Reducing visual analog scale (VAS) in circumcision patient by the additional of topical anesthesia agent in local anesthesia procedures

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
M. Fadel Dikaprio ◽  
Muhammad Fadhol Romdhoni ◽  
Refni Riyanto Riyanto ◽  
Susiyadi
Keyword(s):  
Local Anesthesia ◽  
Visual Analog Scale ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Topical Anesthesia ◽  
Sectional Study ◽  
Pain Sensation ◽  
Analog Scale ◽  
Cross Sectional ◽  
Central Java

Circumcision could be painful before, during, and after the surgery. The local anesthesia is often used in medical practice in order to reduce pain during circumcision. Topical anesthesia works by eliminating pain sensation after direct application on skin. This study aimed to investigate the effect of additional of topical anesthesia agent for circumcision on the visual analog scale (VAS). It was a cross sectional study using the data of medical records from a Circumcision Clinic (Rumah Sunatan) in Purwokerto, Central Java conducted from July 2019 to March 2020. As a result, there were 127 subjects (70.6%) belong to Mild Category VAS, while 26 subjects (14.4%) got Moderate, and 27 subjects (15.0%) fall under Severe Category. The application of topical anesthesia for circumcision could reduce the VAS value by 70.6 %.

scholarly journals Validation of an Electronic Visual Analog Scale mHealth Tool for Acute Pain Assessment: Prospective Cross-Sectional Study

10.2196/13468 ◽  
2020 ◽  
Vol 22 (2) ◽  
pp. e13468 ◽  
Author(s):  
Carles Escalona-Marfil ◽  
Andrea Coda ◽  
Jorge Ruiz-Moreno ◽  
Lluís Miquel Riu-Gispert ◽  
Xavier Gironès
Keyword(s):  
Confidence Interval ◽  
Visual Analog Scale ◽  
Cross Sectional Study ◽  
Pain Level ◽  
Sectional Study ◽  
Analog Scale ◽  
Good Reliability ◽  
Cross Sectional ◽  
Paper Format ◽  
Simple Economic

Background Accurate measurement of pain is required to improve its management and in research. The visual analog scale (VAS) on paper format has been shown to be an accurate, valid, reliable, and reproducible way to measure pain intensity. However, some limitations should be considered, some of which can be implemented with the introduction of an electronic VAS version, suitable to be used both in a tablet and a smartphone. Objective This study aimed to validate a new method of recording pain level by comparing the traditional paper VAS with the pain level module on the newly designed Interactive Clinics app. Methods A prospective observational cross-sectional study was designed. The sample consisted of 102 participants aged 18 to 65 years. A Force Dial FDK 20 algometer (Wagner Instruments) was employed to induce mild pressure symptoms on the participants’ thumbs. Pain was measured using a paper VAS (10 cm line) and the app. Results Intermethod reliability estimated by ICC(3,1) was 0.86 with a 95% confidence interval of 0.81 to 0.90, indicating good reliability. Intramethod reliability estimated by ICCa(3,1) was 0.86 with a 95% confidence interval of 0.81 to 0.90, also indicating good reliability. Bland-Altman analysis showed a difference of 0.175 (0.49), and limits of agreement ranged from –0.79 to 1.14. Conclusions The pain level module on the app is highly reliable and interchangeable with the paper VAS version. This tool could potentially help clinicians and researchers precisely assess pain in a simple, economic way with the use of a ubiquitous technology.

Usefulness of a Visual Analog Scale for Measuring Anxiety in Hospitalized Patients Experiencing Pain: A Multicenter Cross-Sectional Study

2020 ◽  
Vol 21 (6) ◽  
pp. 572-578
Author(s):  
Vincent Ducoulombier ◽  
Roman Chiquet ◽  
Sahara Graf ◽  
Bernard Leroy ◽  
Guillaume Bouquet ◽  
...  
Keyword(s):  
Visual Analog Scale ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Sectional Study ◽  
Analog Scale ◽  
Cross Sectional

scholarly journals HUBUNGAN GLENOHUMERAL INSTABILITY TERHADAP TERJADINYA SWIMMER’S SHOULDER PADA KLUB RENANG DI KABUPATEN BADUNG

2021 ◽  
Vol 9 (3) ◽  
Author(s):  
Dewa Ayu Diah Agung Maheswari ◽  
Anak Ayu Nyoman Trisna Narta Dewi ◽  
Ni Luh Putu Gita Karunia Saraswati ◽  
Ni Wayan Tianing
Keyword(s):  
Rotator Cuff ◽  
Visual Analog Scale ◽  
Cross Sectional Study ◽  
Sign Test ◽  
Sectional Study ◽  
Analog Scale ◽  
Glenohumeral Instability ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Western Ontario Rotator Cuff

