The prevalence and impact of psychiatric comorbidity in inpatients admitted to a district general hospital in England: a 1-week cross-sectional study

While gastrointestinal disease is common among HIV infected individuals, the prevalence and distribution of ano-rectal pathology has not been well studied in our setting. The objective of this study therefore was to determine the prevalence and determinants of ano-rectal pathology in HIV infected patients attending the Douala General Hospital HIV treatment centre. A hospital-based cross-sectional study was undertaken. We collected socio-demographic, clinical and laboratory data using a structured questionnaire and patients’ files. Each study participant had a full physical and ano-rectal examination. We further studied factors associated with having at least one ano-rectal lesion by logistic regression reporting odds ratios (ORs) and their 95% confidence intervals (CI). We included 390 HIV infected patients. The mean age was 41 (SD: 8) years and 48% were men. Median duration since HIV diagnosis was 3 (interquartile range: 2–5) years and median CD4 cell count was 411 (interquartile range: 234–601) cells/mm3. Prevalence of ano-rectal pathology was 22.8% (95% CI: 18.7–27.3). Hemorrhoids and proctitis were most common lesions found; each in 10% of patients. From multivariate logistic regression, factors associated with ano-rectal pathology were CD4 < 350 cells/ml (OR: 2.1, 95% CI: 1.1–4.2), not on highly active antiretroviral therapy (OR: 2.2, 95% CI: 1.1–4.6), inpatient (OR: 2.3, 95% CI: 1.2–4.3), ano-rectal intercourse (OR: 5.0, 95% CI: 1.7–15.1), and more than one sexual partner (OR: 2.4, 95% CI: 1.3–4.2). Ano-rectal pathology is common amongst HIV infected patients. Care givers should actively investigate and treat them as this will improve the quality of life of people living with HIV/AIDS.

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Reproductive Health in Pregnant Adolescents: A Cross-sectional Study in a General Hospital in Monterrey, México

Journal of Pediatric and Adolescent Gynecology ◽

10.1016/j.jpag.2018.02.105 ◽

2018 ◽

Vol 31 (2) ◽

pp. 204-205

Author(s):

Villa-Cruz Grecia ◽

González-Oropeza Diego ◽

Ploneda-González César ◽

Hernández-Escobar Claudia ◽

Tenorio-Martínez Sofía

Keyword(s):

Reproductive Health ◽

General Hospital ◽

Cross Sectional Study ◽

Sectional Study ◽

Pregnant Adolescents ◽

Cross Sectional

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Clinical features of alcoholic suicide attempters/ non-attempters

Psychiatric Bulletin ◽

10.1192/pb.20.11.656 ◽

1996 ◽

Vol 20 (11) ◽

pp. 656-659

Author(s):

Meena Agarwal ◽

Keith Gaskell

Keyword(s):

Antisocial Personality Disorder ◽

Psychiatric Comorbidity ◽

Attempted Suicide ◽

Cross Sectional Study ◽

Antisocial Personality ◽

Sectional Study ◽

Cross Sectional ◽

Treatment Unit ◽

Suicide Attempters ◽

High Incidence

A cross-sectional study of 74 consecutive alcoholic patients admitted to a subregional alcohol treatment unit examines the socio-demographic and clinical differences between those who had/had not attempted suicide, and investigates their relationships to current suicidal ideation. The suicide attempters were significantly younger, separated and unemployed. They began regular drinking earlier, were more severely dependent and had a higher proportion of major depression, antisocial personality disorder and another drug abuse. The results suggest a high incidence of suicidal behaviour in alcoholics and high psychiatric comorbidity in alcoholics who attempt suicide.

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Depressive Symptoms among Patients with Epilepsy Attending Adare General Hospital, Hawassa Ethiopia: Cross-sectional Study

Journal of Psychiatry ◽

10.4172/2378-5756.1000447 ◽

2018 ◽

Vol 21 (3) ◽

Author(s):

Bereket Duko ◽

Abebe Tamirat ◽

Tariku Mengesha ◽

Mebratu Mathewos

Keyword(s):

Depressive Symptoms ◽

General Hospital ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Patients With Epilepsy

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Knowledge on Prevention of Stroke and Its Associated Factors Among Hypertensive Patients at Debre Tabor General Hospital: An Institution-Based Cross-Sectional Study

Risk Management and Healthcare Policy ◽

10.2147/rmhp.s303876 ◽

2021 ◽

Vol Volume 14 ◽

pp. 1681-1688

Author(s):

Nigusie Selomon Tibebu ◽

Tigabu Desie Emiru ◽

Chalie Marew Tiruneh ◽

Adane Birhau Nigat ◽

Moges Wubneh Abate ◽

...

Keyword(s):

General Hospital ◽

Associated Factors ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Hypertensive Patients ◽

Debre Tabor

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Intestinal parasitic infections among HIV infected patients on antiretroviral therapy attending Debretabor General Hospital, Northern Ethiopia: a cross-sectional study

10.21203/rs.3.rs-81502/v1 ◽

2020 ◽

Author(s):

Ermias Alemayehu ◽

Alemu Gedefie ◽

Aderaw Adamu ◽

Jemal Mohammed ◽

Brhanu Kassanew ◽

...

