scholarly journals Avaliação da satisfação de puérperas em relação ao parto

2018 ◽  
Vol 12 (11) ◽  
pp. 2986
Author(s):  
Isadora Tavares Riegert ◽  
Mariana De Barros Correia ◽  
Angela Lessa De Andrade ◽  
Flavia Nataly Pereira da Silva Rocha ◽  
Laryssa Grazielle Feitosa Lopes ◽  
...  

RESUMO Objetivo: analisar a satisfação acerca do trabalho de parto e parto de mulheres que pariram em uma maternidade de alto risco. Método: trata-se de estudo quantitativo, transversal, com 91 puérperas, realizado em um hospital de alta complexidade. Utilizaram-se um questionário sociodemográfico e um modelo adaptado do Questionário de Experiência e Satisfação com o Parto (QUESP). Realizaram-se a análise estatística descritiva e os testes estatísticos de Qui-quadrado e exato de Fisher apresentados em tabelas. Resultados: constataram-se que 61,67% das mulheres apresentaram baixa expectativa e 44%, baixa satisfação em relação ao Trabalho de Parto (TP) e Parto (P). Constatou-se que houve relação estatística significativa entre a expectativa e a satisfação das mulheres com o parto. Conclusão: sugere-se mais investigação sobre essa temática a fim de identificar as determinantes da satisfação, bem como de reorganização da política de assistência obstétrica. Descritores: Parto Normal; Trabalho de Parto; Satisfação do Paciente; Enfermagem Obstétrica; Parto; Saúde da Mulher.ABSTRACTObjective: to analyze the satisfaction about the labor in childbirth and childbirth by women those gave birth in a high-risk maternity. Method: this is a quantitative study, cross-sectional, with 91 puerperal women, carried out in a hospital of high complexity. It was used a sociodemographic questionnaire and a model adapted from the Questionnaire of Experience and Satisfaction with Childbirth (QUESP). There were performed the descriptive statistical analysis and the statistical tests Chi-square and Fisher’s exact test presented in tables. Results: it was found that 61.67% of women presented low expectation and 44%, low satisfaction in relation to labor in childbirth (TP) and childbirth (P). It was found that there was no statistically significant relationship between the expectation and the satisfaction of women with childbirth. Conclusion: it is suggested more research on this theme, in order to identify the determinants of satisfaction, as well as for the reorganization of the policy of obstetric care. Descriptors: Natural Childbirth; Parturition Labor; Patient’s Satisfaction; Obstetric Nursing; Parturition; Women's Health.RESUMEN Objetivo: analizar la satisfacción acerca del trabajo de parto y el parto por las mujeres que hayan parido en una maternidad de alto riesgo. Método: se trata de un estudio cuantitativo, de corte transversal, con 91 puérperas, realizado en un hospital de alta complejidad. Se utilizó un cuestionario sociodemográfico y un modelo adaptado a partir del Cuestionario de la Experiencia y la Satisfacción con el Nacimiento (QUESP). Realizado un análisis estadístico descriptivo y las pruebas estadísticas de Chi-cuadrado y la prueba exacta de Fisher presentados en tablas. Resultados: se encontró que el 61,77% de las mujeres presentaron baja expectativa y un 44%, baja satisfacción en relación con el trabajo de parto (TP) y el parto (P). Se constató que no había ninguna relación estadísticamente significativa entre las expectativas y la satisfacción de las mujeres con el parto. Conclusión: se sugiere realizar más investigaciones acerca de este tema, con el fin de identificar los factores determinantes de la satisfacción, así como la reorganización de la política de atención obstétrica. Descriptores:  Parto Normal; Trabajo de Parto; Satisfacción del Paciente; Enfermería Obstétrica; Parto; Salud de la Mujer.

