scholarly journals Analysis of socio-demographic and microbiological profile of vaginal discharge in patients attending Kathmandu University Hospital, Nepal

2015 ◽  
Vol 14 (4) ◽  
pp. 323-326
Author(s):  
Abha Shrestha ◽  
Nuche Ratna Tuladhar ◽  
Chander Dev Chawla
Keyword(s):  
Vaginal Discharge ◽  
Public Awareness ◽  
Randomized Study ◽  
Medical Science ◽  
University Hospital ◽  
Factors Affecting ◽  
Microbiological Profile ◽  
Appropriate Treatment ◽  
Socio Demographic Factors

Background: Vaginal discharge and associated vaginal symptoms is very common amongst women of South East Asia, hence it is necessary to make accurate diagnosis and also for appropriate treatment by identifying the causative microorganisms. Objectives: To analyze the socio-demographic and microbiological profile of vaginal discharge. Methodology: This is a prospective, non-randomized study performed in one hundred and ninety three patients attending in Department of Obstetrics and Gynecology in Kathmandu University Hospital, Dhulikhel, Nepal. The patients with vaginal discharge and age of ?16 years included. Vaginal discharge was taken from the posterior and lateral fornices. The swab was cultured on blood, chocolate and Mac Conkey’s agar and incubated at 37°C for 24-48 hours. Fungus when isolated was subcultured onto Sabouraud dextrose agar. The data were analyzed using the SPSS 11.5 software. Result: The frequency of vaginal discharge was 1.67%. Most of the patients fell within 16-25 years. 50.3% patients were illiterate whereas only 3.1% was having master degree. 50.3% patients were having class V socioeconomic status where as only 2.6% had class I status. Housewife accounted for 67.9% whereas other occupation (petty business) accounted for only 5.2%. Most of the patients with vaginal discharge were from Newar and Tamang ethnic group. Bacterial vaginosis was isolated in 36.3% and normal flora accounted for 20.7%. Conclusion: There is still lack of awareness about the vaginal discharge be it abnormal discharge or physiological leucorrhea and related problems. So, it is worthwhile to create public awareness and also to find out the socio-demographic factors affecting the pattern of microbiological flora variation in vaginal discharge, as it gives us the clue regarding the use of appropriate antimicrobial therapy and the changes that can be made to the quality of life of the women.Bangladesh Journal of Medical Science Vol.14(4) 2015 p.323-326

scholarly journals Evaluation of the roles of HIV co-infection and socio-demographic factors as determinants of Quality of Life among Nigerians with Tuberculosis

2018 ◽  
Vol 17 (1) ◽  
pp. 21-29
Author(s):  
Peter J Olagunju ◽  
Olukemi O Odukoya ◽  
Andrew T Olagunju ◽  
Mobolanle R Balogun
Keyword(s):  
Quality Of Life ◽  
Medical Science ◽  
Demographic Factors ◽  
Public Health Problem ◽  
World Health ◽  
Physical Aspect ◽  
Global Public Health ◽  
World Health Organization Quality ◽  
Socio Demographic Factors

Background: Tuberculosis [TB] remains a major global public health problem, and particularly in resource-restricted settings with disproportionately high burden. This study is aimed at assessing quality of life [QoL] and the roles of HIV co-infection along with socio-demographic factors on QoL among subjects with TB.Methodology: This is a multi-center cross-sectional study among 440 participants recruited by multi-stage sampling technique across 40 Directly Observed Treatment Short-course [DOTS] centres. Interviews were done using designed questionnaire to collect information on socio-demographic and clinical details of respondents. Subsequently, the World Health Organization Quality of Life-BREF [WHOQOL-BREF] questionnaire was used to evaluate QoL.Results: Most (61.1%) of the participants was aged between 21 and 40 years, 61.6% were married and 74.5% had a paid job. Majority of the subjects reported fair QoL across all domains. Employment status and monthly income were significantly associated with participants overall QoL and their satisfaction with health (p<0.05). Also, age, gender, marital status, ethnicity and educational status were significantly associated with the social domain of QoL. The HIV co-infection was found to be significantly associated with the physical aspect of their QoL (p<0.05).Conclusion: Optimal treatment of HIV co-infection and incorporation of psychosocial medicine into TB management are indicated for improved QoL. Similarly, routine assessment of QoL is desirable.Bangladesh Journal of Medical Science Vol.17(1) 2018 p.21-29

