scholarly journals The effectiveness of the follow-up of patients after surgery due to cancer of the head and neck

2018 ◽  
Vol 7 (8) ◽  
pp. 765-773
Author(s):  
Joanna Jackowska ◽  
Yogen Abelak ◽  
Krzysztof Piersiala ◽  
Malgorzata Wierzbicka
Keyword(s):  
Head And Neck ◽  
Cross Sectional Study ◽  
High Rate ◽  
Medical Sciences ◽  
Imaging Studies ◽  
Cross Sectional ◽  
Spontaneous Reports ◽  
Reasonable Cost ◽  
The University

Aim: The aim of this study was to assess the effectiveness of the follow-up (FU) of patients after head and neck cancer treatment. Materials & methods: This is a retrospective cross-sectional study and concerns the analysis of outpatient records of 85 women and 355 men who reported at FU visits between 2011 and 2016 in ENT Department in the University Of Medical Sciences in Poznan, Poland. Results: The value of the FU scheme was confirmed by a high rate of recurrence detected in a medical examination (60%) and routine imaging studies (27%), as opposed to only 13% in spontaneous reports. Conclusion: The FU therapeutic profit in the form of high percentages of preclinical relapse at a reasonable cost is justified medically and socially.

A retrospective analysis of congenital anomalies in congenital hypothyroidism

2020 ◽  
Vol 33 (9) ◽  
pp. 1147-1153
Author(s):  
Fatima Ali Mazahir ◽  
Manal Mustafa Khadora
Keyword(s):  
United Arab Emirates ◽  
Congenital Hypothyroidism ◽  
Clinical Laboratory ◽  
Tertiary Care ◽  
Significant Proportion ◽  
Cross Sectional Study ◽  
High Rate ◽  
Lingual Thyroid ◽  
Cross Sectional

AbstractObjectivesWe evaluated the spectrum of diseases accompanying congenital hypothyroidism (CH) in the United Arab Emirates and compared them with internationally studied patterns.MethodsThe presented retrospective cross-sectional study took place in two government tertiary care centres. In total, 204 patients with a confirmed diagnosis of CH and a minimum period of follow-up of 1 year were included. Patients with Down syndrome, infants born at <35 weeks of gestation, and babies with TORCH (Toxoplasma gondii, Other viruses [HIV, measles, etc.], Rubella, Cytomegalovirus, and Herpes simplex) infections were subsequently excluded from the study.ResultsOf the subjects with CH, 39% had associated extrathyroidal anomalies (ETAs); among these, 25% had a single anomaly. A significant proportion of Arab males were affected by CH as compared to other ethnic groups. Dyshormonogenesis was the commonest aetiological cause (55%) of CH. Males with an ectopic lingual thyroid gland had significant ETAs as compared to females of the same cohort. The most common ETAs were congenital heart disease (16%), followed by urogenital tract anomalies (14%).ConclusionsDetection of a high rate and variability of ETAs associated with CH necessitates the formulation of a structured screening programme including appropriate clinical, laboratory, and imaging tools to detect ETAs at an earlier stage.

scholarly journals Attitudes of Medical and Pharmacy Students Towards Patients Suffering from Schizophrenia

2017 ◽  
Vol 18 (1) ◽  
pp. 53-60
Author(s):  
Dragana Ignjatovic-Ristic ◽  
Ana Solujic ◽  
Andrea Obradovic ◽  
Katarina Nikic-Djuricic ◽  
Marija Draskovic ◽  
...  
Keyword(s):  
High School ◽  
Study Groups ◽  
Cross Sectional Study ◽  
Pharmacy Students ◽  
Medical Sciences ◽  
Cross Sectional ◽  
The Past ◽  
Care Workers ◽  
Significant Difference ◽  
The University

