scholarly journals Time to recovery from Eclampsia and its determinants in east Gojjam zone hospitals, Amhara, Ethiopia, 2017/18

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bekalu Kassie ◽  
Yibelu Bazezew ◽  
Yewbmirt Sharew ◽  
Leltework Yismaw ◽  
Melaku Desta ◽  
...  
Keyword(s):  
Recovery Time ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Follow Up Study ◽  
Maternal Morbidity And Mortality ◽  
Health Quality ◽  
Rate Of Recovery ◽  
Prolonged Labor ◽  
Strength Of Association

Abstract Background Eclampsia is a tonic clonic type of seizure among pre-eclamptic mothers. Time to recovery from eclampsia is to mean that the time when the mother recovered from severity features of pre-eclampsia. As far as the mother is not free from severity features, she is in a potential to end-up with repeated seizure (eclampsia). Therefore, combating eclampsia through controlling severity features is crucial to enhance maternal health quality, reduce maternal morbidity and mortality, and improve prenatal outcomes. There was no literature that describes the recovery time of eclampsia and its determinants in Ethiopia. Therefore, this study aimed to assess the recovery time from eclampsia and its determinants in East Gojjam zone hospitals. Methods An institutional based retrospective follow up study was conducted between January 2014 and December 2017 among 608 eclamptic mothers in East Gojjam zone Hospitals. Simple random sampling technique was used. Data were coded and entered to Epidata version 3.1 and was exported to SPSS version 20 and then to Stata 14. We used the adjusted hazard ratio (AHR) with 95% confidence interval at p-value less than 0.05 to measure strength of association. Result The median recovery time of eclampsia was 12 h with inter-quartile range of (1–48 h). The rate of recovery from eclampsia among mothers aged more than 20 years was reduced by half (AHR 0.50 (0.28, 0.89)) than the teenagers. The rate of recovery from eclampsia among mothers who had prolonged labor was 1.3 times (AHR 1.26 (1.01, 1.57)) than those whose labor was less than 12 h. About 32% of mothers with multiple convulsions recoverd later than (AHR 0.68 (0.52, 0.87)) those who had single convulsion. As compared to antepartum convulsion, the rate of recovery from postpartum eclampsia was 1.8 times faster (AHR 1.81(1.17, 2.81)). Conclusion The median recovery time from severity features among eclamptic mothers in East Gojjam zone hospitals was half a day. It is affected by age, duration of labor, number of convulsions and time of occurrence of the event. Special attention for elders, prevent recurrent convulsion and faster termination for the antepartum eclamptic mothers are recommended from this follow-up study.

scholarly journals Early Repair of Anterior and Distal Hypospadias is less Cmplicable than Delayed Repair

2017 ◽  
Vol 7 (2) ◽  
pp. 69-72
Author(s):  
Golam Kibria ◽  
Md Ansar Ali ◽  
Kaniz Hasina ◽  
Sharifuzzaman ◽  
Imdadul Hoque Raju ◽  
...  
Keyword(s):  
Random Sampling ◽  
Private Hospital ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Follow Up Study ◽  
Delayed Repair ◽  
Group A ◽  
Distal Hypospadias ◽  
Group B

Background: Evaluation of the result of early and delayed repair of anterior and distal penile hypospadias. A total number of 144 patients of anterior and distal penile hypospadias with/without chordee were evaluated by follow up study in our hospital and private hospital from January 2010 to July 2013. Redo cases, complex hypospadias and proximal hypospadias were excluded. Simple Random sampling technique was followed to the patients were grouped into Group-A (72 patients) and Group-B(72 patients) on the basis of age of the patients. Both Group-A, age between 6 to 18 months and Group-B, more than 18 month to 14 years were operated by Snodgrass procedure. We did follow up 12- 24 months postoperatvely. It can be recommended for repair of anterior and distal penile hypospadias within 6 to 18 months whenever the question of post urethroplasty cosmosis, wound disruption and formation of urethra cutaneous fistula.J Shaheed Suhrawardy Med Coll, December 2015, Vol.7(2); 69-72

scholarly journals Determinants of stillbirths among women who gave birth at Hawassa university comprehensive specialized hospital, Hawassa, Sidama, Ethiopia 2019: a case-control study

