Utilization of the Feto-Maternal triage Program in Maternity Hospitals Of Baghdad City

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Wisam M. Muttaleb ◽  
Ezedeen F. Baha’aldeen
Keyword(s):  
Waiting Time ◽  
Positive Influence ◽  
Control Group ◽  
Study Group ◽  
Flow Sheet ◽  
Age Group ◽  
Mean Waiting Time ◽  
Maternity Hospitals ◽  
Significant Difference ◽  
The Impact

Objectives:   To evaluate the impact of fate-maternal triage program upon laboring women's outcomes. Methods: Quazi- experimental design was conducted upon laboring women seeking  for care in Baghdad hospitals The study was conducted At Baghdad hospitals, which in both sides Al-Kargh (13 hospital) and Al-Resafa(23 hospital). The sample of the study consist of 280 laboring women, 140 women for each control and study group who are attending to the labor room in selected hospitals. Questionnaire format conducted as a flow sheet. It is designed and developed by the researcher depending on the feto-maternal triage index of AWHONN'S and Manchester triage system with some modification done by a researcher.  Results:the mean age for both groups is 29.85 ± 8.64. More than a quarter of participants in the study group are within the age group of (21-25) years-old (n = 40; 28.6%), followed by those who are in the age group of (31-35) years-old (n = 36; 25.7%). For the control group, more than a third are in the age group of (21-25) years-old (n = 47; 33.6%), followed by those who are in the (31-35) years-old (n = 33; 23.6%).Concerning participants’ BMI, more than two-fifths in the study group are overweight (n = 61; 43.6%),for the control group, more than two-fifths in the study group are overweight (n = 61; 43.6%).More than a third of participants in the study group reported that the waiting time is (10-20) minutes and (21-30) minutes (n = 53; 37.9%) for each of them,For the control group, more than two-fifths reported that the waiting time is (31-60) minutes (n = 58; 41.4%).The mean waiting time for the control group is greater than that of the study group (1.68, 1.32) respectively. also more than a third of participants in the study group reported that the severity of cases are very urgent and emergency cases (n = 44; 31.4%), (n=23; 16.4%) respectively for each of them. For the control group, more than half of participants reported that the severity of case is very urgent and emergency cases (n = 44; 33.6 %),(n=20;14.3) respectively.There is a statistically significant difference in the mothers’ complications between the study and the control groups (χ2 = 13.755, df = 1, p-value = .000). This indicates a positive influence of the program in reducing the mother's complications. Conclusion: The study shows that the positive influence of the program in triage the cases according to its severity and according to the levels used in the triage.  

scholarly journals EP.WE.844Two-week bowel cancer referrals during the COVID pandemic

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Ramez Antakia ◽  
Vladimir Popa-Nimigean ◽  
Thomas Athisayaraj
Keyword(s):  
Waiting Time ◽  
Waiting Times ◽  
Bowel Habit ◽  
Red Flags ◽  
National Guidelines ◽  
Mean Waiting Time ◽  
Significant Difference ◽  
Immunochemical Test ◽  
Red Flag ◽  
The Impact

Abstract Aims The aims were to assess the impact of the COVID-19 pandemic on the waiting times for patients referred via the two-week pathway for suspected colorectal cancer. We also examined the use of Faecal Immunochemical Test (FIT) alongside the presenting complaints in triaging/prioritising patients for further imaging and/or endoscopic investigations appropriately. Methods A list of all patients referred via the two-week pathway to the West Suffolk Hospital for suspected colorectal cancers from 30/01/2020 to 19/07/2020 was compiled. The main four red flag symptoms were change in bowel habit (CIBH), anorectal bleeding, anaemia and weight loss. A subset of 235 patients were closely examined regarding their presenting complaints, FIT, imaging and endoscopy results with analysis of outcomes. Results 127 male versus 108 female patients were included. 59.61% of patients who were eligible for the FIT test received one. Mean waiting time for FIT positive patients was 42.39 (95% CI) versus 61.10 (95% CI) for FIT negative patients. Patients with one or two red flags symptoms had a mean waiting time of 44.81 days (95% CI 35.79-53.82) and 47.91 days (95% CI 38.07-57.75) respectively. Patients with three red flag symptoms had a mean waiting time of 28.2 days (95% CI 17.94-38.39). There was a statistically significant difference in mean waiting time between patients having 1-2 symptoms and patients with three symptoms (p < 0.005). Conclusions Despite delays during the COVID pandemic particularly for endoscopy, high risk and FIT positive patients were prioritised. Waiting times were still higher than advised national guidelines.

scholarly journals The impact of outpatient clinical care on the survival and hospitalisation rate in patients with alcoholic liver cirrhosis

