scholarly journals Obstetrical complications among adolescent girls at the maternity ward of Ignace Deen National Hospital

2020 ◽  
Vol 9 (5) ◽  
pp. 1886
Author(s):  
Ibrahima Sory Balde ◽  
Abdourahamane Diallo ◽  
Mamadou H. Diallo ◽  
Ibrahima Sylla ◽  
Fatoumata B. Diallo ◽  
...  
Keyword(s):  
Adolescent Girls ◽  
Placenta Previa ◽  
Continuous Series ◽  
Maternity Ward ◽  
National Hospital ◽  
Factors Associated ◽  
Obstetrical Complications ◽  
Prenatal Consultation ◽  
One Year ◽  
A Prospective Study

Background: The objective of this study was to highlight obstetrical complications that occurred among adolescent girls who delivered at the ward and to identify factors associated with the occurrence of such complications.Methods: This was a prospective study of descriptive and analytical type extending over a period of one year from September 1, 2016 to August 31, 2017 carried out at the maternity ward of Ignace Deen National Hospital at Conakry Teaching Hospital (CHU). It covered a continuous series of 1034 deliveries among adolescent girls.Results: The frequency of childbirth among adolescent girls was 16.7%. The main complications identified were dystocia, severe preeclampsia, eclampsia, retroplacental hematoma, placenta previa, uterine rupture, severe anemia, postpartum hemorrhage and puerperal endometritis. These complications occurred among adolescent girls aged 18 to 19, christian, skin and pelvic bones secondary school or university students. Factors associated with such complications were the marital status (p=0.010), the gestational age (p=0.012), the number of prenatal consultations (p=0.001), the place of prenatal consultation (p=0.001), the reason for admission (p=0.000) and the mode of admission (p=0.000).Conclusions: Childbirth among adolescent girls is frequent in this context; complications are numerous but they are preventable in the vast majority of cases.

scholarly journals Placenta Previa: Factors Associated and Prognosis in The Maternity Ward of Borgou UHC

2019 ◽  
Vol 3 (4) ◽  
Author(s):  
Salifou K ◽  
Vodouhe M ◽  
Obossou A ◽  
Kitcho C ◽  
Hounkponou F ◽  
...  
Keyword(s):  
Placenta Previa ◽  
Maternity Ward ◽  
Factors Associated

scholarly journals Factors associated with caretaker’s readiness for disclosure of HIV diagnosis to HIV-infected children in Bangkok, Thailand

2014 ◽  
Vol 25 (13) ◽  
pp. 929-935 ◽  
Author(s):  
W Punpanich ◽  
R Lolekha ◽  
K Chokephaibulkit ◽  
T Naiwatanakul ◽  
P Leowsrisook ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Hiv Treatment ◽  
Preparation Process ◽  
Hiv Diagnosis ◽  
Paediatric Hiv ◽  
Factors Associated ◽  
One Year ◽  
A Prospective Study ◽  
Structured Questionnaire

Summary To determine factors associated with caretaker’s readiness to disclose an HIV diagnosis to their child, a prospective study was conducted among caretakers of HIV-infected children aged seven to 16 years who were receiving care at two paediatric HIV treatment centres in Bangkok. Caretakers were offered readiness preparation counselling and their perceptions on disclosure were assessed using a semi-structured questionnaire. Among caretakers who had participated in the readiness preparation process for at least one year, 71% (195/273) were ready for disclosure. Using logistic regression analysis, we found that child’s age of nine years or older, child’s severe immunosuppression, caretakers having prior discussion with their child about the illness, caretaker’s perception that their child had the ability to understand the HIV diagnosis and to keep it secret, and caretaker’s opinion that the proper age for disclosure is between seven and 12 years old were associated with caretaker’s readiness for disclosure. These determinants may be useful for guiding disclosure readiness preparation counselling.

scholarly journals Prevalence and Risk Factors Associated with Anaemia Amongst Adolescent Girls Attending in Pediatrics OPD of Nepalgunj Medical College

2017 ◽  
Vol 15 (1) ◽  
pp. 26-28
Author(s):  
Shakil Ahmad
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Body Mass ◽  
Adolescent Girls ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Medical College ◽  
Present Cross Sectional Study ◽  
One Year

Background: The habits that children inculcate during adolescence remains with them throughout the life. Anaemia is one of the most prevalent health conditions amongst the Girls residing in developing countries. The present study was conducted with the aim to determine the prevalence and risk factors associated with anaemia amongst adolescent girls attending in paediatrics OPD of Nepalgunj Medical College. Materials and methods: The present cross sectional study was performed for a period of one year (February 2016 - March 2017). This study was conducted amongst the girls attending to the Paediatrics department of Nepalgunj Medical College and Teaching Hospital, Nepalgunj. The study included all the girls aged between 10-19 years. Each Girls underwent physical examination under trained supervision to record sign of anaemia like pallor. Body mass index of all the subjects was also calculated. The data obtained was arranged in a tabulated form and analysed using SPSS software. Results: A total of 200 girls were enrolled in this study. The mean age of the study sample was 21.10+/-10.67 years. Majority of the early adolescents (68.5%) had anaemia. Least number (36%) of anaemic patients was seen in mid adolescence. There were 47.5% girls in late adolescence that showed signs of anaemia. There were 47.9% Girls who had passage of worms and 50.1% had no worm infestations. Majority (63.5%) of non anaemic Girls were in their post menarche stage. Conclusion: There were 52% of the girls who were anaemic in our study. The proportion of undernourished girls were significantly higher, therefore body mass index significantly affects anaemia.

