scholarly journals Compliance with the Cesarean Surgical Safety Checklis

Rev Rene ◽  
2020 ◽  
Vol 21 ◽  
pp. e43912
Author(s):  
Lara Mabelle Milfont Boeckmann ◽  
Maria Cristina Soares Rodrigues ◽  
Cesar Messias de Oliveira
Keyword(s):  
Gestational Diabetes ◽  
Public Hospital ◽  
Analytical Study ◽  
Fetal Distress ◽  
Cross Sectional ◽  
Surgical Safety ◽  
Tukey Test ◽  
The Mean ◽  
Safety Procedures ◽  
Previous Cesarean

Objective: to verify compliance with the procedures of health teams in cesarean surgery. Methods: cross-sectional, descriptive and analytical study, performed in an Obstetric Center of a public hospital, with 220 cesarean surgeries. The Tukey test and the Analysis of Variance were used, considering a significance of 5%. Results: the mean age of the patients was 28.8 years (± 6.06). The main indications for cesarean surgery were: fetal distress (12.8%), gestational diabetes (9.5%), interactivity (9.2%), previous cesarean surgery (8.2%) and severe pre-eclampsia (5.9 %). There was an absence of unified conduct and incipient communication among professionals. The compliance rates of the teams’ compliance with the items in the Checklist for Dimensions A, B and C were, respectively, 36.0%, 11.1% and 50.0%. Conclusion: there was a low compliance of teams to surgical safety procedures in cesarean surgeries.

scholarly journals Relationship between Body Mass Index and Tooth Decay in a Population of 3–6-Year-Old Children in Iran

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Leila Shafie Bafti ◽  
Maryam Alsadat Hashemipour ◽  
Hamidreza Poureslami ◽  
Zeinab Hoseinian
Keyword(s):  
Body Weight ◽  
Analytical Study ◽  
Deciduous Teeth ◽  
Tooth Decay ◽  
Cross Sectional ◽  
Dmft Index ◽  
The Mean ◽  
Iranian Children ◽  
The Relationship

The aim of the present study was to evaluate the relationship between BMI and tooth decay in a population of Iranian children. In this cross-sectional descriptive/analytical study, 1482 children were selected from kindergartens and preschool centers in Kerman, Iran. The children underwent examination of deciduous teeth (using the dmft index) after determination of height and weight for calculation of BMI. The relationship between BMI (after adjustment for age) and dmft was determined using Poisson’s regression model. The mean of dmft in children with normal BMI was 1.5-fold that in subjects with extra body weight. Age had a significant effect on dmft. In addition, dmft was higher in boys compared to girls. The results of the present study showed that caries rate in the deciduous teeth of 3–6-year-old children decreases with an increase in body weight.

Advanced Maternal Age and Pregnancy Outcome at Manipal Teaching Hospital: Cross-sectional Analytical study

2021 ◽  
Vol 6 (1) ◽  
pp. 20-25
Author(s):  
Vibha Mahato ◽  
Pravin Shrestha ◽  
Pradeep Bhattarai
Keyword(s):  
Caesarean Section ◽  
Postpartum Hemorrhage ◽  
Perinatal Outcome ◽  
Maternal Age ◽  
Analytical Study ◽  
Fetal Distress ◽  
Advanced Maternal Age ◽  
Age Group ◽  
Cross Sectional ◽  
Very Advanced Maternal Age

