Superior versus Inferior Conjunctival Limbal Autograft with Sutures in the Management of Primary Pterygium in a Tertiary Care Hospital in Dakshina Kannada - A Cross Sectional Study

BACKGROUND Pterygium excision with conjunctival limbal autograft (CAU) is one of the most frequently used modalities in the treatment of pterygium. The graft has traditionally been harvested from the superior bulbar conjunctiva, but this may not be possible in all patients. The purpose of this study was to compare the intraoperative difficulties and early postoperative outcomes between superior and inferior CAU in the management of primary pterygium. METHODS This hospital based cross sectional study evaluated 58 eyes of 50 patients with primary pterygium who underwent pterygium excision with conjunctival limbal autograft secured with the help of sutures over a period of 2 years from March 2018 to March 2020. In 28 eyes, the superior bulbar conjunctiva was used for grafting whereas in 30 eyes, the inferior conjunctiva was used for the same. The outcome measured was in terms of the mean surgical time, clinical symptoms and signs in the early postoperative period and recurrence rate. RESULTS The mean age of the patients was 44.14 ± 12.71 years in the superior CAU group and 45.76 ± 14.51 years in the inferior CAU group. There was no statistically significant difference between the two groups in terms of the mean surgical time (68.39 ± 31.51 in superior group, 2.60 ± 0.79 in inferior group; P value 0.712). The duration of follow-up after surgery was significantly more (P = 0.048) in the inferior CAU group (42.60 ± 11.71 days) as compared to the superior CAU group (37.39 ± 7.52 days). Postoperative symptoms were comparable, and no recurrence was observed in either of the two groups. CONCLUSIONS Pterygium excision with inferior conjunctival limbal autograft is safe and effective in the management of primary pterygia and may be considered as an alternative to superior graft in cases where harvesting the superior conjunctiva is not possible or not advisable. KEYWORDS Primary Pterygium, Conjunctival Limbal Autograft, Inferior Graft

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Genetic homozygosity as a marker of smoking dependency

Genetika ◽

10.2298/gensr203009b ◽

2020 ◽

Vol 52 (3) ◽

pp. 1009-1019

Author(s):

Slavko Brankovic ◽

Dejan Nikolic ◽

Dragoslav Marinkovic ◽

Suzana Cvjeticanin

Keyword(s):

Cross Sectional Study ◽

Male Gender ◽

Sectional Study ◽

Cross Sectional ◽

Male And Female ◽

Mean Values ◽

Individual Variations ◽

Significant Difference ◽

The Mean ◽

The Individual

The aim of our study was to evaluate the morphogenetic variability as a marker of smoking dependency in adult smokers versus controls and to investigate the presence and the degree of morphogenetic variability difference between male and female smokers versus same gender controls. The cross-sectional study evaluated 241 smokers and 185 nonsmoker individuals as controls. We analyzed 17 homozygous recessive characteristics (HRC). There was a significant difference in the individual variations of 17 HRCs between the controls and smokers (??2=61.400, p<0.001; for females ??2=79.440, p<0.001; for males ??2=84.972, p<0.001). The mean values of HRCs significantly differed between smokers and controls (MV?SEM(Controls) -4.79?0.13, MV?SEM(Smokers) -5.70?0.12; p<0.001). For males, presence of 6/17 (35.29% genetic homozygosity) HRCs (OR=6.12) was to the certain degree predictor for smoking dependency. Higher degree of genetic homozygosity, changed variability and male gender, might be some among potential numerous factors that could have impact on smoking development and dependence.

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Orthodontic Treatment Knowledge among General Dentists and Non-orthodontic Specialists

Orthodontic Journal of Nepal ◽

10.3126/ojn.v9i1.25689 ◽

2019 ◽

Vol 9 (1) ◽

pp. 40-44

Author(s):

Asal Acharya ◽

Praveen Mishra ◽

Rabindra Man Shrestha ◽

Pooja Shah

Keyword(s):

