Sociodemographic and reproductive profile of women with abortion complications in hospital in Recife

To describe the sociodemographic and reproductive characteristics of women with abortion complications in a tertiary hospital in the city of Recife. A cross-sectional study retrospectively analyzed 569 medical records and found 122 with abortion complications in 2008 to 2010 at Instituto de Medicina Integral Prof. Fernando Figueira. The frequency of abortion complications was 21.4%. The majority of women were between 20 and 35 years old, had eight or more years of schooling, were from Recife and the Metropolitan area, had no previous history of abortion and half of them were married. Among the complications, there was a high frequency of infection (77.0%), followed by the need for blood transfusion (15.6%). It was concluded that women in this study were young, with good education, living in an urban area. The main complication was infection and this could have contributed to abortion complications in maternal morbidity and mortality rates.

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Malaria among migrants in a university hospital in Colombia during 2018: A case series

Tropical Doctor ◽

10.1177/0049475520981301 ◽

2020 ◽

pp. 004947552098130

Author(s):

Fabián R Carreño-Almánzar ◽

Adán Coronado-Galán ◽

Sonia A Cala-Gómez ◽

Agustín Vega-Vera

Keyword(s):

Latin American ◽

Previous History ◽

Case Series ◽

Cross Sectional Study ◽

Imported Malaria ◽

University Hospital ◽

Sectional Study ◽

Cross Sectional ◽

History Of ◽

Clinical Profiles

Imported malaria has increased in Colombia since 2015 and has been attributed to migrants coming from Venezuela. We present a series of malaria cases, nested in a retrospective cross-sectional study between 2017 and 2018, aimed at calculating the prevalence of medical diseases among immigrants in a University Hospital in Colombia. Among 154 immigrants admitted for medical causes between 2017 and 2018, 8 were diagnosed with malaria, all due to Plasmodium vivax. Of these, seven had uncomplicated malaria, five had a previous history of malaria, one was critically ill, but none died. We highlight that, similar to other case series of imported malaria, Latin American migrants were young, with similar clinical profiles, having a low proportion of severe cases, and P. vivax was the most frequent cause.

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Medico-social Profile of Women Experiencing Menopausal Syndrome Attending a Periurban Hospital

Journal of Bangladesh College of Physicians and Surgeons ◽

10.3329/jbcps.v35i4.34738 ◽

2017 ◽

Vol 35 (4) ◽

pp. 179-183

Author(s):

Saria Tasnim ◽

FH Anamul Hoque ◽

Summyia Nazmeen

Keyword(s):

Health Care Services ◽

Psychological Symptoms ◽

Family Relationship ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Menopausal Syndrome ◽

Cross Sectional ◽

Care Services ◽

Nutritional Characteristics ◽

History Of

Women’s health is a global concern now a days. Studies on issues relating to menopause is lacking Bangladesh and those been conducted mainly focus on physical and psychological symptoms around the time of menopause. This cross sectional study was done to explore the sociomedical context and nutritional characteristics of a group of women approaching menopause A total 106 women aged 45-60 years attending Gynae outpatient department of a tertiary hospital between March- May, 2013 was interviewed using structured questionnaire after obtaining informed written consent. Height and weight was measured using standardized procedure. Data analysed using SPSS. Mean age was 50.3± 5.3 years, about 75.5% were between 45-50 years, 85.1% had more than 2 children and 72.6% had history of Abortion. Mean age at menopause 44.65 ± 6.4 years, range 32-58 yrs. Mean BMI was 25± 4.2 and 43.4% were overweight or Obese. Chronic illness like hypertension and arthritis was present in (15.09%) and diabetes mellitus in 10.3% . The family relationship with children was good in 78.09%, husband was reported caring in 72.3% and 2.8% receive abusive behavior from husband. Only 8.5% were self earning, 24.5% and & 17.9% were dependent on children and husband respectively. With increasing life expectancy and improvements of health care services there is greater chance of survival for a women beyond menopause. Sociocultural and medical characteristics of midlife women is important to explore their specific health needs. Ensuring quality of life for this special group of women will help to better utilize their potential for development of the country.J Bangladesh Coll Phys Surg 2017; 35(4): 179-183

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Hepatitis C in pregnancy: an observational study highlighting its association with maternal parameters

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20195941 ◽

2019 ◽

Vol 8 (1) ◽

pp. 344

Author(s):

Bushra . ◽

Ambreen Ghori ◽

Azra Ahmed ◽

Najma Dalwani ◽

Mushtaque Ali Shah ◽

...