Introduction: Advanced and very advanced maternal age are associated with several adverse maternal and fetal outcome. The objective of this study was to find out the possible association between advance maternal age and adverse pregnancy outcomes at Manipal Teaching Hospital.Methods: A cross sectional analytical study conducted at department of Obstetrics and Gynecology, Manipal Teaching Hospital, Pokhara, Nepal. A total of 198 patient who were ≥30 years and >24 weeks pregnant admitted in obstetric ward were selected. These patient were divided into three groups according to their age (30-34, 35-39 and ≥ 40years). We compared the incidence of adverse maternal and perinatal outcome among these groups. We also calculated odds ratio of maternal and perinatal outcomes in 35-39 years and ≥ 40years women, compared with women aged 30-34 years.Results: Comparison of the three age groups revealed that advanced maternal age constitute a predisposing factor for malpresentation, gestational diabetes mellitus, placenta previa, fetal distress and caesarean section. Whereas, risk of non progress of labour, preterm birth, postpartum hemorrhage, perinatal death and congenital anomalies were increased in very advanced maternal age group. From these, statistical significance was reached in case of greater risk of malpresentation (p=0.01,OR=6.66), fetal distress (p=0.04, OR=2.6) and caesarean section(p=0.02,OR=2.06) in advanced age group when compared to the patients aged 30-34. Furthermore, very advanced age group were higher risk of postpartum hemorrhage (p=0.03, OR=2.47) and congenital anomalies, which were statistically significant (p=0.04, OR=29.57) when compared to the 30-34 years.Conclusion: Advanced and very advanced maternal age is associated with several adverse maternal and perinatal outcome. The risk of perinatal complication begin to increase after the age of 35 but significantly increased after 40 years.

Variations of blood cells in prediction of gestational diabetes mellitus

2014 ◽  
Vol 0 (0) ◽  
Author(s):  
Hongling Yang ◽  
Chunyan Zhu ◽  
Qinling Ma ◽  
Yan Long ◽  
Zhou Cheng
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Blood Parameters ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Mean Cell Volume ◽  
Cell Parameters ◽  
The Mean ◽  
Laboratory Information Systems

AbstractThis study aims to evaluate the value of increasing inflammation in predicting gestational diabetes mellitus (GDM).Subjects in this cross-sectional study included 302 GDM and 310 normal pregnancies before 20 weeks. Sociodemographic and pregnancy characteristics as well as blood parameters were acquired by maternal health booklet, medical records and laboratory information systems. Blood cell parameters were compared between the two groups by independent sampleWomen with GDM had significantly higher neutrophil (NEU), lymphocyte (LYM), platelet (PLT) and erythrocyte (RBC) counts, and were positively correlated with GDM. NEU (odds ratios, OR, 1.22) and LYM (OR, 2.01) were independently associated with the development of GDM (P<0.001). The OR of the mean platelet volume (MPV) and mean cell volume (MCV) were 0.84 and 0.92, respectively (P<0.01 for both). The efficiency of Fisher’s equations in correctly classifying cases of GDM from 4 to 20 weeks of gestation was 70.06%.Maternal WBC, RBC, and PLT counts are important correlates of GDM. Increased volume of RBC and PLT might protect pregnant women from development of GDM.

scholarly journals Prevalência de úlcera por pressão em um hospital de emergência: estudo transversal

2016 ◽  
Vol 15 (2) ◽  
Author(s):  
Rodrigo Magri Bernardes ◽  
Maria Helena Larcher Caliri
Keyword(s):  
Operational Research ◽  
Public Hospital ◽  
Analytical Study ◽  
Pressure Ulcers ◽  
Point Prevalence ◽  
Cross Sectional ◽  
Problem Context ◽  
Braden Scale ◽  
Hospital Stays ◽  
University Course

Aims:  To  identify  the  point  prevalence  of  pressure  ulcers  in  anemergency hospital and in different units and to investigate the association between the presence  of  ulcers  and  demographic  and  clinical  variables.  Method:  This  is  a  cross-sectional,  descriptive,  and  analytical  study,  held  over  a  single  day  in  a  public  hospital aimed  at  teaching  emergency  in  a  university  course,  involving  87  adults  and  elderly patients  hospitalized  throughout  the  hospital.  A  risk  assessment  was  carried  out  for pressure ulcers and skin inspection of patients. Results: The point prevalence of pressure ulcers in the institution was 40%. The point prevalence was higher in the intensive care unit. An association was found between the presence of ulcers and a greater amount of drugs, as well as longer hospital stays and lower scores on the Braden Scale. Conclusion: The  methods  used  for  assessing  the  prevalence  can  be  used  by  nurses  in operational research  to  assess  the  problem  context  and  also  in  scientific  studies  that  allow  the comparison of results in national and international contexts.

scholarly journals Evaluation of KI-67 expression in uterine leiomyoma and in healthy myometrium: a pilot study

