scholarly journals Epidemiological aspects of uterine myomas among nulligest women at the general reference hospital of Panzi in Democratic Republic of the Congo

2021 ◽  
Vol 10 (5) ◽  
pp. 1759
Author(s):  
Sifa Balungwe ◽  
Raha Maroyi ◽  
Mpakanyi Joyeux ◽  
Mukango Omari ◽  
Mulongo Philémon ◽  
...  
Keyword(s):  
Informed Consent ◽  
Data Collection ◽  
Abdominal Ultrasound ◽  
Cross Sectional Study ◽  
Lumbar Pain ◽  
Survey Questionnaire ◽  
General Reference ◽  
Cross Sectional ◽  
Uterine Myomas ◽  
Republic Of The Congo

Background: Myomas appear early in young women. The objective of this study was to evaluate the frequency of uterine myomas among nulligest women screened at the Panzi Hospital in South Kivu.Methods: A cross-sectional study was conducted among women aged 20-35 years during the period from 01 August 2018 to 01 August 2019. Women were recruited for screening after their informed consent. Informed consent was sought prior to participation in the study. The main data collection tools were the survey questionnaire. An individual survey questionnaire was used for data collection, laboratory records and trans-abdominal ultrasound. Descriptive statistics were calculated.Results: The median age of the women was 25 years. Positive myotomy was noted in 45.9% of cases. Submucosal and subperitoneal localization was predominant (48.6%). Young, unmarried, overweight women were the most common. The mean age of the menarche was 11.83±1.48 years. The consumption of red meat, green vegetables and alcohol was more noted. Exposure to the sun and wearing half-covered clothing were also noted. Abdominal and lumbar pain were the main symptoms observed. The majority used lightening products.Conclusions: The study notes the early appearance of uterine myomas among women aged 20-35 years in our environment. A mass evaluation and screening of this population is necessary to establish prevention and the best management.

scholarly journals Epidemiological profile of Ascariasis in Provincial General Reference Hospital of Kinshasa, Democratic Republic of the Congo

2020 ◽  
Vol 2 (2) ◽  
pp. 541-546
Author(s):  
Motuta Amisi Christian ◽  
Djolu Djoza Ruphin ◽  
Masengo Ashande Colette ◽  
Gbolo Zoawe Benjamin ◽  
Bongo Ngiala Gédéon ◽  
...  
Keyword(s):  
Medical Records ◽  
Democratic Republic ◽  
Cross Sectional Study ◽  
Age Group ◽  
General Reference ◽  
Cross Sectional ◽  
Reference Hospital ◽  
Republic Of The Congo ◽  
Epidemiological Profile ◽  
The Brain

A cross sectional study was carried out on intestinal ascariasis, which is a helminth of fecal peril that colonizes the digestive tract with the possibility of complications in organs such as the intestines, liver, lungs and even the brain. The study was carried out at the General Reference Hospital of Kinshasa where medical records were used to collect data and the study period was from January 2016 and December 2017. The findings show females (61.19%) are predominant than males (38.80%), and the gender sex ratio (M/F) was 0.63. The incidence was high in June 2016 and November 2017 are the most affected months by Ascariasis in our study with 7 cases or 18.98% and 6 cases or 20% for each year. The age group between 31 - 40 years of age predominated by the attack of this parasitic affection with the extreme ages of 8 months and 75 years. The incidence varied with a peak in June with 7 cases or 18.98%. A variable incidence with a peak in November with 6 cases or 20%.

scholarly journals Abdominal re-interventions in Butembo City, Eastern part of the Democratic Republic of the Congo (DRC)

2019 ◽  
Vol 5 (1) ◽  
pp. 40-45
Author(s):  
Moise Muhindo Valimungighe ◽  
◽  
Joel Kambale Ketha ◽  
Michel Kalongo Ilumbulumbu ◽  
Nathan Bisimwa Mitima ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Morbidity And Mortality ◽  
General Reference ◽  
Cross Sectional ◽  
Reference Hospital ◽  
Initial Intervention ◽  
Republic Of The Congo ◽  
Surgery Department