scholarly journals Obstetric emergencies in the maternity ward of the Ignace Deen national hospital CHU of Conakry: sociodemographic, therapeutic and maternal fetal prognosis aspects

2020 ◽  
Vol 9 (12) ◽  
pp. 4799
Author(s):  
Ibrahima S. Balde ◽  
Ousmane Baldé ◽  
Ibrahima Sylla ◽  
Ibrahima T. Diallo ◽  
Alhassane I. I. Sow ◽  
...  
Keyword(s):  
Low Income ◽  
Specific Treatment ◽  
Case Fatality ◽  
University Hospital ◽  
Continuous Series ◽  
Maternity Ward ◽  
National Hospital ◽  
Cross Sectional ◽  
Emergency Procedures ◽  
Obstetric Emergencies

Background: Despite government efforts to reduce maternal mortality, the risk of a woman dying from obstetric complications is about one in six in the poorest regions of the world compared to one in thirty thousand in North Europe. The objective was therefore to describe the clinical socio-demographic aspects and to establish the maternal and fetal prognosis of obstetric emergencies.Methods: This was a descriptive cross-sectional prospective study over a 6-month period from January 1 to June 30, 2020 carried out at the maternity ward of the Ignace Deen national hospital (Conakry university hospital) in Guinea. The study looked at a continuous series of 662 obstetric emergency cases.Results: The frequency of admission of obstetric emergencies was 22.62%. They concerned young women (29.5 years old) on average, first-time mothers (53.32%), with low income professional activities, evacuated from a peripheral maternity unit (63.14%), no schooling (44.9%), married (92.3%), using the more often a means of public transport (66.5%) and whose pregnancies were poorly monitored (63.9%). Fetal emergencies were dominated by acute fetal distress (91.3%) and maternal emergencies were dominated by hypertensive emergencies (pre-eclampsia and eclampsia 37.44%) followed by hemorrhagic emergencies (last trimester hemorrhage and postpartum hemorrhage 34.34%). Pregnant and parturient women were more frequently admitted to labor (62.7%) and gave birth more frequently by caesarean section (86.70%). the staff reacted promptly to make a treatment decision in 75.5% of cases within fifteen minutes. emergency procedures were performed in less than fifteen minutes in almost all cases (97.4%), specific treatment was carried out in less than an hour in the majority of cases (68.3%). The maternal case fatality rate was 4.1% with the main cause of death being hemorrhagic shock of 51.8%. The stillbirth rate was 17.4%.Conclusions: The anticipation of emergency obstetric care (SOU) and close collaboration between the obstetrician, the anesthesiologist-resuscitator are essential in the management of obstetric emergencies.

Prevalence of safer needle devices and factors associated with their adoption: results of a national hospital survey

2002 ◽  
Vol 117 (4) ◽  
pp. 340-349 ◽  
Author(s):  
Raymond C Sinclair ◽  
Andrew Maxfield ◽  
Ellen L Marks ◽  
Douglas R Thompson ◽  
Robyn R.M Gershon
Keyword(s):  
National Hospital ◽  
Factors Associated

Evaluation of Breast Lumps by Ultrasound and Correlation with Histological Findings

2020 ◽  
Vol 23 (1) ◽  
pp. 10-12
Author(s):  
Nelema Jahan ◽  
Md. Mamunur Rahman ◽  
Mohammad Shahidul Alam ◽  
Md Saiful Islam
Keyword(s):  
Histopathological Examination ◽  
Breast Diseases ◽  
Histopathological Study ◽  
Common Symptom ◽  
Breast Lump ◽  
Histopathological Findings ◽  
Malignant Breast ◽  
Breast Lumps ◽  
One Year ◽  
A Prospective Study

Background: A breast lump is the most common symptom associated with both benign and malignant breast diseases. Therefore, a distinction of benign from malignant lump is of importance for proper management. Though a definitive diagnosis is possible with imaging for all the lesions, histopathological study is proven essential for confirming the diagnosis. Objective: The objective of this study was to evaluate the role of USG and histopathological findings of different breast lump in diagnosis and their comparison. Methods: A prospective study was conducted over a period of one year from January 2017 to December 2017. A total of 116 patients were included in this study. All breast lumps underwent surgery and the ultrasound findings of these lumps were compared with the histopathological findings. Data were collected from these patients by a preformed questionnaire and finally the data were analyzed. Results: Out of 116 patients only 21 cases were reported as malignant in ultrasound report but histopathology revealed 31 malignant patients. On histopathological examination 10 benign cases turned out to be malignant. Conclusion: The present study was undertaken to evaluate in diagnosing breast mass lesions individually by ultrasound and compared with histopathology for definitive management of a patient. Journal of Surgical Sciences (2019) Vol. 23 (1) : 10-12

