scholarly journals Profile and Outcome of Medical Emergencies in a Teaching Hospital in the Commercial City of Aba, Southeast Nigeria

2020 ◽  
Vol 3 (3) ◽  
pp. 415-421
Author(s):  
MO Nkpozi ◽  
BU Adukwu ◽  
UN Onwuchekwa ◽  
JA Chikezie ◽  
C Aluka
Keyword(s):  
Social Sciences ◽  
Medical Condition ◽  
Modifiable Risk Factors ◽  
Medical Conditions ◽  
Accident And Emergency ◽  
Stroke Study ◽  
Medical Emergencies ◽  
Medical Wards ◽  
The City

Medical conditions present at the Accident and Emergency (A&E) or Emergency Department (ED) very often. Outcome of medical emergencies depends, among other factors, on the age of patients, gender, socioeconomic factors, medical conditions, their severity, time of patients' presentations, quality of care/treatment given and the available resources (manpower and facilities) in the A&E. There is a paucity of published literature on medical emergencies outcome in Aba, Southeast Nigeria. This study, therefore, set out to bridge this gap in knowledge. This was a 1-year observational study in which patients presenting to the A&E/ED of ABSUTH, Aba for treatment of a medical condition were consecutively recruited and followed up until discharged home, admitted to the medical wards or died in A&E. This study lasted from January 1, 2018 to December 31, 2018. Relevant data obtained were analyzed using Statistical Package for Social Sciences (SPSS) version 20.0 software. A total of 589 patients presented at A&E because of medical conditions/emergencies, made up of 269 (45.7%) males and 320 (54.3%) females. The commonest medical emergencies were DM related complications, acute malaria, HIV/AIDS, heart failure and stroke. Study subjects discharged home were 17.5%, 71.1% were admitted into the medical wards and 11.4% died. Medical emergencies, caused predominantly by non-communicable diseases (NCDs), contributed significantly to the A&E cases in the city of Aba, Nigeria and are associated with considerable mortality. It is recommended that efforts should be made to control the modifiable risk factors of NCDs while early detection and treatment of communicable and NCDs should be affected.

scholarly journals Quality of Life of Patients with Arterial Hypertension

Medicina ◽  
2020 ◽  
Vol 56 (9) ◽  
pp. 459
Author(s):  
Katarzyna Snarska ◽  
Monika Chorąży ◽  
Michał Szczepański ◽  
Marzena Wojewódzka-Żelezniakowicz ◽  
Jerzy Robert Ładny
Keyword(s):  
Quality Of Life ◽  
Healthy Lifestyle ◽  
Statistical Significance ◽  
Study Group ◽  
Modifiable Risk Factors ◽  
Factors Affecting ◽  
Social Sphere ◽  
Medium Level ◽  
The City

Symptoms of hypertension with accompanying complications result in a significant reduction in patients’ quality of life. Effective conduct of prescribed pharmacotherapy supported by a healthy lifestyle allows to achieve satisfactory effects of treatment, which translates into an improvement in the quality of life of patients. The aim of the work was to determine the quality of life of patients with hypertension and the factors affecting it. The study included 100 people with hypertension, who are patients of the department of internal diseases of the hospital in Hajnówka during the period 1.6.2019–1.12.2019. The questionnaire survey, the standardized WHO Quality of Life (WHOQOL)-BREF scale and the Barthel scale were the research tools. The probability p < 0.05 was assumed as the level of statistical significance. The study group consisted of subjects between 30–89 years old. The majority were men and those living in the city. The average BMI (body mass index) of the subjects was 28.4 kg/m2. The duration of the disease among those surveyed was on average 7 ± 6.34 years. The highest-rated area of quality of life was the physical field and the lowest social sphere according to the WHOQOL-BREF questionnaire. Patients with hypertension have determined their quality of life at a good or medium level in the physical, psychological, social, and environmental sphere. There are many factors that improve quality of life in all areas. These include following the recommendations on modifiable risk factors.

scholarly journals Prevalence of risk factors for breast neoplasm in the city of Maringá, Paraná state, Brazil

2010 ◽  
Vol 18 (3) ◽  
pp. 352-359 ◽  
Author(s):  
Jéssica Carvalho de Matos ◽  
Sandra Marisa Pelloso ◽  
Maria Dalva de Barros Carvalho
Keyword(s):  
Social Sciences ◽  
Risk Factors ◽  
Cross Sectional Study ◽  
Modifiable Risk Factors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Overweight Women ◽  
The Social ◽  
Spss Software ◽  
The City

