Willingness of Family Caregivers to Consent to Relative’s Postmortem Examination that Die Suddenly in a Nigerian Tertiary Hospital

BACKGROUND: Postmortem examination is necessary to diagnose the cause of sudden death, and family caregivers are expected to consent to this examination. This study assessed knowledge, attitude, practices and willingness of family caregivers to consent to postmortem examination of their relative if they die suddenly in a Nigerian tertiary hospital.METHODS: Descriptive cross-sectional study of family caregivers of our patients that completed an interviewer administered semistructured questionnaire assessing their knowledge, attitude, practices and willingness to consent to postmortem examination of their relative if they die suddenly. Data were analyzed using descriptive and inferential statistics.RESULTS: A total of 224 caregivers were interviewed. The mean age (SD) was 34.95 (11.74), ranging 22-75 years. They were parents (32.6%), siblings (37.9%), spouses (11.2%) and other relatives (18.3%). Only 17% had adequate knowledge, 44.6% positive attitude and 11.2% good practices to postmortem examination of sudden death. The majority (75.9%) would consent to postmortem examination of their relatives if they die suddenly. Sociodemographic variables associated with willingness to consent to postmortem examination after relative’s sudden death include being male (AOR 3.61; 95%CI 3.09-8.92; p=0.001), having tertiary education (AOR 4.83; 95%CI 1.01-8.29; p=0.034), Christianity (AOR 2.59; 95%CI 1.25-5.35; p=0.010) and skilled worker (AOR 1.43; 95%CI 1.33-3.80; p=0.020).CONCLUSION: Some family caregivers would not consent to postmortem examination of their relatives when they die suddenly. Sensitization programs targeting family caregivers are necessary to increase knowledge and enhance prevention of sudden death as well as improve willingness to consent to postmortem examination when their relatives die suddenly.

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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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Assessment of patients waiting and service times in the ophthalmology clinic of a public tertiary hospital in Nigeria

Ghana Medical Journal ◽

10.4314/gmj.v54i4.5 ◽

2020 ◽

Vol 54 (4) ◽

pp. 231-237

Author(s):

Lateefat B. Olokoba ◽

Kabir A. Durowade ◽

Feyi G. Adepoju ◽

Abdulfatai B. Olokoba

Keyword(s):

Waiting Time ◽

Waiting Times ◽

Sampling Technique ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Ethical Review ◽

Cross Sectional ◽

Arrival Times ◽

The Mean ◽

Service Times

Introduction: Long waiting time in the out-patient clinic is a major cause of dissatisfaction in Eye care services. This study aimed to assess patients’ waiting and service times in the out-patient Ophthalmology clinic of UITH. Methods: This was a descriptive cross-sectional study conducted in March and April 2019. A multi-staged sampling technique was used. A timing chart was used to record the time in and out of each service station. An experience based exit survey form was used to assess patients’ experience at the clinic. The frequency and mean of variables were generated. Student t-test and Pearson’s correlation were used to establish the association and relationship between the total clinic, service, waiting, and clinic arrival times. Ethical approval was granted by the Ethical Review Board of the UITH. Result: Two hundred and twenty-six patients were sampled. The mean total waiting time was 180.3± 84.3 minutes, while the mean total service time was 63.3±52.0 minutes. Patient’s average total clinic time was 243.7±93.6 minutes. Patients’ total clinic time was determined by the patients’ clinic status and clinic arrival time. Majority of the patients (46.5%) described the time spent in the clinic as long but more than half (53.0%) expressed satisfaction at the total time spent at the clinic. Conclusion: Patients’ clinic and waiting times were long, however, patients expressed satisfaction with the clinic times.