2018 ◽  
Vol 12 (9) ◽  
pp. 2386
Author(s):  
Flávia Nataly Pereira da Silva Rocha ◽  
Fernanda De Barros Patrício ◽  
Maria Nazaré Souza dos Passos ◽  
Sthefanny Wildes Oliveira de Lima ◽  
Marília Gabrielle Santos Nunes

RESUMOObjetivo: caracterizar o conhecimento das puérperas acerca do aleitamento materno. Método: estudo quantitativo, transversal, com 232 puérperas assistidas em um hospital de alta complexidade. Utilizaram-se um questionário para o perfil sócio-demográfico e um para Assistência Pré-Natal. Realizaram-se análise estatística descritiva e os testes estatísticos de Qui-quadrado e exato de Fisher apresentados em tabelas. Resultados: entre a amostra estudada, 84,5% são adultas jovens, 80,2% possuía companheiros, e 51,3% apresentaram baixa escolaridade. 73,3% das mulheres realizaram seis ou mais consultas de pré-natal, todavia 51,7% dessas não receberam nenhum tipo de informação sobre aleitamento. A maioria das puérperas que receberam orientação no pré-natal consideram como benefício à oferta de imunidade para o bebê (p= 0,0009). Conclusão: constatou-se que existe um conhecimento superficial relativo à prática e resultados benéficos do aleitamento para o binômio, e que o sucesso da prática do aleitamento materno depende do preparo das mulheres em seu ciclo-gravídico puerperal. Dessa forma, sugere-se a ampliação das investigações sobre esta temática, mediante uma abordagem mais profunda buscando verificar também experiências anteriores na amamentação atual. Descritores: Aleitamento materno; Conhecimento; Saúde da Mulher; Enfermagem; Assistência Pré-natal; Educação em Saúde.ABSTRACT Objective: to characterize the knowledge of the puerperal women about breastfeeding. Method: quantitative, cross-sectional study, with 232 puerperal women assisted at a high-complexity hospital. The study udes a questionnaire for the socio-demographic profile and one for prenatal care. Descriptive statistical analysis and chi-square and Fisher's exact test statistical tests were performed, presented in tables. Results: among the studied sample, 84.5% are young adults, 80.2% had companions, and 51.3% had low schooling. 73.3% of the women attended six or more prenatal consultations, however, 51.7% of these did not receive any type of information on breastfeeding. Most of the puerperal women who received prenatal guidance consider it as a benefit that offers immunity for the baby (p = 0.0009). Conclusion: there is a superficial knowledge concerning the practical and beneficial results of breastfeeding for the binomial, and a successful practice of breastfeeding depends on the preparation of the women in the gravid-puerperal cycle. In this way, there should be more researches on this theme, through a deeper approach seeking to also check previous experiences in the current breastfeeding. Descriptors: Breast Feeding; Knowledge; Women's Health; Nursing; Prenatal Care; Health Education.RESUMENObjetivo: caracterizar el conocimiento de las puérperas acerca de la lactancia materna. Método: cuantitativo, el estudio transversal, con 232 puérperas asistidos en un hospital de alta complejidad. Se utilizó un cuestionario para el perfil sociodemográfico y uno para la atención prenatal. Se realizaron análisis estadísticos descriptivos y las pruebas estadísticas de chi-cuadrado y la prueba exacta de Fisher presentados en tablas. Resultados: en la muestra estudiada, el 84,5% son adultas jóvenes, 80,2% tenían compañero, y el 51,3% tenían baja escolaridad. El 73,3% de las mujeres efectuaron seis o más consultas prenatales, sin embargo, 51,7% de ellas no recibieron ningún tipo de información sobre la lactancia materna. La mayoría de las puérperas que recibieron orientación prenatal consideran como un beneficio que ofrece inmunidad al bebé (p = 0.0009). Conclusión: ay un conocimiento superficial sobre la práctica y los resultados beneficiosos de la lactancia materna para el binomio, y el éxito de la práctica de la lactancia materna depende de la preparación de la mujer en el ciclo gravídico-puerperal. De esta manera, se propone la ampliación de la investigación sobre este tema, a través de un enfoque más profundo tratando de controlar también las experiencias anteriores con la lactancia. Descriptores: Lactancia Materna; Conocimiento; Salud de la Mujer; Enfermería; Atención Prenatal; Educación em Salud.