Keyword(s):

Risk Factors ◽

Hepatitis C Virus ◽

Hepatitis C ◽

Previous History ◽

Cross Sectional Study ◽

University Hospital ◽

Prior History ◽

Singleton Pregnancy ◽

Cross Sectional ◽

History Of

Background: Pregnancy is a very crucial time in a woman’s life. In this period of time, not only multiple physiological alterations effect the usual health status but also makes women more vulnerable to contract infection and face negative sequalae. Hepatitis C, a blood borne viral infection serve the similar fate when encountered by pregnant ladies. This study is based on exploring the prevalence of the Hepatitis C virus seropositivity among pregnant population. Moreover, we also evaluated the major risk factors leading to the infection in these mothers. Besides this, infected mothers were studied for their pregnancy outcomes.Methods: In this study 114 pregnant females were observed for this cross-sectional study. It was conducted in Gynecology Unit- 1, Liaquat University Hospital Hyderabad, for the period of January 2017 to July 2017. Chi square test was applied for statistical analysis on SPSS version 16. The criteria for enrollment in the study was set to be a pregnant lady belonging to age group 20-35 years; having singleton pregnancy; was a booked case at the hospital with compliant to antenatal follow ups; admitted to the labor room for delivery. All the non-pregnant ladies, whom had co morbid conditions such as hypertension or diabetes or had infected with hepatitis B or D were excluded from the study. Furthermore, pregnant ladies with multiple gestion or those who were either diagnosed of hepatitis C prior to conceive or had a previous history of hepatitis C were also excluded.Results: Present study revealed that out of 114, 10(8.8%) pregnant ladies were found seropositive for Hepatitis C virus. Prior history for transfusion of blood was the Foremost risk factor discovered, with 60.5% women reported this. History of surgery was the 2nd commonest factor and 43.9% had this in their medical records. On the other hand, only 8.8% women gave the history for previous evacuation. While observing pregnancy outcomes, we found 48.2% neonates had low birth weight, 41.2% were born preterm and 21.1% had low APGAR score.Conclusions: In a nutshell hepatitis c is prevalent in the pregnant population of this region and showing its effects in the form of compromised pregnancies. History of blood transfusion and previous surgery were found to be chief risk factors in the study.

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

Toxins ◽

10.3390/toxins11010022 ◽

2019 ◽

Vol 11 (1) ◽

pp. 22 ◽

Cited By ~ 10

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.

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The Association Between Uric Acid and Symmetric Dimethylarginine Levels in the Patients Undergoing Twice-weekly Hemodialysis

Nephro-Urology Monthly ◽

10.5812/numonthly.117476 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Aida Lydia ◽

Yassir Yassir ◽

Rudy Hidayat ◽

Suhendro Suwarto

Keyword(s):

Uric Acid ◽

Venous Blood ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Hemodialysis Patients ◽

Bivariate Analysis ◽

Symmetric Dimethylarginine ◽

Cross Sectional ◽

Increased Risk ◽

History Of

Background: Uric acid (UA) levels are associated with increased risk of cardiovascular events and mortality in hemodialysis patients. However, there are still conflicting data on the mechanism of increased risks related to uric acid levels. Objectives: This study assessed the association between uric acid levels and symmetric dimethylarginine (SDMA), as a marker of cardiovascular disease, in the subjects undergoing hemodialysis twice weekly. Methods: This was a cross-sectional study conducted in a tertiary hospital in Jakarta, Indonesia. We included all the adults who underwent hemodialysis twice weekly for at least three months in our hospital. Subjects already on uric acid lowering therapy, pregnant or lactating women and those with a history of malignancy were excluded. Uric acid and SDMA levels were measured at the same time in pre-dialysis venous blood samples. Bivariate analysis was performed using the Mann-Whitney U test or one-way ANOVA. Results: A total of 126 subjects were included. The median level of UA was 8.4 mg/dL (IQR: 2.6, min: 4.1, max: 13.6), and 72 subjects (57.14%) had UA levels of 8 mg/dL or higher. The median SDMA level was 535.5 (312.7) mmol/dL (min: 119.7, max: 1895.5). Subjects with UA levels > 8 mg/dL had significantly higher SDMA levels compared to subjects with UA levels < 8 mg/dL (550.1 (IQR: 357.25) vs 491.35 (IQR: 181.1), P: 0.0475). Conclusions: In twice-weekly hemodialysis patients, UA levels above 8 mg/dL were associated with increased SDMA levels.

