scholarly journals Effect of dexamethasone on daily fetal movement, umbilical and middle cerebral arteries Doppler and cardiotocogram

2021 ◽  
Vol 10 (11) ◽  
pp. 4041
Author(s):  
Ahmed Alanwar ◽  
Sherif Akl ◽  
Sherif Hanafi ◽  
Nader Mohamed
Keyword(s):  
Perinatal Death ◽  
Cerebral Arteries ◽  
Public Health Problem ◽  
Elective Cesarean Section ◽  
Doppler Velocity ◽  
Short Term ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Fetal Movements ◽  
Short Term Variability

Background: Preterm birth is a leading cause of perinatal death and disability and is an important public health problem globally. There is more work to be done regarding steroids effect, especially with the variations among demography and pathological conditions affecting mothers. The aim of this study was to investigate the effect of dexamethasone on healthy fetuses, observing the effects on MCA and UA Doppler velocity waveforms and cardiotocography, correlating them with fetal movement.Methods: This prospective cross-sectional study was conducted in Ain Shams University Maternity Hospital, starting from April 2020 till December 2020. One hundred and ten women was recruited for the study. All women undergo elective cesarean section before 39 weeks of gestation. UA and MCA Doppler values were taken; nonstress test was recorded and fetal movements were counted after a single course of dexamethasone.Results: Our results included decrease in MCA PI, decrease in foetal movement count on the second day of dexamethasone injection, increase of short-term variability and direct correlation between the MCA RI and UA PI with the fetal movements decrease on the 5th day of dexamethasone injection.Conclusions: There are definitely cardiovascular changes that occur after dexamethasone administration, presented by increase in MCA blood flow and increase in FHR short term variability. 

scholarly journals Analisis faktor kejadian wasting pada anak balita 12-59 bulan di Puskesmas Bulili Kota Palu: Studi cross sectional

2021 ◽  
Vol 6 (2) ◽  
pp. 111
Author(s):  
Hepti Muliyati ◽  
Menis Mbali ◽  
Hadidja Bando ◽  
Riana Pangestu Utami ◽  
Opyn Mananta
Keyword(s):  
Public Health ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Public Health Problem ◽  
Sampling Technique ◽  
P Value ◽  
Fisher Exact Test ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Exact Test

Wasting on children is an important public health problem because of its considerable impact on their health and growth. This problem could lead to iron deficiency which could induce infection disease and probably lower a child’s intelligence as a long-term effect. This study aimed to analyze factors related to wasting on 12-59 months children in Bulili Public Health Center (PHC), Palu City. The analytical descriptive study designed with a cross-sectional approach was applied in this study. One hundred and twenty-one subject was selected from 283 children with purposive sampling technique. Data were analyzed with chi-square and Fisher exact test with significant (p < 0,05). The result showed that most children with low birth weight experienced wasting with a p-value = 0,000. Most of the children from higher-income families did not experience wasting with a p-value = 0,004. Most children who didn’t receive breastfeeding milk did not experience wasting with a p-value = 0,958. This study concluded a correlation between low birth weight and income to wasting, but breastfeeding practice was not related.

scholarly journals Clinical and epidemiological profile of hypertensive patients at the primary health care level in the state of Alagoas

2018 ◽  
Vol 50 (6) ◽  
pp. 349-357
Author(s):  
Raphaela Costa Ferreira ◽  
Bruna Merten Padilha ◽  
Yasmin Eugênia Santos e Silva Pedrosa ◽  
Rosielle Batista Ferreira ◽  
Poliana Coelho Cabral ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Public Health Problem ◽  
Population Based ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Study Objective ◽  
Hypertensive Patients ◽  
Primary Health ◽  
Epidemiological Profile

Study design: This was a cross-sectional, population-based and descriptive study. Study objective: To describe the clinical and epidemiological profile of hypertensive patients at the primary health care of Alagoas state. Methods: This study was carried out in the Basic Health Units of 12 cities of Alagoas, between 2014 and 2015, with hypertensive individuals between 20 and 60 years, of both gender. Socioeconomic, demographic, clinical, lifestyle, anthropometric and biochemical data were collected. Data were analyzed using descriptive statistics by Epi-Info version 7. Results: We evaluated 645 individuals. Of these, 86.2% were women, 62.3% had uncontrolled blood pressure, 41.9% had low educational level, 11.1% were smokers, 26.3% were alcohol users, 64.7% were sedentary, 48.4% were obese, 73.6% had high cardiovascular risk, according to waist circumference; 54.4% and 47.2% had elevated total cholesterol and triglycerides, respectively. Conclusion: Since hypertension is an important public health problem that has serious consequences, the knowledge of the hypertensive population profile of Alagoas will facilitate the treatment for the health of patients with this condition.

