scholarly journals ENDOMETRIAL BIOPSIES PATTERNS AMONG WOMEN ATTENDING MOI TEACHING AND REFERRAL HOSPITAL, KENYA

2021 ◽  
pp. 180-181
Author(s):  
Andeso Grace
Keyword(s):  
Medical Records ◽  
Maternal Age ◽  
Endometrial Biopsy ◽  
Referral Hospital ◽  
Gynecological Disorders ◽  
Demographic Traits ◽  
Hematoxylin And Eosin ◽  
Cross Tabulation ◽  
Neoplastic Disorders ◽  
Study Participants

Background: Endometrial diseases are among the most common gynecological disorders affecting women both globally and locally;accounting for 60% of global maternal deaths.Kenya is ranked thirteenth out of 181 countries with the highest maternal mortality globally. Endometrial disorders such as hyperplasia's, neoplastic, inflammatory and pregnancy related conditions of the endometrium have been reported to increase with demographic traits such as maternal age and parity. Objective: To determine histopathological patterns of endometrial biopsies among women attending Moi Teaching and Referral Hospital,Kenya. Methods: This was a retrospective laboratory-based study where 121 banked endometrial biopsy blocks collected from participants aged 19 to 70 years between August 2014 and August 2016 were retrieved, re-sectioned and stained using routine histological (Hematoxylin and Eosin) stains in the histology laboratory before being sent to the pathologist for examination. Sociodemographic and reproductive history data were collected from the medical records. Descriptive statistical techniques such as cross-tabulation were used.The median age of all the study participants was 44 years. Results: Most of the study participants (39.2%;n=38) presented with simple endometrial hyperplasia.The endometrial patterns were categorized as Hyperplasias (50.4%; n=61), Inflammatory disorders (7.4%; n=9), Neoplastic Disorders (14.9%;n=18),Pregnancy related disorders (20.7%;n=25) and other patterns (6.6%;n=8) Conclusion: Majority of the study participants presented with simple endometrial hyperplasia followed by complex hyperplasia and adenocarcinoma,respectively.

scholarly journals Magnitude of visual impairment and associated factors among patients attending ophthalmic clinics of Debre Markos referral hospital, north West Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Haimanot Abebe ◽  
Fasil Wagnew ◽  
Haymanot Zeleke ◽  
Bitew Tefera ◽  
Shegaw Tesfa ◽  
...  
Keyword(s):  
Visual Impairment ◽  
Associated Factors ◽  
Care Service ◽  
Referral Hospital ◽  
Multivariable Logistic Regression Analysis ◽  
North West ◽  
Rural Residency ◽  
North West Ethiopia ◽  
Debre Markos ◽  
Study Participants

Abstract Background Globally, visual impairment affects about 285 million (4.25%) people, of those, 266.4 million were adults aged 18 years and above. Ethiopia is one of developing countries estimated to have high prevalence of visual impairment which have an enormous socio-economic impact. Also there is limited available information regarding with the magnitude of visual impairment among adults in our country at large and east Gojjam zone in specific. Therefore the aim of this study was to assess the magnitude of visual impairment and its associated factors among patients attending Debre Markos Referral Hospital ophthalmic clinics in east Gojjam zone, North West Ethiopia. Methods An institutional-based cross-sectional study was conducted at Debre Markos Referral Hospital which is the only hospital in east gojjam zone with ophthalmic care service from March 1 to 30, 2020 by using systematic random sampling technique to select study participants after informed consent was obtained. Data were collected by interview with 5% pretested, structured questionnaire and ocular examinations. Data were cleaned, coded and entered to Epi-data version-3.1, and analyzed using Statistical Package for Social Science software version 26. The descriptive statistics was presented in tables, text and graphs. Bivariable and multivariable logistic regression analysis to identify factors associated with visual impairment was conducted. Covariates with P-value < 0.05 were considered statistically significant. Results A study was conducted among 312 study participants with 96% response rate. The magnitude of visual impairment was 114 (36.5%) [95% CI, (33.8, 39.2%)]. Age > 50 years [AOR = 3.82; 95% CI (1.56, 9.35)], rural residency [AOR = 4.33 95% CI (1.30, 14.44)], inability to read and write [AOR = 3.21; 95% CI (1.18, 8.73)] and Cataract [AOR = 4.48; 95% CI (1.91, 10.52)] were factors significantly associated with visual impairment. Conclusions The overall magnitude of visual impairment was found to be high. Older age, rural residency, inability to read and write and cataract were associated with visual impairment. Increasing literacy, expanded cataract surgery, as well as community based visual acuity screening especially for elders and rural residents is crucial. Zonal police makers should give emphasis on prevention of visual impairment to decrease economic, social and political burden of visual disability.

scholarly journals Automatic Placement of Genomic Research Results in Medical Records: Do Researchers Have a Duty? Should Participants Have a Choice?

