scholarly journals The relation between sex, age, education level, and premedication towards lower-abdominal postoperative pain intensity at Sanglah General Hospital

2020 ◽  
Vol 3 (1) ◽  
pp. 21-23
Author(s):  
Komang Alit Artha Wiguna ◽  
I Gusti Ngurah Mahaalit Aribawa ◽  
I Wayan Aryabiantara ◽  
Tjokorda Gde Agung Senapathi
Keyword(s):  
Postoperative Pain ◽  
Abdominal Surgery ◽  
Pain Intensity ◽  
Cross Sectional Study ◽  
Education Level ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Pain Reporting ◽  
The Mean ◽  
Determine Relation

Introduction: Pain reporting is very subjective. Several studies reveal sex, age, education level, and premedication have impacts on postoperative pain intensity. However, other studies report no relationship between these factors to pain intensity. There only a few researches on pain predictors in Bali, so this study conducts to determine relation between sex, age, education level, and premedication towards lower-abdominal postoperative pain intensity at Sanglah Hospital. Patients and Methods: This is an analytic cross-sectional study. The data were collected from medical records of patients after lower abdominal surgery at Sanglah Hospital from January to July 2018 and fit to inclusion criteria and did not suit to exclusion criteria. Data of patients characteristic were collected to indentify their relation toward pain intensity on the first day.   Results: There were 99 patients post-lower abdominal surgery included in this study. The mean pain intensity based on sex was 2.83±0.87 for males and 2.98 ± 1.16 for females. Whereas based on ages were 3.04±1.11 for young, 2.90±0.95 for adults, and 2.40±0.96 for elderly. Based on the education level 2.40±1.26 in elementary educated patient, 2.72±1.27 in patients with junior high education, 2.96±1.04 in patients with high school education, and 3.15±0.74 in college patients. The average of pain in patients with premedication is 2.81±0.94 while the patient without premedication is 3.81±1.16. After performing correlation test, only the premedication factor showed a significant impact (p <0.05) to the pain intensity. Conclusion: Therefore, premedication has a greater impact than the other factor toward postoperative pain intensity at Sanglah Hospital.

scholarly journals Seroprevalence of SARS-CoV-2 IgM and IgG antibodies in an asymptomatic population in Sergipe, Brazil

2020 ◽  
Vol 44 ◽  
pp. 1
Author(s):  
Lysandro Pinto Borges ◽  
Aline Fagundes Martins ◽  
Mônica Santos de Melo ◽  
Makson Gleydson Brito de Oliveira ◽  
José Melquiades de Rezende Neto ◽  
...  
Keyword(s):  
Health Workers ◽  
Cross Sectional Study ◽  
Igg Antibodies ◽  
Sample Collection ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
High Prevalence ◽  
The Mean ◽  
Asymptomatic Individuals ◽  
Group D

Objective: To estimate the prevalence of SARS-CoV-2 antibodies in an asymptomatic population in the state of Sergipe, Brazil. Methods: This cross-sectional study with stratified sampling (sex and age) includeD serological immunofluorescent tests for IgM and IgG on samples from 3 046 asymptomatic individuals. Sample collection was performed in wet-markets of the 10 most populous cities of Sergipe, Brazil. Exclusion criteria included symptomatic individuals and health workers. The presence of comorbidities was registered. Results: Of the 3 046 participants, 1 577 (51.8%) were female and 1 469 (48.2%) were male; the mean age was 39.76 (SD 16.83) years old. 2 921 tests were considered valid for IgM and 2 635 for IgG. Of the valid samples, 347 (11.9% [CI 10.7%–13.1%]) tested positive for IgM and 218 (8.3% CI 7.2%–9.4%]) tested positive for IgG. Women over 40 had the highest prevalence for IgM (group C, p=0.006; group D p=0.04). The capital Aracaju displayed the highest prevalence for both antibodies; 83 (26.3% [CI 21.6%-31.6%]) tested positive for IgM and 35 (14.6% [CI 10.4%-19.7%]) for IgG. The most prevalent comorbidities were hypertension (64/123 individuals) and diabetes (29/123). Conclusions: A high prevalence of SARS-CoV-2 antibodies was found among asymptomatic persons in Sergipe. Women over 40 showed the highest rates. The capital, Aracaju, displayed the highest seroprevalence. Surveys like this one are important to understand how the virus spreads and to help authorities to plan measures to control it. Repeated serologic testing are required to track the progress of the epidemic.

