Demographic profile and clinical picture of patients presented with Paraphenylene Diamine (PPD)/ Kala Pathar poisoning at a District Teaching Hospital

Objective: To document demographic profile, clinical features and management of patients presented with PPD/Kala Pathar poisoning at District Teaching Hospital Sahiwal, Pakistan. Methods: This cross-sectional study utilized data for cases of PPD poisoning presented at study place from 1st July 2019 to 30th June 2020. Relevant information was recorded on a proforma. Results: A total of 111 cases were included in study. Mean age was 23.01 ± 7.24 years. Majority of cases were observed in females (82%) and majority presented from rural areas (87.4%). Cervico-facial edema (78.4%) and respiratory distress (66.7%) were the most common findings. Evidence of some level of organ damage was recorded in following manner: kidneys (44.1%), musculoskeletal (50.5%) and cardiac (45.9%). Tracheostomy was carried out in 47.7% cases and dialysis in 11.7% cases. All cases ingested PPD in raw form. Mortality rate was 50.5%. Conclusion: PPD poisoning is associated with high rate of morbidity and mortality. Effective clinical management requires multidisciplinary approach. Measures to restrict access to this means of suicide are urgently needed. We need to set up a surveillance system for cases of attempted suicide. doi: https://doi.org/10.12669/pjms.37.5.4251 How to cite this:Akbar S, Siddiqui ZK, Diwan RA, Rehm MH. Demographic profile and clinical picture of patients presented with Paraphenylene Diamine (PPD)/ Kala Pathar poisoning at a District Teaching Hospital. Pak J Med Sci. 2021;37(5):---------. doi: https://doi.org/10.12669/pjms.37.5.4251 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Long-Lasting Insecticide-Treated Nets: Assessment of the Awareness and Utilization of Them among Antenatal Clinic Attendees in Abakaliki, Southeast Nigeria

Journal of Tropical Medicine ◽

10.1155/2020/2984867 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Chidebe Christian Anikwe ◽

John Chiadikobi Irechukwu ◽

Bartholomew Chukwunonye Okorochukwu ◽

Cyril Chijioke Ikeoha ◽

Johnson Akuma Obuna ◽

...

Keyword(s):

Teaching Hospital ◽

Rural Areas ◽

Tertiary Education ◽

Relevant Information ◽

Antenatal Clinic ◽

Cross Sectional Study ◽

University Teaching ◽

Insecticide Treated Nets ◽

Cross Sectional ◽

In Pregnancy

Background. The use of long-lasting insecticide-treated nets (LLITNs) is one of the effective strategies for the prevention of malaria, especially among pregnant women. Aim. This study is aimed at assessing the awareness and utilization of LLITNs during pregnancy among antenatal clinic attendees at the Alex Ekwueme Federal University Teaching Hospital Abakaliki. Materials and Methods. This was a cross-sectional study among antenatal attendees at the Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State. A semistructured questionnaire was used to obtain relevant information from the participants. Data analysis was done using SPSS version 20. Results. The mean age of the women was 26.05 ± 5.76 years. About one-third (30%) of the respondents were nulliparous. Most of the respondents had at least a secondary education. More than ninety percent of the respondents had a good knowledge of malaria with 95.8% being aware of LLITNs. The main source of information was from hospitals (54.5%). The rate of utilization of LLITNs was 37.5%; however, consistent use was only reported by about a third of this proportion. The major reasons for not utilizing the nets include discomfort/heat and fear of the chemical content. Women with tertiary education were more likely to utilize mosquito nets during pregnancy compared with women with secondary or primary education. Women who live in rural areas (OR = 0.393 95% CI 0.602–0.073) were less likely to use LLITNs during pregnancy, while those who are aware of the aetiology of malaria (OR = 4.38 95% CI 0.983–19.591) were more likely to utilize LLITNs in pregnancy. Conclusion. The level of awareness of LLITNs is high; however, its utilization was discouragingly low. Rural dwellers and those without appropriate knowledge of the aetiology of malaria were less likely to use LLITNs in pregnancy.