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Rekiku Fikre ◽  
Samuel Ejeta ◽  
Taye Gari ◽  
Akalewold Alemayhu
Keyword(s):  
Case Control Study ◽  
Sampling Technique ◽  
Positive Association ◽  
Simple Random Sampling ◽  
Case Control ◽  
Obstructed Labor ◽  
Specialized Hospital ◽  
Prolonged Labor ◽  
Hawassa University ◽  
Control Study

Abstract Background Globally over 2.6 million pregnancy ends with stillbirth annually. Despite this fact, only a few sherds of evidence were available about factors associated with stillbirth in Ethiopia. Therefore, the study aimed to spot factors related to stillbirth among women who gave birth at Hawassa University Comprehensive Specialized Hospital Hawassa, Sidama Ethiopia, 2019. Methods Facility-based unmatched case-control study was conducted at Hawassa University Comprehensive Specialized Hospital. Cases were selected using simple random sampling technique and controls were recruited to the study consecutively after every case selection with case to control ratio of 1 to 3. Data were coded and entered into Epi-data version 3.1 and exported to SPSS version 24 for analysis. Results A total of 106 cases and 318 controls were included in the study. Number of antenatal care visit [AOR = 0.38, 95% CI (0.15, 0.95)], lack of partograph utilization [AOR = 4.1 95% CI (2.04, 10.5)], prolonged labor [AOR = 6.5, 95% CI (2.9, 14.4)], obstructed labor [AOR = 3.5, 95% CI (1.5, 9.4)], and congenital defect [AOR = 9.7, 95% CI (4.08, 23.0)] were significantly associated with stillbirth. Conclusion Absence of partograph utilization, prolonged labor, obstructed labor, antepartum hemorrhage and congenital anomaly were found to have positive association with stillbirth.

scholarly journals Determinant of Implanon Discontinuation among Women Who Ever Used Implanon in Diguna Fango District, Wolayita Zone, Southern Ethiopia: A Community Based Case Control Study

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Amanuel Tadesse ◽  
Mekides Kondale ◽  
Eskzyiaw Agedew ◽  
Feleke Gebremeskel ◽  
Negussie Boti ◽  
...  
Keyword(s):  
Case Control Study ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Case Control ◽  
Southern Ethiopia ◽  
Community Based ◽  
Expiry Date ◽  
First Choice ◽  
Control Study

Background. A significant number of women make Implanon their first choice of contraception. However, they discontinue their Implanon before its expiry date was high, but factors that contribute to discontinuing their Implanon were poorly described in Ethiopia. Methods. A community based unmatched case control study was conducted. Then simple random sampling technique was used to select 340 women. Data was collected by nurses using face to face interview. Epi-Info version 7 and SPSS 20 software were used. Bivariate and multiple logistic regressions were performed with COR and AOR with 95% CI. Findings. Having preinsertion counseling (AOR: 0.36, 95% CI: 0.20–0.64), having follow-up appointment (AOR: 0.35, 95% CI: 0.2–0.62), age at insertion <20 years (AOR: 3, 95% CI: 1.16–7.8), women who had no formal education (AOR: 2.8, 95% CI: 1.31–6.11), women who had ≤4 children (AOR: 1.8, 95% CI: 1.01–3.21), and women who had previous abortion history (AOR: 2.3, 95% CI: 1.10–4.63) were determinants of Implanon discontinuation. Conclusions. Policy makers and concerned bodies should take into account future intervention and also great emphasis should be given to follow-up appointment and counseling services, especially counseling on side effects, and informed choice for clients after Implanon insertion.