2015 ◽  
Vol 43 (4) ◽  
pp. 827-842
Author(s):  
Anya E.R. Prince ◽  
John M. Conley ◽  
Arlene M. Davis ◽  
Gabriel Lázaro-Muñoz ◽  
R. Jean Cadigan
Keyword(s):  
Medical Record ◽  
Medical Records ◽  
Genomic Research ◽  
Research Results ◽  
Research Participants ◽  
Difficult Question ◽  
Automatic Placement ◽  
Study Participants ◽  
Research Studies

The growing practice of returning individual results to research participants has revealed a variety of interpretations of the multiple and sometimes conflicting duties that researchers may owe to participants. One particularly difficult question is the nature and extent of a researcher’s duty to facilitate a participant’s follow-up clinical care by placing research results in the participant’s medical record. The question is especially difficult in the context of genomic research. Some recent genomic research studies — enrolling patients as participants — boldly address the question with protocols dictating that researchers place research results directly into study participants’ existing medical records, without participant consent. Such privileging of researcher judgment over participant choice may be motivated by a desire to discharge a duty that researchers perceive themselves as owing to participants. However, the underlying ethical, professional, legal, and regulatory duties that would compel or justify this action have not been fully explored.

Equine uveitis in the UK: a retrospective study (2008–2018)

2019 ◽  
Vol 186 (3) ◽  
pp. 92-92
Author(s):  
Fernando Malalana ◽  
Jo L Ireland ◽  
Gina Pinchbeck ◽  
Cathy M McGowan
Keyword(s):  
Retrospective Study ◽  
General Hospital ◽  
Medical Records ◽  
Referral Hospital ◽  
North West ◽  
The North ◽  
The World ◽  
Recurrent Case ◽  
Hospital Population ◽  
The Uk

BackgroundUveitis appears to be less prevalent in the UK compared with other parts of the world and studies characterising the disease in the UK are lacking. The objectives of this retrospective study were to describe acute and recurrent cases presenting for management of uveitis in a referral hospital on the North West of England and compare the signalment of horses presenting with uveitis with the equine hospital population during the same period.MethodsMedical records of horses presented to the referral Equine Hospital, University of Liverpool with signs of uveitis between 2008 and 2018 were reviewed and clinical details extracted.ResultsSeventy horses presented with uveitis; 33 were classified as acute and 37 as recurrent cases. Sixteen of the horses were affected bilaterally. More bilateral cases were classified as recurrent than acute (P=0.04). No differences in age or sex were noted between acute and recurrent cases, or between cases and the general hospital population. Warmbloods and Appaloosas were over-represented when compared with the general hospital population (P<0.001). Twenty-one horses (30 per cent, 95 per cent CI 20.5 to 41.4) underwent surgery for the control of the uveitis. Fourteen of the 70 horses (20.0 per cent, 95 per cent CI 12.3 to 30.8) underwent enucleation.ConclusionWhile relatively uncommon in the UK, uveitis can affect horses from a relatively young age. The disease appears to have a relatively higher frequency than expected in Warmbloods and Appaloosas. It is more likely that a recurrent case will have both eyes affected.

THE RELATIONSHIPS BETWEEN MOTHER AGES, AGE OF PREGNANCY AND GRAVIDA THROUGH THE INCIDENT OF PREEKLAMPSIA IN RSUD HOSPITAL

2018 ◽  
Vol 10 (2) ◽  
pp. 32-43
Author(s):  
Desi Desi Nurseha Meirita
Keyword(s):  
Multivariate Analysis ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Gestational Age ◽  
Medical Records ◽  
Maternal Age ◽  
P Value ◽  
Third Trimester ◽  
Maternal Mortality Rate ◽  
Secondary Methods

Based on the 2016 National Health Indicator Survey the maternal mortality rate in Indonesia is still high at 305 dead mothers per 100,000 people. The high maternal mortality rate was influenced by 28.8% due to preeclampsia. With the SDGs planned, 13 targets in point number three, one of which mentions by 2030, reduce maternal mortality to below 70 per 100,000 live births. Find out the correlation of maternal age, gestational age and gravides with the incidence of preeclampsia in RSUD Hospital Bogor in 2018. This type of research is analytical with retrospective research design. The researcher use 89 respondents to conudct this research. The Date collection is obtained by secondary methods, namely data taken from medical records. The analysis used is univariate, bivariate and multivariate analysis. Based on the results of the study found maternal age as many as 56 (62.9%) respondents, gestational age in the third trimester 70 (78.7%) respondents, multigravida as many as 59 (66.3%). Bivariate variables were found to correlate maternal age with the incidence of preeclampsia with p value of 0,004, The correlation of gestational age and the incidence of preeclampsia with p value of 0,069, The correlation of gravida with the incidence of preeclampsia with p value of 0,013. The results of multivariate analysis showed that the maternal age gravida variable had an opportunity of 0,013times greater than the gravida who experienced the incidence of preeclampsia. Maternal age variables have a greater chance of 3,006 times compared to the gravidaand gestational age that experienced the incidence of preeclampsia.