Swimmer’s Shoulder menggambarkan kondisi nyeri bahu yang dialami oleh perenang, salah satu faktor resikonya yaitu glenohumeral instability yang merupakan kondisi ketidakstabilan bahu. Kondisi bahu yang tidak stabil dapat menurunkan performa atlet yang dapat meningkatkan resiko terjadinya swimmer’s shoulder. Penelitian ini bertujuan untuk mengetahui hubungan glenohumeral instability terhadap terjadinya swimmer’s shoulder pada klub renang di Kabupaten Badung. Penelitian ini menggunakan rancangan observasional analytic dengan pendekatan metode cross sectional study dan teknik nonprobability sampling dengan jenis purposive sampling dalam. Sampel berjumlah 67 orang, yang diukur glenohumeral instability nya menggunakan tes spesifik yaitu apprehension test dan sulcus sign test dengan skala Visual Analog Scale (VAS) dan  swimmer’s shoulder menggunakan kuesioner Western Ontario Rotator Cuff (WORC). Analisis data yang digunakan yaitu teknik spearman’s rho dengan nilai p=0,001, sampel dengan kondisi bahu yang stabil berjumlah 50 orang (74,6%) dan dominan berpotensi rendah terjadinya swimmer’s shoulder (74,6%) sedangkan kondisi bahu yang tidak stabil 17 orang (25,4%) dan dominan berpotensi sedang terjadinya swimmer’s shoulder (25,4%). Hasil analisis data ini menunjukkan bahwa terdapat hubungan yang signifikan antara glenohumeral instability dengan swimmer’s shoulder pada klub renang di Kabupaten Badung. Kata Kunci: perenang, swimmer’s shoulder, glenohumeral instability

scholarly journals Validation of an Electronic Visual Analog Scale mHealth Tool for Acute Pain Assessment: Prospective Cross-Sectional Study (Preprint)

2019 ◽  
Author(s):  
Carles Escalona-Marfil ◽  
Andrea Coda ◽  
Jorge Ruiz-Moreno ◽  
Lluís Miquel Riu-Gispert ◽  
Xavier Gironès
Keyword(s):  
Confidence Interval ◽  
Visual Analog Scale ◽  
Cross Sectional Study ◽  
Pain Level ◽  
Sectional Study ◽  
Analog Scale ◽  
Good Reliability ◽  
Cross Sectional ◽  
Paper Format ◽  
Simple Economic

BACKGROUND Accurate measurement of pain is required to improve its management and in research. The visual analog scale (VAS) on paper format has been shown to be an accurate, valid, reliable, and reproducible way to measure pain intensity. However, some limitations should be considered, some of which can be implemented with the introduction of an electronic VAS version, suitable to be used both in a tablet and a smartphone. OBJECTIVE This study aimed to validate a new method of recording pain level by comparing the traditional paper VAS with the pain level module on the newly designed Interactive Clinics app. METHODS A prospective observational cross-sectional study was designed. The sample consisted of 102 participants aged 18 to 65 years. A Force Dial FDK 20 algometer (Wagner Instruments) was employed to induce mild pressure symptoms on the participants’ thumbs. Pain was measured using a paper VAS (10 cm line) and the app. RESULTS Intermethod reliability estimated by ICC(3,1) was 0.86 with a 95% confidence interval of 0.81 to 0.90, indicating good reliability. Intramethod reliability estimated by ICC<sub>a</sub>(3,1) was 0.86 with a 95% confidence interval of 0.81 to 0.90, also indicating good reliability. Bland-Altman analysis showed a difference of 0.175 (0.49), and limits of agreement ranged from –0.79 to 1.14. CONCLUSIONS The pain level module on the app is highly reliable and interchangeable with the paper VAS version. This tool could potentially help clinicians and researchers precisely assess pain in a simple, economic way with the use of a ubiquitous technology.

scholarly journals Inadequate Gestational Weight Gain and Exposure to Second-Hand Smoke during Pregnancy Increase the Risk of Low Birth Weight: A Cross-Sectional Study among Full-Term Infants

2021 ◽  
Vol 18 (3) ◽  
pp. 1068
Author(s):  
Muliana Edi ◽  
Yit Chin ◽  
Fui Woon ◽  
Geeta Appannah ◽  
Poh Lim ◽  
...  
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Pregnant Women ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Second Hand Smoke ◽  
Sectional Study ◽  
Cross Sectional ◽  
Shs Exposure ◽  
At Home