2017 ◽  
Vol 52 (1) ◽  
pp. 75-82
Author(s):  
Dejan Majc ◽  
Bojan Tepes
Keyword(s):  
Liver Cirrhosis ◽  
Alcohol Consumption ◽  
Clinical Care ◽  
Hospitalisation Rate ◽  
Control Group ◽  
Study Group ◽  
Alcoholic Liver Cirrhosis ◽  
Significant Difference ◽  
A Prospective Study ◽  
The Impact

AbstractBackgroundIn the study, we aimed to determine whether regular outpatient controls in patients with alcoholic liver cirrhosis have an impact on their survival and hospitalisation rates.Patients and methodsWe included patients with liver cirrhosis and regular outpatient controls as a prospective study group and patients with liver cirrhosis who were admitted to hospital only in cases of complications as a retrospective control group. The study was conducted between 2006 and 2011.ResultsWe included 98 patients in the study group and 101 patients in the control group. There were more outpatient controls in the study group than in the control group (5.54 examinations vs. 2.27 examinations, p = 0.000). Patients in the study group had 25 fewer hospitalisations (10.2%; p = 0.612). The median survival rate was 4.6 years in the study group and 2.9 years in the control group (p = 0.021). Patients with Child A classification had an average survival of one year longer in the study group (p = 0.035). No significant difference was found for Child B patients. Patients with Child C classification had longer survival by 1.6 years in the study group (p = 0.006). Alcohol consumption was lower in the study group than in the control group (p = 0.018).ConclusionsWe confirmed that patients with regular outpatient controls had lower alcohol consumption, a lower hospitalisation rate and significantly prolonged survival time. We confirmed the necessity for the establishment of regular outpatient controls in patients with alcoholic liver cirrhosis.

Impact of Whatsapp in improving learning among 9th semester MBBS students

2021 ◽  
Vol 19 (1) ◽  
pp. 27-30
Author(s):  
Y Satish Reddy ◽  
Keyword(s):  
Undergraduate Students ◽  
Control Group ◽  
P Value ◽  
Study Group ◽  
Opinion Poll ◽  
Didactic Teaching ◽  
Significant Difference ◽  
Group A ◽  
The Mean ◽  
The Impact

Background: Interactive Teaching learning can be used in clinical subjects like surgery for better participation of students as one-way didactic lectures do not involve active participation of students. WhatsApp is one of the most famous messaging services which everyone use and it is easy, cheaper, and faster. Objective: the purpose of the study was to study the impact of whatsapp in improving learning in general surgery among 9th semester medical students. Methods: This study was conducted among 9th semester MBBS students in Surgery department. Students were divided into group a (study group) and group b(control group) by a simple random sampling. Gastric cancer was discussed among students of both Groups through didactic teaching. after didactic teaching, only Group A students were exposed to social media type of learning, i.e., using WhatsApp, after the session a multiple-choice questionnaire having 10 MCQs was given to both groups and an additional poll was conducted among the Study-group students to assess their perception towards Whatsapp intervention. the mean score obtained by both the groups were compared with unpaired t test. P-value <0.05 is taken as statistically significant. Results: The mean (SD) score of the Study-group was 8.58(1.18) and the mean (SD) score of the Control-group was 5.41(1.32) and statistically significant difference was found between the two groups scores with a p-value less than 0.05 opinion poll found that the intervention of whatsapp among study group was effective. Conclusion: we observed that the usage of WhatsApp in addition to the didactic teaching was found advantageous and enhanced learning in undergraduate students

scholarly journals Intriguing New Faces Of Covid-19: Persisting Clinical Symptoms And Cardiac Effects in Children

2021 ◽  
pp. 1-27
Author(s):  
Nurdan Erol ◽  
Abdullah Alpinar ◽  
Cigdem Erol ◽  
Erdal Sari ◽  
Kubra Alkan
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Health ◽  
Clinical Symptoms ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Control Group ◽  
Study Group ◽  
Ventricular Ejection Fraction ◽  
Significant Difference ◽  
The Impact