scholarly journals MATERNAL CHARACTERISCTICS OF LOW BIRTH WEIGHT WITH KANGAROO MOTHER CARE AND PLASTIC WRAP

2021 ◽  
Vol 4 (3) ◽  
pp. 192
Author(s):  
Yulida Mufidah ◽  
Dominicus Husada ◽  
Esti Yunitasari ◽  
Risa Etika
Keyword(s):  
Risk Factor ◽  
Data Analysis ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Medical Records ◽  
Maternal Age ◽  
Kangaroo Mother Care ◽  
Input Process ◽  
Cross Sectional ◽  
Low Weight

AbstractBackground: Most Infant mortality due to low weight birth (42%). The babies need care to reduce mortality/morbidity such us Kangaroo methode and Plastic Wrap. Both of these methods aim to prevent hypothermia. This research to describes implementation of the Kangaroo Method and Plastic Wrap including input (mother, father and baby), process (staff and duration of care) and outcomes (hypothermia and Lenght of Stay). Method: Descriptive-Cross Sectional with number of sample of low birth weight are 96 (Kangaroo) and 98  babies (Plastic Wrap). The variables research are maternal age, parity, education, risk factor, complications and National health insurance’s participant. The instrument used medical records. Data analysis with frequency distribution. Result: Maternal age majority in Kangaroo Method and Plastic Wrap 20-35 years old (77,08% and 70,41%), multiparity (57,30% and 60,2%), Middle education (43,75% and 60,20%),high risk (71,87% and 55,10%), Preeclampsia (33,33% and 43,88%), Health Insuranse’s participant (79,17% and 63,27). Conclusion: data shows input, process and output of KMC and Plastic Wrap. 

scholarly journals Intensive neuromotor therapy with suit improves motor gross function in cerebral palsy: a Brazilian study

Motricidade ◽  
2018 ◽  
Vol 13 (4) ◽  
pp. 54 ◽  
Author(s):  
Tainá Ribas Mélo ◽  
Bruna Yamaguchi ◽  
Claudiana Renata Chiarello ◽  
Ana Cláudia Szczypior Costin ◽  
Vanessa Erthal ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Cerebral Palsy ◽  
Medical Records ◽  
Statistical Difference ◽  
Treatment Initiation ◽  
Strong Negative Correlation ◽  
Reference Centre ◽  
Before And After ◽  
Overall Performance ◽  
Study Participants

Cerebral palsy (CP) is the most common disability in children caused by central nervous system lesion. The aim of the present study was to verify the intensive neuromotor therapy effects in children with CP, in a reference Brazilian centre. In this study, three years of medical records from a Brazilian reference Centre of Intensive Neuromotor Therapy (INMT) which use the INMT protocol were analysed. The motor evaluation for each child was done by the Gross Motor Function Classification System (GMFCS) and GMFM-88 by an experienced professional, before and after each INMT module. A total of 53 children between the ages of 1 and 15 years (age at treatment initiation, initial evaluation), with a mean age of 5.94±3.38 years, participated in the study. Participants performed between 1 and 10 INMT modules. There was no strong correlation between age and overall performance on the GMFM scale, but it was observed a strong negative correlation between the percentage of GMFM gains and the number of modules (r=-0.709; R2 = 0.50; p = 0.022, CI95%[0.014 - 0.026]), suggesting that patients tend to present higher percentage gains in the first modules. Through an intra-module comparison, it was observed statistical difference in the total score in each of the modules.

scholarly journals Prevalence and Associated Factors of Bronchial Asthma among Adult Patients in Debre Berhan Referral Hospital, Ethiopia 2018: A cross-sectional study

2019 ◽  
Author(s):  
Sisay Tegegnework ◽  
Sindew Muhamud ◽  
Alebachew Demelash
Keyword(s):  
Risk Factors ◽  
Bronchial Asthma ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Adult Patients ◽  
Multivariate Logistic Regression Model ◽  
Sectional Study ◽  
Cross Sectional ◽  
Debre Berhan ◽  
Study Participants

