scholarly journals Mean Blood Pressure Difference among Adolescents Based on Dyssomnia Types

2018 ◽  
Vol 6 (2) ◽  
pp. 293-296 ◽  
Author(s):  
Krisnarta Sembiring ◽  
Oke Rina Ramayani ◽  
Munar Lubis
Keyword(s):  
Blood Pressure ◽  
Sleep Disturbance ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Mean Blood Pressure ◽  
P Value ◽  
Cross Sectional ◽  
Significant Difference ◽  
Blood Pressure Data ◽  
The Difference

BACKGROUND: Dyssomnia is the most frequent sleep disturbance and associated with increased blood pressure. There has been no study determining the difference in mean blood pressure based on dyssomnia types among adolescents.OBJECTIVE: To determine the difference in mean blood pressure among adolescents based on dyssomnia types.METHODS: a Cross-sectional study was conducted in SMP Negeri 1 Muara Batang Gadis in April 2016. Samples were students having sleep disturbance based on Sleep Disturbance Scale for Children (SDSC) questionnaire. Stature and blood pressure data were collected along with demographic data and sleep disorder questionnaire. Analyses were done with Kruskal-Wallis test and logistic regression. P - value < 0.05 was considered significant.RESULTS: Seventy-six samples were obtained with mean age 13.9 (SD 1.14) years - old. Dyssomnia proportion and hypertension were 72/76 and 20/76 respectively. Mean systolic (SBP) and diastolic blood pressure (DBP) was 111.1 (SD 16.46) mmHg and 70.3 (SD 11.98) mmHg respectively. Mean SDSC score was 49.7 (SD 8.96), and the most frequent dyssomnia type was disorders of initiating and maintaining sleep. Age and sex were not the risk factors of hypertension in dyssomnia. There was a significant difference in mean SBP (P = 0.006) and DBP (P = 0.022) based on dyssomnia types. Combination dyssomnia type had the highest mean blood pressure among dyssomnia types.CONCLUSION: There is a significant difference in mean blood pressure among adolescents based on dyssomnia types.

scholarly journals The Difference of Serum Gastrin-17 Level Based on Gastritis Severity and Helicobacter Pylori Infection

2019 ◽  
Vol 7 (8) ◽  
pp. 1266-1269
Author(s):  
Dumawan Harris Parhusip ◽  
Gontar Alamsyah Siregar ◽  
Leonardo Basa Dairi
Keyword(s):  
Serum Gastrin ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Mucosal Inflammation ◽  
P Value ◽  
Cross Sectional ◽  
Significant Difference ◽  
Sydney System ◽  
The Difference ◽  
H Pylori

BACKGROUND: Gastritis was defined as the histological presence of gastric mucosal inflammation. One of the most common aetiology was H. pylori. Gastrin-17 was a hormone that was secreted by G cells. H. pylori infection induced increased in gastrin-17 in gastritis. Therefore, this study was to investigate the relationship of gastrin-17 with gastritis severity and H. pylori infection. AIM: To determine the difference in serum Gastrin-17 level based on gastritis severity and H. pylori infection. METHODS: A cross-sectional study enrolling 45 patients with gastritis was conducted in Haji Adam Malik General Hospital between April and July 2018. Endoscopy and biopsy examinations were performed to confirm the diagnosis of gastritis. Gastritis severity was assessed using the Updated Sydney System. The presence of H. pylori infection was detected by a Campylobacter-like organism (CLO) examination. Gastrin-17 level and demographic data were also gathered. The analysis was done using Mann Whitney and Kruskal-Wallis test. P-value of < 0.05 was considered statistically significant. RESULTS: Serum Gastrin-17 level was significantly different based on gastritis severity (P = 0.001 according to neutrophils infiltration and P = 0.023 according to degree of atrophy), H. pylori infection (P = 0.038), and combined gastritis severity and H. pylori infection (P < 0.001). Serum Gastrin-17 level was higher in subjects with severe neutrophils infiltration, without atrophy, and with H. pylori infection. CONCLUSION: There was a significant difference in serum Gastrin-17 level based on gastritis severity and H. pylori infection.

scholarly journals Association of Pre-hypertension with blood groups in young population.