2021 ◽  
Author(s):  
Steward Mudenda ◽  
Moses Mukosha ◽  
Johanna Catharina Meyer ◽  
Joseph Fadare ◽  
Brian Godman ◽  
...  

Abstract Background: Several vaccines have been developed and administered since coronavirus disease 2019 (COVID-19) was declared a pandemic in March 2020. In April 2021, the authorities in Zambia administered the first doses of the Oxford-AstraZeneca® COVID-19 vaccine. However, little is known about the awareness and acceptability of the vaccines among the Zambian population. This study was undertaken to address this starting with undergraduate pharmacy students in Zambia. Materials and methods: A descriptive cross-sectional survey was conducted among 326 undergraduate pharmacy students in Zambia using an online semi-structured questionnaire from 12th to 25th April 2021 and analysed using Stata version 16. Test of associations were undertaken using Pearson chi-square test or Fisher's exact test as appropriate. The multivariable logistic regression was used to investigate the determinants of awareness and acceptability. All statistical tests were performed at a 5% significance level and 95% confidence level. Results: Among 326 participants, 98.8% were aware of the COVID-19 vaccination programme but only 24.5% would accept the vaccine should it be made available to them. Awareness of the COVID-19 vaccine was influenced by religious beliefs (aOR=0.01, 95% CI: 0.01 to 0.20, p=0.004). Being male (aOR=1.78, 95% CI: 1.05 to 3.02, p=0.034) and single (aOR=2.61, 95% CI: 1.04 to 6.55, p=0.041) was associated with higher odds of accepting the vaccine. Being unemployed (aOR=0.31, 95% CI: 0.15 to 0.66, p=0.002) was associated with lower odds of vaccine acceptancy. Barriers to acceptance of the vaccine were possible side effects (78.5%) and scepticism about its effectiveness to prevent COVID-19 (10.2%). Conclusion: There was significant vaccine hesitancy towards COVID-19 vaccines among Zambian pharmacy students despite their awareness about the vaccines. Health authorities must work collaboratively with the Universities and other institutions to mitigate vaccine hesitancy, especially with pharmacy students a key part of the future healthcare workforce overseeing disease prevention strategies. These findings can help guide future interventions to address vaccine hesitancy to reduce future transmission rates of this virus.


2011 ◽  
Vol 5 (4) ◽  
pp. 1000
Author(s):  
Jamile Daltro Pereira ◽  
Anne Kerlly Brito da Silva ◽  
José De vasconcelos Carvalho Júnior

