scholarly journals Factors associated with stillbirths among women delivering at a resource limited tertiary hospital in Malawi

2021 ◽  
Vol 12 (5) ◽  
pp. 289-295
Author(s):  
Friday Saidi ◽  
Grace Chiudzu ◽  
Maganizo Chagomerana ◽  
Beteniko Milala ◽  
Jennifer H Tang
Keyword(s):  
Uterine Rupture ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Full Blood Count ◽  
Public Health Issue ◽  
Stillbirth Rate ◽  
Cross Sectional ◽  
Factors Associated ◽  
Resource Limited ◽  
Major Factors

Background: Stillbirths remain a major public health issue worldwide with an estimated 3 million deaths per year globally. We investigated the factors associated with stillbirths in fetuses of at least 28 weeks’ gestation or 1000 grams at birth. Methods: We performed a hospital-based, cross-sectional study among women who delivered stillbirths at Kamuzu Central Hospital (KCH) in Lilongwe, Malawi from May-November 2017. Eligible women were enrolled after obtaining informed consent, and their demographic and reproductive health information was collected. Blood samples were collected for full blood count, malaria, blood glucose, syphilis, and HIV testing, and the probable risk factors associated with stillbirths were assessed. Results: A total of 1,687 deliveries with 126 stillbirths occurred during the 6-month period, representing a stillbirth rate of 79 per 1,000 births. Seventy percent of these stillbirths were diagnosed on admission at KCH, and about 49% were fresh stillbirths. Half of the stillbirths had a birthweight of at least 2,500g, and the majority of these stillbirths were fresh (60%). The following factors were associated with stillbirth: uterine rupture (15.1%), placental abruption (14.3%), Hypertension (10.3%), obstructed/prolonged labor (5.8%), syphilis (7.1%), malaria (2.4%), congenital anomalies (2.4%), and diabetes (1.5%). Conclusions: The stillbirth rate at KCH is high, and most fetal deaths occurred prior to arrival at KCH. Although most of the stillbirths were unexplained, uterine rupture and abruption placenta emerged as major factors associated with stillbirths and these are largely preventable even in resource limited settings.

scholarly journals Factors Associated with Systemic Bleeding in Bothrops Envenomation in a Tertiary Hospital in the Brazilian Amazon

Toxins ◽  
2019 ◽  
Vol 11 (1) ◽  
pp. 22 ◽  
Author(s):  
Sâmella S. Oliveira ◽  
Eliane C. Alves ◽  
Alessandra S. Santos ◽  
João Pedro T. Pereira ◽  
Lybia Kássia S. Sarraff ◽  
...  
Keyword(s):  
Rural Areas ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Control Group ◽  
Cross Sectional ◽  
Factors Associated ◽  
Amazonas State ◽  
Hemostatic Disorders ◽  
To Receive ◽  
De Medicina

Bothrops snakebites usually present systemic bleeding, and the clinical–epidemiological and laboratorial factors associated with the development of this manifestation are not well established. In this study, we assessed the prevalence of Bothrops snakebites with systemic bleeding reported at the Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, in Manaus, Amazonas State, Brazil, and the clinical–epidemiological and laboratorial factors associated with systemic bleeding. This is an observational, cross-sectional study carried out between August, 2013 and July, 2016. Patients who developed systemic bleeding on admission or during hospitalization were considered cases, and those with non-systemic bleeding were included in the control group. Systemic bleeding was observed in 63 (15.3%) of the 442 Bothrops snakebites evaluated. Bothrops snakebites mostly occurred in males (78.2%), in rural areas (89.0%) and in the age group of 11 to 30 years old (40.4%). It took most of the patients (59.8%) less than 3 h to receive medical assistance. Unclottable blood (AOR = 3.11 (95% CI = 1.53 to 6.31; p = 0.002)) and thrombocytopenia (AOR = 4.52 (95% CI = 2.03 to 10.09; p < 0.001)) on admission were independently associated with systemic bleeding during hospitalization. These hemostatic disorders on admission increase the chances of systemic bleeding during hospitalization. Prospective studies are needed to clarify the pathophysiology of systemic bleeding in Bothrops snakebites in the Amazon region.

scholarly journals Risk and Triggering Factors Associated with Bronchial Asthma Among School-Going Children in an Urban City of Coastal Karnataka

