scholarly journals Critical Care Retrieval in the Middle East: Descriptive Analysis of a Multidisciplinary Adult Critical Care Transfer and Retrieval Service in Qatar

2021 ◽  
Author(s):  
Ian Howard ◽  
Rohan Steyn ◽  
Steven George ◽  
Wayne Thomson ◽  
Wael Abdaljawad ◽  
...  
Keyword(s):  
Critical Care ◽  
Descriptive Analysis ◽  
Venous Access ◽  
Cross Sectional Study ◽  
Prehospital Emergency Care ◽  
Cross Sectional ◽  
Multiple Routes ◽  
Arteriovenous Access ◽  
And Gender ◽  
Care Transfer

Abstract Introduction The regionalisation of critical care resources has led to an increase in the need to transfer patients between facilities. The advent and implementation of critical care transfer and retrieval services have been the bridge to this divide, lying at the confluence of prehospital emergency care, in-hospital emergency medicine, and intensive care. Within the State of Qatar, the concept of critical care transfer and retrieval is a relatively new. Consequently, we conducted a retrospective cross-sectional study of all transfer and retrieval activity of a dedicated multidisciplinary transfer and retrieval service to better understand the use of these services in the region. Methods Extracted patient care record data were analysed and described using univariate and multivariate descriptive statistics. A log-binomial regression model with robust variance estimator was used to calculate crude and adjusted prevalence ratios for intubation status and arteriovenous access; and intubation status and medication combination, adjusting for age and gender for each model. Results Amongst the completed cases, the majority were male (60.39%), and within the 40-59 (27.7%) age group. Amongst the cases transferred, those with a primary respiratory pathology were the most common (19.59%), followed by cardiovascular patients (18.5%). Half of all patients had a self-maintained airway (51.6%), followed by a third who had an endotracheal tube in situ (36.74%). Midazolam was the most common hypnotic administered (51.27%), as was Fentanyl (88.02%) amongst the analgesic medications, and Noradrenaline amongst the inotropes (72.77%). Intubated patients had the highest proportion of severe and critical patients; patients transported with a Doctor; patients with multiple routes of arterial and/or venous access; and patients receiving any hypnotic, analgesic or inotrope, or a combination thereof. Conclusion The transfer and retrieval of critical care patients across Qatar is a relatively common occurrence. Variations in patient type and severity and the expectations of the transfer team, are significant. Variation in airway type and ventilation modalities, types and combinations of hypnotic, analgesic and inotropes used, and the multitude of arteriovenous access points observed in this study directly contributed towards the complexity of moving these patients from one facility to another.

scholarly journals Gender and Stature Estimate Based on Facial Measurements: an Anthropometric Study in Southwest Iranian Population

2021 ◽  
Vol 11 (1) ◽  
pp. 22-33
Author(s):  
Alireza Eftekhari Moghadam ◽  
Forouzan Absalan ◽  
Jafar Rezaian ◽  
Kimia Pirzad ◽  
Atefeh Zahedi
Keyword(s):  
Descriptive Analysis ◽  
Diagnostic Value ◽  
Cross Sectional Study ◽  
Iranian Population ◽  
Female Group ◽  
Cross Sectional ◽  
Facial Height ◽  
Discriminative Value ◽  
And Gender ◽  
Male Subjects

This study was aimed to evaluate the facial dimensions and their relation with gender and stature in the Iranian southwest population. A cross-sectional study was conducted among 300 southwest Iranian cases age 20-50 years (150 males and 150 females). Studied variables through physical anthropometry in both genders were Upper facial height (UFH), Total facial height (TFH), Facial Height (FH), Facial Width (FW), and intercanthal width (IC) using a standard sliding caliper and Collis. Regarding the sex and age of the individuals, general descriptive analysis of facial dimensions was determined. All measurements, except TFH and FH, were different between men and women (p≤ 0.01). In male subjects, the Pearson’s correlation coefficient (r) revealed that IC (0.72 ⃰ ⃰ ), FW (0.58 ⃰ ⃰ ) and UFH (0.18 ⃰⃰ ⃰ ) parameters had a positive correlation with stature. In the female group, none of the facial parameters had a significant correlation with stature. Regarding the value of each facial diameter in discriminating male and female stature and gender, the highest discriminative value was specified to the FW (cutoff: 11.89, sensitivity: 89%, specificity: 11%) and IC (cutoff: 2.26, sensitivity: 98%, specificity: 0.04%) respectively. This study showed a significant association of some facial measurements with stature and gender in the southwest Iranian population. IC and FW had the most diagnostic value for gender and stature definition. It is shown a useful reference for the adult southwest Iranian population for facial recognition and that the subject’s sex should be considered during body identification procedures.

