scholarly journals Influence of workshop attendance on management of pediatric fecal incontinence in Nigeria

2019 ◽  
Vol 15 (1) ◽  
Author(s):  
Taiwo Akeem Lawal
Keyword(s):  
Fecal Incontinence ◽  
Management Practices ◽  
Postgraduate Training ◽  
Surgical Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
The Past ◽  
The Impact ◽  
Training Opportunities ◽  
And Training

Abstract Background The care of children with fecal incontinence is suboptimal with inadequate support and training opportunities. The postgraduate training of pediatric surgeons on the management of fecal incontinence is inadequate since each training center is not likely to see enough number of cases yearly. Supplemental training through workshops on fecal incontinence may help to bridge the gap. The aim of this cross sectional study was to evaluate the impact of previous attendance of a workshop on fecal incontinence management practices among pediatric surgeons. Results A total of 41 respondents participated. Eleven (26.8%) respondents had attended a workshop in the past and seven (17.1%) had done a Malone antegrade continent enema (MACE) on patients. A higher proportion of respondents who had practiced for over 15 years had attended a workshop on fecal incontinence compared to those who had not attended one (90.9% vs. 33.3%, p = 0.001). The proportion of respondents who had attended a workshop on fecal incontinence and had performed a MACE (18.2%) was higher than the proportion of those who had not attended a workshop and had performed a similar procedure on patients (3.3%), p = 0.047. Conclusions One quarter of pediatric surgeons in the country surveyed had attended a workshop on fecal incontinence. Prior attendance of a workshop on fecal incontinence is significantly related to experience and significantly influenced the performance of a MACE procedure. Supplementation of the training of pediatric surgeons through workshops on fecal incontinence will help to improve capacity in pediatric colorectal surgical care.

scholarly journals Impact of Pregnancy-Related Venous Thromboembolism on Quality of Patients’ Lives

2021 ◽  
Vol 27 ◽  
pp. 107602962110408
Author(s):  
Naser Al-Husban ◽  
Leena N. Alnsour ◽  
Zaid El-adwan ◽  
Nada A. Saleh ◽  
Mazen El-Zibdeh
Keyword(s):  
Drug Level ◽  
Cross Sectional Study ◽  
Negative Effects ◽  
Cross Sectional ◽  
The Past ◽  
Hospital Visits ◽  
Future Pregnancy ◽  
Anxiety Depression ◽  
The Impact

Background: During pregnancy, the risk of venous thrombo-embolism (VTE) is increased at least five times compared with non-pregnant women of the same age, while the relative risk in the postpartum period can be as high as sixty times. The aim of the study was to explore the impact of pregnancy-related VTE on patients' mental, professional, social and personal life. Methods and Materials: Cross-sectional study at Jordan University Hospital's Obstetrics Department. Results: There were 112 women. Forty-six (41.1%) had a postpartum VTE. Twenty-eight of the patients (25%) had comorbidity. Eleven (9.9%) had a previous episode of VTE. Thirty-nine (35%) of the women reported three or more hospital visits over the past six months. Twenty-one (19.6%) of the women answered that their leg or chest pain has impeded their social activities. Anxiety/Depression was reported by 96.43% while Pain/Discomfort by 73.21%. A significant reduction of time spent on their work (correlation = 0.663, significant at <0.01) and accomplishing less work (correlation = 0.787, this was significant at <0.01) was found; 57.14% of patients indicated that VTE affecting their future pregnancies; 58.9% of patients were receiving anticoagulants with the most commonly used drug was aspirin. Twenty-four (36.4%) of the women were on multiple anticoagulant therapies. Twenty-five of the patients receiving medications do not monitor their medications and 20 patients said that monitoring the drug level was a bother to them. Conclusions: Pregnancy-related VTE had a significant adverse impact on physical, mental and professional life of women. It also had negative effects on future pregnancy plans.

scholarly journals The impact of racially-motivated housing discrimination on allostatic load among Indigenous university students

2019 ◽  
Author(s):  
Cheryl Currie ◽  
Takara A. Motz ◽  
Jennifer L Copeland
Keyword(s):  
Immune System ◽  
University Students ◽  
Allostatic Load ◽  
Cross Sectional Study ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Housing Discrimination ◽  
The Past ◽  
Wear And Tear ◽  
The Impact