scholarly journals Ovarian Reserve In Infertile Women with and without Endometriosis Measured with Anti Müllerian Hormone

2016 ◽  
Author(s):  
Naivah Harharah
Keyword(s):  
Ovarian Reserve ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Blood Samples ◽  
Infertile Women ◽  
Significant Difference ◽  
The Mean ◽  
The Difference

Objective: To compare serum Anti Müllerian Hormone (AMH) levels in infertile women with and without endometriosis, and to determine the mean levels of serum AMH in every stage of endometriosis. Method: We performed a cross-sectional study. Sixty-eight subjects who have undergone laparoscopy and fulfilled both inclusion and exclusion criteria are recruited consecutively. They are divided into two groups, namely group with endometriosis and without endometriosis. Blood samples are taken from each subject before laparoscopy, where serum AMH levels are then measured. The difference in mean levels of each group are tested with Mann-Whitney test. Result: The mean levels of serum AMH were significantly lower in the endometriosis group than those in the group without endometriosis (2.30 1.8 ng/ml vs 3.75 2.13 ng/ml; p=0.005). Using Kruskal-Wallis test, it was found that there was a statistically significant difference among endometriosis groups based on the severity of endometriosis. There was no significant difference in the mean serum AMH levels between the minimal-mild endometriosis group and without endometriosis group (p=0.34), but the mean levels of serum AMH were significantly lower in the moderate-severe endometriosis compare to the group without endometriosis (p

scholarly journals PERBEDAAN RERATA FAKTOR HEMOSTASIS PADA PREEKLAMPSIA BERAT DAN EKLAMPSIA

2019 ◽  
Vol 2 (1) ◽  
pp. 10-15
Author(s):  
Dyhan Purna Setia ◽  
Ferdinal Ferry ◽  
Dovy Djanas
Keyword(s):  
Medical Record ◽  
Cross Sectional Study ◽  
Severe Preeclampsia ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Hemostatic Factors ◽  
The Mean ◽  
The Difference ◽  
D Dimer

Objective : To find the difference in mean hemostatic factors in severe preeclampsia and eclampsia.Method : The study was analytic descriptive using a cross sectional study design by looking at the subject's Medical Record according to the time and place of research. The sample is the entire medical record of pregnant women who suffer from preeclampsia and eclampsia in the obstetric and gynecology departments of Dr. M. Djamil Padang Hospital in the period 15 January 2016 to 31 December 2017. The assessment was in the form of assessed platelet levels, PT, APTT and D-Dimer. Samples were taken from populations that met the inclusion criteria and did not have exclusion criteria. Sampling using consecutive sampling techniques taken from the Medical Record Dr. M.Djamil Padang. Statistical analysis to assess significance using the T-Test.Result : The severity the condition of pregnancy the lower the platelet mean and PT. Significant differences were obtained between platelets in PEB and eclampsia (p> 0.05). The mean PT, APTT and D-Dimer showed no significant differences in pregnancy conditions. Statistical test with T-Test did not show significant differences in mean PT, APTT, and D-dimer between eclampsia and PEB (p> 0.05).Conclusion : There were significant differences in mean in platelets, whereas in PT, APTT, and D-dimers in PEB and eclampsia there were no significant differences.Keywords: Pregnancy, severe preeclampsia, eclampsia, platelets, PT, APTT, D-Dimer.

scholarly journals Patient satisfaction with medication therapy adherence clinic services in a district hospital: a cross-sectional study

2021 ◽  
Vol 19 (2) ◽  
pp. 2353
Author(s):  
Yi C. Sim ◽  
Intan S. Mohd-Rosli ◽  
Boon T. Lau ◽  
Siew Y. Ng
Keyword(s):  
Patient Satisfaction ◽  
Care Service ◽  
Interpersonal Relationship ◽  
Cross Sectional Study ◽  
Education Level ◽  
Cross Sectional ◽  
Medication Therapy ◽  
Gender And Education ◽  
The Mean