Abstract Research over the past twenty years has shown that the attitudes of health care workers and students towards people who are suffering from schizophrenia have become more negative. The aim of our study was to investigate the attitudes of medical and pharmacy students towards patients with schizophrenia and explore the differences in attitudes between study groups and students in different years. Materials and methods: Second- and fifth-year medical and pharmacy students from the Faculty of Medical Sciences at the University of Kragujevac were included in an observational, prospective, cross-sectional study. The sample consisted of 113 students from the pharmacy and medical schools who were chosen via random sampling. The students completed a two-part questionnaire. Th e first part contained questions about sociodemographic characteristics, whereas the second part was a translated version of the Mental Illness: Clinician’s Attitudes (MICA) v4 scale. Results: There is a statistically significant difference (р<0.05) in the attitudes towards people with schizophrenia between second- and fifth-year medical and pharmacy students (with lower scores in both groups in fifth-year students). Of the total number of students who had lower summed scores on the Likert scale, 51.3% had previously finished medical high school, whereas 28.3% had previously finished regular high school. Conclusion: Our results showed a statistically significant difference in attitudes towards people with schizophrenia between second- and fifth-year students as well as a difference related to previous high school education. This stresses the importance of levels of knowledge about schizophrenia to reducing the stigmatization of patients who suffer from this disorder.

The impact of accurate documentation of parotid tumor operative reports on secondary surgical procedure

2020 ◽  
Vol 74 (6) ◽  
pp. 1-5
Author(s):  
Krzysztof Piwowarczyk ◽  
Ewelina Bartkowiak ◽  
Jadzia Chou ◽  
Katarzyna Kukawska ◽  
Ludwika Piwowarczyk ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Tertiary Referral Center ◽  
Parotid Gland Tumor ◽  
Operative Report ◽  
The Impact ◽  
Study Setting ◽  
Common Variable

Objective: To develop a comprehensive operative report schema based on the accuracy of primary operative reports (OpR) assessed on a department’s experience with parotid gland tumor re-operations. Design: Retrospective cross-sectional study. Setting: A tertiary referral center, the Department of Otolaryngology and Laryngological Surgery, Poznan University of Medical Sciences, Poland from 2008 to 2017. Subjects: Out of 1154 surgeries, 71 patients underwent reoperation. Their OpR were categorized into accurate and non-accurate, and re-operation field and re-operation course were categorized as anticipated or unanticipated, according to defined criteria. Intervention: None Main outcome measures: The impact of accuracy of the first OpR on re-operation course. Results: In this series, OpR were 39% (14/36) accurate, 61% (22/36) non-accurate. Re-operation fields were 16% (11/71) anticipated, 37% (26/71) unanticipated. Re-operation courses were 37% (26/71) anticipated, 63% (45/71) unanticipated. An anticipated re-operation course followed 20% (5/26) of accurate and 20% (5/26) of non-accurate primary OpR. An unanticipated re-operation course followed 20% (9/45) of accurate and 40% (18/45) of non-accurate OpR. There is no significant relationship between the re-operation course and accuracy of the first OpR (Chi2(1)=0.69; p=0.40466). The most common variable that affected non-accuracy of the OpR was facial nerve function after surgery (6/12). Conclusions: The operative report should be based on clear criteria, robust classification and comprehensive protocol. This will improve follow-up and facilitate the planning of re-operation.

scholarly journals KNOWLEDGE OF CARDIOVASCULAR RISK FACTORS IN UNIVERSITY STUDENTS

2020 ◽  
Vol 8 (1) ◽  
pp. 40-47
Author(s):  
Jorge Elias Daher Nader ◽  
Manuel Balladares Mazzini ◽  
Marlene Isabel Hernandez Navarro ◽  
Manuel Balladares Salazar ◽  
María Sánchez Vélez ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Diseases ◽  
University Students ◽  
Cardiovascular Risk Factors ◽  
Traffic Accidents ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
The University

