scholarly journals An overview of the health status of Syrian refugee children in a tertiary hospital in Turkey

2017 ◽  
Vol 07 (03) ◽  
pp. 110-114
Author(s):  
Ibrahim Hakan Bucak ◽  
Habip Almis ◽  
Samet Benli ◽  
Mehmet Turgut
Keyword(s):  
Complete Blood Count ◽  
Health Workers ◽  
Demographic Data ◽  
Tertiary Hospital ◽  
University Hospital ◽  
Refugee Children ◽  
The Third ◽  
Syrian Refugee ◽  
Pediatric Clinic ◽  
Hospital Pediatric

Abstract Objective: Migration is a problem affecting all family members, but particularly children. Child refugees are the highest risk group for the health systems of receiving countries. We investigated the health of 104 Syrian child refugees presenting to a tertiary hospital in Turkey. Settings and Design: A retrospective study was conducted in the pediatric clinic. Materials and Methods: The medical files of Syrian refugee children (0–18 years) presenting to Adiyaman University Hospital, Pediatric Clinic between 01 and 30 November 2015, were investigated. Demographic data, body measurements, and laboratory results obtained from patients' medical records were evaluated. Results: Mean age of patients was 53.5 ± 49.6 (2–198) months; 63 were male and 41 were female. Seventy-two patients (69.2%) were under 5 years of age. Weight in 20 patients (19.2%), height in 33 (31.7%), head circumference in 2 (1.9%), and body mass index in 7 (6.7%) were below the third percentile. All patients with body weight below the third percentile had chronic malnutrition. Anemia was present in 35 (50%) of the 70 patients for whom complete blood count data were available. Conclusion: Health workers involved with Syrian refugee children must consider the two preventable conditions; malnutrition and anemia.

scholarly journals Spectrum of childhood interstitial and diffuse lung diseases at a tertiary hospital in Egypt

2021 ◽  
pp. 00880-2020
Author(s):  
Salma G. Abdelhady ◽  
Eman M. Fouda ◽  
Malak A. Shaheen ◽  
Faten A. Ghazal ◽  
Ahmed M. Mostafa ◽  
...  
Keyword(s):  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Lung Diseases ◽  
Demographic Data ◽  
Tertiary Hospital ◽  
University Hospital ◽  
Systematic Evaluation ◽  
Pulmonary Hemosiderosis ◽  
Diffuse Lung Diseases ◽  
Diffuse Lung

BackgroundChildhood interstitial and diffuse lung diseases (chILD) encompass a broad spectrum of rare pulmonary disorders. In most developing middle eastern countries, chILD is still underdiagnosed. Objective: To describe and investigate patients diagnosed with chILD in a tertiary university hospital in Egypt.MethodsWe analyzed data of consecutive subjects (<18 years) referred for further evaluation at the Children's Hospital, Ain Shams University. Diagnosis of chILD was made in accordance with the chILD-EU criteria. The following information was obtained: demographic data, clinical characteristics, chest CT findings, laboratory studies, spirometry, BAL and histopathology findings.Results22 subjects were enrolled over 24 months. Median age at diagnosis was 7 years (range 3.5–14 years). The most common manifestations were dyspnea (100%), cough (90.9%), clubbing (95.5%) and tachypnea (90.9%). Systematic evaluation led to the following diagnoses: hypersensitivity pneumonitis (n=3), idiopathic interstitial pneumonias (n=4), chILD related to chronic granulomatous disease (n=3), chILD related to small airway disease (n=3), postinfectious chILD (n=2), Langerhans cell histiocytosis (n=2), Idiopathic pulmonary hemosiderosis (n=2), granulomatous lymphocytic interstitial lung disease (n=1), systemic sclerosis (n=1), familial interstitial lung disease (n=1). Among the subjects who completed the diagnostic evaluation (n=19), treatment was changed in 13 (68.4%) subjects.ConclusionSystematic evaluation and multidisciplinary peer review of chILD patients at our tertiary hospital led to changes in management in 68% of the patients. This study also highlights the need for an Egyptian chILD network with genetic testing, as well as the value of collaborating with international groups in improving health care for children with chILD.