Background: Patient satisfaction is one of the essential indicators for assessing the quality of healthcare services being delivered, including pharmacy ambulatory care service, as it determines the practicability and sustainability of the service provided. As such, pharmaceutical care services provided during medication therapy adherence clinic (MTAC) sessions need to be assessed to maximise its effectiveness and benefits to the patients. Objective: This study aimed to assess the association between patient satisfaction and socio-demographic characteristics, as well as the predictors for patient satisfaction. Methods: This was a cross-sectional study conducted at the medical outpatient department in Hospital Port Dickson from January until October 2019. Convenience sampling method was used to recruit potential study participants. Patient satisfaction was measured using Validated Patient Satisfaction with Pharmacist Services Questionnaire (PSPSQ2.0), consisted of quality of care and interpersonal relationship between pharmacist and patient domains. Descriptive data were presented as mean and standard deviation or numbers and percentages, while Independent Sample t-test, ANOVA and post-hoc analysis, and multiple linear regression were used for inferential data analysis. Results: There were 37 (25%) diabetes MTAC, 36 (24.3%) respiratory MTAC, and 75 (50.7%) warfarin MTAC patients recruited. On average, the mean overall satisfaction score was 3.30(SD=0.43). The mean satisfaction score in the interpersonal relationship domain [3.35(SD=0.44)] was higher than the quality of care domain [3.26(SD=0.45)]. There was a significant association between gender, education level, and patient satisfaction towards pharmaceutical care service (p<0.05). Gender and education level statistically predicted respondents' satisfaction with MTAC services (p<0.001). Conclusions: The overall patient satisfaction towards MTAC services in this setting was high. Gender and education level were significant predictors for patient satisfaction. These findings could potentially contribute to the planning of MTAC services in the future.

Pain during a marathon run: Prevalence and correlates in a cross-sectional study of 1251 runners

2020 ◽  
Author(s):  
Patrick J. O'Connor
Keyword(s):  
Pain Intensity ◽  
Online Survey ◽  
Pain Threshold ◽  
Cross Sectional Study ◽  
Moderate Intensity ◽  
Cross Sectional ◽  
Pain Location ◽  
Partial Correlations ◽  
The Mean ◽  
Experience Pain

Abstract Background Science-based information about pain during a marathon run is scant. Based on related research it was hypothesized that: (i) most marathon runners would report moderate intensity pain, (ii) pain during the marathon would be associated with pain experienced while training as well as overall perceived exercise intensity, and (iii) females would experience pain earlier during the marathon and rate the pain intensity as higher after adjusting for expected sex-related differences in effort.Methods 1,251 runners, 550 females, ran in 252 different marathons and completed an online survey. Mile at which pain first occurred indicated pain threshold. Pain intensity was measured with a widely used 0–10 numerical graphical scale. Pearson and partial correlations examined the strength of associations. Sex-related differences in pain were tested using independent t-tests and, for the pain location data, z-scores for tests of two proportions. Effort ratings were added as a covariate in an ANCOVA to test if effort accounted for possible sex-related differences in pain.Results Most runners (99.8%) reported pain during a marathon, and most frequently in the thigh (17.1%), hamstring (10%) and calf (9.3%) body locations. The mean pain threshold occurred at 15.7 ± 6.1 miles; the mean overall pain intensity was 5.26 ± 2.45. No sex-related pain differences were found. Overall pain intensity during a marathon was significantly associated with: pain intensity of training runs (r = .39), percentage of training days with run-induced pain (r = .23), highest intensity pain ever experienced (r = .23), number of prior marathons (r = − .18) and intensity of effort (r = .11) (all P < 0.001).Conclusions Most runners experience moderate to very strong intensity pain during a marathon; the pain is independent of biological sex, and the pain is associated with marathon race experience, pain during training, race effort and the highest intensity of pain ever experienced.

scholarly journals Upper Limb Prosthesis Evaluation in Amman-Jordan

2020 ◽  
Vol 1 (1) ◽  
pp. 40-46
Author(s):  
Mahboobeh Mustafa Abu Ismail ◽  
Maha Mohammad Aldawood
Keyword(s):  
Upper Limb ◽  
Cross Sectional Study ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Upper Limb Prosthesis ◽  
Item Questionnaire ◽  
Upper Limb Prostheses ◽  
The Mean ◽  
Basic Characteristics ◽  
Limb Prosthesis

