scholarly journals Differences in pregnancy outcomes and obstetric care between asylum seeking and resident women: a cross-sectional study in a German federal state, 2010–2016

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Kayvan Bozorgmehr ◽  
Louise Biddle ◽  
Stella Preussler ◽  
Andreas Mueller ◽  
Joachim Szecsenyi
Keyword(s):  
Pregnancy Outcomes ◽  
Obstetric Care ◽  
Cross Sectional Study ◽  
Federal State ◽  
Sectional Study ◽  
Cross Sectional ◽  
German Federal State ◽  
In Pregnancy

scholarly journals The Phenomena of Naturopathic Practitioner: Predictors of a High Patient Throughput

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Katja Goetz ◽  
Stefanie Kattge ◽  
Jost Steinhäuser
Keyword(s):  
Response Rate ◽  
Cross Sectional Study ◽  
Federal State ◽  
Sectional Study ◽  
Patient Throughput ◽  
Cross Sectional ◽  
Practice Characteristics ◽  
Sociodemographic Data ◽  
Binary Regression Analysis ◽  
German Federal State

Objective. The aim of the current study was to evaluate which factors predicted a high patient throughput to add more evidence to the phenomena of naturopathic practitioners. Methods. The cross-sectional study was based on a questionnaire with a sample of 1,096 naturopathic practitioners in the German Federal State of Schleswig-Holstein. Besides, sociodemographic data and practice characteristics topics like job satisfaction and feeling for the job were evaluated. This was supplemented with an evaluation of patient traits which were perceived as challenging. Descriptive statistics and binary regression analysis were computed to identify potential predictors to a high patient throughput. Results. A response rate of 29.4% (322/1096 participants) was observed for the study. In general, our sample of the naturopathic practitioners was very satisfied with their job (mean = 6.38). Naturopathic practitioners described that 40% of their patients are challenging. The highest rate was for “aggressive patients.” A high patient throughput was predicted with a higher satisfaction rate with the “opportunity to use abilities” and more direct contact with the patient. Conclusions. Therapeutic freedom and time with patients are important factors which are accountable for a high patient throughput. Moreover, our study provides evidence for the understanding of the phenomena of naturopathic practitioners.

Assessment of protein C antigen, free protein S, and protein C activity in pregnancy: A cross-sectional study of pregnant Nigerian women

2021 ◽  
Vol 26 (2) ◽  
pp. 118
Author(s):  
TheresaUkamaka Nwagha ◽  
HelenChioma Okoye ◽  
AngelaOgechukwu Ugwu ◽  
LisaIfenyinwa Eweputanna ◽  
EmmanuelOnyebuchi Ugwu
Keyword(s):  
Protein C ◽  
Protein S ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nigerian Women ◽  
Free Protein ◽  
Protein C Activity ◽  
In Pregnancy

scholarly journals Cross-sectional study to assess etiology and associated factors for anaemia during first trimester of pregnancy in Anuradhapura District, Sri Lanka: a protocol

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 223
Author(s):  
Gayani Amarasinghe ◽  
Vasana Mendis ◽  
Thilini Agampodi
Keyword(s):  
Sri Lanka ◽  
Data Collection ◽  
Pregnant Women ◽  
Associated Factors ◽  
First Trimester ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Anaemia In Pregnancy ◽  
In Pregnancy

Background: Anaemia in pregnancy, which can lead to adverse maternal and fetal outcomes, is a significant global health problem. Despite Sri Lanka’s strong public health system and commitment towards prevention, maternal anaemia remains a major problem in the country. While prevention is focused on iron deficiency, detailed etiological studies on this topic are scarce. Moreover, estimates of socio demographic and economic factors associated with anaemia in pregnancy, which can provide important clues for anaemia control, are also lacking. This study aims to evaluate the hemoglobin distribution, spatial distribution, etiology and associated factors for anaemia in pregnant women in Anuradhapura, Sri Lanka. Methods: This is a cross sectional study of pregnant women in their first trimester registered for antenatal care from July to September 2019 in the Anuradhapura district. The minimal sample size was calculated to be 1866. Initial data collection has already been carried out in special field clinics for pregnant women between June to October 2019. An interviewer-administered questionnaire, a self-completed dietary questionnaire and an examination checklist were used for data collection. In addition, all participants underwent complete blood count testing. Further investigations are being conducted for predicting the etiology of anaemia based on a developed algorithm (such as high-performance liquid chromatography [HPLC] and peripheral blood film analysis). Discussion: Being the largest study on anaemia during pregnancy in a single geographical area in Sri Lanka, this study will provide important clues about geographical clustering of anaemia cases with similar etiology, associated factors and etiologies which would help to develop interventions to improve the health of pregnant women in the area. The possibility of selection bias is a potential limitation associated with the study design.

