CAUSES OF HYDROCEPHALUS AND COMPLICATIONS OF VP SHUNT IN PEDIATRIC POPULATION

2019 ◽  
Vol 16 (4) ◽  
pp. 97-100
Author(s):  
Shahid Nawaz ◽  
Fakhar Hayat ◽  
Sarfaraz Khan ◽  
Sarah Rehman ◽  
Noor Sardar ◽  
...  

ABSTARCT Background: Ventriculoperitoneal (VP) shunt is a common procedure for treatment of hydrocephalus. The objectives of the study were to determine the causes of hydrocephalus and complications of VP shunt in our pediatric population. Materials & Methods: This descriptive, cross-sectional study was conducted in the Department of Neurosurgery, Gomal Medical College, D.I.Khan, Pakistan from January 2018 to January 2019. The sample size was 97 selected through consecutive, non-probability sampling technique using online sample size calculator, the Raosoft. The inclusion criteria were all pediatric patients with hydrocephalus. All those post-operative patient operated for other pathologies of brain and spine without VP shunt were excluded from the study. CT or MRI of brain with and without contrast were done. Post operatively all the patients were followed up till 6 months and any complication which occurred were documented. Demographic variable were sex and age in years. Research variables were causes of hydrocephalus and post-operative complications of VP shunt. All variables except age in years being categorical were analyzed through frequency and percentages. Age was calculated by mean and SD using SPSS version 20. Results: Out of 97 patients, boys were 59(60.82%) and girls were 38(39.17%). The mean age of the sample was 4.5 ±5 ranging from 5 months to 13 years. The most common cause was aqueductal stenosis having 58(59.7 %), myelo-meningocele were 17(17.7%), post meningitis were 12(12.3%) and remaining 10(10.3%) were associated with brain tumors. Out of 21 patients 12(57.2%) developed shunt obstruction, 5(23.8%) shunt infection, 2(9.5%) developed post-operative seizures, 2(9.5%) had exteriorization of lower end of shunt through abdominal incision. Conclusion: The most common cause of hydrocephalus is acqueductal stenosis. The most common complication of VP shunt is shunt obstruction in pediatric population, having pre-school boys as modal group.

2019 ◽  
Vol 16 (4) ◽  
pp. 101-104
Author(s):  
Sarah Yunus ◽  
Sadaf Rasheed ◽  
Amir Amanullah ◽  
Shehla Aman ◽  
Usman Ullah ◽  
...  

Background: Infertility is a social problem and a big stigma. The objectives of the study were to determine the age wise distribution of ovarian volume and the difference in ovarian volume between married fertile and infertile women with transvaginal sonography. Materials & Methods: This comparative, cross-sectional study was conducted in the Department of Anatomy, Gomal Medical College, D.I.Khan, Pakistan from March 2013 to December 2013. Sample Size was 100 women selected by consecutive non probability sampling technique. Sample size was calculated using online calculator Raosoft. Inclusion criteria were women aged 18-50 years, married, fertile and infertile. Color Doppler sonoscape with multi frequency transvaginal probes were used in measurements on any day in the start of menstrual cycle by the same observer. The volume was calculated by applying formula for ellipsoid called Prolate ellipsoid formula. The total volume was represented by sum of volume of two ovaries. Data collection site was out patient department of Radiology DHQ Teaching Hospital, D.I.Khan. Demographic variable were age groups and presence of fertility. Research variable was ovarian volume. Mean and standard deviation were calculated for ovarian volume whereas frequency and percentages were calculated for age groups and presence of fertility. Descriptive statistics along with estimation of parameter was done at 95% confidence interval for proportion and mean. Student- t test was used for significance of difference in ovarian volume between fertile and infertile women with p value


2020 ◽  
Vol 4 (3) ◽  
pp. 107-115
Author(s):  
Safruddin ◽  
Nurlina ◽  
Anel Ariansyah

