Examination of preterm babies for ROP referred to an eye department from an urban and semi-urban neonatal intensive care unit: implications for practice.

Abstract Background: To study and analyse the factors affecting the proportion of retinopathy of prematurity (ROP) distribution between the urban and semi-urban regions in North India. Methods: Retrospective, observational, cross-sectional study. All babies referred for ROP examination by paediatricians or other general ophthalmologists between 2013 – 2016 were included in the study. Demographic, clinical and treatment related findings were recorded. Results: Five hundred and fifty-eight (467: urban & 91: semi urban) babies were examined for ROP. The mean birth weight in the urban and semi-urban setting was 1348.6 ± 395.21 gm and 1703.77 ± 401.76 gm respectively. The mean gestational age was 30.99 ± 2.93 weeks and 30.73 ± 2.08 weeks in the urban and semi-urban cohorts respectively. The average time for first ophthalmic examination following birth was 23.82 ± 13.69 (range: 3-77) days in the urban and 101.16 ± 238.26 (range: 13- 330) days in the semi-urban setting. 94% of the babies completed all screening examination visits. Any ROP was identified in 11.6% and 33.0% of the urban and semi-urban cohorts respectively; Type 1 was detected in 7.5% of urban babies and 23.1% of semi-urban babies Conclusion: Differences in the proportion of babies developing any ROP and Type 1 ROP between the semi-urban and urban groups is likely due to selection bias, as a high proportion of semi-urban babies did not attend for examination or failed to complete all the examinations necessary. This was particularly true for females. More needs to be done to increase access to regular, systematic screening of preterm babies within neonatal units.

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Examination of preterm babies for ROP referred to an eye department from an urban and semi-urban neonatal intensive care unit: implications for practice.

10.21203/rs.2.9416/v5 ◽

2019 ◽

Author(s):

Ramesh Venkatesh ◽

Prachi Abhishek Dave ◽

Prachi Gurav ◽

Manisha Agarwal ◽

Mamta Jajoo ◽

...

Keyword(s):

Neonatal Intensive Care ◽

Cross Sectional Study ◽

Urban Setting ◽

North India ◽

Cross Sectional ◽

Systematic Screening ◽

Factors Affecting ◽

Preterm Babies ◽

The Mean

Abstract Background: To study and analyse the factors affecting the proportion of retinopathy of prematurity (ROP) distribution between the urban and semi-urban regions in North India. Methods: Retrospective, observational, cross-sectional study. All babies referred for ROP examination by paediatricians or other general ophthalmologists between 2013 – 2016 were included in the study. Demographic, clinical and treatment related findings were recorded. Results: Five hundred and fifty-eight (467: urban & 91: semi urban) babies were examined for ROP. The mean birth weight in the urban and semi-urban setting was 1348.6 ± 395.21 gm and 1703.77 ± 401.76 gm respectively. The mean gestational age was 30.99 ± 2.93 weeks and 30.73 ± 2.08 weeks in the urban and semi-urban cohorts respectively. The average time for first ophthalmic examination following birth was 23.82 ± 13.69 (range: 3-77) days in the urban and 101.16 ± 238.26 (range: 13- 330) days in the semi-urban setting. 94% of the babies completed all screening examination visits. Any ROP was identified in 11.6% and 33.0% of the urban and semi-urban cohorts respectively; Type 1 was detected in 7.5% of urban babies and 23.1% of semi-urban babies Conclusion: Differences in the proportion of babies developing any ROP and Type 1 ROP between the semi-urban and urban groups is likely due to selection bias, as a high proportion of semi-urban babies did not attend for examination or failed to complete all the examinations necessary. This was particularly true for females. More needs to be done to increase access to regular, systematic screening of preterm babies within neonatal units.

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Examination of preterm babies for ROP referred to an eye department from an urban and semi-urban neonatal intensive care unit: implications for practice.