ABSTRACTObjective: to analyze aspects related to the preferred route of delivery among pregnant women in the city of Arcoverde. Methodology: this is a cross sectional and descriptive study compared with 71 pregnant women by addressing the basic health units (BHU) in the period from November to December, 2009. The sample was chosen for the convenience for its size, with a confidence interval of 95% and using the chi-square. Data were collected through interviews with the studied population at UBS, with a form that established relationship with the variables. The project was appraised and approved by the Ethics Committee of the Educational Authority of Belo Jardim – AEB, under the Protocol 41_2009. Results: from the pregnant women studied, 63% preferred vaginal delivery; the majority reported it was due to the faster recovery; 37% reported a preference for surgical delivery due to the chance of tubal ligation. Conclusion: It can be seen that, even with the prevailing choice for vaginal delivery, the rate of preference for cesarean delivery was still high when compared to the percentage given by the World Health Organization . We also observed that, during prenatal sessions, most pregnant women did not obtain information and guidance about the importance of normal birth. Descriptors: delivery, obstetric; patient satisfaction; natural childbirth, reproductive medicine. RESUMOObjetivo: analisar aspectos relacionados à preferência pela via de parto entre as gestantes do município de Arcoverde. Metodologia: estudo transversal e descritivo abordando comparativamente 71 gestantes usuárias das Unidades Básicas de Saúde (UBS) no período de novembro a dezembro de 2009. Escolheu-se a amostra por conveniência para seu tamanho com intervalo de confiança de 95% utilizando o teste qui-quadrado. Os dados foram coletados no através de entrevista com a população em estudo na UBS, com formulário que estabeleceu relação com as variáveis. O projeto foi apreciado e aprovado pelo Comitê de Ética da Autarquia Educacional de Belo Jardim – AEB, sob o protocolo nº 41_2009. Resultados: das gestantes estudadas, 63% preferiam o parto vaginal e a maioria relatou ser devido à recuperação mais rápida; 37% relataram a preferência pelo parto cirúrgico devido à oportunidade de laqueadura. Conclusão: Pode-se constatar que, mesmo prevalecendo a escolha pelo parto normal, a taxa de preferência por cesariana ainda foi alta tendo em vista o percentual da OMS. Observou-se também que no pré-natal a maioria das gestantes não obtinha informação e orientação acerca da importância do parto normal. Descritores: parto obstétrico; satisfação do paciente; parto normal; medicina reprodutiva.RESUMENObjetivo: analizar los aspectos relacionados con la ruta preferida de parto entre las mujeres embarazadas en la ciudad de Arcoverde. Metodología: estudio transversal y descriptivo, fueron comparados 71 mujeres embarazadas abordando las unidades básicas de salud (UBS) en el período de noviembre a diciembre de 2009. Fue elegido para el tamaño de muestra de conveniencia con un intervalo de confianza del 95%, utilizando la prueba chi-cuadrado. Los datos fueron colectados a través de entrevistas con la población de estudio de UBS, con la forma que establece la relación con las variables. El proyecto fue evaluado y aprobado por el Comité de Ética de la Autoridad para la Educación de Belo Jardim – AEB, en el marco del Protocolo 41_2009. Resultados: de las gestantes estudiadas, el 63% prefiere el parto vaginal, la mayoría informó que, debido a una recuperación más rápida, el 37% informó de una preferencia por el parto quirúrgico, debido a la posibilidad de la ligadura de trompas. Conclusión: se puede observar que incluso la elección predominante para el parto vaginal, la tasa de preferencia por el parto por cesárea sigue siendo elevada teniendo en cuenta el porcentaje de la OMS. También se observó que las mujeres embarazadas en el prenatal no obtuvieron la información y orientación acerca de la importancia del parto normal. Descriptores: entrega de parto; satisfacción del paciente; medicina del parto; la reproducción.


2020 ◽  
Vol 14 ◽  
Author(s):  
Rafaela Camila Freitas da Silva ◽  
Flávia Westphal ◽  
Ana Carolina Belmonte Assalin ◽  
Maria Izabel Mota da Silva ◽  
Rosely Erlach Goldman

