scholarly journals Classification of primary caesarean sections in labor and its usefulness for analysis of Slovenian perinatal data

2019 ◽  
Vol 58 (2) ◽  
pp. 78-83
Author(s):  
Monika Korenč ◽  
Katja Štern ◽  
Ivan Verdenik ◽  
Miha Lučovnik

Abstract Objective To determine the usefulness of a novel classification of indications for caesarean section (CS) in labour in recognizing differences in clinical practice in different maternity units. Methods Data from the National Perinatal Information System (NPIS) for 2013 and 2014 were used to classify indications for CS in nulliparous women with spontaneous onset of labour at ≥37 weeks with single cephalic foetuses within 14 Slovenian maternity units into foetal distress and different sub-groups of dystocia according to use and dosage of oxytocin. Chi-square test was used for statistical comparison between units (P≤0.05 significant). Results There were 13,572 deliveries and 1,567 (12.0%) CS in nulliparous patients with spontaneous onset of labour at ≥37 weeks with single cephalic foetuses in Slovenia during the study period. Rates of CS in this group of women differed significantly among different maternity units (from 4.1% to 20.9%; P<0.001) suggesting significant differences in clinical practice. The most common indication for CS was cephalopelvic disproportion, which was diagnosed with different frequency in different units (from 11.2% to 45.9%; odds ratio 6.72; 95% confidence interval 3.10– 14.71; P<0.001). Conclusions It is possible to use NPIS data to retrospectively classify indications for CS. Such classification reveals significant differences among maternity units and could allow for a meaningful analysis of CS rates in different hospitals leading to evidence-based initiatives to decrease the incidence of primary CS.

2021 ◽  
Vol 61 (1) ◽  
Author(s):  
Isadora Carvalho Medeiros Francescantonio ◽  
Leandro Augusto Rodrigues dos Santos ◽  
Paulo Luiz Carvalho Francescantonio ◽  
Luiz Eduardo Coelho Andrade ◽  
Wilson de Melo Cruvinel

Abstract Objective To evaluate the perception of rheumatologists regarding the recommendations of the Brazilian Consensus for detection of Autoantibodies (BCA) on HEp-2 Cells by Indirect Immunofluorescence assay (IFA) and how BCA recommendations help in clinical practice. Methodology A structured questionnaire regarding the BCA recommendations for detection and interpretations of autoantibodies in HEp-2 cells was applied to randomly selected rheumatologists. The results were tabulated using the Microsoft® Excel program, expressed as a simple percentage and the dichotomous data were analyzed using the Chi-square test and the Epi Info® program. Results Four hundred fuorteen rheumatologists participated in the study: 70% of them considered their knowledge of the HEp-2 IFA test satisfactory or excellent, and 43% said they knew the BCA recommendations in general, without distinguishing the edition of the BCA to which they refer. The Revista Brasileira de Rheumatologia/Advances in Rheumatology was the means of dissemination most consulted by specialists (50%). According to the rheumatologists’ opinion, the most relevant pattern was the homogeneous nuclear (78%) and 65% stated they were satisfied with the BCA recommendations at a level of satisfaction greater than or equal to 80%. There was no significant difference in the perception of rheumatologists from the several Brazilian geographic regions. Conclusion Brazilian rheumatologists are aware of the BCA guidelines and most are satisfied with the content published, considering that the BCA recommendations assist positively in the clinical practice. Most rheumatologists recognize the patterns associated with rheumatic autoimmune diseases and have used BCA recommendations to interpret the results of the HEp-2 IFA test.


