Transfusion of blood products: are the nurses prepared to care for peritransfusion?

2010 ◽  
Vol 4 (2) ◽  
pp. 658 ◽  
Author(s):  
Graciele Torezan ◽  
Emiliane Nogueira de Souza

ABSTRACTObjective: to assess the nurses' knowledge about the process of caring for patients who receive hemotransfusion. Method: this is a cross-sectional study, from quantitative approach, carried out in two private hospitals in Caxias do Sul. The data were collected through a closed-question questionnaire, after the approval by the Research Ethics Committee of the Faculdade Nossa Senhora de Fátima with protocol number 012/09. Results: a total of 26 nurses were sampled, in the age range 31-40 (38%), female (73%). Among the respondents, most reported being informed and have received some kind of training in the theme. The major part of the subjects knew how to identify the correct answer with respect to checking the vital signs related to the transfusion and the infusion time of the hemocomponents. Concerning the main causes of hemolysis and also the attitudes adopted in the face of a transfusion reaction, more than 80% of the answers were correct. However, only 42% of the respondents knew how to identify the signs and symptoms of a transfusion reaction, and 27% answered correctly about the compatibility of ABO/RH. Conclusion: the nurses have a limited knowledge about the hemotransfusion, and they know how to identify the aspects most related to everyday practices. Descriptors: blood transfusion; hemoderivative drugs; nursing; nursing care; hemotherapy service; blood banks; blood preservation.RESUMOObjetivo: verificar o conhecimento e as atitudes dos enfermeiros acerca da hemotransfusão e dos cuidados peritransfusionais. Método: estudo com delineamento transversal de abordagem quantitativa, realizado em dois hospitais de Caxias do Sul. Os dados foram coletados através de um questionário com perguntas fechadas, após aprovação do Comitê de Ética em Pesquisa da Faculdade Nossa Senhora de Fátima sob o número 012/09. Resultados: incluiu-se um total de 26 enfermeiros, na faixa etária de 31 a 40 anos (38%), majoritariamente do sexo feminino (73%). Dos respondentes, a maioria referiu estar informados e ter recebido algum tipo de treinamento sobre a temática abordada. A maior parte dos sujeitos soube identificar a resposta correta quanto à verificação dos sinais vitais relacionada à transfusão e ao tempo de infusão dos hemocomponetes. Quanto às principais causa de hemólise e à atitude tomada frente a uma reação transfusional, mais de 80% acertou. Porém, somente 42% dos respondentes souberam identificar os sinais e sintomas de uma reação transfusional, e 27% responderam corretamente quanto à compatibilidade ABO/Rh. Conclusão: os enfermeiros possuem um conhecimento limitado acerca do ato hemotransfusional e sabem identificar aspectos mais ligados às práticas cotidianas. Descritores: transfusão de sangue; medicamentos hemoderivados; enfermagem; cuidados de enfermagem; serviço de Hemoterapia; bancos de sangue; preservação de sangue.RESUMENObjetivo: evaluar el conocimiento de la enfermería sobre el proceso de atención con los pacientes que reciben transfusiones de sangre. Método: es um estúdio com delineamiento transversal, realizado en dos hospitales del sul de Brasil. Los datos fueron recolectados a través de un cuestionario después de la aprobación por el Comité de Ética en Pesquisa de la Faculdad Nossa Senhora de Fátoima con número de registro 012/09 . Resultados: se incluyeron un total de 26 enfermeros, de 31 a 40 años años de edad (38%), en su mayoría mujeres (73%). De los encuestados, la mayoría informó haber sido informado y que han recibido alguna capacitación sobre el tema. La mayoría de los sujetos podían identificar la respuesta correcta com respecto a los signos vitales relacionados con la transfusión y el tiempo de infusión de hemocomponentes. Como la principal causa de la hemólisis y las acciones resultantes de una reacción transfusional, más del 80% de hit. Sin embargo, sólo el 42% de los encuestados para identificar los signos y síntomas de una reacción a la transfusión, y el 27% contestó correctamente acerca de la compatibilidad de ABO/RH. Conclusión: las enfermeras tienen un conocimiento limitado sobre la atención peritransfusional, identificar los cuidados más relacionados con las prácticas cotidianas. Descriptores: transfusión sanguínea; medicamentos hemoderivados; enfermería; atención de enfermería; servicio de hemoterapia; bancos de sangre; conservación de la sangre. 

