scholarly journals CARCINOMA OF CERVIX

2005 ◽  
Vol 12 (04) ◽  
pp. 392-396
Author(s):  
MUHAMMAD IKRAM ◽  
Roohi Saeed ◽  
WASIM TALIB ◽  
M. Saeed ◽  
SADIA CHATHA

Objective: To study the risk factors, clinical presentation and outcome ofmanagement in patients of carcinoma of cervix for one year. Design: Retrospective descriptive study. Place &Duration of Study: Department of Obstetrics and Gynaecology, Sheikh Zayed Federal Postgraduate Medical Instituteand Hospital, Lahore from January 1998 to December 2000. Subjects & Methods: All the patients of carcinoma ofcervix diagnosed during the period of study were included. Relative information were filled in a proforma. Out of 32cases, 30 cases were selected for study as 2 patient did not report back after initial diagnosis. Results: There were80% patients above the age of 40 years. 90% patients were married below the age of 20 years. There was obviouscorrelation of carcinoma cervix with low socioeconomic status and high parity. Foul smelling bloody vaginal discharge,post-coital bleeding, post-menopausal bleeding and irregular periods were the most common symptoms. Most of thepatients presented late, so 57% patients were referred for radiotherapy alone. Surgery alone was possible in only 5patients and combination of surgery and radiotherapy in 7 patients. Follow up attendance of patients was extremelypoor and there was 1 recurrence after primary treatment with radical surgery and radiotherapy. Conclusion: Lack ofeffective screening programme and awareness of patients have led to the delay in diagnosis. All women of reproductiveage, peri-and post-menopausal age groups, para 5 and above, low socioeconomic status and teenage marriagesshould undergo regular screening for carcinoma of cervix at their own locality.

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Adnan Khalil ◽  
Shahid Bashir ◽  
Morad Yaser Al Mostafa

Worldwide, malnutrition is the severe most health problem leading to the highest rate of disease andmortality among children less than 5 years of age. Objective: To find out the association betweenmalnutrition and demographic profile. Methods: 350 malnourished children were chosen by nonprobabilityconvenient sampling technique from Sir Ganga Ram Hospital, Lahore. Children wereassessed through pre-tested questionnaire. Data were analyzed by SPSS version 21.0. Results: 45%malnourished children were 1-3 years of age, majority of the children were females (52%), 89% childrenwere from rural areas, 82.6% children were from low socioeconomic status, 54.6% mothers wereuneducated, 50% malnourished children were not having their own house, 115 malnourished childrenwere having 3 or more siblings and 89 mothers were having less than one year of pregnancy gap.Conclusions: Low socioeconomic status, illiteracy of mothers, rural area, gap between pregnancy andfemale gender has been found to be linked with malnutrition in children below 5 years of age.


2020 ◽  
Vol 19 (4) ◽  
pp. 357-372
Author(s):  
Imam Faisal Hamzah ◽  
Subandi Subandi

Hypertension is one type of disease that is usually experienced by adults, where arteries have excessive pressure, which is above 140 mm Hg for systolic and diastolic 90 mm Hg. Hypertension is not only a physical experience, but also needs to be understood as a psychological and social experience. Health is a social problem because it is related to how a person finances his health and access appropriate health facilities. The purpose of this study was to obtain psychosocial dynamics in the experience of hypertension in patients with low socioeconomic status. This study used a qualitative method with an Interpretative Phenomenological Analysis (IPA) approach through semi-structured interviews. Three participants involved were female, aged 30 to 45 years, and had more than one year suffered from hypertension. This study found six superordinate themes that focused on perceptions of causes, perceptions of hypertension, unpleasant feeling, social resources, improvement efforts, and health development.  


Author(s):  
Amulya MN. ◽  
Ashwini MS.