scholarly journals PENGARUH PERNIKAHAN DINI TERHADAP TERJADINYA PARTUS LAMA

2017 ◽  
Vol 4 (2) ◽  
pp. 106-112
Author(s):  
Nur Hidayati ◽  
Juni Setiawan
Keyword(s):  
Random Sampling ◽  
Sampling Technique ◽  
Married Couples ◽  
Simple Random Sampling ◽  
Early Marriage ◽  
Rank Test ◽  
Cross Sectional ◽  
Signed Rank Test ◽  
Prolonged Labor ◽  
Cross Sectional Design

Early marriage is a marriage performed by married couples where both are still under 21 years of age is 19 years for men - men and 16 years for women. While prolonged labor is labor that is abnormal characterized by slowness or lack of progress of labor in a certain time unit size. The purpose of this study was to investigate the effect of early marriage on the occurrence of prolonged labor in the village Sumberwaru Banyuputih District of Situbondo. This study design using analytical research, with cross sectional design, with a sample of 68 mothers of 84 women who married early in Sumberwaru village. And using simple random sampling technique. Uji statistic used is the Wilcoxon Signed Rink Test with the help of computer program SPSS 16. The results showed that there was significant effect (p = 0.000), namely (0.000 <0.005) between early marriage with the occurrence of prolonged labor. It can be concluded that there was influence of early marriage on the occurrence of prolonged labor. For that is expected for the adolescent not married at usi less than 21 years and delaying the first pregnancy until reaching the age of 20 years in order to avoid the possibility of a long labor, bleeding, and the conflicts that led to divorce.  Keywords: Early Marriage, Prolonged Labor. ABSTRAK Pernikahan dini adalah pernikahan yang dilakukan oleh pasangan suami isteri dimana keduanya masih di bawah umur 21 tahun yaitu 19 tahun untuk laki - laki dan 16 tahun bagi perempuan. Partus lama adalah persalinan yang abnormal yang ditandai oleh kelambatan atau tidak adanya kemajuan proses persalinan dalam ukuran satuan waktu tertentu. Tujuan penelitian ini adalah untuk mengetahui adanya pengaruh pernikahan dini terhadap terjadinya partus lama di Desa Sumberwaru Kecamatan Banyuputih Kabupaten Situbondo. Desain penelitian ini menggunakan penelitian analitik, dengan rancangan Cross Sectional, dengan sample 68 ibu yang menikah dini di Desa Sumberwaru dan menggunakan tekhnik simple random sampling,.Uji statistik yang digunakan adalah Wilcoxon Signed Rank Test dengan bantuan Komputer program SPSS 16. Hasil penelitian menunjukkan bahwa ada pengaruh yang signifikan (p=0,000) yaitu (0,000<0,05) antara pernikahan dini dengan terjadinya partus lama. Dapat disimpulkan bahwa ada pengaruh pernikahan dini terhadap terjadinya partus lama. Untuk itu diharapkan bagi para remaja tidak menikah pada usia kurang dari 21 tahun dan menunda kehamilan pertamanya hingga mencapai usia 20 tahun agar tidak timbul kemungkinan terjadinya persalinan yang lama, perdarahan, dan konflik yang berujung perceraian. Kata Kunci : Pernikahan Dini, Partus Lama.

scholarly journals Time To Recovery And Its Predictors Among Severe Community Acquired Pneumonia Patients Admitted To Pediatric Ward, Debre-markos Referral Hospital, North West Ethiopia, Retrospective Follow-up Study, 2019

2019 ◽  
Author(s):  
Belayneh Mengist Mitiku
Keyword(s):  
Recovery Time ◽  
Community Acquired Pneumonia ◽  
Referral Hospital ◽  
Pediatric Ward ◽  
North West ◽  
Follow Up Study ◽  
North West Ethiopia ◽  
Debre Markos ◽  
Severe Community Acquired Pneumonia