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Traditional eye medicine associated keratitis- Current trends and practices

Indian Journal of Clinical and Experimental Ophthalmology ◽

10.18231/j.ijceo.2021.148 ◽

2022 ◽

Vol 7 (4) ◽

pp. 731-735

Author(s):

Preethi B ◽

Preeti Mittal ◽

Kiran Kumar K ◽

Sriya Sridhar ◽

Suresh Babu G

Keyword(s):

Rural Areas ◽

South India ◽

Corneal Ulcer ◽

Cross Sectional Study ◽

Care Centre ◽

Health Seeking ◽

Eye Care ◽

Cross Sectional ◽

Demographic Profile ◽

Study Population

To study the prevalence, types and demographic profile of traditional eye medicine (TEM) use among corneal ulcer patients presenting to a tertiary eye care centre in South India.A cross-sectional study conducted on 432 new corneal ulcer patients at a tertiary eye care centre in South India from September 2018 to July 2019. Data collected included demographic profile such as name, age, sex, occupation, income, rural/urban residence, type of TEM use. Of the 432 new corneal ulcer cases, 32 used TEM. Most TEM users belonged to the age group 40- 60 years (n= 20; 62.5%). There was no difference in sex distribution. Majority of TEM users in our study resided in rural areas (n= 30; 93.75%), were involved in agriculture as occupation (n=28, 87.5%) and belonged to the lower socioeconomic status n=31(96.88%) as per Kuppuswamy classification. Profile of TEM used ranged from plant extract (n= 14; 43.75%), tongue cleaning (n= 5; 15.63%), oil (n= 7; 21.87%), breast milk (n= 4; 12.5%) and ash (n= 2; 6.25%). Use of traditional medicine is a prevalent practice in the study population. These findings offer a better understanding of health seeking behaviour of the study population which will lead to better planning, implementation and targeting of preventive and promotive eye services and awareness programmes.

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The Commonest Indications of Cesarean Sections at Ghalib Teaching Hospital in Year 2017; Cross-sectional Study

10.21203/rs.3.rs-361061/v1 ◽

2021 ◽

Author(s):

Mohammad Rafi Fazli ◽

Amena Mansouri ◽

Hania Wahidi

Keyword(s):

Cesarean Section ◽

Pregnant Women ◽

Vaginal Delivery ◽

Teaching Hospital ◽

Cross Sectional Study ◽

High Rate ◽

Cesarean Sections ◽

Sectional Study ◽

Cross Sectional ◽

Previous Cesarean

Abstract Background: In the past few decades, the rate of cesarean section (CS) has increased worldwide which is common in high income countries. Although cesarean section has lots of socioeconomic impacts in the career of mothers and babies especially in LMICs like Afghanistan, it is also increasing in such countries. In compare to vaginal delivery the cesarean section has higher risks for maternal health. The most important aim of this study is to search the commonest indications of cesarean section at the only teaching hospital in west region of Afghanistan, Ghalib Teaching Hospital in 2017.Material and Method: This was a cross-sectional study. Among 456 pregnant women who came to Ghalib Teaching Hospital, 287(63%) had vaginal delivery and 169 (37%) had cesarean section delivery in 2017. Data was collected reviewing medical records; patients discharge certificate and a questionnaire which consisted of the data like; history of previous cesarean sections, age, and so on. Data was analyzed by epi info 7.Results: the prevalence of cesarean section in Ghalib Teaching Hospital was 37%, the median age was 28 years old, the mean age was 23.83 and the most ages were between 21-25 (42.5%). The commonest indications were severe oligohydramnios (29.5%) followed by previous cesarean section (12.4%) and elective cesarean section 10.9% (on maternal request). The least indication was cephalopelvic disproportion (3.09%). In our research we had more than one indication about 10.3%.Conclusion: according to the research the commonest indication of cesarean section was severe oligohydromnios which shows emergency indication among pregnant women. As the women in Afghanistan want many children so they usually do not consider having cesarean section deliveries. Cesarean section on maternal request also has high rate which needs appropriate guidelines and also policies to decrease this high rate of selective cesarean section. In our research 52.1% of indications of CS was fetal factors. This shows in LMICs many fathers have valued to the health of babies instead of mothers. It is highly needed to inform fathers to know about health of both babies and mothers.