2017 ◽  
Vol 37 (1) ◽  
pp. 59-66
Author(s):  
Sowmini P. Kamath ◽  
Shrividya Shrishakumar ◽  
Animesh Jain ◽  
Anand Ramakrishna ◽  
Shantharam B Baliga
Keyword(s):  
Risk Factors ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Public Health Issue ◽  
Trigger Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Urban City ◽  
Triggering Factors ◽  
At Home

Introduction: Asthma is common in childhood and is a major public health issue. The objectives of this study were to identify risk and triggering factors associated with asthma among school children.Material and Methods: A prospective cross sectional study was conducted among 6-15 years old children, over two months in two private schools at Mangalore city. Trigger factors were assessed as per asthma trigger inventory (ATI). Responses were graded from 0-5 score based on ‘never’,’ rarely’, ‘sometimes’, ‘most of the time’ and ‘always’. A predesigned questionnaire suiting the city environment was prepared and used to assess the risk and triggering factors. Analysis was done using SPSS version 16.Results: Asthma and allergic rhinitis in parents (34.1%,40.7%), smoking at home(24.2%), exclusive breast feeding absence (27.5%),early weaning(24.2%), living in a flat (37.4%) and pets at home(37.4%) were risk factors noted. As per ATI, it was found that ‘having a cold’ was the most frequently selected trigger at 94.5% (47.3% ‘sometimes’, 2.2% ‘always’), followed by ‘running’ at 79.1% (27.5% ‘sometimes’, 13.2% ‘always’), and ‘house dust’ at 69.2% (31.9% ‘sometimes’, 6.6% ‘always’). The highest mean was for infections, (2.228, SD=0.546), followed by physical exercise (2.167, SD=0.331). Animal allergens had lowest mean (1.527, SD=0.104), followed by psychological triggers at second lowest (1.579, SD=0.181). However none of the risk and trigger factors had statistical significance with asthma.Conclusion: Avoiding exposure to probable triggers and identifying risk factors would aid in planning effective strategic measures with better quality of life.

scholarly journals Prevalence, Factors and Cost Comparison due to Potentially Inappropriate Medications (PIMs) of Elderly Outpatients in a State Hospital in Malaysia.

2021 ◽  
Vol 1 (1) ◽  
pp. 27-33
Author(s):  
Wei Chern Ang ◽  
Nur Syafiqah Zulkepli ◽  
Nur Safinaz Mukhtar ◽  
Nur Atikah Zulkefli
Keyword(s):  
The Elderly ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Cost Comparison ◽  
Potentially Inappropriate Medications ◽  
Cross Sectional ◽  
Prescription Cost ◽  
Factors Associated ◽  
Elderly Outpatients ◽  
Inappropriate Medications

Introduction: Malaysia will be a full aging nation by 2030. The elderly (aged >65 years old) population often has multiple comorbidities, which increases the risk of polypharmacy and potentially inappropriate medications (PIMs). This study aims to investigate the prevalence, factors associated with PIMs among elderly outpatients, and its burden of direct pharmacotherapy cost to the Ministry of Health Malaysia. Materials and method:  A cross-sectional study involving clinic prescriptions among the elderly with more than one-month prescribing duration received from a tertiary hospital specialist clinic pharmacy from March to April 2017. Patient identifiers were screened using the Pharmacy Information System (PhIS) by including prescriptions from other clinics while excluding multiple visits and duplicate prescriptions. Patients were categorised as PIM group and non-PIM groups using Beers Criteria 2015. Logistic regression analysis was conducted to examine the factors associated with PIMs. The median monthly prescription cost was compared between PIM and non-PIM groups by Mann-Whitney test. Results: Among 472 patients, 39.4% of patients had at least one PIM while 60.6% of patients did not receive any PIM. The number of medications prescribed was an independent risk factor contributing to PIMs (OR:2.04; 95% CI:1.40, 2.97). The median monthly prescription cost for the PIM group was MYR 29.50 (?USD 7.53) which was not statistically significant (p=0.735) compared with the non-PIM group which was MYR 28.50 (USD 7.28).  Conclusion: PIM was frequently prescribed in our setting with the number of medications as the only factor. However, the prescribing of PIM did not add nor reduce the direct cost of pharmacotherapy.

scholarly journals Mucocutaneous Manifestations of HIV and the Correlation with WHO Clinical Staging in a Tertiary Hospital in Nigeria

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Olumayowa Abimbola Oninla
Keyword(s):  
Skin Diseases ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Vaginal Candidiasis ◽  
Clinical Staging ◽  
Teaching Hospitals ◽  
Hiv Patients ◽  
Cross Sectional ◽  
Resource Limited ◽  
Clinical Stages