A depressive disorder is a serious mental problem characterized by feelings of anxiety and sadness. Depressive disorders have increased from year to year, where the total number of people living with depression in the world is 322 million, this is supported by WHO 2017 data. Generally, someone in a depressed state experiences feelings of sadness, anxiety, or emptiness, and the impact that is caused if depression is not treated immediately, it will have an impact on oneself such as low self-esteem, social isolation, and even suicide attempts. Besides that, it will also have an impact on the people around it. The purpose of this study is to know the description of the level of depression in prisoners in Class II A Penitentiary in Bulukumba Regency in 2020. The research design used in this study is a descriptive research design with a cross-sectional approach. The affordable population in this study were inmates with all cases totaling 194 people with a sample size of 85 respondents. The sampling technique using a systematic random sampling method selects a sample from the population systematically. Data were collected using a questionnaire sheet. Based on the results of the research conducted, it was shown that the frequency distribution of the level of depression of the 85 prisoner respondents experienced mild depression as many as 64 respondents (75.3%) then moderate depression was 14 respondents (16.5%) and 7 respondents (8.2%) were not depressed. In all cases, the depression level of prisoners in class II A prisons in Bulukumba district experienced mild depression. Researchers suggest that further the sample size can be added so that data collection is more accurate and can be linked to other variables that can cause depression


2021 ◽  
Vol 6 (2) ◽  
pp. 216-221
Author(s):  
Boby Begam ◽  
Kabita Devi

Adolescent starts with early healthy teens and ends up with the many unhealthy issues if not taken care of One of the high risk health issues of adolescence is related to substance use. It is a decade ago worldwide problem where India too has fallen into this viscous cycle. It has not only affected the health of adolescence but has also affected the future of the entire nation. Objectives: The study aimed to find out knowledge and attitude on ill effects of substance use among school going children. Material and Methods: The study adopted cross sectional descriptive design. The study was conducted in three School of Golaghat, Assam for a period of 2 weeks among 265 school going children who were selected using purposive sampling technique after taking the consent. Tool knowledge questionnaire related Substance Use and Attitude scale related Substance Use was used. Results: It was found that 94% of the school going children was having high knowledge level on the ill effects of substance use and their attitude varies towards the substance use. There was no significant association found between knowledge score and selected socio demographic variable. Conclusion: It was found that even after having sufficient knowledge and negative attitude towards the substance use, many adolescent are trapped in this phenomena. It may be because of lack of assertiveness and weaken coping ability of the adolescence. Keywords: Knowledge, Attitude, Substance use, School Going Children.


2020 ◽  
Vol 58 (225) ◽  
Author(s):  
Minani Gurung ◽  
Natkamol Chansatitporn ◽  
Kanittha Chamroonsawasdi ◽  
Punyarat Lapvongwatana

Introduction: The period of adolescence undergoes many physical and mental changes.Changing emotional and physical status along with increasing social, family, and academicpressure lead to various impairments in the mental health of adolescents. Academic failureleads to the suicide rate in adolescents, predominantly high during the declaration of examresults which is significantly high in a rural area in comparison with urban. The study examinedthe prevalence of academic stress among high school students in a rural area of Rolpa, Nepal. Methods: A descriptive cross-sectional study was conducted in 6 schools in Rolpa from July to October 2019. The sample size calculated was 521. A convenient sampling technique was used for this study.The target population was adolescents enrolled in high schools of Rolpa. Ethical approval was takenbefore data collection. The scale for assessing academic stress was used to find out the prevalence.A questionnaire was translated in local language and pre-testing was done in Nepal Police School,Sanga among 10% of the calculated sample size. Data entry was done in Statistical Package for theSocial Sciences version 18. Descriptive statistical analysis was done for prevalence calculation.  Results: Out of a total of 521 students, the prevalence of academic stress was seen among 138 (26.5%)students at a 95% confidence interval (22.72-30.28). Conclusions: The prevalence of academic stress in our study was high and was consistent with otherSouth Asian studies. Understanding academic stress and providing help and support to the studentswould help ease the burden for them.