Abstract Background - Globally, pneumonia is a major cause of morbidity and mortality among children which affects 151.8 million each year. It leads over 156 million episodes and 14.9 million hospitalizations per year. Besides this fact, the recovery time and predictors of children’s hospitalization related to severe community acquired pneumonia is not well known. Objective -The aim of this study was to estimate the median time to recovery and its predictors among severe community acquired pneumonia patients admitted to pediatric ward, Debre Markos Referral Hospital, North West Ethiopia. Methods - An institution based retrospective follow up study was employed among 352 records of children who were admitted starting from January 2016 to December, 2018. Patients chart were retrieved using a structured data extraction tool. Data was entered using Epi-Data version 3.02 and analyzed using STATA version 14 statistical software. The Kaplan Meier survival curve and log rank tests were used. Cox proportional hazard model assumption and model fitness were checked. Stratified Cox regression was fitted as a final model. Hazard ratio with its 95% confidence interval was used and P-value < 0.05 was considered as statistically significant association. Result- The overall median recovery time was 4 days IQR (3-7). Recovery rate from severe community acquired pneumonia was 16.25 (95% CI: 14.54–18.15) per 100 person day observation. Age (AHR; 0.94 95% CI (0.90-0.98)), being stunted (AHR; 0.62 95% CI (0.43-0.91)), presence of danger sign at admission (AHR; 0.61 95% CI ((0.40-0.94)), late presentation to seek care (AHR; 0.64 95% CI (0.47-0.88)) and co-morbidity (AHR; 0.45 95% CI ((0.45(0.35-0.58)) were significant predictors of recovery time. Conclusion: The median recovery time from severe community acquired pneumonia was long. Measures to reduce recovery time should be strengthened. Key words:-pediatrics, predictors, severe community acquired pneumonia and time to recovery.

scholarly journals Open and closed haemorrhoidectomy for fourth degree haemorrhoids - comparative one center study

2008 ◽  
Vol 55 (3) ◽  
pp. 119-125 ◽  
Author(s):  
M. Mik ◽  
T. Rzetecki ◽  
A. Sygut ◽  
R. Trzcinski ◽  
A. Dziki
Keyword(s):  
Wound Healing ◽  
Recovery Time ◽  
Healing Time ◽  
Urine Retention ◽  
Fourth Degree ◽  
Follow Up Study ◽  
Wound Healing Time ◽  
Length Of Hospitalization ◽  
Closed Haemorrhoidectomy

AIM: We compared results of two techniques of haemorrhoidectomy: open Milligan-Morgan (MM) and closed Ferguson (CF) techniques. Length of hospitalization, pain complaints, return to full activity, wound healing time were considered. METHODS: We included the group of 63 patients: 29 patients (16 women) were randomly allocated to MM operation and 34 patients (15 women) to CF operation. Follow-up study was performed after 2, 4, 24 weeks and six and eighteen months postoperatively. RESULTS: We did not note any statistically significant differences in relation to hospitalization time 30.9 days (MM) and 30.8 days (CF). Postoperative urine retention was similar: 5 (17,2 %) patients (MM) and 7 (20,6 %) patients (CF). No differences in the intensity of postoperative pain was observed. Patients returned to work after 293 days (MM) and 342 days (CF) (p=0,059). We observed no infection of the wound in MM group but in four patients from CF group (11,8%); (p=0,053). However overall wound healing time was shorter after CF method than after MM method: 233 vs. 274 days, respectively (p=0,053). CONCLUSIONS: Our study confirms that the results after MM and CF haemorrhoidectomy are similar. We found a trend towards faster wound healing after CF procedure, however there was a trend towards higher wound infection in that group. There was also a trend towards shorter recovery time in patients after MM operation.