Skin diseases are indicators of HIV/AIDS which correlates with WHO clinical stages. In resource limited environment where CD4 count is not readily available, they can be used in assessing HIV patients. The study aims to determine the mucocutaneous manifestations in HIV positive patients and their correlation with WHO clinical stages. A prospective cross-sectional study of mucocutaneous conditions was done among 215 newly diagnosed HIV patients from June 2008 to May 2012 at adult ART clinic, Wesley Guild Hospital Unit, OAU Teaching Hospitals Complex, Ilesha, Osun State, Nigeria. There were 156 dermatoses with oral/oesophageal/vaginal candidiasis (41.1%), PPE (24.4%), dermatophytic infections (8.9%), and herpes zoster (3.8%) as the most common dermatoses. The proportions of dermatoses were 4.5%, 21.8%, 53.2%, and 20.5% in stages 1–4, respectively. A significant relationship (using Pearson’s Chi square withPvalue<0.05) was obtained between dermatoses and WHO clinical stages. Pearson’s correlation coefficient showed a positive correlation between the number of dermatoses and the WHO clinical stages. Dermatoses can therefore serve as diagnostic and prognostic markers in resource limited settings to initiate HAART in clinical stages 3 and 4.

Sexual Orientation Among Unmarried Final Year University Students in Osun State: Distribution, Determinants and Level of Satisfaction

2021 ◽  
pp. 0272684X2110066
Author(s):  
Akinlolu G. Omisore ◽  
Ifeoluwa A. Oyerinde ◽  
Omoniyi M. Abiodun ◽  
Zainab A. Aderemi ◽  
Titilayo B. Adewusi ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
University Students ◽  
Sexual Attraction ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Multi Stage ◽  
Level Of Satisfaction ◽  
Major Factors

Background Sexual Orientation is an enduring pattern of romantic or sexual attraction, with the attractions broadly incorporated under heterosexuality and non-heterosexuality. Societal and other factors seem to affect individuals’ perception of their self-identified orientation. Thus, this study sets out to document the distribution of sexual orientation, level of self-reported satisfaction, and factors associated with sexual orientation among unmarried university students. Methods A cross-sectional study involving 550 respondents sampled using a multi-stage sampling technique. Data collected via a self-administered questionnaire and analyzed via IBM SPSS version 20.0. Results Most respondents (93.6%) were heterosexuals, 4.7% bisexuals, 1.3% lesbian women and 0.40% gay men. More heterosexuals (80.4%) were fully satisfied with their self-identified sexual orientation compared to 57.2% of non-heterosexuals. Respondents who had religious upbringing and those whose parents were currently married were less likely to have sexual orientation outside of heterosexuality. Conclusion The most prevalent sexual orientation was heterosexuality, with more heterosexuals also expressing satisfaction than others. With the level of dissatisfaction expressed by those who are not heterosexuals as well as the factors associated with heterosexuality, it is plausible to conclude that societal values and/or prejudices constitute major factors in individuals self-identifying with some particular sexual orientation and the satisfaction derived therein.

scholarly journals Prevalence and factors associated with severe anaemia post-caesarean section at a tertiary Hospital in Southwestern Uganda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sylvie Atosa Sivahikyako ◽  
Asiphas Owaraganise ◽  
Leevan Tibaijuka ◽  
David Collins Agaba ◽  
Musa Kayondo ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Severe Anaemia ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Factors Associated ◽  
Hb Concentration ◽  
Southwestern Uganda ◽  
Moderate Anaemia

Abstract Background Severe anaemia after caesarean section adversely affects the woman and the new-born. While prenatal anaemia is extensively studied, the literature on post-caesarean section anaemia is limited and characteristics of women at the highest risk of developing severe anaemia after caesarean section are unknown. This study aimed to determine the prevalence and factors associated with severe anaemia on day three post caesarean section. Methods On the third day after caesarean section, women were consecutively enrolled in a cross-sectional study at Mbarara Regional Referral Hospital (MRRH). Women who got transfused peripartum were excluded. For every woman, we measured haemoglobin (Hb) concentration and collected data on sociodemographic, obstetric, and medical characteristics. The primary outcome was severe anaemia after caesarean section, defined as Hb < 7 g/dl. We used logistic regression analysis to determine factors associated with severe anaemia after caesarean section. P-value < 0.05 was considered statistically significant. Results From December 2019 to March 2020, 427 of 431 screened women were enrolled in the study. Their mean age was 26.05 (SD ± 5.84) years. Three hundred thirteen (73.3%) had attended at least four antenatal care visits. The prevalence of severe anaemia post-caesarean section was 6.79%. Foetus with macrosomia (aOR 7.9 95%CI: 2.18–28.85, p <  0.01) and having mild or moderate anaemia pre-caesarean section (aOR:9.6, 95%CI: 3.91–23.77, p <  0.01) were the factors associated with severe anaemia after caesarean section. Conclusion Severe anaemia in women post-caesarean section is relatively uncommon at our institution. It is associated with preoperative anaemia and macrosomic birth. Women with a low preoperative Hb concentration and those whose foetus have macrosomia could be targeted for haemoglobin optimisation before and during caesarean section.

