scholarly journals Frequency and associated factors with failure to perform the puerperal consultation in a cohort study

2019 ◽  
Vol 19 (1) ◽  
pp. 63-70
Author(s):  
Cristiane de Souza Gonçalves ◽  
Juraci Almeida Cesar ◽  
Luana Patrícia Marmitt ◽  
Carla Vitola Gonçalves

Abstract Objectives: to identify the frequency and factors associated with the non-realization of puerperal consultations in women resident of a medium-sized municipality in Brazil. Methods: a prospective cohort study based on data collected in two time points, the first 48h and after the 42nd day post-childbirth. In order to analyze data, proportions were compared using the chi-square test, and the adjusted analysis was performed using Poisson regression, according to a predetermined hierarchical model. Significance level was set at 5%. Results: of the 572 women included in the study, 24.8% did not perform puerperal consul-tations. The factors associated with the non-realization of puerperal consultations were: lower income (1 st tercile PR= 2.01; CI95%= 1.21-3.33 – 2 nd tercile PR= 1.94; CI95%=1.17-3.20) and schooling (≤ 8 years PR= 2.00; CI95%= 1.24-3.24), comorbidities during preg-nancy (PR= 1.45; CI95%= 1.01-2.09), realization of antenatal care in the public service (PR= 1.74; CI95%= 1.18-2.58) and non-use of contraceptive methods (PR= 3.10; CI95%=1.86-5.16). Conclusions: puerperal revision does not seem to be valued in the antenatal care, mainly in the public health system. An important inequality was identified in the provision of this service, since women more prone to recurring pregnancy and with lower income and schooling were the ones that least returned to the puerperal consultation.

2015 ◽  
Vol 28 (3) ◽  
pp. 319-326 ◽  
Author(s):  
Vanessa Ribeiro dos Santos ◽  
Diego Giulliano Destro Christofaro ◽  
Igor Conterato Gomes ◽  
Ricardo Ribeiro Agostinete ◽  
Ismael Forte Freitas Júnior ◽  
...  

OBJECTIVE: To analyze whether sarcopenia is associated with sociodemographic factors and chronic noncommunicable diseases in adults aged 80 years and older. METHODS: The sample consisted of 120 adults aged 80 to 95 years (83.4±2.9 years) from the city of Presidente Prudente (São Paulo, Brazil), of which 76 were females (83.4±3.0 years) and 44 were males (83.4±2.6 years). The study sociodemographic and epidemiological factors were: age stratum, gender, marital status, education level, chronic noncommunicable diseases, ethnicity, and nutritional status. Body composition was determined by Dual-Energy X-Ray Absorptiometry and sarcopenia was identified by the appendicular lean mass ratio (upper limb lean mass + lower limb lean mass [kg]/height [m]2). The Chi-square test analyzed whether sarcopenia was associated with sociodemographic and epidemiological factors and binary logistic regression expressed the magnitude of the associations. The data were treated by the software Statistical Package for the Social Sciences (17.0) at a significance level of 5%. RESULTS: The factors associated with sarcopenia were gender, age, nutritional status, and osteopenia/osteoporosis. CONCLUSION: The factors gender, age, nutritional status, and osteopenia/osteoporosis are independently associated with sarcopenia in adults aged 80 years and older.


2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Franco Cazembe Mufinda ◽  
Fernando Boinas ◽  
Carla Nunes

ABSTRACT OBJECTIVE The objective of this study is to estimate the seroprevalence of human brucellosis in livestock professionals and analyze the factors associated with brucellosis focusing on sociodemographic variables and the variables of knowledge and practices related to the characteristics of the activities carried out in livestock. METHODS This is a cross-sectional seroepidemiological study with a population of 131 workers of butchers, slaughter rooms, and slaughterhouse and 192 breeders sampled randomly in Namibe province, Angola. The data were obtained from the collection of blood and use of questionnaires. The laboratory tests used were rose bengal and slow agglutination. The questionnaire allowed us to collect sociodemographic information and, specifically on brucellosis, it incorporated questions about knowledge, attitudes, and behaviors of livestock professionals. In addition to the descriptive statistical approach, we used the Chi-square test of independence, Fisher’s test, and logistic regression models, using a significance level of 10%. RESULTS The general weighted prevalence of brucellosis was 15.6% (95%CI 13.61–17.50), being it 5.3% in workers and 16.7% (95%CI 11.39–21.93) in breeders. The statistical significance was observed between human seroprevalence and category (worker and breeder) (p < 0.001) and education level (p = 0.032), start of activity (p = 0079), and service location (p = 0.055). In a multivariate context, the positive factor associated with brucellosis in professionals was the professional category (OR = 3.54; 95%CI 1.57–8.30, related to breeders in relation to workers). CONCLUSIONS Human brucellosis in livestock professionals is prevalent in Namibe province (15.6%), where the professional category was the most important factor. The seroprevalence levels detected are high when compared with those found in similar studies.