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Barriers to Physical Activity Among Pregnant Women During Pregnancy

International Journal of Human and Health Sciences (IJHHS) ◽

10.31344/ijhhs.v5i0.314 ◽

2021 ◽

Vol 5 ◽

pp. 23

Author(s):

Fatima Aslam ◽

Karimah Hanim Abd Aziz ◽

Nurjasmine Aida Jamani ◽

Razman Mohd Rus

Keyword(s):

Physical Activity ◽

Pregnant Women ◽

Tertiary Education ◽

Cross Sectional Study ◽

Health Clinic ◽

Activity Levels ◽

Cross Sectional ◽

Epigastric Discomfort ◽

Primary Health ◽

The Mean

Introduction: Co-morbidities such as obesity, gestational diabetes and pregnancy induced hypertension during pregnancy can be dangerous to the mother and foetus. Regular physical activity during pregnancy not only maintains maternal and foetal wellbeing, but it also maintains physical fitness and brings various health benefits. However, many women reduce their physical activity levels during pregnancy.Objectives: Thus, this study aimed to identify the barriers that could prevent pregnant mothers from doing physical activities.Methods: This is a cross-sectional study involving 168 pregnant women aged 18 to 35 years between gestational age 12 to 35 weeks in a primary health clinic in Kuantan, Pahang. Their socio-demographic characteristics were recorded, and barriers for physical activity assessed through a set of pre-tested questionnaire.Descriptive statisticswere used to describe the sociodemographiccharacteristics and the barriers.Results: The mean (SD) age was 28.0 (3.6) and majority of them were of Malay ethnicity from B40 group. Two thirds (74.4%) had tertiary education and 66.7% were working mothers. More than half (53.0%) of the participants wereoverweight and obese.Moreover, 58% of the participants had leg cramp and 63.1% felt fatigue. Almost 80.4% had backache and 46.4% had epigastric discomfort.Conclusion: Barriers such as leg cramp, backache, fatigue and epigastric discomfort could prevent pregnant women from conducting physical activities. Opportunistic recommendation by physician and concerns on the physical activity should be addressed.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S23

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Tinnitus and Its Effect on the Quality of Life of Sufferers: A Nigerian Cohort Study

Otolaryngology ◽

10.1177/0194599817715257 ◽

2017 ◽

Vol 157 (4) ◽

pp. 690-695 ◽

Cited By ~ 5

Author(s):

Onyinyechi C. Ukaegbe ◽

Foster T. Orji ◽

Basil C. Ezeanolue ◽

James O. Akpeh ◽

Ijeoma A. Okorafor

Keyword(s):

Quality Of Life ◽

Hearing Loss ◽

Pure Tone Audiometry ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Symptom Duration ◽

Cross Sectional ◽

Southeastern Nigeria ◽

The Mean

Objectives To evaluate the quality of life of patients with ongoing tinnitus. Study Design This was a cross-sectional study of patients with ongoing tinnitus. Setting The study was carried out in a tertiary hospital in southeastern Nigeria. Subjects and Methods Subjects are adults who presented to the otorhinolaryngology clinic with tinnitus as their primary complaint. Pure-tone audiometry, tinnitus pitch, and loudness matching were done. The Tinnitus Handicap Inventory (THI) questionnaire was used in assessing their quality of life. Results There were 63 participants within the age range of 16 to 74 years; 20 (31.7%) were male and 43 (68.3%) were female. The mean duration of tinnitus was 26.7 ± 38.1 months. Nineteen (30.2%) participants had bilateral tinnitus while 44 (69.8%) had unilateral tinnitus. The mean THI score was 36.6 ± 19.7. The most reported handicap was anxiety and difficulty with concentration followed by depression and irritability. There was no correlation between the disability shown by the THI score and the age, sex, duration of the tinnitus, the tinnitus pitch, tinnitus loudness, or the laterality of the tinnitus. There was a significant positive correlation between the grade of hearing loss and the level of disability reported in the THI ( P = .01). Conclusion Tinnitus sufferers appear to have poorer quality of life compared with nonsufferers. This quality-of-life affectation is likely to be worse in those with disabling hearing loss but does not appear to be related to their age, sex, symptom duration, or the loudness and pitch of their tinnitus.

