scholarly journals Pattern of Abdominal Pain Presenting in a General Outpatient Clinic in Teaching Hospitals of Eastern Nepal

1970 ◽  
Vol 9 (1) ◽  
pp. 31-34
Author(s):  
M Poudel ◽  
R Bhandari ◽  
R Giri ◽  
A Ghimire ◽  
S Uprety

Introduction: Abdominal pain is a frequent presentation in any general clinic setting. Acid peptic disease, cholelithiasis, parasitic infestations, renal colic, urinary infection, hepatitis, infective diarrhoea, dysmenorrhoea, pelvic pain, gastrointestinal malignancy problems are just a few of the frequently encountered causes of these presentations.Objectives: 1.To describe the pattern of clinical presentations of abdominal pain in a general clinic,2.To identify socio-demography profile of the patient presenting with abdominal pain. Methods: This was a cross-sectional study conducted in the general outpatient department (GOPD) of (BPKIHS) a teaching hospital for a period of three months. The record of all abdominal pain cases presenting to GOPD together with the diagnosis recorded by various doctors of GOPD. Results: The greater prevalence of pain abdomen in female (55%) were 20-39 years group and in male (35%) were in 40-59 years group. When compared to all cases of abdominal pain in which females (58%) were predominant more in this study, the most common site for pain was central abdomen. Conclusion: The study showed that the female gender were predominant in the case of abdominal pain compare to male group and according to the occupation house were predominant. Keywords: abdominal pain; BPKIHS; pain. DOI: 10.3126/hren.v9i1.4359Health Renaissance, 2011: Vol.9 No.1:31-34

2019 ◽  
Author(s):  
Joselyne Mukantwari ◽  
Lilian Omondi ◽  
Christian Ntakirutimana ◽  
Emerthe Nyirasafari

Abstract Background : The retained surgical item is a critical double burden to the patients and their families. One way of minimizing the risks of this critical burden is the surgical counting process which is costless, effective and preventive method. The present study aimed to determine the knowledge and practice towards surgical counting among operating room nurses and midwives at referral teaching hospitals in Rwanda. Methods: A descriptive cross-sectional study was conducted at four referral teaching hospitals on 160 randomly selected nurses and midwives working in the operating rooms. Nurses and midwives working in OR reported their knowledge and practices in surgical counting exercise using a self-administered questionnaire. A checklist was used by the researchers to observe the compliance with surgical count policy in the OR. Data were entered in Statistical Package for Social Sciences (SPSS version 21.0) for analysis. A correlation between knowledge and practices and association between demographic characteristics with knowledge and practices were tested in this study. The ethical principles were valued. Results: Out of 156 participants who responded to this study, the majority were females (62.8%), Married (70.5%), 30-39years old (53.8%), advanced diploma (82.1%) and with clinical experience below 6 years (52.5%). The majority (78.2%) had good knowledge of surgical count but the majority reported the poor practices (57.8%, n=89). Compared to self reported practices, the observation reports of 35 cases revealed very poor performance. Being female and 1-3 years experience in OR are factors for performing surgical counting practices (OR:3.030562;p≤0.027); and (OR; 9.215279;p ≤0.002) respectively). Conclusion : The surgical count practices were self-reported and observed at low level. The experience and female gender was associated with the practices towards surgical count safety. Others barriers that may hinder the practices were not explored in this study and recommended for further research. Increasing a number of specialized perioperative nurses in OR and in service training and policy implementation follow up may improve Surgical count safety practices. Key words: Surgical count, Operating room, Practice and Referral hospital


Author(s):  
Shaitan Singh Balai

Background: Chronic abdominal pain is one of the most common problem dealt in day to day practice by paediatricians. In most of these children, no cause can be identified. Although it is common but its definition, pathophysiological mechanisms and predisposing factors are not completely understood & there is need for large well performed clinical trials for evidence based treatment. Methods: Hospital based prospective case control study conducted on 100 children aged 5 to 15 years in routine OPD and indoor patient fulfilling the inclusion criteria.   Conclusion: Female gender, school going children, psychological stress, traumatic life event and lower socioeconomic status increase the prevalence of pain abdomen in children. Keywords: Functional abdominal pain (FAP), Chronic abdominal pain. Children


2020 ◽  
Vol 12 (1) ◽  
pp. 125-132
Author(s):  
Glauko André Figueiredo Dantas ◽  
Clarissa Lula de Menezes Cruz ◽  
Flávio Santos Silva ◽  
Mikhail Santos Cerqueira ◽  
Bento João Abreu ◽  
...  