Objetivo: avaliar a satisfação e o bem-estar de puérperas na assistência ao parto e nascimento. Método: trata-se de um estudo quantitativo, descritivo e transversal, com 78 puérperas, ao ser utilizado um questionário para a caracterização sociodemográfica e obstétrica, analisado pela estatística descritiva e testes de associações, por meio do teste Qui-quadrado, adotando-se um nível de significância de 95%. Resultados: verificou-se a média de idade de 28,4 anos, destacando-se que 98,7% das pesquisadas realizaram pré-natal, 73,1% receberam alguma orientação profissional no hospital e 93,6% tiveram a presença de um acompanhante. Registra-se, sobre a escala, que 62,8% das mulheres apresentaram ótimo bem-estar. Informa-se que os domínios III e V foram os mais bem avaliados e o domínio IV, o pior. Negou-se a relevância estatística nas correlações entre os níveis de bem-estar e os dados do parto. Conclusão: avaliou-se que as mulheres apresentaram ótimo bem-estar na parturição. Elencam-se o contato pele a pele e a presença de acompanhante como fatores importantes. Considera-se necessário incorporar a empatia e a gentileza na assistência para se reduzir os níveis de mal-estar. Descritores: Bem-Estar Materno; Satisfação do Paciente; Trabalho de Parto; Parto Normal; Enfermagem Obstétrica; Empatia.    AbstractObjective: to evaluate the satisfaction and well-being of puerperal women in childbirth and birth care. Method: this is a quantitative, descriptive and cross-sectional study, with 78 puerperal women, when using a questionnaire for sociodemographic and obstetric characterization, analyzed by descriptive statistics and association tests, using the Chi-square test, adopting significance level of 95%. Results: there was a mean age of 28.4 years, highlighting that 98.7% of those surveyed performed prenatal care, 73.1% received some professional guidance in the hospital and 93.6% had the presence of a companion. It is registered, on the scale, that 62.8% of women showed excellent well-being. It is reported that domains III and V were the best evaluated and domain IV, the worst. Statistical relevance in the correlations between well-being levels and delivery data was denied. Conclusion: it was evaluated that women had excellent well-being in parturition. Skin-to-skin contact and the presence of a companion are important factors. It is considered necessary to incorporate empathy and kindness in care to reduce levels of malaise. Descriptors: Maternal Welfare; Patient Satisfaction; Labor; Natural Childbirth; Obstetric Nursing; Empathy.ResumenObjetivo: evaluar la satisfacción y el bienestar de las mujeres puerperales en el cuidado del parto y nacimiento. Método: se trata de un estudio cuantitativo, descriptivo y transversal, con 78 mujeres puerperales, al utilizar un cuestionario para caracterización sociodemográfica y obstétrica, analizado mediante estadística descriptiva y pruebas de asociación, utilizando la prueba de Chi-cuadrado, adoptando nivel de significancia del 95%. Resultados: hubo una edad promedio de 28.4 años, destacando que el 98.7% de los encuestados realizó atención prenatal, el 73.1% recibió alguna orientación profesional en el hospital y el 93.6% tuvo la presencia de un compañero. Se registra, en la escala, que el 62.8% de las mujeres mostraron un excelente bienestar. Se informa que los dominios III y V fueron los mejor evaluados y el dominio IV, el peor. Se denegó la relevancia estadística en las correlaciones entre los niveles de bienestar y los datos del parto. Conclusión: se evaluó que las mujeres tenían un excelente bienestar en el parto. Se notó que el contacto piel con piel y la presencia de un compañero son factores importantes. Se considera necesario incorporar empatía y amabilidad en la atención para reducir los niveles de malestar. Descriptores: Bienestar Materno; Satisfacción del Paciente; Trabajo de Parto; Parto Normal; Enfermería Obstétrica; Empatía.


2020 ◽  
Vol 1 (2) ◽  
pp. 94-98
Author(s):  
Ni Made Rosiyana ◽  
Dewi Sry Ayu ◽  
Vira Pratiwi

Breastmilk has several advantages when compared to formula milk. Breastmilk is cheap, healthy, and easy to give. The provision of exclusive breastfeeding in the city of Palu increased relatively in 2015 (68%) to 2016 (64%). While respecting exclusive breastfeeding at Anutapura General Hospital in Palu in 2016 (74%) or 1,462 of the total births of 1954 and not yet reaching the national target of 80%. This study is an analytical study that uses Cross-sectional with a sample of 48 respondents. Statistical test results from the knowledge of postpartum mothers with the help of Exclusive ASI obtained p-value = 1,000 in the exact test, with a confidence level of α = 0.05, so the value of p> α then H1 is accepted and H0 is supported, allowing statistics there is no relationship between maternal knowledge childbirth with exclusive breastfeeding. While the results of statistical tests of postpartum mothers' attitudes with exfoliated breastfeeding obtained a p-value = 0.009 in Chi-square test, with a confidence level of α = 0.05, so the p value <α then H1 was accepted and H0, according to statistics there was a relationship between attitudes postpartum mothers with exclusive breastfeeding. So conclusions can be drawn between no relationship between knowledge of postpartum mothers and exclusive breastfeeding and there is a relationship between postpartum maternal attitudes and the provision of exclusive breastfeeding at Anutapura Hospital Palu.


