Place & Person involved in delivery: Factors leading to delay in diagnosis of Anorectal Malformation in Newborns

Objective: To determine the frequency of place of delivery and person detecting the anomaly among newborn babies presenting with delayed diagnosis of anorectal malformation (ARM). Methods: This is a Descriptive Cross-Sectional Study, conducted at Department of Paediatric Surgery, National Institute of Child Health (NICH) Karachi, from February 19, 2019 to August 18, 2019. All patients with ARM who were diagnosed beyond two hours of life (Delayed diagnosis) were included in the study. Chi square test was applied for comparison of categorical variables. Results: Total 110 patients were enrolled in this study. Nineteen (17.3%) patients were delivered at home, while 91 (82.7%) were delivered at the hospital. The first person detecting the anomaly was grandmother (n=25) or a non-medical person in 58 patients (52.7%), 52 were diagnosed by a medical personal either primarily in 31 cases (28.2%) or secondarily by a neonatologist in 21 cases (19.1%). Conclusion: It is concluded that Non-medical person detected ARM mainly despite the babies being delivered mostly at the hospital, indicating the need for meticulous neonatal examination. doi: https://doi.org/10.12669/pjms.38.1.4156 How to cite this:Perveen S, Ali S, Jabbar A, Fatima B. Place & Person involved in delivery: Factors leading to delay in diagnosis of Anorectal Malformation in Newborns. Pak J Med Sci. 2022;38(1):---------. doi: https://doi.org/10.12669/pjms.38.1.4156 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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The characteristics and risk factors of human papillomavirus infection: an outpatient population-based study in Changsha, Hunan

Scientific Reports ◽

10.1038/s41598-021-94635-1 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Bingsi Gao ◽

Yu-Ligh Liou ◽

Yang Yu ◽

Lingxiao Zou ◽

Waixing Li ◽

...

Keyword(s):

Risk Factors ◽

Protective Factor ◽

Hpv Infection ◽

Population Based ◽

Cross Sectional Study ◽

Categorical Variables ◽

Chi Square ◽

Cross Sectional ◽

Hpv Dna ◽

Test Kit

AbstractThis cross-sectional study investigated the characteristics of cervical HPV infection in Changsha area and explored the influence of Candida vaginitis on this infection. From 11 August 2017 to 11 September 2018, 12,628 outpatient participants ranged from 19 to 84 years old were enrolled and analyzed. HPV DNA was amplified and tested by HPV GenoArray Test Kit. The vaginal ecology was detected by microscopic and biochemistry examinations. The diagnosis of Candida vaginitis was based on microscopic examination (spores, and/or hypha) and biochemical testing (galactosidase) for vaginal discharge by experts. Statistical analyses were performed using SAS 9.4. Continuous and categorical variables were analyzed by t-tests and by Chi-square tests, respectively. HPV infection risk factors were analyzed using multivariate logistic regression. Of the total number of participants, 1753 were infected with HPV (13.88%). Females aged ≥ 40 to < 50 years constituted the largest population of HPV-infected females (31.26%). The top 5 HPV subtypes affecting this population of 1753 infected females were the following: HPV-52 (28.01%), HPV-58 (14.83%), CP8304 (11.47%), HPV-53 (10.84%), and HPV-39 (9.64%). Age (OR 1.01; 95% CI 1–1.01; P < 0.05) and alcohol consumption (OR 1.30; 95% CI 1.09–1.56; P < 0.01) were found to be risk factors for HPV infection. However, the presence of Candida in the vaginal flora was found to be a protective factor against HPV infection (OR 0.62; 95% CI 0.48–0.8; P < 0.001). Comparing with our previous study of 2016, we conclude that the subtype distribution of HPV infection is relatively constant in Changsha. Our data suggest a negative correlation between vaginal Candida and HPV, however, more radical HPV management is required in this area for perimenopausal women and those who regularly consume alcohol.