scholarly journals Fetal Vibroacoustic Stimulation in Computerized Cardiotocographic Analysis: The Role of Short-Term Variability and Approximate Entropy

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Maria Laura Annunziata ◽  
Mariamaddalena Scala ◽  
Natascia Giuliano ◽  
Salvatore Tagliaferri ◽  
Olga Carmela Maria Imperato ◽  
...  
Keyword(s):  
High Risk ◽  
Perinatal Outcomes ◽  
Approximate Entropy ◽  
Computer Assisted ◽  
Short Term ◽  
Fetal Movements ◽  
The Impact ◽  
Short Term Variability

The aim of this study was to evaluate the impact of vibroacoustic stimulation (VAS) on computerized cardiotocography short-term variability (STV) and approximate entropy (ApEn) in both low- and high-risk pregnancies. VAS was performed on 121 high- and 95 low-risk pregnancies after 10 minutes of continuous quiet, while their FHR parameters were monitored and recorded by cCTG analysis. Fetal heart rate was recorded using a computer-assisted equipment. Baseline FHR, accelerations, decelerations, STV, long-term irregularity (LTI), ApEn, and fetal movements (FMs) were calculated for defined observational periods before VAS and after 10 minutes. Data were also investigated in relationship with the perinatal outcome. In each group of patients, FHR after VAS remained almost unmodified. Fetal movements significantly increased after VAS in both groups. Results show that only in the high-risk pregnancies, the increase of STV and the decrease of ApEn after VAS were significantly associated with favorable perinatal outcomes.

scholarly journals Assessment of the prevalence of vertical hepatitis B transmission in two consecutive generations

2018 ◽  
Vol 64 (2) ◽  
pp. 154-158
Author(s):  
Larissa Akeme Nakano ◽  
Jéssica Toshie Katayose ◽  
Rodrigo Martins Abreu ◽  
Luis Cláudio Alfaia Mendes ◽  
Maria Cleusa Martins ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Vertical Transmission ◽  
Preventive Measures ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Two Generations ◽  
Hepatitis B Transmission ◽  
The Mean

Summary Introduction: Hepatitis B is an important public health problem in the world and one of the forms of contagion would be through vertical transmission. Precose diagnosis allows the adoption of prophylaxis measures, which results in prevention in more than 90% of cases. Objective: To describe the prevalences of vertical transmission and compare two generations (mother/patient and patient/child). Method: This was a cross-sectional study, which included 101 patients. The interviews were performed through the application of the instrument of data collection and information of the physical file before the medical consultation. Results: The mean ± SD of age was 50.9 ± 13.1 years, the male gender predominated, with 56.4% of the patients, and the predominance was white, with 43.6%. Vertical transmission between mother and patient occurred in 17.8% and between patient and child, in 7.9%. In all of the eight cases of vertical transmission, the diagnosis was after the birth of children infected with HBV, and in 3/8 (37.5%), there was more than one case of infection by this mechanism per patient, totaling 13 children with the disease. Conclusion: There was a reduction in vertical transmission, showing that preventive measures were effective.

scholarly journals Comparative study of DIPSI and WHO 2018 criteria for diagnosis of GDM

2020 ◽  
Vol 22 (1-2) ◽  
pp. 13-17
Author(s):  
Biloni Shrestha ◽  
L Pokhrel
Keyword(s):  
Diagnostic Criteria ◽  
College Teaching ◽  
Public Health Problem ◽  
Tolerance Test ◽  
Cross Sectional Study ◽  
Single Step ◽  
Oral Glucose ◽  
International Consensus ◽  
Important Public Health Problem ◽  
Cross Sectional

Gestational Diabetes Mellitus (GDM) is an important public health problem. Prevalence has shown an increasing trend and varies based on diagnostic criteria used and the ethnic group studied. It is more common in Asia. Presently, there is no international consensus on the screening and diagnostic criteria for GDM. The Diabetes in Pregnancy Study Group of India (DIPSI) guidelines recommend the non-fasting 75g oral glucose tolerance test (OGTT) as a single-step screening and diagnostic test for GDM, is simple, easy and more feasible. The objective of this study was to compare whether the DIPSI criteria is equally sensitive to WHO 2018 criteria. This was a hospital based cross-sectional study done at Nepal Medical College Teaching Hospital, Kathmandu. Among 425 cases, 25 (5.88%) were diagnosed GDM, 6 (1.41%) were diagnosed only by DIPSI, 5 (1.18) only by WHO 2018 and 14 (3.29%) by both methods. The study showed that the sensitivity of DIPSI was 73.68% and specificity was 98.52%. The agreement between the DIPSI and WHO 2018 criteria ranged from 60% to 80% (Kappa value = 0.68). This study proves that DIPSI criteria is comparable to WHO 2018 criteria and can be adopted in our institution for the diagnosis of GDM as it is more feasible, easy and less expensive.