The aim of this study was to identify the prevalence of the risk factors for breast cancer among women between 40 and 69 years old in the city of Maringá, Paraná State, Brazil. An analytical, exploratory and cross-sectional study was carried out through a population research at homes in Maringá. The sample was composed of 439 women between 40 and 69 years old. The data were collected by home interviews, stored using the Statistical Package for the Social Sciences (SPSS) software and presented in tables as absolute and relative frequency. The predominant ethnical group was Caucasian with an average age of 52 years. Among risk factors identified in the present study, an expressive number of overweight women were found. It is important and necessary to put in practice actions that identify the modifiable risk factors for the development of breast tumors in order to reduce morbidity and mortality levels due to this pathology.

MAPPING SPATIAL VARIABILITY OF THE QUALITY OF LIFE IN THE CITY OF MEDELLIN-COLOMBIA

2020 ◽  
Vol 38 (1) ◽  
Author(s):  
Fabio H. Sepúlveda-Murillo ◽  
Norely Margarita Soto-Builes ◽  
Marina Checa-Olivas ◽  
Jorge Chica-Olmo
Keyword(s):  
Social Sciences ◽  
Quality Of Life ◽  
Spatial Variability ◽  
Living Standard ◽  
Economic Policies ◽  
Calidad De Vida ◽  
The Social ◽  
Spatially Varying ◽  
The City

The study of subjective welfare or quality of life perceived (QoL) is a topic of nowadays in the Social Sciences, due to the implications that these studies have for design and evaluation social and economic policies. This paper focuses in two tasks main: a) measure the QoL of the homes of the city of Medellin-Colombia, using conventional techniques multivariate statistics to produce an indicator; and b) by means of the indicator, analyze if the living standard of the Medellin’s homes is distributed randomly on the space or present a significant association of similar (dissimilar) values between near zones. The results show that QoL spatially varying distribution in the city of Medellin y que existen clústeres de barrios donde, de acuerdo a las variables del indicador considerado, se concentran la mejor y la peor calidad de vida percibida por sus ciudadanos. Estos resultados muestran que en las zonas centro-oeste y sureste de la ciudad se concentran las mejores condiciones, mientras que en el resto de la ciudad se encuentran las mayores necesidades.

scholarly journals Medical comorbidities of patients presenting to an adult neurodevelopmental new case clinic in Singapore

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S295-S295
Author(s):  
Ho Teck Tan ◽  
James Patrick Moon ◽  
Giles Ming Yee Tan
Keyword(s):  
Neurodevelopmental Disorders ◽  
Medical Condition ◽  
Neurodevelopmental Disorder ◽  
Well Being ◽  
Medical Conditions ◽  
Medical Comorbidity ◽  
Medical Comorbidities ◽  
Respiratory Problems ◽  
Gastrointestinal Conditions

AimsTo describe the occurrence of medical comorbity in patients with neurodevelopmental disorders presenting to the Adult Neurodevelopmental Service (ANDS) multi-disciplinary new case clinic at the Institute of Mental Health (IMH) in Singapore. We hypothesize that patients with neurodevelopmental disorders have higher rates of medical comorbidity compared to those without a diagnosis of neurodevelopmental disorder.BackgroundMedical comorbidities are common in patients with neurodevelopmental disorders. They may have difficulties managing their medical conditions which could in turn affect their well being, quality of life and life expectancy.MethodA retrospective cohort study was conducted amongst patients who presented to the clinic from January 2015 to December 2016. The electronic case records of the assessments were de-identified and the medical conditions of patients were collected and analysed.Result319 patients attended the ANDS new case clinic in the 2-year study period. 87.1% (278/319) were diagnosed with a neurodevelopmental disorder while 12.9% (41/319) did not receive any diagnosis of a neurodevelopmental disorder.58.3% (162/278) of patients with a neurodevelopmental disorder had at least 1 medical comorbidity while only 31.7% (13/41) of patients with no neurodevelopmental disorder had at least 1 medical condition.Patients with neurodevelopmental disorders had higher rates of epilepsy (12.2% vs 4.9%), cerebral palsy (3.2% vs 0%) but lower rates of having other neurological conditions (1.4% vs 7.3%) compared to those with no neurodevelopmental disorders.Patients with neurodevelopmental disorders had higher rates of diabetes (6.1% vs 2.4%), hypertension (6.1% vs 2.4%), hyperlipidaemia (7.1% vs 2.4%) and cardiovascular conditions (2.9% vs 0%) than those without a neurodevelopmental disorder.In terms of other medical comorbidities, patients with neurodevelopmental disorders had higher rates of thyroid abnormalities (4.7% vs 2.4%), respiratory problems (7.6% vs 2.4%), musculoskeletal conditions (5.8% vs 0%), eye issues (5% vs 2.4%) and hearing problems (2.9% vs 0%) but similar rates of dermatological conditions (10.1% vs 9.8%) and gastrointestinal conditions (4.7% vs 4.9%) compared to those with no neurodevelopmental disorders.ConclusionPatients with neurodevelopmental disorders have significantly highly rates of medical comorbidity than those without any neurodevelopmental disorders. This study highlights the need to raise awareness of the common medical comorbidities in patients with neurodevelopmental disorders and to ensure adequate screening and referral for follow-up medical care for them.

