scholarly journals Risk factors identification of speech and language delay in children in a tertiary level hospital: A pilot study

2021 ◽  
Vol 11 (1) ◽  
pp. 103-112
Author(s):  
Fouzia Hoque ◽  
Shaheen Akhter ◽  
Muzharul Mannan
Keyword(s):  
Risk Factors ◽  
Cross Sectional Study ◽  
Language Delay ◽  
Tertiary Level ◽  
Speech And Language ◽  
Language Therapy ◽  
Early Screening ◽  
Cross Sectional ◽  
One Year ◽  
Level Hospital

Difficulties in the development of speech and language in children are considered as a common paediatric disability and it may have long-lasting effects on social skills, behavior, emotion, education and employment. There are several factors associated with speech and language delay in children which are very crucial to identify for raising awareness among parents as well as for the professional to provide early intervention by looking into them. The aim of this study is to identify risk factors of speech and language delay in children less than 6 years of age within the period of one year in a tertiary level hospital of Bangladesh. A cross-sectional study conducted with 150 children with primary speech and language delay and their parents who attended for speech and language therapy at Outdoor Patient (OPD) of Institute for Paediatric Neurodisorder and Autism (IPNA) in Bangabandhu Sheikh Mujib Medical University (BSMMU) for one year of period. This study found that the aspects being male gender, parental age, use of electronic devices, gestational age at birth, low birth weight and child’s attention problem are most common risk factors of speech and language delay in children. These findings help to monitoring the children who have these risk factors and that should draw the attention for early screening, assessment and intervention.

scholarly journals Depression and Its Risk Factors Among Patients with Chronic Obstructive Pulmonary Disease (COPD) in a Tertiary Level Hospital

2017 ◽  
Vol 7 (2) ◽  
pp. 44-48
Author(s):  
Uttam Kumar Barua ◽  
Dilip Kumar Ghosh ◽  
Amar Biswas ◽  
Mukta Nath ◽  
Bipul Kanti Biswas ◽  
...  
Keyword(s):  
Risk Factors ◽  
Severe Depression ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Chronic Obstructive ◽  
Tertiary Level ◽  
College Hospital ◽  
Cross Sectional ◽  
Copd Patients ◽  
Level Hospital

Background: COPDis accompanied with several co-morbidities among which depression is a major one. The aim of the study is to assess the prevalence of depression and associated risk factors in patients with COPD in a tertiary level hospital of Dhaka city, Bangladesh.Method: This Cross-sectional study was carried out the Department of Respiratory Medicine of ShaheedShurawardy Medical College Hospital from January 2014 to June 2014. 317 COPD patients were selected by systematic sampling. A questionnaire was administered among the respondents to collect the data regarding their socio-demographic conditions followed by Patient Health Questionnaire 9 (PHQ-9) to measure the level of depression.Result: Among the 317 respondents, the mean age was 58.40 and 98.1% were male, 1.9% were female. The proportion of depression among patients with COPD was 81.6% (8 out of 10 COPD patients). Among the all respondents, 23.3% had moderate depression, 14.5% had moderately severe depression, and only 4.7% had severe depression. The risk factors which were found to be involved with the development of depression among COPD patients were stage 2 and stage 3 COPD, onset of COPD ? 40 years of age, literate respondents.Conclusion: The study highlight the importance of routine screening for depression of all COPD patients in all healthcare settings and implementation of strategies for proper management and prevention of depression in those patients.J Shaheed Suhrawardy Med Coll, December 2015, Vol.7(2); 44-48

scholarly journals Screening for Speech and Language Delay among Children Up to or Less than 3 years Seen in the Children Clinic of a Tertiary Hospital in Port Harcourt

2021 ◽  
pp. 40-49
Author(s):  
Ibekwe Matilda Uju ◽  
Gabriel-Job Nneka
Keyword(s):  
Risk Factors ◽  
Significant Relationship ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Language Delay ◽  
Western World ◽  
Speech Delay ◽  
Speech And Language ◽  
Cross Sectional ◽  
Port Harcourt