2019 ◽  
Vol 26 (11) ◽  
pp. 1820-1824
Author(s):  
Benash Altaf ◽  
Shireen Jawed ◽  
Fakiha Behram ◽  
Zeeshan Ali Khan ◽  
Shakeela Naz
Keyword(s):  
Blood Group ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Blood Groups ◽  
P Value ◽  
Continuous Variables ◽  
Cross Sectional ◽  
Blood Group A ◽  
Significant Difference ◽  
Group A

Objectives: Pakistan has highest mortality rate due to hypertension and its complications. Hypertension is a squealed of Pre- hypertension which is believed to start at adolescent and continue to adulthood. Association of blood group with hypertension is evident but still hypothesized. This study aims to find the frequency of prehypertension and its association with blood group. Study Design: Cross sectional study. Setting:  Aziz Fatimah Medical and Dental College, Faisalabad. Period: 15 March’18 to 15 Sep’18. Material and Methods:  It was comprised of in comprised of 100 MBBS students. Demographic data including age, weight, height, waist and hip circumference, and BMI was determined. Blood group was determined with help of conventional slide method. Blood pressure was measured by auscultatory method. Data was analyzed by using SPSS 21. Continuous variables are given in mean and standard deviation. Categorical data was given in frequency and percentages. P value≤ 0.05 is taken as significant. Results: Out of 100 participants most common blood group was group ‘O’ (43%) followed by B (35 %) and AB (13%) and A (9%).36% of total population was pre-hypertensive and 64% were normotensive. Prehypertension is most commonly found in blood group ‘A’ (77%) followed by blood group ‘O’ (46.5%). Significant difference was found in means of SBP (p value= 0.001*) and DBP (p value= 0.000*) among the various blood groups. Conclusion: Most common blood group in studied population was ‘O’ although hypertension was most commonly observed in blood group A followed by ‘O’.

scholarly journals Comparison of Axial Ocular Measurements with Contact and Non-contact Biometry

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Muhammad Arslan Ashraf ◽  
Muhammad Suhail Sarwar ◽  
Muhammad Awais Afzal ◽  
Imran Khalid ◽  
Sehrish Shahid
Keyword(s):  
Corneal Thickness ◽  
Anterior Chamber Depth ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Kappa Test ◽  
Parametric Data ◽  
Significant Difference ◽  
The Difference ◽  
Graphical Presentation

Purpose:  To compare between non-contact and contact biometry for measurements of central corneal thickness (CCT), anterior chamber depth (ACD), lens thickness (LT) and axial length (AL). Study Design: Descriptive Cross Sectional Study. Place and Duration of Study:  Mayo Hospital, Lahore from June 2018 to December 2018. Material and Methods:  Eighty-four subjects, (168 non-pathological eyes) visiting the eye outpatients department were recruited by non-probability convenience sampling. Patients with high refractive errors and suffering from any ocular pathology were excluded from the study. CCT, ACD, LT and AL were measured with non-contact Biometer (HAAG Streit) followed by Contact Biometer (Ultrasound) after taking consent from the patient. Data was entered and analyzed by using SPSS-21 and Medcalc software. Normality of quantitative data was checked with Shapiro Wilk test. Independent sample t test was used for parametric variable and Mann Whitney-U test was used for non-parametric data. For the agreement between two techniques Cohen’s Kappa test used and Bland-Altman plot was drawn for graphical presentation. P-value equal or less than 0.05 was taken as significant. Results:  Mean age of 84 subject (female: 45.24% and male: 54.76%) was 53.05 ± 13.56 years. The AL was significantly longer for the non-contact measurement with the difference of 0.53 ± 0.32 mm (p < 0.001). Contact pachymetry was significantly higher with the difference of 8.67 ± 20.83 µm (p = 0.046). ACD was significantly deeper for non-contact measurements with the difference of 0.51 ± 0.32 mm (p < 0.001). Contact ultrasound A-scan measured LT significantly thicker with the difference of 0.59 ± 0.56 mm (p < 0.001). Conclusion:  There is significant difference of axial ocular measurements (CCT, ACD, LT and AL) between contact (ultrasound A-scan) and non-contact (HAAG Streit) biometry (p < 0.05).

scholarly journals Ghrelin levels in hypertensive obese and normotensive obese subjects.

