Endoscopic and Histopathological Characteristics of Polypoid and Non-Polypoid Colorectal Lesions in Patients of a Social Security Hospital of Lambayeque, Peru

2021 ◽  
Vol 15 (8) ◽  
pp. 2284-2287
Author(s):  
Jhon Franksis Munoz Chumpen ◽  
Mario J. Valladares-garrido
Keyword(s):  
Social Security ◽  
Transverse Colon ◽  
Cross Sectional Study ◽  
Hyperplastic Polyps ◽  
Sectional Study ◽  
Cross Sectional ◽  
Size And Shape ◽  
Intestinal Polyps ◽  
Paris Classification

Objective: To describe the endoscopic and histopathological characteristics of polypoid and non-polypoid colorectal lesions at the Luis Heysen Inchaustegui hospital, Peru, 2017-2018. Materials and methods: Descriptive-analytical cross-sectional study. We study epidemiological, endoscopic and histopathological variables. location, Size and shape of the lesions taking into account the Paris classification. Results: Endoscopically, of a total of 81 colorectal lesions, the majority were non-polypoid (71.6%). Lesions smaller than 10mm represented 90.1% in non-polypoid lesions and 56.5 % in polypoid lesions. Histopathologically, non-adenomatous lesions predominated (53.0%). Conclusions: The most frequent lesions were non-polypoid, the main location being the rectum; while in polypoid lesions, the transverse colon. Regarding size, lesions smaller than 10mm predominated in both non-polypoid and polypoid lesions. Histopathologically, the most frequent were non-adenomatous lesions (hyperplastic polyps); for its part, the predominant adenoma subtype was tubular. Keywords: Adenomas; Polyps; Intestinal Polyps; Colon (source: DeCS BIREME).

Health system responsiveness in Iran: a cross-sectional study in hospitals of Mazandaran province

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Roya Malekzadeh ◽  
Samereh Yaghoubian ◽  
Edris Hasanpoor ◽  
Matina Ghasemi
Keyword(s):  
Health Care ◽  
Social Security ◽  
Health Care System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Mazandaran Province ◽  
Cross Sectional ◽  
Content Type ◽  
System Responsiveness ◽  
Care System

Purpose Responsiveness is a reaction to the reasonable expectations of patients regarding ethical and non-clinical aspects of the health-care system. Responsiveness is a characteristic of health-care system and the observance of the patient’s rights. The purpose of this study is to compare the responsiveness of the health-care system based on the hospital ownership in Mazandaran province in Iran. Design/methodology/approach The cross-sectional study design was used on 1,083 patients referred to public and private hospitals and hospitals affiliated to social security organization in Mazandaran province in 2017. The World Health Organization’s responsibility questionnaire was used to collect data. Data were analyzed by using SPSS version 21. Descriptive statistics and one-way ANOVA results are presented is the results section. Findings All responsiveness dimensions were salient for respondents. The response rate in the selected hospitals was very close, which ranged from 85.7 to 90.2%, and there was no significant difference between public, private and social security hospitals (p > 0.05). The most crucial responsiveness dimension in hospitals was autonomy. Originality/value In the current study, the dimensions of communication and confidentiality were identified as priority dimensions based on the least score for breeding actions to improve the responsiveness of the health-care system. At the end, some useful recommendations such as re-engineering the processes, training to engage the employees with patients and encouraging them to fill the gap were suggested.

scholarly journals Clinical and epidemiological characterization of patients with psoriasis and the prescription of biological therapy in Venezuela: a cross-sectional study

Medwave ◽  
2020 ◽  
Vol 20 (10) ◽  
pp. e8064-e8064
Author(s):  
Jairo Rojano Rada ◽  
Paulette Terán Pereira ◽  
Liliana López Grassa
Keyword(s):  
Social Security ◽  
Biological Therapy ◽  
Cross Sectional Study ◽  
Male Gender ◽  
Mantoux Test ◽  
Topical Steroids ◽  
Moderate Activity ◽  
Sectional Study ◽  
Cross Sectional ◽  
Study Results