Abstract Background Allostatic load (AL) is a preclinical marker of the pathophysiologic processes that precede the onset of disease. The goal of this study was to examine the association between racially-motivated housing discrimination and AL score within a sample of Indigenous university students.Methods Data for this cross-sectional study were collected from Indigenous adults attending university in a small city in western Canada between 2015 and 2017 ( N = 104; Mean age = 27.8 years). An item adapted from the Experience of Discrimination Scale was to assess racially-motivated housing discrimination in the past 12 months. AL was measured as a composite of 7 biomarkers assessing neuroendocrine, cardiovascular, metabolic, and immune system function. Bias-corrected and accelerated bootstrapped linear regression models were used to examine associations adjusting for age, income, parenthood, and other situations in which discrimination had been experienced.Results Indigenous university students who experienced racially-motivated housing discrimination in the past year (16.8% of the sample) had an average AL score of approximately 4, which was almost double that of their peers who had not. In an adjusted model. racially-motivated housing discrimination was associated with a-1.5 point increase in AL score. This model explained 35% of the adjusted variance in AL score, of which racially-motivated housing discrimination explained 24% ( R 2 Change = 0.24, F Change = 32.52, Sig. F Change p <0.001).Conclusions Indigenous adults who experienced racially-motivated housing discrimination in the past year had early and more pronounced wear and tear on neuroendocrine, cardiovascular, metabolic, and immune system functioning in young and middle adulthood than Indigenous peers who did not. These findings combine with others to highlight the need for increased efforts to prevent racially-motivated housing discrimination in urban centres.

scholarly journals Labour Induction with Misoprostol in German Obstetric Clinics: What Are the Facts on Such Use?

2021 ◽  
Vol 81 (08) ◽  
pp. 955-965
Author(s):  
Sven Kehl ◽  
Christel Weiss ◽  
Werner Rath ◽  
Michael Schneider ◽  
Florian Stumpfe ◽  
...  
Keyword(s):  
Prostaglandin E2 ◽  
Management Practices ◽  
Cross Sectional Study ◽  
Labour Induction ◽  
Induction Agent ◽  
Cross Sectional ◽  
Before And After ◽  
The Media ◽  
Level I ◽  
The Impact

Abstract Subject While the synthetic prostaglandin E1 analogue misoprostol is the most effect labour induction agent, its use is off-label for the most part. For this reason, and in view of its potential adverse effects and varying approaches to its administration, the drug has recently once again become a focus of critical attention. The objective of this survey was thus to establish a record of labour induction with misoprostol in German clinics and determine the impact of the negative reporting on everyday obstetric practice. Material and Methods In this cross-sectional study, 635 obstetrics and gynaecology departments in Germany were requested by email to participate in our survey in February/March 2020. Online responses to 19 questions were requested regarding the clinic, use of misoprostol before and after the critical reporting, use of misoprostol (sourcing, method of administration, dosage, monitoring) and other labour induction methods. Results A total of 262 (41.3%) of the clinics solicited for the survey completed the questionnaire. There were no differences regarding the care level (Perinatal Centre Level I, Perinatal Centre Level II, Clinic with Perinatal Focus or Obstetric/Private Clinic; p = 0.2104) or birth counts (p = 0.1845). In most cases, misoprostol was prepared in the clinicʼs own pharmacy (54%) or imported from another country (46%) and administered orally in tablet form (95%). Misoprostol dosage levels varied (25 µg [48%], 50 µg [83%], 75 µg [6%], 100 µg [47%] and > 100 µg [5%]). Most of the clinics used premanufactured tablets/capsules (59%), although Cytotec tablets were also divided (35%) or dissolved in water (5%). Misoprostol administration intervals were mainly every 4 hours (64%) or every 6 hours (30%). CTG checks were run in most cases before and after administration of a dose of misoprostol (78% and 76%) and before and after administration of a dose of prostaglandin E2 (both 88%). Presence of contractions led to no misoprostol (59%) or no prostaglandin E2 (64%) being administered in most cases. The critical reporting resulted in discontinuation of use of misoprostol in 17% of the clinics – mainly smaller obstetric/private clinics with fewer than 1000 births. Labour cocktails were used mainly in obstetric and private clinics (61%). Conclusion Misoprostol is an established agent for labour induction in German clinics. The dosing schemes used vary. Improvements of currently common management practices are required, especially in the area of labour induction (CTG checks before and after administration of labour-inducing medication, no administration of prostaglandin if contractions are ongoing). The discussion of use of misoprostol in the media resulted in stoppage of its use mainly in smaller clinics.

