scholarly journals Burden of neck pain among medical students in Ethiopia

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Gidey Gomera Weleslassie ◽  
Hagazi Gebre Meles ◽  
Tsiwaye Gebreyesus Haile ◽  
Gebreslassie Kahsay Hagos
Keyword(s):  
Medical Students ◽  
Physical Exercise ◽  
Neck Pain ◽  
Past History ◽  
Previous History ◽  
Health Sciences ◽  
Cross Sectional ◽  
University College ◽  
Mekelle University ◽  
History Of

Abstract Background Neck pain is the major cause of morbidity and absenteeism from university lessons among medical students worldwide. Medical students are more exposed and appear to have neck pain because of their length of study to achieve their professional goals. However, up to the knowledge of the researcher, there is a scarcity of literature conducted on prevalence and associated factors of neck pain among medical students in Ethiopia. Therefore, the aim of this study was to determine the prevalence and factors associated with neck pain among medical students at Mekelle University, College of Health Sciences, Tigray, Ethiopia. Method Institutional based cross-sectional study was conducted from April 2018 to May 2018. A structured questionnaire adapted from the Nordic musculoskeletal questionnaire was distributed to 422 participants using a self-administered questionnaire in Mekelle University, College of Health Sciences Tigray, Ethiopia. Independent variables which had a significant association were identified using logistic regression models. Results were reported by using texts and frequency distribution tables. Result A total of 422 participants involved in this study, with a 99.3% response rate. Previous 12 months self-reported prevalence of neck pain among medical students was found to be 49.2% with 95%CI (44.5–54%). Previous history of neck pain (AOR: 11.811, 95%CI: 5.460–25.549), physical exercise (AOR: 2.044, 95%CI: 1.233–3.387), duration of reading (AOR: 1.502, 95%CI: 0.236–2.780) and awkward posture (AOR: 3.87, 95%CI: 2.311–6.484) were factors significantly associated with neck pain. Conclusion and recommendation The current study showed that nearly half of the study participants self-reported to have suffered neck pain in the preceding 12 months. Past history of neck pain, physical exercise, duration of reading and awkward neck posture are likely to be significantly associated neck pain among medical students in Ethiopia. Engaging in consistent physical exercise has a protective effect against neck pain. Therefore, Medical students are recommended to carry out a regular physical exercise for a minimum of twenty to thirty minutes per day.

scholarly journals ACUTE HEART FAILURE

2018 ◽  
Vol 25 (09) ◽  
pp. 1392-1396
Author(s):  
Jasia Reham Din ◽  
Shahid Maqbool ◽  
Shakeel ur Rehman ◽  
Naeem Hameed
Keyword(s):  
Heart Failure ◽  
Acute Heart Failure ◽  
De Novo ◽  
Past History ◽  
Previous History ◽  
Young Male ◽  
Uncontrolled Hypertension ◽  
Cross Sectional ◽  
History Of ◽  
Emergency Department Patients

Objectives: To determine the frequency of the major precipitating factorsamong the patients presenting with acute heart failure. Study Design: Cross sectional study.Setting: Faisalabad Institute of Cardiology, Faisalabad. Period: July 2014 to January 2015.Materials and Methods: 190 patients of acute heart failure were included after obtaininginformed consent from emergency department. Patients from age of 25 years to 80 years andof either sex either diabetic or non-diabetic were enrolled in study. ECG and CXR were takenin emergency with baseline investigations. Precipitating cause was identified from collectedhistory, clinical examination and ECG, CXR and lab results. Results: Mean age of these patientswere 54.4 + 8.92, 100 (52.6%) were male, 90 (47.4%) were females, 88 patients (46.3%) werediabetic, 102 patients (53.68%) were non-diabetic and 124 (65.3%) had previous history of heartfailure and 66 (34.7%) had no past history of heart failure. ACS was the common precipitatingfactor of Acute Heart Failure ( 31.57% ) among all the patients of the study with non-complianceof drugs 27.9% , arrhythmias 17.9% uncontrolled hypertension 17.36% and infections 5.3%.Conclusion: Young, male, diabetics and patients with history of chronic HF suffered more fromAHF. ACS was the most common precipitating factor while in patients with de novo Acute HeartFailure; it was ACS and non-compliance with drugs.