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PATTERN OF CONSANGUINITY AND INBREEDING COEFFICIENT IN SARGODHA DISTRICT, PUNJAB, PAKISTAN

Journal of Biosocial Science ◽

10.1017/s0021932014000431 ◽

2014 ◽

Vol 47 (06) ◽

pp. 803-811 ◽

Cited By ~ 6

Author(s):

SAIRA HINA ◽

SAJID MALIK

Keyword(s):

Rural Areas ◽

Metropolitan Areas ◽

Cross Sectional Study ◽

Inbreeding Coefficient ◽

High Rate ◽

Rural Populations ◽

Sectional Study ◽

Regional Heterogeneity ◽

Cross Sectional ◽

Present Cross Sectional Study

SummaryConsanguinity is widespread in Pakistan. The majority of studies on consanguinity in Pakistan have been carried out in urban metropolitan areas, and data on rural populations are scarce. The present cross-sectional study was conducted in Sargodha district, upper Punjab, Pakistan where the majority of the population reside in rural areas. A random sample of 1800 married females belonging to sixtehsilsof Sargodha district was obtained and differentials in consanguinity rates and inbreeding coefficient (F) were investigated. The consanguinity rate was calculated to be 56.72% and the inbreeding coefficient was 0.0348. First cousin unions had the highest representation (49.11% of all marriages), and marriages up to distantly related/Biradariconstituted 67.94% of all marriages. Among the sixtehsils, consanguinity rates ranged from 50.38% in Bhalwal to 62.88% in Sillanwali. A high rate of consanguinity was observed in subjects speaking the Punjabi language, those with self-arranged/arranged-love marriages and those engaged in professional jobs. With respect to the occupation of husbands the highest consanguinity rate was found among landowners (77.59%;F=0.0539) and businessmen (62.62%;F=0.0377). However, consanguinity did not appear to be associated with rural/urban origin or literacy level. The data showed a wide variation in consanguinity rate and inbreeding coefficient across socio-demographic strata in the Sargodha district population. A comparison of Sargodha with other populations of Punjab also showed regional heterogeneity in the pattern of consanguinity, warranting further studies.

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Knowledge and Acceptability of Human Papillomavirus Vaccination among Women Attending the Gynaecological Outpatient Clinics of a University Teaching Hospital in Lagos, Nigeria

Journal of Tropical Medicine ◽

10.1155/2017/8586459 ◽

2017 ◽

Vol 2017 ◽

pp. 1-6 ◽

Cited By ~ 6

Author(s):

Kehinde S. Okunade ◽

Oyebola Sunmonu ◽

Gbemisola E. Osanyin ◽

Ayodeji A. Oluwole

Keyword(s):

