scholarly journals Clandestine Abortions in Cameroon: Risk Factors for Severe Complications

2016 ◽  
Vol 29 (1) ◽  
pp. 21-25
Author(s):  
Elie Nkwabong ◽  
Efuetnkeng Bechem ◽  
Joseph Nelson Fomulu
Keyword(s):  
Risk Factors ◽  
Gestational Age ◽  
University Teaching ◽  
Time Interval ◽  
Fisher Exact Test ◽  
Primary Health Center ◽  
Significance Level ◽  
Exact Test ◽  
Dilatation And Curettage ◽  
The University

Objective (s): The aim of this study was to identify risk factors for severe complications (SC) of clandestine abortions.Methods: This retrospective descriptive study was conducted between March 1st and August 31st, 2012 in the maternities of the University Teaching Hospital and the Central Hospital, Yaoundé (Cameroon). Files of women with clandestine abortions were recruited. Main variables studied were maternal age, parity, gestational age, the method used, the time interval between abortion and consultation, the complications presented. Data of women with SC were compared to those of women who had with non severe or no complications (NC). Fisher exact test and student t test were used for comparison. The significance level was p=0.05.Results: Amongst 94 women, 76 (80.9%) had SC against 18 (19.1%) with NC.Risk factors for SC were gestational age e”12 weeks (OR 2.7, 95%CI 0.8-8.9), abortion carried out with dilatation and curettage/evacuation (OR 2.4, 95%CI 0.6-9.2) or with intramuscular injection of a non specified medication (four cases against zero respectively), by a nurse (OR 1.4, 95%CI 0.5- 4.1), by a friend (nine cases against zero respectively) or a traditional healer (three cases against zero respectively). Other risk factors were abortion carried out in a primary health center (OR 1.5, 95%CI 0.4-4.7) and late consultation after abortion (P=0.0404).Conclusions: For prevention of severe post abortal complications, women and abortionists should be informed on these risk factors.Bangladesh J Obstet Gynaecol, 2014; Vol. 29(1) : 21-25

scholarly journals Diastasis recti abdominis during pregnancy and 12 months after childbirth: prevalence, risk factors and report of lumbopelvic pain

2016 ◽  
Vol 50 (17) ◽  
pp. 1092-1096 ◽  
Author(s):  
Jorun Bakken Sperstad ◽  
Merete Kolberg Tennfjord ◽  
Gunvor Hilde ◽  
Marie Ellström-Engh ◽  
Kari Bø
Keyword(s):  
Risk Factors ◽  
Post Partum ◽  
Fisher Exact Test ◽  
Significance Level ◽  
Exact Test ◽  
Diastasis Recti ◽  
Student’S T ◽  
First Time ◽  
Diastasis Recti Abdominis ◽  
Student’S T Test

Background/aimDiastasis recti abdominis (DRA) is defined as a separation of the 2 muscle bellies of rectus abdominis. To date there is scant knowledge on prevalence, risk factors, and consequences of the condition. The present study aimed to investigate the prevalence of DRA during pregnancy and post partum, presence of possible risk factors, and the occurrence of lumbopelvic pain among women with and without DRA.MethodsThis prospective cohort study followed 300 first-time pregnant women from pregnancy till 12 months post partum. Data were collected by electronic questionnaire and clinical examinations. DRA was defined as a palpated separation of ≥2 fingerbreadths either 4.5 cm above, at or 4.5 cm below the umbilicus. Women with and without DRA were compared with independent samples Student's t-test and χ2/Fisher exact test, and OR with significance level >0.05.ResultsPrevalence of DRA was 33.1%, 60.0%, 45.4%, and 32.6% at gestation week 21, 6 weeks, 6 months and 12 months post partum, respectively. No difference in risk factors was found when comparing women with and without DRA. OR showed a greater likelihood for DRA among women reporting heavy lifting ≥20 times weekly (OR 2.18 95% CI 1.05 to 4.52). There was no difference in reported lumbopelvic pain (p=0.10) in women with and without DRA.ConclusionsPrevalence of mild DRA was high both during pregnancy and after childbirth. Women with and without DRA reported the same amount of lumbopelvic pain 12 months post partum.