2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD


Author(s):  
Leny Leny

ABSTRACT Prenatal care is health care by health personnel to care the pregnant according to standards. Worlrd Health Organization (WHO) estimates more than 500.000 women die during pregnancy or childbirth. Maternal mortality in Indonesia is 307 per 100,000 live births. The quantity of pregnant women’s visit in Kabupaten Banyuasin in 2009 of 89.1%. The purpose of this study to determine the relationship between education and occupation with prenatal care at Puskesmas Mariana  Kecamatan Banyuasin I Kabupaten Banyuasin in 2011. This study uses analytic approach survey by Cross Sectional methods, the population are 1.946 pregnant women and the samples as many as 332 people. The results of univariate analysis study of pregnant women who are higher education as much as 45.2%, and  low maternal education as much as 54.8%. In pregnant women who work of 43.4%, and pregnant women who do not work for 56.6%. From the results of bivariate analysis and Chi-Square statistical tests found a significant association between education of pregnant women with prenatal care with P Value = 0.000, and there was a significant association between occupation of pregnant women with prenatal care with P Value = 0.000. Can be concluded that there is a relationship between education and occupation of pregnant women with prenatal care. Expected to health workers to provide counseling on the importance of prenatal care in pregnant women and expected future studies may explore again the factors associated with prenatal care with the different variables.   ABSTRAK Pemeriksaan kehamilan adalah pelayanan kesehatan oleh tenaga kesehatan untuk memeriksakan ibu hamil sesuai standar. World Health Organization (WHO) memperkirakan lebih dari 500.000 ibu pertahunnya meninggal saat hamil atau bersalin. AKI di Indonesia 307 per 100.000 kelahiran hidup. Jumlah kunjungan ibu hamil di Kabupaten Banyuasin tahun 2009 sebesar 89,1%. Tujuan penelitian ini untuk mengetahui hubungan antara pendidikan dan pekerjaan dengan pemeriksaan kehamilan di Puskesmas Mariana Kecamatan Banyuasin I Kabupaten Banyuasin tahun  2011. Penelitian ini menggunakan metode survey analitik dengan pendekatan Cross Sectional, populasi ibu hamil dengan jumlah 1.946 orang dan jumlah sampel sebanyak 332 orang. Hasil penelitian Analisa Univariat adalah ibu hamil yang pendidikan tinggi sebanyak 45,2%, dan pendidikan rendah ibu hamil sebanyak 54,8%. Pada variabel pekerjaan ibu hamil yang bekerja sebesar 43,4%, dan ibu hamil yang tidak bekerja sebesar 56,6%. Dari hasil analisa bivariat dan uji statistik Chi-Square  didapatkan hubungan yang bermakna antara pendidikan ibu hamil dengan pemeriksaan kehamilan dengan  P Value = 0,000, dan ada hubungan yang bermakna antara pekerjaan ibu hamil dengan pemeriksaan kehamilan dengan P Value = 0,000. Dapat disimpulkan bahwa ada hubungan antara pendidikan dan pekerjaan ibu hamil dengan pemeriksaan kehamilan. Diharapkan kepada petugas kesehatan agar dapat memberikan penyuluhan tentang pentingnya pemeriksaan pada ibu hamil dan diharapkan penelitian yang akan datang dapat menggali lagi faktor-faktor yang berhubungan dengan pemeriksaan kehamilan dengan variabel yang berbeda.