scholarly journals Modifiable antenatal risk factors for stillbirth amongst pregnant women in the Omusati region, Namibia

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Desire D. Tshibumbu ◽  
Julia Blitz
Keyword(s):  
Risk Factors ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Modifiable Risk Factors ◽  
Medical Conditions ◽  
Economic Implications ◽  
Maternal Characteristics ◽  
Factors Associated ◽  
District Hospitals

Background: Reduction of stillbirth rates is important because of the social and economic implications. Access to quality antenatal care is important in preventing the risk factors associated with stillbirth.Aim: To determine the prevalence of modifiable antenatal risk factors associated with stillbirth so as to determine possible gaps in their prevention.Setting: The study was conducted at four district hospitals in the Omusati Region of Namibia.Methods: A descriptive study using recorded antenatal data was used. Data were collected from the records of 82 women at the time that they had a stillbirth, during the period October 2013 to December 2014. Data were collected for modifiable risk factors related to maternal characteristics, antenatal care received, medical conditions and obstetric complications.Results: The average prevalence of each category of risk factors was as follows: quality of antenatal care (19.8%), maternal characteristics (11.4%), medical conditions (8.9%) and obstetric complications (6.5%). The most prevalent individual risk factors included: no folate supplementation (30.5%), HIV infection (25.6%), late booking (16.7%), intrauterine foetal growth retardation (13.4%) and alcohol use (12.5%).Conclusion: Amongst the 14 modifiable risk factor included in the present study, 11 (78.6%) were prevalent amongst women who had a stillbirth. Risk factors associated with quality of antenatal care were the most prevalent. Whilst further investigation is needed to determine the causes behind this prevalence, health education on the availability and benefits of antenatal care, pregnancy timing and spacing may contribute to reducing the prevalence of these risk factors.Keywords: Stillbirth; modifiable risk factors; pregnant women; Omusati region; Namibia

scholarly journals Stroke admissions in the medical wards of a teaching hospital in south east nigeria: A 10 -year review

2020 ◽  
Vol 7 (3) ◽  
pp. 35-38
Author(s):  
Marcellinus Nkpozi ◽  
Rowland Nwanke ◽  
Ejiofor Ugwu
Keyword(s):  
Social Sciences ◽  
Cause Of Death ◽  
Multidisciplinary Care ◽  
Present Situation ◽  
Stroke Units ◽  
Stroke Outcomes ◽  
The Third ◽  
Medical Wards ◽  
Set Up ◽  
The City

Stroke, the third leading cause of death worldwide, contributes significantly to the morbidity and mortality of medical admissions. There is a paucity of literature on stroke outcomes in the Southeast region of Nigeria. This study, therefore, is aimed at bridging this gap in knowledge.      .This was a 10-year retrospective descriptive study in which data about patients with a clinical diagnosis of stroke were extracted from the Admission/Discharge registers in the medical wards of ABSUTH, Aba. Relevant data obtained were analyzed using Statistical Package for Social Sciences (SPSS) version 20.0 software. A total of 6587 admissions were recorded within the study period; 830 (12.6%) were admitted because of stroke, made up of 382 (46%) males and 448 (54%) females. Stroke was the commonest cause of death among the medical in-patients within the period under review and of all the stroke admissions, mortality was high at 42.3% with majority of the deaths (91.5%) occurring within the first two weeks of hospitalization. Stroke contributed significantly to medical admissions in the city of Aba, Nigeria. Mortality from stroke was high and that occurred mainly within the acute phase of the illness. There is, therefore, a need for dedicated stroke units to be set up in centres where stroke admissions are this high where the stroke in-patients will be afforded specialized multidisciplinary care instead of the present situation of medical ward admissions.        