scholarly journals PREVALENCE OF NON-SPECIFIC NECK PAIN AMONG SURGEONS IN DIFFERENT HOSPITALS OF LAHORE

2021 ◽  
Vol 6 (2) ◽  
pp. 42-47
Author(s):  
Amirah Zafar ◽  
Saad Akhtar  ◽  
Umar Sadiq ◽  
Sobia Sobia
Keyword(s):  
Neck Pain ◽  
Past History ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Working Hours ◽  
Cross Sectional Study ◽  
Cervical Region ◽  
Cross Sectional ◽  
Postural Alignment ◽  
History Of

Objective: The objective of the study was to determine the prevalence of non-specific neck pain among Surgeons in different hospitals of Lahore and developed some guidelines to reduce the occupational hazards. Materials and Methods: It was a cross-sectional study. Non-Probability Convenient sampling technique was used. Data was collected from surgeons working in tertiary care hospitals of Lahore Inclusion criteria included Surgeons (25 years or above), both genders selected and Neck pain in cervical region, surgery of consecutive 2- 3 hours or more. Exclusion criteria included age under 25 years, any neurological disorders, cerebrovascular insufficiency, Past history of Infection and Malignancy, any Structural disorders and Trauma. Data was collected by questionnaire form set on paper. Results: Non-specific neck pain has positive statistically significant association with “Starting of Neck Pain Surgical Day”, “Starting of Neck Pain Post-Surgical Day”, “Worsening of Neck Pain Surgical Day” and “Worsening of Neck Pain Post-Surgical Day Conclusion: It concluded that the surgeons are not getting neck pain due to the surgical activities but it may worsen by their surgical activities of consecutive 3 hours if they already have some neck-related problems. Recommendations: Prolong working hours should be reduced which ultimately affect their ergonomics and posture of neck. By reducing consecutive hours of surgery neck pain can be minimized. Surgeons should be trained about their postural alignment while performing surgeries as to prevent maximum stress on neck musculature to avoid neck pain.

scholarly journals Prevalence of depression, stress, anxiety among information technology professionals during COVID-19 lockdown, 2020 in Kerala

2021 ◽  
Vol 8 (12) ◽  
pp. 6031
Author(s):  
Cissy James ◽  
Gopika G. ◽  
Irina Mariya Diju ◽  
Aswathy T. R. ◽  
Karthika J. ◽  
...  
Keyword(s):  
Information Technology ◽  
Psychiatric Illness ◽  
Past History ◽  
Previous History ◽  
Relationship Status ◽  
Information Technology Professionals ◽  
It Professionals ◽  
Cross Sectional ◽  
History Of ◽  
Study Participants

