.


2018 ◽  
Vol 12 (9) ◽  
pp. 2428
Author(s):  
Valderina Moura Lopes ◽  
Allyny Mobley Tavares dos Santos Scofield ◽  
Renata Kelly Lopes de Alcântara ◽  
Bruna karen Cavalcante Fernandes ◽  
Saul Filipe Pedrosa Leite ◽  
...  

RESUMOObjetivo: descrever os principais motivos que levaram os idosos à institucionalização. Método: estudo quantitativo, transversal, realizado em uma instituição de longa permanência para idosos, por consulta a 219 prontuários, utilizando-se um questionário. Para a associação das variáveis contínuas e categóricas, foram utilizados os testes Kruskal-wallis e o Teste Qui-Quadrado de Pearson considerando p<0,05, apresentados em tabela. Resultados: no total, 55,6% eram idosos do sexo feminino, com idade média de 77 (±0,55). Os principais motivos foram vontade própria, questões familiares, abandono e violência. As variáveis mais relacionadas aos motivos de institucionalização foram sexo (p=0,013), estado civil (p=0,041), com quem residia (p=<0,001), recebe visitas (p=0,011) e grau de dependência (p=<0,001). As causas determinantes encontradas que levaram os idosos à inserção em uma instituição de longa permanência chamam a atenção para a busca de ações e estratégias sociais e políticas prévias, antes da institucionalização, a fim de evitar a sua ocorrência, a superlotação e os custos onerosos nesses estabelecimentos. Conclusão: observou-se que todos os idosos, independentemente do motivo, estiveram expostos a desfechos clínicos e sociais negativos. Descritores: Instituição de Longa Permanência Para Idosos; Saúde do Idoso Institucionalizado; Envelhecimento; Saúde Pública, Idoso; Habitação para Idosos.ABSTRACTObjective: to describe the main reasons that led the elderly people to institutionalization. Method: this is a quantitative, cross-sectional study carried out in a long-term institution for the elderly by 219 medical records, using a questionnaire. For the association of continuous and categorical variables, the Kruskal-Wallis tests and Pearson's Chi-Square test were used considering p <0.05, presented in a table. Results: in total, 55.6% were female elderly, with a mean age of 77 years old (± 0.55). The main reasons were self-will, family issues, abandonment, and violence. The variables most related to the reasons for institutionalization were gender (p=0.013), marital status (p=0.041), company at home (p=0.001), receiving visits (p=0.011) and degree of dependency (p=<0.001). The determining causes that have led the elderly person to join a long-term institution were highlighted to the search for prior social actions and strategies, prior to institutionalization, in order to avoid their occurrence, overcrowding and the high costs in these establishments. Conclusion: it was observed that all the elderly person, regardless of the reason, were exposed to negative clinical and social outcomes. Descriptors: Homes For The Age; Health of Institutionalized Elderly; Aging; Public Health; Aged; Housing For The Elderly.RESUMENObjetivo: describir los principales motivos que llevaron a los ancianos a la institucionalización. Método: estudio cuantitativo, transversal, realizado en una institución de larga permanencia para ancianos, por consulta a 219 prontuarios, utilizándose un cuestionario. Para la asociación de las variables continuas y categóricas, fueron utilizados los testes Kruskal-wallis y el Test Chi-Cuadrado de Pearson considerando p<0,05, presentados en una tabla. Resultados: en total, 55,6% eran ancianos del sexo femenino, con edad media de 77 (±0,55). Los principales motivos fueron ganas propia, cuestiones familiares, abandono y violencia. Las variables más relacionadas a los motivos de institucionalización fueron sexo (p=0,013), estado civil (p=0,041), con quien residía (p=<0,001), recibe visitas (p=0,011) y grado de dependencia (p=<0,001). Las causas determinantes encontradas que llevaron a los ancianos a la inserción en una institución de larga permanencia llaman la atención para la búsqueda de acciones y estrategias sociales y políticas previas, antes de la institucionalización, para evitar su ocurrencia, la superlotación y los costos altos en esos establecimientos. Conclusión: se observó que todos los ancianos, independientemente del motivo, estuvieron expuestos a resultados clínicos y sociales negativos. Descriptores: Hogares para Ancianos; Salud del Anciano Institucionalizado; Envejecimiento; Salud Pública, Anciano; Viviendas para Ancianos.


