scholarly journals Correlation between classification in risk categories and clinical aspects and outcomes

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Gabriella Novelli Oliveira ◽  
Cássia Regina Vancini-Campanharo ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Dulce Aparecida Barbosa ◽  
Meiry Fernanda Pinto Okuno ◽  
...  
Keyword(s):  
Signs And Symptoms ◽  
Medical Specialty ◽  
Cross Sectional Study ◽  
Clinical Aspects ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical Specialties ◽  
Clinical Profiles ◽  
Medical Forms ◽  
Risk Categories

ABSTRACT Objective: to correlate classification in risk categories with the clinical profiles, outcomes and origins of patients. Method: analytical cross-sectional study conducted with 697 medical forms of adult patients. The variables included: age, sex, origin, signs and symptoms, exams, personal antecedents, classification in risk categories, medical specialties, and outcome. The Chi-square and likelihood ratio tests were used to associate classifications in risk categories with origin, signs and symptoms, exams, personal antecedents, medical specialty, and outcome. Results: most patients were women with an average age of 44.5 years. Pain and dyspnea were the symptoms most frequently reported while hypertension and diabetes mellitus were the most common comorbidities. Classifications in the green and yellow categories were the most frequent and hospital discharge the most common outcome. Patients classified in the red category presented the highest percentage of ambulance origin due to surgical reasons. Those classified in the orange and red categories also presented the highest percentage of hospitalization and death. Conclusion: correlation between clinical aspects and outcomes indicate there is a relationship between the complexity of components in the categories with greater severity, evidenced by the highest percentage of hospitalization and death.

scholarly journals Pain in emergency units: correlation with risk classification categories

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Wandressa Letícia Viveiros ◽  
Meiry Fernanda Pinto Okuno ◽  
Cássia Regina Vancini Campanharo ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Gabriella Novelli Oliveira ◽  
...  
Keyword(s):  
Signs And Symptoms ◽  
Medical Specialty ◽  
Cross Sectional Study ◽  
Risk Classification ◽  
Moderate Intensity ◽  
Ratio Test ◽  
Intense Pain ◽  
Cross Sectional ◽  
Mild Pain

ABSTRACT Objectives: to correlate risk classification categories with the level of pain of patients in an emergency service. Method: cross-sectional study carried out in the Risk Classification of 611 patients. The variables studied were: age, gender, comorbidities, complaint duration, medical specialty, signs and symptoms, outcome, color attributed in the risk classification of and degree of pain. We used Analysis of Variance, a Chi-Square test and a Likelihood Ratio test. Results: the average age was 42.1 years (17.8); 59.9% were women; the green (58.9%) and yellow (22.7%) risk classification prevailed and hypertension (18.3%) was the most common Comorbidity. The most frequent pain intensity was moderate (25.9%). In the red category, patients presented a higher percentage of absence of pain; in the blue, mild pain; and in the green, yellow and orange categories, there was a greater percentage of intense pain (p < 0.0001). Conclusion: among the patients who presented pain, the majority reported moderate intensity. Regarding risk categories, most patients in the red category did not report pain. Those who were classified as green, yellow and orange, reported mostly intense pain. On the other hand, patients in the blue category reported predominantly mild pain.

scholarly journals Specialty choice determinants among Mexican medical students: a cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Carlos Gutiérrez-Cirlos ◽  
J. Jesús Naveja ◽  
Manuel García-Minjares ◽  
Adrián Martínez-González ◽  
Melchor Sánchez-Mendiola
Keyword(s):  
Medical Students ◽  
Medical Specialty ◽  
Cross Sectional Study ◽  
Specialty Choice ◽  
Three Dimensions ◽  
Chi Square ◽  
Cross Sectional ◽  
Middle Income ◽  
Healthcare Needs ◽  
Gynecology And Obstetrics