Population-based cardiovascular risk factors in the elderly in Turkey: a cross-sectional survey

Open Medicine ◽  
2008 ◽  
Vol 3 (2) ◽  
pp. 173-178 ◽  
Author(s):  
Adem Ozkara ◽  
Faruk Turgut ◽  
Mehmet Kanbay ◽  
Yusuf Selcoki ◽  
Ali Akcay
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Coronary Artery ◽  
Cardiovascular Risk Factors ◽  
Past History ◽  
Public Health Problem ◽  
The Elderly ◽  
Cross Sectional Survey ◽  
Important Public Health Problem ◽  
Cross Sectional

AbstractHypertension, diabetes, hyperlipidaemia, obesity and smoking are known to be the most important modifiable risk factors for cardiovascular disease (CVD). Because the elderly population has been increasing globally, CVD may become a more important public health problem in the future. This report examines the prevalence of cardiovascular risk factors in the elderly in Ankara, Turkey. This was a cross-sectional survey and included a total of 2720 individuals living in the Ankara district. Trained research staff administered a standard questionnaire in the participants’ homes and worksites. The questionnaire collected information on clinical and demographic characteristics and a self-reported medical history, including past history of hypertension, diabetes, hyperlipidemia, coronary artery disease, coronary artery by-pass graft operation, and cerebrovascular accident. The mean age of the study participants was 69.5 ± 7.2 years. The study identified 1298 women (78.1%) and 753 men (71.2%) with hypertension, and the overall prevalence of hypertension was 75.4%. A total of 739 (27.2%) people had diabetes mellitus, and, of these people, 603 (81.6%) were hypertensive. A total of 1361 people had hyperlipidemia, and 1103 of these patients were also hypertensive. The overall prevalence of obesity was 27.2%. A total of 553 (20.3%) people were smokers. Our findings indicate that cardiovascular risk factors are very common in the elderly. To maximize risk reduction, physicians must take aggressive measures to decrease cardiovascular risk factors.

scholarly journals A perspective on vegetarian dietary patterns and risk of metabolic syndrome

2015 ◽  
Vol 113 (S2) ◽  
pp. S136-S143 ◽  
Author(s):  
Joan Sabaté ◽  
Michelle Wien
Keyword(s):  
Metabolic Syndrome ◽  
Dietary Patterns ◽  
Dietary Pattern ◽  
Public Health Problem ◽  
Current Evidence ◽  
Case Control Studies ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
The Metabolic Syndrome ◽  
The Usa

The vegetarian dietary pattern is traditionally a plant-based diet that includes fruits, vegetables, cereals, legumes, nuts, vegetable oils, soya, and possibly dairy products and/or eggs. Vegetarians and other populations who follow a plant-based dietary pattern enjoy longevity. Specifically, vegetarian dietary patterns have been associated with a lower risk for developing IHD, type 2 diabetes, hypertension, specific cancers, lower all-cause mortality and reduction in cause-specific mortality. The prevalence of the metabolic syndrome (MetS) in the USA is approximately 20 % and is currently increasing in developing countries in line with the obesity epidemic. The health care costs associated with the MetS are on a magnitude of 1·6 overall compared with healthy individuals, which makes it an important public health problem. Current evidence from several cross-sectional and case–control studies shows an association between consumption of a vegetarian dietary pattern and a reduced prevalence or risk of developing the MetS. There is a need for further research to be conducted, particularly prospective cohort studies to evaluate the effect of vegetarian dietary patterns on reducing the incidence of the MetS and, clinical trials should be designed to explore vegetarian dietary patterns for the reversal of the MetS in high-risk populations. This research could contribute to reduce the societal and economic burdens associated with the disorder.

scholarly journals Post COVID-19 Symptoms: A Neglected Domain

2021 ◽  
Vol 33 (2) ◽  
pp. 325-328
Author(s):  
Chhaya Mittal ◽  
Abhishek Mishra ◽  
Seema Jain ◽  
Neelam S Gautam
Keyword(s):  
Neuropsychiatric Symptoms ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Present Cross Sectional Study ◽  
Patient Reported ◽  
Initial Recovery ◽  
Body Ache

Background: COVID -19 is the most important public health problem of recent time. Most people who have COVID-19 recovers completely within a few weeks but some people continue to have symptoms after initial recovery. Objective: To assess the prevalence of Post COVID symptoms, to assess requirement of treatment and to make recommendation for Post COVID care. Methods: Present cross sectional study was done among patients who recovered from COVID-19 in Meerut district. Mobile numbers of COVID patients were obtained from records, Total 100 randomly selected patients were contacted using google form and information regarding post covid symptoms in between 6 weeks to 12 weeks after recovery from COVID was obtained. Result: 87%patients developed one or more post covid symptoms. Weakness was reported to be most common problem (55%), followed by body ache (26%) and neuropsychiatric symptoms such as difficulty in concentration and insomnia (22%). Every fifth patient reported that symptoms persisted for more than 1 month. Though most of the respondents classified their symptoms as mild and moderate (52.5% and 37.9% respectively), 47% of the symptomatic patients have to take some treatment for these symptoms. Conclusion: Post COVID symptoms are common but usually less severe . Some form of treatment was required to deal with problem. Almost one in five patients reported that symptoms persisted for more than one month. The results highlight the need for post Covid care for COVID recovered patients.