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Coccygeal Morphology on Multislice Computed Tomography in a Tertiary Hospital in India

Asian Spine Journal ◽

10.4184/asj.2017.11.5.694 ◽

2017 ◽

Vol 11 (5) ◽

pp. 694-699 ◽

Cited By ~ 1

Author(s):

Venkatraman Indiran ◽

Vadivalagianambi Sivakumar ◽

Prabakaran Maduraimuthu

Keyword(s):

Computed Tomography ◽

Indian Population ◽

Normal Population ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Ct Scans ◽

Type I ◽

Cross Sectional ◽

Ethnic Populations ◽

The Mean

<sec><title>Study Design</title>A retrospective, cross-sectional study of 213 patients who presented for abdominal computed tomography (CT) scans to assess coccygeal morphology in the Indian population.</sec><sec><title>Purpose</title>There have been relatively few studies of coccygeal morphology in the normal population and none in the Indian population. We aimed to estimate coccygeal morphometric parameters in the Indian population.</sec><sec><title>Overview of Literature</title>Coccygeal morphology has been studied in European, American, Korean, and Egyptian populations, with few differences in morphology among populations.</sec><sec><title>Methods</title>A retrospective analysis of 213 abdominal CT scans (114 males and 99 females; age, 7–88 years; mean age, 47.3 years) was performed to evaluate the number of coccygeal segments, coccyx type, sacrococcygeal and intercoccygeal fusion and subluxation, coccygeal spicules, sacrococcygeal straight length, and sacrococcygeal and intercoccygeal curvature angles. Results were analyzed for differences in morphology with respect to sex and coccyx type.</sec><sec><title>Results</title>Types I and II coccyx were the most common. Most subjects had four coccygeal vertebrae; 93 subjects (43.66%) had partial or complete sacrococcygeal fusion. Intercoccygeal fusion was common, occurring in 193 subjects. Eighteen subjects had coccygeal spicules. The mean coccygeal straight length was 33.8 mm in males and 31.5 mm in females; the mean sacrococcygeal curvature angle was 116.6° in males and 111.6° in females; the mean intercoccygeal curvature angle was 140.94° in males and 145.10° in females.</sec><sec><title>Conclusions</title>Type I was the most common coccyx type in our study, as in Egyptian and Western populations. The number of coccygeal vertebrae and prevalence of sacrococcygeal and intercoccygeal fusion in the Indian population were similar to those in the Western population. The mean coccygeal straight length and mean sacrococcygeal curvature angle were higher in males, whereas the intercoccygeal curvature angle was higher in females. Information on similarities and differences in coccygeal morphology between different ethnic populations could be useful in imaging and treating patients presenting with coccydynia.</sec>

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Knowledge of antimicrobial resistance among undergraduate medical students in a medical college of Gujarat: institution based cross-sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20180263 ◽

2018 ◽

Vol 5 (2) ◽

pp. 754

Author(s):

Krutarth R. Brahmbhatt ◽

Amul B. Patel

Keyword(s):

Medical Students ◽

Antimicrobial Resistance ◽

Knowledge Score ◽

Cross Sectional Study ◽

Sectional Study ◽

Undergraduate Medical Students ◽

Cross Sectional ◽

Medical College ◽

Adequate Knowledge ◽

The Mean

Background: Antimicrobial-resistant organisms are spreading worldwide, and the pipeline for new antimicrobials remains meager. The next generation of doctors must be better prepared to use antimicrobials more sparingly and appropriately.Methods: A cross-sectional study was conducted among undergraduate medical students of GMERS Medical College Junagadh from January to May 2017. Self-administered structured close ended questionnaire in English was used. Pearson’s correlation co-efficient, t test and ANOVA were used as tests of significance.Results: Total 130 students participated in the study. Participation of females (48.5%) and males (51.5%) was almost equal. Almost 60% participants had adequate knowledge about antimicrobial resistance. The mean antimicrobial resistance knowledge score of participants was 22.7 (SD: ±5.27, min: 8, max: 37).Conclusions:Important finding of the study was that just one forth of the participants agreed that information they have received so far in medical course regarding antimicrobial resistance is adequate. The budding doctors should receive correct, adequate information regarding antimicrobial resistance.