Cost Analysis of Maxillofacial Trauma in Shiraz Shahid Rajayee Hospital

2021 ◽  
Author(s):  
Ehsan Aliabadi ◽  
Nima Jalali
Keyword(s):  
Financial Burden ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Maxillofacial Trauma ◽  
Sectional Study ◽  
Cross Sectional ◽  
Maxillofacial Fractures ◽  
And Gender ◽  
Different Parts

Introduction: Accidents are one of the most important cause of morbidity and mortality in different societies. One of the prevalent complications of crash and other accidents is maxillofacial fractures which in addition to abundant difficulties for patients has a high burden for health system of countries. So the aim of this study was analytical evaluation of financial burden of maxillofacial trauma with respect to demographic variables, therefore the costs of maxillofacial traumas were evaluated in Shiraz. Materials & Methods: In this cross-sectional study, records of 200 patients hospitalized for maxillofacial trauma in Shiraz Shahid Rajayee hospital during 2018 to 2019 were evaluated. Costs of different parts of treatment, trauma mechanisms in addition to demographic characteristics (age and gender) were recorded for each patient. Data analysis was carried out by descriptive analysis. Results: Of total of 200 patients were hospitalized due to the maxillofacial injuries, 40 (20 %) were female and 160 (80%) were male. The age average was 39.9 years. The most common cause of trauma was crashes (81.5%). In average, 89272763 Rials was spent for each patient. Conclusion: Results of the current study demonstrated that a huge budget is spent each year for accident patients whom have maxillofacial fractures.

scholarly journals Prevalence of Cross Bite among the Orthodontic Patients at a Dental Unit of Bangladesh

2019 ◽  
Vol 5 (2) ◽  
pp. 167-171
Author(s):  
Mohammad Sharif Hasan Chowdhury ◽  
Naznin Sultana ◽  
Mir Abu Naim ◽  
Towhida Nashrin ◽  
Lutfun Nahar
Keyword(s):  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Diagnostic Model ◽  
Cross Sectional ◽  
Medical College ◽  
Posterior Crossbite ◽  
Orthodontic Patients ◽  
Congenitally Missing Teeth ◽  
And Gender ◽  
Bangladeshi Population

Background: : Cross-bite is one of the most prevalent malocclusion. Objective: This study was an attempt to find out the prevalence of crossbite in Bangladeshi population and its variation with age and gender. Methodology: This cross-sectional study was conducted in the dental unit of Rajshahi Medical College, Rajshahi, Bangladesh from January, 2017 to December, 2018. Patients who were seeking comprehensive orthodontic treatment at the OPD of Rajshahi Medical College Dental Unit, Rajshahi, Bangladesh in between 5 to 35 years of age were diagnosed for cross-bite with diagnostic model. The findings of each cases was recorded in a preformed datasheet and the descriptive analysis was performed. Result: Out of 300 cases 163(54.3%) cases had cross-bite, 90(30%) cases had anterior cross-bite and 109(36.3%) cases had posterior cross bite. Among posterior crossbite 60(20%) had unilateral and 49(16.3%) had bilateral crossbite. Conclusion: Posterior crossbite was more prevalent than anterior crossbite. Cases with Class I molar relation showed more crossbite. Crossbite was more prevalent in cases with congenitally missing teeth Journal of National Institute of Neurosciences Bangladesh, 2019;5(2): 167-171

scholarly journals Attachment of Maxillary Labial Frenum in Nepalese Children

2012 ◽  
Vol 2 (1) ◽  
pp. 38-31
Author(s):  
Sumita Upadhyay ◽  
Neeta Ghimire
Keyword(s):  
Dental Treatment ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Age Group ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
Chi Square Test ◽  
Nepalese Children ◽  
And Gender