2021 ◽  
Vol 28 (08) ◽  
pp. 1142-1146
Author(s):  
Zehra Niazi ◽  
◽  
Sundus Tariq ◽  
Muhammad Azhar Saeed ◽  
Sana Akram ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Cross Sectional Study ◽  
Ghrelin Level ◽  
Enzyme Linked Immunosorbent Assay ◽  
P Value ◽  
Cross Sectional ◽  
The Social ◽  
Significant Difference ◽  
Minimum Age ◽  
Obese Subjects

Objective: The purpose was to determine the ghrelin level, its effect and relationship with blood pressure levels in obese subjects. Study Design: Comparative Cross Sectional study. Settings: General OPD of Madinah Teaching Hospital (MTH) and District Head Quarter hospital Faisalabad (DHQ). Period: 2019 to 2020. Material & Methods: Blood samples were collected from hypertensive and compared with the normotensive obese (BMI >30). Ghrelin level was measured by Enzyme-linked immunosorbent assay (ELISA). Statistical analysis was done on Statistical Package for the Social Science (SPSS) 20 software. Mean ±SD has been given for quantitative variables. Independent sample t test was used for comparisons. Significance has been chosen as p ≤ 0.05. Results: Total 114 obese patients were selected for this study, of which 57 were hypertensive and 57 were normotensive. Minimum age was 30 years and maximum age was 60 years with mean age 39.35 ± 10.08 years. Mean age of hypertensive obese was 43.42 ± 10.46 years and mean age of normotensive was 35.28 ± 7.87 years. Statistically significant difference of mean fasting ghrelin levels between hypertensive obese and normotensive obese was noted with p value 0.013. Conclusion: Obese persons with elevated circulating concentration of ghrelin may be susceptible to the progression of increasing blood pressure.

A study of blood pressure in school children between the age of 6-12 years in Chennai, India: a cross sectional study

2017 ◽  
Vol 4 (6) ◽  
pp. 2205
Author(s):  
Madhivanan S. ◽  
Harikrishnan E. ◽  
Kumarasamy K.
Keyword(s):  
Blood Pressure ◽  
Clinical Examination ◽  
Economic Status ◽  
Blood Pressure Measurement ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Mean

Background: Blood pressure measurements in childhood are an important clinical examination. Present study was done to evaluate the normal range of blood pressure (BP) in children aged 6-12 years and to find its relationship with regard to age, sex, height and weight criteria and comparing the values with the available standards.Methods: This prospective cross-sectional study was done in primary and middle schools of Chennai from January 2016 to May 2017. Three readings of blood pressure were recorded for each subject and were correlated with age, gender, socioeconomic status and anthropometry. Data was analysed on SPSS 20.0. P value of <0.05 was considered significantResults: A total of 2002 children (1026 boys, 976 girls) of age between 6-12 years were examined over 18 months. There was an upward trend in both systolic (r = 0.437, P<0.001) and diastolic BP (r = 0.386, P <0.001) with age. There was no statistically significant difference in mean systolic and diastolic BP with gender (P = 0.10), weight (P = 0.10) and height (P = 0.10). There was a statistically significant difference between the mean systolic and diastolic BP between low and high socio-economic groups (P <0.0001). The proportion of children with hypertension was 9.54% with a slight female preponderance.Conclusions: Blood pressure measurement in children is pivotal in clinical examination. It shows a linear relationship with age and varies across socio-economic status. Periodic recording of BP would enable identify hypertension at an early age.

scholarly journals Perkembangan Psikomotorik Bayi 6 – 9 Bulan berdasarkan Pemberian ASI Eksklusif

2016 ◽  
Vol 1 (2) ◽  
pp. 99
Author(s):  
Agus Hendra Al-Rahmad ◽  
Ika Fadillah
Keyword(s):  
Motor Development ◽  
Exclusive Breastfeeding ◽  
Growth And Development ◽  
Cross Sectional Study ◽  
Psychomotor Development ◽  
P Value ◽  
Cross Sectional ◽  
Significant Difference ◽  
Good Score ◽  
The Difference