Author(s):  
Dilson Borges Ribeiro Junior ◽  
Jeferson Macedo Vianna ◽  
André de Assis Lauria ◽  
Emerson Filipino Coelho ◽  
Francisco Zacaron Werneck

Abstract The aims of this study were: 1) to evaluate the sports potential of young basketball players; 2) to identify variables that discriminate sports potential assessed by coaches; 3) to verifythe relationship between classification of the multidimensional profile of athletes and classification of the sports potential by coaches. Sixty-two young basketball players aged 15.6±1.1 years from U-15 (n = 24) and U-17 (n = 38) categories participated in the study. A test battery was applied to evaluate sports potential indicators: 1) anthropometric; 2) physicomotor; 3) psychological;4) skills;5) socio-environmental;6) maturational and 7) sports potential.Clusteranalysis was performed in three groups: high, medium and low potential. Student’s t-test was used for the comparison between athletes evaluated by the coach as excellent and the others and the Chi-Square test to verify the relationship between sports potential classifications. It was observed that in the high-potential group, athletes were chronologically older, with higher % predicted adult height (PMS), competitive and determined sports orientation, higher body size, lower skinfold summation, and greater physicomotor performance. In comparison with other athletes, high-potential basketball players presented higher stature, wider wingspan,longer limb length, greater predicted adult stature and higher Z score of the % PMS. It could be concluded that the multidimensional approach was useful for the evaluation of the sports potential of young basketball players, requiring the use of multidimensional variables, in addition to coaches’ opinion regarding the potential of their athletes.


Author(s):  
Chaintiou Piorno Romina ◽  
Consoli Lizzi Eugenia Pilar ◽  
Saiegh Jonathan ◽  
Vázquez Diego Jorge ◽  
Gualtieri Ariel Félix ◽  
...  

Introduction:To evaluate cone-beam computed tomography (CBCT) images in order to determine the presence of mandibular second molars with C-shaped canal system and classify them.Methods:3035 CBCT images fulfilling the selection criteria were observed. Once established the presence of C-shaped canal system, they were classified according to the anatomic and radiographic classification of Fan et al. Data description was made by frequencies and percentages rates, with a 95% confidence interval (IC95) according to score method. Comparisons were assessed by means of the Chi-square test with a significance level equal to 5%.Results:Of the 225 selected patients, 44 exhibited C-shaped canals (20%; IC95: 15% to 25%). 70% (IC95: 56% to 82%) of patients showed a bilateral C-shaped canal system pattern. Regarding to the axial plane -anatomic classification-, there was a significant association between the root third and the configuration (Chi-square=76.89; p<0.05): at the coronal third prevailed the C1 configuration (47%; IC95: 36% to 58%); at the middle third prevailed the C3d configuration (39%; IC95: 28% to 50%) and at the apical third, the C4 configuration (35%; IC95: 25% to 46%).


Author(s):  
Lucy Lisa

Objective: To compare the measurement of POP-Q components between multiparous and nulliparous women. Method: This study is a cross-sectional research conducted in several hospitals in Makassar during the period of June to October 2012, with 270 women as the subjects. Subjects were divided into three groups: nulliparous, parity 1-2, and parity 3 (multiparous). We analyzed the mean POP-Q components results between 3 groups using t-test, analysis of prolapse based on POP-Q components measurement, and analysis of correlation between risk factors with prolapse was done using Chi-square test. Result: There is a significant difference in POP-Q components measurement between multiparous and nulliparous women, consecutively for: Aa point -2.14 and -2.97 cm, Ba point -2.11 and -2.99 cm, C point -5.69 and -6.86 cm, gh 3.33 and 2.70 cm, pb 2.60 and 3.27 cm, TVL 8.65 and 9.06 cm, Ap point -2.35 and -2.93 cm, Bp point - 2.61 and -2.96 cm, D point -6.61 and -7.42 cm. In multiparous women, points Aa, Ba, C, D, Ap and Bp became more prolapsed, gh became longer, while pb and TVL became shorter. Conclusion: The proportion of prolapse is higher in multiparous women with significant associations with age, body mass index, education level, and history of heavy physical work, delivering a large baby and use of hormonal contraceptives. [Indones J Obstet Gynecol 2014; 4: 204-210] Keywords: multiparous women, nulliparous women, parity, POP-Q