scholarly journals Faktor risiko gizi kurus pada anak sekolah dasar Negeri Kulam Data Kecamatan Lhoknga Kabupaten Aceh Besar

2020 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Cut Affianijar ◽  
Agus Hendra Al Rahmad ◽  
Alfridsyah Alfridsyah ◽  
Suryana Suryana
Keyword(s):  
Elementary School ◽  
Nutritional Status ◽  
Energy Intake ◽  
Food Consumption ◽  
School Children ◽  
School Health ◽  
Public Health Problem ◽  
Chi Square ◽  
Important Public Health Problem ◽  
Cross Sectional

Background: Wasting is nutritional status in school children. In the community it is known as thin nutrition which is an important public health problem because it has a big impact. Thin nutrition can increase the risk of illness and death in children.Objectives: To  determine  the  risk  factors  for  wasting  nutrition  in  children  of  Kulam  Data Elementary School in Lhoknga District.Methods: This study is descriptive analytic with cross-sectional research design. The number of samples is 57 people. The research variables consisted of diet, energy intake, protein intake and nutritional status with the incidence of wasting nutrition in school children in Kulam Data Elementary School Lhoknga District. Aceh Besar District. The study was conducted in June 2019. Data analysis used a chi-square test with a desired level of confidence of 95%. Research data is presented in tabular and textual forms.Results: The results of the study showed that more energy intake was in the sufficient category (84.4%). While the diversity of food consumption is more in the medium category which is equal to 64.7%. There is an influence between energy intake on the incidence of wasting nutrition in school children (p= 0.022) and there is an influence  between  the  diversity of  food  consumption  on  the  incidence  of  wasting  in  school children (p= 0.041).Conclusion: Regarding energy intake, the diversity of food consumption with balanced wasting nutrition. To  avoid  malnutrition,  treatment  is  needed  from  the  school,  health  center,  and parents. This is necessary so that children can meet the nutritional needs of energy sources, proteins, fats in accordance with the portion of balanced nutrition.

scholarly journals Epidemiological Profile of End-Stage Renal Diseases in Riyadh, Saudi Arabia

2020 ◽  
pp. 16-27
Author(s):  
A. A. Alkhlaif ◽  
A. K. Alsuraimi ◽  
A. A. Bawazir
Keyword(s):  
Saudi Arabia ◽  
Public Health Problem ◽  
Study Patient ◽  
Renal Diseases ◽  
P Value ◽  
Dialysis Patients ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Care Project ◽  
Esrd Patients

Background/Aims: The Saudi Center for Organ Transplantation (SCOT) reported (2015) a total of 15,782 dialysis patients in Saudi Arabia. Out of these patients, 14,366 were treated via haemodialysis, whereas the remaining 1,416 underwent peritoneal dialysis. Aims: This study aimed to assess common factors that led to ESRD among dialysis patients at King Abdullah’s Dialysis Care Project in Riyadh, Saudi Arabia. Settings and Design: Cross-sectional hospital-based study was conducted in the period May-September 2017, in King Abdullah’s Dialysis Care Project in Riyadh, Saudi Arabia. Methods and Materials: This was a retrospective registry-based study using secondary data from the registry at King Abdullah’s Dialysis Care Project in Riyadh, Saudi Arabia (South Center). Registered male and female adult dialysis patients at this centre were included in this study. Patient medical records including disease state, laboratory profiles, and medical complications were analyzed. Statistical Analysis Used: Statistical Packages for Social Science (SPSS version 22) was used to analyse the data obtained. Various statistical analyses were conducted including means, frequencies, and regression analysis (odds ratio).A P-value of less than 0.05 was considered as significant in the study. Results: A total of 300 patients (55% males and 45% females) were included in this study. The mean age of the sample was 53 years (±SD 16). The prevalence of overweight and obese ESRD patients were 26% and 30%, respectively. The high frequent co-morbidities among ESRD patients were hypertension (82%) followed by diabetes mellitus (57%). The results showed that out of 90% of dialysis complications, 10% were cases of infection. Conclusions: ESRD is an important public health problem in Saudi Arabia with alarming in its annual rates. For a better understanding of the aetiology and specific risk factors provoking ESRD in Saudi Arabia, further studies need to be conducted.

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