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Attitude towards online classes among school and college going students during lockdown due to COVID-19 pandemic

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20212600 ◽

2021 ◽

Vol 8 (7) ◽

pp. 3446

Author(s):

Saurav Kumar ◽

Shiv Prakash ◽

Mona Srivastava

Keyword(s):

Family Income ◽

Cross Sectional Study ◽

Categorical Variables ◽

Online Classes ◽

Online Questionnaire ◽

Chi Square ◽

Cross Sectional ◽

Academic Level ◽

College Going ◽

Significant Difference

Background: The aim of the study was to assess the attitude of the school and college-going students towards online classes. Methods: An online cross-sectional study was conducted on 228 school and college-going students fulfilling inclusion and exclusion criteria selected through purposive sampling methods. A semi-structured online questionnaire consisting of a socio-demographic questionnaire and Attitude towards online classes (ATOC) questionnaire was prepared by the researcher using Google form. The link of the questionnaire was sent to all the selected respondents through WhatsApp messages and emails. The data was analyzed using the IBM SPSS version 20 software. The reliability of the attitude questionnaire was assessed using Cronbach’s alpha test. The association between categorical variables was assessed using Chi-square tests. The comparison between variables was assessed using the students independent t-test.Results: More than half of the respondents (51.32%) were found with a positive attitude towards online classes. There was a significant association found between attitude towards online classes and socio-demographic variables such as age (p<0.05), academic level (p<0.05), and family income (p<0.01). The respondents who attended online classes (p<0.05), have technical knowledge (p<0.01), and got supported by their parents in the study (p<0.05) were found significantly high positive attitudes towards online classes. There was a significant difference found in the attitude of the respondents who faced psychological disturbances such as a decline in attention-concentration (p<0.05), irritation-anger (p<0.01), and tension (p<0.05) due to online classes.Conclusions: Although, online classes are more beneficial for the students and teachers in their academic activities during the lockdown period due to the COVID-19 pandemic but it can’t take place of traditional face-to-face classes.

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Relationship Between Undernutrition and Periodontal Diseases Among Yemen Population: a Cross-sectional Study

10.21203/rs.3.rs-132860/v1 ◽

2020 ◽

Author(s):

Milad Al-kalisi ◽

Manal Al-Hajri ◽

Sarah Al-Rai

Keyword(s):

Periodontal Diseases ◽

Cross Sectional Study ◽

Categorical Variables ◽

Fisher Exact Test ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Mean Values ◽

Khat Chewing ◽

Chi Square Test

Abstract Background: Undernutrition is an inadequate supply of energy and nutrients. Periodontal diseases (PDs) defined as a broad form of chronic inflammatory diseases of the gingiva, bone and ligaments supporting the teeth. This study aimed to reveal the effect of undernutrition, using body mass index (BMI) and serum albumin level (Alb) on PDs and other risk factors as age, smoking and khat chewing. Methods: This was a cross-sectional study conducted at the faculty of dentistry, Sana’a University. Of 1920 patients attended to clinics, only 229 matched the study criteria. Oral examination was performed to assess the periodontal clinical parameters measurements. BMI and Alb was measured. Statistical analysis was used to present the association between categorical variables was assessed using Chi square test and Fisher-Exact test. ANOVA was used to assess the differences in the mean values of the quantitative outcomes. Chi square test was used to evaluate the association between BMI and age, gender, occupation, education level, smoking, khat chewing as well as BMI with PDs. Results: Most of participants (58.5%) were males and most of the study sample (91.3%) was at the age group of (18-35). Among all subjects, (81.2%) of cases were diagnosed with gingivitis. (60.7%) of study participants were mildly undernourished according to BMI. (93%) of participants showed normal Alb level. Regarding to habits, only (18.2%) of patients were smokers and more than half of participants (59.4%) were khat chewers. Conclusion: There was a relationship between PDs and undernutrition which was obviously seen between gingivitis and mild undernutrition.

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Acute malnutrition is associated with the high nutritional risk obtained by STRONGkids in children and adolescents with infectious diseases

Research Society and Development ◽

10.33448/rsd-v10i11.19859 ◽

2021 ◽

Vol 10 (11) ◽

pp. e407101119859

Author(s):

Francisca Maria da Silva ◽

Francisca Isabelle da Silva e Sousa ◽

Alexandre Danton Viana Pinheiro ◽

Ribanna Aparecida Marques Braga ◽

Maria Luisa Pereira de Melo ◽

...

Keyword(s):