Background: COVID-19 pandemic has completely changed the work pattern of information technology professionals who had to shift from the work from office to work from home pattern. The comforts of home, that they used to enjoy, was now taken up by an office space at home and this has potentially altered the mental health status of these professionals.Methods: A cross sectional study was conducted among IT professionals within the age group 21-45 years working in Kerala. 218 subjects were included in the study. A self-prepared structured questionnaire was used to collect basic demographic information and depression anxiety and stress scale (DASS 21) scale was used to assess depression anxiety and stress among IT professionals using Google form. Informed consent was obtained in the beginning of the questionnaire. The data was entered in Microsoft Excel and analysed using SPSS software.Results: Out of the total study participants 50.5% (110) were males and 49% (108) were females. 42.7% were married and 57.3% were unmarried and none of them were divorced or living separated. Most of the study participants (62.8%) had monthly income below 50,000. Out of the total study participants, 72 (33%) of them were working in IT field for less than 2 years, 52 were working for last 2-4 years, 51 were working for last 4-8 years and only 43 individuals were working for more than 8 years. 67% of them had their working hours raised during COVID lock down. In our study while 21.6% had a previous history of psychiatric illness for which they have consulted a doctor/psychologist. Out of all the study subjects, 4.1% were mildly depressed, 6.9% were moderately depressed, 5.5% were severely depressed and 1.8% had extremely severe depression. Most of the study subjects (81.7%) were not anxious, 9.2% were mildly anxious, 6.8% were moderately anxious, 2.3% were severely anxious. 76.9% had no stress, 6.1% were mildly stressed, 11.5% were moderately stressed, 4.6% were severely stressed and 0.9% had extremely severe stress. Depression among IT professionals during COVID-19 lockdown was found to be significantly associated with past history of psychiatric illness. Anxiety was found to be significantly associated with past history of psychiatric illness and unmarried relationship status. The stress among IT professionals during lockdown was found to be significantly associated with previous history of psychiatric illness and unmarried relationship status.Conclusions: 18.3% of the IT professionals had some degree of depression and 23.1% was facing stress 18.3% was anxious. Past history of psychiatric illness was associated with increased depression anxiety and stress. Unmarried relationship status was associated with associated with increased anxiety and stress.

Suicidal Ideation Among Medical Students in Dammam, Saudi Arabia

Crisis ◽  
2020 ◽  
pp. 1-6
Author(s):  
Mohammed Madadin ◽  
Ritesh G. Menezes ◽  
Maha A. Alassaf ◽  
Abdulaziz M. Almulhim ◽  
Mahdi S. Abumadini ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Medical Students ◽  
Suicidal Ideation ◽  
General Health Questionnaire ◽  
Cross Sectional Study ◽  
Eastern Province ◽  
Cross Sectional ◽  
The Past ◽  
Depression Subscale ◽  
History Of

Abstract. Background: Medical students are at high risk of suicidal ideation. Aim: We aimed to obtain information on suicidal ideation among medical students in Dammam located in the Eastern Province of Saudi Arabia. Method: This cross-sectional study was conducted at the College of Medicine affiliated with Imam Abdulrahman Bin Faisal University in the Eastern Province of Saudi Arabia. Suicidal ideation in the past 12 months was assessed based on responses to four questions in the depression subscale of the General Health Questionnaire 28 (GHQ-28). In addition, data were collected to examine the association of suicidal ideation with various factors. Results: We found that 1 in 3 medical students in the study had suicidal ideation in the past 12 months, while around 40% had lifetime suicidal ideation. Suicidal ideation was associated with feelings of parental neglect, history of physical abuse, and dissatisfaction with academic performance. Limitations: The cross-sectional nature of this study limits its ability to determine causality regarding suicidal ideation. Conclusion: These rates are considerably high when compared with rates from studies in other countries around the world. This study provides a reference in the field of suicidology for this region of Saudi Arabia.

Malaria among migrants in a university hospital in Colombia during 2018: A case series

2020 ◽  
pp. 004947552098130
Author(s):  
Fabián R Carreño-Almánzar ◽  
Adán Coronado-Galán ◽  
Sonia A Cala-Gómez ◽  
Agustín Vega-Vera
Keyword(s):  
Latin American ◽  
Previous History ◽  
Case Series ◽  
Cross Sectional Study ◽  
Imported Malaria ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
History Of ◽  
Clinical Profiles

Imported malaria has increased in Colombia since 2015 and has been attributed to migrants coming from Venezuela. We present a series of malaria cases, nested in a retrospective cross-sectional study between 2017 and 2018, aimed at calculating the prevalence of medical diseases among immigrants in a University Hospital in Colombia. Among 154 immigrants admitted for medical causes between 2017 and 2018, 8 were diagnosed with malaria, all due to Plasmodium vivax. Of these, seven had uncomplicated malaria, five had a previous history of malaria, one was critically ill, but none died. We highlight that, similar to other case series of imported malaria, Latin American migrants were young, with similar clinical profiles, having a low proportion of severe cases, and P. vivax was the most frequent cause.