scholarly journals The impact of cash management on profitability and sustainability of small retail businesses in the Tongaat area, KwaZulu-Natal

2015 ◽  
Author(s):  
◽  
Avika Mungal
Keyword(s):  
Small Businesses ◽  
Quantitative Research ◽  
Management Practices ◽  
Cross Sectional Study ◽  
Cash Management ◽  
Cross Sectional ◽  
Kwazulu Natal ◽  
Successful Business ◽  
Management Advice ◽  
The Impact

Small businesses are vital for employment and job creation in South Africa. The implementation of sound cash management practices is essential to ensure to profitability and sustainability of any successful business. The commonly used expression, “Cash is king” cannot be contested as its validity was more prevalent in this research study. The aim of the study was to identify the current cash management practices of small retail businesses in the Tongaat area and identify the impact of such practices on their profitability and sustainability. This descriptive, cross sectional study, using a quantitative research paradigm and a non-probability sampling method targeted a sample of 69 businesses in the chosen area. The sample structure consisted of small retail businesses in the Tongaat area of KwaZulu-Natal. There was a significant relationship between drawing budgets and sustainability. This finding suggests that the more often the business draws up cash budgets, the more viable and sustainable the business is. 78.3% of the respondents acknowledged the importance of keeping records in the business, however, only 29.9% drew up cash budgets. The findings of this study could be useful to potential, emerging and established owners of all types of businesses since effective and efficient cash management is an integral component of any successful business. There should be more emphasis placed on the impact of how proper cash management practices can affect profitability and sustainability of a small retail business. A recommendation that adds value to the study was to engage the final-year, National Diploma: Cost and Management Accounting students in an integrated project, where they can provide cash management advice to these businesses. This will enhance the small businesses’ knowledge of cash management and encourage implementation of these procedures to assist in increasing profitability and sustainability in their business.

scholarly journals Prevalence of Smoking and Impact of Pictorial Health Warning on Quit Attempts Among Youths in Bhaktapur, Nepal

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 27s-27s
Author(s):  
B. Dhungel ◽  
K. Basnet
Keyword(s):  
Sampling Technique ◽  
Cross Sectional Study ◽  
Health Warnings ◽  
Cross Sectional ◽  
Health Warning ◽  
The Past ◽  
Quit Attempt ◽  
Quit Attempts ◽  
Quitting Smoking ◽  
The Impact

Background: Nepal for the first time implemented laws regarding the pictorial health warnings in April 2014 regardless of an unsuccessful challenge that was set up by the tobacco industry in 2011. Results from several studies have shown that health warnings on cigarette packages have been helpful in warning smokers as well as nonsmokers regarding the harms of cigarette smoking, encouraging smokers to quit and also preventing nonsmokers from starting to smoke. Aim: The objective of this study was to find the impact of pictorial health warning on quit attempts. Methods: An explanatory cross-sectional study was conducted among youths aged 15-24 years in Suryabinayak-5, Bhaktapur with probability systematic random sampling technique using self-administered questionnaire. Results: Half (50%) of the respondents first tried smoking at the age of 16 or older. Seventeen percent of the respondents smoked cigarettes either occasionally or regularly during the past 30 days. Most of the respondents (91%) have not tried smokeless tobacco products ever in their life. Sixty-seven percent of the respondents had noticed PHW on cigarette packages during the past 30 days. One fourth (21.8%) respondents made an quit attempt due to PHW during the past 12 months and their maximum duration of abstinence during the last quit attempt was more than a week but less than a month. From the study it is found that there is statistically significant association between noticing pictorial health warning and thought about quitting smoking or intention about not starting smoking. Conclusion: Pictorial warnings effectively increased peoples quitting intentions, attempts as well as relinquishing cigarettes. Our findings suggest that implementing 90% pictorial health warnings on cigarette packs in Nepal would discourage smoking.