10.21203/rs.2.9416/v4 ◽

2019 ◽

Author(s):

Ramesh Venkatesh ◽

Prachi Abhishek Dave ◽

Prachi Gurav ◽

Manisha Agarwal ◽

Mamta Jajoo ◽

...

Keyword(s):

Neonatal Intensive Care ◽

Cross Sectional Study ◽

Urban Setting ◽

North India ◽

Cross Sectional ◽

Systematic Screening ◽

Factors Affecting ◽

Preterm Babies ◽

The Mean

Abstract Background: To study and analyse the factors affecting the proportion of retinopathy of prematurity (ROP) distribution between the urban and semi-urban regions in North India. Methods: Retrospective, observational, cross-sectional study. All babies referred for ROP examination by paediatricians or other general ophthalmologists between 2013 – 2016 were included in the study. Demographic, clinical and treatment related findings were recorded. Results: Five hundred and fifty-eight (467: urban & 91: semi urban) babies were examined for ROP. The mean birth weight in the urban and semi-urban setting was 1348.6 ± 395.21 gm and 1703.77 ± 401.76 gm respectively. The mean gestational age was 30.99 ± 2.93 weeks and 30.73 ± 2.08 weeks in the urban and semi-urban cohorts respectively. The average time for first ophthalmic examination following birth was 23.82 ± 13.69 (range: 3-77) days in the urban and 101.16 ± 238.26 (range: 13- 330) days in the semi-urban setting. 94% of the babies completed all screening examination visits. Any ROP was identified in 11.6% and 33.0% of the urban and semi-urban cohorts respectively; Type 1 was detected in 7.5% of urban babies and 23.1% of semi-urban babies Conclusion: Differences in the proportion of babies developing any ROP and Type 1 ROP between the semi-urban and urban groups is likely due to selection bias, as a high proportion of semi-urban babies did not attend for examination or failed to complete all the examinations necessary. This was particularly true for females. More needs to be done to increase access to regular, systematic screening of preterm babies within neonatal units.

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Impact of early and timely screening of preemies on the development of retinopathy of prematurity (ROP): An urban-semi urban comparative study.

10.21203/rs.2.9416/v1 ◽

2019 ◽

Author(s):

Ramesh Venkatesh ◽

Prachi Abhishek Dave ◽

Prachi Gurav ◽

Manisha Agarwal ◽

Mamta Jajoo ◽

...

Keyword(s):

Birth Weight ◽

Gestational Age ◽

Retinopathy Of Prematurity ◽

Cross Sectional Study ◽

Drop Out ◽

Urban Setting ◽

North India ◽

Cross Sectional ◽

Factors Affecting ◽

The Mean

Abstract Background To study and analyse the factors affecting the prevalence of prevalence of retinopathy of prematurity (ROP) between the urban and semi-urban regions in North India. Methods Retrospective, observational, cross-sectional study. All babies referred for ROP screening by paediatricians or other general ophthalmologists between 2013 – 2016 were included in the study. Demographic, clinical and treatment related findings were recorded. Results Five hundred and fifty-eight (467: urban & 91: semi urban) babies were screened for ROP. The mean birth weight in the urban and semi-urban setting was 1348.6 ± 395.21 gm and 1703.77 ± 401.76 gm respectively. The mean gestational age was 30.99 ± 2.93 weeks and 30.73 ± 2.08 weeks in the urban and semi-urban cohorts respectively. The average time for first ophthalmic examination following birth was 23.82 ± 13.69 days in the urban and 101.16 ± 238.26 days in the semi-urban setting. Prevalence of ROP in the urban cohort was 11.7% and in the semi-urban cohort was 31.9%. Statistically signiﬁcance between the two groups was noted with birth weight, day of screening and prevalence but not with gender or gestational age. Conclusion The prevalence of ROP is found to be higher in the semi-urban setting due to delayed screening, higher drop-out rate and lack of basic treatment facilities like laser.

