scholarly journals Somatoform disorders among children and adolescents in a tertiary hospital

KYAMC Journal ◽  
2018 ◽  
Vol 9 (2) ◽  
pp. 69-72
Author(s):  
Anupam Das ◽  
Md Abdul Matin ◽  
Sultanuddin Ahmed ◽  
Md Shameem Ahmed ◽  
Proshenjeet Dey
Keyword(s):  
Children And Adolescents ◽  
Psychosocial Factors ◽  
Child Psychiatry ◽  
Somatoform Disorders ◽  
Psychological Problem ◽  
Tertiary Hospital ◽  
Cross Sectional ◽  
Verbal Skills ◽  
Psychiatry Clinic ◽  
The Difference

Background: Somatoform disorders are common problem among children and adolescents. As children's verbal skills are relatively poorly developed to express their psychological problem, it is not surprising that they display somatic symptoms in response to life stresses.Objectives: The study aimed to explore the difference of somatoform disorders and symptoms between boys and girls the causal association of psychosocial factors.Materials & Methods: This is a cross-sectional descriptive study conducted at weekly Child Psychiatry Clinic of Psychiatry OPD and Pediatrics OPD in Bangabandhu Sheikh Mujib Medical University (BSMMU) of 6-16 years' age group from June to December' 2003. Total 450 respondents, 350 from Pediatric OPD & 100 from Child Psychiatry Clinic of Psychiatry OPD, were included in this study.Results: No significant gender difference was found in the diagnostic categories of somatoform disorders. Both boys and girls reported higher rates of undifferentiated somatoform disorders, 33.33% and 37.50% respectively. Abnormal psychosocial factors were found in majority of the cases and the most common was parental overprotection (26.42%). Overall, associated abnormal psychosocial situations were significantly higher among girls than that of boys (P<0.01). It was also revealed that higher rate of abnormal psychosocial factors was found to have causal relationship of higher rate of somatoform disorders among girls than that of boys.Conclusion: Findings suggested that somatoform disorders in children and adolescents were frequent in clinical settings and more in girls than that of boys due to more associated abnormal psychosocial situations among girls.KYAMC Journal Vol. 9, No.-2, July 2018, Page 69-72

Relationship between HOMA-IR and serum vitamin D in Chinese children and adolescents

2016 ◽  
Vol 29 (7) ◽  
Author(s):  
Lingli Wang ◽  
Huiyan Wang ◽  
Huaikai Wen ◽  
Hongqun Tao ◽  
Xiaowei Zhao
Keyword(s):  
Vitamin D ◽  
Children And Adolescents ◽  
Serum Vitamin ◽  
Serum Levels ◽  
Chinese Children ◽  
Model Assessment ◽  
Cross Sectional ◽  
Serum Vitamin D ◽  
The Difference ◽  
Chinese Children And Adolescents

AbstractThe objective of this study was to examine the cross-sectional relationship between homeostasis model assessment for insulin resistance (HOMA-IR) and serum 25-hydroxyvitamin D (25-OHD) level in Chinese children and adolescents.Anthropometric indices, lipid metabolic profile, and serum levels of glucose, insulin and 25-OHD were determined among 278 healthy prepubertal and pubertal, normal and overweight/obese children and adolescents aged 8–18 years between March 2014 and February 2015.HOMA-IR was significantly different across vitamin D statuses (p<0.001), even after adjusting for body mass index (BMI) (p=0.035) and waist-to-height ratio (p=0.044); the difference was not significant between the vitamin D deficient and insufficient groups (p=0.120). HOMA-IR negatively correlated with serum 25-OHD level for all subjects (ROur findings supported that lower vitamin D status is strongly associated with worse HOMA-IR.

scholarly journals Study of Maternal and Fetal Outcome among Booked and Unbooked Patients at tertiary Hospital

2020 ◽  
Vol 5 (2) ◽  
pp. 1027-1030
Author(s):  
Shanti Sunuwar Subedi ◽  
Rakina Bhansakarya ◽  
Sajjan Kumar Sharma
Keyword(s):  
Sampling Technique ◽  
Secondary Level ◽  
Tertiary Hospital ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Spontaneous Vaginal Delivery ◽  
Significant Difference ◽  
The Difference