scholarly journals Cohort Profile: Biological Pathways of Risk and Resilience in Syrian Refugee Children (BIOPATH)

2021 ◽  
Author(s):  
Fiona McEwen ◽  
Cassandra Popham ◽  
Patricia Moghames ◽  
Demelza Smeeth ◽  
Bernadette de Villiers ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Demographic Data ◽  
Well Being ◽  
Health Problems ◽  
Refugee Children ◽  
Cluster Sampling ◽  
Child Gender ◽  
Syrian Refugee ◽  
Hair Samples

The BIOPATH cohort was established to explore the interplay of psychosocial and biological factors in the development of resilience and mental health problems in Syrian refugee children. Based in Lebanon, a middle-income country significantly impacted by the refugee crisis, it is the first such cohort of refugees in the Middle East. Families were recruited from informal tented settlements in the Beqaa region using purposive cluster sampling. At baseline (October 2017–January 2018), N=3,190 individuals participated (n=1,595 child-caregiver dyads; child gender, 52.7% female; mean [SD] age=11.44 [2.44] years, range=6-19]). Re-participation rate at one year follow up was 63%. Individual interviews were conducted with children and primary caregivers and biological samples collected from children. Measures include: (i) children’s well-being and mental health problems (using tools validated against clinical interviews in a subsample of the cohort); (ii) psychosocial risk and protective factors at the level of the individual (e.g., coping strategies), family (e.g., parent-child relationship), community (e.g., collective efficacy), and wider context (e.g., services); (iv) saliva samples for genetic and epigenetic (methylation) analyses; (v) hair samples to measure cortisol, dehydroepiandrosterone [DHEA] and testosterone. This cohort profile provides details about sampling and recruitment, data collection and measures, demographic data, attrition and potential bias, key findings on resilience and mental health problems in children, and strengths and limitations of the cohort. Researchers interested in accessing data should contact Professor Michael Pluess at Queen Mary University of London, UK (e-mail: [email protected]).

scholarly journals Evaluation of Child Emergency Department Utilization: Differences Between Refugee and Resident Children.

2021 ◽  
Author(s):  
Hatice Ezgi Baris ◽  
Nicel Yildiz Silahli ◽  
Nuriye Ayca Gul ◽  
Lubna Qutranji ◽  
Jeffrey Goldhagen ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Preventive Health Care ◽  
Gastrointestinal Diseases ◽  
Preventive Health ◽  
University Hospital ◽  
Refugee Children ◽  
Emergency Department Utilization ◽  
Care Needs ◽  
Syrian Refugee

Abstract Objectives: Evaluation of emergency department (ED) utilization by Syrian refugee children will provide important information about their health care needs and utilization as a prerequisite for improving preventive health services and outcomes. We aimed to compare ED utilization of refugee and resident children in a tertiary university hospital in Istanbul, Turkey.Methods: Electronic medical records of Syrian refugee children ≤18 years old presenting to the ED between January 2013 and July 2019 were retrospectively reviewed and compared with the resident children.Results: The study population consisted of 7299 refugee and 690127 resident children admitted to the ED. Emergent cases were more frequent in Syrian refugees (2.2% vs 1.0% p<0.001). One third of Syrian children were under 12 months of age (31.0% vs 17.4%, p<0.001). Syrian children were more commonly hospitalized (7.9% vs 3.1% p<0.001). Rate of intensive care unit hospitalization (13.4% vs 9.4%, p=0.001) and neonatal hospitalization was higher in Syrians compared to resident children (29.3% vs 12.0%, p<0.001). Respiratory and gastrointestinal diseases were the most frequent diagnoses which were similar in both groups. Conclusion: Refugee children as compared to native children are more likely to present to the ED with high acuity conditions, at a younger age resulting in higher rates of inpatient admissions. Strategies to increase access to preventive health care services for young refugee children should be explored to decrease ED and hospital services and improve health outcomes.