scholarly journals Frequency of Teeth Number Anomalies in Costa Rican Children at the Faculty of Dentistry University of Costa Rica

2019 ◽  
Vol 21 (1) ◽  
pp. 79-86
Author(s):  
Natalia Gutiérrez Marín DDS ◽  
Andrea López Soto DDS, MSc
Keyword(s):  
Costa Rica ◽  
Pediatric Dentistry ◽  
Costa Rican ◽  
Fisher Exact Test ◽  
Dental Anomalies ◽  
Missing Teeth ◽  
Significance Level ◽  
Exact Test ◽  
The Difference ◽  
The University

Dental anomalies can produce alterations in dental shape, number, size, and structure, affecting function and aesthetics. The objective of this study is to determine the frequency and location of teeth number anomalies in healthy Costa Rican children between 6 and 12 years old. An observational and retrospective study was carried out with 157 panoramic radiographs of the patients of the pediatric dentistry and orthodontics clinic of the University of Costa Rica between the years 2015-2017. Hyperdontias and hypodontias were the anomalies observed.  Data were analyzed using a Fisher exact test with a significance level of 5% . The results showed that the overall frequency  of dental anomalies  was 8.3%, 4.5% were hyperdontias and 3.8% hypodontias. Double or multiple hyperdontia and hypodontia were also found. The difference between sex was not significant (p= 0.145). Supernumeraries were more frequent in maxilla and hypodontias in mandible. Mesiodens was the most frequently found supernumerary teeth. Mandibular second premolars were the most commonly missing teeth.

Venous Thromboembolism and High Grade Gliomas

1993 ◽  
Vol 70 (03) ◽  
pp. 393-396 ◽  
Author(s):  
Mandeep S Dhami ◽  
Robert D Bona ◽  
John A Calogero ◽  
Richard M Hellman
Keyword(s):  
Risk Factors ◽  
Venous Thromboembolism ◽  
Medical Center ◽  
Significant Risk ◽  
Bleeding Complications ◽  
Fisher Exact Test ◽  
High Grade ◽  
Chi Square ◽  
Exact Test ◽  
High Grade Gliomas

SummaryA retrospective study was done to determine the incidence of and the risk factors predisposing to clinical venous thromboembolism (VTE) in patients treated for high grade gliomas. Medical records of 68 consecutive patients diagnosed and treated at Saint Francis Hospital and Medical Center from January 1986 to June 1991 were reviewed. The follow up was to time of death or at least 6 months (up to December 1991). All clinically suspected episodes of VTE were confirmed by objective tests. Sixteen episodes of VTE were detected in 13 patients for an overall episode rate of 23.5%. Administration of chemotherapy (p = 0.027, two tailed Fisher exact test) and presence of paresis (p = 0.031, two tailed Fisher exact test) were statistically significant risk factors for the development of VTE. Thrombotic events were more likely to occur in the paretic limb and this difference was statistically significant (p = 0.00049, chi square test, with Yates correction). No major bleeding complications were seen in the nine episodes treated with long term anticoagulation.We conclude that venous thromboembolic complications are frequently encountered in patients being treated for high grade gliomas and the presence of paresis and the administration of chemotherapy increases the risk of such complications.

scholarly journals Analysis of Stress Factors for Female Professors at Online Universities

2020 ◽  
Vol 17 (8) ◽  
pp. 2958 ◽  
Author(s):  
Marialuz Arántzazu García-González ◽  
Fermín Torrano ◽  
Guillermo García-González
Keyword(s):  
Risk Factors ◽  
Time Pressure ◽  
Health And Safety ◽  
Stress Factors ◽  
University Teaching ◽  
Psychosocial Risks ◽  
Primary Stress ◽  
Information And Communication ◽  
The University ◽  
Mental Overload