2013 ◽  
Vol 7 ◽  
pp. SART.S12750 ◽  
Author(s):  
Brogen Singh Akoijam ◽  
M. Nukshisangla Jamir ◽  
Ebenezer Phesao ◽  
Gojendra Singh Senjam

Inhalant use by children leads to poor performance in school and has been observed to precede substance use later in life. There is paucity of data on inhalant use among school children in India, particularly in the Northeast region of the country. We determined the prevalence and documented inhalant use characteristics among schoolchildren in the Northeast region of India. This cross sectional study was conducted in six states in the Northeast region of India. Schoolchildren between eighth and eleventh standards from the capital areas of the states were included in the study. Data were collected using a questionnaire. Analysis was done using descriptive statistics and Chi-square test. Of the 4074 enrolled students, data from 3943 students who responded to the inhalant use question were analyzed. Mean age was 14.8 ± 1.2 years and 51.2% of participants were male. The proportion of students who had ever used inhalants (ever user) was 18.8% and adhesive/glue was the inhalant misused by most of the students. A higher proportion of males than females were ever users ( P ≤ 0.001) and the most common place of use was at home (33.1%). Being in the presence of an older person using an inhalant or tobacco was found to be associated with use of inhalants among students. Nearly one-fifth of the students had used inhalants and nearly half used inhalants in the past month. Sensitization of the parents and school authorities to the problem, as well as preventive and curative services, should be considered.


2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Patrick T. Amsi ◽  
James J. Yahaya ◽  
Sam Kalungi ◽  
Michael Odida

Abstract Background Mutation of the tumour suppressor genes BRCA1 and BRCA2 is thought to cause early development of prostate cancer which has poor prognosis. The purpose of this study was to determine the expression of BRCA1/2 and correlate it with clinicopathological factors for patients with prostate cancer in uganda. Methods Retrospectively, we used immunohistochemistry to evaluate the expression of BRCA1/2 antibodies in tissue blocks of 188 patients with prostate cancer who were diagnosed between January 2005 and December 2014 in the Department of Pathology, Makerere College of Health Sciences. The Chi-Square test was used to determine the association of the categorical variables, whereas t-test was used to compare groups of mean of the variables in the study. Results Expression of BRCA1 and BRCA2 was found in 26.1% and 22.9% cases, respectively. Co-expression of BRCA1 and BRCA2 was found in only 7.4%. Gleason score was associated with expression of BRCA1 and BRCA2 (P = 0.013, P = 0.041, respectively). Age was not associated with BRCA1 and BRCA2 expression; P = 0.543, P = 0.091, respectively. Likewise, PSA was not associated with BRCA1 and BRCA2 expression; P = 0.446, P = 0.399, respectively. Conclusion BRCA1 and BRCA2 proteins in this study were expressed more in cases with poorly differentiated prostate cancer than in cases with either well or moderately differentiated prostate cancer. Co-expression of BRCA1 and BRCA2 proteins in the same patient in our study was 3 times less than either BRCA1 or BRCA2 alone.


2022 ◽  
Vol 32 (1) ◽  
pp. 69-77
Author(s):  
Tugbamenekli Tugbamenekli ◽  
◽  
Yasemin Yildirim ◽  