2019 ◽  
Vol 65 (12) ◽  
pp. 1459-1463
Author(s):  
Walberto Monteiro Neiva Eulálio Filho ◽  
Eduardo Augusto Sousa Soares ◽  
Maria Simone Oliveira Lima ◽  
Emerson Davi do Nascimento Brazil ◽  
Rodolfo Myronn de Melo Rodrigues ◽  
...  
Keyword(s):  
Pilot Study ◽  
Uterine Leiomyoma ◽  
Analytical Study ◽  
T Test ◽  
Uterine Leiomyomas ◽  
Clinical Parameters ◽  
Pain Level ◽  
Ki 67 ◽  
Cross Sectional ◽  
The Mean

SUMMARY OBJECTIVE Evaluate the expression of KI-67 in uterine leiomyomas and adjacent myometrial tissue and verify the existence of a correlation between clinical parameters and KI-67 expression in tumors. METHODS This is a cross-sectional, controlled, analytical study. Samples of leiomyomas and myometrium were obtained from patients who underwent hysterectomy. The samples were processed by immunohistochemistry using KI-67 antibody, and the expression was evaluated by two blinded observers. Student›s T-test was used for comparison of means, and Pearson›s P test for correlation with clinical parameters. RESULTS A total of 9 patients were included in the study. The mean age was 40.7 years, ranging from 35 to 44 years. The mean expression of KI-67 in myometrium was 1.63%, and, in leiomyomas, 5.96% (p <0.001). The highest expression of KI-67 was moderately related to the severity of anemia, bleeding, and pain level. CONCLUSION The expression of KI-67 in normal myometrium was significantly lower than in leiomyomas. The highest expression of KI-67 was moderately related to the severity of anemia, bleeding, and pain level in the patients of this study.

scholarly journals Factors Associated for Caesarean Section among Mothers Attending in Teaching Hospital, Chitwan

2020 ◽  
Vol 6 (1) ◽  
pp. 39-49
Author(s):  
Indira Adhikari Poudel ◽  
B Bhattarai ◽  
P Dhakal
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Teaching Hospital ◽  
College Teaching ◽  
Sampling Technique ◽  
Fetal Distress ◽  
Cross Sectional ◽  
Medical College ◽  
Health Experts ◽  
Previous Cesarean

Correction: The page numbers were changed from 57-67 to 39-49 on 31/08/2020. Background: Cesarean section (CS) rate has increased rapidly over the past two decades in world. It is serious concern for public health experts globally. Various medical and non-medical factors, such as maternal socio-demographics, are found to be responsible for this upsurge. Like in other countries, the rate of caesarean sections has increased in Nepal as well. Therefore, there is a need to investigate the factors behind this increase. Objectives: To identify the factors associate for caesarean section among mothers attending at teaching hospital, Chitwan Methods: A cross sectional analytical study was conducted using total enumerative sampling technique in the maternity ward of Chitwan Medical College Teaching Hospital. Interview was done with closed ended Questionnaire for data collection, a total number of 139 mothers after 24 hours cesarean section (CS). Results: The study shows that, nearly three- quarters (71.2%) of CS were performed as an emergency. There are mainly fetal, maternal and placental indication for cesarean section. The most frequent indications were: previous cesarean section (22.3%), thick Meconium stained liquor (12.2%), fetal distress (10.6%) and oligohydramnios (7.2%).

Socidemographic and health characteristics and their relationship with the perception of family support of elderly residents in peripheral areas

2011 ◽  
Vol 5 (2) ◽  
pp. 158
Author(s):  
Luciana Araújo dos Reis ◽  
Gilson De Vasconcelos Torres ◽  
Thaiza Teixeira Xavier
Keyword(s):  
Family Support ◽  
Analytical Study ◽  
Domain Adaptation ◽  
Family Health ◽  
State University ◽  
Cross Sectional ◽  
The Mean ◽  
Peripheral Areas ◽  
Cross Sectional Design ◽  
State Examination