The aim of this paper is to analyze the primary stress factors female professors at online universities are exposed to. The technique used for the prospective and exploratory analysis was the Delphi method. Two rounds of consultations were done with fourteen judges with broad experience in health and safety at work and university teaching who reached a consensus of opinion regarding a list of nine psychosocial risk factors. Among the most important risk factors, mental overload, time pressure, the lack of a schedule, and emotional exhaustion were highlighted. These risk factors are related to the usage and expansion of information and communication technology (ICT) and to the university system itself, which requires initiating more research in the future in order to develop the intervention programs needed to fortify the health of the affected teachers and protect them from stress and other psychosocial risks.

scholarly journals Phlebitis associated with peripheral intravenous catheters in adults admitted to hospital in the Western Brazilian Amazon

2016 ◽  
Vol 50 (2) ◽  
pp. 263-271 ◽  
Author(s):  
Sandra Maria Sampaio Enes ◽  
Simone Perufo Opitz ◽  
André Ricardo Maia da Costa de Faro ◽  
Mavilde de Luz Gonçalves Pedreira
Keyword(s):  
Intermittent Infusion ◽  
Brazilian Amazon ◽  
Fisher Exact Test ◽  
Intravenous Therapy ◽  
Chi Square ◽  
Significance Level ◽  
Exact Test ◽  
Dorsal Hand Vein ◽  
Mean Time ◽  
Intravenous Catheters

Abstract OBJECTIVE To identify the presence of phlebitis and the factors that influence the development of this complication in adult patients admitted to hospital in the western Brazilian Amazon. METHOD Exploratory study with a sample of 122 peripheral intravenous catheters inserted in 122 patients in a medical unit. Variables related to the patient and intravenous therapy were analyzed. For the analysis, we used chi-square tests of Pearson and Fisher exact test, with 5% significance level. RESULTS Complication was the main reason for catheter removal (67.2%), phlebitis was the most frequent complication (31.1%). The mean duration of intravenous therapy use was 8.81 days in continuous and intermittent infusion (61.5%), in 20G catheter (39.3%), inserted in the dorsal hand vein arc (36.9 %), with mean time of usage of 68.4 hours. The type of infusion (p=0.044) and the presence of chronic disease (p=0.005) and infection (p=0.007) affected the development of phlebitis. CONCLUSION There was a high frequency of phlebitis in the sample, being influenced by concomitant use of continuous and intermittent infusion of drugs and solutions, and more frequent in patients with chronic diseases and infection.

scholarly journals Risk of small for gestational age babies in preterm delivery due to pregnancy-induced hypertension

2019 ◽  
Vol 28 (1) ◽  
pp. 57-62 ◽  
Author(s):  
Rima Irwinda ◽  
Budi Iman Santoso ◽  
Raymond Surya ◽  
Lidia Firmiaty Nembo
Keyword(s):  
Birth Weight ◽  
Gestational Age ◽  
Preterm Births ◽  
Secondary Data ◽  
Large For Gestational Age ◽  
Fisher Exact Test ◽  
Pregnancy Induced Hypertension ◽  
Exact Test ◽  
Induced Hypertension ◽  
The Impact

BACKGROUND Pregnancy-induced hypertension (PIH) causes high maternal morbidity and mortality worldwide. This study aims to assess the impact of PIH on fetal growth according to gestational age in preterm deliveries.METHODS A prospective cohort study using secondary data was undertaken in Ende District, East Nusa Tenggara, Indonesia from September 2014 to August 2015. The t-test was performed to compare mean birth weight based on gestational week between normotensive and PIH women, continued by linear regression. The chi-square or Fisher exact test was also conducted to determine the probability of birthing small for the gestational age (SGA) and large for gestational age (LGA) babies between normotensive and PIH women.RESULTS A total of 1,673 deliveries were recorded in Ende Hospital over the 1-year study period, among which 182 cases involved preterm births. The PIH group had lower birth weight than normotensive women at each gestational age starting from 32–35 weeks (p=0.004; 95% CI 150.84–771.36). Normotensive women at gestational ages of 32 (p=0.05; 95% CI 0.01–0.83), 34 (p=0.37; 95% CI 0.01–4.12), and 36 (p=0.31; 95% CI 0.02–2.95) weeks had a lower risk of birthing SGA babies than PIH women; LGA babies were recorded at gestational ages of 33 (p=1.00; 95% CI 0.07–37.73) and 35 (p=0.31; 95% CI 0.34–63.07) weeks.CONCLUSIONS Poor perfusion of the uteroplacental is one of the reasons behind intrauterine growth restriction, which results in SGA babies born to PIH women.