Introduction: To evaluate the maternal and perinatal outcome in booked and unbooked cases. Objectives: To assess the maternal and fetal outcomes in unbooked and booked patients. Methodology: This was a cross-sectional comparative study conducted in the Department of Obstetrics and Gynecology from Augustti2019 to January 2020. Using a convenient sampling technique, 204 samples were taken and cross-sectional study was done. Results: There were total 204 cases in this study;102were booked and 102 were unbooked. In this study, 85(83%) of booked cases were educated up to secondary level as compared toti65 (64%) of unbooked cases. There was no significant difference in Apgar score in 1 and 5 minute between booked and unbooked cases. More babies in the unbooked group were transferred to NICU as compared to the booked group and the difference was significant (9.8%vs 1.9%). Greater proportion of booked cases had spontaneous vaginal delivery (81.3% vs 59.8%) and complications like preterm delivery, anemia, preeclampsia/ eclampsia, complicated labor and puerperal sepsis was also less in the booked group. Conclusions: The study showed that unbooked mothers and their newborns had higher chance of having complications.

Factors influencing adherence to therapeutic recommendations made after diagnostic reassessment of medically unexplained symptoms in children and adolescents

2019 ◽  
Vol 25 (1) ◽  
pp. 62-77
Author(s):  
Sam LB Bonduelle ◽  
Johan Vanderfaeillie ◽  
Katrien Denijs ◽  
Annik Lampo ◽  
Lindita Imeraj
Keyword(s):  
Children And Adolescents ◽  
Influencing Factors ◽  
Somatoform Disorders ◽  
Medically Unexplained Symptoms ◽  
Primary Outcome Measure ◽  
Influential Factors ◽  
Cross Sectional ◽  
Medically Unexplained ◽  
Therapeutic Recommendations ◽  
Unexplained Symptoms

Background: Medically unexplained symptoms (MUS) are common among children and adolescents and may be highly impairing. Even after long diagnostic and/or therapeutic trajectories, many of these children and their parents feel dissatisfied with the advice and therapies they were given. Objectives: After a 2-week hospitalisation for somatic and psychiatric reassessment, children and their families were given recommendations for further treatment. This study evaluates which of these recommendations were carried out (primary outcome measure) and which factors influenced the (non-)adherence to therapeutic advice. Methods: Parents of 27 children aged 7–17 with impairing MUS took part in a structured telephone survey to assess adherence to and perceived effectiveness of therapeutic recommendations (cross-sectional study). Influencing factors were analysed retrospectively. Results: Psychotherapy was recommended to all 27 patients and their families; 19 of them (70.4%) carried out this advice. When physiotherapy was recommended, adherence proved lower (6/22 children; 27.3%). No influencing factors were found to have a statistically significant correlation with adherence. Effect sizes may be indicative of clinically relevant influential factors, but should be considered cautiously. Conclusion: Results suggest that more efforts need to be made to ensure adherence to therapeutic recommendations. Known risk factors for non-adherence to treatments for chronic somatic disorders may not apply for children with somatoform disorders.

scholarly journals Evaluation of the Rational Analgesic use in elderly adults: A cross-sectional study

2020 ◽  
Vol 36 (5) ◽  
Author(s):  
Melike Mercan Baspınar ◽  
Okcan Basat
Keyword(s):  
Antiplatelet Agent ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Elderly Adults ◽  
Sectional Study ◽  
Cross Sectional ◽  
Creative Commons ◽  
Patient Consent ◽  
The Difference ◽  
Analgesic Use

Objectives: To assess inappropriate analgesic use (IAU) by comparison of STOPP/START Version-2 and Beers 2019 criteria. Methods: This is a cross-sectional study of 331 elderly patients admitted to family medicine clinics at a tertiary hospital between February and July 2018. Data were collected from face-to-face surveys, including informed patient consent and electronic drug monitoring databases. Results: The presence of IAU by STOPP version2 was higher than the Beers criteria (19.6%, 14.5%, respectively; P<0.04; Z= –2.5) with a moderate agreement (Kappa= 0.458). The number of drugs and pain score were predictors of IAU. The most commonly caused IAU was diclofenac, although naproxen was the most used analgesic. Almost 39% of diclofenac use, 18.5% of naproxen use, and 33% of etodolac use were IAU. Most commonly, IAU reasons were; (i) NSAID use in hearth failure (Beers) (ii) NSAID use with an antiplatelet agent(s) without PPI (STOPP). Conclusions: The difference between criteria in terms of IAU was significant in favor of STOPP V2. doi: https://doi.org/10.12669/pjms.36.5.2331 How to cite this:Baspınar MM, Basat O. Evaluation of the Rational Analgesic use in elderly adults: A cross-sectional study. Pak J Med Sci. 2020;36(5):---------. doi: https://doi.org/10.12669/pjms.36.5.2331 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Morphometric Measurement of Cranial Vault Thickness: A Tertiary Hospital Based Study