Introduction: The abdominal re-intervention is an abdominal operation performed in the first 60 days of the initial abdominal surgery. It is badly consider because of its heavy morbidity and mortality and there is no clear indication of abdominal re-intervention. This study aims to determine the epidemiological, clinical and therapeutic characteristics of inpatient undergoing abdominal re-interventions in Butembo town. Methodology: This was a cross-sectional study that was carried out in Butembo City especially at Cliniques Universitaires du Graben, the Katwa General Reference Hospital (HGR), the Kitatumba HGR and the Matanda Hospital from June 1st to December 31st, 2016 and involved 418 inpatients in the abdominal surgery department, of whom 52 undergoing re-intervention. Results: Overall 12.44% of patients underwent the abdominal re-intervention; women were affected in 67.3% against men in 32.7% of cases. The age group between 20 and 30 years old was the most affected. Gynecological and obstetric interventions represent 38.46% of initial intervention. Postoperative abdominal pain alone accounts for 48.1% of complaints. Postoperative peritonitis is the etiology of re-interventions in 57.7%; 8 patients (15.4%) died and 75% of deaths are due to septic shock. Conclusion: The abdominal re-interventions are more frequent in Butembo city. This remains a public health problem because of their heavy morbidity and mortality. Multi-visceral failure is the most common cause of death

Psychosocial Impact of Covid-19 Pandemic on Frontline Healthcare Workers in Pakistan: A Cross-Sectional Study

2020 ◽  
Author(s):  
Quratul-Ain Zafar
Keyword(s):  
Data Collection ◽  
Emotional Distress ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Psychosocial Impact ◽  
Control Group ◽  
Study Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Frontline Healthcare Workers

Objective: The purpose of this study was to evaluate the impact of the COVID-19 pandemic on frontline healthcare workers in Pakistan in terms of psychological factors emotional distress, insomnia, and burnout. Study Design: Observational cross-sectional study. Place and Duration of Study: This study was conducted at different hospitals across Pakistan and data collection was carried out from 15th June 2020 till 15th August 2020. Material and Methods: This was a questionnaire-based study aiming to compare the levels of burnout and emotional distress between frontline COVID-19 and non-COVID-19 healthcare workers. Any physician, nurse, and other healthcare workers were recruited from emergency care units and Covid-19 care units (target group), and non-COVID-19 care units (control group). Participation was voluntary and participants had to complete self-reported questionnaires and scales. A mixed-mode data collection was carried out, either in paper or web-based form to ensure maximum participation. Results: The independent t-test showed a statistically significant difference between the two groups regarding depression, stress, and insomnia. The study group showed higher scores for these factors than the control group. Chi-square test of association revealed significant scores of burnout and professional fulfillment in both groups. There was a higher prevalence of burnout in the study group than in the control group. Conclusion: This study concludes that there was a significant psychosocial impact of the Covid-19 pandemic in the frontline healthcare workers measured in terms of emotional distress, insomnia, and burnout.

scholarly journals Obstetric Violence in Spain (Part III): Healthcare Professionals, Times and Areas

2021 ◽  
Vol 18 (7) ◽  
pp. 3359
Author(s):  
Desirée Mena-Tudela ◽  
Susana Iglesias-Casás ◽  
Víctor Manuel González-Chordá ◽  
María Jesús Valero-Chillerón ◽  
Laura Andreu-Pejó ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Informed Consent ◽  
Healthcare Professionals ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Lack Of Information ◽  
Obstetric Violence