Author(s):  
Farhang Babamahmoodi ◽  
Fatemeh Ahangarkani ◽  
Fatemeh Bahrami Dounchali ◽  
Atabak Nikbakht

Background: Nematodes of Trichostrongylus genus are mainly parasites of herbivores, although human infections in sporadic form ‎ have been reported worldwide‎. Herein we reported an outbreak of trichostrongyliasis in Qaemshar city in Mazandaran province, north of Iran from May to June 2020.  Methods: The investigation was designed as a retrospective cross-sectional study on an outbreak occurred in Qaemshahr city in the north of Iran. The diagnosis of trichostrongyliasis cases was confirmed by hypereosinophilia and existence of Trichostrongylus ‎ eggs in the stool. Results: Trichostrongyliasis ‎ diagnosed in twelve patients. The age range of patients was ‎10-78 years old. 83.5% of the patients were female and ‎75% of them lived in the rural area.  ‎ The most common ‎‏ ‏signs and symptoms of patients were abdominal pain‎ 91.6%, diarrhea 83.3%, ‎vomiting 41.6%, nausea 50%, anemia ‎‎‎‎8.3% and chill ‎ ‎16.6% respectively. ‎ These patients undertook a course of treatment consisting of antihelminth ‎drug ‎for adult ‎and albendazole for children.‎ Symptoms of trichostrongyliasis ‎ improved completely after therapy‎. Conclusions: Our study indicated that trichostrongyliasis may be a major parasitic aetiology for gastrointestinal symptoms such as abdominal pain among rural residents in endemic areas with outbreak presentations.


2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Mustafa Adelaja Lamina

Background. Induced abortion contributes significantly to maternal mortality in developing countries yet women still seek repeat induced abortion in spite of availability of contraceptive services. The aim of this study is to determine the rate of abortion and contraceptive use among women seeking repeat induced abortion in Western Nigeria.Method. A prospective cross-sectional study utilizing self-administered questionnaires was administered to women seeking abortion in private hospitals/clinics in four geopolitical areas of Ogun State, Western Nigeria, from January 1 to December 31 2012. Data were analyzed using SPSS 17.0.Results. The age range for those seeking repeat induced abortion was 15 to 51 years while the median age was 25 years. Of 2934 women seeking an abortion, 23% reported having had one or more previous abortions. Of those who had had more than one abortion, the level of awareness of contraceptives was 91.7% while only 21.5% used a contraceptive at their first intercourse after the procedure; 78.5% of the pregnancies were associated with non-contraceptive use while 17.5% were associated with contraceptive failure. The major reason for non-contraceptive use was fear of side effects.Conclusion. The rate of women seeking repeat abortions is high in Nigeria. The rate of contraceptive use is low while contraceptive failure rate is high.


2020 ◽  
Vol 12 (2) ◽  
pp. 90-97
Author(s):  
Chijioke Okeke ◽  
Theodora Omaballa

Beauty is most expressed by the face than any other part of the body. The beauty and uniqueness of the face is determined by the sizes and shapes of various parts of the face and various facial angles. The aim of this study was to characterize the angular facial profiles of the Indigenes of Anam, for application in aesthetics. It was a cross sectional study. Sample size was 500 (250 males and 250 females) and age range was between 18 to 40 years. Facial photographs were taken with a digital camera. A computer software was used to measure the following angles: nasofrontal (NF) angle, nasomental (NM) angle, nasofacial (NFa) angle, nasolabial (NL) angle and angle of facial convexity (AFC). Means of the angles were determined and test of significance was done using student t - test. The mean age for the sample was 22.09 ± 0.46 years (females) and 23. 87 ± 0.44 years (males). Females had significantly higher values ​​than males in NF angle (females-134.00 , males-131.0 0 ), NM angle (females-129.0 0 , males-127.0 0 ), NL angle (females-78.9 0 , males-73.4 0 ) and AFC (females-165.0 0 , males-163.0 0 ). There was no significant sex difference in the value of NFa angle (females-40.9 0 , males-40.4 0 ). Some of the facial angular parameters correlated with each other in males and females but the strength of the correlations were small. This study shows that there was significant sex difference in NF, NM, NL angles and AFC, but not in NFa angle. There was mild correlation between the various facial angles in both sexes.


2016 ◽  
Vol 14 (4) ◽  
pp. 494-500 ◽  
Author(s):  
Alessandra Bernardes Caturani Wajnsztejn ◽  
◽  
Bianca Bianco ◽  
Caio Parente Barbosa

ABSTRACT Objective To describe clinical and epidemiological features of children and adolescents with interdisciplinary diagnosis of non-verbal learning disorder and to investigate the prevalence of inter-hemispheric asymmetry in this population group. Methods Cross-sectional study including children and adolescents referred for interdisciplinary assessment with learning difficulty complaints, who were given an interdisciplinary diagnosis of non-verbal learning disorder. The following variables were included in the analysis: sex-related prevalence, educational system, initial presumptive diagnoses and respective prevalence, overall non-verbal learning disorder prevalence, prevalence according to school year, age range at the time of assessment, major family complaints, presence of inter-hemispheric asymmetry, arithmetic deficits, visuoconstruction impairments and major signs and symptoms of non-verbal learning disorder. Results Out of 810 medical records analyzed, 14 were from individuals who met the diagnostic criteria for non-verbal learning disorder, including the presence of inter-hemispheric asymmetry. Of these 14 patients, 8 were male. Conclusion The high prevalence of inter-hemispheric asymmetry suggests this parameter can be used to predict or support the diagnosis of non-verbal learning disorder.