Background: In the literature, there appears to be a lot of data on speech delay in children but most emanated from the western world, but little from sub-Sahara Africa especially Nigeria. This study therefore is to determine the prevalence and the risk factors of speech and language delay among children up to or less than 3years seen in our environment. Methodology: A descriptive cross sectional study carried out in the Paediatric outpatient clinic of the University of Port Harcourt teaching hospital within the period of June 2020 to September 2020. The Language Evaluation Scale Trivandrum (LEST 0-3) and Trivandrum Development Screening Chart (TDSC 0-3) are the tools used both to determine the speech and language delays and the developmental milestone in these children aged 0-3 years. Any child 3 years and below attending the clinic was included in the study; however children with apparent syndromes are excluded as well as children whose parents decline to give consent.  IBM SPSS Statistics version 25 was used for data analysis. Descriptive statistics was employed in the analysis. Results: The study comprised of 157 subjects with ages ranging from 2 months to 36 months.  There is a significant relationship between hearing impairment and language/speech delay (p=0.002). There was a significant relationship between the various identified delays and a history of jaundice in the neonatal period.  A prevalence of 15.3% for language/speech delay was obtained. Conclusion: Language/speech delay is prevalent in our environment. Perinatal risk factors are significantly associated with these delays.

scholarly journals Awareness About Role of Life Style In Controlling Diabetes Mellitus Amoung The Visitors In A Tertiary Level Hospital

2013 ◽  
Vol 20 (Number 1) ◽  
pp. 26-32
Author(s):  
A Mazid ◽  
K S Anwar ◽  
A Nasreen ◽  
M Begum ◽  
Md. S H Khan
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Family History ◽  
Life Style ◽  
Tertiary Level ◽  
Cross Sectional ◽  
Family History Of Diabetes ◽  
Total Respondent ◽  
One Year ◽  
Level Hospital

The cross-sectional descriptive study was done from December 2011 to February 2012 to determine the awareness about lifestyle in controlling diabetes mellitus among the visitors of a tertiary level hospital in Dhaka city. The data were collected by face to face interview using a structured questionnaire. The sample size was 306, which was selected randomly from visitors aged 21 years and above. The mean age of the respondents was 42.97 years, of them 53.60% were male and 46.40 % were female. 231 (75.49%) tested their blood for diabetes, of them 84.42% tested within one year; about 51(17%) respondents were diabetic. Of the diabetic 49.02% was suffering for 1-5 years, and 35.29% for more than 5 years; of the 51 diabetic respondents, 90.12% controlled diet, 88.23% did physical exercise, 72.95% took prescribed medicine and 70.55% took all the measures while 9.80% did nothing for management or control of diabetes. Of the respondents, 19.28% had family history of diabetes. Regarding risk factors for developing diabetes 77.45% mentioned excess intake of sweetmeat, 69.28% lack of exercise, 55.23% family history, 53.92% overweight, 49.02% overeating, and 39.54% mentioned about life style change; 46.73% of the respondents did exercise irregularly and 12.09% regularly; 25% of the total respondent controlled diet regularly and 26.47% occasionally; 86.80% opined excess intake of sweetmeat may increase diabetes and 50.00% said excess intake of all food may increase the diabetes. The study revealed that diabetes mellitus is a multi-factorial disease, since several risk factors appear to play contributory role in its prevalence in the community. Hence, a complex mix of interventions is required at multiple levels to reduce the morbidity and mortality associated with this condition.

scholarly journals Prevalence, Risk Factors, and Perception of Metabolic Syndrome Among Thai Buddhist Monks in a Rural Community, Central Thailand: A Mixed-Methods Study

2021 ◽  
Author(s):  
Annop Kittithaworn ◽  
Prempreeda Wongprasert ◽  
Worathon Worasangkart ◽  
Noppawit Aiumtrakul ◽  
Surapong Saravutthikul ◽  
...  
Keyword(s):  
Risk Factors ◽  
Metabolic Syndrome ◽  
Qualitative Study ◽  
Cross Sectional Study ◽  
Noncommunicable Diseases ◽  
Early Screening ◽  
Cross Sectional ◽  
Depth Interview ◽  
Atherosclerotic Cardiovascular Diseases ◽  
Central Thailand