Infectious Diseases ◽

Children And Adolescents ◽

Cross Sectional Study ◽

Acute Malnutrition ◽

Nutritional Risk ◽

Categorical Variables ◽

Z Score ◽

Anthropometric Parameters ◽

Chi Square ◽

Cross Sectional

Objective: In this study, we aim to evaluate whether the presence of malnutrition in children and adolescents with infectious diseases is associated with high nutritional risk obtained by the STRONGkids instrument. Methods: A cross-sectional study comprising 237 hospitalized patients aged between 30 days and 18 years. Identification and diagnosis data, weight and height were collected. STRONGkids determined nutritional risk. Acute malnutrition was classified by BMI/age Z score < - 2 and chronic by Height/age Z score < - 2. Associations between categorical variables were verified using Pearson's chi-square test. A logistic regression analysis was performed to assess the association between anthropometric parameters of malnutrition and nutritional risk. It was considered significant p< 0,05. Results: In multiple analysis, it was observed that having malnutrition as of BMI/age increases the chance by 5.68 of having high nutritional risk by the STRONGKids instrument, regardless of age, sex and the presence of poverty-related infectious diseases (OR: 5.68; 95% CI: 1.54-20.93; p=0.009). Conclusion: In summary, for patients with infectious diseases, acute malnutrition (BMI/age) is associated directly with the diagnosis of high nutritional risk by STRONGkids.

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Obesity self-management: knowledge, attitude, practice, and pharmaceutical use among healthy obese individuals in Saudi Arabia

International Journal of Family & Community Medicine ◽

10.15406/ijfcm.2021.05.00232 ◽

2021 ◽

Vol 5 (4) ◽

pp. 110-121

Author(s):

Sharaf E Sharaf

Keyword(s):

Saudi Arabia ◽

Pearson Correlation ◽

Cross Sectional Study ◽

Self Management ◽

Categorical Variables ◽

Chi Square ◽

Cross Sectional ◽

Attitude And Practice ◽

Linear Correlations ◽

Poor Practice

Introduction: Obesity is a chronic disease that is increasing in Saudi Arabia (SA) and globally. Obesity self-management among individuals is essential for managing obesity and its complications. This study aimed to conduct an obesity knowledge, attitude, and practice (KAP) assessment and prevalence of used pharmaceutical anti-obesity medications among individuals with obesity in SA. Subjects and methods: This cross-sectional study was conducted between January and April 2021. The participants completed a validated online administered questionnaire using the Survey Monkey website. Potential participants were approached in governmental hospitals, leisure centers, and shopping malls. The chi-square test was used to assess associations between categorical variables. In addition, correlations between the participants' KAP and outcome variables were measured using the Pearson correlation coefficient (r). Results: In all, 410 obese individuals (mean age 40±14 years, range 18–80 years) were surveyed. Overall, 68% of participants reported good obesity knowledge, and 63% reported a good attitude, while 72% reported poor practice. In addition, there were significant positive linear correlations between knowledge and attitude (r=0.44, P<0.001), knowledge and practice (r=0.14, P<0.01), attitude and practice (r=0.11, P<0.05), body mass index (BMI), and waist circumference (WC) (r=0.25, P<0.01), while there were significant negative linear correlations between knowledge and BMI (r=−0.20, P<0.001), attitude and BMI (r=−0.19, P<0.001), practice and BMI (r=−0.67, P<0.001), knowledge and WC (r=−0.10, P<0.05), attitude and WC (r=−0.10, P<0.05), and practice and WC (r=−0.45, P<0.001). Interestingly, 67% of participants did not use any approved pharmaceutical anti-obesity medications due to a lack of anti-obesity treatment knowledge and safety. Conclusion: The participants reported good knowledge and attitudes toward obesity, although these were not reflected in their practice levels. The lack of pharmaceutical knowledge, safety, and use of anti-obesity medications contributed directly to poor practice levels. Health authorities should establish clinical and pharmaceutical health education programs incorporating the latest pharmaceutical anti-obesity medications, including their applications and safety, for enhancing self-management and awareness among obese individuals.

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FREQUENCY OF REFRACTIVE ERROR AND AMBLYOPIA IN STRABISMUS IN PEDIATRIC AGE GROUP

Pakistan Armed Forces Medical Journal ◽

10.51253/pafmj.v71i2.3109 ◽

2021 ◽

Vol 71 (2) ◽

pp. 405-08

Author(s):

Noureen Malik ◽

Hannan Masud ◽

Imran Basit ◽

Palwasha Noor

Keyword(s):