scholarly journals Analysis of Sociodemographic and Clinical Factors Associated with Hospitalized Stroke Patients of Bangladesh

1970 ◽  
Vol 6 (1) ◽  
pp. 19-23 ◽  
Author(s):  
AM Hossain ◽  
NU Ahmed ◽  
M Rahman ◽  
MR Islam ◽  
G Sadhya ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Ischaemic Heart Disease ◽  
Low Income ◽  
Heart Diseases ◽  
Previous History ◽  
Stroke Patients ◽  
College Hospital ◽  
Cross Sectional ◽  
History Of

A hospital based cross sectional study was carried out to analyze prevalence of risk factors for stroke in hospitalized patient in a medical college hospital. 100 patients were chosen using purposive sampling technique. Highest incidence of stroke was between the 6th and 7th decade. Patients came from both urban (54%) and rural (46%) areas and most of them belong to the low-income group (47%). In occupational category; service holder (28%) and retired person (21%) were the highest groups. Most of the study subjects were literate (63%). CT scan study revealed that the incidence of ischaemic stroke was 61% and haemorrhagic stroke 39%. Analysis indicated hypertension as major risk factor for stroke (63%) and major portion of the patients (42.85%) were on irregular or no treatment. Twenty four percent of the patients had heart diseases and out of 24 patients 45.83% were suffering from ischaemic heart disease. The present study detected diabetes in 21% patients. Fifty three percent of the study subjects were smoker, 39% patients had habit of betelnut chewing. Out of 26 female patients, only 23% had history of using oral contraceptives. Majority of the patients were sedentary workers (46%). Thirty seven percent of the stroke patients were obese. Among the stroke patients 9% had previous history of stroke and 3% had TIA respectively. Most of the patients (21%) were awake while they suffered from stroke and the time of occurrence was mostly in the afternoon (46%). This study found that hypertension, cigarette smoking, ischaemic heart disease and diabetes mellitus are the major risk factors prevalent in our community while other risk factors demand further study. Key words: stroke; risk factors; hospitalized patients; Bangladesh. DOI: 10.3329/fmcj.v6i1.7405 Faridpur Med. Coll. J. 2011;6(1): 19-23

ASSESSMENT OF ASSOCIATION OF DEMOGRAPHIC CHARACTERISTICS, DIET AND DISEASE WITH HAEMORRHAGIC STROKE AND FACTORS CAUSING STROKE LEADING TO CEREBRAL HAEMORRHAGE IN MALE PATIENTS IN QUETTA, BALOCHISTAN, PAKISTAN

2021 ◽  
Vol 20 (2) ◽  
pp. 183-189
Author(s):  
Anila Alam ◽  
◽  
Musa Bin Bashir ◽  
Mirwais Khan ◽  
Asad Khan ◽  
...  
Keyword(s):  
Physical Exercise ◽  
Low Income ◽  
Past History ◽  
Cerebral Haemorrhage ◽  
Haemorrhagic Stroke ◽  
Demographic Characteristics ◽  
Urban Residence ◽  
Cross Sectional ◽  
Number Of Children ◽  
Male Patients