The incidence of cardiovascular diseases has reached alarming figures in many regions of the world, including Ecuador. One of the objectives of medical universities is to train professionals capable of transforming the health status of the population from primary health care, in order to achieve the prevention of modifiable cardiovascular risk factors through changes in lifestyle. Objective: To determine the level of knowledge about cardiovascular risk factors in university students of the Faculty of Medical Sciences of the University of Guayaquil of Ecuador. Methods: This is a quantitative, observational, descriptive and cross-sectional study conducted at the Faculty of Medical Sciences of the University of Guayaquil. The population consisted of a total of 183 students and the sample was made up of 125 students. Results: The students of the Obstetrics and Bachelor of Nursing degrees have less knowledge about cardiovascular risk factors than the students of the Medicine, Medical students (86%) and nursing (71%) consider cardiovascular diseases as the main causes of death, while those of obstetrics barely 40%, prioritizing almost to traffic accidents as one of the first causes. Conclusions: The needs to actively incorporate health promotion from university classrooms to incorporate in the mental structure of students and teachers the imperative need to generate individual changes and then generate health in society were identified.  

scholarly journals Prevalence and Clinical Spectrum of Liver Disease in Nepalese HIV-Sero-Positive Patients Undergoing Antiretroviral Therapy: A Cross-Sectional Hospital Based Study

2017 ◽  
Vol 2017 ◽  
pp. 1-6
Author(s):  
Roshan Kumar Jha ◽  
Shiv Kumar Sah
Keyword(s):  
Liver Disease ◽  
Liver Injury ◽  
Liver Enzyme ◽  
Opportunistic Infections ◽  
Cross Sectional Study ◽  
Clinical Spectrum ◽  
High Rate ◽  
Cross Sectional ◽  
Clinical Profiles

Introduction. Liver enzyme abnormalities are common in HIV patients, and the prevalence varies across the nations. In Nepal, however, prevalence of liver enzyme disorder and the spectrum of these populations are lacking. Objective. The present study sheds light on prevalence and clinical spectrum of liver disease in Nepalese HIV-sero-positive patients. Methods. This cross-sectional study was conducted at OPD/ART, Clinic of Bir Hospital, NAMS. One hundred and forty-four HIV positive patients were enrolled consecutively and their clinical profiles of liver injury were investigated. Results. Of 144 recruited patients, liver enzyme injury was observed in 82 (56.9%). Majority 61 (42.4%) of these cases had hepatocellular type of liver injury. Opportunistic infections were reported in 18 cases, with 9 (6.2%) TB and 8 (5.6%) HCV. Test for significance of liver injury confirmed the absence of any tendency towards an association with coinfection, CD4 cells, ART regimen, and alcohol consumption (P>0.05). However, gender significantly linked with liver injury as well as the pattern of liver injury (P<0.05). Conclusion. The study revealed high rate of liver injury in a substantial proportion of HIV individuals, stressing that a regular clinic follow-up is necessary for the HIV individuals who are undergoing ART.

scholarly journals Quality of Life of the Patient with Head and Neck Cancer Submitted to Radiotherapy and the Overload of Their Caregivers

2021 ◽  
Author(s):  
Daniela Delalibera ◽  
Alessandra Cristine Ribeiro Carvalho ◽  
Bruna Luiza Thesolim ◽  
Laura Ferreira de Rezende
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Functional Changes ◽  
Therapeutic Choice

Abstract Introduction Esthetic and functional changes are frequent in patients with head and neck cancer, and they can be caused by both tumor and treatment. Physical and functional impairment often requires the need of a caregiver, who may feel overwhelmed with the tasks of care. Objective This study aims to evaluate the quality of life of patients with head and neck cancer submitted to radiotherapy and the overload of their caregivers. Method This is a quantitative cross-sectional study with 42 patients with head and neck cancer and 17 caregivers evaluated during the radiotherapy treatment. Patients responded to the following questionnaires: Functional Assessment of Cancer Therapy for Head and Neck Cancer (FACT-H&N) and Shame and Stigma Scale (SSS), while the caregivers responded to the Zarit Burden Interview Scale (ZBI) and Palliative Performance Scale (PPS). Results Head and neck cancer patients showed a decline in the quality of life in all FACT-H&N domains, with the domain of additional concerns having the worst outcome. Among the feelings reported by patients, the most important was penitence. Less than half of the patients needed caregivers. It was observed that the greater the degree of commitment of the patient, the greater the degree of overload of the caregiver. Conclusion Therefore, the quality of life of the patient with head and neck cancer is an important aspect to be considered during the therapeutic choice and in the follow-up of the patient, since it has influenced both the patient and his caregiver.