Background: Obstetric violence is a worldwide public health problem, which seems greater in Spain. As no studies were found that identify the most representative healthcare professionals, times, and areas involved in obstetric violence, the objective of this work was to study at what time of maternity, with which professionals, and in what areas women identified obstetric violence. Methods: This descriptive, retrospective, and cross-sectional study was performed from January 2018 to June 2019. The main variables were the area (hospital, primary care, both), the time (pregnancy, birth, puerperium), and the professionals attending to women. Results: Our sample comprised 17,541 participants. The area identified with the most obstetric violence for the different studied variables was hospitals. Women identified more obstetric violence at time of birth. Findings such as lack of information and informed consent (74.2%), and criticism of infantile behavior and treatment (87.6%), stood out. The main identified healthcare professionals were midwives and gynecologists, and “other” professionals repeatedly appeared. Conclusions: Having identified the professionals, times, and areas of most obstetric violence in Spain, it seems necessary to reflect on not only the Spanish National Health System’s structure and management but also on healthcare professionals’ training.

scholarly journals Revisiting Konzo Risk Factors in Three Areas Differently Affected by Spastic Paraparesis in Eastern Democratic Republic of the Congo Discloses a Prominent Role of the Nutritional Status—A Comparative Cross-Sectional Study

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2628
Author(s):  
Marius Baguma ◽  
Espoir Bwenge Malembaka ◽  
Esto Bahizire ◽  
Germain Zabaday Mudumbi ◽  
Dieudonné Bahati Shamamba ◽  
...  
Keyword(s):  
Risk Factors ◽  
Nutritional Status ◽  
Democratic Republic ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cyanide Poisoning ◽  
Cross Sectional ◽  
High Prevalence ◽  
Republic Of The Congo

This comparative cross-sectional study aimed to better understand the respective contributions of protein malnutrition and cassava-derived cyanide poisoning in the development of konzo. We compared data on nutritional status and cyanide exposure of school-age adolescent konzo-diseased patients to those of non-konzo subjects of similar age from three areas in the Eastern Democratic Republic of the Congo. Our results show that konzo patients had a high prevalence of both wasting (54.5%) and stunting (72.7%), as well as of cyanide poisoning (81.8%). Controls from Burhinyi and those from Idjwi showed a similar profile with a low prevalence of wasting (3.3% and 6.5%, respectively) and intermediate prevalence of stunting (26.7% and 23.9%, respectively). They both had a high prevalence of cyanide poisoning (50.0% and 63.0%, respectively), similar to konzo-patients. On the other hand, controls from Bukavu showed the lowest prevalence of both risk factors, namely chronic malnutrition (12.1%) and cyanide poisoning (27.6%). In conclusion, cassava-derived cyanide poisoning does not necessarily coexist with konzo outbreaks. The only factor differentiating konzo patients from healthy individuals exposed to cyanide poisoning appeared to be their worse nutritional status. This further suggests that, besides the known role of cyanide poisoning in the pathogenesis of konzo, malnutrition may be a key factor for the disease occurrence.

scholarly journals REXIC project: retrospective cross-sectional study of documentation of informed consent for research biobanking in a public research and teaching hospital

2013 ◽  
Vol 2 (1) ◽  
pp. 10 ◽  
Author(s):  
Marta Nobile ◽  
Elena Garavelli ◽  
Barbara Gagliardi ◽  
Silvia Giovanelli ◽  
Paolo Rebulla ◽  
...  
Keyword(s):  
Informed Consent ◽  
Standard Model ◽  
Cross Sectional Study ◽  
Essential Elements ◽  
Cross Sectional ◽  
Research And Teaching ◽  
Single Standard ◽  
Set Up ◽  
Design And Methods

