scholarly journals PREGNANCY

2015 ◽  
Vol 22 (06) ◽  
pp. 776-781
Author(s):  
Shazia Shukar-ud- Din ◽  
Sadaf Ahmed Asim

Objective: To determine frequency and pattern of skin changes duringpregnancy. Study Design: Cross sectional study. Setting: Outpatient department ofDermatology and Gynaecology at Dow University Hospital, Ojha campus in Karachi. Period:May 10, 2013 and January 10, 2014. (8 months). Patients & Methods: It comprises 80consecutive pregnant women with skin problem, who presented in outpatient department ofDermatology with referral cases from Obs&Gynae outpatient department.Information wascollected on predesigned questionnaire after taking informed consent. Results: Total 80pregnant women were included in study with different skin problems. The results indicatethatmost of women 72.5% presented during third trimester and 43.8% women were primigravida.Striagravidarum and lneanigra was commonest physiological changes, reported in 54%, 52%women consecutively. Eczema,utricaria and candidiasis were reported in 16.3% and 15% and15% women consecutively. Prurigo of pregnancy was reported in 17.5% followed by pruriticfolliculitis of pregnancy in 6.3% women. Conclusions: This study concluded that skin changesduring pregnancy are frequent in Pakistani women. These changes could be physiological orpathological.

2015 ◽  
Vol 22 (09) ◽  
pp. 1208-1211
Author(s):  
Sadaf Ahmed Asim ◽  
Humaira Maryum ◽  
ShaziaShukar-ud- Din ◽  
Waseem Jamalvi ◽  
Muhammad Aurangzeb

Objectives: To identify the frequency of common birthmarks presenting inoutpatients department of dermatology until and to increase awareness among doctor aboutthe common phenomena. Patients and Study Design: A cross sectional study. Setting: OPDof Dermatology department of Dow University Hospital. Period: January 2014 till October 2014.Methods:During a year, by using non-probability convenient sampling only 100 patients of bothgenders were enrolled in the study after ensuring inclusion, exclusion criteria. Complete historywas recorded and a thorough general physical and cutaneous examination was performed.Information was collected on predesigned questionnaire after taking informed consent. DataAnalysis was carried out on SPSS statistics software. Results: Out of 100 patients, 43% weremales and 57% were females. In 69.6% patients, the birthmarks were noticed around time ofdelivery, 28.3% patients were noticed within 1st year of life and 2.2% later in 5 year. Pigmentedbirthmarks were identified in 65.2% patients while 34.8 % have vascular birthmarks.71.1% hadno changes in color during life span. While 37.8% had 1-3 cms birthmark and 45.7% havereported an increase in birthmark. Conclusions: We found birthmarks benign; they may growwith age but they do not need treatment unless there is concern either cosmetically or they havepain and discharge.


2016 ◽  
Vol 23 (09) ◽  
Author(s):  
Muhammad Iqbal ◽  
Adnan Ahmed ◽  
Muhammad Rafique Hingoro

Objectives: To determine incidence of steatosis in non-responder casesof chronic HCV. Study Design: Cross-sectional study. Setting: Tertiary Care Sanatorium inMedicine Department of LIAQUAT University Hospital Hyderabad/Jamshoro. Period: 26-9-2011to 25 August 2012. Material & Methods: Total 144 non-responders cases of Hepatitis C wereintegrated. Both gender, age 18 to 50 yrs, chronic HCV non-responder cases as well as cases fitfor hepatic biopsy were integrated in study. Grading of Inflammation was carried out as indicatedby histopathological measures. Results: Mean age was 48.5 + 5.2years. Uppermost prevalenceof chronic HCV disease was 65(45.13%) at 41 to 50 years age interval whereas 42(29.1%) caseswere noticed in 31 to 40 yrs age group and 25(17.3%) cases were observed in 20 to 30 yearsof young age group. In this study hepatic steatosis occurrence was observed in 103 (71.5%)cases and these were categories as: grade 1, grade 2, grade 3, as (<33%) 45/103(43.68%), (33to 66%) 35/103(33.98%), (>66%) 23/103(22.33%) respectively. Conclusion: Hepatic steatosisis a important risk factor the cases of HCV to decreased response to antiviral therapy and forprogression toward fibrosis as observed in cases related to metabolic steatosis.