Orthodontic Treatment ◽

Cross Sectional Study ◽

Sectional Study ◽

Multiple Choice Questions ◽

Cross Sectional ◽

Significant Difference ◽

Treatment Knowledge ◽

Treatment Concepts ◽

The Mean ◽

General Dentists

Introduction: General dentists and specialists other than orthodontist may encounter patient requiring orthodontic treatment. For proper counseling and referral, it is important that general dentists and non-orthodontic specialists have adequate level of orthodontic knowledge. Objective: To assess the knowledge of orthodontic treatment among general dentists and non-orthodontic specialists and to compare the knowledge between the two groups. Materials & Method: A descriptive cross sectional study using questionnaire was performed among 185 actively practicing general dentists and non-orthodontic specialists of Nepal. The questionnaire comprised of three parts. The first part included demographic details, second part contained 5 multiple choice questions regarding orthodontic counseling and third part integrated 18 questions for evaluating knowledge of orthodontic treatment. Each correct answer was given score 1 and every incorrect answer was scored zero in the third part of the questionnaire. Result: Among total participants, 60.5% think first orthodontic evaluation of a child should be carried out within 7 to 8 years of age and 44.3% think orthodontic treatment can even be started after 40 years of age. Around 66% of the participants think that orthodontic treatment cannot be performed in periodontally compromised cases. No significant difference was found between the mean scores of knowledge among general dentists and non-orthodontic specialists (p=0.891), or among dentists with different years of experience (p=0.644). Conclusion: There is a need for more education of orthodontic treatment concepts to the dentists who do not belong to orthodontic field for proper counseling and referral.

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Comparing the Lifestyle of Veteran and Non-Veteran Families in Tehran

The Journal of Tolooebehdasht ◽

10.18502/tbj.v19i4.4518 ◽

2020 ◽

Author(s):

Seyed Alireza Afshani ◽

Seyed Mostajad Hosseini-motlagh

Keyword(s):

Health Literacy ◽

Cross Sectional Study ◽

Sectional Study ◽

Community Members ◽

Cross Sectional ◽

Statistical Population ◽

Significant Difference ◽

Lifestyle Questionnaire ◽

The Mean ◽

Descriptive Level

Introduction: Lifestyle of a community members should be investiagted, especially in the devotees and their families. The present research aimed at measuring and comparing the lifestyle status of veteran and non-veteran families in Iran. Methods: In this cross-sectional study, the statistical population included the veteran and non-veteran families in Tehran City and the sample size included 360 people. The research instruments were Lali, Abedi, and Kajbaf’s Lifestyle Questionnaire (LSQ) (2012), and All Aspects of Health Literacy Scale (AAHLS, 2013). The data were analyzed by SPSS v.24. At the descriptive level, graphing was performed and at the inferential level, Pearson, t-test, Friedman, and analysis of variance tests were run. Results: A significant difference was observed between the mean scores of lifestyle in two groups of Veteran and Non-Veteran in Tehran. No significant difference was found between the lifestyle scores of men and women in the Non-Veteran group as well as between the mean scores of the single and married lifestyle in the Veteran and Non-Veteran group (P<0/05). However, a significant relationship was found between health literacy and lifestyle of the veteran and non-veteran participants (p<0/05). Conclusion: The results showed that lifestyle should be considerd as a set of observable behaviors and health literacy should be investiagted as predicting variables in promoting lifestyle in the Veteran and Non-Veteran groups.

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A cross-sectional study of relationship between self-esteem and self-concept of students of medical sciences

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20180589 ◽

2018 ◽

Vol 6 (3) ◽

pp. 747

Author(s):

Mehdi Amirkhani ◽

Fatemeh Habibi ◽

Azadeh Hakimi ◽

Majid Najafi Kalyani ◽

Javad Salami

Keyword(s):