Purpose: The aim of this study is to evaluate upper limb prosthesis in Amman-Jordan and to give a general overview about some of the basic characteristics of upper limb prostheses. It also aims to investigate how patients consider the prosthetic aspects and how they arrange their priorities to accept upper limb prostheses according to their interests and demands. Study Design: A cross sectional study. Subjects and Methods: The study is conducted in Jordan in three different clinics. These clinics are in three different regions of Amman; Albashir Hospital, Medic Step Center, and Royal Medical Services Hospital. The sample of the study includes fifteen Participants; upper limb amputees already fitted and using prosthesis were selected to participate in this questionnaire-based study. There were no exclusion criteria due to the limited number of upper limb amputees in Amman-Jordan. A 59-item questionnaire was designed to cover all important aspects of evaluation for upper limb prosthesis. Data were collected and processed with SPSS statistics program. Results: The data analysis reveals that the first priority for this group of amputees is fitting and suspension with the mean rating (4.74), comfort with mean rating of (4.73), appearance (4.4), ease of donning and doffing (3.87), function, durability, cost (3.47),(2.13),(1.8) respectively. Conclusion: Upper limb amputees in Amman-Jordan were found to have some priorities regarding accepting prostheses. The first priority was fitting and suspension followed by comfort, next is appearance followed by ease of donning and doffing then comes function, durability and cost respectively.

scholarly journals Relation of Parents Economical, Educational and Awareness on Immunization Status of Children

2021 ◽  
Vol 15 (5) ◽  
pp. 965-967
Author(s):  
Lubna Riaz ◽  
Waqas Ali Khan ◽  
Shamayal Mandokhel ◽  
Asfand Tariq ◽  
Neelam Faryad ◽  
...  
Keyword(s):  
Low Income ◽  
Care Center ◽  
Tertiary Care ◽  
Income Level ◽  
Cross Sectional Study ◽  
High Income ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Immunization Status ◽  
The Mean

Aim: To determine the immunization status of children 0 to 2 years and factors leading to low vaccination status in children visiting tertiary care center. Study design: Cross-sectional study Place and duration of study: Department of Paediatrics Shaikh Zayed Hospital Lahore from 1st November 2019 to 31st April 2020. Methodology: Five hundred children age between 0-2 years were enrolled after fulfilling inclusion and exclusion criteria. Results: The mean age was 9.9±6.1 months, with mean weight of 7.4±3.4 kg and 200 (40%) were male and 300 (60%) were female patients. Sixty (12%) were not vaccinated, 145 (29%) partially vaccinated and 295 (59%) fully vaccinated. In the distribution by income level 255 (51%),180 (36%) and 65 (13%) parents were having low, middle and high income respectively; By education level,155 (31%) with no education, 140 (28%) some education and 205 (41%) with high education, regarding knowledge of immunization, 50 (10%) had no knowledge, 215 (43% )had wrong perception of immunization and 235 (47%) were fully aware.295 (59%) had up-to-date immunization Conclusion: More than half of the study populations were upto date about immunization status. It is also concluded that majority of parents of low-income level and uneducated were unknown about immunization status and majority of middle and high-income level and educated people were partial known or up-to-date about immunization status Keywords: Economical level, Educational level, Awareness level, Immunization status

scholarly journals Frequency and Risk Factors of Wound Complications in Type II Diabetic Patients Undergoing Abdominal Surgery

2021 ◽  
pp. 591-595
Author(s):  
Abdul Samad Tayyab ◽  
Maria Qurban ◽  
Maryam Mazhar ◽  
Zaid Tayyab ◽  
Mariam Tahir ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Sampling Technique ◽  
Wound Complication ◽  
Cross Sectional Study ◽  
Wound Complications ◽  
Diabetic Patients ◽  
Type Ii ◽  
Cross Sectional ◽  
Increased Risk ◽  
The Mean

Introduction: Poorly controlled type II diabetes is associated with an array of micro-vascular, macro-vascular, and neuropathic complications. Objectives: The main objective of the study is to analyse the frequency of wound complications in type II diabetic patients undergoing abdominal surgery. Material and methods: This cross sectional study was conducted in THQ haveli lakha, Okara with the collaboration of Sir Ganga Ram Hospital, Lahore during March 2021 to August 2021. The data was collected through non-probability consecutive sampling technique. There were 120 patients which were enrolled in this study according to the inclusion and exclusion criteria. A systematically designed questionnaire was made for the collection of data. Results: The data was collected from 120 patients. The mean age was 55.5± 2.57 years. Most of the particpants was male (51.1%), non-smokers (95.6%) and didn't have hypertension (67.8%). The mean time of diabetes mellitus was 6.1±5.6 a long time. The majority didn't have neuropathy (81.1%), peripheral strokes (90.0%), pre-ulcerous states (90.0%), insensitive (89.9%), crevices on feet (64.4%), nail pathology (97.1%), injury disfigurement (93.3%) or incapacity (94.4%). Conclusion: It is concluded that it is difficult to treat the wound complication in diabetic patients. Diabetic patients are at an increased risk of postoperative surgical site infection while undergoing open surgery, laparoscopic cholecystectomy has no increased morbidity in diabetic patients as compared to non-diabetic patients.