2019 ◽  
Vol 57 (215) ◽  
Author(s):  
Suraj Thulung ◽  
Kajan Ranabhat ◽  
Suresh Bishokarma ◽  
Dinesh Nath Gongal
Keyword(s):  
Clinical Medicine ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Cranial Vault ◽  
Main Function ◽  
Bone Thickness ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Difference ◽  
Ct Finding

Introduction: The skull’s main function is to protect the brain. Total skull bone thickness is the total thickness of diploe and the external and internal tables. The measurement of the human skull based on CT images results are of great practical value in the fields of anatomy, clinical medicine, biomechanics study and head injury analysis. There are few literatures about imaging assisted measurement of the cranial vault thickness while sparse literature among Nepalese population. In this study, we aim to measure the thickness of Nepalese calvarian bones and find the difference between gender and ethnic groups.Methods: This was a descriptive cross-sectional study conducted in our center during a period of 6 months. Patient of age 15 to 50 years with normal CT finding were included in the study. Using the axial view of brain CT, the thickness of cranial vault was measured and recorded in millimeter. Results: Among 100 patients, 51 were male and 49 were female. Mean thickness of frontal bone, parietal, temporal and occipital bone were 8.02±1.97 mm, 7.04±1.43 mm, 4.71±1.34 mm and 7.98±2.47 mm respectively. Conclusions: There was no significant difference in cranial vault thickness among sex or ethnical groups in patients of a hospital. Keywords: cranial vault; ethnicity; Nepalese; thickness.

scholarly journals Relationship of Psychosocial Factors towards Medication Adherence among Hypertension Patients in A Tertiary Hospital

2021 ◽  
Vol 20 (2) ◽  
Author(s):  
Jalina Karim ◽  
Hazwani Ramli ◽  
Siti Zuraida Mohd Razi ◽  
Nor Haty Hassan
Keyword(s):  
Medication Adherence ◽  
Psychosocial Factors ◽  
Emotional State ◽  
Tertiary Hospital ◽  
Health Clinic ◽  
Cross Sectional ◽  
Adherence To Medication ◽  
Adherence Score ◽  
Tertiary Hospitals ◽  
Relationship Of

INTRODUCTION: Hypertension is one of the invisible diseases causing heart failure and stroke, and responsible for death. This study aimed to determine the level of medication adherence and psychosocial factors among patients with hypertension, relationship between socio demographic and medication adherence, and relationship between psychosocial factors and medication adherence among patients with hypertension. MATERIALS AND METHODS: A cross-sectional descriptive study was performed at the Primary Health Clinic and Medical Clinic in one of the tertiary hospitals. There were 123 patients with hypertension who volunteered to participate using a validated adapted and modified questionnaire to assess the compliance and psychosocial factors. The data collected was analysed using IBM SPSS Statistics version 23. RESULTS: A hundred and twenty respondents were adherents to medication (97.6%) while respondents with non-adherence to medication were 3 (2.4%) with a mean adherence score of 42.2764 with SD ± 2.67134. Some of the psychosocial variables had good understanding, good emotional state, positive attitude, higher motivation, higher perception of severity, lower perception of susceptibility and less barrier to compliance. Emotional state was the only thing reported for the psychosocial factors as being statistically significant. The level of emotional state was found statistically significant differences with scores p=0.008 (p< 0.05). CONCLUSION: The level of medication adherence was good which reflected the patients’ compliance towards medication taking. This study showed a good medication adherence and compliance among hypertension patients.

scholarly journals How mindful of their own health are healthcare professionals? perception and practice of personnel in a tertiary hospital in Nigeria