Author(s):  
Laima Alam

Objectives:Relation of demographics of hepatocellular-carcinoma with the aetiology.Tumour characteristics in relation to anti-viral therapy and presence of viral-DNA/RNATreatment modalities offeredMethods: This cross-sectional study enrolled all the patients aged 18-70 years with diagnosed hepatocellular carcinoma either through Triphasic Contrast-Enhanced-CT scan and/or Magnetic Resonance Imaging or biopsy presenting to the Outpatient-Department or multi-disciplinary-team meetings for the year 2019. Demographic variables, biochemical analysis including liver profile and stage of cirrhosis, viral-status, tumour staging and the treatment modalities offered were all noted. ANOVA (normal) and Kruskal-Wallis (non-normal) tests were used to compare quantitative data whereas chi-square-test and fisher-exact-test were used to compare qualitative-data.Results: Out of 195 patients with hepatocellular carcinoma, 76% were males in their fifth to sixth decades of life, 96% had cirrhosis, 94% corresponded to viral hepatocellular-carcinoma (82% Hepatitis-C-Virus, 9% Hepatitis-B-Virus and 3% coinfection), 60% of the cirrhotics landed in Child-Pugh A category with tumour staging BCLC-B being the predominant one (43.6%) and single and multiple bilateral nodules were the commonest lesions encountered. Platelets and Alanine-Transaminase had a significant relation across aetiological groups. Lymph-nodes were the most common extra-hepatic organs for metastasis and the presence of viral PCR had a significant impact on the tumour aggressiveness. Thirty-two percent of the patients were amenable to curative treatment.Conclusion: Viral infection is the main cause of rising prevalence of this tumour in Pakistan. Treatment modalities are expensive and expertise are lacking. A nationwide cancer registry is required for the exact disease burden and tumour behaviour for our population. Continuous....


2021 ◽  
Vol 15 (1) ◽  
pp. 305-312
Author(s):  
Erivelton Sousa Lima ◽  
Amanda de Castro Amorim Serpa Brandão ◽  
Antonio Luiz Gomes Junior ◽  
Luana kelle Batista Moura ◽  
Gerardo Vasconcelos Mesquita ◽  
...  

Background: The child feed in the first two years of life is of fundamental importance for a healthy growth and development. Aims: To verify the association between food consumption indicators and overweight in children under the age of two, followed up by primary care health professionals. Methods: A cross-sectional study was conducted on 232 children assisted by primary care. A structured questionnaire was used with questions on sociodemographic data of mothers or guardians and food intake and anthropometric data of children. The analysis of the association between excess weight and food intake indicators was performed using the Pearson’s chi-square test (χ2) and Fisher’s exact test (f ˂ 5). Results: Regarding food intake in children under 6 months of age, 35.1% of the children were exclusively breastfed. Among children at the age of 6 to 23 months: 66.3% were on continued breastfeeding; 16.7% consumed adequate foods at the age of 6 to 8 months; 90.4% consumed foods that belonged to the six food groups; 76.3% consumed food at the minimum frequency and with adequate consistency; 88.9% consumed iron-rich and vitamin A-rich foods, and 59.3% consumed ultra-processed foods. Regarding nutritional status, 24.5% of the children were overweight. Conclusion: There was no statistically significant association between overweight and food consumption indicators among the surveyed children. However, exclusive breastfeeding was below the recommended level, a low percentage of the introduction of complementary foods at the appropriate age and high consumption of ultra-processed foods reveal the need to improve the assistance provided by primary care to this group.


2018 ◽  
Vol 8 (3) ◽  
pp. 15-22
Author(s):  
R. Govindarajan ◽  
S. Dhanavandan

The Ophthalmologists – Eye Doctors continuously seek and use information for their evidence-based practice, career advancements and quality patient care. The study aims to examine and explore the ophthalmologists’ preference towards print vs. electronic information resources. The study design is cross-sectional and convenience sampling method is adopted. A structured questionnaire was used to collect data. SPSS 18 PASW Statistical package was used for statistical analysis. Frequencies, percentages, Chi-square and Fishers’ exact test were used in the study. Around 633 ophthalmologists, working in 47 academic eye hospitals from 16 states of India were included in the study. The ophthalmologists prefer electronic resources more than the printed resources as a venue for access and publish. They consider both printed & electronic resources as more authenticated resources than electronic resources. They recognize electronic resources as easy to manage, use, economical, time savvy. They prefer electronic resources more than printed resources to improve their professional competency. The Ophthalmologists’ preference on resource choice doesn’t have any association with gender, age group, designation, experience, institution type. The study results revealed the ophthalmologists’ preferences on print and electronic resources. This will help the ophthalmic librarians to understand the resource choices of the ophthalmologists and manage information resources in libraries effectively. The study results will help the ophthalmic institutions and information providers for future planning


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