Abstract Objective: This study was conducted to evaluate the persisting Covid-19-related symptoms of the cases included in our study and to assess their cardiac findings in order to determine the impact of Covid-19 on children’s cardiovascular health. Methods: In this study, 121 children between the ages of 0-18 with Covid-19 were evaluated based on their history, blood pressure values, and electrocardiography and echocardiography results. These findings were compared with the findings of the control group which consisted of 95 healthy cases who were in the same age range as the study group and did not have Covid-19. The results were evaluated using the statistics program, SPSS 21. Results: There was no significant difference between the study group and the control group in terms of age, weight, and body mass index. The clinical symptoms (chest and back pain, dizziness, headache, palpitation, fatigue, shortness of breath, loss of balance, coughing) of 37.2% of the cases persisted at least 1 month after Covid-19 recovery. Statistically significant differences were found in systolic blood pressure, left ventricular ejection fraction, relative wall thickness, and tricuspid annular plane systolic excursion. Conclusion: The continuation of some cases’ clinical symptoms post-recovery indicates that long Covid infection can be observed in children. The fact that statistically significant differences were observed between the echocardiographic parameters of the study and control groups suggests that Covid-19 may have effects on the cardiovascular system. To shed light on the long Covid cases among children and the infection’s cardiac impacts, it would be beneficial to conduct more comprehensive studies on this matter.

scholarly journals Study on the changes in TSH, TPO-Ab and other indicators due to Vitamin D deficiency in Pregnant Women with subclinical hypothyroidism in the first trimester

2020 ◽  
Vol 36 (6) ◽  
Author(s):  
Xue Zhou ◽  
Ben Li ◽  
Chao Wang ◽  
Zhihong Li
Keyword(s):  
Vitamin D ◽  
Pregnant Women ◽  
Vitamin D Deficiency ◽  
Subclinical Hypothyroidism ◽  
First Trimester ◽  
Control Group ◽  
Study Group ◽  
Significant Difference ◽  
Hs Crp ◽  
The Impact

Objective: To investigate the effect of vitamin D deficiency on the levels of thyroid stimulating hormone (TSH), thyroid peroxidase antibody (TPO-Ab), interleukin-1 (IL-1) and high-sensitivity C-reactive protein (hs-CRP) in pregnant women with early pregnancy complicated by subclinical hypothyroidism. Methods: A total of 172 pregnant women with subclinical hypothyroidism in the first trimester diagnosed and treated in a given hospital from August 2014 to May 2018 were selected, and their levels of vitamin D were determined. Depending on the abnormality of their vitamin D levels, the study participants were divided into two groups: the study group (vitamin D≤20 ng/L) and the control group (vitamin D>20 ng/L). The levels of TSH, TPO-Ab, IL-1 and hsCRP in the two groups were measured. Results: The levels of TSH, hsCRP and TPO-Ab in the study group were significantly higher than those in the control group (P < 0.05). The comparison between the two groups in terms of IL-1 showed no statistically significant difference. Conclusion: Vitamin D deficiency in the first trimester is associated with in an increased level of TSH in the first trimester, thereby aggravating subclinical hypothyroidism. The mechanism may be associated with the impact of vitamin D deficiency on hs-CRP and other body inflammation indicators, as well as on thyroid autoantibodies and other immune indicators, but has no effect on IL-1 levels. doi: https://doi.org/10.12669/pjms.36.6.1982 How to cite this:Zhou X, Li B, Wang C, Li Z. Study on the changes in TSH, TPO-Ab and other indicators due to Vitamin D deficiency in Pregnant Women with subclinical hypothyroidism in the first trimester. Pak J Med Sci. 2020;36(6):---------. doi: https://doi.org/10.12669/pjms.36.6.1982 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Insulin Resistance, Glycemia and Cortisol Levels in Surgical Patients who Had Preoperative Caloric Load with Amino Acids

PRILOZI ◽  
2015 ◽  
Vol 36 (3) ◽  
pp. 61-70 ◽  
Author(s):  
Marija Jovanovski-Srceva ◽  
Biljana Kuzmanovska ◽  
Maja Mojsova ◽  
Andrijan Kartalov ◽  
Mirjana Shosholcheva ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Amino Acids ◽  
Amino Acid ◽  
Surgical Patients ◽  
Control Group ◽  
Study Group ◽  
C Peptide ◽  
Significant Difference ◽  
Cortisol Levels ◽  
The Impact