Introduction Psoriasis is a chronic disease that affects the skin. One hundred twenty-five million people around the world suffer from this condition. In specific groups of patients, the joints may also be involved. To control and follow-up patients with psoriasis, psoriasis area severity and dermatological quality of life measurements were established. Both parameters are necessary for the initiation of biological therapy, as specified in the psoriasis management guide (2015) of the national committee of rheumatological, immunological, and bone metabolism diseases of the Venezuelan Institute of Social Security. Objective To characterize the clinical and epidemiological variables and the prescription of biological therapy in patients with psoriasis who access the high-cost dispensing program of the Venezuelan Institute Social Security (IVSS) pharmacy. Methods This is a descriptive, cross-sectional study. Results A total of 374 patient records were assessed. The male gender was more frequent, with 56.1% (p <0.001), mostly from Caracas city. In comparing age groups with sex, a difference among these was observed (p <0.05). 57.5% previously used methotrexate, 6.68% biological, 3.2% topical steroids, and 31% did not report which type of previous therapy they had received. Amongst the clinical presentations, 70% corresponded to plaque psoriasis. 79% of the patients presented moderate activity according to the Psoriasis Area and Severity Index (PASI): Eleven percent were assessed with the Dermatology Life Quality Index (DLQI); 39% of them reported an extremely important effect. The anergic range of the Mantoux test represented 70.9% of the cases, and 0.3% took the booster evaluation. Chest X-ray was reported normal in 95% of the cases. The most demanded biological medicine was etanercept, in 52% of the cases. Conclusions Male gender and its association with psoriasis was an important finding. The need to improve the administrative components in completing the medication request formats and strengthen clinical measurements and good medical practice was also found.

scholarly journals Occupational health and safety characteristics of agricultural workers in Adana, Turkey: a cross-sectional study

PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e4952 ◽  
Author(s):  
Ramazan Azim Okyay ◽  
Ferdi Tanır ◽  
Pelin Mutlu Ağaoğlu
Keyword(s):  
Occupational Health ◽  
Social Security ◽  
Health And Safety ◽  
Occupational Health And Safety ◽  
Cross Sectional Study ◽  
Agricultural Workers ◽  
Occupational Accidents ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Mean

Background Among agricultural workers, especially in the seasonal migratory ones, housing and hygiene related issues, occupational accidents, low levels of education, poverty and absence of social security problems emerge as significant public health problems. This study aims to compare migrant-seasonal workers (MSWs) and resident agricultural workers (RAWs) in terms of socio-demographic characteristics and occupational health and safety in Adana, one of Turkey’s most important agricultural cities. Methods This cross-sectional study was conducted on RAWs and MSWs, aged 15–65, operating in the province of Adana. The calculated sample sizes for both MSWs and RAWs were distributed using stratified simple random sampling to five districts of Adana. Results The mean age of the 798 participating agricultural workers was 34.6 ± 14.2. Of the RAWs, 78.8% and of the MSWs 57.0% were male; 5.8% of RAWs and 32.8% of MSWs were illiterate. The mean number of people in the households of the participating workers was 5.1 for RAWs and 6.6 for MSWs. Of the RAWs, 20.5% were not covered by any social security scheme while this percentage was 35.1% in MSWs. RAWs worked 9.9 h a day while MSWs worked 10.9 h a day. Of the agricultural workers, 12.9% had injuries caused by occupational accidents. Discussion Agricultural workers, who are a large part of Turkey’s economically active population, do not have healthy and safe working conditions. New regulations in the fields of social security, record keeping, monitoring, supervision, education and occupational health have been implemented recently to solve these problems. Despite the recent improvements there are still some problematic issues in the auditing of the necessary practices.

scholarly journals Perbedaan ukuran dan bentuk lengkung gigi antara laki-laki dan perempuan suku Bugis, Makassar, dan Toraja Difference of size and shape of dental arch between male and female of Buginese, Makassarese, and Toraja

2012 ◽  
Vol 11 (3) ◽  
pp. 156 ◽  
Author(s):  
Irene Edith Rieuwpassa ◽  
Syamsiar Toppo ◽  
Sri Dian Haerawati
Keyword(s):  
Observational Study ◽  
Sampling Method ◽  
Cross Sectional Study ◽  
Dental Arch ◽  
Sectional Study ◽  
Cross Sectional ◽  
Men And Women ◽  
Male And Female ◽  
Size And Shape ◽  
Significant Difference