Objectives. This study aimed to assess and make a pattern of factors causing stroke leading to cerebral haemorrhage in male patients as well as to assess association of demographic characteristics, diet and disease with haemorrhagic stroke in Quetta, Balochistan, Pakistan. Methods. In a cross sectional questionnaire based interviewing study, a questionnaire was designed to access the pattern of factors causing stroke leading to cerebral haemorrhage in male patients. Total 339 cases (adult male who had haemorrhagic stroke) were identified from two government and four private hospitals in Quetta City, Province Balochistan, Pakistan. The study was conducted within the time period of 9 months, from March to November, 2015. The data was piloted and then final data was analysed by using IBM SPSS 22. Results. In demographic characteristic study of patients, majority 219 (64.6%) were among the age group between 51 years and above, 330 (97.3%) were married, majority 186 (54.9%) were having urban residence and 277 (81.7%) were having own residence ownership, 127 (37.5%) were having addiction to smoking and 120 (35.4%) were addicted to tobacco and snuff. 124 (36.6%) were reluctant to mention whether their patients were either smokers or not. Among total 339 patients, majority 284 (83.8%) were not doing physical exercise routinely or if they were recommended by the physician. Among the 339 patients, all 339 (100%) of patients selected the multiple options among all given options (headache, unconscious/loss of consciousness, pain in neck). Conclusions. Demographic characteristics, low level of education, low income, urban residence in combined family setup, married, increased number of children are associated with hemorrhagic stroke. Smoking, tobacco and snuffing may also cause stroke. Lack of physical exercise, past history of stroke, diabetes mellitus, cardiovascular disease, hypertension (personal or family) of any type does not significantly cause stroke but may increase the risk of stroke. The order of events suddenly happened to the hemorrhagic patients are headache, pain in neck, vomiting and finally state of unconsciousness.

scholarly journals Diagnostic, therapeutic and prognostic aspects of uterine synechiae managed by hysteroscopy in the gyanecological endoscopic surgery and human reproductive teaching hospital

2017 ◽  
Vol 7 (1) ◽  
pp. 56
Author(s):  
Etienne Belinga ◽  
Isidore Tompeen ◽  
Claude Cyrille Noa Ndoua ◽  
Junie Metogo Ntsama ◽  
Sandrine Mendibi ◽  
...  
Keyword(s):  
Past History ◽  
Cross Sectional Study ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Qualitative Variables ◽  
Preoperative Diagnostic ◽  
Chi Square Test ◽  
Human Reproductive ◽  
History Of

Background: Uterine synechiae refers to a total or partial union of the inner walls of the uterus resulting from endometrial trauma. It is a cause of reproductive failure. Until now, synechia was not optimally treated and has remained understudied in Cameroon. Objective of present study was to Evaluate the diagnostic, therapeutic and prognostic aspects of uterine synechiae treated by hysteroscopy.Methods: We conducted a descriptive cross-sectional study with an analytical component from January 1st 2015 to July 31st 2017 at Yaounde. All patients diagnosed with uterine synechiae and treated with hysteroscopy were our sample. Sampling was consecutive. The chi-square test was used for the comparison of qualitative variables and Fisher's test for ANOVA variance analysis. The comparison of the averages was made by the Student's test. P-value less than 0.05 was considered as statistically significant.Results: Hysteroscopies were indicated for uterine synechiae in 14.50%. Nulliparous were 56.67%. A history of curettage/aspiration was present in 66.66%. All of the patients had a form of infertility and 83.33% had menstrual disorders. Hysterosalpingography showed a better sensitivity (88%). After hysteroscopic treatment, 63.30% had a complete anatomical restitution. There is a significant correlation between the stage of severity of synechia and anatomical restitution (p=0.008; Spearman correlation coefficient=-0.477).Conclusions: Uterine synechiae represent one-sixth of all indications for hysteroscopy and present clinically as menstrual disorder associated with infertility. A past history of uterine curettage is common. Hysterosalpingography has a better preoperative diagnostic sensitivity. Hysteroscopy allows optimal treatment.

scholarly journals Prévalence De La Douleur Neuropathique Chez Des Patients Souffrant De Lomboradiculalgie Commune En Consultation Rhumatologique À Lomé (Togo)

2017 ◽  
Vol 13 (24) ◽  
pp. 267
Author(s):  
Kodjo Kakpovi ◽  
Komi Cyrille Tagbor ◽  
Eyram Fianyo ◽  
Agbeko Komlan Doleagbenou ◽  
Kokou Mensah Guinhouya ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Past History ◽  
Cross Sectional Study ◽  
Radicular Pain ◽  
Low Back ◽  
Cross Sectional ◽  
Study Results ◽  
History Of