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ROP examination of premature babies at an eye hospital referred from urban and semi-urban NICUs

Nepalese Journal of Ophthalmology ◽

10.3126/nepjoph.v12i2.26273 ◽

2020 ◽

Vol 12 (2) ◽

pp. 226-235

Author(s):

Ramesh Venkatesh ◽

Prachi Abhishek Dave ◽

Prachi Gurav ◽

Manisha Agarwal ◽

Mamta Jajoo ◽

...

Keyword(s):

North India ◽

Urban Region ◽

Systematic Screening ◽

Urban Settings ◽

Premature Babies ◽

Screening Strategies ◽

Preterm Babies ◽

The Mean ◽

Retrospective Comparative Study

Introduction: Retinopathy of prematurity (ROP) is seen in low gestational age (GA) and birth weight (BW) babies leading to retinal vascular damage. Screening of preterm would help in early identification of this, sight-threatening disease. Multiple factors play an important role in planning screening strategies for these preterm. The objective of this study was done to find the differences and the reasons affecting the proportion of ROP distribution between urban and semi-urban regions in North India. Materials and methods: In this retrospective, comparative study, all babies referred for ROP examination by paediatricians or other general ophthalmologists between 2013 to 2016 were included in the study. Demographic, clinical and treatment related findings were recorded. Results: Five hundred and fifty eight babies (467: urban and 91: semi urban) were examined for ROP. The mean BW in urban and semi-urban settings was 1348.6 ± 395.21 gm and 1703.77 ± 401.76 gm respectively. The mean GA was 30.99 ± 2.93 weeks and 30.73 ± 2.08 weeks in the urban and semi-urban cohorts respectively. The average time for first ophthalmic examination following birth was 23.82 ± 13.69 (range: 3-77) days in urban and 101.16 ± 238.26 (range: 13- 330) days in semi-urban settings. 94% of the babies completed all screening examination visits. Any ROP was identified in 12% and 33.0% of urban and semi-urban cohorts respectively; Type 1 was detected in 7.5% of urban babies and 24% of semi-urban babies. Conclusion: Proportion of ROP in the urban region was 3 times lesser than the semiurban region. Differences in proportion of babies developing any ROP and Type 1 ROP between semi-urban and urban groups is likely due to selection bias, as a high proportion of semi-urban babies did not attend for examination or failed to complete all the examinations necessary. This was particularly true for females. More needs to be done to increase access to regular, systematic screening of preterm babies within neonatal units.

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Parental knowledge, attitude and practice on malaria in Mandailing Natal district

Paediatrica Indonesiana ◽

10.14238/pi47.4.2007.161-5 ◽

2007 ◽

Vol 47 (4) ◽

pp. 161

Author(s):

Syafruddin Haris ◽

Sri Sofyani ◽

Bidasari Lubis ◽

Munar Lubis ◽

Syahril Pasaribu ◽

...

Keyword(s):

Health Centre ◽

Parental Knowledge ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Factors Affecting ◽

Attitude And Practice ◽

The Mean ◽

Knowledge And Attitude ◽

Knowledge Attitude And Practice

Background Malaria is still considered to be an important healthproblem in Indonesia. Malaria has been found in islands withdifferent degree of endemicity. Behavior of the community isone of the factors affecting the incidence of malaria in MandailingNatal district.Objective To know the parental knowledge, attitude, and practiceamong parents whose children suffered from malaria or not.Methods A cross sectional study was conducted in six primaryschools and one health centre in October 2004. Subjects wereparents whose children were malaria positive and malaria negativebased on laboratory examination. Sample size was 85 parents foreach group. Selected respondents were interviewed usingstructured questionnaire. Degree of knowledge, attitude, andpractice on malaria were established using scoring system withinthree categories: good, less, and poor. Data were collected andpresented using chi-square and P<0.05 was considered as a levelof significant.Results The mean age of 85 parents whose children were positivemalaria, was 38.47 years (SD 6.67) and the mean age of thosewhose children were negative malaria was 40.41 years (SD 8.05).Parent’s education level was 62.9% primary school and 90% oftheir children were school-aged. There were significant differenceson parental knowledge, attitude and practice in each group(P<0.05). There was also a significant correlation betweenoccupation and knowledge, but not between parental educationlevel and parental age. Parental knowledge and attitude on theincidence of malaria in Mandailing Natal district were good,though their practice were poor.Conclusion There are significant differences on parentalknowledge, attitude and practice, between parents whose childrenwere positive and negative for malaria.

