Characteristics and risk factors associated with stroke subtypes among adult patients admitted to stroke unit of JUMC

2019 ◽  
Vol 15 ◽  
Author(s):  
Bekalu Getachew Gebreegziabher ◽  
Tesema Etefa Birhanu ◽  
Diriba Dereje Olana ◽  
Behailu Terefe Tesfaye

Background: Stroke is a great public health problem in Ethiopia. According to reports, in-hospital stroke mortality was estimated to be 14.7% in Ethiopia. Despite this, in this country researches done on factors associated with stroke sub-types were inadequate. Objective: To assess the Characteristics and risk factors associated with stroke sub-types among patients admitted to JUMC. Methods and materials: A retrospective cross sectional study was conducted from May 2017 to May 2018 in stroke unit of Jimma University Medical Center. A total of 106 medical charts of patients diagnosed with stroke were reviewed. Checklist comprising of relevant variables was used to collect data. SPSS version 21 was employed for data entry and analysis. Chi-square test was used to point-out association and difference among stroke sub-types. The data was presented using text, tables and figures. Result: From a total of 106 patients, 67(63.2%) were men. The mean ± SD of age was 52.67±12.46 years, and no significant association was found. Of all the patients, 59(55.6%) had ischemic strokes and 47(44.4%) had hemorrhagic strokes. The most common risk factor in the patients was alcohol use with a prevalence of 69.9%. Of all the risk factors, only sex, cigarettes smoking and dyslipidemia were significantly associated to sub-types of stroke. Conclusion: Ischemic stroke was the most common subtype of stroke. Sex of patient, cigarette smoking and dyslipidemia are significantly associated with the two stroke subtypes.

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Olaolu T. Olufemi ◽  
Danjuma B. Dantala ◽  
Paul A. Shinggu ◽  
Umesi A. Dike ◽  
Gbeminiyi R. Otolorin ◽  
...  

A cross-sectional study was conducted in Wukari, Taraba state, Nigeria, to determine the prevalence of Brucella antibodies and the risk factors associated with brucellosis in indigenous breeds of goats. A total of 386 goats were sampled from three political wards: Puje, Avyi, and Hospital: harvested sera samples were subjected to Rose Bengal Plate Test (RBPT). GraphPad Prism version 7.03 for Windows (GraphPad Software, La Jolla California, USA) was used to analyse the association between seroprevalence of brucellosis and age, sex, breed, location, and management system by using Chi square and Fisher’s exact test as appropriate. Brucellosis was detected in all three wards: Puje; 15%, Avyi; 6.6%, and Hospital; 7.6%. A prevalence rate of 2.8%, 8%, 18.7%, and 1% was recorded for <20-month, 22-35-month, 36-45-month, and ≥46-55-month age categories, respectively (P < 0.05). Only 9.5% was observed for male animals while 9.8% was observed for female animals with no statistical difference between the males and females. Breed-specific seroprevalence yielded 7.4%, 5.4% 12%, 12.8%, and 11.6%, for Cross, West Africa Dwarf, Red Sokoto, Kano Brown, and Sahel breeds of goat, respectively. There is an evidence of brucellosis (9.6%) in Wukari L.G.A, Taraba State, and age is a risk factor for the disease in the study area. There is a need to enlighten the public on the zoonotic potentials and economic impacts of brucellosis.


Author(s):  
Sindhura Moparthi ◽  
Madhavi Seepana ◽  
Devi Madhavi Bhimarasetty

Background: Chronic kidney disease (CKD) is being increasingly recognised as a leading public health problem. In India, given its population >1 billion, the rising incidence of CKD is likely to pose major problems for both healthcare and the economy in future years. Diabetes and hypertension are strong predictors for development and progression of chronic kidney disease. The objective of the study was to assess risk factors for chronic kidney disease among patients undergoing dialysis in King George Hospital (KGH), Visakhapatnam.Methods: This is an observational descriptive cross sectional study done in dialysis unit in KGH. A total of 100 patients were selected out of 141 registered CKD patients by simple random sampling technique. Study is done in the month of October- November 2015. A pretested semi structured schedule was administered. Informed written consent was taken from the patients. MS excel 2007 was used for data entry. Data was analysed by SPSS trial version 20. Categorical data was analysed by Chi square test.Results: Among 100 study subjects 72 were females and 28 were males. 91% of the CKD patients were Hypertensive, among whom 73.6% were males and 26.4% were females. This difference was not found to be statistically significant (p=0.446). 22% of the CKD patients were Diabetic, among whom 81.8% were males and 18.2% were females.Conclusions: Better understanding of the role of risk factors in CKD is needed. Large community based cross sectional studies are needed to study in detail about CKD risk factors. 