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Clinical profile and outcome of the patients admitted in PICU in tertiary hospital.

The Professional Medical Journal ◽

10.29309/tpmj/2021.28.04.6052 ◽

2021 ◽

Vol 28 (04) ◽

pp. 548-551

Author(s):

Maria Saleem ◽

Asim Khurshid ◽

Amna Wajdan ◽

Muhammad Salman Zafar

Keyword(s):

Intensive Care ◽

Pediatric Intensive Care ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Clinical Profile ◽

Cross Sectional ◽

Respiratory Disorders ◽

The Mean ◽

Seriously Ill Patients ◽

Study Setting

Objectives: To analyze the clinical profile, etiologies and outcome of seriously ill patients admitted in Pediatric Intensive Care Unit (PICU). Study Design: Cross Sectional study. Setting: PICU of Nishtar Medical Hospital, Multan, Pakistan. Period: January 2018 to December 2018. Material & Methods: During the study period, a total of 150 children, aged 1 to 12 years, with better prognosis and post-surgical cases requiring intensive care were registered. Age, gender, cause for hospitalization (clinical, surgical or emergency), length of PICU stay, diagnosis and outcome were recorded for all patients. Results: During the year of the study, 83 (55.3%) children were noted to be male. The mean age was 56.9+12.5 months. Mechanical ventilation was done in 62 (41.3%) patients. Major indications for admission to the PICU were respiratory disorders (21.5%), followed by sepsis (11.4%) and meningitis (8.1%). Majority, 80 (53.3%) patients improved and were shifted to ward and later discharged while 27 (18.0%) expired. Conclusion: Most of the children admitted in the PICU were male, aged below 5 years. Most common indication for admission in the PICU were respiratory disorders followed by sepsis and meningitis.

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Nurses Lack of Knowledge On Inhaler Devices In China: A Cross-Sectional Study

10.21203/rs.3.rs-812142/v1 ◽

2021 ◽

Author(s):

Ning Xie ◽

Zheng Zheng ◽

Qilian Yang ◽

Man Li ◽

Xiaofen Ye

Keyword(s):

Community Hospital ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Cross Sectional ◽

Chronic Respiratory Diseases ◽

Adequate Knowledge ◽

Storage Location ◽

Secondary Hospital ◽

The One ◽

Inhaler Devices

Abstract Background: To know the knowledge on inhaler devices in medical staff, this study surveyed knowledge of inhaled therapy and the use of inhaler devices in nurses in China.Methods: 1831 nurses were selected to survey on a new self-designed questionnaire online. The questionnaire has 11 questions, including the storage location of the inhaler devices, steps of using the inhaler device, and the common errors when using various devices, etc. Results: Among the 1831 participants, 816(44.57%), 122(6.66%) and 893(48.77%) nurses worked in community hospital, secondary hospital and tertiary hospital respectively. Adequate knowledge of inhaler devices was demonstrated by nurses working in community hospital(20.10%)、Secondary hospital(8.2%) and Tertiary hospital(13.1%). 27.70% nurses in community hospital knew operational key points in using inhaler compared to in secondary hospital (15.57%) and tertiary hospital (23.18%) P<0.01. Only 9.5%-26.00% of participants chosen correct answers about the ten questions about the use of inhaler. Question six (Which of the following is the wrong option when using Ellpta?) was the one with the highest percentage of correct answers (26.00%). The question with lowest rate of correct answers (9.50%) was question 3 (What are the main points that need to be followed when using DPI?). The most people of correct answers number is Ellpta(26.00%) and the least is Respimat(10.32%). Conclusion: The focus on community hospitals has some results in China. However, knowledge on inhaler devices should be continued to strengthen among nurses in hospital. It is necessary to create training opportunities for nurses to increase their awareness and knowledge of chronic respiratory diseases management.