Refractive Error ◽

Armed Forces ◽

Cross Sectional Study ◽

Categorical Variables ◽

Sample Population ◽

Chi Square ◽

Cross Sectional ◽

Pediatric Age Group ◽

Chi Square Test ◽

Distance Fixation

Objective: To see the frequency and compare the type of refractive error and strabismus in amblyopic versus non amblyopic children. Study Design: Comparative cross sectional study. Place and Duration of Study: Armed Forces Institute of Ophthalmology, Rawalpindi, from Jan to Jul 2019. Methodology: The sample population comprised of 250 patients of new or previously diagnosed children with refractive error and strabismus presenting at children eye outdoor patient department of armed forces institute of ophthalmology. Strabismus was diagnosed by the consultant eye specialist on the basis of heterotropia at near or distance fixation. Amblyopia and refracttive error was assessed by a trained optometrist. Patients were classified into amblyopia and non- amblyopia groups. The type of squint and refractive error was noted down along with demographic details. Chi square test was used to assess thesignificance of association between various categorical variables. Results: A total of 250 participants were included with a mean age of 5.00 ± 1.07 years. Out of total, 132 (52.8%) were males while 118 (47.2%) were females. One hundred and fifty (59.5%) patients were suffering from amblyopia while 100 (39.5%) patients were normal with comparable vision in both the eyes. Out of 150 amblyopic patients 134 (89.3%) were suffering from unilateral amblyopia while 16 (10.6%) patients had amblyopia in both the eyes. Out of refractive errors astigmatism was present in 83 (55.3 %) of amblyopia patients while hypermetropia was present in 54 (36%) of the patients. Out of total patients of strabismus, 95 (63.3%) of non-alternating esotropic patients..........

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Endometriosis-Associated Symptoms and Diagnostic Delay: An Online Survey

10.21203/rs.3.rs-126422/v1 ◽

2020 ◽

Author(s):

Maryam Moradi ◽

Azin Niazi ◽

Melissa Parker ◽

Anne Sneddon ◽

Violeta Lopez ◽

...

Keyword(s):

Online Survey ◽

Age Of Onset ◽

Diagnostic Delay ◽

Delayed Diagnosis ◽

Cross Sectional Study ◽

Diagnosis Delay ◽

Cross Sectional ◽

Delay In Diagnosis ◽

Associated Symptoms ◽

Surgical Treatments

Abstract Background: Endometriosis is found in women of all ethnic and social groups with a prevalence of around 10%. However, data on diagnostic-delay and associated symptoms are limited. The aim of this study was to determine the endometriosis-associated symptoms and diagnosis-delay through an online survey. Methods: A cross-sectional study was conducted in Australia using an online web-based survey. All data were entered and analyzed using STATA (version 14/1). A total of 903 responders completed an online survey from September 2013 to October 2015.Results: Total participants of 903, 71.10% Australians (were born in Australia) and 28.90% Non-Australian (were not born in Australia), with self-reported diagnosis of endometriosis was confirmed by surgery in 86.5% of participants completed the online survey. Delay in diagnosis was 8.1±6.2 years. There was no difference between age range (p = 0.35), mean age of onset of the first symptoms (p = 0.93), and delay in diagnosis (p = 0.11) in both groups. Most common endometriosis-related symptoms that all responders had experienced in their lifetime were period pain 98.11%, fatigue 94.01%, bloating 90.69%, ovulation pain 88.70%, pelvic pain 87.26%, pain during before/after sexual activity 82.72% and heavy bleeding 82.17% and delayed fertility 37.98%. Treatments used in affected women included: pain killers 96.01% (n=867), hormonal medication 84.71% and surgical treatments 84.49 %. Rate of miscarriage or stillbirth was 13.4% and hysterectomy because of endometriosis was 9.6%. Conclusions: Vast similarities in demographics and endometriosis-associated symptoms among the Australian and non-Australian women with endometriosis support the universality of the disease characteristics. Delay in diagnosis of endometriosis is a problem and the reasons for delayed diagnosis must be better understood to try to shorten this delay. Except for pain, endometriosis patients suffer from a variety of symptoms and treatment must take into account the most prominent symptoms.

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Medical Emergencies in Dental Practice - A Nepalese study

Orthodontic Journal of Nepal ◽

10.3126/ojn.v5i2.15223 ◽

2015 ◽

Vol 5 (2) ◽

pp. 33-37

Author(s):

Sandhya Joshi ◽

Sudeep Acharya

Keyword(s):