scholarly journals Factors affecting the maternal-foetal relationship

2019 ◽  
Vol 26 (2) ◽  
pp. 118-124
Author(s):  
Gerda Čėsnaitė ◽  
Gintautas Domža ◽  
Diana Ramašauskaitė ◽  
Jelena Volochovič ◽  
Diana Bužinskienė
Keyword(s):  
Romantic Relationship ◽  
Early Recognition ◽  
Antenatal Depression ◽  
University Hospital ◽  
Strong Impact ◽  
Factors Affecting ◽  
Vilnius University ◽  
Demographical Data ◽  
Relationship Assessment

Background. Mother’s attachment to her unborn child has a strong impact on a pregnant woman’s attitude towards her health, postnatal attachment, and the child’s physical and emotional growth. The purpose of our study was to identify the factors that impact the maternal-foetal relationship. Materials and methods. The study was conducted at the Centre of Obstetrics and Gynaecology of the tertiary-level Vilnius University Hospital Santaros Klinikos in Vilnius, Lithuania. An original questionnaire of nine parts was developed that the questionnaire included information on demographical data, gynaecological and obstetrical history, a relationship assessment scale, the index of happiness, an antenatal depression risk questionnaire, and the Maternal-Antenatal Attachment Scale. Results. The study included 388 pregnant women. It was found that the level of education, obstetrical issues during pregnancy, and the risk of postnatal depression negatively impacted the maternal-foetal relationship (p < 0.05). Mothers who were elder in family birth order, also those whose pregnancy was of a longer duration, who had a better-quality romantic relationship with partner, and whose socioeconomic fulfilment was higher were all found to have a better quality of maternal-foetal bonding (p < 0.05). Conclusions. The early recognition of low attachment and right application of various means of psychologic intervention might improve the quality of pregnancy, maternity, and childhood.

scholarly journals Markers of Regenerative Processes in Patients with Bipolar Disorder: A Case-control Study

2020 ◽  
Vol 10 (7) ◽  
pp. 408
Author(s):  
Artur Reginia ◽  
Jerzy Samochowiec ◽  
Marcin Jabłoński ◽  
Ewa Ferensztajn-Rochowiak ◽  
Janusz K. Rybakowski ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Medical Science ◽  
Lithium Salts ◽  
Stable Phase ◽  
Control Group ◽  
Type I ◽  
Healthy Controls ◽  
Regenerative Processes ◽  
Factors Affecting ◽  
Socio Demographic Factors

Progress in medical science has allowed the discovery of many factors affecting the pathogenesis of bipolar disorder, and among the most recent research directions are found regenerative and inflammatory processes. The role of regenerative processes remains particularly poorly explored, but available data encourage further research, which may explain the pathogenesis of bipolar disorder (BD). The aim of this study was to evaluate the mobilization of stem cells into peripheral blood, in patients with bipolar disorder during stable phase, not treated with lithium salts. The study included 30 unrelated individuals with the diagnosis of bipolar disorder, with disease duration of at least 10 years, not treated with lithium salts for at least five years prior to the study. The control group consisted of 30 healthy subjects, matched for age, sex, body mass index (BMI), origin, socio-demographic factors and nicotine use. Blood samples underwent cytometric analyses to assess concentrations of: Very Small Embryonic Like (VSEL) CD34+, VSEL AC133+, HSC CD34+, HSC AC133+. There were no significant differences in stem cell levels between patients with BD and healthy controls. However, the level of VSEL cells AC133 + was significantly higher in type I BD patients compared to healthy controls. Our results indicate a disturbance in regenerative processes in patients with bipolar disorder.

