scholarly journals Estudio Descriptivo: Cumplimiento del estándar de estimación de la edad gestacional en la atención prenatal en un hospital general en Ecuador

2021 ◽  
Vol 13 (1) ◽  
pp. 90-94
Author(s):  
Gleici DaSilva Castro Perdoná ◽  
José Gonzalo Carrión Ordoñez ◽  
María Elisa Carrión Barreto

BACKGROUND: Gestational dating is an important requirement for decision-making during pregnancy; the World Health Organization recommends making the first ultrasound before week 24. Gestational age can also be estimated based on menstrual history. The aim of this study was to describe the rate of compliance of the standards for estimating gestational age in a general hospital in Machala, Ecuador. METHODS: This is an observational, descriptive, cross-sectional study; the universe was the total of pregnant women who attended for prenatal care to Hospital General Machala, El Oro- Ecuador, between April 2017 and March 2020. The entire universe was studied. We collected data for the variables: age, parity, last menstrual period( LMP), menstrual age, early ultrasound, reliable gestational dating. RESULTS: 47.9% of the sample was 18 to 29 years old. 83.33% (195/234) patients complied with the weeks of amenorrhea registry. 75.21% (176/234) of patients complied with the recommendation of an early ultrasound, at 24 weeks or less. 1.28% did not have any method of gestational dating. 64% (n=149) of the sample underwent the first ultrasound until week 20. Of 140 patients who complied with having both gestational dating by reliable LMP and ultrasound, in 31/140 (22.1%) the gestational age given by LMP could not be confirmed with early ultrasound. CONCLUSION: We concluded that gestational dating obtained by weeks of amenorrhea was registered n 83.33% of the patients, this rate qualifies as regular compliance. An early ultrasound was performed, at ≤ 24 weeks, as recommended by WHO, in 75% of the patients, this rate qualifies as poor compliance.

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Mekdes Akalewold ◽  
Getachew W. Yohannes ◽  
Ziyad Ahmed Abdo ◽  
Yonas Hailu ◽  
Aynye Negesse

Abstract Introduction The World Health Organization estimated that approximately 48 million couples and 186 million people are infertile worldwide. Although the problem of infertility is increasing worldwide, as well as in Ethiopia, there are limited studies done. Therefore, this study aims to determine the magnitude of infertility and the major risk factors in three governmental hospitals in Addis Ababa, Ethiopia. Method An institutional-based cross-sectional study design was used to conduct the study. The participants were selected by using a systematic random sampling technique. Data were collected through an interview using a structured questionnaire. The data were entered into Epi Data version 3.1 and exported to SPSS version 25 for analysis. Logistic regression was used to identify the predictor variables. Statistical significance was considered at a P < 0.05 with an adjusted odds ratio calculated at 95% CI. Result The overall prevalence of infertility was 27.6% (95%CI = 23.2, 32.0). Of these, 14.4% had primary infertility, and 13.2% had secondary infertility. Those whose duration of marriage was less than 60 months [AOR = 3.85; 95%CI 1.39, 10.64], had a history of fallopian tube obstructions [AOR = 8.27; 95%CI 2.36, 28.91], had irregular frequency of coitus [AOR = 37.4; 95%CI 11.29, 124.114], had more than one sex partner [AOR = 3.51; 95%CI 1.64, 7.54], had an abortion greater than 3 times [AOR = 6.89; 95%CI 1.28, 37.09], and had partners who currently consumed alcohol [AOR = 1.31; 95%CI 1.11, 1.86] were more likely to be infertile than their counterparts. Conclusion According to the results of this study, the prevalence of infertility was high compared to the global estimate of the World Health Organization. The government, health care providers, and researchers should emphasize developing appropriate strategies, research, education, and awareness creation of infertility and its potential causes.


Author(s):  
Marcos Túlio Raposo ◽  
Ana Virgínia de Queiroz Caminha ◽  
Jorg Heukelbach ◽  
Miguel Ángel Sánchez-González ◽  
Jovany Luis Alves de Medeiros ◽  
...  

This cross-sectional study assessed the grade of physical impairments in 61 individuals with leprosy receiving multidrug therapy (MDT) under the Brazilian Unified Health System (SUS), and residing in Campina Grande, Paraíba State, Brazil. Impairments were assessed using the disability grade (DG) standardized by the WHO, and the EHF score (Eye-Hand-Foot sum of impairment scores). Impairments were detected in 25 (41%) of the subjects. A total of 14 (23%) patients scored DG 1, while 11 (18%) were assigned DG 2. The EHF score ranged from 1 to 10 points in the group of patients with physical impairments, with a mean score of 3.6 points. The majority of individuals with impairments were affected in at least two sites. We conclude that the EHF score showed overlapping impairments in the segments examined and may be more appropriate than the DG classification system for describing the degree of physical impairment of leprosy patients.