2021 ◽  
Vol 16 (3) ◽  
pp. 428-438
Author(s):  
Budiyono Budiyono ◽  
Suhartono Suhartono ◽  
Apoina Kartini

Organophosphate is widely used in agriculture in Indonesia and contributes to a public health problem. However, the risk factors of organophosphate exposure, particularly in children living in the agricultural area, have not been described. The research aimed to assess the risk factors associated with organophosphate pesticide exposure on school children living in the agricultural area. This work was a cross-sectional study in 2017 with 166 school children were selected by simple random sampling. Structured questionnaires identified risk factors. Organophosphate metabolites detected by using LC-MS/MS. While chi-square and binary logistic tests as statistical analysis (α=0.05; 95%CI). In 28.9% of subjects, organophosphate metabolites were detected. Cut the onion leaves (p=0.002, OR=3.33, 95% CI:1.55−7.15), the onion, pesticide equipment, or pesticide in their neighbors (p=0.007; OR=2.67; 95%CI:1.31−5.46) was associated with organophosphate pesticide exposure. Involvement in agriculture activities and the onion, pesticide equipment, or pesticide in the neighbor.


2021 ◽  
Author(s):  
FILMON EMILY ◽  
Dedius E. Peter ◽  
Walter C. Milanzi ◽  
Angelina A. Joho ◽  
Fabiola Moshi

Abstract Background: Sexual abuse is a situation whereby any people or individual entered in any sexual malpractice or sexual contact without his/her will. Sexual abuse among house girls and house boys is among of general medical issue in our nation particularly in the urban areas and towns. The aim of the study was to examine predicators associated with knowledge on risk factors of sexual abuse among house girls and house boys in Singida Municipality.Methods: The cross section study involved a total of 252 participants from the selected house hold in Singida Municipality. A multistage sampling technique was used to obtain sample and data was collected by using self-administered structured questionnaire. Chi-square and logistic regression were used to determine the association between knowledge on risk factors and sexual abuse among house girls and house boys.Results: The large numbers of respondents with mean age of 22years old were single. Only 53.1% of house girls were knowledgeable on risk factors associated with sexual abuse compared to house boys. After control of the confounders the predictors of knowledge about risk factors on sexual abuse were educational level (AOR = 0.332, p = 0.002, 95%CI:0.167; 0.659), how did you find a job(AOR=2.412, p=0.001, 95%CI:1.433; 2.523), and type of family he/she living(AOR=4.672, p=0.002, 95%CI:0.0709; 0.719, nuclear family (AOR=4.023, p=0.023, 95%CI:0.101;0902). Conclusion: The findings depicted that the study participants have inadequate knowledge on risk factors associated with sexual abuse and it discovered that the influencing factors were education level, means of getting a job and type of family.


Author(s):  
Murniati Murniati ◽  
Etih Sudarnika ◽  
Yusuf Ridwan

The aims of this research were to estimate the prevalence and to determine the risk factors related to Toxocara cati (T. cati) infection in pet cats in Bogor. This study was cross sectional study using two types of data; laboratory examination results of feces samples and interview results of the cat owner using a structured questionnaires including characteristics of pet owner and pet care management. The data obtained from this study was analyzed using chi-square test. The results showed that 85 of 243 cats were positively infected by T. cati with 35% prevalence. The significant risk factor associated with the T. cati infection were: sex, sand provided, deworming and type of feed. Pet care management in Kota Bogor were well managed, however the prevalence of T. cati infection was still high. Therefore it can be a potential public health problem especially on cat owners.