Abstract Abstract Objective Bronchial asthma is one of the major public health challenges throughout the world that negatively impact patients, families and community. The objective of this study was to assess the prevalence and associated risk factors of bronchial asthma among patients in adult emergency department of Debre Berhan Referral Hospital. A hospital based cross-sectional study design was used among 257 study participants. A systematic sampling technique was used to select the study participants. Data was collected by using pretested and structured questionnaire and analyzed by using SPSS version 20.0. Both bivariate and multivariate logistic regression model was used to identify the predictors of asthma. Results Prevalence of bronchial asthma among adult patients was 29.6%. Being an urban resident (AOR: 1.5: 95%CI: 1.3 - 3.9), income of household less than 1000 EBr/ month (AOR: 1.7: 95%CI: 1.6 - 4.1), having family history of asthma (AOR: 2.7: 95%CI: 1.3 - 5.8), and presence of vermin in the house (AOR: 2.4: 95%CI: 1.2 – 4.7) were significantly associated with bronchial asthma. The authors concluded that the prevalence of bronchial asthma among adult patients was high. Therefore, educational program about the risk factors and preventive measures of asthma is highly recommended.

scholarly journals The Correlation of Maternal Age and the Incidence of Preeclampsia at Aura Syifa Hospital

2021 ◽  
Vol 8 (3) ◽  
pp. 368-372
Author(s):  
Anggita Retno Sari ◽  
Ira Titisari ◽  
Eny Sendra
Keyword(s):  
Retrospective Study ◽  
Medical Records ◽  
Random Sampling ◽  
Maternal Age ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Reproductive Age ◽  
Chi Square ◽  
Age Factor ◽  
Risk Of Preeclampsia

Preeclampsia is a condition when hypertension and proteinuria occurs after 20 weeks of pregnancy. The exact cause of preeclampsia is currently unknown, but many factors influence the occurrence of preeclampsia, especially the age factor. This study was aimed to determine the correlation between maternal age and the incidence of preeclampsia. This study was analytical survey designed with retrospective study method. From Aura Syifa hospital, 142 medical records in of pregnant women in 2017 were taken 105 samples by using simple random sampling technique. The result of this study indicated that delivered mothers who were in reproductive age (20-35 years old), 25.8% of them had preeclampsia and 31,1% had severe preeclampsia. The data analyzed by suing chi-square correlation and the result was ρ (0.00) < α (0.05) which meant that there was a correlation between maternal age and the incidence of preeclampsia. It would be better for couples planning pregnancy in healthy reproductive age for minimize the risk of preeclampsia.

scholarly journals The magnitude of non-adherence and contributing factors among adult outpatient with Diabetes Mellitus in Dilla University Referral Hospital, Gedio, Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0247952
Author(s):  
Bisrat Desalegn Boshe ◽  
Getachew Nenko Yimar ◽  
Aberash Eifa Dadhi ◽  
Worku Ketema Bededa
Keyword(s):  
Diabetes Mellitus ◽  
Treatment Regimen ◽  
Referral Hospital ◽  
Poor Adherence ◽  
Diabetic Patients ◽  
Negative Consequences ◽  
Contributing Factors ◽  
Diabetic Treatment ◽  
Study Participants ◽  
Medical Referral

Introduction The global prevalence of Diabetes Mellitus (DM) has increased alarmingly over the last two decades. On top of this, the issues of non-adherence to the prescribed medicines further fuel the DM- related complications to become one of the top causes of mortality and morbidity. Despite the considerable efforts in addressing the poor adherence issues, there are still plenty of problems ahead of us yet to be addressed. The objective of this study was to determine the extent of non-adherence and its contributing factors among diabetic patients attending the medical Referral clinic of Dilla University Referral Hospital. Methods The institutional-based descriptive cross-sectional study was carried out among patients with diabetes mellitus attending the medical referral clinic of Dilla University Referral Hospital. A systematic random sampling method was used to recruit study participants, and tool was adopted to assess for adherence. A pretested semi-structured questionnaire was used to collect information on factors influencing non-adherence to the diabetic medications, and in-depth interview questionnaire was used for key informant interviews for the qualitative part. Data analysis was carried out using SPSS-20. Results The overall prevalence of non-adherence to diabetic treatment regimen among the study participants was 34.0%. The study revealed that cost of transport to the hospital and taking alcohol were significantly associated with non-adherence to the diabetic treatment regimen with the (AOR = 6.252(13.56, 28.822); p < 0.000) and (AOR = 13.12(8.06, 44.73); p<0.002) respectively. Conclusions The study revealed that significant numbers of participants were non-adherent to the Diabetes Mellitus treatment regimens. Intensive counseling, and health education on the importance of good adherence and negative consequences of poor adherence need to be discussed with the patients before starting the medications, and amidst follow up.

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