Standard Deviation ◽

Self Esteem ◽

Cross Sectional Study ◽

Male Students ◽

Self Concept ◽

Sectional Study ◽

Medical Sciences ◽

Cross Sectional ◽

Significant Difference ◽

The Mean

Background: Identification of the role of factors such as self-esteem and self-efficacy and the investigation of their relationship among students can bring about improvement of educational planning and enhance the teaching outcome. This study aimed at investigating the relationship between self-esteem and self-efficacy among the students of medical sciences.Methods: The present study is an analytical-descriptive which was conducted as a cross-sectional study on 394 students of Fasa University of Medical Sciences in 2016. In order to collect the data two questionnaires were used namely, Coopersmith Self-Esteem Inventory (CSEI) and Rogers Self-concept Questionnaire. The data were analyzed using SPSS 22. The researchers used descriptive and inferential statistics such as t-test, chi-square one-way ANOVA, and correlation to analyze the data.Results: The mean and the standard deviation of self-esteem scores of female and male students were 38.23±6.80 and 37.51±6.67 respectively. The mean and the standard deviation of self-concept scores of female and male students were 9.49±3.53 and 9.43±4.14 respectively. The mean of self-concept scores of students of different majors had statistically significant difference with each other (0.011), whereas there was no statistically significant difference in self-esteem scores among students with different majors (0.442).Conclusions: Considering the statistically significant difference in students’ self-concept scores in different majors, it is suggested that we take right approaches to the improvement and enhancement of individuals’ self-concept and the creation of positive feedback.

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Application of Safety Attitudes Questionnaire (SAQ) in Adult Intensive Care Units: a cross-sectional study

10.1101/2020.07.07.20114918 ◽

2020 ◽

Author(s):

Abdullah S. Alqahtani ◽

Rachel Evley

Keyword(s):

Safety Culture ◽

Safety Climate ◽

Cross Sectional Study ◽

Self Report ◽

Sectional Study ◽

Cross Sectional ◽

Safety Attitudes ◽

Safety Attitudes Questionnaire ◽

Significant Difference ◽

The Mean

AbstractPurposeTo achieve a positive safety culture, staff perception of safety must be frequently measured. There are several active and reactive methods to use to measure safety cultures such as near-miss occurrence, accidental data collection, measuring behavior, self-report method, and safety questionnaires. The safety attitudes questionnaire (SAQ) tool was used to measure safety culture. This tool is widely used in literature and among researchers and has been used and validated in middle eastern cultures. In addition, it has a validated Arabic version.MethodsA cross-sectional study was conducted using anonymous and random sampling. I surveyed all ICU staff working in all the adult ICUs in two of the major hospitals in the eastern province of Saudi Arabia. The short version of the Safety Attitudes Questionnaire was used to assess participants’ attitudes towards safety culture. The study involved all healthcare providers working in Adult ICU.ResultsThe study occurred over a three-week period in March 2019. A total of 82 completed questionnaires were returned which represented a response rate of 82%. On average, the domain that scored the highest number of positive responses was Job satisfaction with 68.5%, followed by teamwork climate 67.8%, then working conditions 60.1%, 57.1% safety climate, then preparation of management with 53.4%, and finally 46% in Stress recognition. A statistically significant difference was found between the mean SAQ score and the educational level of the participants. Participants with bachelor’s degrees scored a mean of 50.17 compared to participants hold diploma degrees who scored a mean of 68.81 (P=0.02). Moreover, a significant difference was found between the mean SAQ score and participants’ specialties. Attending/Staff Physician mean score was 36.40, Nurse Manager/Charge Nurse scored 39.78, and Respiratory therapist mean score was 47.88, compared to mean score of 62.27 for Registered Nurse, and Respiratory supervisor 67.0 (P=0.04). In addition, 79.2% of the respondents did not report any incidents in the last 12 months.ConclusionsThe result of the study shows an unsatisfying level of safety culture among healthcare staff in ICUs. The importance of this study is to establish a baseline for safety climate in these hospitals and specifically ICUs. In addition, by exposing the system weaknesses it helps the administration to strengthen and improve patient care. By decreasing workload and job stress, studies show they have a positive association with increasing job performance.

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DETERMINATION OF THE COMBINED WIDTH OF MAXILLARY ANTERIOR TEETH USING INNERCANTHAL DISTANCE WITH RESPECT TO AGE GENDER AND ETHINICITY

Pakistan Armed Forces Medical Journal ◽

10.51253/pafmj.v71isuppl-1.4331 ◽

2021 ◽

Vol 71 (Suppl-1) ◽

pp. S164-69

Author(s):

Naseer Ahmed ◽

Maria Shakoor Abbasi ◽

Danish Azeem Khan ◽

Shiza Khalid ◽

Warda Jawed ◽

...