Despite the advancement of the healthcare system, low birth weight (LBW) remains as one of the leading causes of under-five mortality. This cross-sectional study aimed to determine the prevalence of LBW and its associated factors among 483 third trimester pregnant women recruited from six selected public health clinics in the Federal Territory of Kuala Lumpur and the state of Selangor, Malaysia. Pregnant women were interviewed for information on socio-demographic characteristics, smoking behaviour, and second-hand smoke (SHS) exposure at home and in the workplace. Information on the obstetrical history and prenatal care visits history were retrieved from the maternal medical records, while infant’s birth outcomes were retrieved from infant medical records. The prevalence of LBW (<2.5 kg) in infants was 10.4%, with a mean birth weight of 3.0 [standard deviation (SD) 0.4] kg. Results from the multivariable logistic regression model showed that inadequate weight gained during pregnancy [odds ratio (OR) = 2.41, 95% confidence interval (CI) = 1.18–4.90] and exposure to SHS at home (OR = 1.92, 95% CI = 1.03–3.55) were significantly associated with LBW. In conclusion, pregnant women should monitor their rate of weight gain throughout pregnancy and avoid SHS exposure at home to reduce the risk of delivering LBW infants.

Ophthalmologists and WhatsApp: Teleophthalmology is already here

2021 ◽  
pp. 112067212110026
Author(s):  
Edward Barayev ◽  
Ofri Vorobichik Berar ◽  
Gad Dotan ◽  
Alon Skaat ◽  
Orly Gal-Or ◽  
...  
Keyword(s):  
Medical Records ◽  
Cross Sectional Study ◽  
Work Hours ◽  
Clinical Settings ◽  
Sectional Study ◽  
Cross Sectional ◽  
Policy Makers ◽  
Media Messages ◽  
Rapid Responses ◽  
Wide Availability

Purpose: To estimate the extent of WhatsApp utilization using text and media messages for inter-physician consultations among ophthalmologists (residents and specialists) at various clinical settings and its perceived benefits for ophthalmologists and their patients. We also aimed to detect obstacles that concern ophthalmologists when using WhatsApp as a consultation platform. Methods: This was a cross-sectional study using a self-administered survey through Google Forms, which was sent to 660 practicing ophthalmologists during April to May 2020. Results: One hundred and ninety-two ophthalmologists completed the questionnaire, 151 of which (78.6%) were specialists and 41 (21.4%) were residents. Most ophthalmologists reported using WhatsApp at least once a day for both personal and professional use. Residents reported lower rates of contacting patients using WhatsApp than specialists (1.51 ± 0.98 vs 2.72 ± 1.32, p < 0.001). Respondents reported WhatsApp consultations frequently replaced referrals of patients to other physicians, with a median of once a week. 97.8% of residents and 91.4% of specialists reported the ability to share media is a major advantage of WhatsApp over other medias, followed by rapid responses for consultations. Conclusion: Many ophthalmologists already use WhatsApp as a tool for professional consultations with other providers, mainly thanks to its simplicity and wide availability. Residents use it more frequently than specialists, and ranked it higher when asked how much WhatsApp has improved the clinical setting. Policy makers should address concerns brought up by physicians, such as documentation in medical records and proper compensation for consulting ophthalmologists during and after work hours.

scholarly journals Chronic stress, work-related daily challenges and medicolegal investigations: a cross-sectional study among German general practitioners

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Christine Kersting ◽  
Lena Zimmer ◽  
Anika Thielmann ◽  
Birgitta Weltermann
Keyword(s):  
Regression Model ◽  
General Practitioners ◽  
Chronic Stress ◽  
Medical Records ◽  
High Strain ◽  
Well Being ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Work Related