2018 ◽  
Vol 7 (1) ◽  
Author(s):  
Rosalinna Rosalinna ◽  
Asti Andriyani

Abstract: Motivation, Preceptor, Softskills. As a vocational education, midwifery institutions educate students' skills largely through the process of clinical practice learning. The need for soft skills in today's workplace is not negotiable, including midwife skills in working with health care institutions. The purpose of this study was to determine the effect of work motivation on the development of soft skills Preseptord in clinical practice learning. The method used in this research is quantitative with survey design. Population in this research are all midwives who work in RS Karanganyar and RS Sragen. Samples in this research is midwife who work in Maternity Room of Karanganyar Hospital and Sragen Hospital. The analysis of this study used chi square test and multiple logistic regression. The result of this research shows that there is influence of work motivation toward the development of soft skills of Preseptord in clinical practice learning (p value = 0,017) and POR = 9,000. Multivariate analysis of motivational influence controlled by characteristic variable (age, education, duration of work and training) showed that motivation and duration significantly influenced the development of soft skill of preceptor (ρ value = 0,011) and POR Adjusted = 2,546. Further analysis shows the influence of motivation with every aspect of soft skill (discipline, responsibility, communication and cooperation (ρ value <0.05). Conclusion: work motivation influences the development of soft skills (discipline, responsibility and cooperation) of preceptor in clinical practice learning.


Author(s):  
Jeferson Araújo Silva ◽  
Antonio Félix da Costa ◽  
Ana Maria Benko-Iseppon ◽  
Lílian Margarete Paes Guimarães ◽  
Diego Arruda Huggins de Sá Leitão ◽  
...  

Abstract: The objective of this work was to evaluate the inheritance of resistance to Cowpea aphid-borne mosaic virus (CABMV) in cowpea (Vigna unguiculata). The study was performed between parental genotypes IT85F-2687 (resistant) and 'BR-14 Mulato' (susceptible), generating F1, F2, and F7 populations and backcrosses with both parental genotypes. CABMV was inoculated on plants from all generations, which were then evaluated through visual inspection and description of characteristic symptoms. A chi-square test was performed after the phenotypic classification of all plants. A segregation proportion of 1:3 (resistant:susceptible) in population F2 and of 1:1 in population F7 was accepted, showing a recessive monogenic inheritance.


Author(s):  
C Tassone ◽  
J Thometz ◽  
B Escott ◽  
C Spellman ◽  
XC Liu

Early-onset scoliosis (EOS) can be a progressive and debilitating condition if left untreated. Different casting techniques have fallen in and out of favor over the years for conservative management. Two types of casting, elongation-derotation-flexion (EDF) and body casting (BC) are employed at our institution. Here we compare the radiographic outcomes between these two types of casting in a cohort of patients diagnosed with EOS. Sixteen children with EOS were treated by EDF serial casting while seventeen children with the same diagnosis were treated by BC. Radiographic measurements included Cobb angle, rib-vertebral-angle difference (RVAD) and vertebral rotation (VR) by Nash-Moe method in casting (IC) or out of casting (OOC), thoracic height (TH) and width (TW). All of the patients had x-ray measurements at pre-casting OOC, 1st IC and final post-casting OOC. Casts were changed every 2–4 months. Independent two sample t-test, Wilcoxon rank-sum test, and Chi-square test were performed. There were no significant differences at the initial treatment for age, classification of EOS, OOC, RVAD, VR, kyphosis, TH, and TW between EDF and BC casting. There were no significant differences of changes for OOC, RVAD, VR, kyphosis, TH and TW from pre-casting to the final post-casting status between two casting techniques (P>0.05). However, children with EDF tended to receive 3 to 4 more castings than those with BC (7.5 vs.4 casts) (P=0.007) and achieved better outcomes in success (25% vs.20%) and improvement (50% vs.10%) (P=0.03). EDF has better outcomes with EOS improvement when there is treatment of longer duration.