Keyword(s):

Cross Sectional Study ◽

Gender Disparities ◽

Sectional Study ◽

Weak Correlation ◽

Cross Sectional ◽

Anterior Teeth ◽

Significant Difference ◽

The Mean ◽

The Relationship

Objective: To evaluate the relationship between inner canthal distance and maxillary anterior teeth width withrespect to age, gender and ethnicity. Study Design: Cross sectional study. Place and Duration of Study: Altamash Institute of Dental Medicine, Karachi, from Aug 2019 to Jan 2020. Methodology: One hundred participants from both genders with full permanent dentition, no interdental space or pathology and facial symmetry were included in this study. The measurements were carried out with digital Vernier caliper. SPSS-25 was used for statistical analysis. Results: The mean ± SD of inner canthal distance and width of maxillary anterior teeth were 2.99cm ± 0.46and 3.82cm ± 0.35 respectively. A significant difference was found between gender (p=0.037) and inner canthaldistance. The maxillary anterior teeth width and inner canthal distance varies amongst different ethnicities(p=0.01). The inner canthal distance does not vary with advancing age (p=0.87) whereas width of maxillaryanterior teeth varies (p=0.04). A weak correlation value of 0.47 was found between inner canthal distance andmaxillary anterior teeth width. Conclusion: This research suggests that there is a weak relationship between inner canthal distance and maxillary anterior teeth width. Therefore, a multiplication ratio of 1.27 is advised to get combined mesiodistal width of maxillary anterior teeth. Additionally, the value of both differs in various local ethnicities. Inner canthal distance does not vary with age though has significant gender disparities while maxillary anterior teeth width remains constant.

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A Cross-Sectional Study on Subjective Fever Assessment in Children by Palpation: Are Fathers as Reliable as Mothers?

Emergency Medicine International ◽

10.1155/2020/3534267 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5

Author(s):

Ehud Rosenbloom ◽

Crysta Balis ◽

Dustin Jacobson ◽

Melanie Conway ◽

Ji Cheng ◽

...

Keyword(s):

Primary Outcome ◽

Pediatric Patients ◽

Cross Sectional Study ◽

Primary Outcome Measure ◽

Sectional Study ◽

Cross Sectional ◽

Predictive Values ◽

Mothers And Fathers ◽

Significant Difference ◽

The Mean

Background. Fever is common in pediatric patients. Often, parents rely solely on palpation when assessing their child’s fever. The objective of the current study was to determine the accuracy of parents in detecting their child’s fever by palpation. Methods. A prospective cross-sectional study was conducted at the emergency department (ED) of a tertiary pediatric hospital. Infants and children, 0–4 years of age, presenting to the ED with both parents were included. Parents were separately asked if their child had a fever and, if so, were asked to assess the temperature by palpation. A nurse obtained the rectal temperature. The primary outcome measure was the accuracy of fathers and mothers in detecting fever. Results. A total of 170 children with their parents were enrolled. The mean ages of the children, mothers, and fathers were 18.9 (SD 0.8) months, 31.1 (SD 6.4) years, and 33.7 (SD 6.9) years, respectively. No statistically significant difference was found between mothers and fathers in the ability to assess fever by palpation (OR 0.65, 95% CI 0.39,−1.08). Sensitivities for detecting fever by palpation for mothers and father were 86.4% and 88.2%, respectively (specificity among mothers: 54.2% and specificity among fathers: 43.1%). The overall negative and positive predictive values were 65.9% (95% CI 55%–75.7%) and 75.7% (95% CI 69.9%–80.8%), respectively. Conclusions. Mothers and fathers do not differ in their ability to accurately assess their child’s fever by palpation. The low positive and negative predictive values indicate that if temperature was not measured, physicians cannot rely on parents’ reports.

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Association of Sleep Duration and Blood Pressure in Adolescents: A Multicenter Study

American Journal of Hypertension ◽

10.1093/ajh/hpz129 ◽

2019 ◽

Vol 33 (1) ◽

pp. 77-83

Author(s):

Emanuela De Souza Gomes Dos Santos ◽

Orivaldo Florencio De Souza

Keyword(s):