Factors which influence the dental arch changes including genetic and environment. This study aims to determine thedifferences in size and shape of dental arch between men and women of Buginese, Makassarese and Torajanese. Thisstudy is an observational study, with a cross-sectional study design. The sampling method was purposive sampling, andnumber of samples were 90 samples obtained from 90 people with 30 people for each tribe, consist of 15 men and 15women, aged 18-25 years, with full dentition. Data were obtained through tcasting models of the maxillary andmandibular samples then were measured by using a ruler and caliper, then calculated using formula to determine,register, and analyze the size and shape of dental arch. Using multiple statistics, including t-test, ANOVA, chi-squaretest, and marginal of homogenity test there are significant differences regarding the size and shape of dental archbetween men and women of the Buginese, Makassarese, and Torajanese. There is only significant difference ofmaxillary dental arch for Buginese, Makassarese, and Torajanese

scholarly journals Histological types of polyps in large intestine biopsies; a single center experience

2020 ◽  
Vol 5 (1) ◽  
pp. e18-e18
Author(s):  
Parisa Masoum Zadeh ◽  
Sara Ghorbani ◽  
Maryam Derakhshan
Keyword(s):  
Large Intestine ◽  
Transverse Colon ◽  
Cross Sectional Study ◽  
Epithelial Tissue ◽  
Intestinal Epithelial ◽  
Sectional Study ◽  
Cross Sectional ◽  
Single Center Experience ◽  
Significant Difference ◽  
Paradoxical Results

Introduction: Large intestine cancer is considered as one of the prevalent cancers among societies. Histological studies have shown that cancers in large intestine often originate from polyps from internal layer of the intestinal epithelial tissue. Objectives: The aim of this study was to investigate the types of polyps in large intestine biopsies in patients referring to Al-Zahra hospital in Iran. Patients and Methods: This is a cross-sectional study conducted on patients undergoing colonoscopy in 2014-2019. Characteristics of polyps were noted based on reports of colonoscopy and pathology. Results: In this study, 372 biopsies from patients aged between 10-96 years were analyzed. No significant difference was observed between two genders regarding location, size, histology, and morphology of polyps (P > 0.05). Adenomatous epithelial polyps are the most common types in all ages). Further analysis showed that most of the discovered polyps (23.3%) were in transverse colon. Conclusion: Adenomatous epithelial polyps are more frequent in patients because most of the discovered polyps were in transverse colon and most of them were adenomatous epithelial. These data were in line with the most of previous studies; however some paradoxical results were reported. More studies on larger populations should be performed.

Abuse among Elderly in a Rural Area of Purba-Bardhaman District: a Cross-sectional Study

2019 ◽  
Vol 15 (1) ◽  
pp. 27-32
Author(s):  
Suman Das ◽  
S. Naskar ◽  
D Das
Keyword(s):  
Social Security ◽  
Elder Abuse ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Elderly Persons ◽  
Sectional Study ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Financial Exploitation ◽  
Elderly Abuse

Background: Aging is increasingly recognized as a health and social problem with challenges on family and the society. The present study aimed at assessing prevalence and types of abuse among elderly and the various associated factors. Methods: A descriptive cross-sectional study was conducted from June to November 2018 among elderly persons (, 60 years) in a community developmental block of Purba-Bardhaman district, West Bengal. Based on required assumptions (50% prevalence, 15% relative error, design effect of 2 and 10% non-response) a total sample of 378 was selected through multistage sampling. With prior informed consent, data were collected using a predesigned - pretested schedule prepared with the help of Hwalek– Sengstock Elder Abuse Screening Test (H-S EAST) tool. A multivariable logistic regression model was generated using the SPSS software. Results: Among 371 subjects studied mean age was 67.39 (±6.063) years, 51.8% were females. Overall 11.9% (44) of elderly were found to be abused and prevalence of elderly abuse among females and males were 13.5% and 10.1% respectively. Psychological abuse was most frequent (95.5%) followed by neglect (84.1%), financial exploitation (52.3%) and physical abuse was least (9.1%). Among the various factors studied, living without spouse [AOR =2.690 (1.355-5.340)] and without social-security support [AOR =4.982 (1.449-17.126)] were found to be significantly associated with elderly abuse. Conclusion: Elderly populations in this study area are vulnerable to abuse and adequate social security support might reduce elderly abuse.

scholarly journals Access to social security benefits among multiple sclerosis patients in Italy: A cross-sectional study.