scholarly journals THE INCIDENCE OF ED AFTER TURP AND TVP ON BPH PATIENTS

2012 ◽  
Vol 19 (1) ◽  
Author(s):  
Aries Alpendri ◽  
Tjahyo Kelono Utomo ◽  
Trisula Utomo ◽  
Prawito Singodimedjo
Keyword(s):  
Erectile Dysfunction ◽  
Statistical Analysis ◽  
Cross Sectional Study ◽  
Prostatic Hyperplasia ◽  
Test Results ◽  
Sectional Study ◽  
Exclusion Criteria ◽  
Chi Square ◽  
Cross Sectional ◽  
The Mean

Objective: The aim of this study was to know the incidence of erectile dysfunction (ED) after transurethral resections of the prostate (TURP) and transvesical prostatectomy (TVP). Material & method: Data were collected in 1 year period from January until December 2005 with cross sectional study design. There were 60 patients who met the inclusion and exclusion criteria and patient who participated in this study underwent TURP and TVP and divided in TURP group and TVP group. Erectile Dysfunction measured by International Index of Erectile Function-5 (IIEF-5) data was analyzed by statistic chi-square and independent t-test. Results: Sixty patients include this study with 30 patients in each group. The mean age of TURP was 64 ± 5,68 and TVP was 63,23 ± 4,83 with age ranging from 50 – 70 years. The incidence of ED after TURP and TVP was 36,67% and 16,70% respectively with p = 0,08. The IIEF-5 scores for TURP and TVP was 19,40 ± 3,95 and 21,03 ± 2,57 respectively and by statistical analysis the differences was not significant. Conclusion: The incidence of ED after TURP showed higher than TVP and by statistical analysis the differences was not significant. Keywords: Benign prostatic hyperplasia, erectile dysfunction, transurethral resection of the prostate, transvesical prostatectomy.

Brief Overview and Experience of Visual Evoked Potential of First 67 cases at Referral Neuroscience Hospital in Bangladesh

2020 ◽  
Vol 6 (2) ◽  
pp. 74-77
Author(s):  
Mohammad Enayet Hussain ◽  
Bithi Debnath ◽  
AFM Al Masum Khan ◽  
Md Ferdous Mian ◽  
Md Nahidul Islam ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Optic Neuritis ◽  
Clinical Diagnosis ◽  
Optic Neuropathy ◽  
Cross Sectional Study ◽  
P Value ◽  
Pattern Reversal ◽  
Cross Sectional ◽  
The Mean ◽  
Visual Evoked

Background: The visual evoked potentials (VEP) is a valuable tool to document occult lesions of the central visual channels especially within the optic nerve. Objectives: The purpose of the present study was to observe the findings of first few cases of VEP done in the neurophysiology department of the National Institute of Neurosciences (NINS), Dhaka, Bangladesh. Methodology: This cross-sectional study was conducted in the Department of Neurophysiology at the National Institute of Neurosciences and Hospital, Dhaka, Bangladesh from September 2017 to March 2020. All patients referred to the Neurophysiology Department of NINS for VEP were included. Pattern reversal VEPs were done using standard protocol set by International Federation of Clinical Neurophysiology (IFCN). Results: The mean age of the study population was 30.70 (±12.11) years (6-68 years) with 31 (46.3%) male and 36 (53.7%) female patients. The mean duration of illness was 8.71 (±1.78) months (3 days- 120 months). Most common presenting symptom was blurring of vision (37.3%) and dimness of vision (32.8%). Patterned VEP revealed mixed type (both demyelinating and axonal) of abnormality in most cases [29(43.35)]. The most common clinical diagnosis was multiple sclerosis (29.85%) and optic neuropathy (26.87%). In the clinically suspected cases of multiple sclerosis, optic neuropathy and optic neuritis most of the cases of VEP were abnormal and the p value is 0.04 in optic neuropathy and optic neuritis. Conclusion: The commonest presentation of the patients in this series were blurring of vision and dimness of vision. The most common clinical diagnosis for which VEP was asked for, was optic neuritis and multiple sclerosis. Most abnormalities were of mixed pattern (demyelinating and axonal). Journal of National Institute of Neurosciences Bangladesh, 2020;6(2): 74-77

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