Abstract Introduction: Surgical stress response, results in elevated levels of anti-insulin hormones and reduced insulin secretion. This hormonal state may be detrimental for surgical patients due to the presence of insulin resistance and hyperglycemia. Additionally, pre-operative fasting favors this conditions. The aim of this study is to analyze the impact of pre-operative caloric load, with 440kJ from amino acid infusions on the levels of glucose, cortisol and insulin resistance in surgical patients.Material and Methods: The study included 20 female patients scheduled for mastectomy, aged 30-60 years without diabetes and BMI < 30 m2, divided into two groups. The study group A, the evening before the surgery, received 1000 ml amino acid infusions, while the control group B didn′t receive any infusion. In both groups glucose, C-peptide and cortisol levels were determinate preoperatively and postoperatively. From the obtained C-peptide and glucose values, with the help of computer model (HOMA2*), the insulin resistance (IR), functionality of beta cells (BETA) and insulin sensitivity (IS) were calculated. Results: Postoperative values of insulin resistance (0.94 ± 0.12 vs 1.13 ± 0.2; p = 0.02) and glucose (4.79 ± 0.5 vs 5.77 ± 0.6; p = 0.002) were lower in the study group compared to control group. Postoperative cortisol levels in both groups were higher than the preoperative, but no significant difference was found. The study group showed higher values for BETA and IS. Percentage changes between the groups were significant for all parameters. Conclusion: Pre-operative caloric load (amino acids) reduces the level of insulin resistance and glucose in the presence of elevated cortisol levels.

The Effect of Early Education on Patient Anxiety While Waiting for Elective Cardiac Catheterization

2003 ◽  
Vol 2 (2) ◽  
pp. 113-121 ◽  
Author(s):  
Karen Harkness ◽  
Lydia Morrow ◽  
Kelly Smith ◽  
Michele Kiczula ◽  
Heather M. Arthur
Keyword(s):  
Quality Of Life ◽  
Cardiac Catheterization ◽  
Waiting Time ◽  
Nursing Intervention ◽  
Control Group ◽  
Patient Anxiety ◽  
Waiting Period ◽  
Mean Waiting Time ◽  
Significant Difference

Background: A supply–demand mismatch with respect to cardiac catheterization (CATH) often results in patients experiencing waiting times that vary from a few weeks to several months. Long delays can impose both physical and psychological distress for patients. Purpose: The purpose of this study was to examine the effect of a psychoeducational nursing intervention at the beginning of the waiting period on patient anxiety during the waiting time for elective CATH. Methods: This was a 2-group randomized controlled trial. Intervention patients received a nurse-delivered, detailed information/education session within 2 weeks of being placed on the waiting list for elective CATH. Control group patients received usual care. Results: The mean waiting time for CATH was 13.4±7.2 weeks, which did not differ between groups ( P=0.509). Anxiety increased in both groups over the waiting time ( P=0.028). Health-related quality of life deteriorated over the waiting time in both groups ( P<0.05). On a visual analogue scale, there was a significant difference ( P=0.002) between the intervention (4.0±2.7) and control (5.2±3.0) groups in self-reported anxiety 2 weeks prior to CATH. Conclusions: The waiting period prior to elective CATH has a negative impact on patients’ perceived anxiety and quality of life and a simple intervention, provided at the beginning of the waiting period, may positively affect the experience of waiting.

scholarly journals AB0814 PREGNANCY COURSE ASSESSMENT IN PATIENTS WITH RHEUMATIC DISEASES COMPARED TO CONTROLS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1431.2-1432
Author(s):  
O. Hamdi ◽  
M. Sellami ◽  
M. Yasmine ◽  
A. Fazaa ◽  
S. Miladi ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Rheumatic Diseases ◽  
Premature Delivery ◽  
Control Group ◽  
Study Group ◽  
Childbearing Age ◽  
Significant Difference ◽  
History Of ◽  
The Mean ◽  
The Impact

Background:Rheumatic diseases such as rheumatoid arthritis (RA) and spondyloarthritis (SA) may occur among women of childbearing age. Adverse events during pregnancy including disease flare, preterm delivery, and neonatal or fetal death have been reported.Objectives:Our aim was to assess the impact of rheumatic diseases on the course of pregnancy.Methods:We conducted a cross-sectional study involving patients with RA (2010 ACR/EULAR criteria) and SA (2009 ASAS criteria) (study group) as well as healthy controls (control group) matched by age and gender. All women included had at least one pregnancy. Data were collected through telephonic interviews. We used the Student t test to compare the study group and the control group.Results:We enrolled 57 patients (30 RA and 27 SA) and 57 controls. The mean age in the study and the control groups were respectively 43.2 ± 8.2 years [26-48] and 37.5 ± 6 years. The mean chronic inflammatory rheumatisms duration was 13.81 ± 6.2 years. A history of primary sterility was found in 3 patients (1 RA and 2 SA) and none in the control group. The mean age during the first pregnancy was significantly higher in the study group (28 ± 6.2 years versus 24 ± 7 years in the control group) (p=0.01). Eight patients (5 RA and 3 SA) had a history of spontaneous miscarriage. A terminated pregnancy was noted in 3 patients (1 RA and 2 SA). Complications during pregnancy in the study group were gestational diabetes (0.3%), premature delivery (0.3), premature rupture of membranes (0.3%), abortion threat (0.3%) and pre-eclampsia (6%). Pregnancy was more associated with complications in the study group (p=0.05). Cesarean section was more used in the study group (28 patients versus 9 in the control group; p= 0.00). The main indications of cesarean section in the study group were macrosomia (11 patients), scar uterus (6 patients), sacroiliitis (4 SA patients), twin pregnancy (2 patients), and undetermined reasons (6 patients). Fetal presentation in the study group was the seat presentation (3%), top presentation (4%), face (2%), and forehead presentation (0.3%) with no significant difference with the control group. Complications of childbirth in the study group were hemorrhage of delivery (10.3%), cord widening (6.6%), perinatal asphyxia (4.9%), and dystocia (1.9%). However, no statistically significant differences were found between the two groups in the prevalence of complications of childbirth. During pregnancy, 5 patients were on salazopyrine, 2 on corticosteroids and, 1 on non-steroidal anti-inflammatories.Conclusion:Our study showed that pregnancies with rheumatic diseases were at increased risk of having maternal complications and adverse neonatal outcomes.Disclosure of Interests:None declared