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Alcohol use disorder and its determinant factors among patients with schizophrenia attending treatment at mental specialized hospital, Addis Ababa, Ethiopia: A cross-sectional study

SAGE Open Medicine ◽

10.1177/20503121211048748 ◽

2021 ◽

Vol 9 ◽

pp. 205031212110487

Author(s):

Habtamu Tadesse ◽

Yohannes Mirkana ◽

Tadesse Misgana

Keyword(s):

Alcohol Use ◽

Alcohol Use Disorder ◽

Addis Ababa ◽

Previous History ◽

Cross Sectional Study ◽

Cross Sectional ◽

Duration Of Illness ◽

Specialized Hospital ◽

Audit Score ◽

History Of

Background: Alcohol use disorder is one of the primary causes of avoidable death, illness, and injury in many societies throughout the world. Although alcohol use disorder can influence the natural history of a disease, disease recurrence, quality of life, and treatment adherence in psychiatric patients, the data on its magnitude is scarce. Objectives: This study was aimed to determine the magnitude of alcohol use disorder and its determinants among patients with schizophrenia attending a mental specialized hospital in Addis Ababa, Ethiopia. Methods: An institutional-based cross-sectional study was conducted from May 15 to June 15, 2018. An alcohol use disorder identification test was employed among a sample of 414 randomly selected patients with schizophrenia. Alcohol use disorder was categorized as hazardous drinking (Alcohol Use Disorders Identification Test (AUDIT) score of 8–15), harmful drinking (AUDIT score of 16–19), and alcohol dependence (AUDIT score of 20 or above). The data were entered into Epi-Data 3.1 and exported to SPSS 20 for analysis. Logistic regression was fitted to identify factors associated with alcohol use disorder. Results: The prevalence of alcohol use disorder was 38.4% (95% confidence interval (CI) 33.7, 42.9). Of this, 22.4% of the patients had hazardous drinking, 8.4% harmful drinking, and 7.6% alcohol dependence. Factors associated with alcohol use disorder were male sex (adjusted odds ratio (AOR) = 5.8, 95% CI 2.55, 13.19), being single (AOR = 3.0, 95% CI 1.63, 5.51), divorced (AOR = 4.3, 95% CI 1.95, 9.47) and widowed (AOR = 3.5, 95% CI 1.39, 8.81), having family history of alcoholism (AOR = 3.8, 95% CI 1.98, 7.19), longer duration of illness (AOR = 3.9, 95% CI 1.83, 8.36), previous history of psychiatric diagnosis (AOR = 2.2, 95% CI 1.1, 4.34), and concomitant use of non-alcoholic substances (AOR = 3.7, 95% CI 2.06, 6.74). Conclusions: Almost four in ten patients with schizophrenia had alcohol use disorder. Male sex, single, divorced, and widowed, family history of alcohol use, long duration of illness, previous history of psychiatric diagnosis, and concomitant use of non-alcoholic substances were significantly associated with alcohol use disorder. Continuous counseling of at risk populations about alcohol consumption should be strengthened.

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Curaciones de Heridas Crónicas: Reto para el Cuidado en la Enfermería

Ciencia e Innovación en Salud ◽

10.17081/innosa.1.1.83 ◽

2013 ◽

Cited By ~ 2

Author(s):

Janeth Jinete Acendra ◽

Rosa Morales Aguilar ◽

Gloria Lastre Amell

Keyword(s):