scholarly journals PERSALINAN PADA IBU DENGAN RIWAYAT KEKURANGAN ENERGI KRONIS

2021 ◽  
Vol 3 (2) ◽  
pp. 77
Author(s):  
Widya Maya Ningrum ◽  
Erni Puspitasari
Keyword(s):  
Pregnant Women ◽  
Random Sampling ◽  
Preterm Labor ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Early Screening ◽  
Work Area ◽  
History Of ◽  
Prolonged Labor ◽  
Experience Difficulty

Ibu hamil yang mengalami KEK akan mengalami kekurangan gizi, tubuh mudah lelah, pucat, lemas, dan mengalami kesulitan salah satunya dalam proses persalinan. Pengaruh KEK terhadap proses persalinan dapat mengakibatkan persalinan sulit dan lama, persalinan sebelum waktunya (prematur), pendarahan setelah persalinan, serta persalinan dengan operasi. Puskesmas Sadananya data ibu hamil yang mengalami KEK sebanyak 70 orang (9,49%) dan berlanjut ke penyulit lainnya yaitu mengalami Abortus 5 0rang (3,5%), BBLR 9 bayi (6,3%). Jenis Penelitian ini merupakan penelitian deskriptif. Populasi dalam penelitian ini adalah seluruh ibu bersalin dengan riwayat KEK pada masa kehamilan di Wilayah Kerja Puskesmas Sadananya Kabupaten Ciamis Tahun 2019 sebanyak 70, Teknik pengambilan sempel mengunakan Simple Random Sampling. Analisa dalam penelitian ini adalah Univariat. Hasil penelitian menunjukan sebanyak 3 oang mengalami persalinan sebelum waktunya (4,3%), 1 orang mengalami perdarahan paska salin disebebkan atonia uteri (1,4%), dan 8 orang proses persalinan dengan Operasi (SC) (11,4%). Kesimpulan dari penelitian ini adalah Ibu hamil dengan riwayat KEK mengalami penyulit persalinan, meskipun secara jumlah tidak terlalu signifikan, namun hal ini tentunya tetap harus menjadi perhatian khususnya bagaimana bisa mencegah ibu hamil untuk tidak mengalami anemia, dan apabila sudah terjadi sebagai seorang bidan tentunya harus dapat mendeteksi penyulit yang akan terjadi denganmelakukan penapisan awal persalinanPregnant women who experience KEK will experience malnutrition, body easily tired, pale, weak, and experience difficulties, one of which is in the delivery process. The effect of KEK on the labor process can result in difficult and prolonged labor, preterm labor, bleeding after delivery, and delivery by surgery. Puskesmas Sadananya data on pregnant women who experience KEK as many as 70 people (9.49%) and continue to other complications, namely experiencing 5 0rang abortion (3.5%), LBW 9 babies (6.3%). This type of research is a descriptive study. The population in this study were all 70 women who gave birth with a history of KEK during pregnancy in the Work Area of the Sadananya Health Center, Ciamis Regency in 2019, the sampling technique used was Simple Random Sampling. The analysis in this research is Univariate.. The results showed as many as 3 people experienced premature labor (4.3%), 1 person experienced post-saline bleeding due to uterine atony (1.4%), and 8 people went into labor by surgery (11.4%). The conclusion of this study is that pregnant women with a history of KEK experience difficulty in childbirth, although the numbers are not too significant, this of course still has to be a concern, especially how to prevent pregnant women from experiencing anemia, and if it has occurred as a midwife, of course they must be able to detecting impending complications by performing an early screening of labor.

scholarly journals Predictive Parameters of Oral Health Quality of Life in Complete Mandibular Denture Wearers Stabilized by Mini-Implants: A Two-Year Follow-Up Study

Materials ◽  
2017 ◽  
Vol 10 (10) ◽  
pp. 1197 ◽  
Author(s):  
Cindy Batisse ◽  
Guillaume Bonnet ◽  
Jean-Luc Veyrune ◽  
Emmanuel Nicolas ◽  
Marion Bessadet
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Follow Up Study ◽  
Predictive Parameters ◽  
Mini Implants ◽  
Health Quality ◽  
Health Quality Of Life

scholarly journals Time to Recovery from Severe Acute Malnutrition and Its Predictors among Admitted Children Aged 6-59 Months at the Therapeutic Feeding Center of Pawi General Hospital, Northwest Ethiopia: A Retrospective Follow-Up Study