SummaryStudy aim: The purpose of this study was to determine the prevalence and factors associated with pain and musculoskeletal injuries in Brazilian kickboxers.Material and methods: This is a cross-sectional study composed of a population of kickboxers from the academies affiliated to the Rio Grande do Norte State Federation of Kickboxing. The study was conducted by means of a questionnaire regarding their demographic data, graduation and level of participation in the modality, routines of procedures during training, and pain/ discomfort regions and respective intensities. In addition, the characteristics, types, and regions of the injuries were evaluated.Results: Of the 132 kickboxers included, a high prevalence of pain (84.09%) was observed and associated with the female gender (OR = 3.62; CI95% 1.29–10.13) and body mass index (OR = 0.80; CI95% 0.71–0.91). In addition, the kickboxers presented a moderate percentage of injuries (40.91%) that were associated with longer training time (OR = 5.82; CI95% 2.68–12.61) and contact level in the training sessions (OR = 3.53; CI95% 1.85–6.72).Conclusions: There was a high prevalence of musculoskeletal pain in kickboxers, mainly associated with female gender and with lower body mass. Musculoskeletal injuries were moderately prevalent in kickboxers who trained more than one hour per session and with an intense contact level.


2019 ◽  
Vol 6 (2) ◽  
pp. 345 ◽  
Author(s):  
Jiwesh Kumar Thakur ◽  
Rakesh Kumar

Background: Acute abdomen is defined as “a spectrum of surgical, medical and gynecological conditions ranging from trivial to life threatening conditions, which require hospital admission, investigations and treatment. The possible causes of acute abdomen may range from benign and psychogenic pain to life threatening aortic dissection. This study aims to find out the etiological spectrum of surgical acute pain abdomen among patients attending emergency department of a medical college of Eastern India.Methods: An institution based, cross-sectional study was conducted from January- June 2018, among patients admitted with pain abdomen in IQ City Medical College and Narayna Hospital, Durgapur, West Bengal, India. Data were collected on the day of discharge, with the help of pre-tested, semi structured Schedule.Results: Total 8688 patients were admitted through emergency during data collection period. 1236 (14.2%) of them were admitted with complains of pain abdomen. Frequency of surgical and non-surgical pain abdomen was 6.0% and 8.2% respectively. Most consistent symptom and sign were pain abdomen and abdominal tenderness respectively. Most common cause of acute abdomen was acute appendicitis. It was present in 38.9% of cases followed by gall bladder pathology, renal/ ureteric colic, perforation peritonitis, intestinal obstruction, bowel ischemia in 21.0%, 14.2%, 13.7%, 7.8%, and 4.4% of cases respectively.Conclusions: About 15.0% of all emergency hospitalization is due to acute abdominal pain and about 40.0% of all acute abdominal pain was due to surgical causes. Most common cause of surgical acute abdomen was acute appendicitis.


Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 478
Author(s):  
Joana Proença Becker ◽  
Rui Paixão ◽  
Manuel João Quartilho

(1) Background: Functional somatic symptoms (FSS) are physical symptoms that cannot be fully explained by medical diagnosis, injuries, and medication intake. More than the presence of unexplained symptoms, this condition is associated with functional disabilities, psychological distress, increased use of health services, and it has been linked to depressive and anxiety disorders. Recognizing the difficulty of diagnosing individuals with FSS and the impact on public health systems, this study aimed to verify the concomitant incidence of psychopathological symptoms and FSS in Portugal. (2) Methods: For this purpose, 93 psychosomatic outpatients (91.4% women with a mean age of 53.9 years old) and 101 subjects from the general population (74.3% women with 37.8 years old) were evaluated. The survey questionnaire included the 15-item Patient Health Questionnaire, the 20-Item Short Form Survey, the Brief Symptom Inventory, the Depression, Anxiety and Stress Scale, and questions on sociodemographic and clinical characteristics. (3) Results: Increases in FSS severity were correlated with higher rates of depression, anxiety, and stress symptoms. The findings also suggest that increased rates of FSS are associated with lower educational level and female gender. (4) Conclusion: Being aware of the relationship between FSS and psychopathological symptoms and the need to explore psychosocial issues during clinical interviews may favor early detection of these cases. The early detection of mental disorders is essential for individuals’ adherence to treatments, reflecting on healthcare costs.