Objective: To determine the various types of maxillary labial frenum attachment in Nepalese children. Materials & Methods: A cross sectional study was conducted in a total of 198 children of age ranging from 1 to 14 years who visited Dental Department of Dhulikhel hospital for routine dental treatment. Types of maxillary labial frenum attachment was recorded along with age and gender. Children were divided into two groups; age 1-7 and 8-14 years. Descriptive analysis was carried out to determine the frequency of frenum types. The relation of frenum with gender and frenum types between two groups were calculated using chi square test. Results: The most common type was gingival attachment {61.1%) and the least common was papillary penetrating type of frenum attachment {8.1%). There was no significant difference in the frenum attachment between the two genders. Mucosal and gingival attachment was significantly higher in older age group whereas papillary and papillary penetrating was higher in younger age group. Conclusion: Attachment of frenum in children changes according to age.

scholarly journals Satisfaction With Services Among Attendees of Physiotherapy Outpatient Clinics in Tertiary Hospitals in Lagos State

2019 ◽  
Vol 7 (4) ◽  
pp. 468-478 ◽  
Author(s):  
Ijeoma Jane Odumodu ◽  
Tolulope Florence Olufunlayo ◽  
Babatunde Enitan Ogunnowo ◽  
Michael Ebe Kalu
Keyword(s):  
Waiting Time ◽  
Descriptive Analysis ◽  
Simple Random Sampling ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Staff Attitudes ◽  
Cross Sectional ◽  
Lagos State ◽  
Tertiary Hospitals ◽  
And Gender

Aim: To determine outpatients’ satisfaction with physiotherapy services in tertiary hospitals in Lagos State, Nigeria. Method: This cross-sectional study utilized a simple random sampling method to recruit 284 participants. Participants responded to a 2-part structured questionnaire with 33-items on a 5-point Likert-type scale. Participants were asked questions about their satisfaction with physiotherapy services, staff attitudes, and the accessibility of outpatient physiotherapy clinics. Data were analyzed using descriptive analysis and χ2. Results: About 28.8% of the participants were satisfied or very satisfied with the location of the outpatient physiotherapy clinics. The majority of the participants were satisfied or very satisfied with these physiotherapy services in maintaining privacy (86.2%), scheduling convenient clinic appointments (78.2%), prompt scheduling of the first physiotherapy clinic appointment (74.6%) and subsequent visits (78.9%), and providing a calm/relaxing atmosphere (90.1%). While 22.5% of the participants were satisfied or very satisfied with the waiting time in these physiotherapy clinics, 86.3% and 97.9% were satisfied or very satisfied with staff attitudes and the cost of the therapy, respectively. Almost all (97.9%) the participants reported being satisfied or very satisfied with their overall experience in the physiotherapy clinics. While there was an association between marital and educational status with overall satisfaction scores, age and gender showed no association. Conclusion: Our findings suggest that patients attending the outpatient physiotherapy clinics in tertiary hospitals in Lagos State, Nigeria, were satisfied or very satisfied with the domain that measured overall satisfaction. Strategies to reduce the waiting time in these physiotherapy clinics and to enhance physical accessibility of the physiotherapy clinics are encouraged.

CONCENTRATION OF THE SERUM TGF-BETA1 IN HEALTHY ADULT PEOPLE

2014 ◽  
pp. 90-93
Author(s):  
Van Tuan Nguyen ◽  
Tam Vo ◽  
Bui Bao Hoang
Keyword(s):  
Transforming Growth Factor ◽  
Healthy Adult ◽  
Age Groups ◽  
Elevated Serum ◽  
Cross Sectional Study ◽  
Healthy People ◽  
Sectional Study ◽  
Transforming Growth Factor Beta1 ◽  
Cross Sectional ◽  
And Gender

Elevated serum Transforming growth factor-beta1 (TGF-beta1) levels have been linked to tissue fibrosis including chronic kidney disease. Objectives: (1) Investigate serum TGF-beta1 levels in healthy adult people and (2) Examined the relation between serum TGF-beta1 level and gender, age, body mass index (BMI). Method: A cross-sectional study. TGF-beta1 were quantified by ELISA. Results: Levels of serum TGF-beta1 in healthy people were 13,45 ± 7,17 ng/mL mL (0,59 - 33,10 ng/mL). There are no difference of serum TGF-beta1 levels between men and women, between the age groups (<40 years, 40 to < 60 years and ≥ 60 years), between BMI groups < 23 and BMI group ≥ 23. Key words: TGF-beta1, healthy people