Teaching Hospital ◽

Hpv Vaccination ◽

Relevant Information ◽

Hpv Infection ◽

Cross Sectional Study ◽

University Teaching ◽

Hpv Vaccines ◽

Chi Square ◽

Human Papillomavirus Vaccination ◽

Cross Sectional

Objectives. This study was aimed at determining the knowledge and acceptability of HPV vaccine among women attending the gynaecology clinics of the Lagos University Teaching Hospital (LUTH). Methods. This was a descriptive cross-sectional study involving 148 consecutively selected women attending the gynaecology clinic of LUTH. Relevant information was obtained from these women using an interviewer-administered questionnaire. The data was analysed and then presented by simple descriptive statistics using tables and charts. Chi-square statistics were used to test the association between the sociodemographical variables and acceptance of HPV vaccination. All significance values were reported at P<0.05. Results. The mean age of the respondents was 35.7±9.7 years. The study showed that 36.5% of the respondents had heard about HPV infection while only 18.9% had knowledge about the existence of HPV vaccines. Overall, 81.8% of the respondents accepted that the vaccines could be administered to their teenage girls with the level of education of the mothers being the major determinant of their acceptability (P=0.013). Conclusions. Awareness of HPV infections and existence of HPV vaccines is low. However, the acceptance of HPV vaccines is generally high. Efforts should be made to increase the awareness about cervical cancer, its aetiologies, and prevention via HPV vaccination.

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Assessment of burnout among emergency medicine healthcare workers in a teaching hospital in Malaysia during COVID-19 pandemic

Hong Kong Journal of Emergency Medicine ◽

10.1177/1024907921989499 ◽

2021 ◽

pp. 102490792198949

Author(s):

Mohd Idzwan Zakaria ◽

Ruzaina Remeli ◽

Mohd Fitri Ahmad Shahamir ◽

Mohd Hafyzuddin Md Yusuf ◽

Mohammad Aizuddin Azizah Ariffin ◽

...

Keyword(s):

Healthcare Worker ◽

Teaching Hospital ◽

Medical Officer ◽

Movement Control ◽

Cross Sectional Study ◽

Workplace Stress ◽

Public Welfare ◽

High Rate ◽

Cross Sectional ◽

Control Order

Introduction: Burnout is a syndrome occurring from an overwhelming workplace stress. The study was done at a large teaching hospital identified as a COVID-19 treating hospital. During COVID-19 pandemic, the country was in Movement Control Order since 18 March 2020 to contain the spread of the virus, and thus, it has increased the job workload and responsibility. The purpose of this study was to identify the prevalence of burnout among emergency healthcare worker in this hospital and to identify the factors contributed to the burnout. Methods: A cross-sectional study was conducted using a questionnaire among emergency healthcare worker from 8 May 2020 to 15 May 2020 during the Conditional Movement Control Order. The questionnaire was adapted from Michelle Post, Public Welfare, Vol. 39, No. 1, 1981, American Public Welfare Association and distributed via Google Forms. It consisted of 28 questions and was rated based on a five-point Likert-type scale. The questions were then summed up to determine the burnout levels. Results: There were 216 respondents with 65.7% were nurses, 17.1% were doctors, and the rest were assistant medical officer. 51.3% of the respondents had burnout with 61.2% of nurses, 35.1% of doctors, and 29.6% of assistant medical officer. There was weak correlation ( r = 0.148) with the years of experience working in emergency department and the level of burnout ( p = 0.03). Among the burnout features were fatigue with 52.2% and frequent physical illness and feel unappreciated with 48.6% and 45.9%, respectively. The job-related issues which predisposed to burnout were demand coping with an angry public with 70.2%, job overload 63.9%, lack clear guideline or rapid program changes 54%, and pay too little 53.1%. Conclusion: Emergency healthcare worker has a high rate of burnout especially among the nurses. The factors leading to burnout were frequent exposure to angry public, job overload, lack of clear guidelines, and perception of underpaid.

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Profile of snakebite victims reported in a public teaching hospital: a cross-sectional study

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2020007003721 ◽

2021 ◽

Vol 55 ◽

Author(s):

Lucélia Aline de Souza ◽

Amanda Diniz Silva ◽

Suzel Regina Ribeiro Chavaglia ◽

Cíntia Machado Dutra ◽

Lúcia Aparecida Ferreira

Keyword(s):

