scholarly journals CHOLECYSTECTOMY;

2017 ◽  
Vol 24 (05) ◽  
pp. 697-701
Author(s):  
Gulshan Ali Memon ◽  
Bilal Ahmed ◽  
Syed Kashif Ali Shah
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Study Population ◽  
Operative Assessment ◽  
Surgical Unit ◽  
Care System

Introduction: Gallstones patients are mostly asymptomatic, but yet, it addsconsiderable burden to health care system as only in United States more than 600000laparoscopic cholecystectomies are performed annually. The introduction of day care withlaparoscopic (LC) surgery in the late 1980s increased the rate of cholecystectomy for about20%. This new intervention introduced changes in indications of cholecystectomy and putfurther impact on health care system. After the introduction of LC, many studies have highlightedand discussed the importance of adequate surgical skills in order to improve the timing andoutcome of surgery. The aim of this study was to see the conversion from laparoscopic to opensurgery in symptomatic patients. Study Design: Descriptive Cross Sectional Study. Period:January 2013 to 2015. Setting: Surgical unit I of Peoples Medical College Hospital Nawabshah.Methods: Study population consists of two hundred cases having non probability consecutivepatients of cholelithiasis who were eligible on inclusion criteria. Results: The conversion ratewas 10 %, seven (3.5%) patients had biliary injury, six (3%) had adhesions, four (2%) patienthad vascular injury, two (1%) patients had gut injury, one (0.5%) patient had dilated commonbile duct. Conclusion: Proper pre-operative assessment and proper anatomical recognition ofCalot’s triangle reduce the rates in conversion from laparoscopic to open surgery.

Health system responsiveness in Iran: a cross-sectional study in hospitals of Mazandaran province

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Roya Malekzadeh ◽  
Samereh Yaghoubian ◽  
Edris Hasanpoor ◽  
Matina Ghasemi
Keyword(s):  
Health Care ◽  
Social Security ◽  
Health Care System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Mazandaran Province ◽  
Cross Sectional ◽  
Content Type ◽  
System Responsiveness ◽  
Care System

Purpose Responsiveness is a reaction to the reasonable expectations of patients regarding ethical and non-clinical aspects of the health-care system. Responsiveness is a characteristic of health-care system and the observance of the patient’s rights. The purpose of this study is to compare the responsiveness of the health-care system based on the hospital ownership in Mazandaran province in Iran. Design/methodology/approach The cross-sectional study design was used on 1,083 patients referred to public and private hospitals and hospitals affiliated to social security organization in Mazandaran province in 2017. The World Health Organization’s responsibility questionnaire was used to collect data. Data were analyzed by using SPSS version 21. Descriptive statistics and one-way ANOVA results are presented is the results section. Findings All responsiveness dimensions were salient for respondents. The response rate in the selected hospitals was very close, which ranged from 85.7 to 90.2%, and there was no significant difference between public, private and social security hospitals (p > 0.05). The most crucial responsiveness dimension in hospitals was autonomy. Originality/value In the current study, the dimensions of communication and confidentiality were identified as priority dimensions based on the least score for breeding actions to improve the responsiveness of the health-care system. At the end, some useful recommendations such as re-engineering the processes, training to engage the employees with patients and encouraging them to fill the gap were suggested.

scholarly journals A study on the knowledge, attitude & perspectives of final year students of bachelor of pharmacy programme in Malaysian Universities towards the implementation of the separation of drug prescribing & dispensing activity in Malaysia

2019 ◽  
Vol 10 (SPL1) ◽  
Author(s):  
Santhanathan S Rajendram ◽  
Muhamad Danial Muhamad Hamdan
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Cross Sectional Study ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Public And Private ◽  
Institutions Of Higher Learning ◽  
Highly Sensitive ◽  
The Government ◽  
Care System

Dispensing separation in Malaysia has been a widely discussed topic among the medical fraternity. It is a highly sensitive topic as it involves both professional and economic considerations for doctors, pharmacists, and the general public. There has been no decision made thus far but the discussion is ongoing, making a study on this topic very relevant. The subjects of this study, final year students of Bachelor of Pharmacy Programme in Malaysian universities, are chosen to reflect their awareness, preparedness, and knowledge on dispensing separation, which will affect their future in the pharmacy profession. The study was conducted among all 20 Public and Private Institutions of Higher Learning recognized by the Pharmacy Board, Malaysia. This was a cross-sectional study design, and data was collected using a convenience sampling method. The research instrument was an online questionnaire. The first part of the questionnaire covers the demographic information about the respondent, like name, age, gender, and institution. The second part covers the knowledge, awareness and perspectives of respondents towards the implementation of the separation of prescribing and dispensing activities in Malaysia. The final part of the survey focuses on suggestions or problems arising. There were 126 respondents to the survey, way above the 96 respondents needed to make the survey valid. The majority of them are aware of and understand the dispensing separation. Most of them agree that the government should legalize the dispensing separation activities as they believe pharmacists are more knowledgeable and better equipped to dispense drugs. The majority of them believe by implementing dispensing separation, the health care system will be better optimized, and the service will be better. They also believe that patients can accept and adapt to the role of the pharmacist in dispensing medication. The majority of them also agree that the price of medicine will be lowered by the implementation of dispensing separation. Based on the study, these students who are future pharmacists are very knowledgeable on the dispensing separation issue. They believe strongly that the implementation of dispensing separation in Malaysia will bring more beneficial changes to the health care system. The patients will also benefit from this. With such a positive attitude, the implementation of dispensing separation in Malaysia could be imminent  