Keyword(s):

General Hospital ◽

Intestinal Parasites ◽

Parasitic Infection ◽

Cross Sectional Study ◽

Parasitic Infections ◽

Northern Ethiopia ◽

Intestinal Parasitic Infection ◽

Sectional Study ◽

Cross Sectional ◽

Concentration Technique

Abstract Background: Parasitic infections are known causes of morbidity among HIV infected patients with low CD4+ counts who are on antiretroviral therapy; mainly as a result of immune suppression. Thus, this study aimed to assess the extent of intestinal parasitic infection and its related risk factors among HIV infected patients attending ART clinic of Debretabor General Hospital, Northern Ethiopia.Patients and methods: A health facility based cross sectional study was conducted on a total of 383 HIV infected patients attending ART clinic of Debretabor General Hospital, Northern Ethiopia from December 2018 to March 2019. An interview based structured questionnaire were used to gather socio-demographic and risk factor data. About 5 grams of fresh stool specimen and 4 ml of venous blood sample were collected, then transported and tested in accordance with the laboratory standard operating procedures. The obtained data was entered into SPSS version 22.0; and analyzed. P-value <0.05 with 95% confidence interval was considered statistically significant.Result: The overall prevalence of intestinal parasites was 25.3%; with 18% and 23.8% by direct wet mount and formol-ether concentration technique respectively. 8 (2.1%) patients were infected by multiple parasites in concentration technique. Ascaris lumbricoides, 23(25.3%) was the most frequently identified parasite. Parasitic infection was significantly higher among illiterates (P=0.011); patients with a CD4 count of <200 cells/mm3 (P<0.001) and among patients who did not have latrine (P=0.049) than their counter parts.Conclusion: Relatively higher prevalence of intestinal parasitic infection was found among HIV/AIDS patients. The distribution of intestinal parasites is greatly affected by illiteracy, reduced CD4+ counts and absence of toilet. Thus, HIV/AIDS patients with low CD4+ counts should be diagnosed consistently for intestinal parasites and routine stool examination and awareness creation should be advocated to be included as an essential component of the ART monitoring strategy for improved patient care.

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Prevalence of raised Alanine Amino transaminase (ALT) in pregnant mothers: A Cross-sectional Study

Journal of Rawalpindi Medical College ◽

10.37939/jrmc.v24i3.1152 ◽

2020 ◽

Vol 24 (3) ◽

pp. 187-192

Author(s):

Tabinda Khalid ◽

Rubaba Abid Naqvi ◽

Nisar Ahmed Malik ◽

Hamna Sarwar

Keyword(s):

Viral Hepatitis ◽

General Hospital ◽

Acute Viral Hepatitis ◽

Cross Sectional Study ◽

Severe Preeclampsia ◽

Chronic Hypertension ◽

Sectional Study ◽

Cross Sectional ◽

Emergency Cesarean ◽

Pregnant Mothers

bjective: To determine the prevalence of raised ALT, common causes, and associated fetomaternal morbidity in pregnant mothers presenting, at cantonment general hospital Rawalpindi Materials and Methods: This was a cross-sectional study conducted at cantonment general hospital Rawalpindi from July 2016 till June 2017. Results: Out of 1924 women, 102 were identified with raised ALT making a prevalence of 5.3%. Sixty-one (59.8%) were booked. The hypertensive group which included severe preeclampsia, chronic hypertension with superimposed preeclampsia/eclampsia were 55(53.9%), intrahepatic cholestasis of pregnancy(ICP) 32(31.7%), acute viral hepatitis 9(8.8%), Acute fatty liver of pregnancy(AFLP) 2(1.96%), and unknown cause in 4(3.92%). Mean ALT levels were 54.1±6.94, 71.28±23.25, 84.22±27.82, 231.5±47.37 respectively. In four cases no definitive cause could be identified with the available tests were labeled as an unknown group, having a mean ALT level of 79.25±10.07. (p=0.01). Term delivery occurred in 71(69.6%), while 31(30.39%) were preterm. There was one termination of pregnancy. Vaginal birth occurred in 42(42.2%), and 53(51.9%) underwent emergency cesarean. There was one peripartum hysterectomy. Meconium stain of liquor was 19(18.6%). The birth weight of most babies 73(71.5%) was between 2-3 kilograms only three were ≤ 1 kilograms. Eight cases of postpartum hemorrhage, three maternal deaths, and six perinatal/early neonatal deaths were observed. Conclusion: Raised ALT in pregnancy leads to increased fetomaternal complications. Severe preeclampsia and obstetric cholestasis were the commonest causes. Women of younger age groups were having acute viral hepatitis. Timely recognition and diagnosis are essential to institute appropriate management strategies.

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