ABSTRACTObjective: to determine the influence of sociodemographic and health variables on the perception of family support of elderly residents in peripheral areas. Method: this is an analytical study with a cross-sectional design, using a sample of 150 seniors, mean age of 74.47 (± 9.42) years, enrolled in four Health Units in the municipality of Jequié, Brazil. The instruments used were: sociodemographic data, health conditions, Mini-Mental State Examination (MMSE) and the Perception of Family Support Inventory (PFSI). The research protocols were reviewed and approved by the Ethics in Human Research of the State University of Southwest Bahia (Opinion No. 189/2008). Results: with the application of Student t test between the mean areas of the Inventory of Perceived Family support and sociodemographic variables and health, there was statistical difference between the domain Autonomy and occupation of free time (p = 0.047) and between the domain adaptation and Family health problems (

scholarly journals Fraction of Exhaled Nitric Oxide (FeNO) Norms in Healthy Tunisian Adults

2014 ◽  
Vol 2014 ◽  
pp. 1-13 ◽  
Author(s):  
Sonia Rouatbi ◽  
Mohamed Ali Chouchene ◽  
Ines Sfaxi ◽  
Mohamed Ben Rejeb ◽  
Zouhair Tabka ◽  
...  
Keyword(s):  
Analytical Study ◽  
Total Sample ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Natural Logarithm ◽  
Upper Limit ◽  
Additional Group ◽  
Reference Equation ◽  
The Mean ◽  
Medical Questionnaire

Aims. To establish FeNOnorms for healthy Tunisian adults aged 18–60 years and to prospectively assess their reliability.Methods. This was a cross-sectional analytical study. A convenience sample of healthy Tunisian adults was recruited. Subjects responded to a medical questionnaire, and then FeNOlevels were measured by an online method (Medisoft, Sorinnes (Dinant), Belgium). Clinical, anthropometric, and plethysmographic data were collected. All analyses were performed on natural logarithm values of FeNO.Results. 257 adults (145 males) were retained. The proposed reference equation to predict FeNOvalue is lnFeNO(ppb) = 3.47−0.56× height (m). After the predicted FeNOvalue for a given adult was computed, the upper limit of normal could be obtained by adding 0.60 ppb. The mean ± SD (minimum-maximum) of FeNO(ppb) for the total sample was13.54±4.87(5.00–26.00). For Tunisian and Arab adults of any age and height, any FeNOvalue greater than 26.00 ppb may be considered abnormal. Finally, in an additional group of adults prospectively assessed, we found no adult with a FeNOhigher than 26.00 ppb.Conclusion. The present FeNOnorms enrich the global repository of FeNOnorms that the clinician can use to choose the most appropriate norms.

scholarly journals Perbandingan Kadar Hemoglobin Pengguna Rokok Elektrik dan Rokok Konvensional pada Pria Dewasa di Manado

e-CliniC ◽  
2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Mark M. Waleleng ◽  
Linda W.A. Rotty ◽  
Efata Polii
Keyword(s):  
Analytical Study ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
P Value ◽  
Adult Males ◽  
Cross Sectional ◽  
Tobacco Cigarette ◽  
Significant Comparison ◽  
The Mean ◽  
Cross Sectional Design