Internal Medicine ◽

Diabetic Foot ◽

Chronic Wounds ◽

Cross Sectional Study ◽

Chronic Injury ◽

Cross Sectional ◽

Calidad De Vida ◽

Technological Advances ◽

The City ◽

De Medicina

Introducción: Las curaciones de las heridas crónicas se han convertido en un reto para la Enfermería. Las nuevas tendencias y avances tecnológicos en el manejo de estas heridas demandan la atención respecto al cuidado que se les debe brindar a los pacientes para mejorar su calidad de vida. Las heridas crónicas más prevalentes son las úlceras por presión y las de pie diabético. Objetivo: Identificar las curaciones de heridas crónicas realizadas por el personal de Enfermería en servicios de medicina interna de un hospital de la ciudad de Barranquilla. Materiales y métodos: Estudio descriptivo transversal en 51 enfermeras de los servicios de medicina interna de un hospital de Barranquilla. Como instrumento de medición, se usó un test de curación de heridas y los datos obtenidos se analizaron mediante el paquete estadístico SPSS 20. Resultados: El 100% de las enfermeras utilizan el tipo de curación convencionaly el tipo de heridas crónicas más común es el pie diabético, con un 73%. Conclusión: Se identificó que la herida crónicapredominante en los servicios de medicina interna de un hospital de Barranquilla fue el pie diabético, y el tipo de curaciones que realizó el personal de enfermería fue la curación convencional, debido a que en esta instituciónno cuentan con recursos necesarios para realizar las curaciones con alta tecnología. Aun así, el personal no desconoce que la curación con tecnología es eficaz.ABSTRACTIntroduction: Treatments for chronic wounds have become a challenge for nursing. New trends and technological advances in the treatment of these wounds demand attention regarding the care that must be afforded to patients to improve their quality of life. The most prevalent chronic wounds are pressure wounds and those related to gangrene. Objective: To identify the treatments for chronic wounds achieved by nursing personnel in the internal medicine services of a hospital in the city of Barranquilla. Materials and methods: A descriptive cross-sectional study of 51 nurses in the internal medicine services of a hospital in the city of Barranquilla. A test of injury treatments was used as an instrument of measurement and the data received was analyzed through the SPSS 20 statistical package. Results: 100% of the nurses used traditional treatments and the most common chronic injury was diabetic foot, at 73%. Conclusion: It was identified that the predominant chronic injury in the in the internal medicine services of the hospital in Barranquilla was diabetic foot, and the type of treatments that the nursing staff used was traditional, due to the fact that in that institution they do not access to the necessary resources to carry out the treatments with high technology. Nevertheless, the staff is aware that treatment with technology is efficient.

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MATERNAL OUTCOMES OF PREGNANCY-RELATED ACUTE KIDNEY INJURY

Pakistan Armed Forces Medical Journal ◽

10.51253/pafmj.v6i6.5813 ◽

2021 ◽

Vol 71 (6) ◽

pp. 2057-60

Author(s):

Irfan Khattak ◽

Samina Naseem Khattak ◽

Ayesha Imran ◽

Khawar Kamal ◽

Umairah Yaqoob

Keyword(s):

Acute Kidney Injury ◽

Kidney Disease ◽

Previous History ◽

Kidney Injury ◽

Cross Sectional Study ◽

Military Hospital ◽

Maternal Outcomes ◽

Recent Past ◽

Cross Sectional ◽

History Of

Objective: To determine the frequency of Pregnancy-related acute kidney injury in the Pakistani population and its effect on maternal health. Study Design: Cross-sectional study. Place and Duration of the Study: Department of Nephrology and Obstetrics and Gynecology, Combined Military Hospital Kharian, from Jan 2018 to Dec 2020. Methodology: All pregnant women with normal renal functions at the time of enrolment in the study and no previous history of any kidney disease or renal procedure in the recent past (at least 3 months) before conception were included in our study at Combined Military Hospital Kharian. All participants had serum creatinine tested at enrolment and were inquired specifically about any history of renal disease or any renal procedure in the recent past (at least 3 months old). Results: Mean maternal age in the study was 29 ± 7.67 years however it ranged from 16-41 years. Around a quarter of acute kidney injury cases occurred in the first and second trimesters combined, with 26 (12%) and 24 (11%) cases in the first and second trimesters, respectively. Thirty percent of acute kidney injury cases were diagnosed in the third trimester. A substantial number 58 (27%) of cases developed azotemia which persisted beyond three months and developed chronic kidney disease of various stages. Regarding maternal outcomes, 166 (77%) mothers recovered completely. However, 43 (20%) patients had some degree pf azotemia, a few cases required permanent renal replacement therapy. Conclusion: Acute kidney injury is a common problem in our community leading to suboptimal maternal outcomes..............