2018 ◽  
Vol 24 ◽  
pp. 107-112
Author(s):  
Marco Bo ◽  
Lorena Charrier ◽  
Sabina Bartalini ◽  
Matteo Benvenuti ◽  
Alessandra Oggero ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Social Security ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Multiple Sclerosis Patients ◽  
Social Security Benefits

scholarly journals The Expense of Insulin in Individuals with Insulin-Dependent Diabetes in Fars Province based on Prescribed Prescriptions including Insulin

2020 ◽  
Author(s):  
Sanaz Amiri ◽  
Alireza Mirahmadizadeh ◽  
Saeed Seyfi
Keyword(s):  
Social Security ◽  
Cross Sectional Study ◽  
Insulin Dependent Diabetes ◽  
Fars Province ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Insulin Dependent ◽  
The Cost

Background: Diabetes is considered one of the most prevalent chronic diseases in the world, and if it is not cured, it can have many side effects and expenses. The current study has been conducted to calculate the cost of insulin applied in patients with insulin-dependent diabetes who are younger than 19 years old in 2016 and 2017. Methods: The current study is a descriptive and cross-sectional study We investigated all registered prescriptions of social security and health insurance in this study. The price of each insulin was calculated through the official website of the Food and Drug Administration (FDA). Ultimately, the cost of insulin has been calculated based on gender, age group, and insurance types under the age of 19 in patients with insulin-dependent diabetes and those without insulin-dependent diabetes. Data has been analyzed using SPSS24. The frequency command is used to obtain the percentages. Results: In this study, 1135105 insured cases younger than 19 years old were investigated, which females consisted almost half of the insured cases (51 %), and most of them were in the age group of 2-7 years (34 %), and 50 % of the participants in this study were covered by social security insurance. The treatment of each patient with insulin-dependent diabetes included a cost of $ 1187 and $ 1309, respectively, in 2016 and 2017, and $ 1.4 and $ 1.7 respectively (1$ = 42,000 Rials), for each person under the age of 19 in the general population. Conclusion: The results achieved by the mentioned study explained that nearly remarkable cost is spent on preparing insulin for patients with Type 1 Diabetes Mellitus every year. This amount is increasing, and it is essential to predict insulin needs for the future according to the insulin consumption changes.

scholarly journals Out-of-pocket and catastrophic expenses in households of patients with schizophrenia lacking social security

2021 ◽  
pp. 1-7
Author(s):  
Hortensia Reyes-Morales ◽  
Héctor Cabello-Rangel ◽  
María Elena Medina-Mora ◽  
Armando Arredondo-López
Keyword(s):  
General Population ◽  
Social Security ◽  
Psychiatric Hospital ◽  
Cross Sectional Study ◽  
Financial Protection ◽  
Sectional Study ◽  
Cross Sectional ◽  
Outpatient Consultation

Objective. To estimate the magnitude of out-of-pocket (OOP) and catastrophic health expenses as well as impo­verishment experienced by households of schizophrenia patients lacking social security coverage. Materials and methods. We conducted a cross-sectional study of 96 individuals treated outpatient consultation between February and December 2018, in a psychiatric hospital. Results. All households sustained OOP health expenses; the median was 510 USD (95%CI: 456-628). The OOP expenses represented 28 and 4% of the capacity to pay of poor and rich households, respectively. The 16% of households incurred catastrophic expenses and 6.6% have impoverishment for health reasons. Conclusions. Our results illustrate that pocket expenses and catastrophic expenses in patients with schizophrenia are higher than those reported for the general population. There­fore, it is necessary to rethink the financial protection policies aimed at patients with schizophrenia and their households.

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