Prevalence of nipple traumas and related factors among post-partum women assisted in a teaching hospital

Abstract Objectives: To estimate the prevalence of nipple traumas and to correlate this occurrence with socio-demographic and obstetric factors in a sample of assisted post-partum patients in a teaching hospital. Method: Cross-sectional, quantitative study of 320 post-partum patients assisted in the maternity from October 2015 to October 2016. Results: The prevalence of nipple trauma in the sample was 35.3%, and only previous experience with breastfeeding has behaved as a protective factor for trauma. No statistical associations were found with other variables. Conclusions and implications for practice: The data presented allowed us to delineate a profile of the post-partum patients assisted in a teaching hospital, as well as the characterization of the occurrence of nipple traumas. From this profile, guidelines can be established on the subject, both in the institution where the study was carried out and in other institutions, since from the literature, the need for this orientation in different contexts and institutions is identified.

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The prevalence and risk factors of musculoskeletal disorders among subcontracted hospital cleaners in Thailand

Journal of Health Research ◽

10.1108/jhr-01-2021-0040 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Thanaphum Laithaisong ◽

Wichai Aekplakorn ◽

Paibul Suriyawongpaisal ◽

Chanunporn Tupthai ◽

Chathaya Wongrathanandha

Keyword(s):

Risk Factors ◽

Musculoskeletal Disorders ◽

Teaching Hospital ◽

Stress Test ◽

Cross Sectional Study ◽

Related Factors ◽

Cross Sectional ◽

Middle Income ◽

Content Type ◽

History Of

PurposeThis research aimed to explore the prevalence of musculoskeletal disorders (MSDs) and related factors among subcontracted cleaners in a teaching hospital in Thailand.Design/methodology/approachA cross-sectional study was conducted of 393 subcontracted cleaners in a teaching hospital, from May to June 2020. Face-to-face interviews were carried out using a standard questionnaire, consisting of four parts: (1) participant characteristics, (2) stress test, (3) work characteristics and (4) standardized Nordic questionnaire, Thai version, for MSDs outcome. Multiple logistic regression analyses were performed to determine the association between MSDs and related factors.FindingsThe prevalence of MSDs was 81.9%, involving mostly the lower back (57.7%), followed by the shoulder (52.6%). Factors significantly associated with MSDs were as follows: male gender (OR = 3.06, 95% CI [1.19, 7.87]), severe stress (OR = 2.72, 95% CI [1.13, 6.54]), history of injuries (OR = 4.37, 95% CI [1.27, 15.11]), mopping posture (OR = 2.81, 95% CI [1.43, 5.50]) and task duration (OR = 1.90, 95% CI [1.01, 3.57] for 2–4 h and OR = 3.39, 95% CI [1.17, 9.86] for more than 4 h). Sick leave due to MSDs was associated with history of injuries, Thai nationality and having another part-time job.Originality/valueThe study findings about MSDs in terms of prevalence and related factors contributed to limited pool of the knowledge among subcontracted hospital cleaners in Thailand and middle-income country settings. With growing popularity in outsourcing cleaning services among hospitals in these countries, the study findings could raise a concern and inform policymakers and hospital administrators the importance of the magnitude and risk factors for MSDs necessitating design of preventive strategies.

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Knowledge of continent women on physiotherapy as a treatment of urinary incontinence

International Journal for Innovation Education and Research ◽

10.31686/ijier.vol6.iss8.1131 ◽

2018 ◽

Vol 6 (8) ◽

pp. 153-166

Author(s):

ENILDA MARTA CARNEIRO DE LIMA MELLO ◽

HANNA HELLEN FERNANDES MEDEIROS ◽

NIKELLY YORANNE DE AQUINO DE MATOS

Keyword(s):