<em>Background</em>. The Center for Transfusion Medicine, Cell Therapy and Cryobiology, Milan, Northern Italy, is the headquarter of the POLI-MI biobank. It co-ordinates the biobank activities of the Fondazione Ca’ Granda Ospedale Maggiore Policlinico of Milan. Such activities require specific safeguarding of donors’ rights and protection of sensitive and genetic data. The Fondazione Ca’ Granda Ospedale Maggiore Policlinico has set up a project on informed consent with the aim of developing awareness and understanding of this issue. Within this project, it has been decided to evaluate how consent for biobanking material is expressed. <em>Design and methods.</em> The aim of the study was to evaluate the quality and completeness of consent to biobanking in the POLI-MI biobank. This was a retrospective study carried out in 2012 on samples of consent declarations collected by biobank units in 2011. Some units used a single, standard consent model available from a previous POLI-MI biobank workgroup. Other units used models which had been previouly formulated. Evaluation was made using a form that indicated the essential elements of consent. <em>Results</em>. A total of 48 consent declarations were collected using the single, standard model and 84 were collected using other models. The consent declarations that used the single, standard model were found to be the most complete and were filled in better than other models. <em>Conclusions</em>. Progressive adoption of a simple, standard consent model is expected to improve the quality of consent acquisition. Regular audit of the compliance of consent practices with ethical and legal requirements is mandatory to improve the quality of research biobanking.

scholarly journals Cross-sectional study to assess etiology and associated factors for anaemia during first trimester of pregnancy in Anuradhapura District, Sri Lanka: a protocol

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 223
Author(s):  
Gayani Amarasinghe ◽  
Vasana Mendis ◽  
Thilini Agampodi
Keyword(s):  
Sri Lanka ◽  
Data Collection ◽  
Pregnant Women ◽  
Associated Factors ◽  
First Trimester ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Anaemia In Pregnancy ◽  
In Pregnancy

Background: Anaemia in pregnancy, which can lead to adverse maternal and fetal outcomes, is a significant global health problem. Despite Sri Lanka’s strong public health system and commitment towards prevention, maternal anaemia remains a major problem in the country. While prevention is focused on iron deficiency, detailed etiological studies on this topic are scarce. Moreover, estimates of socio demographic and economic factors associated with anaemia in pregnancy, which can provide important clues for anaemia control, are also lacking. This study aims to evaluate the hemoglobin distribution, spatial distribution, etiology and associated factors for anaemia in pregnant women in Anuradhapura, Sri Lanka. Methods: This is a cross sectional study of pregnant women in their first trimester registered for antenatal care from July to September 2019 in the Anuradhapura district. The minimal sample size was calculated to be 1866. Initial data collection has already been carried out in special field clinics for pregnant women between June to October 2019. An interviewer-administered questionnaire, a self-completed dietary questionnaire and an examination checklist were used for data collection. In addition, all participants underwent complete blood count testing. Further investigations are being conducted for predicting the etiology of anaemia based on a developed algorithm (such as high-performance liquid chromatography [HPLC] and peripheral blood film analysis). Discussion: Being the largest study on anaemia during pregnancy in a single geographical area in Sri Lanka, this study will provide important clues about geographical clustering of anaemia cases with similar etiology, associated factors and etiologies which would help to develop interventions to improve the health of pregnant women in the area. The possibility of selection bias is a potential limitation associated with the study design.

scholarly journals Fetal foot length for assessment of gestational age: a cross sectional study

2021 ◽  
Vol 10 (8) ◽  
pp. 3153
Author(s):  
Vaibhav Sharma ◽  
Ruchi Saxena ◽  
Priyanka Gaur
Keyword(s):  
Gestational Age ◽  
Abdominal Ultrasound ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Maternal Characteristics ◽  
Foot Length ◽  
Adverse Pregnancy ◽  
The Relationship ◽  
Singleton Pregnancies

Background: Fetal age actually begins at conception and an equivalent term is conceptional age. Uncertain gestational age (GA) has been associated with adverse pregnancy outcomes independent of maternal characteristics. The objective was to evaluate the accuracy of fetal foot length (FFL) in estimation of gestational age.Methods: It was a cross sectional study. Trans abdominal ultrasound on 150 pregnant women with normal singleton pregnancies between 16 to 40 weeks was done to measure FFL. The relationship between GA and FFL was analysed by simple linear regression.Results: A linear relationship was demonstrated between FFL and GA. (GA (in weeks)=7.490+0.393×FFL (in mm)) with significant correlation (r=0.985, p<0.001).Conclusions: Ultrasonographic measurement of FFL is a reliable indicator of gestational age and can be a useful alternative to estimate GA when other routine biometric parameters are not conclusive.