Blood Pressure ◽

Sleep Duration ◽

Cardiovascular Health ◽

Cross Sectional Study ◽

Regression Analyses ◽

Sectional Study ◽

Cross Sectional ◽

School Based ◽

Significant Difference ◽

The Mean

Abstract BACKGROUND Evidence suggests that sleep duration is related to blood pressure (BP), but the findings are still inconsistent for adolescents. OBJECTIVE To analyze the association between sleep duration and BP in Brazilian adolescents between 12 and 17 years of age. METHODS This study is part of the Study of Cardiovascular Risk in Adolescents (ERICA), a multicenter, school-based, cross-sectional study in 273 municipalities in Brazil. The sample consisted of 65,643 adolescents. Sleep duration was measured by a subjective method, and BP was measured by the oscillometric method. Multiple linear regression analyses were performed to evaluate the association between sleep duration and BP. RESULTS The mean sleep duration was 8.14 hours (± 1.40), with significant difference between the groups according to BP levels (P < 0.0001). The mean systolic and diastolic BP were 110.59 (± 11.87) and 65.85 (± 7.94) mm Hg, respectively, in the group of adolescents. Sleep duration was significantly associated with BP. Each increase 1 hour in sleep was associated with BP reduction in both sexes combined (P < 0.0001). Considering the effects of covariates, each increase 1 hour in sleep was associated with systolic BP (SBP) reduction among boys (P = 0.004) and SBP elevation among girls (P = 0.009), after full adjustment. CONCLUSION The results suggest that each increase in sleep duration was associated with SBP elevation among girls. Such findings may have important implications for cardiovascular health in adolescence.

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Occupational stress and its related demographic factors among Iranian CCU nurses: a cross-sectional study

BMC Research Notes ◽

10.1186/s13104-019-4674-5 ◽

2019 ◽

Vol 12 (1) ◽

Cited By ~ 2

Author(s):

Azam Faraji ◽

Mahtab Karimi ◽

Seyyed Mohsen Azizi ◽

Maryam Janatolmakan ◽

Alireza Khatony

Keyword(s):

Occupational Stress ◽

Demographic Factors ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Academic Degree ◽

Significant Difference ◽

The Mean ◽

And Performance ◽

High Level

Abstract Objectives Occupational stress can have an adverse effect on mental and physical health and performance of nurses. The aim of this study was to investigate the occupational stress of Iranian critical care unit (CCU) nurses and its related demographic factors. Results In this cross-sectional study, 155 CCU nurses were randomly selected. The Osipow Occupational Stress Questionnaire was used as data collection tool. The mean of nurses’ occupational stress was 210.13 ± 40.87 out of 300, which was at the “moderate-to-high” level. The highest mean of occupational stress was related to the subscale of “Role Overload” (36.30 ± 6.98) and the lowest mean was related to the subscale of “Physical Environment” (33.58 ± 9.76). There was no statistically significant difference between the mean occupational stress and variables of sex, age, academic degree and working experience.

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A study of blood pressure in school children between the age of 6-12 years in Chennai, India: a cross sectional study

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20174758 ◽

2017 ◽

Vol 4 (6) ◽

pp. 2205

Author(s):

Madhivanan S. ◽

Harikrishnan E. ◽

Kumarasamy K.

Keyword(s):

Blood Pressure ◽

Clinical Examination ◽

Economic Status ◽

Blood Pressure Measurement ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Significant Difference ◽

The Mean

Background: Blood pressure measurements in childhood are an important clinical examination. Present study was done to evaluate the normal range of blood pressure (BP) in children aged 6-12 years and to find its relationship with regard to age, sex, height and weight criteria and comparing the values with the available standards.Methods: This prospective cross-sectional study was done in primary and middle schools of Chennai from January 2016 to May 2017. Three readings of blood pressure were recorded for each subject and were correlated with age, gender, socioeconomic status and anthropometry. Data was analysed on SPSS 20.0. P value of <0.05 was considered significantResults: A total of 2002 children (1026 boys, 976 girls) of age between 6-12 years were examined over 18 months. There was an upward trend in both systolic (r = 0.437, P<0.001) and diastolic BP (r = 0.386, P <0.001) with age. There was no statistically significant difference in mean systolic and diastolic BP with gender (P = 0.10), weight (P = 0.10) and height (P = 0.10). There was a statistically significant difference between the mean systolic and diastolic BP between low and high socio-economic groups (P <0.0001). The proportion of children with hypertension was 9.54% with a slight female preponderance.Conclusions: Blood pressure measurement in children is pivotal in clinical examination. It shows a linear relationship with age and varies across socio-economic status. Periodic recording of BP would enable identify hypertension at an early age.

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