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The Prevalence of Celiac Disease-Specific Auto-Antibodies in Type 1 Diabetes in a Moroccan Population

International Journal of Endocrinology ◽

10.1155/2019/7895207 ◽

2019 ◽

Vol 2019 ◽

pp. 1-9

Author(s):

Ider Oujamaa ◽

Majda Sebbani ◽

Lahcen Elmoumou ◽

Aïcha Bourrahouate ◽

Rabiy El Qadiry ◽

...

Keyword(s):

Celiac Disease ◽

Tissue Transglutaminase ◽

Iga Deficiency ◽

Cross Sectional Study ◽

Biological Data ◽

Cross Sectional ◽

Systematic Screening ◽

Lower Height ◽

Hla Dq2

Objective. We aimed to determine the prevalence of specific auto-antibodies to celiac disease (CD) in Moroccan type 1 diabetic (T1D) patients and compare the clinical and biological characteristics of seropositive and seronegative cases. Patients and Methods. A cross-sectional study was carried out on 276 T1D patients including 109 adults and 167 pediatric cases. The screening for CD was performed by an Elisa IgA anti-tissue transglutaminase antibody (tTGA) testing, combined with IgA quantification by nephelometry. Positive-IgA-tTGA cases were secondly tested for anti-endomysial antibodies (EMA) using an immunofluorescence technique, and the IgA deficiency cases were screened for IgG-tTGA. Patients with low positive tTGA titers underwent HLA-DQ2/DQ8 typing. Sociodemographic and clinical data of the patients were collected using a hetero-administered questionnaire. The comparison of clinical and biological data between seropositive and seronegative diabetics was done using independent T, Mann–Whitney U, chi-squared, and Fisher tests, which were considered significant if p value <0.05. Results. The prevalence of CD-specific auto-antibodies was estimated to be 9.1% (IC = 95%), with 25 positive cases in tTGA and EMA testing. Eight cases displayed low titers of IgA-tTGA, among which 4 were positive for HLA-DQ2, 1 for HLA-DQ8, and 1 for both DQ2 and DQ8. The other 2 cases had a biopsy-proven CD. Compared to seronegative patients, seropositive cases had a higher percentage of associated autoimmune disorders (16% vs. 2.4%, p=0.008), with a significant lower height Z-scores (median: −0.90 (−3.93 to 0.95) vs. −0.51 (−4.54 to 2.18), p=0.029) and a higher HbA1c level (median: 11.30% (7.31 to 16.00) vs. 9.30% (4.40 to17.31), p=0.022). Conclusion. The current study gave evidence of a high prevalence of CD specific auto-antibodies in T1D population. The co-existence of these two conditions was associated with a poor glycemic control, a lower height, and other autoimmune diseases. These findings may suggest the necessity of a systematic screening of CD in T1D patients.

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A CROSS-SECTIONAL STUDY ON FACTORS AFFECTING DIETARY QUALITY OF ADOLESCENTS WITH TYPE 1 DIABETES

İstanbul Tıp Fakültesi Dergisi ◽

10.26650/iuitfd.2021.823857 ◽

2021 ◽

Vol 84 (4) ◽

pp. 552-558

Author(s):

Gülsüm Şahin Bodur ◽

Alev Keser ◽

Zeynep Şıklar ◽

Merih Berberoğlu

Keyword(s):