2021 ◽  
Vol 6 (3) ◽  
Author(s):  
Pasionista Vianitati ◽  
Maria Yulita Meo

Objective:  The aim of this study to find out the relationship between public knowledge about health protocols and prevention measures for Covid-19 transmission in the Sikka Regency area.Methods:  This type of research is analytic observational with cross sectional design. A questionnaire was given to measure public knowledge about health protocols and an observation sheet to see the behavior of the community to prevent Covid-19 transmission. The sample in the study was 147 people using purposive sampling technique. Data analysis used Chi-Square with a significance level of α = 0.05.Results:  of this study were obtained public knowledge about the health protocol for the prevention of Covid-19 transmission was in a good category of 53.7% and most people made efforts to prevent Covid-19 transmission by 5M as much as 62.6%. And the results of statistical tests using the Chi Square test obtained pvalue = 0.029 <α = 0.05.Conclusion:  there is a significant relationship between public knowledge about health protocols and measures to prevent Covid-19 transmission in the Sikka Regency area. Therefore, all forms of health education to the public related to Covid-19 must continue to be carried out and carry out tiered evaluations related to the implementation of health protocols and it is hoped that the community will be more obedient to implementing health protocols to prevent Covid-19 transmission through 5M measures.


2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A44-A44
Author(s):  
H Lau ◽  
D O’Brien ◽  
J Hundloe ◽  
D Samaratunga

Abstract Introduction Patient non-attendance at outpatient sleep clinics is common and costly. Little is known about the factors associated with sleep clinic non-attendance, especially in an Australian context. The goal of our audit was to identify the patient, referral, and appointment factors that may affect attendance at an outpatient sleep clinic. Methods A case-control study was performed in 171 patients (57 cases / non-attenders and 114 controls / attenders) who had a sleep clinic appointment between September 20th, 2020 and March 21st, 2021. Statistical analysis was performed using the two-sided chi-square test with a 5% significance level. Results The overall rate of non-attendance was 10.8%. The rates of non-attendance between new and review cases were similar. Being single (odds ratio [OR]: 2.49; p = 0.010), middle-aged (OR: 4.39; p &lt; 0.001 vs. older-aged), or female (OR: 2.08; p = 0.026) was associated with a higher rate of non-attendance. English was the primary language for all non-attenders. A higher proportion of non-attenders than attenders were born in Australia. For new cases, the source of referral, reason for referral, and triage category did not affect attendance rates. Likewise, the patient’s primary sleep disorder and treatment status did not affect attendance for review cases. Conclusion Factors associated with non-attendance at an outpatient sleep clinic include being single, middle-aged, or female. By identifying patients at higher risk of clinic non-attendance, a more tailored approach can be developed to mitigate this issue.


PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241849
Author(s):  
Fernanda Raphael Escobar Gimenes ◽  
Flávia Fernanda Luchetti Rodrigues Baracioli ◽  
Adriane Pinto de Medeiros ◽  
Patricia Rezende do Prado ◽  
Janine Koepp ◽  
...  

Aims To identify the types of nasogastric/nasoenteric tube (NGT/NET)-related adverse events and to analyze the degree of harm and the factors associated with mechanical device-related complications. Materials and methods A prospective cohort study was conducted from October 2017 to April 2019 in seven Brazilian hospitals. Data from 447 adult patients with NGT/NET were collected through electronic forms. Three methods were used to assess the NGT/NET-related adverse events: (1) encouraging spontaneous reports; (2) regular visits to the wards; and (3) review of medical records. The events were classified as mechanical device-related complications and other events. The degree of harm was classified according to the World Health Organization’s International Classification for Patient Safety. Data were analyzed using the R program, version 3.5.3. The following tests were applied to identify associations between the explanatory and response variables: Cochran-Armitage Chi-Square test, Fisher’s exact test, and Linear-by-linear Chi-Square test. Logistic regression analysis was performed to verify the predictors of mechanical device-related complications. All analyses were performed considering a 5% significance level. Results 191 NGT/NET-related adverse events were identified in 116 patients; the majority were mechanical device-related complications and resulted in mild harm to the patient. At the moment of the event, patients had a mean of 3.27 comorbidities, were highly dependent on nursing care, with high risk of death and altered level of consciousness. There was no association between the degree of harm and the care complexity, disease severity or level of consciousness. Intensive care was the strongest predictor for mechanical device-related complications and critical patients had a four times greater likelihood of presenting this type of event when compared to patients receiving minimal care. Conclusion Intensive care patients should receive special attention as the complexity of care is an important predictor for mechanical device-related complications in tube fed patients.


2021 ◽  
Author(s):  
Mohammed Yousif Elnaeem Yousif ◽  
Moh.Mah.Fadel Allah Eljack ◽  
Osman Amir ◽  
Mohammed Alfatih ◽  
Akram Khalid Al Tigany Al Shiekh ◽  
...  