2021 ◽  
Vol 10 (1) ◽  
pp. 120
Author(s):  
Yulia M. Nur ◽  
Elnita Rahmi ◽  
Eliza Eliza

Neonatal jaundice is a common problem in the care of normal newborns. West Pasaman Regional Hospital data states that in 2018 there were 41 cases of neonatal jaundice out of 369 deliveries. The research objective was to determine the effect of exclusive breastfeeding and phototherapy on the incidence of neonatal jaundice. The research method is retrospective, namely conducting research on past events. The research was conducted at RSUD Pasaman Barat with a population of 20 people. Sampling was done by total sampling technique, so that the sample size is 20 people. Data collection was carried out by means of observation at the West Pasaman Regional Hospital. The approach used is cross sectional, namely independent and dependent data collection is done at the same time. The data that has been collected is then processed manually and analyzed by computerized univariate and bivariate analysis. This type of research is descriptive with a cross sectional design. The study population was all babies in West Pasaman Regional Hospital with a total of 41 people, the sample size was determined by the total sampling so that the sample was 41 people. The data was collected by means of a documentation study using a checklist. Data processing was carried out by univariate computerization. The results showed that as many as 13 respondents (31.7%) were breast-fed, 63.4% were carried out with phototherapy and 24.4% of respondents had neonatal jaundice. Based on the bivariate analysis obtained p value 0.049 (Breastfeeding) and 0.001 (Phototherapy). The results of the Chi Square test, it can be concluded that there is an effect of breastfeeding and phototherapy on the incidence of neonatal jaundice


2020 ◽  
Vol 24 (2) ◽  
Author(s):  
UZMA KHURSHEED ◽  
MUHAMMAD HUSSAIN ◽  
SYED AMIR GILANI

Objective:  Hands play a significant role in organism transmission. Poor hand hygiene practices in health care settings lead to nosocomial infection. Aseptic practice is the cornerstone of current surgery, thus rigid adherence to prescribed sterile techniques in the operating room is essential.The objective of this study was to evaluate nurses’ competencies regarding surgical hand scrubbing. Material and Methods: Cross sectional observational design was used. The study was conducted in operating rooms in a tertiary care hospital, Lahore, Pakistan.This setting contains total seven operating rooms with 250 registered nurses. Sample size calculated through Slovin’s formula. Sample size was 154. Convenient sampling technique was used. An adopted checklist was used for observing the nurses’ practices of hand scrubbing. Data was analyzed in Statistical Software of Social Sciences (SPSS) version 25. Results:  Majority of nurses (72.7%) were between 21-30 years age group. Only 38.3% participants wore a face mask and surgical cap correctly and 61.7% did not wear correctly. Majority participants, 76% had short nails.All participants (100%) removed nail polish, artificial nails, and jewelry before scrubbing. Majority of participants applied a proper amount of Povidone iodine. Conclusion:  Operational hand scrub is very vital component of operative procedure. Results of this study showed inadequate practices of nurses in the operating room, which was overall 77%. There is a need to improve nurses’ practices so, periodically audit, manager supervision and feedback, workshops should be organized.


2019 ◽  
pp. 200-214
Author(s):  
Eghosa Morgan ◽  
Nosa Akpede ◽  
Emmanuel Friday Osagiede ◽  
Vivian Ajekweneh ◽  
Francis Erah ◽  
...  