scholarly journals Characteristics of Adult Sepsis Patients in the Intensive Care Units in a Tertiary Hospital in Jordan: An Observational Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Anas H. A. Abu-Humaidan ◽  
Fatima M. Ahmad ◽  
Maysaa’ A. Al-Binni ◽  
Amjad Bani Hani ◽  
Mahmoud Abu Abeeleh
Keyword(s):  
Intensive Care ◽  
Mortality Rate ◽  
Demographic Data ◽  
Tertiary Hospital ◽  
University Hospital ◽  
Causative Organism ◽  
High Morbidity ◽  
Icu Patients ◽  
Middle Income ◽  
Tertiary Teaching

Sepsis is a global health issue that is commonly encountered in the intensive care unit (ICU) and is associated with high morbidity and mortality. Available data regarding sepsis in low- and middle-income countries (LMIC) is lacking compared to higher income countries, especially using updated sepsis definitions. The lack of recent data on sepsis in Jordan prompted us to investigate the burden of sepsis among Jordanian ICU patients. We conducted a prospective cohort study at Jordan University Hospital, a tertiary teaching hospital in the capital, Amman. All adult patients admitted to the adult ICUs between June 2020 and January 2021 were included in the study. Patients’ clinical and demographic data, comorbidities, ICU length of stay (LOS), medical interventions, microbiological findings, and mortality rate were studied. Descriptive and inferential statistics were used to analyse data from patients with and without sepsis. We observed 194 ICU patients during the study period; 45 patients (23.3%) were diagnosed with sepsis using the Sepsis-3 criteria. Mortality rate and median ICU LOS in patients who had sepsis were significantly higher than those in other ICU patients (mortality rate, 57.8% vs. 6.0%, p value < 0.001, resp., and LOS 7 days vs. 4 days, p value < 0.001, resp.). Additionally, sepsis patients had a higher combined number of comorbidities (2.27 ± 1.51 vs. 1.27 ± 1.09, p value < 0.001). The use of mechanical ventilation, endotracheal intubation, and blood transfusions were all significantly more common among sepsis patients. A causative organism was isolated in 68.4% of sepsis patients with a prevalence of Gram-negative bacteria in 77.1% of cases. While the occurrence of sepsis in the ICU in Jordan is comparable to other regions in the world, the mortality rate of sepsis patients in the ICU remains high. Further studies from LMIC are required to reveal the true burden of sepsis globally.

scholarly journals An in depth look into intracranial Abscesses and Empyemas: a 10-year experience in a single institute.

2021 ◽  
Author(s):  
Sultan Jarrar ◽  
Mohammed M. Al Barbarawi ◽  
Suleiman S. Daoud ◽  
Yaman B. Ahmed ◽  
Leen M Al-Kraimeen ◽  
...  
Keyword(s):  
Demographic Data ◽  
Real Life ◽  
Diagnostic Procedures ◽  
Tertiary Hospital ◽  
University Hospital ◽  
Management Approach ◽  
Valuable Insight ◽  
Male Predominance ◽  
Single Operation ◽  
Significant Difference

Abstract Background As the incidence of intracranial infections increase due to diagnostic procedures improvement, more real-life data is needed to reach a more solid informed management approach. This study aims to describe and analyse clinical features of intracranial abscesses patients treated at a tertiary hospital in North Jordan during a 10-year period. Methods We retrospectively identified 37 patients treated at King Abdullah University Hospital (KAUH) from 2011 to 2020 in Irbid, North Jordan. Treatment consisted of either aspiration, open craniotomy excision (OCE) or conservative therapy. Extracted variables included demographic data such (age, gender), clinical presentation, lab findings, radiological findings as well as management plan. Retrieved data was compared between the patients who underwent a single operation and those who underwent reoperation after the initial procedure. Results Thirty-seven patients with 55 intracerebral abscesses were identified, 29 of whom had intraparenchymal brain abscesses, 4 patients had epidural empyema, and 4 had subdural empyema. The mean age was 28.8 (± 20.7) years, with a male predominance (78.4%). Sixteen patients underwent open craniotomy excision (OCE), 14 patients were treated by aspiration and 7 patients were treated conservatively. When comparing the single operation and the reoperation groups, there was no statistically significant difference across variables. Conclusion Our study presents valuable insight from a tertiary hospital in north Jordan on intracranial abscesses and empyemas. Our findings confirm that good recovery can be established after aspiration or OCE in the majority of patients. Similar results were obtained when comparing the SOP and the ROP groups.