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Awareness, perceptions and practices regarding menstruation and menstrual hygiene among students of a college in Bengaluru Urban district, South India: a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20190597 ◽

2019 ◽

Vol 6 (3) ◽

pp. 1126

Author(s):

S. Deepa ◽

Twinkle Agrawal ◽

Teny Attokaran ◽

Farah Naaz Fathima ◽

Avita Rose Johnson

Keyword(s):

Knowledge Score ◽

Cross Sectional Study ◽

Female Students ◽

Sectional Study ◽

Urban District ◽

Cross Sectional ◽

Menstrual Hygiene ◽

Adequate Knowledge ◽

College Going ◽

The Mean

Background: Millions of women face significant barriers in menstrual hygiene management due to inadequate awareness, misconceptions and erroneous practices. The objectives of the study were to assess the awareness, perceptions and practices regarding menstruation and their associated factors among youth of a peri-urban college in Bangalore Urban district.Methods: A cross-sectional study was conducted among both male and female students studying in a degree college. A pre-designed, face-validated structured questionnaire was administered to all students present on the day of the study.Results: Of the 758 students, 372 (49.1%) were male and 386 (50.9%) were female. The mean age was 19.35±1.40 years. A consolidated score above 50% i.e. 07/14 was considered adequate for knowledge. The mean knowledge score was 7.51±2.52. Overall 389 (51.3%) students had adequate knowledge. Awareness levels were significantly better among females (72.3%) than males (29.6%). Among the female students, 384 (99.5%) were aware of sanitary napkins, 165 (42.7%) of menstrual cup, 12 (3.1%) of tampon and 254 (65.8%) of reusable cloth, however majority (96.9%) preferred use of sanitary napkins. Among the female students, 42.6% were expected to follow some social and cultural restrictions during menstruation. Main source of information regarding menstruation and various menstrual products was internet. Misconceptions documented regarding menstruation included the belief that menstrual blood is poisonous (75.2%). Positive attitude towards menstruation was low both among male students (21.5%) and female students (48.4%).Conclusions: Awareness levels were poor among males than females. Practices regarding menstrual hygiene were adequate. However, misconceptions were widely prevalent among both genders indicating the need for health education among college-going childhood.

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Awareness of family planning services among ASHA workers in a municipality of northern Kerala

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20183072 ◽

2018 ◽

Vol 5 (8) ◽

pp. 3413

Author(s):

Arya Lokesan Ratnam ◽

Jayasree Anandabhavan Kumaran

Keyword(s):

Family Planning ◽

Cross Sectional Study ◽

Family Planning Services ◽

Cross Sectional ◽

Adequate Knowledge ◽

Accredited Social Health Activist ◽

Qualified Personnel ◽

Proper Training ◽

The Mean ◽

Structured Questionnaire

Background: Accredited Social Health Activist (ASHA) is one of the key components of National Rural Health Mission (NRHM).The success of national health programs on family planning depends on how well ASHAs are trained and perform. Therefore it’s essential to assess the knowledge of ASHA workers. This study intends to assess the awareness of family planning services among ASHA workers in a municipality of northern Kerala.Methods: This is a cross sectional study conducted among ASHA workers working in a municipality in Kannur District, during a study period of two weeks (July 1- July14, 2017). Data was collected using a semi structured questionnaire. Data was analyzed using SPSS version 16.0 software and the results were expressed in terms of means, frequencies and percentage.Results: Majority (42.1%) of the ASHAs belongs to the age group of 42- 45 years and none of them were below 30 years. The mean population catered by ASHA workers were 1250. All of them were experienced for at least 7 years.Conclusions: All ASHA workers had satisfactory knowledge about family planning services. Despite this some of the ASHA workers don’t have adequate knowledge about ECPs, Progesterone only pills and non-contraceptive uses of condom. Hence it is essential to ensure that they are getting proper training from qualified personnel at regular intervals.

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