Re-Laparotomy after Caesarean Section at a Tertiary Hospital in Egypt: Cross Sectional Study

Background: The present study highlights the occurrence of Incidental gallbladder carcinoma (IGBC) detected during histopathological examination in cholecystectomy specimens removed for cholelithiasis. Methods- This is a tertiary hospital based cross-sectional study of 500 cholecystectomy specimens removed during cholelithiasis. Relevant hospital records, histopathology slides and reports were reviewed, re-evaluated and studied. Results: 4(0.80%) cases of incidental gall bladder carcinoma (IGBC) were diagnosed from the histopathological evaluation (HPE) of 500 cholecystectomy specimens, constituting 0.80% of gall bladder specimens received during the study period. The age of the patients with IGBC ranged from 51-80 years. More females were affected than males with a M:F ratio of 1:3. Conclusion: Early detection of IGBC by histopathological examination would have a favourable impact on prognosis and management thereby increasing the survival outcome. Keywords: Cholelithiasis, Incidental Gall Bladder Carcinoma

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A cross-sectional study of clinico-mycological profile of onychomycosis at a tertiary hospital

Medpusle International Journal of Medicine ◽

10.26611/10212013 ◽

2021 ◽

Vol 20 (1) ◽

pp. 12-18

Author(s):

Ashok Kumar ◽

Keyword(s):

Tertiary Hospital ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Risk perception and knowledge of hepatitis B infection among cleaners in a tertiary hospital in Nigeria: A cross-sectional study

Clinical Epidemiology and Global Health ◽

10.1016/j.cegh.2017.12.001 ◽

2019 ◽

Vol 7 (1) ◽

pp. 11-16 ◽

Cited By ~ 3

Author(s):

Olumide Abiodun ◽

Olusola Shobowale ◽

Charles Elikwu ◽

Daniel Ogbaro ◽

Adebola Omotosho ◽

...

Keyword(s):

Risk Perception ◽

Hepatitis B ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Hepatitis B Infection ◽

Sectional Study ◽

Cross Sectional

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Caesarean birth rates in public and privately funded hospitals: a cross-sectional study

Revista de Saúde Pública ◽

10.11606/s1518-8787.2017051007054 ◽

2017 ◽

Vol 51 ◽

pp. 101 ◽

Cited By ~ 9

Author(s):

Bruna Dias Alonso ◽

Flora Maria Barbosa da Silva ◽

Maria do Rosário Dias de Oliveira Latorre ◽

Carmen Simone Grilo Diniz ◽

Debra Bick

Keyword(s):

Health Care ◽

Socioeconomic Status ◽

Caesarean Section ◽

Caesarean Section Rate ◽

Cross Sectional Study ◽

University Education ◽

Southeastern Brazil ◽

Sectional Study ◽

Cross Sectional ◽

Health Care Funding

OBJECTIVE: To examine maternal and obstetric factors influencing births by cesarean section according to health care funding. METHODS: A cross-sectional study with data from Southeastern Brazil. Caesarean section births from February 2011 to July 2012 were included. Data were obtained from interviews with women whose care was publicly or privately funded, and from their obstetric and neonatal records. Univariate and multivariate analyses were conducted to generate crude and adjusted odds ratios (OR) with 95% confidence intervals (95%CI) for caesarean section births. RESULTS: The overall caesarean section rate was 53% among 9,828 women for whom data were available, with the highest rates among women whose maternity care was privately funded. Reasons for performing a c-section were infrequently documented in women’s maternity records. The variables that increased the likelihood of c-section regardless of health care funding were the following: paid employment, previous c-section, primiparity, antenatal and labor complications. Older maternal age, university education, and higher socioeconomic status were only associated with c-section in the public system. CONCLUSIONS: Higher maternal socioeconomic status was associated with greater likelihood of a caesarean section birth in publicly funded settings, but not in the private sector, where funding source alone determined the mode of birth rather than maternal or obstetric characteristics. Maternal socioeconomic status and private healthcare funding continue to drive high rates of caesarean section births in Brazil, with women who have a higher socioeconomic status more likely to have a caesarean section birth in all birth settings.