2021 ◽  
Vol 19 (7) ◽  
pp. 151-156
Author(s):  
Roohangiz Norouzinia, PhD ◽  
Sima Feizolahzadeh, PhD ◽  
Fatemeh Rahimi, BScN, MScN ◽  
Maryam Aghabarary, PhD ◽  
Zahra Tayebi Myaneh, MSc

Background: The rapid spread of coronavirus disease 2019 (COVID-19) has become a major challenge for hospitals, which plays a key role in local and national responses to different emergencies and disasters, including the outbreak of communicable diseases.Objectives: This study aimed to determine the readiness of selected hospitals in one of the provinces of Iran in response to the COVID-19 epidemic.Methods: In this descriptive, analytical, and cross-sectional study, we used a checklist developed by the World Health Organization for the COVID-19 pandemic to assess the readiness of hospitals. We assessed and compared the readiness of four hospitals and used Microsoft Excel 2013® to collect and analyze the data.Results: The present results showed that the hospital, which was the main referral center for COVID-19, was in good conditions. However, other hospitals needed to increase their preparedness for the COVID-19 epidemic.Conclusion: Besides the importance of hospital readiness to respond to natural and man-made disasters, these institutions and health policymakers should be also prepared to respond properly to the outbreak of highly contagious diseases.


2019 ◽  
Vol 6 (3) ◽  
pp. 151
Author(s):  
Taygan Yilmaz ◽  
Nitasha Khanna ◽  
Dean Loporchio ◽  
Michéal Gallagher ◽  
Miguel Cordero-Coma ◽  
...  

<p class="abstract">Globally, a multitude of interventional clinical trials are terminated prior to completion. We sought to identify and analyze trends related to the reporting of these trial results. We conducted a retrospective, cross-sectional study of interventional clinical trials in the 16 primary registries of the World Health Organization Network as well as ClinicalTrials.gov dating back to 2003. A total of 250 studies were identified, of which 135 (54%) were sponsored by academic institutions. A staggering 244 trials (98%) did not lead to publication of results. In sum, a total of 22,420 patients participated in clinical research from which the results were not widely disseminated. 75% of trials were discontinued for unspecified or unclear reasons; 10% were terminated due to inadequate patient accrual. New policies and initiatives have helped usher in an era of improved methods for trial reporting and, in turn, provided the opportunity to perform more interventional trials. However, further action is needed to ensure that findings of all trials are shared with the ophthalmic community in order to build a more comprehensive body of knowledge and decrease potential redundancy.</p>


2020 ◽  
Vol 15 ◽  
Author(s):  
Solomon Hambisa ◽  
Rediet Feleke ◽  
Ameha Zewudie ◽  
Mohammed Yimam

Background:: Rational drug use comprises aspects of prescribing, dispensing and patient use of medicines for different health problems. This study is aimed to assess drug prescribing practice based on the world health organization prescribing indicators in Mizan-Tepi University teaching hospital. Methods:: An institutional based retrospective cross sectional study was conducted to evaluate prescribing practices in Mizan-Tepi University teaching hospital. Data were collected based on World health organization drug use indicators using prescription papers. 600 prescriptions dispensed through the general outpatient pharmacy of the hospital were collected by systematic random sampling method from prescriptions written for a 1-year time in Mizan-Tepi University teaching hospital. Results:: The present study found that the average number of drugs per prescription was 2.04 ± 0.87 in Mizan-Tepi University teaching hospital with a range between 1 and 5. Prescribing by generic name was 97.6 % and 47.8% of prescriptions contained antibiotics in the hospital. 27.7% of prescriptions contained at least one injectable medication in Mizan-Tepi University teaching hospital. From prescribed drugs, 96.7% of them were prescribed from Ethiopian essential drug list. Conclusion:: Present study indicated that the average number of drugs prescribed per encounter, the percentage of generic prescribing and prescribing from the EDL were close to optimal value. However, the percentage of encounters with antibiotics and injections prescribed were found be very high. Thus, the study highlights some improvements in prescribing habits, particularly by focusing on the inappropriate consumption of antibiotics and injections.


2016 ◽  
Vol 26 (3) ◽  
pp. 341
Author(s):  
Marcella Evangelista Melo ◽  
Giovanna Lima Miguéis ◽  
Mikaela Silva Almeida ◽  
Tatiane Dalamaria ◽  
Wagner De Jesus Pinto ◽  
...  

Introduction: In the diagnosis of overweight and obesity based on body mass index in children and adolescents, several national and international anthropometric references are recommended. However, there is a divergence in the estimated prevalence of overweight and obesity among the references. Objective: To identify the prevalence of overweight and obesity and to analyse the magnitude of agreement among the three references. Methods: A cross-sectional study with 975 students from the early grades of elementary school. The prevalence of overweight and obesity were estimated according to the criteria of the World Health Organization (WHO), the International Obesity Task Force (IOTF) and Conde and Monteiro. The Kappa weighted index was calculated to assess the agreement magnitude among the three references. Results: The highest prevalence of overweight and obesity was estimated by the Conde and Monteiro and WHO references, respectively. Overall, the IOTF revealed lower a magnitude of prevalence than the two other references. The agreement among the references identified by the Kappa index had a range of 0.66 to 0.94. Conclusion: Despite the satisfactory agreement among the three references, this research highlighted the differing magnitudes of the prevalence of overweight and obesity. This fact limits the ability to make comparisons among populations and impairs the development of overweight and obesity prevention actions.


PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262619
Author(s):  
Seifu Awgchew Mamo ◽  
Girum Sebsibie Teshome ◽  
Tewodros Tesfaye ◽  
Abel Tibebu Goshu

Introduction Perinatal asphyxia continues to be a significant clinical concern around the world as the consequences can be devastating. World Health Organization data indicates perinatal asphyxia is encountered amongst 6–10 newborns per 1000 live full-term birth, and the figures are higher for low and middle-income countries. Nevertheless, studies on the prevalence of asphyxia and the extent of the problem in poorly resourced southern Ethiopian regions are limited. This study aimed to determine the magnitude of perinatal asphyxia and its associated factors. Methods A retrospective cross-sectional study design was used from March to April 2020. Data was collected from charts of neonates who were admitted to NICU from January 2016 to December 31, 2019. Result The review of 311 neonates’ medical records revealed that 41.2% of the neonates experienced perinatal asphyxia. Preeclampsia during pregnancy (AOR = 6.2, 95%CI:3.1–12.3), antepartum hemorrhage (AOR = 4.5, 95%CI:2.3–8.6), gestational diabetes mellitus (AOR = 4.2, 95%CI:1.9–9.2), premature rupture of membrane (AOR = 2.5, 95%CI:1.33–4.7) fetal distress (AOR = 3,95%CI:1.3–7.0) and meconium-stained amniotic fluid (AOR = 7.7, 95%CI: 3.1–19.3) were the associated factors. Conclusion Substantial percentages of neonates encounter perinatal asphyxia, causing significant morbidity and mortality. Focus on early identification and timely treatment of perinatal asphyxia in hospitals should, therefore, be given priority.


2021 ◽  
Vol 3 (1) ◽  
pp. 52-58
Author(s):  
Muhammad Thabran Talib ◽  
Satriani Albar

Pemberian imunisasi dapat dilihat dari banyaknya balita yang meninggal akibat penyakit dapat dicegah dengan imunisasi. Data World Health Organization menunjukkan bahwa satiap tahun, setidaknya 1,7 juta anak meninggal karena penyakit yang dapat dicegah dengan vaksin yang sudah tersedia. Penelitian ini bertujuan untuk menganalisis faktor pemberian imunisasi dasar lengkap antara pengetahuan dan sikap ibu tentang imunisasi. Penelitian Puskesmas Tamalate Makassar. Populasi adalah ibu yang memiliki anak usia imunisasi di Puskesmas Tamalate Makassar dengan jumlah sampel 122 orang. Data sekunder dari laporan tahunan imunisasi yang ada di Puskesmas Tamalate Makassar, data primer dengan pembagian kuisioner yang diisi responden. Analisa data dilakukan yaitu analisa Univariat dan analisa bivariat. Penelitian ini dilaksanakan pada Nopember-Desember 2019. Dengan jenis penelitian Desain dengan Cross Sectional Study. Hasil penelitian analisa univariat, pengetahuan baik 107(87,7%) responden dan pengetahuan responden yang kurang 15(12,2%) responden. Sedangkan sikap baik 115(94,2%) responden, sedangkan sikap yang kurang 7(5,7%) responden. Analisis bivariat menunjukkan Ada hubungan yang bermakna antara tingkat pengetahuan dengan pemberian imunisasi dasar lengkap pada bayi yaitu p: 0,002 dan ada hubungan yang bermakna antara sikap dengan pemberian imunisasi dasar lengkap pada bayi yaitu p: 0,038. Saran yaitu upaya peningkatan pembinaan dan pendidikan tentang pentingnya pemberian imunisasi secara lengkap pada bayi.


2018 ◽  
Vol 7 (2) ◽  
pp. 14
Author(s):  
Karima Soamole

Abstract : It is estimated that 80% of mothers who gave birth were able to produce milk in quantities sufficient for the purposes of the baby in full without any additional food and according to the World Health Organization recommends breastfeeding until the age of 4-6 months baby. Annually, more than 25,000 babies Indonesia and 1.3 million babies around the world can be saved by exclusive breastfeeding in 1999, while according to the 2000 report, the WHO approximately 1.5 million children die because they are not feeding properly, less than 15% infants worldwide are given for four months of exclusive breastfeeding and complementary feeding is often inappropriate and unsafe. This research is explanatory research because it explains the relationship between independent variables and dependent variable through hypothesis testing. The method used in this study is a survey method with cross sectional study design. The population in this study are all mothers who breastfeed in Puskesmas Kalumata 2012. Knowledge of the highest in the category of knowledge of both 81 (95.3%) and the behavior of the Exclusive breastfeeding is highest among respondents with a good knowledge of the 55 categories (67.9%). Respondents' attitudes toward breastfeeding Exclusive showed much respondeng that supports 54 (63.5%) and 31 (36.5%) that does not support exclusive breastfeeding her baby. Family Support tehadap respondents in the most exclusive breastfeeding: supporting respondents in exclusive breastfeeding her baby 64 (75.3%) and 21 (24.7%) who did not support the.


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