2021 ◽  
Vol 15 (9) ◽  
pp. 2863-2866
Author(s):  
Wardah Mumtaz ◽  
Umar Rehman ◽  
Arshid Mahmood ◽  
Fazal-E- Nauman ◽  
Kausar Shaikh ◽  
...  

Background: The most common post-thyroidectomy complication is hypocalcaemia. It could be permanent or transitory. Permanent hypocalcaemia has a prevalence of 0-13% and transient hypocalcaemia has a prevalence of 1-6%. Aim: The study objective was to ascertain the prevalence of postoperative hypocalcaemia in patients following total thyroidectomy. Materials and Methods: This cross-sectional study was carried out on 84 thyroid patients who underwent total thyroidectomy in the surgical department of HBS General Hospital, Islamabad for period of nine months during from September 2020 to May 2021. Patients within the age range of 15-69 years and had indicated thyroidectomy caused by carcinoma thyroid, multinodular goiter, and recurrent goiter were enrolled. Inform consent was obtained from each participant. Ethical approval was taken from the institutional ethical committee. Thyroid profile and serum calcium were done for a routine investigation. Serum calcium levels were measured 24 hours, 48 hours, and 7 days after total thyroidectomy. Signs and symptoms in hypocalcaemia patients were recorded on a proforma. Patients with hypocalcaemia were followed for six months. SPSS version 20 was used for data analysis. Results: The mean age of the patients was 46.7 ± 4.6 years with an age range of 16 to 69 years. Of the total 84 patients, 38 (45.2%) underwent total thyroidectomy and 46 (54.8%) underwent a complete thyroidectomy. The prevalence of male and female patients was 22 (26.2%) and 62 (73.8%) respectively. Malignant and benign were present in 71 (84.5%) and 13 (15.5%) respectively. Of the total 84 patients, 68 (81%) developed hypocalcaemia. Out of 68 hypocalcaemia patients, 29 (42.6%) and 39 (57.4%) were from the benign and malignant groups respectively. Conclusion: Postoperatively hypocalcaemia was prevalent following thyroidectomy. Malignant patients (84.5%) were more prevalent compared to benign patients (15.5%) after total thyroidectomy. Careful surgical procedures, parathyroid gland vascularity preservation, and identification are critical in preventing hypocalcaemia following total thyroidectomy. Keywords: Hypocalcaemia; Total thyroidectomy; Complete Thyroidectomy


Author(s):  
Dasari Tejaswini ◽  
Suhas Kulkarni ◽  
Dolar Doshi ◽  
Adepu Srilatha

AbstractBackgroundAesthetic alterations in the face can be self-perceived and can affect quality of life in young adults.ObjectiveTo assess the impact of malocclusion on self- perceived oro-facial behaviour among young adults.MethodsA Cross sectional study was conducted among 638 young adults (aged 18–21 years) of Hyderabad city. One college from each of the five zones of the Hyderabad city (five colleges) were selected by simple random sampling procedure. A 21-item Oro-facial investment scale (OFIS) questionnaire assessing self-perceived oral health knowledge, attitude, practice and Dental Aesthetic Index (DAI) assessing the severity of malocclusion was used. Data were analysed with standard statistical software (SPSS, Statistical package for the social sciences, version 20.0). p < 0.05 was considered statistically significant.ResultsMales had higher mean scores for knowledge (2.90 ± 0.49) than females (2.73 ± 0.82) and was statistically significant (p = 0.002*). No statistically significant gender differences were found in relation to attitude and practice. Analysis of variance (ANOVA) showed that there was a significant difference in all the three scores (knowledge, attitude, practice) with respect to age, with significantly high score for knowledge and practice among 18 year old subjects (p = 0.0001*; p = 0.0003* respectively) and attitude among 21 year old subjects (p = 0.0049*). No statistically significant age, gender differences were found in relation to DAI scores. Upon correlation, DAI significantly and positively correlated with knowledge (p = 0.03*) and attitude (p = 0.0001*).ConclusionThis study has shown significant impact of malocclusion on the self-perceived oro-facial behaviour.


Author(s):  
Radomir Reszke ◽  
Łukasz Matusiak ◽  
Piotr K. Krajewski ◽  
Marta Szepietowska ◽  
Rafał Białynicki-Birula ◽  
...  