Introduction: Cancer is a global health problem. Taste change is one of the most common symptoms in cancer patients undergoing chemotherapy. Cancer patients often use Complementary and Integrative Medicine (CIM) to manage chemotherapy complications. Objective: This study aimed to evaluate CIM used by cancer patients to cope with chemotherapy-related taste alterations. Materials and Methods: This cross-sectional study was carried out on 318 cancer patients receiving chemotherapy in an oncology hospital in Malatya City, Turkey. The samples were recruited by convenience sampling method. The study data were collected with a data form developed by the research team. Written permissions were obtained from all participants and the Ethics Committee. Frequencies, mean scores, and standard deviation were used to present descriptive findings. The independent t-test, Chi-square test, and multivariate logistic regression analysis were used to analyze the obtained data. Results: The Mean±SD age of the patients was 65.18±8.36 years, and the mean duration of their diseases was 35.34±16.27 months. About 54.1% of the patients were female, and 42.8% had some information about CIM. Their primary source of information was other patients (49.6%), and 34.9% used CIM to cope with chemotherapy-related taste alterations. The most common method used was phytotherapy (50.5%), and the most commonly used herb was miracle fruit (21.4%). It was also determined that the frequency of CIM use was affected by age, illness duration, gender, living in a city, family history of cancer, having breast cancer, having information on CIM, having metastasis, and lacking complications (R2= 0.426, P=0.025). Conclusion: Cancer patients frequently use CIM to cope with chemotherapy-related taste alterations, and phytotherapy was the most commonly-used CIM.


2014 ◽  
Vol 4 (2) ◽  
pp. 28-31
Author(s):  
Saujanya Karki ◽  
Umesh Parajuli ◽  
Nischal Kunwar ◽  
Kunsang Namgyal ◽  
Khamsum Wangdu

Introduction: Malocclusion is the irregularity of teeth and is considered as oral health problem. Though etiology of malocclusion is multifactorial, it has considerable impact on the self esteem and social adjustment of an individual.Objective: To determine the prevalence of malocclusion and to assess the association between Angle classification of malocclusion and occlusal traits.Materials & Method: A cross sectional study was conducted among 138 Tibetan students of grade 8-12 were selected. Students with history of orthodontic treatment were excluded from the study. Data was recorded and analyzed using SPSS 17.0 and chi square test was used to evaluate the association between Angle classification of malocclusion and occlusal traits.Result: The prevalence of malocclusion was found to be Angle’s Class I (52.90%), Angle’s Class II (5.10%) and Angle’s Class III (9.40%). Occlusal traits such as overbite, increased overjet, openbite, crossbite, displacement and hypodontia was found to be 5.79%, 10.8%, 10.86%, 9.42%, 50,72% and 4.34% respectively.Conclusion: The prevalence of malocclusion among Tibetan adolescent was found to be higher. Hence, oral health awareness, preventive procedures and promotional programs need to be more emphasized.


2015 ◽  
Vol 20 (4) ◽  
pp. 1199-1206 ◽  
Author(s):  
Diego Giulliano Destro Christofaro ◽  
Rômulo Araújo Fernandes ◽  
Catarina Martins ◽  
Enio Ricardo Vaz Ronque ◽  
Manuel João Coelho-e-Silva ◽  
...  

This study evaluated the prevalence of physical activity through the practice of sports in adolescents from schools in two Brazilian cities and a Portuguese school, and its association with independent variables, such as gender and age. A cross-sectional study was conducted of schoolchildren from two cities in Brazil and one in Portugal. The total study sample was 3694 subjects (1622 males and 1872 females). Physical activity levels were assessed using Baecke's questionnaire. Body weight was measured on electronic scales and stature was measured with a portable wooden stadiometer. Numerical variables were expressed as mean, categorical variables were expressed as percentages and the chi-square test analyzed associations. The prevalence of no sport was high (39.7%), being higher in the Portuguese school than in the Brazilian schools (p < 0.001). Irrespective of being an adolescent in a Brazilian or Portuguese school, boys showed higher engagement in sports practice than girls (p < 0.001). In both, differences were identified between adolescents aged 13 to 15 (P = 0.001) and 16 to 17 (P = 0.001). The prevalence of physical inactivity among schoolchildren from two cities in Brazil and a school in Portugal was high, with the girls practicing less sport than the boys and with this imbalance likely to be higher in adolescents.


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