Objective: To determine the prevalence and factors associated with neuropathic pain in patients with non-specific low back pain. Methods: This was a cross-sectional study conducted from May to July 2016 in the Rheumatology, Neurology and Neurosurgery departments of Lome. The DN4 questionnaire was used for the diagnosis of neuropathic pain in the 200 patients with low back pain included in this study. Results: Of the 200 patients (147 women and 53 men) included in the study, neuropathic pain was present in 92 (46%). The average age of the 92 patients (67 women vs 25 men, p = 0.04) was 55.5 ± 12.4 years (women 55.2 ± 12.8 vs. men 54.6 ± 11.4, p = 0.5). The characteristics of neuropathic pain mainly found were: burning sensation (n = 67, 72.8%); electrical discharges (n = 64, 69.6%); tingling (n = 90; 97.8%); tickling (n = 57; 62%); numbness (n = 89; 96.7%); hypoesthesia (n = 52; 56.5%). Factors significantly associated with the presence of neuropathic pain in LBP were age (p = 0.005), duration of LBP (p = 0.04), high blood pressure (p = 0.001), radicular pain (p = 0.00002) and the past history of the LBP (0.000000). Conclusion: Neuropathic pain is common in patients with LBP at Lome. The duration of LBP, past history of LBP, previous NSAID use, BMI, pain severity and radicular pain appear to be predictive of the occurrence of these neuropathic pains.

scholarly journals Hepatitis C in pregnancy: an observational study highlighting its association with maternal parameters

2019 ◽  
Vol 8 (1) ◽  
pp. 344
Author(s):  
Bushra . ◽  
Ambreen Ghori ◽  
Azra Ahmed ◽  
Najma Dalwani ◽  
Mushtaque Ali Shah ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Previous History ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Prior History ◽  
Singleton Pregnancy ◽  
Cross Sectional ◽  
History Of

Background: Pregnancy is a very crucial time in a woman’s life. In this period of time, not only multiple physiological alterations effect the usual health status but also makes women more vulnerable to contract infection and face negative sequalae. Hepatitis C, a blood borne viral infection serve the similar fate when encountered by pregnant ladies. This study is based on exploring the prevalence of the Hepatitis C virus seropositivity among pregnant population. Moreover, we also evaluated the major risk factors leading to the infection in these mothers. Besides this, infected mothers were studied for their pregnancy outcomes.Methods: In this study 114 pregnant females were observed for this cross-sectional study. It was conducted in Gynecology Unit- 1, Liaquat University Hospital Hyderabad, for the period of January 2017 to July 2017. Chi square test was applied for statistical analysis on SPSS version 16. The criteria for enrollment in the study was set to be a pregnant lady belonging to age group 20-35 years; having singleton pregnancy; was a booked case at the hospital with compliant to antenatal follow ups; admitted to the labor room for delivery. All the non-pregnant ladies, whom had co morbid conditions such as hypertension or diabetes or had infected with hepatitis B or D were excluded from the study. Furthermore, pregnant ladies with multiple gestion or those who were either diagnosed of hepatitis C prior to conceive or had a previous history of hepatitis C were also excluded.Results: Present study revealed that out of 114, 10(8.8%) pregnant ladies were found seropositive for Hepatitis C virus. Prior history for transfusion of blood was the Foremost risk factor discovered, with 60.5% women reported this. History of surgery was the 2nd commonest factor and 43.9% had this in their medical records. On the other hand, only 8.8% women gave the history for previous evacuation. While observing pregnancy outcomes, we found 48.2% neonates had low birth weight, 41.2% were born preterm and 21.1% had low APGAR score.Conclusions: In a nutshell hepatitis c is prevalent in the pregnant population of this region and showing its effects in the form of compromised pregnancies. History of blood transfusion and previous surgery were found to be chief risk factors in the study.

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