Factors Associated with Perceived Abuse in the Health Care System Among Long-Term Opioid Users: A Cross-Sectional Study

2016 ◽  
Vol 51 (6) ◽  
pp. 763-776 ◽  
Author(s):  
Heather Palis ◽  
Kirsten Marchand ◽  
Defen Peng ◽  
Jill Fikowski ◽  
Scott Harrison ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Opioid Users ◽  
Care System

scholarly journals A Cross-Sectional Study of SARS-CoV-2 Vaccination Among Employees of an Urban Safety-Net Health Care System

2021 ◽  
Author(s):  
J. Daryl Thornton ◽  
Sherrie Dixon-Williams ◽  
Anne Huml ◽  
Adam Perzynski ◽  
Doug Gunzler ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Safety Net ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Urban Safety ◽  
Care System

scholarly journals A-V Fistula Blood Flow and Complications: A One Year Survey

2014 ◽  
Vol 15 (2) ◽  
pp. 110-113
Author(s):  
Tania Mahbub ◽  
Md. Nizamuddin Chowdhury ◽  
Ferdous Jahan ◽  
Aparna Das ◽  
Md. Motlabur Rahman ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cross Sectional Study ◽  
Visualization Technique ◽  
Colour Doppler ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Study Population ◽  
One Year ◽  
Venous Fistula

Background: Worldwide haemodialysis(HD) is the mostly used method of renal replacement therapy. Arteriovenous fistula use is on rise due to Fistula First Initiative due to least complications of fistulae than catheters.But they are also subjected to many complications. Thereby appropriate surveillance of the fistulae is important.Objectives: To measure the blood flow as well as fistula related complications in study population. Materials and Methods: This was a cross sectional study, conducted in the department of Nephrology, Dhaka Medical College Hospital during September 2010 to December 2011.Total 118 subjects were included in the study. Besides visualization technique colour Doppler ultrasonogram of fistula and  echocardiography were performed for each patients. Results: Most of the patients had adequate fistula flow. Aneurysm was most common complication. Many subjects were suffered from primary and secondary fistula failure. Conclusion: Arterio-Venous fistula is subjected to many complications and appropriate surveillance should be launched to detect complications and to prevent fistula failure.DOI: http://dx.doi.org/10.3329/jom.v15i2.20681 J MEDICINE 2014; 15 : 110-113

A STUDY TO ASSESS THE KNOWLEDGE AND AWARENESS OF BLOOD DONATION AMONG MEDICAL STUDENTS IN ACS MEDICAL COLLEGE & HOSPITAL

2021 ◽  
pp. 161-163
Author(s):  
Hannah Roberts O R ◽  
Saranya Bai S ◽  
Sangeetha N ◽  
Mahendranath P
Keyword(s):  
Medical Students ◽  
Blood Donation ◽  
Cross Sectional Study ◽  
Undergraduate Medical Students ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Online Platforms ◽  
Study Population ◽  
Donated Blood

OBJECTIVE: To determine the awareness and knowledge of blood donation among undergraduate medical students MATERIALS AND METHODS: A cross sectional study was conducted at ACS Medical College and Hospital, Chennai, from st nd rd th January to March 2021.The study population was 400 medical students of 1 , 2 , 3 and 4 year. Pre-tested and self-structured equestionnaire was sent to the study population and the responses were viewed using a separate email id. RESULTS: Of the 400 medical students, 41.5% males and 58.5% females. The mean age is 20.6 years. 368 (92.0 %) are aware of voluntary blood donation. Online platforms or web portals are used by 267 (66.8 %) to assess information about Voluntary Blood Donors. Only 11 (2.7 %) have donated blood regularly. CONCLUSION: We infer that the knowledge and awareness on voluntary blood donation was comparatively higher among males and nal year students. The facts pertaining to voluntary blood donation, when conveyed by the online platforms were found to have greater impact on the current youth generation. Hence, this study recommends organising regular talks and interactive sessions as a must to bridge the gap in knowledge, to identify and remove misconceptions and motivate them for voluntary blood donation on a regular basis.