scholarly journals Cardiovascular risk in Japanese-Brazilian subjects

2012 ◽  
Vol 56 (9) ◽  
pp. 608-613 ◽  
Author(s):  
Patricia Moreira Gomes ◽  
Regina Célia Garcia de Andrade ◽  
Roberta Carvalho de Figueiredo ◽  
Ana Emília Pace ◽  
Amaury Lelis Dal Fabbro ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Ankle Brachial Index ◽  
Significance Level ◽  
Exact Test ◽  
High Prevalence ◽  
Artery Disease ◽  
Student’S T ◽  
Student’S T Test

OBJECTIVE: To evaluate the prevalence of risk factors for cardiovascular disease in Japanese-Brazilian subjects. SUBJECTS AND METHODS: One hundred thirty-one residents of the Mombuca community were studied. Statistical analysis was based on the X² test, Fisher's Exact test, Student's t test, and ANOVA, at a 5% significance level. RESULTS: The average age was 56.7 years-old; 76.3% had dyslipidemia, 24.4% pre-diabetes (PDM), 10.7% type 2 diabetes mellitus (T2DM), 46.6% hypertension, 52.7% abdominal obesity, and 35.8% metabolic syndrome (MS). There were significant correlations between HOMA-IR and MS diagnosis and obesity, while HOMA-β levels were decreased in T2DM and PDM. The ankle-brachial index was positive for peripheral artery disease in 22.3% of the individuals. Electrocardiograms did not show increased evidence of myocardial ischemia. CONCLUSION: Subjects of this community are exposed to major cardiovascular risk factors, namely high prevalence of MS diagnoses and increased HOMA-IR. Arq Bras Endocrinol Metab. 2012;56(9):608-13

scholarly journals Synergistic effect of genetic polymorphisms in TLR6 and TLR10 genes on the risk of pulmonary tuberculosis in Moldavian population

2020 ◽  
Author(s):  
Alexander M. Varzari ◽  
Igor V. Deyneko ◽  
Elena Tudor ◽  
Harald Grallert ◽  
Thomas Illig
Keyword(s):  
Pulmonary Tuberculosis ◽  
Interaction Analysis ◽  
Fisher Exact Test ◽  
Polymorphism Analysis ◽  
Bonferroni Correction ◽  
Significance Level ◽  
Exact Test ◽  
Pulmonary Tb ◽  
Efficient Recognition ◽  
Core Genes