scholarly journals War, Migration, and Health: The Importance of Social Work for Refugees’ Children

2021 ◽  
Author(s):  
Kayı Eliaçık ◽  
Emel Berksoy ◽  
Şefika Bardak ◽  
Ali Kanık ◽  
Aysun İnan ◽  
...  
Keyword(s):  
Social Work ◽  
Support Services ◽  
Medical Records ◽  
Demographic Data ◽  
Tertiary Hospital ◽  
Refugee Children ◽  
Health Issues ◽  
Children And Families ◽  
The Social

Objective: The conflicts in the Middle East during the last decade displaced millions of people and led to a serious population movement. Many Syrians have had to leave their country and became a refugee in Turkey. Over the last decade, migration has become one of the most important social, political and public health issues in Turkey. In this study, we aimed to review pediatric refugee cases who were consulted to the Social Service at a Tertiary Hospital. Methods: A retrospective study was performed with refugees admitted to our hospital between January 2012 and December 2018. The socio-demographic data (age, sex, birthplace), medical diagnosis, the reason for the social work consultation and the classification of the social problems were recorded. Results: The number of refugee children that were detected from the medical records was 88; the median age was 10 months (IQR 60.5), and nearly half of them were female. The most frequent diagnosis of the cases obtained from the medical charts was acute respiratory system disorders. The main reason for a social work consultation was poverty. Conclusion: We concluded that professionals working with immigrant children and families should be able to access social and psychological support services. Pediatricians and pediatric societies should work to improve the sensitivity of their respective populations towards migrants and refugees.

scholarly journals Gender-Based Analysis of the Psychological Impact of the COVID-19 Pandemic on Healthcare Workers in Spain

2021 ◽  
Vol 12 ◽  
Author(s):  
Mayte López-Atanes ◽  
José Ignacio Pijoán-Zubizarreta ◽  
Juan Pablo González-Briceño ◽  
Elena María Leonés-Gil ◽  
María Recio-Barbero ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Psychological Distress ◽  
Health Workers ◽  
Demographic Data ◽  
General Health Questionnaire ◽  
Psychological Impact ◽  
University Hospital ◽  
Gender Analysis ◽  
Medical Workforce ◽  
Male Population

Purpose: This study aims to analyze from a gender perspective the psychological distress experienced by the medical workforce during the peak of the pandemic in Spain.Methods: This is a single-center, observational analytic study. The study population comprised all associated health workers of the Cruces University Hospital, invited by email to participate in the survey. It consisted of a form covering demographic data, the general health questionnaire-28 (GHQ-28), and the perceived stress scale (PSS-14). We used multivariant regression analysis to check the effect of gender on the scores. We used gender analysis in both design and interpretation of data following SAGER guidelines.Results: Females made 74.6% of our sample, but their proportion was higher in lower-paid positions such as nursery (89.9%) than in higher-paid ones. The percentage of women categorized as cases with the GHQ-28 was 78.4%, a proportion significantly higher than in the male population (61.3%, p &lt; 0.001). The multivariant regression analysis showed that being women, working as orderly hospital porters, and having a past psychiatric history were risk factors for higher scores in both the GHQ-28 and PSS-14.Conclusion: Women and those with lower-paid positions were at risk of higher psychological distress and worse quality of life within the medical workforce during the first wave of the pandemic. Gender analysis must be incorporated to analyze this fact better.