Abstract Background Metabolic syndrome (MetS) is described as a cluster of cardiometabolic risk factors that can increase the possibility of developing atherosclerotic cardiovascular diseases. According to monastic rules, Thai Buddhist monks are not allowed to cook meals and do exercise. This unique lifestyle generally encompasses low physical activities and may cause several noncommunicable diseases. Thus, in this study, we aimed to examine the prevalence, risk factors, and perception of MetS among Thai Buddhist monks. Methods This was a cross-sectional study conducted among Thai Buddhist monks living in Tha Luang District, Lopburi Province, Central Thailand. Study participants completed a questionnaire inquiring about personal and health data, and they also underwent physical examination, including anthropometric measurements, before undergoing biochemical blood tests. MetS was defined based on the National Cholesterol Education Program ATP III (NCEP ATP3) criteria. A qualitative study using in-depth interview was conducted to determine the knowledge and perceptions regarding MetS among Thai Buddhist monks. Results In total, 96 Thai Buddhist monks were included in this study. The prevalence of MetS was 28.1%. Participants who had a body mass index of \(\ge\)25 kg/m2 were determined to have a higher risk of developing MetS (OR, 4.5; 95% CI, 1.6–13.3). The in-depth interview revealed that participants’ perceptions were directly associated with their beliefs, experience, and basic healthcare knowledge. A qualitative study identified two primary factors of MetS among Thai Buddhist monks, viz., unhealthy diet and low physical activity. Conclusions MetS prevalence in Thai Buddhist monks was moderate compared with that reported by other studies. Medical providers and Buddhist devotees should cooperate in providing health promotion by donating healthy food, conducting annual health checkups, and arranging alternative exercises in a private area that correspond with the monastic rules. Therefore, early screening, treatment, and patient education are the most important factors to manage MetS in Thai Buddhist monks.

scholarly journals Evaluating the Prevalence and Risk Factors of Musculoskeletal Disorders Among Technicians of Surgery

2019 ◽  
Vol 5 (4) ◽  
pp. 199-208
Author(s):  
Seyyedeh Haniyeh Mousavibaghi ◽  
◽  
Kamran Ezzati ◽  
Mahmood Abedinzade ◽  
Sadegh MoshtaghiKoojel ◽  
...  
Keyword(s):  
Risk Factors ◽  
Musculoskeletal Disorders ◽  
Work Experience ◽  
Occupational Injuries ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Work Related ◽  
Body Regions ◽  
Check Method ◽  
One Year

Background: Musculoskeletal disorders are among the prevalent occupational injuries and disabilities in developing countries. Objectives: The current study was conducted to determine the prevalence and risk factors of musculoskeletal disorders among surgery technicians. Materials & Methods: samples (n=179) of this analytical and cross-sectional study were selected using a census method among the surgical technicians who had at least one year of work experience. The disorders of different parts of their bodies were evaluated by Nordic questionnaire, and the risk of catching the musculoskeletal disorders was assessed using quick exposure check method. Statistical analyses were done in SPSS V. 16. Results: According to the Nordic questionnaire, the most prevalent work-related disorders in the past year were found in the back (71.5%), neck (57%), wrist (50.8%), and shoulder (49.7%) of the study subjects. The quick exposure check results showed that the level of exposure to musculoskeletal risks was in action level one for 32.4% of the surgery technicians, and action level three for 33% of them. This study showed associations between the prevalence of work-related symptoms in different body regions and some individual and occupational characteristics (P<0.05). Conclusion: The prevalence of Musculoskeletal Disorders (MSDs) is high among surgical technicians and lumbar disorders are the most common types. Risk factors for MSDs include undesirable physical posture, weight, time spent for shifting loads, excessive force applied by one or both hands at work, working speed, and staff stress levels. among near half of the studied surgical technicians, there were high and very high risks for injury, indicating the vulnerable condition and environment of this job.

scholarly journals Common Risk Factors Responsible for Acute Kidney Injury among Children: Experience at Medical University in Bangladesh