Abstract Background : (COVID-19) had a great impact on the world’s health systems since December 2019. A little is known about the clinical characteristics and risk factors associated with COVID-19 severity in Sudanese Patients; therefor it is necessary to summarize the clinical characteristics of patients with COVID-19 and to explore the risk factors associated with COVID-19 severity. Methods : A one-year retrospective cohort study (May 2020- May2021) was done at three isolation centers in Wad Medani. Sample contained all COVID-19 patients who are over 18 years old and were confirmed to be COVID-19 by nucleic acid testing or features Suggestive of Covid19 on Chest CT scan. Results : This study included 418 patients confirmed COVID-19 cases with a median age of 66.3±13years. 179 (64.2%) patients were men. Hypertension (n=195; 46.7%) and diabetes (n=187; 44.7%) were the most common comorbidities. The most common symptoms at COVID-19 onset were fever (n=303; 72.5%), cough (n=278; 66.5%) and dyspnea (n= 256; 61.2%). the overall mortality rate was 35.4% (n=148). The morality rate was 42.3% (n=118) among patients with severe disease. The Chi-square test and ANOVA analysis revealed that older age, anemia, neutrophilia and lymphcytopenia, higher glucose levels, HbA1c levels and creatinine levels were variables associated with severe COVID-19. In inflammatory markers, the levels of CRP and d-dimer were elevated in severe infection more than moderate and mild infections. Conclusion : Patients with these factors are more likely to deteriorate into severe infection and have higher mortality rate than those without these factors.


Author(s):  
Andreia Rodrigues da Silveira Miranda ◽  
Hugo Christiano Soares Melo ◽  
Aletheia Moraes Rocha ◽  
Eva Mendes Monteiro ◽  
Sandra Regina Afonso Cardoso ◽  
...  

Objective: to evaluate the prevalence and risk factors associated with self-medication in pre- and postoperative conditions in tooth extraction. Method: interviews were conducted with 40 patients from a university dental clinic between September and October 2018, addressing socio-demographic variables, medication use and comorbidities. Chi-square test with significance level of p<0.05 was applied. Results: the prevalence of preoperative self-medication was 52.5% and 15% after surgery, of which 5% self-medicated before and after the procedure (p<0.001). It was found that 68.4% of the respondents who self-medicated preoperatively were women, and postoperatively, 75% were men (p<0.05). The most taken drugs before surgery were analgesic (p<0.05) and after were anti-inflammatory (p>0.05). Conclusion: tooth extraction was a protective factor for self-medication. This behavior varied between sexes, requiring specific prescription protocols for men and women in dental extraction.


Author(s):  
Mochamad Ma’roef ◽  
Bayu Hendrawan

Antenatal care is a service provided by healthcare professionals for identifying health conditions among pregnant mothers. This study aimed to identify the correlation between Supplementation Folic Acid and Sulfas Ferrosus during Antenatal Care and Low Birth Weight (LBW) at General Hospital Jombang, Jombang, East Java. Observational analytic design was used in this study with case control. Simple random sampling was chosen in this study. The data was analyzed using chi-square test if p (0.000) < (0.05). According to chi-square test, the results showed a significance level of p (0.000) < (0.05). Significant correlation was obtained from the result and depicted on contingency coefficient value reaching (0.626) with OR 0.11 (95%CI:0.02-0.65). It can be concluded that there is a significant correlation between supplementation Folic Acid and Ferrous Sulfas during Antenatal Care and Low Birth Weight (LBW).


2021 ◽  
Vol 2 (5) ◽  
pp. 1808-1811
Author(s):  
Yuni Retnowati

Preeclampsia is hypertension that can affect all organs, occurs after 20 weeks ofgestation, which begins with endothelial dysfunction and decreased organ perfusionoften characterized by proteinuria. Preeclampsia occurs in 5-7% of all pregnanciesand is the leading cause of maternal death in the developing world. The purpose of thisresearch was to identify risk factors associated with the incidence of preeclampsia inpregnant women at the Public health center Karang Rejo Tarakan in 2021. Thisresearch used a case-control study design. The data used secondary data from mothersmedical record with preeclampsia and without preeclampsia in the period 1 July 2020-30 June 2021. The number of samples was 60 cases and controls. Analysis of dataused univariate, bivariat analysis used chi square test. Results: Bivariat analysisshowed that factors associated with preeclampsia were age> 35 years and a history ofhypertension. Conclusion: The most dominant factor related to the incidence ofpreeclampsia in pregnant women is a history of hypertension


2014 ◽  
Vol 48 (1) ◽  
pp. 57-64 ◽  
Author(s):  
Janaína Fonseca Victor ◽  
Gabriele Dias Gomes ◽  
Luana Rodrigues Sarmento ◽  
Arethusa Morais de Gouveia Soares ◽  
Fernanda Rochelly do Nascimento Mota ◽  
...  

This study aimed to investigate the sociodemographic, clinical and behavioral factors and receiving information about the vaccine against pandemic influenza A (H1N1) associated with vaccination of elderly people. Study of quantitative and transversal nature, in which 286 elderly residents in Fortaleza, CE, Brazil participated. The association between variables was analyzed by the Pearson chi-square test, considering a 95% confidence interval and significance level (p≤0.05). The results revealed that, unlike the sociodemographic characteristics, many clinical, behavioral and informational aspects correlated significantly with adherence to Influenza A (H1N1) vaccination. It is believed that the findings can be used in strategies to control and prevent infection by viral subtypes within the elderly population, extensible even to other vaccine-preventable diseases, especially in light of possible future pandemics.


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