The growth of childhood starting from conception until the age of 18 years. The excellent quality child should be prepared as early as possible, one of them through exclusive breastfeeding, up to the age of 5 months 29 days, so that the growth and development of psychomotor perfectly. This study aims to measure the difference in motor development in infants exclusively breastfed to those not exclusively breastfed. The study was the cross-sectional study conducted in Batoh, July 2016. Samples were infants aged 6-9 months as many as 76. The collection of data is done using a form of SBC observation and interviewing the respondents. Analysis of data using Man-Whitney test Test at CI: 95%. The results showed 48,9% of infants were breastfed exclusively had a good score motor development (9,0), and showed a significant difference (p-value <0,05) than motor development in infants who are not exclusively breastfed, with a value of p = 0,000. In conclusion, the baby did not get a chance to experience exclusive breastfeeding psychomotor development standard below the average of two (2) times greater than being exclusively breastfed. Expected mothers to breastfeed their babies exclusively for a better psychomotor development. Keywords: Growth and development, psychomotor, exclusive breastfeeding, infants 6-9 months

scholarly journals The Severity of Malaria and Toxoplasmosis Co-Infections among Pregnant Women in Yaounde, Cameroon

2021 ◽  
pp. 22-32
Author(s):  
Judith Lum Ndamukong-Nyanga ◽  
Kitio Falone Linda ◽  
Signi Todjom Chysine Lucile ◽  
Demanou Teubow Dolly-Misper
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Severe Malaria ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
The Public ◽  
Significant Difference ◽  
The Difference

Malaria and toxoplasmosis are two diseases caused by parasites of the same phylum (Apicomplexa). They have severe consequences on the health of pregnant women and their unborn babies. As such, they are of importance for the public health, especially in Sub-Saharan Africa and Cameroon. The aim of this study was to evaluate the severity of toxoplasmosis among malaria-positive pregnant women attending the Biyam-Assi District Hospital. It was a cross-sectional study that took place from May to November 2019 involving 232 pregnant women who voluntarily accepted to take part in the study. Demographic data was collected using structured questionnaires and blood was collectd by finger prick. Thick blood films were prepared for the detection of malaria and the Giemsa-stained slides were read microscopically. A drop of blood was used for the detection of toxoplasmosis using the  chromatographic cassette (Rapid Diagnostic Test) and the results were read after 15 minutes. The data obtained was analysed using SPSS version 24. The results showed that the prevalence of toxoplasmosis was 22.84 %. This prevalence didn’t depend on the trimester of pregnancy (P = 0. 08). The prevalence of malaria was 38.9%. No significant difference was observed for either the prevalence or severity of malaria over the three trimesters of pregnancy (p = 0.60 and p = 0.9 respectively). The prevalence of co-infection with malaria and toxoplasmosis was 9.05%. Women without toxoplasmosis were more prone to severe malaria (20.29 %) than their counterparts who had toxoplasmosis (4.78 %) and the difference between these two groups was statistically significant (p = 0.02). The severity of toxoplasmosis was not influenced by the presence of Plasmodium (p = 0. 20). It was concluded that the occurrence and severity of toxoplasmosis in pregnant women does not depend on their malaria serological status. However, the presence of severe malaria in pregnant women depends on their toxoplasmosis status. Indeed, women already infected with T. gondii are less susceptible to malaria than their counterparts who are negative for toxoplasmosis. These findings suggest that T. gondii in a person confers some form of reistance to infections with Plasmodium. It was recommended that the Public Health Ministry in Cameroon could include screening for toxoplasmosis among the routine test for pregnant women in order to improve on the health of mother and baby.

scholarly journals Burnout among surgeons; depression, anxiety and stress between consultant versus post-graduate trainee

2020 ◽  
Vol 36 (7) ◽  
Author(s):  
Saleh Khurshied ◽  
Aliya Hisam ◽  
Nawal Khurshid ◽  
Madiha Khurshid
Keyword(s):  
Marital Status ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
P Value ◽  
Cross Sectional ◽  
Post Graduate ◽  
Creative Commons ◽  
Significant Difference ◽  
The Difference

Objective: To compare depression, anxiety and stress between consultant and post-graduate trainee (PG-trainee) surgeons and to find the difference of different factors i.e. gender, marital status, physical activity, BMI, comorbidity and Income per month between the two. Methods: A descriptive cross-sectional study of eight months duration from March 2018 to August 2018 was conducted in Military Hospital and Combined Military Hospital, Rawalpindi, Pakistan. Convenient sampling technique was used. DASS 21 questionnaire was used for data collection. Data were entered and analysed by SPSS 22. A p-value of < 0.05 was considered statistically significant. Results: The mean age of participants was 37.44±10.512 years. Out of 68 participants, 54 (79.4%) were males and 14 (20.6%) were females. There was a significant difference between the consultants and PG trainees in terms of gender, marital status and income per month (p= <0.005) PG-trainees were more depressed and anxious but not stressed as compared to consultants (p= 0.014, 0.012 and 0.280 respectively). Conclusions: There was a significant association in terms of gender, marital status and income per month between consultants and PG trainees. A statistically significant association was found between consultants and PG trainees concerning depression and anxiety showing PG trainees were more depressed and anxious. doi: https://doi.org/10.12669/pjms.36.7.1415 How to cite this:Khurshied S, Hisam A, Khurshid N, Khurshid M. Burnout among surgeons; depression, anxiety and stress between consultant versus post-graduate trainee. Pak J Med Sci. 2020;36(7):1745-1748. doi: https://doi.org/ 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 APGAR Score of Neonates Born to Anemic Mothers versus Non-Anemic Mothers