Abstract BACKGROUND Host immunity is essential for efficient recognition and clearance of M. tuberculosis infection. Polymorphisms in genes that regulate immune response have been reported to influence the susceptibility/resistance to pulmonary tuberculosis (TB). Here we evaluated associations between 14 polymorphisms in 12 core genes involved in immune responses and pulmonary TB in Moldavian population, and investigated whether interactions between these and previously analyzed polymorphisms could exist and modulate the risk of pulmonary TB. METHODS Polymorphisms VDR rs7975232, VDR rs1544410, VDR rs2228570, MR1 rs1052632, TLR1 rs5743618, TLR2 rs111200466, TLR10 rs11096957, SLC11A1 rs2276631, IL1B rs1143643, IL10 rs1800896, IFNG rs2430561, TNF rs1800629, IRAK1 rs1059703, and FOXP3 rs2232365 were genotyped in 271 Moldavian pulmonary TB cases and 251 community-matched healthy controls. Associations were tested using Fisher test and logistic regression. Complemented with the data from our previous study (PMID: 30529560), investigation of gene-gene interactions was performed for a total of 43 loci. Significance level was adjusted by the Bonferroni correction. RESULTS Single polymorphism analysis revealed a nominal association between TNF rs1800629 and pulmonary TB (Fisher exact test p-value = 0.01843). Marginal differences between cases and controls were observed for haplotypes in the gene cluster TLR1-TLR6-TLR10 and gene TLR2. In the pairwise interaction analysis, the combination of genotypes TLR6 rs5743810 GA and TLR10 rs11096957 GT was significantly associated with an increased genetic risk of pulmonary TB (OR = 2.48, 95% CI = 1.62–3.85; Fisher exact test p-value = 1.5 × 10− 5, significant after Bonferroni correction). CONCLUSION The TLR6 rs5743810 and TLR10 rs11096957 two-locus interaction confers a significantly higher risk for pulmonary TB and has potential as a novel biomarker for predicting TB susceptibility.

scholarly journals HUBUNGAN KECEMASAN DENGAN KELANCARAN PENGELUARAN ASI PADA IBU POST PARTUM SELAMA DIRAWAT DI RUMAH SAKIT IBU DAN ANAK KASIH IBU MANADO

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Zulfikar Mardjun ◽  
Grace Korompis ◽  
Sefti Rompas
Keyword(s):  
Breast Milk ◽  
Sampling Method ◽  
Post Partum ◽  
Fisher Exact Test ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Exact Test ◽  
Postpartum Mothers ◽  
The Relationship

Abstract : Smooth breastfeeding is influenced by several factors, one of which ispsychological factors, namely anxiety. In general, postpartum mothers often experiencefatigue and mood swings such as anxiety; about themselves and about their new-born baby.This anxiety can affect the smoothness of breastfeeding in post partum mothers. The purposeof this study was to determine the relationship between anxiety and smooth release of breastmilk in post partum mothers while being treated at Mother and Baby Hospital, Kasih IbuManado. The method of this research uses cross sectional research design. The sampleconsisted of 68 respondents with a non probability sampling method with a purposivesampling technique. The results using the Chi-Square did not fulfill the requirements thuscontinued with the Fisher Exact test at the significance level of 95%, obtained by the value ρ -Value 0.001 smaller than the significant value of 0.05. In conclusion, there is a relationshipbetween anxiety and the smooth releasee of breast milk in post partum mothers while beingtreated at Kasih Ibu Hospital.Keywords : Anxiety, Smooth Release of Breast MilkAbstrak : Kelancaran pengeluaran ASI dipengaruhi oleh beberapa faktor, salah satunyafaktor psikologis yaitu kecemasan. Pada umumnya ibu pasca persalinan sering mengalamikelelahan dan perubahan mood seperti kecemasan, cemas terhadap dirinya dan cemasmemikirkan bayinya. Kecemasan tersebut yang dapat mempengaruhi kelancara pengeluaranASI pada ibu post partum. Tujuan untuk mengetahui hubungan antara kecemasan dengankelancaran pengeluaran air susu ibu pada ibu post partum selama dirawat di Rumah Sakit Ibudan Anak Kasih Ibu Manado. Metode menggunakan desain penelitian cross sectional.Sampel terdiri dari 68 responden dengan metode pengambilan sampelsecara non probabilitysampling dengan teknik purposive sampling. Hasil dengan menggunakan uji Chi – Squaretetapi tidak memenuhi syarat dan dilanjutkan dengan uji Fisher Exact pada tingkatkemaknaan 95%, didapatkan nilai ρ – Value 0,001 lebih kecil dari nilai signifikan 0,05.Kesimpulan ada hubungan antara kecemasan dengan kelancaran pengeluaran air susu ibupada ibu post partum selama dirawat di Rumah Sakit Ibu dan Anak Kasih Ibu Manado.Kata Kunci : Kecemasan, Kelancaran Pengeluaran ASI

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