scholarly journals Deliberate self-harm

2001 ◽  
Vol 25 (3) ◽  
pp. 98-101 ◽  
Author(s):  
Sean Whyte ◽  
Andrew Blewett
Keyword(s):  
Mental State ◽  
Psychiatric Care ◽  
Case Note ◽  
Clinical Implications ◽  
Deliberate Self Harm ◽  
Accident And Emergency ◽  
Self Harm ◽  
Medical Wards ◽  
The Impact

Aims and MethodA repetition after 5 years of a prospective case note audit, looking at the impact of a recently established deliberate self-harm (DSH) assessment team on the quality of DSH assessments at Kettering general hospital.ResultsAspecialist DSH team achieved improvement in the quality of psychiatric assessments for the majority of patients who harmed themselves. Assessments of mental state by accident and emergency (A & E) and medical staff before referral to the psychiatric team remain problematic.Clinical ImplicationsSetting up aspecialist team to assess patients who harm themselves can improve the quality of the psychiatric care they receive, but emphasis must still be placed on an adequate assessment of mental state by medical and nursing staff in A&E and on medical wards.

scholarly journals What is Urgency of Health-Seeking Behaviour Concept in Health Policy?

2020 ◽  
Vol 3 (1) ◽  
pp. 10-26
Author(s):  
Rachmat Hidayat ◽  
Patricia Wulandari
Keyword(s):  
Social Sciences ◽  
Local Community ◽  
Health Facilities ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Seeking Behavior ◽  
The Village ◽  
The City ◽  
Multidisciplinary Sciences

Abstract Health-seeking behavior (HSB) is a concept that requires contributions from multidisciplinary sciences, namely health, psychology, and social sciences. Understanding the HSB concept helps academics and practitioners to understand the individual's reasons for seeking medical help. Health service facility factors are generally often blamed for the low quality of health in a place; for example, the low quality of health in the village is often associated with the limitations of health facilities in the village compared to in the city. It turns out that not all of them and not the majority of the low quality of health in an area is only due to the limitations of health facilities, sometimes it can be caused by the values held by the local community.

Model Pemberdayaan Usaha Mikro Dan Pengaruhnya Terhadap Kemandirian Usaha

2015 ◽  
Vol 2 (1) ◽  
pp. 75-93
Author(s):  
Mudasetia Hamid ◽  
Evy Rosalina Widyayanti
Keyword(s):  
Human Resources ◽  
Small And Medium Enterprises ◽  
Poverty Rate ◽  
Cultural Centers ◽  
Central Java ◽  
Tourism Education ◽  
The Indian Ocean ◽  
Medium Enterprises ◽  
The City

Yogyakarta is a city and the capital of Yogyakarta Special Region in Java, Indonesia. It is renowned as a center of tourism, education and culture. Yogyakarta is one of the foremost cultural centers of Java. This region is located at the foot of the active merapi vulcano. Yogyakarta is often called the main gateway to the Central Java as where it is geographically located. It stretches from Mount Merapi to the Indian Ocean. This province is one of the most densely populated areas of Indonesia. Yogyakarta is popular tourist destination in indonesia after Bali. These have attracted large number of visitors from across Indonesia and abroad to the city. This status makes Yogyakarta is one of the most heterogeneus cities in Indonesia. In edition, Yogyakarta has attracted large number of people to reside in this city for business. One of these comers is small entrepreneurs with their market munchies enterprise (specially a traditional snack trader). This business is one of famous business in Yogyakarta, we will find rows of pavement vendors selling market munchies. The students and tourists are their main target customers. Market munchies enterprise is part of small and medium enterprises SMEs as livelihood activities. SMEs has an important role in economic growth of Indonesia. Therefore, it is very important to develop and strengthen the micro enterprise empowerment. Micro enterprise empowerment is one of strategy to reduce the poverty rate in Indonesia. Major challenger in implement this program are that micro entrepreneurs are conventional and have satisfied with their revenue. It is very important to develop a comprehensive and sustainable micro enterprise empowerment which consist of strengthen the quality of human resources, maximize the government’s roles, empower the enterprise capital and strengthen the partnership and autonomous. Micro enterprise autonomy will contribute to the economic and investment climate. This will lead to establish an accountable enterprise both for the micro enterprise and customers which at the end will strengthen the development of the micro enterprise in Yogyakarta.Keyword: micro entreprise, human resources, government roles, capital, partnership and autonomous.

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