Frequency of Neck and Upper Extremity Musculoskeletal Disorders in Dentists

2020 ◽  
Vol 9 (3) ◽  
pp. 207-211
Author(s):  
Sidra Sarwar ◽  
Sara Khalid ◽  
Tahir Mahmood ◽  
Hadeeqa Jabeen ◽  
Shahid Imran
Keyword(s):  
Upper Extremity ◽  
Musculoskeletal Disorders ◽  
Health Care Professionals ◽  
Descriptive Analysis ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Dental Hospital ◽  
Upper Extremity Musculoskeletal Disorders ◽  
And Performance

Background: Musculoskeletal disorders are not only becoming prevalent among health care professionals in our country but are affecting their health and performance adversely. They are caused by poor ergonomics and awkward posture during work activities. The purpose of this study was to determine the frequency of neck and upper limb musculoskeletal disorders in dentists of Lahore, Pakistan. Material and Methods: This cross-sectional study was conducted during October 2017 to March 2018. The data was collected using convenient sampling technique from 162 Dentists including 52 males and 110 females of Children hospital Lahore, Punjab Dental hospital and Fatima Memorial Hospital, Lahore. Data was collected by using Mangalore Questionnaire for identification of musculoskeletal disorders. Descriptive analysis of the data was done using SPSS version 22.0. Results: Of 162 dentists, 115 (71%) suffered from musculoskeletal disorders. Shoulder was the most commonly affected region (30.9%) followed by neck (25.9%), arm (6.2%), wrist (4.3%), elbow (3.1%) and forearm (0.6%). Pain (45.7%) was found to be the most common complaint followed by muscle weakness (20.4%), paraesthesia (3.7%) and swelling (1.2%). Conclusions: It was concluded that majority of the dentists were suffering from musculoskeletal disorders with shoulder as the most affected region and pain as the most frequent complaint. Key words: Dentists, Musculoskeletal disorders, Neck pain, Upper extremity

scholarly journals SAT0082 FRAX AND DAS IN MOROCCAN RHEUMATOID ARTHRITIS PATIENTS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 975.1-975
Author(s):  
H. Azzouzi ◽  
O. Lamkhanat ◽  
I. Linda
Keyword(s):  
Rheumatoid Arthritis ◽  
Fracture Risk ◽  
Disease Activity ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Fracture Probability ◽  
Mineral Density ◽  
Cross Sectional ◽  
Risk Probability ◽  
Fracture Assessment

Background:Rheumatoid Arthritis (RA) is one of the risk factors for the calculation of the 10 years fracture probability assessed by the FRAX tool.Objectives:The aim was to study the association of disease activity and the 10 year fracture risk probability by the FRAX tool in our RA patients and their impact on fracture prevalence.Methods:Cross-sectional study of the association FRAX and disease activity score (DAS 28 CRP) was designed. Patients with RA were included. Mean DAS was calculated for each patient adjusted on his follow-up duration. Data about patients (demographic, disease characteristics and fracture assessment) were collected. The 10 year fracture risk probability for major osteoporotic fracture was calculated with and without BMD (bone mineral density) using the FRAX tool for Morocco. Descriptive analysis and regressions were performed with SPSS.20. p<0.05 was considered significant.Results:One hundred and ninety nine RA patients were included with mean age of 55.5±12 years. Women represented 91% and 40.1% had osteoporosis. Remission was observed in 86.4% with 95.5% taking methotrexate. 17.1% had vertebral fractures. FRAX and DAS were associated (p=0.03), and both explained vertebral fracture (VF) prevalence. When adjusted on disease parameters, FRAX with and without BMD explained the vertebral prevalence (p=0.02, OR=1.09[1.01-1.19]). However, age remains the only predictor of VF when adjusted on osteoporosis factors (DAS28CRP, menopause, BMI, smoking, diabetes, gender, steroid use, HAQ) and FRAX BMD.Conclusion:Persistent disease activity was associated to high 10 year fracture risk probability calculated by the FRAX tool in RA.Disclosure of Interests:None declared

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