Urinary Incontinence ◽

Physical Therapy ◽

Quantitative Study ◽

Health Professionals ◽

Age Groups ◽

Cross Sectional ◽

Physical Therapy Treatment ◽

The Subject ◽

Information Providers ◽

Therapy Treatment

Objective: To identify the knowledge about physiotherapy as a treatment of urinary incontinence in continent women. Methods: The study was characterized by a cross-sectional and quantitative study. A ten items questionnaire, created by the researchers, was used with related questions about women's health. The sample consisted of 60 continents women, aged between 20-90 years, divided into age groups, accommodating ten participants in each age delimitation as follows: 20-29, 30-39, 40-49, 50-59, 60-69, 70-90. Results: The results showed that 65% of the women did not know about the physiotherapeutic treatment for UI, 28.33% had heard and 6.67% knew about it. The channels of knowledge selected by the volunteers who claimed to know or hear about physiotherapy in the UI were 18.18% media, 31.82% were people known, 45.45% were health professionals, and 4.55% were other unna/med forms. It was also found that women aged between 60 and 90 years have more knowledge on the subject (15%) than those aged 20 to 39 (5%) and 40 to 59 years (0%). Conclusion: It is concluded, therefore, that continents women need more information regarding physical therapy treatment for urinary incontinence. In addition, this awareness should occur in a multidisciplinary way to cover a greater number of women and information providers, in view of the search for treatment early avoid greater complications.

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Indications for Caesarean Section and its Fetal and Maternal Outcome in a Teaching Hospital, Province Five, Nepal

Journal of Karnali Academy of Health Sciences ◽

10.3126/jkahs.v3i1.28462 ◽

2020 ◽

Vol 3 (1) ◽

Author(s):

Asha Panth ◽

Saraswoti Kumari Gautam Bhattarai ◽

Sunita Acharya

Keyword(s):

Caesarean Section ◽

Teaching Hospital ◽

Neonatal Intensive Care ◽

Post Partum ◽

Previous History ◽

Structured Interview ◽

Maternal Outcome ◽

Previous Caesarean Section ◽

Obstructed Labor ◽

Cross Sectional

Introduction: Cesarean section (CS) is an operative technique by which a fetus is delivered through an abdominal and uterine incision and is effective in saving maternal and infant lives but caesarean section rates higher than 10% are not associated with reductions in maternal and newborn mortality rates. The objective of the study was to find out the indications for caesarean section and its fetal and maternal outcomes in a Teaching Hospital, Province Five, Nepal. Methods: A descriptive, cross-sectional study was conducted in a teaching hospital, Nepal. A total of 150 purposively selected postnatal mothers after caesarean section were interviewed by face to face technique using a structured interview schedule. Analysis and interpretation of the findings were done with the help of descriptive and inferential statistics. Results: The study shows that the majority (93.3%) of mothers had undergone an emergency caesarean section and the majority (92%) had maternal indications for caesarean section. Among them, one third had a previous caesarean section followed by 14.5% obstructed labor. Fetal indications include breach (44.4%), fetal distress (29.6%), big baby (11.1) and twins and triplets (3.7%). Only (10.7%) had an unfavorable fetal outcome which includes the need for Neonatal Intensive Care Unit (NICU) (31.2%) followed by neonatal death (25%). Only three mothers (2%) had an unfavorable maternal outcome which includes Post-Partum Hemorrhage (PPH); need for blood transfusion and fever respectively. There is no statistically significant association between sociodemographic characteristics and type of caesarean section. There is a statistically significant association between the previous history of caesarean section and type of caesarean section (P= .005). Conclusions: Previous caesarean section was the most common indication for caesarean section. Unfavorable outcome after caesarean section was considerably present which needs to be addressed.

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Faktor-faktor yang Berhubungan Dengan Unmet Need KB Pasca-Salin IUD post-placenta di Kamar Rawat Pasca-bersalin RSUP DR. M. Djamil periode Januari-Maret 2013

Jurnal Kesehatan Andalas ◽

10.25077/jka.v2i3.158 ◽

2013 ◽

Vol 2 (3) ◽

pp. 158

Author(s):

Sari Handayani Utami ◽

Desmiwati Desmiwati2 ◽

Endrinaldi Endrinaldi

Keyword(s):