scholarly journals Breast imaging hindered during covid-19 pandemic, in Brazil

2021 ◽  
Vol 55 ◽  
pp. 8
Author(s):  
Jordana de Faria Bessa
Keyword(s):  
Breast Imaging ◽  
Detection Rate ◽  
Cross Sectional Study ◽  
Federal State ◽  
Private Institutions ◽  
Sectional Study ◽  
Public Health Services ◽  
Cross Sectional ◽  
Entire Country ◽  
Open Access Database

OBJECTIVE: To report the decrease in breast imaging after covid-19 pandemic, obtaining the number of mammograms performed in 2019 and 2020. Additionally, to investigate if there was an increase in the proportion of women undergoing mammography for diagnostic purposes, with palpable lesions. METHOD: This is a cross-sectional study, based on the number of mammograms performed by the Brazilian public health services, provided by DATASUS, an open access database. Mammograms from private institutions were not included. This study compares the number of mammograms performed in 2019 and 2020, in women aged 50–69 years, stratified by month, in each federal state, and the presence of palpable lumps (physician-reported). RESULTS: In total, 1,948,471 mammograms were performed in 2019 and 1,126,688 in 2020, for the population studied. These values represent a 42% decline. Monthly, a significant decreased is observed after April 2020. The results varied slightly according to federal state; yet the entire country was affected. Rondônia was the most affected state, with 67% decline. The proportion of women presenting palpable lumps increased from 7.06% on average in 2019 to 7.94% in 2020 (OR = 1.135, 95%CI 1.125–1.145, p = 0,001). DISCUSSION: The number of mammograms performed in 2020 declined considerably. Out of the women who presented for mammogram, the proportion of palpable lumps was significantly higher in 2020. Considering the detection rate of digital mammography, the loss of 800,000 exams means 4,000 undiagnosed breast cancer cases, by the end of 2020.

scholarly journals Vitamin, mineral and iron supplementation in pregnancy: cross-sectional study

2010 ◽  
Vol 26 (2) ◽  
pp. 128-135 ◽  
Author(s):  
M. Leppee ◽  
J. Culig ◽  
M. Eric ◽  
J. Boskovic ◽  
N. Colak
Keyword(s):  
Iron Supplementation ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
In Pregnancy

scholarly journals A Cross-Sectional Study of Barriers in Prevention of Anemia in Pregnancy

Cureus ◽  
2021 ◽  
Author(s):  
Archana Mishra ◽  
Sheeba Marwah ◽  
Pragati Divedi ◽  
Rupali Dewan ◽  
Himani Ahluwalia
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Anemia In Pregnancy ◽  
In Pregnancy

scholarly journals Potentially avoidable hospitalisations of German nursing home patients? A cross-sectional study on utilisation patterns and potential consequences for healthcare

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e025269 ◽  
Author(s):  
Rüdiger Leutgeb ◽  
Sarah Jane Berger ◽  
Joachim Szecsenyi ◽  
Gunter Laux
Keyword(s):  
Nursing Home ◽  
Medical Care ◽  
International Classification Of Diseases ◽  
Cross Sectional Study ◽  
Federal State ◽  
Level Of Care ◽  
Insurance Company ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nursing Home Patients

ObjectivesDemand for nursing home (NH) care is soaring due to gains in life expectancy and people living longer with chronic illness and disability. This is dovetailing with workforce shortages across the healthcare profession. Access to timely and appropriate medical care for NH residents is becoming increasingly challenging and can result in potentially avoidable hospitalisations (PAHs). In light of these factors, we analysed PAHs comparing NH patients with non-NH patients.DesignCross-sectional study with claims data from 2015 supplied by a large German health insurance company within the federal state of Baden-Wuerttemberg.SettingOne-year observation of hospitalisation patterns for NH and non-NH patients.Participants3 872 245 of the 10.5million inhabitants of Baden-Wuerttemberg were covered.MethodsPatient data about hospitalisation date, sex, age, nationality, level of care and diagnoses were available. PAHs were defined based on international classification of diseases (ICD-10) diagnoses belonging to ambulatory care sensitive conditions (ACSCs). Adjusted ORs for PAHs for NH patients in comparison with non-NH patients were calculated with multivariable regression models.ResultsOf the 933 242 hospitalisations in 2015, there were 23 982 for 13 478 NH patients and 909 260 for 560 998 non-NH patients. Mean age of hospitalised NH patients and level of care were significantly higher than those of non-NH patients. 6449 PAHs (29.6%) for NH patients and 136 543 PAHs (15.02%) for non-NH patients were identified. The adjusted OR for PAHs was significantly heightened for NH patients in comparison with non-NH patients (OR: 1.22, CI (1.18 to 1.26), p<0.0001). Moreover, we could observe that more than 90% of PAHs with ACSCs were unplanned hospitalisations (UHs).ConclusionsLarge numbers of PAHs for NH patients calls for improved coordination of medical care, especially general practitioner service provision. Introduction of targeted training programmes for physicians and NH staff on health problem management for NH patients could perhaps contribute to reduction of PAHs, predominantly UHs.

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