scholarly journals Skeletal Manifestations in Acute Lymphoblastic Leukaemia

2019 ◽  
Vol 43 (2) ◽  
pp. 102-105
Author(s):  
Mahmuda Begum ◽  
LE Fatmi ◽  
Khandaker Tarequl Islam ◽  
Syeda Mehnaz ◽  
SM Shamsul Huda ◽  
...  
Keyword(s):  
Bone Pain ◽  
Cross Sectional Study ◽  
Joint Effusion ◽  
Radiological Findings ◽  
College Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Medical College ◽  
High Prevalence ◽  
Study Population

Background: Skeletal manifestations associated with ALL in children are common findings with a high prevalence (11.6 to 50%). The most common skeletal manifestations are bone pain, arthritis, failure to use an extremity as well as other complaints mimicking orthopedic condition such as osteomyelitis. The objective of this study is to determine the rate of skeletal manifestations commonly present in ALL to reduce mortality and morbidity. Methods: This cross-sectional study was carried out in the department of Pediatrics in Dhaka medical college Hospital, BSMMU and Dhaka Shishu (Children) Hospital between January 2010 to July 2010. Total Fifty patients of ALL were Selected consecutively from the study population. At first, we assessed skeletal manifestations like bone pain, arthritis, radiological findings present or not in ALL. Then specify the rate of bone pain, arthritis, radiological findings of ALL patients. Results: After six months 35 patients were present with skeletal manifestations. Among them 20 patients, presented with bone pain,10 patients presented with arthritis and 5 patients presented with radiological manifestations. Out of 5 patients 3 patients had soft tissue swelling 1 patient had periarticular osteoporosis and 1 patient had joint effusion in x-ray findings. Conclusion: Skeletal manifestations may be the only presentation in ALL. Bangladesh J Child Health 2019; VOL 43 (2) :102-105

A STUDY ON “PREVALENCE OF COPD OVERLAP IN ASTHMA PATIENTS–HOSPITAL BASED CROSS SECTIONAL STUDY”

2021 ◽  
pp. 42-44
Author(s):  
S. Hema Akilandeswari ◽  
B. Kavitha ◽  
J. Sudhakaran ◽  
K. Rajkanth
Keyword(s):  
Internal Medicine ◽  
Cross Sectional Study ◽  
Overlap Syndrome ◽  
Independent Factor ◽  
Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Asthma Patients ◽  
Study Population

BACKGROUND:Asthma- COPD Overlap Syndrome (ACOS) is a recently dened terminology characterized by persistent limitation in airow, which shares features of both Asthma and COPD. ACOS is associated with worse outcomes than either condition alone. MATERIALS AND METHODS: A cross sectional study conducted in Government Thanjavur Medical College Hospital in the department of Internal Medicine between October 2017 and July 2018. The patients attending the asthma clinic and the medicine op for medications were enrolled into the study. Atotal of 80 patients were included. The statistical analyses were performed using Graph pad Prism version 5 software. RESULTS: In this study it was found that 25 % of the study population had a COPD overlap features. Duration of asthma was found to be a single independent factor associated with the development of COPD overlap in asthmatics in the study population. This study views smoking to have an additive effect in the disease pathology. CONCLUSION: The prevalence of ACOS in previously diagnosed Asthma or COPD is more alarmingly increasing. Asthma- COPD overlap is characterised by more frequent exacerbations and complications. There is a critical need to better dene the management and treatment of this syndrome.

scholarly journals Distribution of mammograms and mammography offering in relation to the parametric care of the Public Health Care System in Pernambuco

2018 ◽  
Vol 18 (3) ◽  
pp. 609-618
Author(s):  
Maria Tatiane Alves da Silva ◽  
Valdecir Barbosa da Silva Júnior ◽  
Jorgiana de Oliveira Mangueira ◽  
Garibaldi Dantas Gurgel Junior ◽  
Eliane Maria Medeiros Leal
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care System ◽  
Cross Sectional Study ◽  
Public Health Care ◽  
Public Health Care System ◽  
Cross Sectional ◽  
The Public ◽  
Installed Capacity ◽  
Care System

Abstract Objective: to describe the distribution of available mammograms in the Sistema Único de Saúde (SUS) (Public Health Care System) and the mammography offering were carried out by this system, throughout the health regions in Pernambuco State, and compared them with the parametric care recommended by the Ministry of Health. Methods: this is a descriptive cross-sectional study that used secondary mammograms data in December 2016 by the Cadastro Nacional de Estabelecimentos de Saúde (National Registy on Health Establishments); and about mammography performed at SUS in 2016 by the Sistema de Informação Ambulatorial (Ambulatory Information System). The parametric care document No. 1.631/2015 was used as a comparability standard in relation to the distribution of the equipment and the mammography offering. Results: Pernambuco State presented approximately the double amount of mammograms and mammography was performed about 46% below the recommended parameter used in this study. All the health regions presented sufficient quantity of mammograms. However, the use of the installed capacity was less than 50% in all the health regions in the state. Conclusions: this study shows the need for a better use of the installed capacity for mammograms in Pernambuco State taken by the insufficient mammography offering and the poor distribution of the equipment in its territory.

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