Abstract Background The choice of medical specialty is related to multiple factors, students’ values, and specialty perceptions. Research in this area is needed in low- and middle-income countries, where the alignment of specialty training with national healthcare needs has a complex local interdependency. The study aimed to identify factors that influence specialty choice among medical students. Methods Senior students at the National Autonomous University of Mexico (UNAM) Faculty of Medicine answered a questionnaire covering demographics, personal experiences, vocational features, and other factors related to specialty choice. Chi-square tests and factor analyses were performed. Results The questionnaire was applied to 714 fifth-year students, and 697 provided complete responses (response rate 81%). The instrument Cronbach’s alpha was 0.8. The mean age was 24 ± 1 years; 65% were women. Eighty percent of the students wanted to specialize, and 60% had participated in congresses related to the specialty of interest. Only 5% wanted to remain as general practitioners. The majority (80%) wanted to enter a core specialty: internal medicine (29%), general surgery (24%), pediatrics (11%), gynecology and obstetrics (11%) and family medicine (4%). The relevant variables for specialty choice were grouped in three dimensions: personal values that develop and change during undergraduate training, career needs to be satisfied, and perception of specialty characteristics. Conclusions Specialty choice of medical students in a middle-income country public university is influenced by the undergraduate experience, the desire to study a subspecialty and other factors (including having skills related to the specialty and type of patients).

scholarly journals Oral Cancer Knowledge and Awareness in Patients Visiting Kantipur Dental College

2018 ◽  
Vol 15 (3) ◽  
pp. 247-251 ◽  
Author(s):  
Dipshikha Bajracharya ◽  
Sujaya Gupta ◽  
Manish Sapkota ◽  
Shishir Bhatta
Keyword(s):  
Oral Cancer ◽  
Early Stage ◽  
Signs And Symptoms ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Warning Signs ◽  
Cancer Knowledge ◽  
Chi Square ◽  
Cross Sectional ◽  
Lack Of Knowledge

Background: Lack of knowledge and awareness about oral cancer, its risk factors and negligence of the early warning signs play crucial role in raising the incidence of the disease. The present study was carried out to evaluate the awareness of oral cancer among patients visiting Kantipur Dental College, Kathmandu, Nepal.Methods: The cross-sectional study was done in 471 patients from 15-85 years. Self administered questionnaire was prepared which comprised of knowledge of oral cancer, source of information, its early signs and symptoms along with the awareness of its risk factors.Results: Most of the participants (41.80%) had not heard of oral cancer. 31.60% recognized tobacco smoking and tobacco chewing as the chief risk factor with 15.50% and 10.80% of participants who identified white patch and red patch as early sign of oral cancer respectively. Pearson’s chi square test was used which showed statistically significant association of total mean knowledge score and awareness score with age, education level and occupation (p<0.05).Conclusions: This study done in dental patients showed lack of knowledge and awareness in general public about oral cancer. There seem to be a need for more planned awareness programs through newspapers, radio, television and health campaigns regarding the association of habits in the development of oral cancer and benefits of detecting oral cancer at early stage for better prognosis.

scholarly journals Conhecimento de enfermeiros em relação a sepse: estudo transversal

2021 ◽  
Vol 11 (34) ◽  
pp. 160-167
Author(s):  
André Luiz Silva Alvim ◽  
Arley Lucas de Souza Nunes ◽  
Lucas Rafael de Jesus Alves ◽  
Michelle Bárbara Silva ◽  
Rafaela Tamara Rocha ◽  
...  
Keyword(s):  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Minas Gerais ◽  
Formation Time ◽  
Multiple Choice Questions ◽  
Current Position ◽  
Chi Square ◽  
Cross Sectional ◽  
Training Time ◽  
Belo Horizonte