Post Partum ◽

Unmet Need ◽

Cross Sectional Study ◽

Survey Study ◽

P Value ◽

Significant Relation ◽

Cross Sectional ◽

Factors Associated ◽

The Subject ◽

Cross Sectional Design

AbstrakWanita pada periode post-partum memiliki angka unmet need terhadap kontrasepsi, padahal ini waktu yang tepat untuk mulai memakai kontrasepsi. Salah satu kontrasepsi pasca-salin terkini yang mulai disosialisasikan adalah IUD post-placenta. Namun demikian, masih belum banyak wanita pasangan usia subur yang menggunakan alat kontrasepsi ini bahkan mengetahuinya. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan unmet need KB pasca-salin IUD post-placenta. Jenis penelitian survey dengan desain cross sectional study. Waktu pengambilan data dari 12 Januari sampai dengan 12 Maret 2013. Sampel adalah wanita pasangan usia subur yang melahirkan pervaginam dan dipilih secara accidental sampling. Penelitian dilakukan pada 88 orang responden dengan 50 orang bukan akseptor KB IUD post-placenta dan 38 orang akseptor KB IUD Post-placenta. Pengumpulan data dilakukan menggunakan kuesioner melalui wawancara terpimpin. Data dianalisis secara univariat dan bivariat. Hasil penelitian menunjukkan faktor yang memiliki hubungan signifikan dengan unmet need IUD post-placenta adalah faktor pengetahuan (p value = 0,001), sedangkan faktor lain yang tidak memiliki hubungan signifikan adalah faktor pendidikan (p value = 0,222), faktor status ekonomi (p value = 1,000), dan faktor konseling KB (p value = 0,583).Kata kunci: faktor yang berhubungan, unmet need, KB pasca-salin, IUD post-placentaAbstractThe women in post-partum period have unmet need rate to contraception, whereas it’s approriate time to start using contraception. One of recent post-partum contraception method is IUD post-placenta. But, only a few women of fertile age couple use this contraception even has known it. The purpose of this study was to determine the factors associated to unmet need of post-partum contraception IUD post-placenta. This survey study with cross sectional design study. The data was collected from January 12 until March 12 2013. The subject were women of fertile age couple who give birth per vaginam and selected by accidental sampling. This study had 88 respondents consists of 50 as not IUD Post-placenta acceptors and 38 respondents as IUD post-placenta acceptors. The data collected by using questionnaire through guided interview and analyzed through univariate and bivariate.The result of analysis showed that the factor had significant relation to unmet need of IUD post-placenta is knowledge (p value = 0,001), while another factors did not have significant relation are education level (p value = 0,222), economic level (p value=1,000), and family planning counselling (p value=0,583).Keywords:the relating factors, unmet need, post-partum contraception, IUDpost-placenta

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A descriptive study of the admitted patients for injuries in a large teaching hospital in 2016

Journal of Surgery and Trauma ◽

10.32592/jsurgery.2021.9.4.103 ◽

2021 ◽

pp. 151-157

Keyword(s):

Teaching Hospital ◽

Severity Index ◽

Cross Sectional Study ◽

Injury Incidence ◽

Anatomic Site ◽

Related Factors ◽

Cross Sectional ◽

Large Teaching Hospital ◽

Significant Difference ◽

June July

Introduction: Injuries are the causes of irreparable damages and costs in urban and rural settings. Preventive procedures are effective if correct related information is gathered and provided. Therefore, this study aimed to investigate the injury patterns and related factors in a large teaching hospital. Methods: The current cross-sectional study was conducted at Edalatian Emergency Center, Mashhad, Iran, in 2016. All study subjects were extracted from the Hospital Information System (HIS).The demographic characteristics and injuries-related factors of 6,350 patients were extracted from the HIS. The extracted variables were emergency severity index (ESI), type of referral, referral reason, insurance organizations, age, anatomic site of injuries, and month of referral. The data were analyzed in SPSS software (version 21) using the descriptive statistics method (frequency and percentage). Results: The majority of the study population was composed of males (%76.4). In total, 98.3% of the patients were classified into the semi-urgent and non-urgent levels, and 75.6% of the cases were affected in the right upper extremity. The most common age group was between 10-20 (69.4%) years, and the majority of the cases were admitted in June, July, and August. Conclusion: The current study determined the pattern and most important reasons for injuries' referral to an emergency department. Accordingly, the injuries were more frequent in the young people and active human force in our community. Furthermore, there was a significant difference among the frequencies of injury incidence in the summer holidays. It seems necessary to develop preventive procedures for injuries.