2020 ◽  
Vol 2020 ◽  
pp. 1-9 ◽  
Author(s):  
Amare Wondim ◽  
Bethelihem Tigabu ◽  
Mengistu Mekonnen Kelkay
Keyword(s):  
Recovery Rate ◽  
Recovery Time ◽  
Severe Acute Malnutrition ◽  
Northwest Ethiopia ◽  
Acute Malnutrition ◽  
Early Recovery ◽  
Follow Up Study ◽  
Nutritional Recovery ◽  
Feeding Center

Background. Ethiopia is one of the countries in sub-Saharan Africa with the highest rates of severe acute malnutrition. Early recovery is a performance indicator for severe acute malnourished children for the therapeutic feeding. Despite the available interventions to tackle nutritional problems, there is scarce information on time to recovery and its determinants among children with SAM in Ethiopia. Objective. The study is aimed at assessing time to recovery from severe acute malnutrition and its predictors among admitted children aged 6-59 months at the therapeutic feeding center of Pawi General Hospital, northwest Ethiopia, from January 2013 to December 2017. Methods. An institution-based retrospective follow-up study was conducted among 398 children aged 6-59 months. The data were collected by using data extraction sheet. The data were cleaned and entered using EpiData version 4.2.0.0 and exported to Stata version 14 statistical software for further analysis. Kaplan-Meier survival curve was used to estimate median nutritional recovery time after initiation of inpatient treatment, and log-rank test was used to compare time to recovery between groups. The Cox proportional regression model was used to identify the predictors of recovery time. Adjusted hazard rate with its 95% CI was reported to show strength of relationship. Results. The recovery rate was 5.3 per 100 person-day observations, and the median recovery time was 14 days (95% CI: 13–15). The lower chance of early recovery was found among children who were not fully vaccinated (AHR: 0.73 (95% CI: 0.56, 0.96)), while high chance of recovery was found among children who had no anemia (AHR: 1.66 (95% CI: 1.23, 2.23)), TB (AHR: 2.03 (95% CI: 1.11, 3.71)), and malaria infection (AHR: 1.54 (95% CI: 1.09, 2.17)) at admission. Conclusion and Recommendation. The overall nutritional recovery rate was below the accepted minimum standard. Children not fully vaccinated and children without malaria, anemia, and TB comorbidities at admission had a higher chance of recovering early from severe acute malnutrition. Hence, treating comorbidities is vital for prompt nutritional recovery.

Electron Microscopy of Human Gallstones

1971 ◽  
Vol 29 ◽  
pp. 296-297
Author(s):  
C. Wolpers ◽  
R. Blaschke
Keyword(s):  
Electron Microscopy ◽  
Room Temperature ◽  
Bile Pigment ◽  
X Ray Diffraction ◽  
Triclinic Crystal System ◽  
X Ray ◽  
Follow Up Study ◽  
Infra Red ◽  
Main Components

Scanning microscopy was used to study the surface of human gallstones and the surface of fractures. The specimens were obtained by operation, washed with water, dried at room temperature and shadowcasted with carbon and aluminum. Most of the specimens belong to patients from a series of X-ray follow-up study, examined during the last twenty years. So it was possible to evaluate approximately the age of these gallstones and to get information on the intensity of growing and solving.Cholesterol, a group of bile pigment substances and different salts of calcium, are the main components of human gallstones. By X-ray diffraction technique, infra-red spectroscopy and by chemical analysis it was demonstrated that all three components can be found in any gallstone. In the presence of water cholesterol crystallizes in pane-like plates of the triclinic crystal system.

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