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

Birat Journal of Health Sciences ◽

10.3126/bjhs.v5i2.31376 ◽

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.

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Systemic disorders and the prognosis of stroke in Congolese patients: a cross-sectional study

Ghana Medical Journal ◽

10.4314/gmj.v54i4.4 ◽

2020 ◽

Vol 54 (4) ◽

pp. 225-230

Author(s):

Marc Tshilanda ◽

Ulrick S. Kanmounye ◽

Remy Kapongo ◽

Michel Tshiasuma

Keyword(s):

Stroke Patient ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Arterial Hypotension ◽

Sectional Study ◽

Stroke Event ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

The Mean

Objectives: Stroke is one of the leading causes of death, disability, and dementia in developing countries. Our study aimed to evaluate the systemic disorders associated with mortality in patients admitted within 72 hours of the initial stroke event. Setting: The study took place at a tertiary hospital in Kinshasa. Participants: Patients admitted within 72 hours of the initial stroke event. Interventions: This cross-sectional study consisted of a retrospective review of stroke patient records from January 2016 to December 2018. The Pearson-Chi square test and odds ratios were calculated with a threshold of significance of 0.05. Main outcome measures: Mortality Results: We recruited 114 cases. The mean age was 61.8 ± 2.4 years, and the sex ratio was 1.78 in favor of men. Hypertension (76.3%), dyslipidemia (71.1%), and diabetes mellitus (58.8%) were the most frequent comorbidities. Most patients had hypoxia (85.9%), hypertension (82.4%), hyperglycemia (57.8%), and fever (28.1%). We registered thirty-two deaths (28.1%): 20 (62.5%) from the ischemic strokes, and 12 (37.5%) from hemorrhagic strokes. Systemic disorders with the worst prognosis during were arterial hypotension (OR=3.87, p >0.001), and fever (OR = 1.56, p = 0.047). Conclusion: Arterial hypotension and fever adversely affect stroke patient outcomes, and strokes are responsible for high mortality in Congo

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FAILED SPINAL ANESTHESIA

The Professional Medical Journal ◽

10.29309/tpmj/2016.23.12.1811 ◽

2016 ◽

Vol 23 (12) ◽

pp. 1527-1530

Author(s):

Mobeen Ikram ◽

Abdul Samee ◽

Muhammad Amir ◽

Muhammad Imdad

Keyword(s):

Pain Management ◽

Caesarean Section ◽

Spinal Anesthesia ◽

Teaching Hospital ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Emergency Caesarean ◽

Indirect Supervision ◽

Study Setting

Objectives: To determine the frequency of failed spinal anesthesia in patientsundergoing caesarean section in a teaching hospital in Pakistan. Study Design: It was a cross– sectional study. Setting: Department of Anesthesia and Pain Management PAF HospitalSargodha. Period: January 2015 to May 2015. Methodology: A total of 293 pregnant patientsundergoing caesarean section under spinal anesthesia were included. After prehydration andessential monitoring, all patients were given spinal anesthesia with 25 G spinal needle at L3-L4 or L4-L5 level by 2nd year resident anesthesiologist under indirect supervision using 1.5 mlof hyperbaric spinal injection. Failure to achieve adequate block was managed by differentmodalities like sedation, analgesia with ketamine, repeat spinal anesthesia or to proceed withgeneral anesthesia. Results: Out of total of 293 patients, failed spinal occurred in 9 patients(3.07%). Out of these 9 patients, 02 patients (22.22%) were elective caesarean sections while07 cases (77.77%) were emergency caesarean sections. Conclusion: The chances of failedspinal anesthesia are more in emergency caesarean sections as compared to elective casesand failure rate of spinal anesthesia in PAF teaching hospital Sargodha is 3.07% which is slightlyhigher than 3%

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