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Physical violence and verbal abuse against nurses working with risk stratification: characteristics, related factors, and consequences

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2019-0882 ◽

2020 ◽

Vol 73 (suppl 5) ◽

Author(s):

Joyce Borges Ceballos ◽

Oleci Pereira Frota ◽

Hevelyn Francielle Soares Souto Nunes ◽

Patricia Lima Ávalos ◽

Camila de Carvalho Krügel ◽

...

Keyword(s):

Risk Stratification ◽

Quantitative Study ◽

Emergency Services ◽

Physical Violence ◽

Verbal Abuse ◽

Years Of Experience ◽

Inferential Statistics ◽

Related Factors ◽

Cross Sectional

ABSTRACT Objective: to analyze the characteristics, related factors, and consequences of physical violence and verbal abuse against nurses working with risk stratification. Methods: a cross-sectional, descriptive and quantitative study carried out with 80 nurses who work with risk stratification in emergency services. Data were collected using an adapted instrument and analyzed using (uni)bivariate inferential statistics. Results: companions were the main perpetrators of verbal abuse (86.1%); and patients inflicted physical violence (100%). Professionals with up to five years of experience are 74% less likely to suffer physical violence (p=0.029). Women suffer 5.83 times more verbal abuse than men (p=0.026). Sadness (15.8%) and fear of the aggressor (15.3%) were the main consequences of verbal abuse; and fear of the aggressor (22.2%) and stress (22.2%) were results of physical violence. Conclusion: violence is influenced by institutional, professional and client aspects. Therefore, coping with it requires multidimensional strategies.

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Coverage, universal access and equity in health: a characterization of scientific production in nursing

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.1082.2669 ◽

2016 ◽

Vol 24 (0) ◽

Cited By ~ 1

Author(s):

Sara Mendoza-Parra

Keyword(s):

Universal Access ◽

Document Retrieval ◽

Future Research ◽

Cross Sectional ◽

Equity In Health ◽

Units Of Analysis ◽

Access And Equity ◽

The Subject ◽

Visibility Index

Objectives: to characterize the scientific contribution nursing has made regarding coverage, universal access and equity in health, and to understand this production in terms of subjects and objects of study. Material and methods: this was cross-sectional, documentary research; the units of analysis were 97 journals and 410 documents, retrieved from the Web of Science in the category, "nursing". Descriptors associated to coverage, access and equity in health, and the Mesh thesaurus, were applied. We used bibliometric laws and indicators, and analyzed the most important articles according to amount of citations and collaboration. Results: the document retrieval allowed for 25 years of observation of production, an institutional and an international collaboration of 31% and 7%, respectively. The mean number of coauthors per article was 3.5, with a transience rate of 93%. The visibility index was 67.7%, and 24.6% of production was concentrated in four core journals. A review from the nursing category with 286 citations, and a Brazilian author who was the most productive, are issues worth highlighting. Conclusions: the nursing collective should strengthen future research on the subject, defining lines and sub-lines of research, increasing internationalization and building it with the joint participation of the academy and nursing community.

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The prevalence of educational burnout, depression, anxiety, and stress among medical students of the Islamic Azad University in Tehran, Iran

BMC Medical Education ◽

10.1186/s12909-021-02874-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ghazal Aghajani Liasi ◽

Sanaz Mahdi Nejad ◽

Nafiseh Sami ◽

Shahrzad Khakpour ◽

Batool Ghorbani Yekta

Keyword(s):