2012 ◽  
Vol 8 (3) ◽  
pp. 113 ◽  
Author(s):  
Lucia Mawarti Dwi Astuti ◽  
Endy Paryanto Prawirohartono ◽  
Noormanto Noormanto ◽  
Madarina Julia

Background: Obesity in adolescents has become health problem in Indonesia. Central obesity is associated with insulin resistance.Theoretically, insulin resistance will cause impaired glucose tolerance (IGT) and could develop into type 2 diabetes.Objective: The aim of this study were to evaluate the difference in IGT prevalence between central and non central obesity and to identify the risk factors associated with IGT. Method: A cross sectional study was conducted at 3 private secondary schools in Yogyakarta and recruited 62 obese female students aged 12-18 years.The subjects were classified into central obesity (BMI/U> +2SD and waist circumference > p90) and non central obesity based on anthropometric data. Fasting glucose and 2 hours after loading were measured in all subjects. Differences in the proportion of IGT between the two groups was calculated by Chi-square test and risk factors associated with IGT were calculated by multivariate logistic regression with 95% confidence interval.Result: Of 62 subjects, 14 of them have IGT and the prevalence of IGT was significantly higher in the central obesity group compared to non central obesity group (11/31 vs 3/31, p=0.03). Central obesity was found to be the only risk factor of IGT (OR=4.6; 95%CI: 1.04 to 20.24). Twenty one of the subjects were found to have impaired fasting glucose (IFG) (34%) and one subject (1.6 %) had IFG+IGT. There were no differences in the proportion of IFG between central and non central obesity groups. Conclusion: The prevalence of IGT in female students with central obesity was higher compared to those with non central obesity. A female student with central obesity had 4.6-fold risk of having IGT compared to those with non central obesity.


Author(s):  
Rahul C. Kirte ◽  
M. A. Fahim

Background: Depression among medical students represents a neglected public health problem in India. Early onset depression among medical students interferes with psychological, social, and academic functioning. Clearly, depression in medical students is of paramount importance and warrants serious study to detect early symptoms of depression. This study was conducted to find out the prevalence and the risk factors associated with depression among medical students of RIMS, Raichur.Methods: Cross-sectional study conducted among medical students from 1st year to final year of RIMS, Raichur who gave consent. Socio-demographic and risk factors details were collected using pre-tested, semi-structured questionnaire and beck depression inventory scale was used to assess the depression level. Data was analyzed using Epi-Info 7 software and appropriate statistical tests were applied. Level of significance was set at a p<0.05.Results: Of the 421 medical students participated in the study, 214 (50.83%) were males and 207 (49.17%) were females. The overall prevalence of depression was found to be 22.09%. Statistically significant association of depression was found with family history (χ2=4.23, p<0.05), family problems (χ2=61.98, p<0.001), relation with parents (χ2=51.82, p<0.001), high expectations from parents (χ2=22.76, p<0.001), those who regret joining MBBS (χ2=30.44, p<0.001), relationship status (χ2=4.63, p<0.05).Conclusions: Our findings emphasize the importance of screening for depression of medical students on a regular basis for early detection and appropriate intervention like group counseling, stress management training, support services etc. to protect this valuable future human resource. 


Author(s):  
Shalini Rawat ◽  
Ashwini Yadav ◽  
Kamaxi Bhate

Background: Hypertension is a major public health problem and also major risk factor for cardiovascular diseases. The prevalence and severity of hypertension increases with age, and it becomes difficult to control blood pressure with increasing age particularly in women. Thus present study aims to explores the risk factors contributing for hypertension among women.Methods: A cross-sectional study was carried out in the field practice area of Rural Health Training Centre of Community Medicine Department for one month duration September to October 2017. All the women reporting to general OPD for routine visit to RHTC were included. Informed consent was obtained. The participants who were already known hypertensives and were already on medication were excluded. Total 200 subjects were included in the study. Percentages, chi-square test and P-value were calculated using Epi Info software.Results: Out of total 200 women maximum were in the age group of 40-60 years (64%) followed by (22.5%)in  60-70 years. 40% of women were found to be  normotensive, 16%  were in stage one 12% were in stage two and 32% were showing elevated blood pressure. Hypertension was found to be significantly associated with modifiable risk factors like BMI, physical activity, waist circumference. 66.66% of women who were obese were found to be hypertensive. 91.91% of women who had family history of hypertension were themselves hypertensive and 97 (48.5%) women who had diabetes out of them 82.47% were both diabetic as well as hypertensive.Conclusions: Screening, detection and treatment of NCDs, are key components of the response to non-communicable diseases.