Analysis of factors affecting the quality of life of patients with ulcerative colitis

Nowa Medycyna ◽  
2018 ◽  
Vol 25 (2) ◽  
Author(s):  
Joanna Chrobak-Bień ◽  
Anna Gawor ◽  
Małgorzata Paplaczyk ◽  
Ewa Małecka-Panas ◽  
Anita Gąsiorowska
Keyword(s):  
Quality Of Life ◽  
Ulcerative Colitis ◽  
Medical Surgery ◽  
University Hospital ◽  
Mental Functioning ◽  
Factors Affecting ◽  
Disease Remission ◽  
Inflammatory Bowel ◽  
The University

Introduction. Ulcerative colitis (UC) is a non-specific inflammatory bowel disease of unknown aetiology. It is characterised by the presence of gastrointestinal and general symptoms that affect the daily functioning of the patient. Aim. The aim of the study was to analyse factors that influence the quality of life in patients with ulcerative colitis. Material and methods. The study was conducted in a group of 50 patients with ulcerative colitis, treated in the Department of General and Colorectal Medical Surgery in Łódź, and remaining under the care of a specialist Gastroenterological Outpatient Clinic at the University Hospital No. 1 in Łódź. The study was conducted as a diagnostic survey using a standardised SF-36v2 questionnaire as well as a questionnaire regarding demographic and clinical data. Results. Analysis of the obtained results showed reduced quality of life among respondents, especially during exacerbations. The respondents showed slightly lower mental functioning compared to physical functioning. The young age of respondents and higher education level significantly improve the quality of life. Conclusions. Chronic disease contributed to decreased quality of life of respondents. The quality of life for men and women was at a similar level. The quality of life improved during disease remission. Chronic intestinal and extraintestinal symptoms reduce the quality of life of patients.

Changes in patients' quality of life with venous ulcers treated at the outpatient clinic of a university hospital

2011 ◽  
Vol 5 (2) ◽  
pp. 220 ◽  
Author(s):  
Walkíria Gomes da Nóbrega ◽  
Gabriela de Sousa Martins Melo ◽  
Isabelle Katherinne Fernandes Costa ◽  
Daniele Vieira Dantas ◽  
Eurides Araújo Bezerra de Macêdo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Ethics Committee ◽  
University Hospital ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Calidad De Vida ◽  
Venous Ulcers ◽  
Social Restriction ◽  
Socio Demographic Factors