2019 ◽  
Vol 26 (07) ◽  
pp. 1027-1031
Author(s):  
Shafaatullah . ◽  
Sadaf Iqbal ◽  
Bilal Suria

Introduction: Hypospadias is a congenital defect with various presentations. It is diagnosed clinically. Hormonal therapy can be used but is not curative. The Snodgrass intervention is the better one to get result oriented outcomes. Objectives: To find out the advantages of Snodgrass repair in distal as well as proximal types of hypospadias. Study Design: Cross sectional study. Setting: Baqai university hospital Karachi. Period: January 2015 to December 2017. Material and Method: Total 40 male patients were included in this study. They were admitted through OPD. Age of patients was from 4 years to 22 years. Patients were prepared and Snodgrass repair was done to all patients. Results: In our study, of 40, 19 (47.5%) patients presented between age 04 to 10 years. Most common Subcoronal type was found in 16 (40%). Catheter blockage was in 4 (10%) patients that was a common complication in our study. Conclusion: To sum up, Snodgrass method is the good one with good cosmetic results and least complication rate. 


2019 ◽  
Vol 26 (09) ◽  
pp. 1466-1470
Author(s):  
Shahid Abbas ◽  
Faisal Ali ◽  
Naeem Hameed ◽  
Rehan Riaz ◽  
Ayesha Tariq ◽  
...  

Objectives: To determine the frequency of metabolic syndrome in judicial officers. Study Design: Cross sectional study. Setting: Faisalabad Institute of Cardiology, Faisalabad. Period: January 2015 to December 2016. Materials and Methods: Total 81 judicial officers were enrolled after obtaining informed consent. Officers from age of 29 years to 56 years and of either sex were enrolled in study. FLP, FBS, BP and waist circumference were measured at FIC. Frequency of metabolic syndrome was noted considering diagnostic criteria. Results: Mean age was 40.35 ± 7.40, 88.9% (n=72) were male, 11.1% (n=9) were females, 12.3% (n=10) were diabetic, 87.7% (n=71) were non-diabetic, 2 were known case of ischemic heart disease with one having CABG. Most common parameter out of Metabolic syndrome factors was hypertriglyceridemia 53.1% (n=43). Least common was diabetes (12.3%). Metabolic syndrome was found in 21% (n=17). Only 11.1% female officer (n=1) were found to have Metabolic syndrome whereas 22.2% male (n=16) were having metabolic syndrome. Conclusion: Metabolic syndrome was quiet common in young healthy judicial officers who were not patient of any significant disease mostly having sedentary lifestyle.


2019 ◽  
Vol 26 (08) ◽  
pp. 1345-1347
Author(s):  
Sarwat Memon

Obesity is the major threat to social and medical wellbeing in Pakistan and worldwide. Increased BMI poses certain risks to mother as well as fetus. The objective of this study is to assess the maternal and fetal morbidities in women presenting with increased BMI during pregnancy. Study Design: Descriptive cross sectional study. Setting: Isra University Hospital. Period: 1st June 2017 till Nov 2017. Materials and Methods: 100 Patients with singleton pregnancy were included in this study. Results:                                                                     . Conclusion: It was concluded that there are complex and noteworthy socio- statistic imbalances related to different age groups, parity status and BMI. It was also concluded that increased no of patients are at high risks of maternal and fetal complication rates and require proper access to antenatal care. Facilities and interventions should be provided to improve both maternal and fetal health care and reduce the risks of adverse effects of increased BMI.


2020 ◽  
pp. 105477382096359
Author(s):  
Elif Akyüz ◽  
Yurdagül Erdem

The aim of this descriptive cross-sectional study was to determine adult surgery patients’ experiences of informed consent and preoperative education. Research was conducted between September 2018 and February 2019. The sample consisted of 201 adult patients of a university hospital in Turkey. Data were collected using a 48-item questionnaire developed by the researchers based on literature. More than half of the participants (54.2%) were fully informed while 36.8% were partially informed about their surgery process and 61.2% were informed by physicians. Overall, 33.3% had unanswered questions about surgery, with questions relating mostly to the type of surgery (26.8%) and its effect on their body (25.4%). Participants were least informed about preoperative deep breathing and cough exercises (47.8%). More than half (58.4%) of participants expected healthcare professionals to avoid using medical terminology when informing them. Physicians and nurses perform invasive interventions on patients and, therefore, should be sensitive about informing patients.