Abstract: Smoking has become a daily habit in Indonesia. Manado has a percentage of smokers as many as 23.6%. Many efforts have been done to find alternative tobacco cigarette. Electric cigarette is one of the new models to replace tobacco cigarette. This study was aimed to determine the ratio of hemoglobin levels in adult male electric cigarette users in Manado. This was an observational analytical study using a cross sectional design. Samples were obtained by using decisive sampling technique. There were 20 electric cigarette users and 20 conventional cigarette users in this study. The results showed that the mean hemoglobin level of conventional cigarette users was higher (17.080 g / dl) than of electric cigarette users (14.335 g/dl). The bivariate analysis using the T test (α=0.05) of the comparison of hemoglobin levels in electric cigarette users and conventional cigarette users resulted in a P value of 0.000. Conclusion: There was a significant comparison of hemoglobin levels in users of electric cigarettes and of conventional cigarettes among adult males in Manado.Keywords: electric cigarettes, conventional cigarettes, hemoglobin Abstrak: Merokok sudah menjadi kebiasaan sehari-hari bagi masyarakat Indonesia. Kota Manado memiliki persentase perokok sebanyak 23,6%. Banyak upaya yang telah dilakukan untuk mencari alternatif rokok tembakau. Rokok jenis elektrik merupakan salah satu fenomena baru yang diupayakan untuk mengganti rokok tembakau. Penelitian ini bertujuan untuk mengetahui perbandingan kadar hemoglobin pada pengguna rokok elektrik pria dewasa di kota Manado. Jernis penelitian ialah analitik observasional dengan desain potong lintang. Teknik pengambilan sampel menggunakan decisive sampling dengan jumlah sampel sebanyak 20 orang pengguna rokok elektrik dan 20 orang pengguna rokok konvensional. Hasil penelitian menunjukkan perbandingan kadar hemoglobin pada pengguna rokok elektrik dan rokok konvensional dimana rerata kadar hemoglobin pengguna rokok konvensional lebih tinggi (17,080 g/dl) dibandingkan pada pengguna rokok elektrik (14,335 g/dl). Hasil uji analisis bivariat menggunakan uji T terhadap perbandingan kadar hemoglobin pengguna rokok elektrik dan rokok konvensional pada pria dewasa dengan derajat kepercayaan α=0,05 mendapatkan P=0,000. Simpulan: Terdapat perbandingan bermakna dari kadar hemoglobin pengguna rokok elektrik dan rokok konvensional pada pria dewasa di Manado.Kata kunci: rokok elektrik, rokok konvensional, hemoglobin

scholarly journals Prelabour Rupture of Membrane : Maternal and Foetal Outcomes

2020 ◽  
Vol 19 (2) ◽  
pp. 23-27
Author(s):  
Monira Jamal ◽  
Rajat Kumar Biswas
Keyword(s):  
Caesarean Section ◽  
Gestational Age ◽  
Care Service ◽  
Neonatal Morbidity ◽  
Fetal Distress ◽  
Income Group ◽  
Fetal Outcome ◽  
Morbidity And Mortality ◽  
Cross Sectional ◽  
The Mean

Background: The leading cause of perinatal morbidity and mortality is prematurity in developed and underdeveloped countries. In one third of the patients with preterm labour, there is associated premature rupture of membranes. The study was conducted to evaluate the clinical presentation of Pre-labour Rupture of Membrane (PROM) in pregnancy and obstetric outcome. Materials and methods: This is a cross sectional study carried out in the Department of Obstetrics and Gynaecology, Bangabandhu Sheikh Mujib Medical University, Dhaka, between September 2013 to February 2014. About 50 women having PROM with more than 32 weeks gestational age who admitted in the above department for delivery were enrolled in this study. Results: The mean age was found 27.4 ± 4.42 years with range from 17 to 41 years. Forty eight percent of PROM patient were primi and 52.0 percent of patients were multigravida. Six percent patients were illiterate. Almost two third patients were housewives. More than half (54.0%) of the patients were came from poor class income group family. Majority (64.0%) patients had term PROM (>37 weeks) gestational age and the mean gestational age was 38.1 ± 2.7 weeks with range from 32- 40 weeks. More than half (54.0%) didn't received any antenatal checkup. A total of (56.0%) patients had associated disease, out of which anaemia was more common. Twelve percent had diabetes mellitus and 8.0% had UTI infection. Almost two third (64.0%) was vaginal delivery and 18(36.0%) were caesarean section and common indication for caesarean section was fetal distress (38.9%). Two third patients were healthy and 17 patients had morbidities, wound infection is highest (29.4%). The mean birth weight was found 2.74 ± 0.7 kg. APGAR score >7 at 1 minute was found (92.0%) and (94.0%) at 5 minutes of birth of baby after birth. Fetal outcome take home alive (98.0%) and neonatal death 2.0%. Among 50 foetus morbidity develop in 26 cases. Among them respiratory insufficiency is highest (38.5%). Conclusion: Motivation of the patients, health education, improvement of nutritional status of mother, neonatal care service, early diagnosis, treatment, overall institutional delivery is needed for reduction of neonatal morbidity and mortality, as well as maternal morbidity. Chatt Maa Shi Hosp Med Coll J; Vol.19 (2); July 2020; Page 23-27

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