Prognostic Utility of Clinical Epilepsy Severity Score Versus Pretreatment Hypsarrhythmia Scoring in Children With West Syndrome

2016 ◽  
Vol 48 (4) ◽  
pp. 280-287 ◽  
Author(s):  
Rachna Sehgal ◽  
Sheffali Gulati ◽  
Savita Sapra ◽  
Manjari Tripathi ◽  
Ravinder Mohan Pandey ◽  
...  
Keyword(s):  
Severity Score ◽  
Cross Sectional Study ◽  
West Syndrome ◽  
Cognitive Outcomes ◽  
Global Score ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Past ◽  
Prognostic Utility ◽  
The Impact

This cross-sectional study assessed the impact of clinical epilepsy severity and pretreatment hypsarrhythmia severity on epilepsy and cognitive outcomes in treated children with West syndrome. Thirty-three children, aged 1 to 5 years, with infantile spasms were enrolled if pretreatment EEG records were available, after completion of ≥1 year of onset of spasms. Neurodevelopment was assessed by Development Profile 3 and Gross Motor Function Classification System. Epilepsy severity in the past 1 year was determined by the Early Childhood Epilepsy Severity Score (E-Chess). Kramer Global Score of hypsarrhythmia severity was computed. Kramer Global Score (≤8) and E-Chess (≤9) in the past 1 year were associated with favorable epilepsy outcome but not neurodevelopmental or motor outcome.

scholarly journals Dental surgical care in blood dyscrasias patients: an epidemiological study

2021 ◽  
Vol 69 ◽  
Author(s):  
Lorenzzo De Angeli CESCONETTO ◽  
Luiz Henrique Soares TORRES ◽  
Renata Pittella CANÇADO ◽  
André Alberto Camara PUPPIN
Keyword(s):  
Hepatitis C ◽  
Tranexamic Acid ◽  
Clinical Performance ◽  
Surgical Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Advantages And Disadvantages ◽  
Retention System ◽  
Significant Difference ◽  
The Impact

ABSTRACT Introduction: In Brazil, about 18.500 people have some kind of hereditary coagulopathy. In combination, the increase in life expectancy has led to an increasingly frequent presence of older people in medical offices. These patients make use of many drugs, including those that produce anticoagulant effects. The dentist should be aware about the impact of bleeding disorders during the approach of their patients, especially if invasive procedures are considered. Objective: To identify the most prevalent blood dyscrasias presented by patients covered by the Program of dental surgical care to patients with blood dyscrasias; to establish the presence of associated diseases and investigate the correlation between pre- and postoperative drug protocols and the occurrence of postoperative complications. Methods: This was an epidemiological retrospective cross-sectional study of medical reports used by the program. After the survey of defined variables, data were tabulated in Microsoft Excel ® software and evaluated using the chi-square and Fisher’s exact tests. Results: One patient was identified as having Human Immunodeficiency Virus and 18 with Hepatitis C virus. There was a statistically significant difference between patients with haemophilia B and Hepatitis C. The administration of tranexamic acid as pre- and post-surgical protocol was the therapy of choice. Of the 11 patients with vWD, 7 of them received tranexamic acid as preoperative medication. Conclusion: The appropriate retention system for the patient depends on several factors, including indication, advantages and disadvantages, retention provided, aesthetics and clinical performance.

scholarly journals The Impact of Bedbug (Cimex spp.) Bites on Self-Rated Health and Average Hours of Sleep per Day: A Cross-Sectional Study among Hong Kong Bedbug Victims

Insects ◽  
2021 ◽  
Vol 12 (11) ◽  
pp. 1027
Author(s):  
Eddy Hin Chung Fung ◽  
Siu Wai Chiu ◽  
Hon-Ming Lam ◽  
Roger Yat-Nork Chung ◽  
Samuel Yeung Shan Wong ◽  
...  
Keyword(s):  
Hong Kong ◽  
Emotional Health ◽  
Multivariable Analysis ◽  
Infectious Agent ◽  
Cross Sectional Study ◽  
Health Impacts ◽  
Cross Sectional ◽  
Self Rated Health ◽  
The Past ◽  
The Impact