2019 ◽  
Vol 19 (6) ◽  
pp. 803-808 ◽  
Author(s):  
Luigi Vimercati ◽  
Luigi De Maria ◽  
Francesca Mansi ◽  
Antonio Caputi ◽  
Giovanni M. Ferri ◽  
...  

Background: Thyroid diseases occur more frequently in people exposed to ionizing radiation, but the relationship between occupational exposure to ionizing radiation and thyroid pathologies still remains unclear. Objective: To evaluate the prevalence of thyroid diseases in healthcare workers exposed to low-level ionizing radiation compared with a control group working at the University Hospital of Bari, Southern Italy, and living in the same geographical area, characterized by mild iodine deficiency. Methods: We ran a cross-sectional study to investigate whether healthcare workers exposed to ionizing radiation had a higher prevalence of thyroid diseases. Four hundred and forty-four exposed healthcare workers (241 more exposed, or “A Category”, and 203 less exposed, or “B Category”) and 614 nonexposed healthcare workers were enrolled during a routine examination at the Occupational Health Unit. They were asked to fill in an anamnestic questionnaire and undergo a physical examination, serum determination of fT3, fT4 and TSH, anti-TPO ab and anti-TG ab and ultrasound neck scan. Thyroid nodules were submitted to fine needle aspiration biopsy when indicated. Results: The prevalence of thyroid diseases was statistically higher in the exposed workers compared to controls (40% vs 29%, adPR 1.65; IC95% 1.34-2.07). In particular, the thyroid nodularity prevalence in the exposed group was approximately twice as high as that in the controls (29% vs 13%; adPR 2.83; IC95% 2.12-3.8). No statistically significant association was found between exposure to ionizing radiation and other thyroid diseases. Conclusion: In our study, mild ionizing radiation-exposed healthcare workers had a statistically higher prevalence of thyroid diseases than the control group. The results are likely due to a closer and more meticulous health surveillance programme carried out in the ionising radiation-exposed workers, allowing them to identify thyroid alterations earlier than non-exposed health staff.


Author(s):  
Erman Yıldız

BACKGROUND: Although previous studies have separately revealed that parameters such as anxiety, depression, and secondary traumatic stress (STS) are associated with burnout, there is still a limited understanding of the relationship between anxiety, depression, and STS and burnout in intensive care unit (ICU) nurses. AIMS: To investigate the relationship between levels of burnout, anxiety, depression, and STS in ICU nurses. METHOD: A cross-sectional study was conducted with ICU nurses ( N = 164) from a university hospital in eastern Turkey. The participants completed the anxiety, depression, STS, and burnout scales along with the descriptive characteristics form. The data were analyzed using descriptive statistics, correlation, and logistic regression analysis. RESULTS: The mean scores for STS, anxiety, depression, and burnout were 40.60 ± 13.77, 17.14 ± 12.90, 13.28 ± 9.75 and 41.39 ± 14.87, respectively. The results showed that, in the ICU nurses, anxiety, depression, and STS components explained 61% of emotional exhaustion, 38% of depersonalization, and 13% of personal accomplishment. CONCLUSIONS: While the present findings supported the paradigm that burnout in ICU nurses is associated with STS, anxiety, and depression, they also revealed some details about the psychopathological factors associated with burnout. These details were as follows: (1) individuals who resorted to avoidance as a component of STS on a high level were more likely to experience emotional exhaustion and depersonalization, (2) individuals with severe depressive symptoms were more likely to experience a decrease in their personal accomplishment, and (3) individuals with anxiety symptoms were more likely to experience both emotional exhaustion and personal accomplishment.


2020 ◽  
pp. 004947552098130
Author(s):  
Fabián R Carreño-Almánzar ◽  
Adán Coronado-Galán ◽  
Sonia A Cala-Gómez ◽  
Agustín Vega-Vera

Imported malaria has increased in Colombia since 2015 and has been attributed to migrants coming from Venezuela. We present a series of malaria cases, nested in a retrospective cross-sectional study between 2017 and 2018, aimed at calculating the prevalence of medical diseases among immigrants in a University Hospital in Colombia. Among 154 immigrants admitted for medical causes between 2017 and 2018, 8 were diagnosed with malaria, all due to Plasmodium vivax. Of these, seven had uncomplicated malaria, five had a previous history of malaria, one was critically ill, but none died. We highlight that, similar to other case series of imported malaria, Latin American migrants were young, with similar clinical profiles, having a low proportion of severe cases, and P. vivax was the most frequent cause.


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