Teaching Hospital ◽

Rural Areas ◽

Cross Sectional Study ◽

Body Parts ◽

Sectional Study ◽

Cross Sectional ◽

Rural Workers ◽

Minas Gerais State ◽

Working Age ◽

Common Genus

ABSTRACT Objective: To understand the epidemiological and clinical profile of snakebite victims in a public teaching hospital. Method: Exploratory, descriptive, cross-sectional study with a quantitative approach conducted in a public hospital in the Triângulo Sul region of Minas Gerais state, Brazil. The data were collected from medical records and compulsory case report forms of patients admitted in the Emergency Service from June 2018 to May 2019. The data were descriptively analyzed and presented in tables. Results: The 137 patients were predominantly male (74.5%), rural workers (33.4%), in their working age (mean of 43.49 years), and in rural areas (87.6%). Bothrops was the most common genus (70.8%), and most occurrences were classified as mild (53.3%). The most performed treatment was snake antivenom administration (73%). Conclusion: Snakebite victims were mostly men in their working age and rural workers. Bothrops bites and mild occurrences were prevalent. Most treatments employed the appropriate snake antivenom. These occurred mostly in rural areas. The prevalent bitten body parts were feet, legs, and hands. Care was provided in less than six hours.

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Clinico demographic profile of newly diagnosed HIV sero positive patients attending an ART centre: a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20173342 ◽

2017 ◽

Vol 4 (8) ◽

pp. 2895

Author(s):

Misha Gorantla ◽

Nagaraj Kondagunta

Keyword(s):

Rural Areas ◽

Opportunistic Infections ◽

Economic Status ◽

Cross Sectional Study ◽

Severe Anaemia ◽

Clinical Aspects ◽

Newly Diagnosed ◽

Sectional Study ◽

Cross Sectional ◽

Demographic Profile

Background: India faces a high burden of HIV. An understanding of the determinants of this disease is of vital importance in curtailing this epidemic. The objective was to study the clinico-demographic profile of the study subject.Methods: This is a cross sectional study done on 142 patients which includes all newly diagnosed (diagnosed on or after 1st January 2012), sero positive, adult patients, enrolled at ART centre, Nalgonda and started on treatment during the months of December 2012, January 2013, February 2013. A pre designed, pre tested questionnaire was used. Data regarding their demographic characteristics and various clinical aspects was obtained. Results: Out of a total of 142 study subjects, majority (78.88%) belonged to economically productive age group (16-45 years). Married individuals constituted a majority (79.57%). A majority of the subjects were skilled laborers, belonged to lower middle class of BG Prasad classification, hailed from rural areas and belonged to nuclear families. Very few had high educational attainment. A majority (95.78%) reported not using condoms during their last sexual act and 9.16% subjects reported being previously diagnosed with an STD. Most common presenting complaint was fever and most common opportunistic infections were candidiasis and tuberculosis. Majority were found to belong to stage 1 HIV. Participants were mostly underweight and had severe anaemia. Majority had CD4 count between 201- 350 cells/mm3. Conclusions: Interventions targeting improvement in socio economic status, education levels, nutritional status as well as awareness about condom use must be built into the national HIV programme.

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SARS-CoV-2 Seroprevalence Among All Workers in a Teaching Hospital in Spain: Unmasking The Risk

10.1101/2020.05.29.20116731 ◽

2020 ◽

Cited By ~ 6

Author(s):

M Isabel Galán ◽

María Velasco ◽

M Luisa Casas ◽

M José Goyanes ◽

Gil Rodríguez-Caravaca ◽

...