2021 ◽  
Vol 7 (1) ◽  
pp. 42-46
Author(s):  
Sharmin Akter Luna ◽  
Jakia Sultana ◽  
Abdullah Al Mamun ◽  
Afroza Begum ◽  
Md Habibur Rahman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Acute Kidney Injury ◽  
Kidney Injury ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Radiocontrast Agent ◽  
Nephrotoxic Drugs ◽  
Common Risk Factors ◽  
One Year ◽  
Medical University

Background: Acute kidney injury can occur among the younger children due to different reasons. Objective: The purpose of the present study was to find out the risk factors and primary disease responsible for acute kidney injury among younger children. Methodology: This cross-sectional study was conducted in the Department of Paediatric Nephrology with the collaboration of Paediatric Gastroenterology, Paediatric Neurology, Paediatric Neonatology and Microbiology and Immunology at Bangabandhu Sheikh Mujib University, Dhaka, Bangladesh from May 2018 to July 2019 for a period of one year. Patients with the age group of 1 month to 17 years who were at risk of AKI, and admitted in the inpatient department of Pediatrics and allied at Bangabandhu Sheikh Mujib University, Dhaka, Bangladesh in both sexes were selected as study population. To detect AKI, serum creatinine was measured at 0 h (baseline), 48 h and 5th day respectively. Result: A total number of 42 patients, who fulfilled the inclusion criteria were enrolled in this study. The risk factors of AKI was mainly pre renal in 60% (n=9) cases, mostly due to nephrotoxic drugs followed by hypovolemia. Renal causes were in 40% (n=6) cases. Among these 50% cases due to amikacin and 50% cases due to use of radiocontrast agent. Most patients were with renal disease which was 30(58%) cases. Among them 28(93.0%) cases were nephrotic syndrome and 2(7.0%) cases were hydronephrosis. However, 7(13%) cases were cardiac disease presented with congenital heart disease who used radiocontrast agent. Conclusion: In conclusion most common risk factors of acute kidney injury among younger children is pre-renal causes which are due to nephrotoxic drugs. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 42-46

scholarly journals Hospital Acquired Infections in a Selected Tertiary Level Hospital of Rangpur City

2014 ◽  
Vol 4 (2) ◽  
pp. 49-52 ◽  
Author(s):  
MH Zaman ◽  
S Ferdouse
Keyword(s):  
Average Length ◽  
Cross Sectional Study ◽  
Tertiary Level ◽  
Sectional Study ◽  
Cost Of Treatment ◽  
College Hospital ◽  
Cross Sectional ◽  
Hospital Acquired Infections ◽  
Hospital Acquired ◽  
Level Hospital

Objectives: To find out the proportion, to determine the average length of stay at hospital and to estimate the cost of treatment for hospital-acquired infections in a tertiary level hospital of Rangpur City. Materials and Methods: This descriptive type of cross sectional study was conducted on purposively selected 200 admitted patients in a tertiary level hospital. Among them 100 were HAI patients and 100 were non HAL Data were collected through duly pretested interviewer administered questionnaire and observation checklist. Place and period of study: This study was conducted in Rangpur Medical College Hospital (RpMCH), Rangpur from January to June2011. Results: In this cross sectional study the highest percentage of HAI (42%) belonged to the surgery ward and the lowest percentage (19.%) belonged to medicine ward of the study hospital. According to the type of infections the surgical wound infection was found on the top (23%) and the cannula-associated infection at the bottom (5%) of the list. Respondents of both the polar age groups (<21 years and > 60 years) were found to be equally (27%) affected by HAI. Occurrence of HAI was found higher (57%) among the female respondents than their male (43%) counterparts. Highest number (48%) of HAI and lowest number (14%) of non- HAI patients were found to be visited by maximum number (?5) of visitors. Among the respondents who developed HAI, 42% had to stay at hospital for longest duration (21-25 days) but only 13% of their non- HAI counterparts had to stay for same duration. Among HAI patients 26% had to spend highest amount of money (Tk.20,0011- 25,0001-) but among non- HAI patients only 10% had to spend same amount of money for their treatment purpose. Conclusion: It has been revealed from this study that the occurrence of HAI was found higher among the patients with maximum number of visitors. Average length of hospital stay and cost of treatment of HAI patients were found higher than those of their non-HAI counterparts. DOI: http://dx.doi.org/10.3329/bjdre.v4i2.20247 Bangladesh Journal of Dental Research and Education Vol.4(2) 2014: 49-52