Type 1 Diabetes ◽

Cross Sectional Study ◽

Dietary Quality ◽

Sectional Study ◽

Cross Sectional ◽

Factors Affecting

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The relationship between sexual satisfaction and marital commitment among married women in Iran

Revista Ártemis ◽

10.22478/ufpb.1807-8214.2021v31n1.56553 ◽

2021 ◽

Vol 31 (1) ◽

Author(s):

Zeinab Jalambadani ◽

Ahmad Sharifnezhad ◽

Sara Sadeghi

Keyword(s):

Interpersonal Relationships ◽

Sexual Satisfaction ◽

Cross Sectional Study ◽

Married Women ◽

Cross Sectional ◽

Factors Affecting ◽

Marital Commitment ◽

The Mean ◽

Spss Software ◽

The Relationship

Sexual satisfaction is one of the factors affecting interpersonal relationships. The purpose of this research was to determine the relationship between sexual satisfaction and marital commitment among married women in Neyshabur, Iran in 2019. This cross-sectional study was conducted on 330 married women. The instruments used were Larsson sexual satisfaction and marital commitment Adams questionnaire. The collected data were entered in to SPSS software with version 20 and using descriptive statistic methods, The Pearson’s correlation analysis and ANOVA tests were used. The mean age of women was 23.92±3.96 years. In addition, 7(2.12%), 37(11.21%), 148(44.84%) and 138(41.81%) of women showed zero, low, moderate, and high levels of sexual satisfaction. Marital commitment was positively correlated with the overall sexual satisfaction (r = 0.67, P < 0.001). Moreover, marital commitment was associated with High sexual satisfaction n (r = .69, p < .001), Medium sexual satisfaction (r=.52, p < .001), Law of sexual satisfaction (r=.39, p < .001) Lack of sexual satisfaction (r=.19, p < .001), subscales of sexual satisfaction. Women with shorter marriage levels had higher sexual satisfaction and marital commitment. Therefore, health planners should adopt strategies to increase sexual satisfaction, marital commitment in women with longer marriage levels.

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The Prevalence of Type 1 Diabetes in Children of Mazandaran Province

Iranian Journal Of Health Sciences ◽

10.18502/jhs.v6i2.45 ◽

2018 ◽

Author(s):

Daniel Zamanfar ◽

Pooneh Yazdani ◽

Mohsen Aarabi ◽

Hedieh Pournorooz

Keyword(s):

Type 1 Diabetes ◽

Age Of Onset ◽

Cross Sectional Study ◽

Delivery Method ◽

Mazandaran Province ◽

Cross Sectional ◽

Onset Of Diabetes ◽

The Mean ◽

First Time

Introduction: The prevalence of type 1 diabetes in all countries throughout the world is different. In this study, an introduction is, therefore, provided for the development of type 1 diabetes in children in Mazandaran province by using all available resources.Methods: In this descriptive cross-sectional study, the prevalence of patients with initial diagnosis of type 1 diabetes mellitus, aging from 6 months to 18 years, was located through contacting and referring to all organizations of insurers and doctors or experts in children endocrinologist and adolescent diseases in Mazandaran province.Results: 289 patients with type 1 diabetes were identified, 138 of whom were male (47.8%), and 151 were women (52.2%) with an overall prevalence of 0.04%, and the rate of this prevalence was 48 cases among 100000 people (50 cases among 100000 girls and 36 cases among 100000 boys). The mean age of the patients was 11.5 years old. In the study of delivery method, 180 patients (62.3%) were diagnosed with cesarean section, and 109 (37.7%) were born through natural delivery method. The mean age of onset of diabetes was 7 years. The minimum and maximum ages were 7 months and 18 years, respectively. 97 (33.6%) of the patients were also hospitalized for the first time due to ketoacidosis, and were diagnosed with diabetes.Conclusion: Type 1 diabetes in Mazandaran province was more prevalent than the similar study in southern Iran and neighboring countries. It is essential to pay greater attention to this disease through studying it in the other parts of the country.

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