scholarly journals Brain Malformations in Zika Virus Related Congenital Microcephaly: interactions among clinical and imaging scores and a semi-automated classification of severity based on MRI indices (RaRe - Radiological Reading score)

2020 ◽  
Author(s):  
Nathalia Bianchini Esper ◽  
Alexandre Rosa Franco ◽  
Ricardo Bernardi Soder ◽  
Rodrigo Cerqueira Bomfim ◽  
Magda Lahorgue Nunes ◽  
...  
Keyword(s):  
Data Collection ◽  
Zika Virus ◽  
Developmental Outcomes ◽  
Cross Sectional Study ◽  
Automated System ◽  
Automated Classification ◽  
Brain Abnormalities ◽  
Cross Sectional ◽  
Reading Score ◽  
Congenital Microcephaly

Objectives: We propose and evaluate a system for assessing severity of ZikV-related microcephaly brain abnormalities called RaRe (Radiological Reading score). The system is a combination of neuroradiologist evaluation scores; we also propose and evaluate its semi-automated version, which is generated from MRI indices. Design: We carried out a cross-sectional study with retrospective data collection at birth and 13-39 months; data collection includes radiologists evaluation of MRI images and a semi-automated system for analyzing MRI images from ZikV-related microcephaly patients; we also evaluated the association of severity and RaRe scores with developmental outcomes. Setting: Brain Institute of Rio Grande do Sul and Memorial Hospital Arthur Ramos, both in Brazil. Participants: 42 infants with ZikV-related congenital microcephaly (age at second evaluation M = 24.83 months; SD = 5.82). Mothers were infected by Zika Virus during pregnancy and were symptomatic or asymptomatic. Main outcome measures: Clinical and radiological outcomes (blindly reviewed); severity classification system (semi-automated - RaRe-Auto or based on neuroradiological evaluation - RaRe-Clin) and association with developmental outcomes (Bayley-III scales). Results: RaRe-Clin positively correlated with RaRe-Auto (r = 0.892; p < 0.001). Severity negatively associated with neurodevelopment scores assessed by Bayley-III scales in all three domains: cognition, language and motor skills. There was no association between trimester of infection and head circumference at birth (r = 0.160; p = 0.338) but there was an association between trimester of infection and RaRe-Clin (r = -0.355; p = 0.029). Conclusions: The clinical and semi-automated RaRe scores predicted Bayley scores. RaRe-Clin and RaRe-Auto can predict the trimester of infection and severity of outcomes and should be investigated in their further application with other congenital and infection-related brain abnormalities.

scholarly journals Push and Pull Factors of Transnational Street Begging in South Western Nigeria

2015 ◽  
Vol 13 (2) ◽  
Author(s):  
Usman Adekunle Ojedokun ◽  
Adeyinka Abideen Aderinto
Keyword(s):  
Data Collection ◽  
Federal Government ◽  
Strain Theory ◽  
Sampling Techniques ◽  
Survey Questionnaire ◽  
Pull Factors ◽  
Cross Sectional ◽  
Push And Pull Factors ◽  
Depth Interview ◽  
Push And Pull

Street begging in Nigeria has traditionally been dominated by indigenous beggars. However, a growing trend in the phenomenon in recent times is the involvement of migrant beggars in streets. Against this background, this paper examined the push and pull factors of transnational street begging in South Western Nigeria. The study was exploratory and cross-sectional in design. Anomie-strain theory was adopted as conceptual framework. Convenience and purposive sampling techniques were employed to select 395 respondents. Survey questionnaire and in-depth interview were the methods of data collection. Transnational street beggars attributed their involvement in street begging to different socio-economic and environmental challenges in their home-countries. Most of them (53.4%) migrated to Nigeria for better opportunity. The Federal Government of Nigeria is urged to put in place a mechanism through which refugees who are genuinely in need can be helped and/or distinguished from migrants who have permanently taken to street begging as their means of livelihood.

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