Background: Rupture of Fetal membranes before the onset of labour is called PROM. Premature rupture of membrane (PROM) is associated with various complications. The present study is undertaken to study the maternal morbidity in term PROM.Methods: A prospective cross-sectional study was conducted at Vijaynagar institute of medical science Ballari for a period of one year by Department of Obstetrics and Gynecology from November 2016 to October 2017.  120 cases of spontaneous rupture of membranes with term gestation with confirmed PROM were selected.Results: PROM was common in age group of 20-29 years (80%), and common in primigravida. Study showed majority of them belongs to low socioeconomic status (80%) , 13.33% belonged  to middle socioeconomic status and 6.66% belonged to higher socioeconomic status. In present study, it is observed that 27.05% cases  went  into  spontaneous labour and delivered normally, 56.50% cases delivered by induction and  20% cases  were delivered by LSCS. The rate of maternal morbidity was 16.6%,  which includes febrile morbidity accounting to maximum with 9.6% followed by wound infection 3.33% and others were PPH(1.66%)and puerperal sepsis (each 1.66%).Conclusions: The rate of maternal morbidity was 16.6% and no maternal death observed. Hence an appropriate and accurate diagnosis of PROM is essential for favorable outcome in pregnancy and reduces the maternal morbidity.


2015 ◽  
Vol 31 (8) ◽  
pp. 1663-1672 ◽  
Author(s):  
Licet Álvarez ◽  
Judith Liberman ◽  
Soledad Abreu ◽  
Carolina Mangarelli ◽  
Marcos B. Correa ◽  
...  

This study aimed to assess dental caries status and associated factors in Uruguayan adults and elders using data from the first Uruguayan National Oral Health Survey. Data were representative of the country as a whole. Socio-demographic information was collected with a closed questionnaire. Dental caries was assessed by clinical examination using the DMFT index. The final sample consisted of 769 participants. Mean DMFT was 15.20 and 24.12 for the 35-44 and 65-74-year age groups, respectively. Mean number of decayed teeth was 1.70 in adults and 0.66 in elders. Multivariate analyses showed higher prevalence of dental caries associated with age 65-74 years, low socioeconomic status, use of public dental services, presence of gingivitis; for decayed teeth, age 35-44 years, low socioeconomic status, use of public dental services, infrequent tooth brushing, need for oral health care, and presence of root caries showed higher severity. Uruguayan adults and elders from disadvantaged backgrounds concentrated a heavier burden of dental caries.


2014 ◽  
Author(s):  
Sarah Dayle Herrmann ◽  
Jessica Bodford ◽  
Robert Adelman ◽  
Oliver Graudejus ◽  
Morris Okun ◽  
...  

2020 ◽  
Vol 91 (6) ◽  
pp. 2042-2062
Author(s):  
Susana Mendive ◽  
Mayra Mascareño Lara ◽  
Daniela Aldoney ◽  
J. Carola Pérez ◽  
José P. Pezoa

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e043547
Author(s):  
Donald A Redelmeier ◽  
Kelvin Ng ◽  
Deva Thiruchelvam ◽  
Eldar Shafir

ObjectivesEconomic constraints are a common explanation of why patients with low socioeconomic status tend to experience less access to medical care. We tested whether the decreased care extends to medical assistance in dying in a healthcare system with no direct economic constraints.DesignPopulation-based case–control study of adults who died.SettingOntario, Canada, between 1 June 2016 and 1 June 2019.PatientsPatients receiving palliative care under universal insurance with no user fees.ExposurePatient’s socioeconomic status identified using standardised quintiles.Main outcome measureWhether the patient received medical assistance in dying.ResultsA total of 50 096 palliative care patients died, of whom 920 received medical assistance in dying (cases) and 49 176 did not receive medical assistance in dying (controls). Medical assistance in dying was less frequent for patients with low socioeconomic status (166 of 11 008=1.5%) than for patients with high socioeconomic status (227 of 9277=2.4%). This equalled a 39% decreased odds of receiving medical assistance in dying associated with low socioeconomic status (OR=0.61, 95% CI 0.50 to 0.75, p<0.001). The relative decrease was evident across diverse patient groups and after adjusting for age, sex, home location, malignancy diagnosis, healthcare utilisation and overall frailty. The findings also replicated in a subgroup analysis that matched patients on responsible physician, a sensitivity analysis based on a different socioeconomic measure of low-income status and a confirmation study using a randomised survey design.ConclusionsPatients with low socioeconomic status are less likely to receive medical assistance in dying under universal health insurance. An awareness of this imbalance may help in understanding patient decisions in less extreme clinical settings.


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