scholarly journals Health-related quality of life in different trimesters during pregnancy

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Huailiang Wu ◽  
Weiwei Sun ◽  
Hanqing Chen ◽  
Yanxin Wu ◽  
Wenjing Ding ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pregnant Women ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related

Abstract Background Pregnant women experience physical, physiological, and mental changes. Health-related quality of life (HRQoL) is a relevant indicator of psychological and physical behaviours, changing over the course of pregnancy. This study aims to assess HRQoL of pregnant women during different stages of pregnancy. Methods This cross-sectional study was performed using the The EuroQoL Group’s five-dimension five-level questionnaire (EQ-5D-5L) to assess the HRQoL of pregnant women, and demographic data were collected. This study was conducted in a regional university hospital in Guangzhou, China. Results A total of 908 pregnant women were included in this study. Pregnant women in the early 2nd trimester had the highest HRQoL. The HRQoL of pregnant women rose from the 1st trimester to the early 2nd trimester, and dropped to the bottom at the late 3rd trimester due to some physical and mental changes. Reports of pain/discomfort problem were the most common (46.0%) while self-care were the least concern. More than 10% of pregnant women in the 1st trimester had health-related problems in at least one dimension of whole five dimensions. In the whole sample, the EuroQoL Group’s visual analog scale (EQ-VAS) was 87.86 ± 9.16. Across the gestational stages, the HRQoL remained stable during the pregnancy but the highest value was observed in the 1st trimester (89.65 ± 10.13) while the lowest was in the late 3rd trimester (87.28 ± 9.13). Conclusions During pregnancy, HRQoL were associated with gestational trimesters in a certain degree. HRQoL was the highest in the early 2nd trimester and then decreased to the lowest in the late 3rd trimester due to a series of physical and psychological changes. Therefore, obstetric doctors and medical institutions should give more attention and care to pregnant women in the late 3rd trimester.

scholarly journals Coassessment framework to identify person-centred unmet needs in stroke rehabilitation: a case report in Norway

2020 ◽  
Vol 7 (1) ◽  
pp. 148-156
Author(s):  
Kari Jorunn Kværner ◽  
Linn Nathalie Støme ◽  
Jonathan Romm ◽  
Karianne Rygh ◽  
Frida Almquist ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Stroke Rehabilitation ◽  
Unmet Needs ◽  
Health Workers ◽  
University Hospital ◽  
Health Staff ◽  
Hospital Workers ◽  
Next Of Kin ◽  
Patient Journey ◽  
Health Value

ObjectiveTo describe unmet needs and values in stroke rehabilitation using the Health Value Framework and the associated coassessment tool Health Value Spider, a framework designed to identify and prioritise unmet needs based on health technology assessment (HTA).SettingThe study took place at Oslo University Hospital, Norway, from February to April 2019. Participants in three consecutive workshops were recruited from Sunnaas Rehabilitation Hospital, Oslo Municipality, Hospital Procurement Trust and Oslo University Hospital. Twenty-four hospital workers (medical and allied health staff and administrative staff) participated in workshop 1 and 29 patients, user representatives and hospital workers in workshop 2. Twenty-one patients and hospital workers participated in workshop 3.InterventionsStakeholder analysis and scenario building was performed in a coassessment setting where unmet needs were identified applying the Health Value Framework. Two of the authors are also the developers of the Health Value Framework (KJK and LNS).ResultsIn the two first workshops where health workers, patients and next of kin perspectives were elicited, three needs were identified: patient insecurity in patient journey transitions, lack of stroke rehabilitation expertise in primary care and invisible patient problems, such as fatigue and cognitive impairment. In workshop 3, 12 opportunity areas were identified. Four opportunity areas were selected by the stakeholders based on a prioritisation process: early discovery of cognitive impairment, rehabilitation continuity, empowered patients and next of kin and remote monitoring and digital touchpoints.ConclusionHealth Value Spider successfully identified and prioritised unmet needs and described associated values.

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