Author(s):  
Júlia Cristina Leite Nóbrega ◽  
Juliana Barbosa Medeiros ◽  
Tácila Thamires de Melo Santos ◽  
Saionara Açucena Vieira Alves ◽  
Javanna Lacerda Gomes da Silva Freitas ◽  
...  

Objective: To evaluate the association between socioeconomic factors, health status, and Functional Capacity (FC) in the oldest senior citizens in a metropolis and a poor rural region of Brazil. Method: Cross-sectional study of 417 seniors aged ≥80 years, data collected through Brazil’s Health, Well-being and Aging survey. FC assessed by self-reporting of difficulties in Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). Chi-square tests and multiple logistic regression analyses were performed using “R” statistical software. Results: Socioeconomic and demographic inequalities in Brazil can influence FC in seniors aged 80 years and older. Comparatively, urban long-lived people had a higher prevalence of difficulties for ADLs and rural ones showed more difficulties for IADLs. Among urban oldest seniors, female gender and lower-income were correlated with difficulties for IADLs. Among rural oldest seniors, female gender, stroke, joint disease, and inadequate weight independently were correlated with difficulties for ADLs, while the number of chronic diseases was associated with difficulties for IADLs. Conclusion: Financial constraints may favor the development of functional limitations among older seniors in large urban centers. In poor rural areas, inadequate nutritional status and chronic diseases may increase their susceptibility to functional decline.


2013 ◽  
Vol 16 (3) ◽  
pp. 644-657 ◽  
Author(s):  
Inês Gullich ◽  
Andrews Barcellos Ramos ◽  
Tiago Rafael Anschau Zan ◽  
Cíntia Scherer ◽  
Raúl Andrés Mendoza-Sassi

Objective: To identify the prevalence of anxiety in adults hospitalized in the clinical ward of a university hospital and to analyze the possible associated factors. Method: A cross-sectional study was performed in a university hospital. All interviewees answered a specific questionnaire and the Hospital Anxiety and Depression Scale. A Poisson regression was used to calculate prevalence ratios with 95% confidence intervals. Results: 282 patients were enrolled. The prevalence of anxiety was 33.7% (95%CI 28.2 - 39.3). Characteristics associated with the outcome were female gender (RP 2.44), age ≥ 60 years (PR 0.65), consultation in primary health care (PR 2.37), estimated time of contact between patient and student > 30 min (RP 1.36), high blood pressure (PR 1.57), diabetes mellitus (PR 1.43), and obesity (RP 1.43). Conclusion: This study found prevalence of high anxiety. It may be associated with certain characteristics of the patients (gender, age, chronic diseases); the medical appointment in primary care and time (estimated by the patient) that the student remained with this patient. The need for a focused approach to mental health care within the hospital has been discussed for a long time. The particularity of this study refers to the environment of a university hospital and to what extent the environment and the patient's relationship with the student are associated with higher prevalence of anxiety.


Author(s):  
Satyajit Mohanty ◽  
Jyotiranjan Sahoo ◽  
Sandeep Kumar Panigrahi ◽  
Venkatarao Epari ◽  
Sandul Yasobant ◽  
...  

Abstract The objective of this study was to determine the prevalence and predictors of yoga practice. This cross-sectional study was conducted as a part of a larger study that included yoga as a form of physical activity. Data were collected during April and August 2019 from the adult urban population of Bhubaneswar, India. This study was conducted using a cluster random sampling method. A representative sample (n = 1,203) of adults aged 18–59 years, irrespective of gender, was interviewed using a questionnaire adapted from the 2012 U.S. National Health Interview Survey, with the Epicollect5 handheld data-collection tool. Predictors of yoga practice were explored using multivariable logistic regression. The mean age of the participants was 35.19 ± 10.67 years, with 55.3% males. The majority were Hindu (93.62%) and belonged to the unre s e rved category (65.60%), people generally of higher relative socioeconomic status. The lifetime prevalence of yoga was 16.9%. Prevalence of any form of yoga (yoga, pranayama, or meditation), all forms of yoga (yoga, pranayama, and meditation), pranayama, and meditation was 17.0%, 10.7%, 14.3%, and 11.4%, respectively. After adjusting for confounders, female gender, Hindu religion, minimum of higher-secondary or graduate-level education, and having received advice from professionals for yoga practice had significantly higher odds of practicing yoga, and those of higher socioeconomic status had significantly lower odds of practicing yoga. We found a low prevalence of yoga. Sociodemographic characteristics like gender, religion, education, socioeconomic status, and other factors like learning yoga from professionals may be important predictors of continued yoga practice.


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