scholarly journals Impact of educational nursing program on reducing the level of anxiety and complications among patients undergoing cardiac catheterization

2018 ◽  
Vol 7 (2) ◽  
pp. 109
Author(s):  
Mohamed Aboel-Kassem F. Abdelmegid ◽  
Sahra Zaki Azer ◽  
Samia Youssef Sayed ◽  
Hanan Mohamed Youness ◽  
Reda Abd Elal thabet
Keyword(s):  
Cardiac Catheterization ◽  
Rating Scale ◽  
Routine Care ◽  
Structure Interview ◽  
Nursing Program ◽  
Control Group ◽  
Study Group ◽  
Significant Difference ◽  
Quasi Experimental ◽  
The Impact

The current studyAimed: to identify the impact of implementing an educational nursing program on reducing the level of anxiety and complications among patients undergoing cardiac catheterization.Design: quasi-experimental design was used in this study. Setting: the Current study was conducted atAssiutUniversityHospital in the cardiac catheterization unit.Subjects: 60 adult patients, age between 20 – 65 years, male and female, thirty for each group (study and control). The group of patients who received educational nursing program was considered a study group, while who received a routine care was the control group. Tools: four.Tools: Structure Interview Questionnaire sheet, Hamilton Anxiety Rating Scale, Assessment of complications, & educational nursing program.Results: there was the statistically significant difference between both groups regarding the level of anxiety and incidence of local complications.Conclusion: giving written nursing program for patients more effective in decreasing level of anxiety for patients in the study group than the control group patients.Recommendations: Permanent attendance of a specialized nurse in the cardiac catheterization unit is of great importance to instruct and apply the guidelines of the patients. Simple illustration booklet and pamphlets must be adequate and available for patients with Arabic explanation that helps the patient how to live safely.    

scholarly journals The impact of Ki-67 index, squamous differentiation and several clinicopathologic parameters on the recurrence of low and intermediate-risk endometrial cancer

2021 ◽  
Author(s):  
Birol Ocak ◽  
Fatma Öz Atalay ◽  
Ahmet Bilgehan Sahin ◽  
Mine Ozsen ◽  
Bahar Dakiki ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Histopathological Examination ◽  
Medical Center ◽  
Statistical Significance ◽  
Control Group ◽  
Study Group ◽  
Intermediate Risk ◽  
Ki 67 ◽  
Significant Difference ◽  
The Impact

Endometrial endometrioid carcinoma (EEC) represents approximately 75–80% of endometrial carcinoma cases. Three hundred thirty-six patients with EEC followed-up in the authors’ medical center between and 2010–2018 were included in our study. Two hundred seventy-two low- and intermediate- EEC patients were identified using the European Society for Medical Oncology criteria and confirmed by histopathological examination. Recurrence was reported in 17 of these patients. The study group consisted of patients with relapse. A control group of 51 patients was formed at a ratio of 3:1 according to age, stage, and grade, similar to that in the study group. Of the 17 patients with recurrent disease, 13 patients (76.5%) were stage 1A, and 4 patients (23.5%) were stage 1B. No significant difference was found in age, stage, and grade between the case and control groups (p>0.05). Body mass index, parity, tumor size, lower uterine segment involvement, SqD, and Ki-67 index with p<0.25 in the univariate logistic regression analysis were included in the multivariate analysis. Ki-67 was statistically significant in multivariate analysis (p=0.018); however, there was no statistical significance in SqD and other parameters. Our data suggest that the Ki-67 index rather than SqD needs to be assessed for recurrence in patients with low- and intermediate-risk EEC.

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