2019 ◽  
Vol 7 (4) ◽  
pp. 246-249
Author(s):  
Tasleem Bano ◽  
Bushra Nazar ◽  
Muhammad Raza Tahir
Keyword(s):  
Apgar Score ◽  
Cross Sectional Study ◽  
Deficiency Anemia ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
Chi Square Test ◽  
The Difference ◽  
Maternal Iron

Objective: To determine the effect of maternal iron deficiency anemia on APGAR score of neonates at one minute.Patients and Methods: This cross-sectional study was conducted at Aziz Bhatti Shaheed Teaching Hospital Gujrat from January 2017 to November 2017. In total 380 patients (50% anemic and 50% non-anemic mothers) were included in study. Grouping into anemic and non-anemic groups was done, based on their hemoglobin level, MCV, MCH and ferritin levels. APGAR score at 1 minute was noted in neonates born to both groups. Data was analyzed using SPSS 20.0. Chi square test was applied to evaluate the difference of APGAR score.Results: Mean age in anemic was 27+4.6 years and in non-anemic 26+5.1 years. The mean hemoglobin among anemic was 8.9+2.1 g/dl and among non-anemic 12.3+1.2 g/dL. Mean MCV in non-anemic 85.7+3.8 fl, while among anemic was 62.4+4.1 fl Mean ferritin levels among anemic were 7.4+1.1 ng/ml. Neonates delivered by anemic mothers had mean APGAR score of 6.5+0.2 and those delivered to non-anemic had 8.7+0.5. The APGAR score of neonates delivered by anemic and non-anemic showed a significant difference (p-value 0.00). The relative risk of having low APGAR score of infant in anemic compared to non-anemic mothers was 29.00 (95% CI, 13.1798-63.8098) with p<0.0001.Conclusion: Maternal anemia is significantly associated with poor APGAR score in neonates.

scholarly journals Comparison of hesitancy between COVID-19 and seasonal influenza vaccinations within the general Hungarian population: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Viktor Dombrádi ◽  
Tamás Joó ◽  
Gergely Palla ◽  
Péter Pollner ◽  
Éva Belicza
Keyword(s):  
Seasonal Influenza ◽  
Demographic Data ◽  
Adult Population ◽  
Cross Sectional Study ◽  
Computer Assisted ◽  
Cross Sectional ◽  
Financial Status ◽  
Significant Difference ◽  
General Adult Population ◽  
The Difference

Abstract Background The willingness to get COVID-19 or seasonal influenza vaccines has not yet been thoroughly investigated together, thus, this study aims to explore this notion within the general adult population. Methods The responses of 840 Hungarian participants were analysed who took part in a nationwide computer-assisted telephone interviewing. During the survey questions concerning various demographic characteristics, perceived financial status, and willingness to get the two types of vaccines were asked. Descriptive statistics, comparative statistics and word co-occurrence network analysis were conducted. Results 48.2% of participants were willing to get a COVID-19 vaccine, while this ratio for the seasonal influenza was only 25.7%. The difference was significant. Regardless of how the participants were grouped, based on demographic data or perceived financial status, the significant difference always persisted. Being older than 59 years significantly increased the willingness to get both vaccines when compared to the middle-aged groups, but not when compared to the younger ones. Having higher education significantly elevated the acceptance of COVID-19 vaccination in comparison to secondary education. The willingness of getting any type of COVID-19 vaccine correlated with the willingness to get both influenza and COVID-19. Finally, those who were willing to get either vaccine coupled similar words together to describe their thoughts about a COVID-19 vaccination. Conclusion The overall results show a clear preference for a COVID-19 vaccine and there are several similarities between the nature of willingness to get either type of vaccine.

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