scholarly journals Factors Associated With Length of Stay for Patients With Stroke in Malaysia

2020 ◽  
Vol 3 (4) ◽  
pp. 134-138
Author(s):  
Aniza Ismail ◽  
Muhammad Alimin Mat Reffien ◽  
Norlinah Mohamed Ibrahim ◽  
Hanani Nabilah Mohd Sobri ◽  
Noor Dalila Inche Zainal Abidin ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Teaching Hospital ◽  
Severity Of Illness ◽  
Cross Sectional Study ◽  
Nonparametric Tests ◽  
Public Health Issue ◽  
Case Mix ◽  
Cross Sectional ◽  
Factors Associated ◽  
Significant Public Health

ABSTRACT Introduction Globally, stroke continues to become a significant public health issue contributing to one of the significant causes of morbidity and mortality. The study aimed to describe the characteristics of patients with stroke who were admitted to a teaching hospital in Malaysia and to determine the factors associated with length of stay (LOS). Methods This is a single-center, cross-sectional study using in-patient data maintained by the Case-Mix Unit of a teaching hospital in Malaysia from 2016 to 2017. The study included all patients with International Classification of Disease (ICD) code 164 (stroke, not specified as hemorrhage or infarct). The significance of association was determined using nonparametric tests in the form of the Mann-Whitney U test and the Kruskal-Wallis test. Results A total of 162 stroke patients from 2016 to 2017 from Case-Mix database were included in the study. The age ranged from 31 to 97 years old. The minimum and maximum LOS for patients with stroke ranged from 1 to 17 days. The severity of illness was found to be significantly associated with longer LOS (p &lt; 0.001); however, age, sex, and presence of co-morbidities did not show any significant association. Conclusion Despite its limitations, this study is an essential first step to examine the characteristics of patients with stroke and to determine the factors associated with LOS.

Factors associated with perceived participation three months after being discharged from a tertiary hospital

2016 ◽  
Vol 31 (9) ◽  
pp. 1257-1266 ◽  
Author(s):  
Xuemei Chen ◽  
Yanan He ◽  
Xianmei Meng ◽  
Lanshu Zhou
Keyword(s):  
Social Relations ◽  
Rating Scale ◽  
Depression Scale ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Stroke Survivors ◽  
Family Role ◽  
Cross Sectional ◽  
Factors Associated ◽  
The Impact

Objectives: To describe how first-stroke survivors perceive their participation and the problems with such participation in life and to determine the factors associated with perceived participation at three months after hospital discharge. Design: A cross-sectional study. Setting: Patients were recruited from a tertiary hospital in Shanghai, China and they were followed up in their homes. Subjects: Two hundred and fifty-seven first-stroke survivors discharged for three months participated in this study. Measures: The Chinese version of the Impact on Participation and Autonomy questionnaire, Barthel Index, Chinese Stroke Scale, Hospital Anxiety and Depression Scale and Social Support Rating Scale. Results: One hundred thirty-four (52.1%) and 147 (57.2%) participants perceived their participation as poor to very poor in the domains of family role and autonomy outdoors, respectively. Conversely, 208 (80.9%) and 228 (88.7%) participants perceived their participation to be fair to good in the domains of social relations and autonomy indoors, respectively. The ability to perform activities of daily life was the strongest correlate of participation in the domains of autonomy indoors, family role, and autonomy outdoors, whereas anxiety was the strongest correlate of participation in the domain of social relations. Conclusions: Activities of daily living were significantly associated with perceived participation in almost all domains. In contrast, anxiety was an important factor in predicting participation in the domain of social relations. These findings suggest the need to explore different strategies of promoting participation for each domain.

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