scholarly journals A 10-year review of the clinicopathological patterns and prevalence of head and neck lesions in a tertiary health facility in Uyo, South-South Nigeria

2021 ◽  
Vol 5 ◽  
pp. 66-74
Author(s):  
Mfon Ime Inoh ◽  
Ikwo Jonathan Kudamnya ◽  
Uchechukwu Brian Eziagu ◽  
Elizabeth Enene Inoh
Keyword(s):  
Head And Neck ◽  
Nodular Goiter ◽  
Nationwide Survey ◽  
Cystic Hygroma ◽  
Cross Sectional Study ◽  
Histopathological Diagnosis ◽  
Cross Sectional ◽  
Clinicopathological Patterns ◽  
The University ◽  
National Prevalence

Objectives: Head and neck (HN) lesions occur globally, with remarkable morbidity and mortality. However, in our setting, relevant data are lacking to show its clinicopathologic nature. Hence, we aimed to review the clinicopathological patterns and incidence of HN lesions within a 10-year (January 2010 to December 2019) period as well as provide useful data/information to help in better future management of patients with HN lesions. Material and Methods: A retrospective cross-sectional study of HN lesions (with respect to age, gender, site of lesion, and histopathological diagnosis) at the University of Uyo Teaching Hospital Uyo from January 2010 to December 2019. Results: A total of 276 HN lesions were analyzed over a 10-year period, with a prevalence of 0.004. Patients with the highest volume of HN lesions were within the 30–<40 age group. The lesions were more in females (53.6%) with M: F ratio of 1:1.2. There were more neoplastic HN lesions (85.1%) than non-neoplastic HN lesions (14.9%). The benign HN lesions (67.7%) were also more frequent than the malignant HN lesions (32.3%). And the benign neoplastic HN lesions (79.5%) were more than benign non-neoplastic HN lesions (20.5%). Conclusion: The most common HN lesions, respectively, in different subcategories, found in this study were squamous cell carcinoma, nodular goiter, inflammatory nasal polyps, and cystic hygroma. We recommend study of HN lesions’ possible etiologic/risk factors as well as a nationwide survey to determine a national prevalence of HN lesions.

scholarly journals Barriers in Implementing E-Learning in Hormozgan University of Medical Sciences

2015 ◽  
Vol 8 (7) ◽  
pp. 83 ◽  
Author(s):  
Parvin Lakbala
Keyword(s):  
English Language ◽  
Cross Sectional Study ◽  
Point Of View ◽  
Medical Sciences ◽  
Learning Program ◽  
Cross Sectional ◽  
Learning Programs ◽  
Proper Training ◽  
E Learning ◽  
The University

<p><strong>BACKGROUND: </strong>E-learning provides an alternative way for higher educational institutes to deliver knowledge to learners at a distance, rather than the traditional way. The aim of this study is to identify the barrier factors of e-learning programs in Hormozgan University of Medical Sciences (HUMS) in respect of the students and lecturers’ point of view.</p><p><strong>METHODS:</strong> A cross-sectional study based on a questionnaire was conducted among 286 of students and lecturers in the nursing, midwifery and paramedic schools of HUMS. Two hundred and eighty-six participants filled in the questionnaire: 256 students, and 30 lecturers.</p><p><strong>RESULTS: </strong>Results of the study showed a lack of proper training in e-learning courses of the university 182 (69.1%), limited communication with the instructor 174 (68%) and the learners dominance of English language 174 (68%) showed the greatest importance for the students. The awareness about e-learning program was 80% and 43% among lecturers and students respectively.</p><p>The dominance of English language 26 (86.7%) and lack of research grants for e-learning 23 (76.6%) and lack of proper training on e-learning courses from the university 20 (66.7 %) were the most important barrier factors of implementing e-learning for lecturers. E-learning courses to supplement classroom teaching was a solution that mentioned by the majority of students 240 (93.8%) and lecturers 29 (96.7%) in this study.</p><p><strong>CONCLUSIONS:</strong> The positive perception of e-learning is an important consequence effect in the future, educational development of nursing, midwifery and paramedic schools.</p>

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