Relevant personal protective measures during the COVID-19 pandemic include face masks, possibly decreasing the risk of infection among the general population and healthcare workers (HCW) if utilized properly. The aim of the study was to assess whether different Polish HCW utilize face masks according to the 2020 World Health Organization guidance (WHO) criteria. This cross-sectional study included 1156 respondents who participated in an internet survey evaluating mask-related behaviors. All the WHO criteria were complied with by 1.4% of participants, regardless of medical profession, specialty or place of employment. HCW mostly adhered to criterion 1 (C1; strict covering of the face and mouth with the mask; 90.8%), C4 (washing/disinfecting the hands after touching/taking off the mask; 49%) and C3 (taking off the mask properly without touching the anterior surface; 43.4%), whereas C2 (avoidance of touching the mask with hands) was complied with least commonly (6.8%). HCW with mask-induced itch (31.6%) complied to C2 less often (odds ratio 0.53; p = 0.01). The study reveals that Polish HCW rarely adhere to all the 2020 WHO guidance criteria on the use of masks, whereas the adherence to particular criteria is variable and may be associated with the presence of skin-related conditions and other factors. Better compliance with the recommendations in the future is necessary to increase personal safety of HCW and prevent the transmission of SARS-CoV-2.


2021 ◽  
pp. 030157422110221
Author(s):  
Jyoti Mishra ◽  
Sudhir Kapoor ◽  
Jitendra Bhagchandani ◽  
Sonahita Agarwal ◽  
Vaibhav Vashishta ◽  
...  

Aim and Objective: To assess the level of awareness among local adult population (orthodontically untreated) regarding orthodontic treatment and procedures. Materials and Methods: A cross-sectional study was planned by accessing 100 subjects comprising of 2 groups (50 male and 50 female). After due ethical clearance, a self-structured questionnaire consisting of 17 questions was given to a group of randomly selected 100 individuals with an age range of 20 to 30 years. Results: The overall awareness of orthodontics as a speciality among both the groups was only 52% to 56%. Statistically insignificant difference was found in the knowledge and awareness of orthodontic treatment among both male and female subjects, that is, Group I and II. Also, those who knew about the orthodontic treatment did not opt for it because of high cost and longer duration involved. Conclusion: More than half of the population is unaware of the scope of orthodontic treatment, and thus, they do not seek any assistance. Hence, more efforts are needed to create awareness about orthodontics and the associated benefits.


2016 ◽  
Vol 32 (2) ◽  
pp. 609 ◽  
Author(s):  
Olga Hernández-Serrano ◽  
José P. Espada ◽  
Alejandro Guillén-Riquelme

<p>The objectives of the present study are the following ones: 1) to study the use of drugs, the prosocial behaviour and the problem-solving skills with respect to age and gender, and 2) to analyze the association of both the prosocial behaviour and the problem-solving skills with the use of drugs. An exploratory cross-sectional study was performed, amongst a sample of 567 students in Spanish Compulsory Secondary Education (48.14% males) with an age range from 14 to 17 years (<em>M </em>= 14.92; <em>SD </em>= 0.90). Statistically significant differences were found concerning alcohol use and the prosocial behaviour with respect to gender, as well as concerning alcohol and cannabis use with respect to age. Logistic regression analyses revealed statistical significance of the prosocial behaviour with respect to the use of alcohol and cannabis. The ability in problem-solving was the most important protective predictor with respect to the abuse of cannabis. The results from this study enhance the importance of tailored interventions based on the promotion of prosocial behaviours and/or problem-solving strategies as fundamental protective factors for substance use amongst adolescents.</p>


2018 ◽  
Vol 71 (1) ◽  
pp. 104-110 ◽  
Author(s):  
Márcia Koja Breigeiron ◽  
Vitória da Costa Moraes ◽  
Janice Carneiro Coelho

ABSTRACT Objective: Identify the signs and symptoms of patients with Gaucher Disease, inferring possible priority nursing diagnoses. Method: Cross-sectional study, developed in a specialized laboratory, between 2013 and 2015. The sample (n = 91) comprised the records of patients with genetic diagnosis for Gaucher Disease. The study respected research norms. Results: Prevalence of female sex (57.1%), age at diagnosis between 0 and 10 years, and origin from the Southeast Region of Brazil were prevalent. Hematologic changes, bone pain, hepatomegaly, splenomegaly, and fatigue were the most recurrent signs and symptoms. The inferred diagnoses for the studied population were: Risk for bleeding; Fatigue; Chronic pain and Acute pain; Impaired physical mobility; Imbalanced nutrition: less than body requirements; and Risk for Developmental Delay. Conclusion: The establishment of Priority Nursing Diagnoses based on signs and symptoms makes it possible to achieve expected outcomes for each individual in the care context.


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