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A Study of Posterior Segment Pathology in Cataractous Eyes Using B-scan Ultrasonography

International Journal of Biomedicine ◽

10.21103/article11(1)_oa13 ◽

2021 ◽

Vol 11 (1) ◽

pp. 78-81

Author(s):

Mohammed Shakour ◽

Caroline Ayad ◽

Samih Kajoak ◽

Hamid Osman ◽

E. Rahim

Keyword(s):

Imaging Modality ◽

Previous History ◽

Cross Sectional Study ◽

Posterior Segment ◽

Ocular Surgery ◽

Diagnostic Modality ◽

Cross Sectional ◽

History Of ◽

And Gender ◽

Cataract Patients

Background: Ultrasonography (US) is a valuable diagnostic modality for detecting posterior segment eye diseases (PSEDs) in patients with cataractous eyes. This imaging modality can better facilitate planning surgery and predicting prognosis. The purpose of this study was to determine the role of B-scan US in evaluating posterior segment abnormalities of eyes in cataract patients pre-operatively to limit complications and visual impairment. Methods and Results: A prospective, cross‑sectional study to assess cataracts by US, as well as to detect posterior segment abnormalities of eyes in cataract patients, was conducted in Sudan at Albasar International Foundation (Makah Eye Complex in Omdurman) between December 2018 and December 2019. All patients (n=380; 48% males and 52% females; a mean age of 63±12.57 years) with non-visualization of the fundus, regardless of age and gender, were involved and were assumed to have orbital pathologies. Patients with high-risk extrusion of intraocular contents and a previous history of ocular surgery were excluded from the present study. All patients with dense cataracts were evaluated using standard US machines (Echoscan US-4000; NIDEK CO., LTD.) equipped with a real-time high-frequency probe. The typical age of the patients complaining of cataracts was between 61 and 70 years, which constituted 35% of cases, followed by age >70 years, which constituted 24.2% of cases. About 47.63% patients had ocular pathology in the posterior segment of the eye (Table 3). The most common PSEDs were vitreous abnormalities (46.2%). Among vitreous abnormalities, most abnormal eyes had vitreous changes (36.1%), followed by VD (3.7%); 1.3% of patients had retinal detachment. Conclusion: Ocular US should be the first screening modality in the evaluation of posterior segment pathologies in cataractous eyes and should be performed in cataract patients pre-operatively for better surgical planning and predicting post-operative visual prognosis.

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Patients’ Perception towards General and Pelvic Examination by Male Medical Students: A Cross-sectional Study in a Multi-ethnic Population

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v20i4.1680 ◽

2021 ◽

Vol 20 (4) ◽

Author(s):

Valliammai Jayanthi Thirunavuk Arasoo ◽

Nisha Angela Dominic ◽

Vanassa Ratnasingam ◽

Md Inzamum Ul Islam ◽

Erin Ziyi Lee ◽

...

Keyword(s):

Medical Students ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Public Health Care ◽

Male Students ◽

Pelvic Examination ◽

Sectional Study ◽

Health Care Centre ◽

Cross Sectional ◽

History Of

Introduction Male medical students globally have difficulty in obtaining consent to perform pelvic examination. We sought to identify independent factors influencing women consenting to male medical students performing general and pelvic examination under supervision. Methods This cross-sectional study conducted at a tertiary hospital and a public health care centre in Johor Bahru, Malaysia recruited 369 women above 18 years old who have had sexual intercourse before and no prior hysterectomy. A validated self-administered bilingual questionnaire was used to collect data on factors that influence them consenting to male medical students examining them and performing pelvic examination when indicated. Results The respondents were largely below 30 years old (52.9%), Malays (73.4%) and Muslims (75.3%). The consent rates for general and pelvic examination were 27.4% and 18.9%, respectively. Being a Muslim, having an occupation and being introduced by a male medical specialist increased the likelihood of women consenting to general examination. However, a history of being examined by male students decreased the likelihood by 64%. Believing that male doctors should have the skills to treat patients in women's health was the only independent factor that increased the likelihood for women to consent for pelvic examination to be conducted by male medical students. Conclusion Believing that male doctors should be skilled in treating women positively influences decision to consent. Explaining earnestly to women on how they aid in developing the skills of future doctors should be prioritised. Keywords: patients’ perception; male medical students; pelvic examination

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