Analisar o conhecimento de enfermeiros em relação a sepse e as novas atualizações do consenso Sepsis-3. Estudo transversal realizado com 123 enfermeiros de um hospital geral localizado na região de Belo Horizonte, Minas Gerais, Brasil. Foi aplicado um questionário estruturado com 10 questões de múltipla escolha. Analisou-se dados por meio de estatística descritiva, teste qui-quadrado e regressão logística múltipla. A idade dos participantes variou de 23 a 54 anos, com média de 34 (±7,4). A maioria era do sexo feminino (68,3%) com tempo de formação igual ou superior a 5 anos (50,4%). O tempo de formação (p=0,011) e período no cargo atual (p=0,006) foram associados ao conhecimento satisfatório em relação a Sepse. Conclui-se que o tempo de formação e o período no cargo atual tiveram relação com o conhecimento satisfatório, no entanto, os resultados precisam ser interpretados com cautela entre os participantes deste estudo.Descritores: Sepse, Qualidade da Assistência à Saúde, Sinais e Sintomas, Equipe de Enfermagem. Knowledge of nurses in relation to sepsis: a cross-section studyAbstract: To analyze the knowledge of nurses regarding sepsis and the new updates to the Sepsis-3 consensus. Cross-sectional study carried out with 123 nurses from a general hospital located in the region of Belo Horizont located in Minas Gerais, Brazil. A structured questionnaire with 10 multiple-choice questions was applied. The data were analyzed using descriptive statistics, chi-square test and multiple logistic regression. The age of the participants ranged from 23 to 54 years, with an average of 34 (± 7.4). The majority were female (68.3%) with training time equal to or greater than 5 years (50.4%). Formation time (p=0.011) and period in current position (p=0.006) were associated with satisfactory knowledge in relation to Sepsis. The conclusion showed that formation time and the period in the current position were related to satisfactory knowledge, however, the results need to be interpreted with caution among the participants of this study.Descriptors: Sepsis, Quality of Health Care, Signs and Symptoms, Nursing Team. Conocimiento de enfermeras en relación con sepsis: un estudio transversalResumen: Analizar el conocimiento de las enfermeras sobre la sepsis y las nuevas actualizaciones del consenso Sepsis-3. Estudio transversal realizado con 123 enfermeras de un hospital general ubicado en la región de Belo Horizonte, Minas Gerais, Brasil. Se aplicó un cuestionario estructurado con 10 preguntas de opción múltiple. Los datos se analizaron mediante estadística descriptiva, prueba de ji cuadrado y regresión logística múltiple. La edad de los participantes osciló entre 23 y 54 años, con un promedio de 34 (±7,4). La mayoría eran mujeres (68.3%) con un tiempo de entrenamiento igual o mayor a 5 años (50.4%). El tiempo de entrenamiento (p=0,011) y el período en la posición actual (p=0,006) se asociaron con un conocimiento satisfactorio en relación con la sepsis. La conclusión mostro que el tiempo transcurrido desde la graduación y el período en el puesto actual se relacionaron con un conocimiento satisfactorio, sin embargo, los resultados deben interpretarse con cautela entre los participantes de este estudio.Descriptores: Sepsis, Calidad de la Atención de Salud, Signos y Síntomas, Grupo de Enfermería.

scholarly journals Prevalence and severity of depression among people residing in flood affected areas of Kerala

2019 ◽  
Vol 6 (3) ◽  
pp. 1143
Author(s):  
Jose Jom Thomas ◽  
B. Prakash ◽  
Praveen Kulkarni ◽  
M. R. Narayana Murthy
Keyword(s):  
Mental Health ◽  
Statistical Tests ◽  
Severe Depression ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Symptoms Of Depression ◽  
Prevalence Of Depression ◽  
Severity Of Depression

Background: The world is witnessing significant change in its climate leading to an increase in natural disasters. Kerala state of India recently witnessed its worst Monsoon rainfall in the century. Floods have significant effects on mental health. Screening of psychological problems is necessary in the background of recent floods in Kerala. So this study was done with the objectives to assess the prevalence of depression in the flood affected people of Kerala and to assess the severity of depression among people residing in flood affected areas of Kerala.Methods: Cross sectional study was done four weeks after flood. Individuals aged ≥15 years residing in flood affected areas were included and people not willing to participate were excluded. Purposive sampling was done and 306 participants were studied. Participants were assessed by interview technique using PHQ9 questionnaire. Data was analysed using SPSS-22. Descriptive statistics like percentage were applied. Inferential statistical tests like chi-square test were applied for association.Results: Among the participants 48% showed symptoms of depression. 28.10 % were mildly depressed, 12.74% were moderately depressed, 5.56% had moderately severe and 1.63% had severe depression. Maximum prevalence of depression was observed in geriatric age group.Conclusions: A significant amount of people residing in flood affected areas showed signs and symptoms of depression. An urgent intervention is therefore required to improve mental health status of the flood affected individuals. 

scholarly journals Prescription errors and administration of injectable antimicrobials in a public hospital

2019 ◽  
Vol 9 (4) ◽  
Author(s):  
Ionara Vieira Rocha Da Mota ◽  
Paulo Henrique Ribeiro Fernandes Almeida ◽  
Lucas Brasileiro Lemos ◽  
Mario Borges Rosa ◽  
Gisele Da Silveira Lemos
Keyword(s):  
Social Sciences ◽  
Public Hospital ◽  
Medical Specialty ◽  
Cross Sectional Study ◽  
Medical Clinic ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
The Social ◽  
Level Of Significance