2020 ◽  
Vol 14 (1) ◽  
pp. 7-12
Author(s):  
Thaker A.A. Abdulrahman ◽  
Ali Alhaj ◽  
Mokhtar E.M. Saif

Objective: To retrospectively analyze thalassemia phenotypes and associated mortality among Yemeni patients seeking healthcare in Sana’a city, Yemen. Methods: This retrospective, cross-sectional study was conducted in the medical center of Yemen Society for Thalassemia and Genetic Blood Disorders (YSTGBD) in Sana'a city from January 2010 to December 2016. Data about gender, age, governorate of origin, type of thalassemia and thalassemia-related mortality were retrieved from the records of 496 thalassemia patients. Data were then entered into an Excel spreadsheet, cross-checked for accuracy and presented as frequencies and proportions. Factors associated with deaths among thalassemia patients were analyzed using chi-square or Fisher’s exact tests. Results: A total number of 496 patients attended the medical center of YSTGBD in Sana’a city in the period from January 2010 to December 2016. The majority of thalassemia patients were males (57.9%), and approximately half of the patients were aged 10 years or younger with a comparable proportion to those older than 10 years. Most thalassemia patients had β-thalassemia (92.7%), while 7.3% had α-thalassemia. The majority of patients were from Hajjah governorate (16.5%) followed by those from Sana'a (13.1%) and Amran (11.9%), while lower proportions ranging from 0.2% to 8.1% were recorded for patients from other governorates. Thirty out of the total attending thalassemia patients died, and mortality was significantly associated with recurrent transfusions of whole blood but not with the gender and age of the patients or thalassemia phenotype. Conclusions: The majority of thalassemia patients seeking healthcare in Sana’a city suffer from thalassemia, where males represent more than half of them and the patients are almost equally distributed in relation to the cut-off age of 10 years. The mortality incidence among Yemeni thalassemia patients seeking healthcare is lower than that reported elsewhere in the world, and mortality was significantly associated with recurrent blood transfusions. Further studies to identify the genetic abnormalities associated with thalassemia are recommended together with the need for the launch of a national center for counseling, research and supervision of voluntary activities related to thalassemia and genetic blood disorders in Yemen. Keywords: Thalassemia, Phenotype, Mortality, Yemen


2021 ◽  
Author(s):  
Filmon Emily ◽  
Dedius E. Peter ◽  
Walter C. Milanzi ◽  
Angelina A. Joho ◽  
Fabiola Moshi

Abstract Background: Sexual abuse is a situation whereby any people or individual entered in any sexual malpractice or sexual contact without his/her will. Sexual abuse among house girls and house boys is among of general medical issue in our nation particularly in the urban areas and towns. The aim of the study was to examine predicators associated with knowledge on risk factors of sexual abuse among house girls and house boys in Singida Municipality.Methods: The cross section study involved a total of 252 participants from the selected house hold in Singida Municipality. A multistage sampling technique was used to obtain sample and data was collected by using self-administered structured questionnaire. Chi-square and logistic regression were used to determine the association between knowledge on risk factors and sexual abuse among house girls and house boys.Results: The large numbers of respondents with mean age of 22years old were single. Only 53.1% of house girls were knowledgeable on risk factors associated with sexual abuse compared to house boys. After control of the confounders the predictors of knowledge about risk factors on sexual abuse were educational level (AOR = 0.332, p = 0.002, 95%CI:0.167; 0.659), how did you find a job(AOR=2.412, p=0.001, 95%CI:1.433; 2.523), and type of family he/she living(AOR=4.672, p=0.002, 95%CI:0.0709; 0.719, nuclear family (AOR=4.023, p=0.023, 95%CI:0.101;0902). Conclusion: The findings depicted that the study participants have inadequate knowledge on risk factors associated with sexual abuse and it discovered that the influencing factors were education level, means of getting a job and type of family.


Sign in / Sign up

Export Citation Format

Share Document