ABSTRACTObjective: to verify changes in the quality of life (QL) of clinic patients with venous ulcers (VU) in the clinic of a University Hospital in Natal city/RN, Northeast of Brazil. Method: this is about a cross-sectional, descriptive study, from quantitative approach, conducted with 50 patients with VU treated at the vascular clinic of a university hospital in Natal / RN. The study was approved by the Ethics Committee of the UFRN (No. 279/09). Data collection was performed in two months by implementing means of a structured form concerning data of socio-demographic, health, clinical and care of the patient. The data were categorized in the Microsoft Excel and processed by SPSS 15.0 by descriptive and inferential statistics. Results: the respondents have experienced discrimination of society, showed changes in quality of life after the occurrence of ulcer in relation to leisure and pain; social restriction; education and transportation; employment restrictions, financial and social progression; physical appearance and discrimination; restriction of home activity. By comparing these changes with the time of injury, it was observed that the time of injury influences the change in QL (ρ = 0.000). Conclusion: Identified that several socio-demographic factors, clinical and care are influenced by UV, reflecting on the QL of patients. Thus, denoting that the more chronic the injury is more negative changes occur in their QL. Descriptors: quality of life; venous ulcers; nursing.RESUMOObjetivo: verificar as alterações na qualidade de vida (QV) de portadores de úlcera venosa (UV) atendidos no ambulatório de um Hospital Universitário em Natal/RN. Método: estudo transversal, descritivo, quantitativo, realizado com 50 portadores de UV atendidos no ambulatório de angiologia de um hospital universitário em Natal/RN. Obteve parecer favorável do Comitê de Ética da UFRN (nº 279/09). A coleta de dados foi realizada em dois meses, através da aplicação de formulário estruturado contendo dados sócio-demográficas, de saúde, clínicas e assistenciais do paciente. Os dados foram categorizados no Microsoft Excel e processados no SPSS 15.0 através de estatística descritiva e inferencial. Resultados: os pesquisados sofreram discriminação da sociedade, apresentaram mudanças na qualidade de vida após o surgimento da úlcera em relação ao lazer e dor; restrição social, escolar e de locomoção; restrição laboral, financeira e de progressão social; aparência física e discriminação; restrição de atividade doméstica. Ao comparar essas mudanças com o tempo de lesão, observou-se que o este influencia na mudança da QV (ρ=0,000). Conclusão: identificou-se que diversos fatores sócio-demográficos, clínicos e assistenciais sofrem influência da UV, refletindo na QV dos pacientes. Dessa forma, denota-se que quanto mais crônica for a lesão mais mudanças negativas ocorrerão em sua QV. Descritores: qualidade de vida; úlcera venosa; enfermagem.RESUMENObjetivo: verificar cambios en la calidad de vida de los pacientes con úlcera venosa (UV) el un ambulatorio de un hospital universitario en Natal/RN. Método: estudio transversal, descriptivo, con enfoque cuantitativo, realizado con 50 pacientes portadores de UV atendidos en el sector de angiología en un hospital universitario en Natal/RN. Fue aprobado por el Comité de Ética de la UFRN (N º 279/09). La colección de datos se realizó en dos meses mediante la aplicación de un formulario estructurado sobre datos socio-demográficos, de salud, atención clínica y del paciente. Los datos fueron categorizados en Microsoft Excel y procesados utilizando el paquete estadístico SPSS 15.0 por estadística descriptiva y inferencial. Resultados: los encuestados sufren discriminación de la sociedad, revelando cambios en la calidad de vida después de la aparición de la úlcera en relación con el ocio y dolor; restricción social, escuela,  locomoción; restricción de empleo, financiera y progresión social; apariencia física; discriminación y la restricción de las tareas domésticas. Al comparar estos cambios con el tiempo de la lesión, se observó que el momento de la lesión influye en el cambio de la calidad de vida (ρ = 0,000). Conclusión: se identificaron que varios factores socio-demográficos, clínicos y de la asistencia que están influenciados por las úlceras venosas, que reflejan la calidad de vida de los pacientes. Así, cuanto más crónico es la lesión más modificaciones negativas se producen en la calidad de vida. Descriptores: calidad de vida; úlceras venosas; enfermería. 

scholarly journals Patients’ Knowledge on Rheumatoid Arthritis presenting with Arthralgia in a Tertiary Care Teaching Hospital, Pakistan

2019 ◽  
Vol 18 (4) ◽  
pp. 808-813
Author(s):  
Munawar Hussain Soomro ◽  
Mansoor Magsi ◽  
Muhammad Aslam Soomro ◽  
Muhammad Akram ◽  
Oussama Lahmar
Keyword(s):  
Rheumatoid Arthritis ◽  
Teaching Hospital ◽  
Public Awareness ◽  
Tertiary Care ◽  
Medical Science ◽  
University Hospital ◽  
Cross Sectional ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Rheumatoid Arthritis Disease

Objectives: The main aim of this study was to determine the level of knowledge about rheumatoid arthritis disease among patients presenting with arthralgia in a tertiary care teaching hospital, Pakistan. Materials and Methods: A cross-sectional study during the period of September 2015 - March 2016 in the Medical Out-Patient Department, Shaheed Mohtarma Benzir Bhutto Medical University Hospital, a tertiary care teaching hospital in Larkana, Pakistan. Patients above 40 years of age of either gender were included in the study. A non-probability purposive sampling technique was employed to include the participants in the study. A pre-designed questionnaire with open and close ended questions was used. The questionnaire in English language was also translated in local language to facilitate the participants. All the statistical analysis was conducted using Stata statistical software 14. Results: A total number of 251 participants completed the questionnaires. 42 (56.6%) were from rural settings, while 233 (92.8%) were females. The overall mean age was 59 ± 8.69 years. There were 139 (55.4%) of the participants were ≥ 60 years of age. The average BMI was 23.1 ± 4.3. Moreover, 144 (57.4%) participants were found noneducated. The duration of the disease was less than 10 years in 154 (61.4%) of the participants. While, 157 (62.5%) participants were not knowing about factors which contribute to the onset of rheumatoid arthritis. We observed that, on the basis of responses to the relevant questions, only 4 (1.6%) participants were considered fully aware. Conclusion: We observed lack of knowledge in majority of the participants presenting with arthralgia. The public awareness and education through different vertical programs as well as through social media in the country which can play very important role. Bangladesh Journal of Medical Science Vol.18(4) 2019 p.808-813