Clinical Skills ◽

Vasovagal Syncope ◽

Emergency Situation ◽

Cross Sectional Study ◽

Categorical Variables ◽

Dental Practice ◽

Chi Square ◽

Cross Sectional ◽

Factors Affecting ◽

Medical Emergencies

Introduction: Medical emergencies can occur in dental practice anytime. Changing demographics in the population and increased life expectancy have resulted in more people having medical conditions which predispose to a medical emergency.Objective: To find the prevalence of medical emergencies in dental practice in Nepal, to assess the preparedness of dentists to manage emergency situation, to find out the ways to improve their preparedness, and to determine the factors affecting the occurrence of medical emergency.Materials & Method: A cross-sectional study using self-administered questionnaire was done among one hundred and twenty four participants present at the 16th Annual Dental Conference. The questionnaire consisted of 15 questions. The data were analyzed using chi-square test and cross tabulation was performed to evaluate categorical variables at a significant level of p< 0.05.Result: The percentage of respondents who reported at least one emergency situation was 37.1%. Majority of the events occurred during oral surgical treatment. According to the survey, the most frequently encountered emergency condition was vasovagal syncope followed by hypoglycemia and seizures. The emergency events were managed by the respondents through various modalities. The dental graduates despite BLS training were found to feel incompetent to manage emergency events.Conclusion: Medical emergencies in dental practice in Nepal are frequent and not as rare as anticipated. Thus periodic training should be provided to improve necessary clinical skills.

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Attitudes and Preparedness of Non-Front-Line Physicians in Saudi Arabia Toward the COVID-19 Pandemic

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2021.10 ◽

2021 ◽

pp. 1-22

Author(s):

Haifaa Malaekah ◽

Muna Aljahany ◽

Wajdan Alassaf ◽

Malak Alotaibi ◽

Mashael Alsaffar

Keyword(s):

Saudi Arabia ◽

Airway Management ◽

Cross Sectional Study ◽

Categorical Variables ◽

Willingness To Participate ◽

Management Skills ◽

Front Line ◽

Chi Square ◽

Cross Sectional ◽

Knowledge Levels

ABSTRACT Objective: To assess the attitudes (willingness) and preparedness of non-front-line physicians across different specialties in the Kingdom of Saudi Arabia (KSA) toward the management of hospitalized COVID-19 patients. Methods: This cross-sectional study conducted between April 15, 2020 and May 5, 2020 included 6,209 physicians working in KSA. An electronic questionnaire was designed and validated for the assessment of three categorical outcome variables, namely, attitudes, confidence, and knowledge levels. Pearson’s chi-square test was used for comparing the distribution of the proportions of these three categorical variables. Results: The majority of participants (63.2%) were willing and prepared to treat COVID-19 patients. A significantly large proportion of participants specializing in anesthesiology (78.2%) had higher knowledge levels, followed by those from plastic surgery (71.1%), pediatrics (69.7%), and obstetrics and gynecology (69.1%) (p<0.0001). Lower confidence levels were found for airway management skills (38.1%); particularly among dermatologists and radiologists. Conclusion: Higher knowledge levels about personal protective equipment (PPE) use and confidence in airway management skills were proportionally related to the level of willingness to participate in COVID-19 patient management. There is an urgent need to train doctors from certain specialties on PPE use and airway management to enable their front-line support of severely ill COVID-19 patients.

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DRUG DISPOSAL: KNOWLEDGE AND PRACTICE AMONG PHARMACY STUDENTS IN BRAZIL

Infarma - Ciências Farmacêuticas ◽

10.14450/2318-9312.v31.e2.a2019.pp93-103 ◽

2019 ◽

Vol 31 (2) ◽

pp. 93-103 ◽

Cited By ~ 1

Author(s):

Gustavo Freitas de Sousa Viana ◽

Geilson Lessa de Magalhães ◽

Eulália Heleodora Santana Martins dos Santos

Keyword(s):

Cross Sectional Study ◽

Pharmacy Students ◽

Categorical Variables ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

Knowledge And Practice ◽

Dichotomous Variables ◽

Exact Amount

Little is known about the knowledge of pharmacy students about the correct ways for drug disposal. Thus, this study aimed to evaluate the knowledge and practice of the pharmacy students about drug disposal. A descriptive and cross-sectional study was carried out with questionnaire application to 182 pharmacy students in Brazil between October and November of 2016. Data analyzes of the categorical variables were performed using descriptive statistics. The Chi-square test (X2) was used to evaluate the possible differences in the frequency between the form of medication discard according to dichotomous variables. Sixty-four point eight percent of the students reported discarding the drugs incorrectly, being that 48.8% do it in the household garbage. About 32% of the interviewers believed that the dispensation of the medicines beyond the exact amount for treatment is the main reason for the leftover. The chi-square test showed a higher correct disposal index from the 6th to the 10th period compared to the 1st to the 5th and according to previous guidance. Sixty-seven point six percent considered incorrect your way of drug disposal, 63.7% suggested the special collection as the correct destination and 84.6% reported knowing the consequences of improper disposal. This study showed that the majority of pharmacy students discards the overdue and/or unused drugs in an environmentally inadequate manner, but the correct disposal is more significant with the advance of the course period.

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