2020 ◽  
Vol 54 (4) ◽  
pp. 215-224
Author(s):  
Irikefe P. Obiebi ◽  
Nnamdi S. Moeteke ◽  
Godson U. Eze ◽  
Ibiyemi J. Umuago
Keyword(s):  
Healthcare Professionals ◽  
Disease Onset ◽  
Tertiary Hospital ◽  
University Teaching ◽  
Sampling Frame ◽  
Cross Sectional ◽  
Multi Centre Study ◽  
Screening Practice ◽  
Preventive Behaviour ◽  
The Difference

Objectives: To assess health professionals’ perception and determinants of their health and practice of preventive self-care Methods: An analytic cross-sectional design was employed, and 232 professionals were selected by stratified sampling from all health professional departments of Delta State University Teaching Hospital. Healthcare professionals who had worked in the hospital for at least six months were included in the sampling frame. Pregnant women and supernumerary professionals were excluded. A self-administered questionnaire was used, and data analysed using SPSS. The main outcome measures were the level of perception of self-health and level of practice of preventive selfcare. Results: More than four-fifths of doctors and 64.8% of nurses had good perception of their health, with significant association between perception and service area (X2 = 11.828, p =0.008). Screening practice was lowest amongst doctors except for HIV/HBV screening. Whereas 63.4% of all participants adjudged their BMI to be normal, only 36.2% actually had normal BMI, the difference being significant (p <0.001). Almost 20% of doctors had not had a BP check in a year or more, and the same proportion of doctors and nurses had never checked their FBS. The proportion of personnel who had never checked their serum lipid profile was high among nurses (76.1%) and doctors (58.3%). Conclusion: Respondents had good perception but poor preventive behaviour, beginning management after disease onset. This may be ominous for the sector. Urgent health promotion action to safeguard productivity is needed. Comprehensive data from a multi-centre study will provide a deeper understanding of the issue.

scholarly journals HISTOLOGICAL FEATURES OF EOSINOPHILIC ESOPHAGITIS IN CHILDREN AND ADOLESCENTS

2017 ◽  
Vol 54 (4) ◽  
pp. 281-285 ◽  
Author(s):  
Adriana Elisabeth Aguiar Benavides CARRASCO ◽  
Rodrigo Strehl MACHADO ◽  
Francy Reis da Silva PATRÍCIO ◽  
Elisabete KAWAKAMI
Keyword(s):  
Children And Adolescents ◽  
Eosinophilic Esophagitis ◽  
Basal Layer ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Esophageal Mucosa ◽  
High Power Field ◽  
Cross Sectional ◽  
Histological Features ◽  
Multiple Biopsies

ABSTRACT BACKGROUND: Eosinophilic esophagitis is an emerging disease featured by eosinophilic esophageal infiltrate not responsive to proton pump inhibitors. OBJECTIVE: To characterize histological features of children and adolescents with eosinophilic esophagitis. METHODS: Cross-sectional study in a tertiary hospital. Biopsies from each esophageal third from 14 patients (median age 7 years) with eosinophilic esophagitis were evaluated. Histological features evaluated included morphometry of esophageal epithelium, esophageal density (per high power field), extracellular eosinophilic granules, eosinophilic microabscesses, surface disposition of eosinophils, epithelial desquamation, peripapillary eosinophilia, basal layer hyperplasia and papillary elongation. RESULTS: Several patients presented a normal esophageal macroscopy in the upper digestive endoscopy (6, 42.8%), and the most common abnormality were vertical lines (7, 50%) and whitish spots over esophageal mucosa (7, 50%). Basal layer hyperplasia was observed in 88.8%, 100% e 80% of biopsies from proximal, middle and lower esophagus, respectively (P=0.22). Esophageal density ranges from 0 to more than 50 per hpf. Extracellular eosinophilic granules (70%-100%), surface disposition of eosinophils (60%-93%), epithelial desquamation (60%-100%), peripapillary eosinophilia (70%-80%) were common, but evenly distributed among each esophageal third. Just one patient did not present eosinophils in the lower third, four in the middle third and four in the upper esophageal third. CONCLUSION: In the absence of hypereosinophilia, other histological features are present in eosinophilic esophagitis and may contribute to diagnosis. Eosinophilic infiltrate is focal, therefore multiple biopsies are needed for diagnosis.

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