scholarly journals Ultrasound-Guided Block of the Axillary Nerve: A Prospective, Randomized, Single-Blind Study Comparing Interfascial and Perivascular Injections

2019 ◽  
Vol 4 (22;4) ◽  
pp. 369-375
Author(s):  
Young Hoon Kim
Keyword(s):  
Management Practice ◽  
Randomized Study ◽  
Axillary Nerve ◽  
University Hospital ◽  
Time Interval ◽  
Ultrasound Guided ◽  
Interventional Pain Management ◽  
A New Technique ◽  
Posterior Circumflex Humeral Artery

Background: The ultrasound-guided block of the axillary nerve may be complicated in cases in which the posterior circumflex humeral artery (PCHA) follows an abnormal course. Objectives: To develop a new technique that does not rely on direct visualization of the PCHA or the axillary nerve, and to compare interfascial injection and conventional perivascular injection for a block of the axillary nerve. Study Design: A prospective randomized study. Setting: An interventional pain-management practice in a university hospital. Methods: A total of 56 patients received ultrasound-guided block of the axillary nerve with either interfascial injection (IF Group) or perivascular injection with nerve stimulation (PV Group). The primary outcome was procedure duration, defined as the time interval from when the transducer contacted the skin to when the needle was removed from the skin. Results: The mean procedure time was significantly shorter in the IF Group than in the PV Group (64 seconds [SD 28.3] vs. 135 seconds [50.3], difference of −71.4 seconds; 95% confidence interval, −93.2 to −49.5) (P < 0.001). There were no differences in secondary outcomes, including the quality of blocks, between the 2 groups. Limitations: The practitioner was not blinded to the group to which the patients belonged. Conclusions: Ultrasound-guided block of the axillary nerve with interfascial injection can be performed without placing the needle near the PCHA. Key words: Block of axillary nerve, ultrasound-guided block, posterior circumflex humeral artery, interfascial injection

scholarly journals Influence of Anxiety, Depression and Self-Esteem on Quality of Life in Patients with Rheumatoid Arthritis

2021 ◽  
Vol 28 (2) ◽  
pp. 165-173
Author(s):  
Sanghyun Bae ◽  
Insook Hong ◽  
Ok-Hee Cho
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Treatment Time ◽  
Self Esteem ◽  
University Hospital ◽  
Glucocorticoid Treatment ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Anxiety Depression

Purpose: The purpose of this study was to investigate the influence and relationship among anxiety, depression, self-esteem, and quality of life, along with factors affecting quality of life, on patients with rheumatoid arthritis.Methods: This study was a cross-sectional descriptive study, and 200 individuals with rheumatoid arthritis who visited a single university hospital as outpatients were recruited through convenience sampling. Using a structured questionnaire, a survey was conducted regarding the general characteristics, anxiety, depression, self-esteem, and quality of life. Collected data were analyzed using t-test, ANOVA, and regression analysis.Results: Results showed that lower levels of anxiety or depression and higher levels of self-esteem were associated with improved quality of life. Depression was identified as the main factor affecting quality of life, followed by anxiety, glucocorticoid treatment, time elapsed after diagnosis, and occupational status.Conclusion: These findings confirmed that depression, anxiety, and glucocorticoid medication are factors influencing quality of life in patients with rheumatoid arthritis, Duration since diagnosis, and occupation should be considered in order to improve the quality of life of these patients with rheumatoid arthritis. The occupation and treatment-related characteristics of the patients must be considered, with particular focus on depression and anxiety.

Sign in / Sign up

Export Citation Format

Share Document