To analyze the errors of prescription and administration of antimicrobials powder for solution for injection in a public hospital. This is a cross-sectional study carried out in a public hospital, in which antimicrobials prescriptions and administrations were analyzed for patients admitted to the Intensive Care Unit (ICU) and Medical Clinic (CM) from November 2015 to February 2016. The tabulation and data analysis were done in Epidata software version 3.1 of 2008 and IBM Statistical Package for the Social Sciences (SPSS). In the statistical analysis, chi-square tests or Fisher’s exact test were applied when necessary. The level of significance was 5%. Among the statistically significant results, the following are the errors related to medical prescription with the variables: age at 57% and medical specialty at 67%, both at the ICU; bed with 30% and hospitalization unit with 37%, both in CM. In the administration of antimicrobials, statistically significant differences were observed only in the failure to identify the patient (30% in CM). Regarding the use of antimicrobials, Cefepime was the most prescribed with 65.1%. In view of these aspects, it is extremely important that errors arising from an incomplete and misleading prescribing are identified, to propose improvements in the medication system, in order to prevent errors, and to promote a more rational antibiotic therapy, avoiding infections.

scholarly journals Impact of malocclusion and dentofacial anomalies on the prevalence and severity of dental caries among adolescents

2015 ◽  
Vol 85 (6) ◽  
pp. 1027-1034 ◽  
Author(s):  
Carlos Alberto Feldens ◽  
Angela Isabel dos Santos Dullius ◽  
Paulo Floriani Kramer ◽  
Annarosa Scapini ◽  
Adair Luiz Stefanello Busato ◽  
...  
Keyword(s):  
Public Schools ◽  
Dental Caries ◽  
Multivariable Analysis ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
Clinical Aspects ◽  
Chi Square ◽  
Cross Sectional ◽  
Dental Injury ◽  
The City

ABSTRACT Objectives:  To investigate the association between malocclusion/dentofacial anomalies and dental caries among adolescents. Materials and Methods:  A cross-sectional study was conducted with 509 adolescents aged 11 to 14 years enrolled at public schools in the city of Osório in southern Brazil. Parents/caregivers answered a structured questionnaire on demographic and socioeconomic variables. A trained examiner recorded the presence of malocclusion (Dental Aesthetic Index [DAI]), traumatic dental injury, and dental caries. Data analysis involved the chi-square, Mann-Whitney, and Kruskal-Wallis tests. Poisson regression with robust variance was used for the multivariable analysis. Results:  A total of 44.8% of the adolescents had dental caries (mean DFMT  =  1.33 ± 1.84). The DAI index ranged from 15 to 77 (mean  =  29.0 ± 7.9); 43.6% of the sample had severe malocclusion and 11.6% had traumatic dental injury. The prevalence and severity of dental caries were significantly greater among adolescents with severe malocclusion. The multivariate analysis demonstrated that adolescents with severe or handicapping malocclusion had a 31% greater probability of having dental caries (prevalence ratio: 1.31; 95% CI: 1.02–1.67), independently of demographic, socioeconomic, or clinical aspects. The orthodontic characteristics associated with the occurrence and severity of caries were maxillary irregularity ≥3 mm (P  =  .021) and abnormal molar relationship (P  =  .021). Conclusions:  Handicapping malocclusion, maxillary irregularity, and abnormal molar relationship were associated with the occurrence and severity of dental caries. The findings suggest that the prevention and treatment of these conditions can contribute to a reduction in dental caries among adolescents.

scholarly journals Medical Careers and Motherhood: A Cross-Sectional Study of Hispanic Female Physicians

2019 ◽  
Vol 11 (4s) ◽  
pp. 181-185 ◽  
Author(s):  
Sandra Lopez-Leon ◽  
Cipatli Ayuzo Del Valle ◽  
Alejandra Huante Salceda ◽  
Luz Odette Villegas-Pichardo ◽  
Emil Scosyrev
Keyword(s):  
Medical Specialty ◽  
Cross Sectional Study ◽  
Specialty Choice ◽  
Female Physicians ◽  
Cross Sectional ◽  
Medical Specialties ◽  
Staff Members ◽  
Medical Careers ◽  
Medical Institutions ◽  
Female Surgeons