Background. Spinal Bifida is a congenital malformation of the spine that typified defect of the neural tube with devastating neurological, psychosocial and developmental burden to the growing child with associated huge financial burden to the parents, community and the country. Past and present studies have shown strong evidence to indicate that folic acid supplementation during the periconceptional period reduces the occurrence of spinal bifida in children.Aim. To assess the knowledge, attitude, and practice of use of folic acid during the periconceptional period among women of childbearing age in two rural communities in Edo State, Nigeria.Materials and methods. A prospective cross-sectional study of 170 women between the ages of 15 and 49 years recruited through a multi-stage sampling technique. The survey instrument was a structured interviewer-administered questionnaire. The data was analysed using Statistical Package for Social Sciences (SPSS) version 21 and presented as charts, tables, and associations tested with Chi-square at a statistical level of significance set at p<0.05.Results. One hundred and twenty-two (71.8%) of the respondents showed good knowledge, 147(86.5%) had a positive attitude, and 106 (62.4%) had a good practice of use of folic acid. There was a statistically significant association between respondents’ age, marital status, level of education, occupation, and their knowledge of the use of folic acid as well as with their attitude towards the use of folic acid. However, the practice was mainly associated with the socio-demographic variable of each household.Conclusion. The use of folic acid during the perinatal period for the prevention of spinal bifida is found to be absent in about two-fifths of the study population, a number found to be alarming despite the high level of good knowledge and attitude towards the use of folic acid. There is, therefore, an urgent need to step up more advocacy and health education to women of childbearing age to increase the uptake of folic acid for effective reduction of the incidence of spinal bifida.


Author(s):  
Sonal Dhobe ◽  
Seema Singh

Background: Nutritional anemia is a disorder that cause due to a lack of one or more vital nutrients, such as iron, protein, vitamin B12, and other vitamins and minerals. In this condition hemoglobin content in the blood is lower than usual. Nutritional anemia has been described as correlated with reduced childhood emotional, physical, and cognitive function and is a major risk factor for maternal mortality. Objective: 1. To assess the prevalence of nutritional anemia among adolescent girls. 2. To assess the causes of nutritional anemia among adolescent girls. 3. To associate the demographic variable with prevalence and causes of nutritional anemia among adolescent girls. Methodology: This is a cross sectional observational study will be conducted among the adolescent girls where age is between 10-14 years, the sample size can be calculated statistically by using the prevalence of previous studies which done in India and the sample size is 220 adolescent girls selected in a particular rural community area of Wardha district. Non-probability convenience sampling will be using for sample collection. The standard haemoglobinometer (Accusure HB meter) for analyzing the haemoglobin according to WHO criteria and structure questionnaire scale is made upon the causes behind the nutritional anemia. According to some previous studies, the prevalence rate has been shown high in the adolescent age group so this study help to find the prevalence rate in a particular community and the causes of nutritional anemia among adolescent girls. Expected Results: In this study the researcher evaluate the prevalence and its causes of nutritional anemia among adolescent girls, this study will show the rate of prevalence in the particular community area and also the causes of nutritional anemia among adolescent girls. Conclusion: The conclusion will be drawn from the results.


2019 ◽  
Vol 1 (2) ◽  
pp. 58-62
Author(s):  
Tedty Rohaya Tinambunan ◽  
Anita Theresia Lumban Gaol

“Sustainable nursing education is professional development that includes a variety of activities carried out by someone in his capacity as a nurse practitioner, in order to maintain and enhance their professionalism as nurses according to established competency standards. The purpose of this study is to find out the relationship between continuing education and nurse competency at inHealth Institute of Deli Husada DelituaThis type of research is an analytical survey with a cross sectional approach. The technique used in sampling is total sampling, namely the total sampling technique with a sample size of 48. The result of this study indicate that there is a continuing educational relationship with nurse.The conclusion of this study is the relationship between continuing education and the competence of nurses at inHealth Institute of Deli Husada Delitua. Advice that can be given is that the institution continues to provide and include nurses in continuing education to assist nurses in developing their competence”.


2015 ◽  
Vol 14 (3) ◽  
pp. 227-229 ◽  
Author(s):  
Roberto Chapa Sosa ◽  
Edgar Rubén Urrutia Vega

Objective:To analyze the characteristics of unstable thoracolumbar fractures in the pediatric population.Methods:A retrospective cross-sectional study was conducted with pediatric patients (0 to 15 years) who presented with unstable thoracolumbar fracture with or without neurological damage. Twenty-four operated patients were analyzed: 13 male and 11 female.Results:Falls from height are the most common cause, being the thoracolumbar junction the anatomical site most frequently injured.Conclusion:The thoracolumbar fractures are rare in the pediatric population, as well as post-surgical instrumentation structural deformities.


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