Abstract Background The prevalence of chronic stress among German general practitioners (GPs) was shown to be twice as high as in the general population. Because chronic stress negatively influences well-being and poor physician well-being is associated with poor patient outcomes, targeted strategies are needed. This analysis focuses on work-related factors associated with high chronic stress in GPs. Methods This cross-sectional study measured chronic stress among German GPs using the validated and standardized Trier Inventory for the Assessment of Chronic Stress (TICS-SSCS). Based on the TICS, GPs were categorized as either having low strain (≤ 25th percentile) or high strain (≥ 75th percentile) due to chronic stress. Questions on work-related challenges assessed the frequency and the subjectively perceived strain of single challenges. For exploratory analyses, these items were combined to dichotomous variables reflecting challenges that are common and that cause high strain. Variables significant in bivariate analyses were included in a multivariate logistic regression model analyzing their association with high chronic stress. Results Data of 109 GPs categorized as having low strain (n = 53) or high strain (n = 56) due to chronic stress were analyzed. Based on bivariate analyses, challenges regarding personnel matters, practice software, complexity of patients, difficult patients, care facilities, scheduling of appointments, keeping medical records up-to-date, fee structures, and expectations versus reality of care were included in the regression model. Keeping medical records up-to-date had the strongest association with high chronic stress (odds ratio 4.95, 95% confidence interval 1.29–19.06). A non-significant trend showed that medicolegal investigations were more common among GPs with high chronic stress. Conclusions This exploratory research shows that chronic stress is predominantly associated with administrative challenges. Treatment documentation, which represents a legal safeguard and is closely linked to existential concerns, has the strongest influence.

scholarly journals Profile of medicines used via oral and gastrointestinal catheter in a Walk-in Service

2018 ◽  
Vol 52 (0) ◽  
Author(s):  
Moara Avila de Jesus Moreira ◽  
Paula Pereira de Figueiredo ◽  
Rosemary Silva da Silveira ◽  
Valdecir Zavarese da Costa ◽  
Eliana Cardia de Pinho ◽  
...  
Keyword(s):  
Medical Records ◽  
Drug Class ◽  
Cross Sectional Study ◽  
Oral Route ◽  
Descriptive Statistics ◽  
University Hospital ◽  
Care Practice ◽  
Sectional Study ◽  
Cross Sectional ◽  
Pharmaceutical Form

ABSTRACT Objective: To identify the profile of drugs prescribed via oral and gastrointestinal catheter in a Walk-in Service of a University Hospital. Method: Quantitative cross-sectional study in which data were collected from the medical records of hospitalized patients using medication via oral or gastrointestinal catheter at least once a day between April and October 2015. The analysis was performed through descriptive statistics. Results: Out of 568 prescriptions (total), there were 143 different medications. The pharmaceutical form with the greatest number of prescriptions was solid (95.8%), of which 46.1% were simple tablets. The oral route had the highest number of administrations (97.3%). The most prescribed drug class was of anti-infectives (25.9%), but the Omeprazole drug was the most prescribed in the study (40%). Conclusion: There are indications that enable rethinking the care practice and establishing criteria and norms for contributing to the safety and efficacy of services provided in healthcare, especially regarding the preparation and administration of medications via gastrointestinal catheter.

scholarly journals Potential Incompatibility Problem of Intravenous Drugs’ Administration among Intensive Care Unit (ICU) Patients at PKU Muhammadiyah Yogyakarta Hospital

2019 ◽  
Vol 9 (4) ◽  
pp. 238
Author(s):  
Ardhanarishwari Umi Salamah ◽  
Fita Rahmawati ◽  
Fivy Kurniawati
Keyword(s):  
Medical Records ◽  
Dosage Form ◽  
Electrolyte Solutions ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Icu Patients ◽  
Injectable Drugs ◽  
Intravenous Drugs

Drugs’ administration among hospitalized patients in ICU commonly is given intravenously. Mixing the intravenous drugs may result in incompatibility problem that might affect the drugs’ stability and bioavailability. The aim of the study was to investigate the potential incompatibility problem of  intravenous mixing drugs’ administration among ICU patients at PKU Muhammadiyah Yogyakarta Hospital. This study was a cross-sectional study in which design and data was obtained from ICU patients’ medical record retrospectively with purposive sampling in order to observe the pattern of intravenous drug’s combination. The potential incompatibility problem was analyzed using Handbook on Injectable Drugs. There were 79 out of 119 medical records which fulfilled sample inclusion criteria taken in this study. Parenteral dosage form was commonly used rather than non parenteral (62.06%) among ICUs’ patients. The potential incompatibility pattern consisted of incompatibility of intravenous drugs, electrolyte solutions/parenteral nutritions in mixture form, and the electrolyte solutions/parenteral nutritions, which are administrated simultaneously. Potential incompatibility of intravenous dosage was found in 50 events out of 79 patients (0.63 events per patients), which consisted of 8 events (8.51%) in using of drugs administrated simultaneously, 10 events (19.23%) in using of electrolyte solutions/parenteral nutritions in mixture form, and 32 events (11.72%) in using of electrolyte solutions/parenteral nutritions administrated simultaneously. Common potential incompatibilities types were precipitation of drugs and drug’s adsorption to packaging materials.

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