ABSTRACT Background One factor many women consider when choosing a medical specialty is the plan to have children and the compatibility of their chosen specialty with motherhood. Objective We surveyed Hispanic female physicians who are mothers to collect demographic information, specialty choice, childbearing, and professional and personal life characteristics, along with respondents' suggestions for female physicians who want to start a family, and how hospitals and medical institutions could enhance their support of female medical staff members with children. Methods The questionnaire was fielded on an online forum for Hispanic female physicians who are mothers. We summarized data by frequency and percentages, and means and standard deviations. Results Common medical specialties of respondents included pediatrics, family medicine, and obstetrics and gynecology, and 19% did not report a medical specialty. Most respondents were married (72%), had 1 or 2 children (89%), and worked at a public hospital 5 days a week (51%). Forty-four percent reported they slept 6 or more hours a night. Differences among specialties included dermatologists, radiologists, and gynecologists reporting working more than other specialties (6 to 7 days a week), psychiatrists reporting greater use of psychiatric medications, and anesthesiologists reporting lower rates of marriage. Female surgeons and emergency medicine physicians reported the highest consumption of alcohol. Conclusions The results offer initial insights into how medical specialty choice may affect female physicians' work-life balance and can be used to provide guidance to female learners who plan to have a family.

scholarly journals How long before hospital admission do the symptoms of heart failure decompensation arise?

2019 ◽  
Vol 27 ◽  
Author(s):  
Maraísa Carine Born ◽  
Karina de Oliveira Azzolin ◽  
Emiliane Nogueira de Souza
Keyword(s):  
Heart Failure ◽  
Hospital Admission ◽  
Clinical Signs ◽  
Emergency Admission ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Clinical Signs And Symptoms ◽  
Heart Failure Decompensation

ABSTRACT Objective: to identify the signs and symptoms of decompensation of heart failure (HF) and the duration of time to hospital admission. Method: this is a cross-sectional study with adult patients hospitalized for decompensated HF in a teaching hospital located in southern Brazil from July to October 2017. Data collection was performed through a structured questionnaire that included sociodemographic, clinical signs and symptoms of HF. In the data analysis, the following tests were applied: t-Student, Mann Whitney U-Test, Chi-Square Tests. Results: 94 patients, aged between 42 and 98 years old (mean of 71.2 years old) were included. The most prevalent signs and symptoms before emergency admission were dyspnea (79.8%), cough (29.8%), orthopnea (27.7%), edema (23.4%), and fatigue (22.3%). The median time from onset of signs and symptoms to arrival in the emergency room is fatigue and edema 7 days, orthopnea 5 days, cough 4 days and dyspnea 3 days. Conclusion: the set of classic signs and symptoms of decompensation of HF occurs around seven days before the emergency search and dyspnea is the worsening that leads the patient to a hospital emergency.

scholarly journals DYSMENORRHEA AMONG FEMALE MEDICAL SCIENCES STUDENTS IN MACHS: PREVALENCE, PREDICTORS AND OUTCOME

2020 ◽  
pp. 216-218
Author(s):  
LATHA S KANNAN ◽  
HASSAN EG ◽  
Sharell Lewis ◽  
Nisha Sivapalan ◽  
BERNADETTE CASINGAL ◽  
...  
Keyword(s):  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Descriptive Statistics ◽  
Sectional Study ◽  
Demographic Information ◽  
Medical Sciences ◽  
Chi Square ◽  
Cross Sectional ◽  
Menstrual History ◽  
Chi Square Test

Objective: This study intended to determine the prevalence, predictors, and outcome of dysmenorrhea among female medical sciences students at Mohammed Al-Mana College for Medical Sciences (MACHS), Dammam, Saudi Arabia. Methods: A cross-sectional study was adopted, and 292 female medical sciences students of MACHS were selected using stratified random sampling. A semi-structured and self- administrated questionnaire was used to collect personal and socio-demographic information from the selected female medical sciences students. The information about the menstrual history, stress, and smoking were also gathered. The data analysis was carried out using the descriptive statistics and Chi-square test. Results: The prevalence of dysmenorrhea was 73.28% among female medical sciences students. Concerning the signs and symptoms of dysmenorrhea, the abdominal pain was predominant symptoms among 73.28% of the respondents, and it was found to be statistically significant (p≤0.05). Sleep disturbance was observed as the prominent outcome of dysmenorrhea, as reported by 64% of the respondents.

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