scholarly journals PRIMARY PPH;

2008 ◽  
Vol 15 (03) ◽  
pp. 335-340
Author(s):  
SAMIA SHUJA ◽  
AFIA ANSAR ◽  
NAGINA FATIMA LIAQUAT

. Objective: To determine the effectiveness and safety of uterine packing in selected cases of primarypostpartum haemorrhage. Study Design: Cross-sectional study. Place and Duration: The study was conducted atJinnah Postgraduate Medical Centre, Karachi, From September 2003 to April 2008. Patients and Methods: Womendeveloping primary PPH due to uterine atony, placenta previa and coagulation failure were selected for uterine packing.Firm packing was done with enormous length of sterile ribbon gauze, using ‘layering technique’ under prophylacticantibiotic cover. Vagina was also packed to give additional pressure. Pack was removed after 12 - 36 hours or earlyin case of failure to control haemorrhage. Pulse, blood pressure, soakage of pads, height of uterine fundus andtemperature were monitored to assess effectiveness and safety. Results: 39 women were included in the study. Causeof PPH was uterine atony in 30 (76.9%), coagulation failure in 5 (12.8%) and placenta previa in 4 (10.3%) cases.Packing was successful in arresting haemorrhage in 32 (82.1%) and failed in 7 (17.9%) cases; 95% Confidence Interval67-91. There was no case of concealed haemorrhage, four patients developed emdometritis and none had delayedhaemorrhage. 13 laparotomies were prevented. The difference between the causes of haemorrhage in successful andfailed cases did not show a definite trend. Conclusion: If employed early, uterine packing is a quick, effective and safemethod for controlling primary PPH in carefully selected cases.

2021 ◽  
Vol 3 (1) ◽  
pp. 33-43
Author(s):  
Wienaldi ◽  
Fautia Ristina

The aims of this study discussed overview of body mass index and blood pleasure in Medical Science Faculty Student. This research is a descriptive study with a cross-sectional study design, namely how to approach, observe or collect data at the same time 10. Based on the research results, it was found that the majority of BMI students from the Faculty of Medicine UNPRI Medan class 2017 were normal, namely 64 people (64.6%), then followed by students with an overweight BMI of 29 people (29.3%), underweight and obese respectively. only 3 people (3.0%). Based on the results of the study, it was found that the majority of the blood pressure of the 2017 UNPRI Medan Faculty of Medicine students was completely normal (100%).


2019 ◽  
Author(s):  
Chanda Chalela

BACKGROUND ABSTRACT Introduction a study on prevalence of ITN use was carried out in Buchi community Kitwe Zambia from August to October 2019 OBJECTIVE Prevalence of ITN in BUchi METHODS Methodology: This was a cross sectional study design. A structured questionnaire was used to ascertain ownership and utilization and oral interviews, 200 households were targeted 844 individual covered across the 200 households. Data was analyzed with SPSS version 23. RESULTS ABSTRACT Introduction a study on prevalence of ITN use was carried out in Buchi community Kitwe Zambia from August to October 2019 Methodology: This was a cross sectional study design. A structured questionnaire was used to ascertain ownership and utilization and oral interviews, 200 households were targeted 844 individual covered across the 200 households. Data was analyzed with SPSS version 23. Findings: household ownership of at least an ITN was 52% and individual utilization at 37.6%, with 0.825 ITN/households and 0.195ITN /individual. Malaria prevalence of 52.4% /household and a 12.4% of the population. With 47.6% malaria patient coming from households with ITN and 60% of households with ITN have insufficient coverage.61% of malaria patient were female and 31 % male. however there was no significant relation between Gender and malaria prevalence in study area (p value was >0.05). Malaria cases distribution with age groups, 0-15yrs old represented 49.5%, 16-30 yrs., was at 27.6% and the over 30 yrs. case were at 22.9% .use of other preventive measures 23% used mosquito repellent ,others methods 1% with those not using any other methods 76%. CONCLUSIONS Conclusion The study showed clearly that malaria still poses a problem .the prevalence rate of malaria was still high 12.4% of the population and 52.4% of households. With high prevalence of malaria of 49.5% for 0-15yrs.the difference between ownership 52% and Utilization 37.6% showed that even household with ITN, the ITN were not sufficient.60% of households with ITN, the ITN were not sufficient for all occupants


Author(s):  
José João Mendes ◽  
João Viana ◽  
Filipe Cruz ◽  
Dinis Pereira ◽  
Sílvia Ferreira ◽  
...  

We aimed to investigate the association between blood pressure (BP) and tooth loss and the mediation effect of age. A cross-sectional study from a reference dental hospital was conducted from September 2017 to July 2020. Single measures of BP were taken via an automated sphygmomanometer device. Tooth loss was assessed through oral examination and confirmed radiographically. Severe tooth loss was defined as 10 or more teeth lost. Additional study covariates were collected via sociodemographic and medical questionnaires. A total of 10,576 patients were included. Hypertension was more prevalent in severe tooth loss patients than nonsevere tooth lost (56.1% vs. 39.3%, p < 0.001). The frequency of likely undiagnosed hypertension was 43.4%. The adjusted logistic model for sex, smoking habits and body mass index confirmed the association between continuous measures of high BP and continuous measures of tooth loss (odds ratio (OR) = 1.05, 95% CI: 1.03–1.06, p < 0.001). Age mediated 80.0% and 87.5% of the association between periodontitis with both systolic BP (p < 0.001) and diastolic BP (p < 0.001), respectively. Therefore, hypertension and tooth loss are associated, with a consistent mediation effect of age. Frequency of undiagnosed hypertension was elevated. Age, gender, active smoking, and BMI were independently associated with raised BP.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Mathilde Lolk Thomsen ◽  
Louise Scheutz Henriksen ◽  
Jeanette Tinggaard ◽  
Flemming Nielsen ◽  
Tina Kold Jensen ◽  
...  

Abstract Background Exposure to perfluoroalkyl substances (PFASs) has been associated with changes in body mass index and adiposity, but evidence is inconsistent as study design, population age, follow-up periods and exposure levels vary between studies. We investigated associations between PFAS exposure and body fat in a cross-sectional study of healthy boys. Methods In 109 boys (10–14 years old), magnetic resonance imaging and dual-energy X-ray absorptiometry were performed to evaluate abdominal, visceral fat, total body, android, gynoid, android/gynoid ratio, and total fat percentage standard deviation score. Serum was analysed for perfluorooctanoic acid, perfluorooctane sulfonic acid (PFOS), perfluorohexane sulfonic acid, perfluorononanoic acid, and perfluorodecanoic acid using liquid chromatography and triple quadrupole mass spectrometry. Data were analysed by multivariate linear regression. Results Serum concentrations of PFASs were low. Generally, no clear associations between PFAS exposure and body fat measures were found; however, PFOS was negatively associated with abdominal fat (β = -0.18, P = 0.046), android fat (β = -0.34, P = 0.022), android/gynoid ratio (β = -0.21, P = 0.004), as well as total body fat (β = -0.21, P = 0.079) when adjusting for Tanner stage. Conclusions Overall, we found no consistent associations between PFAS exposure and body fat. This could be due to our cross-sectional study design. Furthermore, we assessed PFAS exposure in adolescence and not in utero, which is considered a more vulnerable time window of exposure.


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