The Probability of A1C Goal Attainment in Patients with Uncontrolled Type-2 Diabetes in a Large Integrated Delivery System: A Prediction Model

2020 ◽  
Author(s):  
Kevin M Pantalone ◽  
Anita D Misra-Hebert ◽  
Todd M Hobbs ◽  
Sheldon X Kong ◽  
Xinge Ji ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Goal Attainment ◽  
Index Date ◽  
Cleveland Clinic ◽  
Patient Characteristics ◽  
Psychiatric Disease ◽  
Lower Probability ◽  
Factors Associated ◽  
One Year

<b>Objective:</b> To assess patient characteristics and treatment factors associated with uncontrolled type 2 diabetes (T2D) and the probability of A1C goal attainment. <p><b>Research Design and Methods</b>: Retrospective cohort study using the electronic health record at Cleveland Clinic. Patients with uncontrolled T2D (A1C>9%) were identified on the index date of 12/31/2016 (n=6,973), grouped by attainment (n=1,653 [24.7%) or non-attainment (n=5,320 [76.3%]) of A1C<8% by 12/31/2017, and subgroups compared on a number of demographic and clinical variables. Based on these variables, a nomogram was created for predicting probability of A1C goal attainment. </p> <p><b>Results:</b> For the entire population, median age at index date was 57.7 years (53.3% male), and the majority were white (67.2%). Median A1C was 10.2%. Obesity (50.6%), cardiovascular disease (46.9%) and psychiatric disease (61.1%) were the most common comorbidities. Metformin (62.7%) and sulfonylureas (38.7%) were the most common anti-diabetes medications. Only 1,653 (24%) patients achieved an A1C <8%. Predictors of increased probability of A1C goal attainment were older age, white/non-Hispanic race/ethnicity, Medicare health insurance, lower baseline A1C, higher frequency of endocrinology/primary care visits, DPP-4i use, thiazolidinedione use, metformin use, GLP-1RA use, and fewer classes of anti-diabetes drugs. Factors associated with lower probability included insulin use and longer time in the T2D database (both presumed as likely surrogates for duration of T2D). </p> <p><b>Conclusions:</b> A minority of patients with an A1C>9% achieved an A1C<8% at one year. While most identified predictive factors are non-modifiable by the clinician, pursuit of frequent patient engagement and tailored drug regimens may help improve A1C goal attainment. </p>

scholarly journals High Incidence of Zika or Chikungunya Infection among Pregnant Women Hospitalized Due to Obstetrical Complications in Northeastern Brazil—Implications for Laboratory Screening in Arbovirus Endemic Area

Viruses ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 744
Author(s):  
Iracema J. A. A. Jacques ◽  
Leila Katz ◽  
Marília A. Sena ◽  
Ana B. G. Guimarães ◽  
Yasmim L. Silva ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Clinical Data ◽  
Obstetric Complications ◽  
Northeastern Brazil ◽  
Serological Tests ◽  
Pregnancy And Childbirth ◽  
Obstetrical Complications ◽  
Risk Pregnancy ◽  
Endemic Areas ◽  
A Prospective Study

The diagnostic of arbovirus-related obstetric complications in high-risk pregnancy and childbirth care is challenging, especially in endemic areas. We conducted a prospective study to track active or recent Zika (ZIKV), dengue (DENV), or chikungunya (CHIKV) virus infection among hospitalized pregnant women (PW) with obstetric complications in a hospital at the epicenter of Zika outbreak and ZIKV-related microcephaly in Brazil. Clinical data and blood samples were collected at enrollment and 10 days after the admission of study participants, between October 2018 and May 2019. Further clinical data were extracted from medical records. Samples were screened by molecular and serological tests. Out of 780 participants, 93.1% (95% CI: 91.1–94.7%) presented previous DENV exposure (IgG). ZIKV, CHIKV, and/or DENV laboratory markers of recent or active infection were detected in 130 PW, yielding a prevalence of 16.6% (95% CI: 14.2–19.5%); 9.4% (95% CI: 7.4–11.7%), 7.4% (95% CI: 5.7–9.7%), and 0.38% (95% CI: 0.1–1.2%) of CHIKV, ZIKV, and DENV infections, respectively. Most ZIKV infections were detected by molecular assays (89.6%), while CHIKV infections were detected by serology (95.9%). Our findings highlight the need for arbovirus infections screening in PW with obstetrical complications, potentially associated to these infections in endemic areas regardless of the signs or symptoms suggestive of arboviral disease.

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