Keyword(s):

Teaching Hospital ◽

Health Care Workers ◽

Multivariate Logistic Regression Analysis ◽

Cross Sectional Study ◽

High Rate ◽

Cross Sectional ◽

Professional Category ◽

Care Workers ◽

Increased Risk ◽

Risk Areas

ABSTRACTBackgroundHealth-care workers (HCW) are at increased risk for SARS-CoV-2 infection, but few studies have evaluated prevalence of antibodies against SARS-CoV-2 among them.ObjectiveTo determine the seroprevalence against SARS-CoV-2 in all HCW.MethodsCross-sectional study (April 14th- 27th, 2020) of all HCW at Hospital Universitario Fundación Alcorcón, a second level teaching hospital in Madrid, Spain. SARS-CoV-2 IgG was measured by ELISA. HCW were classified by professional category, working area, and risk for SARS-CoV-2 exposure.ResultsAmong 2919 HCW, 2590 (90.5%) were evaluated. Mean age was 43.8 years (SD 11.1) and 73.9% were females. Globally, 818 (31.6%) workers were IgG positive, with no differences for age, sex or previous diseases. Among them, 48.5% did not report previous symptoms. Seropositivity was more frequent in high (33.1%) and medium (33.8%) than in low-risk areas (25.8%, p = 0.007), but no difference was found for hospitalization areas attending COVID-19 and non-COVID-19 patients (35.5 vs 38.3% p = NS). HCW with a previous SARS-CoV2 PCR positive test were IgG seropositive in 90.8%. By multivariate logistic regression analysis, seropositivity was associated with being physicians (OR 2.37, CI95% 1.61–3.49), nurses (OR 1.67, CI95% 1.14–2.46), or nurse- assistants (OR 1.84, CI95% 1.24–2.73), HCW working at COVID-19 hospitalization areas (OR 1.71, CI95% 1.22–2.40), non-COVID-19 hospitalization areas (OR 1.88, CI95% 1.30–2.73), and at the Emergency Room (OR 1.51, CI95% 1.01–2.27)ConclusionsSeroprevalence uncovered a high rate of infection previously unnoticed among HCW. Patients not suspected of having COVID-19 as well as asymptomatic HCW may be a relevant source for nosocomial SARS-CoV-2 transmission.

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Dietary and fluid intake habits in nephrolithiasis patients presented to Ayub Teaching Hospital, Abbottabad

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20184674 ◽

2018 ◽

Vol 4 (11) ◽

pp. 274

Author(s):

Muhammad Umer Farooq ◽

Syed Hassan Mustafa ◽

Muhammad Tariq Shah ◽

Muhammad Junaid Khan ◽

Osama Iftikhar

Keyword(s):

Teaching Hospital ◽

Rural Areas ◽

Fluid Intake ◽

Dietary Habits ◽

Tap Water ◽

Clinical Problem ◽

Cross Sectional Study ◽

Cross Sectional ◽

Daily Diet ◽

Structured Questionnaire

Background: Nephrolithiasis is the 3rd most common clinical problem worldwide. The dietary and fluid intake factors play an important role in its causation. The present study was conducted to determine the dietary and fluid intake habits in patients presented with nephrolithiasis to Ayub Teaching Hospital, Abbottabad.Methods: This cross-sectional study enrolled 140 patients by convenient sampling. The study was carried out at the Urology ward of Ayub Teaching Hospital, Abbottabad from June 2017 to June 2018. In this study, a self-maintained structured questionnaire was used to interview 140 patients admitted in both male and female urology ward of Ayub Teaching Hospital, Abbottabad. The questionnaire covered the fluid intake and dietary habits of patients with relevance to determinants such as the number of glasses per day, level of education, physical activity, the occupation of patients and source of drinking water. Data was collected through questionnaires and was analyzed using SPSS-23. Results: Total of 140 patients were enrolled, 80 (57.1%) were males whereas 60 (42.9%) were females. Most of them, i.e. 116 (82.9%) were from rural areas, 132 (94.3%) belonged to poor socioeconomic status, 60 (42.9%) patients used the tap water for drinking and 80 (57.1%) had vegetables in their daily diet. Most 100 (71.4%) of them were illiterate, 92 (65.7%) working indoor and 60 (42.9%) drinking 5 to 10 glasses per day.Conclusions: The study highlights the poor dietary and fluid intake habits of patients presenting with nephrolithiasis.

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