Medical Students ◽

Phase I ◽

Phase Ii ◽

Teaching Hospital ◽

Negative Consequences ◽

Place Of Residence ◽

Undergraduate Medical Students ◽

Related Factors ◽

Cross Sectional ◽

Academic Burnout

Abstract Background Psychological disorders have negative consequences on students’ learning and academic performance. In addition, academic burnout is one of the common challenges that affects students’ motivation and academic eagerness; however, the determinant is not clear. Medical students, meanwhile, demand special attention due to their professional responsibilities. In this regard, this study is conducted to investigate the academic burnout, rate of depression, anxiety and stress as well as related factors among undergraduate medical students at the Tehran Medical Sciences Islamic Azad University. Methods This cross-sectional and descriptive study was performed on medical students of Islamic Azad University of Tehran in 2017. In phase I, conducted on all stager students, Maslach Burnout questionnaire was used. In phase II, the DASS-42 questionnaire was provided for 123 students, 120 of whom met the inclusion criteria. In addition, another questionnaire including gender, age, lifestyle, marital and financial status, nutrition style, vitamin D deficiency, smoking, study hours per week, work efficiency and distance from the place of residence to the teaching hospital was used. Finally, the data extracted by SPSS version 23 was analyzed at the significance level of 0.05. Results In phase I of the study, 17 subjects showed academic burnout (16.3%). Out of all, 76.5% of students with academic burnout did not focus on the study and students’ academic burnout was associated with a decrease in their focus (P < 0.05). However, the relationship between academic burnout and other factors was not significant. In phase II, the prevalence of depression, anxiety and stress was 37.5, 41.1 and 30.3%, respectively. The prevalence of severe and very severe degrees that required psychiatric follow-up were 10.5, 10.5 and 7% for depression, anxiety and stress, respectively. According to statistical analyzes, there is a significant direct relationship between anxiety and the distance from the place of residence to the teaching hospital (P = 0.040). Conclusion The present study estimated the prevalence of academic burnout to be between 9.2 and 23.4%, considering the 5% error in the calculation, and the level of anxiety was related to the distance from the place of residence to the hospital.

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Methicillin-resistant Staphylococcus aureus (MRSA) nasal carriage among patients with diabetes at the Korle Bu Teaching Hospital

PLoS ONE ◽

10.1371/journal.pone.0257004 ◽

2021 ◽

Vol 16 (9) ◽

pp. e0257004

Author(s):

Ramzy B. Anafo ◽

Yacoba Atiase ◽

Fleischer C. N. Kotey ◽

Nicholas T. K. D. Dayie ◽

Patience B. Tetteh-Quarcoo ◽

...

Keyword(s):

Teaching Hospital ◽

Nasal Carriage ◽

Multidrug Resistant ◽

Coagulase Negative Staphylococci ◽

Diabetes Group ◽

Cross Sectional ◽

Patients With Diabetes ◽

Resistance Patterns ◽

Identification And Characterization

Aim To investigate the epidemiology of S. aureus and MRSA nasal carriage among people with diabetes at the Korle Bu Teaching Hospital in Accra, including the prevalence, predictors of carriage, and antibiotic resistance. Methodology This study was cross-sectional, involving 300 diabetes patients and 106 non-diabetic individuals. Swab specimens of the nares were obtained from the participants and bacteriologically-cultured. Identification and characterization of S. aureus and MRSA were based on standard bacteriological methods; antimicrobial susceptibility testing was by the Kirby-Bauer method. Results The prevalence of staphylococcal carriage, the diabetes group relative to the non-diabetes group, were 31.0% and 10.4% (S. aureus), and 3.3% and 0.0% (MRSA). Presence of diabetes predisposed to S. aureus carriage, but not MRSA nor coagulase-negative staphylococci (CoNS) carriage (OR = 3.88; p < 0.0001). Colonization with CoNS was protective of S. aureus (OR = 0.039, p < 0.001) and MRSA (OR = 0.115, p = 0.043) colonization among the diabetics. The antimicrobial resistance patterns recorded among the S. aureus isolated from the diabetic individuals relative to the non-diabetics were as follows: penicillin (95% vs. 91%), tetracycline (37% vs. 27%), cotrimoxazole (30% vs. 36%), erythromycin (17% vs. 0%), norfloxacin (13% vs. 0%), clindamycin (12% vs. 0%), gentamicin (9% vs. 0%), fusidic acid (10% vs. 9%), linezolid (4% vs. 0%), and rifampicin (5% vs. 0%). The proportion of multidrug resistant S. aureus was 41% (n = 38) in the diabetes group and 0% in the non-diabetes group; this difference was statistically significant (p = 0.01). Conclusions The presence of diabetes predisposed the participants to S. aureus carriage by almost four folds, but not MRSA carriage. Colonization with CoNS was protective of S. aureus and MRSA carriage in the diabetes group. Finally, linezolid remains a good therapeutic agent for anti-MRSA therapy.

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