Anti-Mullerian Hormone as A Diagnostic Tool for PCOS Patient : Study in a Tertiary Level Hospital

2020 ◽  
Vol 11 (2) ◽  
pp. 142-146
Author(s):  
Shabeen Afreen ◽  
Nilofar Yasmin ◽  
Nasreen Afreen ◽  
Tazeen Afreen ◽  
Sumana Rahman
Keyword(s):  
Polycystic Ovary ◽  
Cross Sectional Study ◽  
Pcos Patient ◽  
Reproductive Age ◽  
Tertiary Level ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Group I ◽  
Menstrual History ◽  
Level Hospital

Polycystic ovary syndrome (PCOS) is a frequently encountered problem affecting 6-11% women of reproductive age.1 Purpose of the study was to determine whether serum AMH level can be used to diagnose PCOS. Methods: It was a cross sectional study conducted among 55 sub-fertile women of reproductive age (18-35 year) in a tertiary level hospital during the period of January 2018 to December 2018. The study subjects were divided into group I (PCOS patient with subfertility by Rotterdam Criteria 2003) and group II (non PCOS subfertile patients of reproductive age). Menstrual history, obstetrical history, physical examination, clinical assessment of androgenesis, ovarian ultrasound assessment and level of AMH, FSH, LH were collected. Result: Twenty five PCOS & 30 non PCOS sub-fertile patients were recruited. Mean age in PCOS & non PCOS were 25.24±4.03 years and 27.8±5.01 years respectively. The mean serum AMH in PCOS was 11.03±3.78 ng/ml and in non PCOS was 3.93±1.92 ng/ml, their difference was statistically significant. Conclusion: AMH can be used as a diagnostic aid for PCOS. J Shaheed Suhrawardy Med Coll, December 2019, Vol.11(2); 142-146

Reanimation Unit Experience of a Second-Level Hospital in Mexico City

2006 ◽  
Vol 21 (4) ◽  
pp. 242-248
Author(s):  
Jorge Loria-Castellanos ◽  
Juan Manuel Rocha-Luna ◽  
Guadalupe Márquez-Ávila
Keyword(s):  
Mexico City ◽  
Hypertensive Crisis ◽  
Cross Sectional Study ◽  
Time Of Day ◽  
Medical Attention ◽  
Cross Sectional ◽  
Emergency Procedures ◽  
Venous Circulation ◽  
One Year ◽  
Level Hospital

AbstractObjectives:The objectives of this study were to determine the clinical characteristics of patients who presented to the Reanimation Unit (RU) of a second-level hospital during one year, and the number and type of emergency procedures performed.Methods:A cross-sectional study was designed that enrolled all patients >15 years of age who presented to the RU from 01 January through 31 December 2003. The age, gender, diagnosis, site of origin, and disposition of each patient was recorded, as well as the distribution by time of day, the number and type of emergency procedures performed, complications, and mortality rate.Results:Of the 3,741 patients enrolled in the study, 57.0% were male; predominantly 41–50 years old (20%). Most patients presented to the RU from their homes during the afternoon.There were 60 different admission diagnoses: more of the emergencies were for medical than for traumatic emergencies. The predominant pathologies were bronchospasm, hypertensive crisis, and upper gastrointestinal bleeding. Initially, patients either were admitted to the observation unit, the consulting office for the emergency department, or the intensive care unit. There were a total of 2,753 emergency procedures performed: orotracheal intubations were the most common, followed by installation of a catheter into the central venous circulation. Of all of the patients admitted to the RU, 31% were not insured.Conclusions:There exists a remarkable combination between medical and traumatic emergencies, which is not encountered frequently in other second level-hospitals in Mexico City. A high proportion of the patients who received medical attention were not insured and there were a large number of emergency invasive procedures performed.

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