2016 ◽  
Vol 4 (2) ◽  
pp. 352
Author(s):  
Mitsunobu Matsuda ◽  
Ayumi Kono

Rationale, aims and objectives: To support patients with mental disorders to address appropriate symptom control and preventive measures against relapse, evidence-based practice (EBP), such as psychoeducation, is an important intervention while performing psychiatric pharmacotherapy. However, the use of EBP is likely to have remained passive, as it has been reported being disseminated and implemented slowly. This study explored a classification of psychiatric nurses’ attitudes toward EBP and examined the association between a classification of attitudes toward EBP and needs for learning psychoeducation practices in nursing professionals involved with psychiatric services, with the aim of providing a basis for the dissemination of psychoeducation. Method: A mail questionnaire survey was conducted, involving a total of 194 nurses and assistant nurses working in 13 of the 42 psychiatric hospitals. Analysis was performed using the cluster analysis, chi-square test and one-way analysis of variance. Results: The psychiatric nurses’ attitudes toward EBP were classified into 3 types: experience-oriented challenging, amotivational and rejective and conservative and obedient. Nurses showing amotivational and rejective attitudes accounted for the majority, while those showing experience-oriented challenging attitudes were more aware of the usefulness of psychoeducation and their levels of need for learning related practices were higher on comparison with the others. Conclusions: In order to disseminate psychoeducation among psychiatric hospitals, it may be important to develop interest in psychoeducation, particularly that of nurses showing experience-oriented challenging or conservative and obedient attitudes, with co-operation from nursing managers.


2010 ◽  
Vol 4 (3) ◽  
pp. 55-60
Author(s):  
Navin Anand Ingle ◽  
Naveen Baratam ◽  
Zohara Charania

ABSTRACT The epidemic of general injuries is among the most neglected health problems of the 21st century and the importance of Traumatic Dental injuries (TDI) has attracted little attention. AIM To assess the prevalence and factors associated with anterior teeth traumatic injuries in 11-13 year old school children of Maduravoyal, Chennai. METHODOLOGY Cluster sampling methodology was used for selection of subjects, where each school formed a cluster. All students aged 11-13 years were examined in accordance with the Ellis and Davey classification of traumatic injuries to anterior teeth. Statistical analysis was done by Chi-Square test. RESULTS Among the 687 (M=393, F=294) examined, 11.5% (n=79) experienced TDI. 78.5% (n=62) boys experienced TDI which was approximately thrice as higher as in females being 21.5% (n=17). The most commonly affected teeth were maxillary central incisors. “Fall” was the most common cause for TDI. Most common type of fractures were class I and class II and most of them were untreated. All these findings were statistically highly significant (P< 0.001). CONCLUSION TDI is an existing dental problem and emphasis should be given in school dental health programmes on preventive aspects of TDI.


Author(s):  
Motahareh Najafi1 ◽  
Marzeyeh Loripoor ◽  
Zahra Saghafi ◽  
Majid Kazemi

Background & Aim: Desirable bishop score is necessary for having a successful delivery. Prostaglandins are effective on cervical ripening, and primrose contains precursors of these materials. Therefore, the present study was conducted to evaluate the effect of vaginal Evening primrose on the bishop score among term nulliparous women. Methods & Materials: The present double-blind, randomized clinical trial was conducted on 86 nulliparous women who referred to the comprehensive health service centers of Rafsanjan from November 2017 to May 2018. The samples were selected through convenient sampling method and allocated into two intervention and placebo groups with simple random assignment. The intervention group used a daily dose of 1000 mg vaginal capsules of Evening primrose from the 38th week of pregnancy until delivery, and the placebo group received a similar placebo with a similar administration method. The Information about the women’s bishop score was gathered from the participants’ medical files in the hospital and then was analyzed using SPSS software version 16 and Kolmogorov-Smirnov test, Chi-square test, and independent t-test. Results: The total mean and standard deviation of the bishop score in the intervention and placebo groups were respectively 7.83 ± 2.09 and 4.46 ± 2.39, and the simplified bishop score in the intervention and the control groups was respectively 5.93 ± 2.42 and 2.81 ± 2.02. The difference between the two groups considering both of the bishop scores was statistically significant (p = 0.001). Conclusion: Vaginal Evening primrose is useful to ripen the cervix of term nulliparous women, and so, it could be administered for this purpose.


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