Bedbugs (Cimex spp.) are a nuisance public-health pest that is on the rise globally, particularly in crowded cities such as Hong Kong. To investigate the health impacts of bedbug infestations among bedbug victims, online surveys were distributed in Hong Kong between June 2019 to July 2020. Data on sociodemographics, self-rated health, average hours of sleep per day, and details of bedbug infestation were collected. Bivariate and multivariable analysis were performed using logistic regression. The survey identified 422 bedbug victims; among them, 223 (52.9%) experienced ≥five bites in the past month; most bites occurred on the arms (n = 202, 47.8%) and legs (n = 215, 51%), and the most common reaction to bites were itchiness (n = 322, 76.3%), redness, and swelling of the skin (n = 246, 58.1%), and difficulties sleeping or restlessness (n = 125, 29.6%). Bites usually occurred during sleep (n = 230, 54.5%). For impact on daily life in the past month, most bedbug victims reported moderate to severe impact on mental and emotional health (n = 223, 52.8%) and sleeping quality (n = 239, 56.6%). Lower self-rated health (aOR < 1) was independently associated with impact on physical appearance (p = 0.008), spending money on medication or doctor consultation (p = 0.04), number of bites in the past month (p = 0.023), and irregular time of bites (p = 0.003). Lower average hours of sleep per day (aOR < 1) was independently associated with impact on mental and emotional health (p = 0.016). This study brings attention to the neglected issue of bedbug infestation by considering bedbugs as an infectious agent instead of a vector and providing empirical evidence describing its health impacts.

scholarly journals COVID-19 outbreak–related psychological distress among healthcare trainees: a cross-sectional study in China

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e041671
Author(s):  
Yue Wang ◽  
Yuchen Li ◽  
Jingwen Jiang ◽  
Yuying Feng ◽  
Donghao Lu ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Medical Technology ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Event Scale ◽  
Medical Trainees ◽  
Distress Scale ◽  
The Impact ◽  
And Training

ObjectivesThe COVID-19 outbreak has caused enormous strain on healthcare systems, and healthcare trainees, which comprise the future healthcare workforce, may be a vulnerable group. It is essential to assess the psychological distress experienced by healthcare trainees during the COVID-19 outbreak.Design, setting and participantsA cross-sectional study with 4184 healthcare trainees at Sichuan University in China was implemented during 7–13 February 2020. Participants were grouped by training programmes (medicine, medical technology and nursing) and training stages (undergraduate, postgraduate and residency).Main outcomesCOVID-19–related psychological distress and acute stress reaction (ASR) were assessed using the Kessler 6-item Psychological Distress Scale and the Impact of Event Scale–Revised, respectively. We estimated the ORs of distress by comparing trainees across programmes and training stages using multivariable logistic regression.ResultsSignificant psychological distress was found in 1150 (30.90%) participants and probable ASR in 403 (10.74%). Compared with the nursing trainees, the medical trainees (OR 1.54, 95% CI 1.22 to 1.95) reported a higher burden of psychological distress during the outbreak, while the medical technology trainees (OR 1.25, 95% CI 0.97 to 1.62) reported similar symptom scores. Postgraduates (OR 1.55, 95% CI 1.16 to 2.08) in medicine had higher levels of distress than their undergraduate counterparts did, whereas the nursing residents (OR 0.38, 95% CI 0.20 to 0.71) reported a lower burden than did nursing undergraduates. A positive association was found between having active clinical duties during the outbreak and distress (OR 1.17, 95% CI 0.98 to 1.39), particularly among the medical trainees (OR 1.85, 95% CI 1.47 to 2.33) and undergraduates (OR 4.20, 95% CI 1.61 to 11.70). No clear risk patterns of ASR symptoms were observed.ConclusionsMedical trainees, particularly postgraduates and those with active clinical duties, were at risk for psychological distress during the COVID-19 outbreak. Stress management may be considered for high-risk healthcare trainees.

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