Awareness of patients with symptomatic gallstones regarding their own disease

2021 ◽  
Vol 15 (9) ◽  
pp. 2305-2307
Author(s):  
Syed Muhammad Bilal ◽  
Wasim Hayat Khan ◽  
Usman Ismat Butt ◽  
Roshan Butt ◽  
Abdul Wadood ◽  
...  

Aim: To evaluate the awareness of patients presenting to a government sector hospital in Lahore with gall stones regarding their disease and factors influencing it. Methodology: A cross sectional observation study was conducted at the Department of General Surgery, Services Hospital, Lahore from 1st January 2020 to 30th June 2021. A simple questionnaire to collect and analyze the data of the patients admitted for cholecystectomy. The content of the questionnaire included socio-demographic characteristics and questions to access the awareness of patients regarding gallstones. Data was entered and analyzed using EXCEL 2013. Frequencies and Percentages were calculated as descriptive statistics whereas Fisher's exact test was conducted as inferential statistics. Value of p less than 0.05 was considered as significant. Results: Only 13.5% patients had a good awareness of their own disease. Direct education about the disease from doctor (p=0.0320), media (0.0316) or self-study (0.0001) were significantly related to awareness. Conclusion: The awareness of the patients with symptomatic gall stones regarding their own disease is poor. Role of physicians and lack of its impact on this needs to be investigated further. Keywords: Patient Awareness, gall stones

2021 ◽  
Vol 15 (9) ◽  
pp. 2308-2310
Author(s):  
Syed Muhammad Bilal ◽  
Wasim Hayat Khan ◽  
Usman Ismat Butt ◽  
Roshan Butt ◽  
Muhammad Umar ◽  
...  

Aim: To evaluate the preference of patients presenting to a government sector hospital in Lahore regarding type of gall bladder surgery. Methodology: A cross sectional observation study was conducted at the Department of General Surgery, Services Hospital, Lahore from 1st January 2020 to 30th June 2021. A simple questionnaire to collect and analyze the data of the patients admitted for cholecystectomy. The content of the questionnaire included socio-demographic characteristics and lists of factors for making choice regarding type of surgery by the patient. Data was entered and analyzed using EXCEL 2013. Frequencies and Percentages were calculated as descriptive statistics whereas Fisher's exact test was conducted as inferential statistics. Results: The results of our study showed that the age (p=0.0001) of patient and cost (p=0.0427) of surgery played the most significant role in patient’s decision regarding the type of surgery. Conclusion: Age of the patient and financial constraints are important factors when patients decide about the type of surgery they want have. Despite advantages of laparoscopic surgery many patients chose open surgery due to poor financial status. Keywords: Cholecystectomy, type of surgery, patient’s choice, factors


2019 ◽  
Vol 10 (2) ◽  
pp. 121
Author(s):  
Goodluck A. Mmari ◽  
Lebitso C. Thinyane

SACCOS play a major role of providing financial access to poor people who are excluded from the services of Formal Financial Institutions (FFIs). However, they also face number of challenges which may affect their performance. Most of the previous studies in the area of SACCOS did not concentrate on their performance. The aim of this study therefore was to assess performance of SACCOS in Maseru District, Lesotho. The study adopted a cross-sectional research design where data were collected at one point in time. A sample size of 369 respondents was computed by the use of formula by Yamane (1967). Respondents in the sample were selected by using simple random sampling technique. However, respondents from individual SACCOS were proportional to the total number of members in particular SACCOS. This was done in order to make the sample representative of all SACCOS in the study area. Analyses of data were done by using different techniques which include: mathematical equations (i to vii); different financial ratios; tables; graphs; bar charts and other types of descriptive statistics like mode and percentages. It was found that socio economic characteristics of members were supportive to financial performance of the SACCOS. Furthermore, SACCOS in the study area achieved high performance in terms of ratios of members’ capital; loan delinquency; volumes of savings in the SACCOS; and growth of total assets. On the other hand, the SACCOS realised poor financial performance in terms of ratio of fixed assets to total assets; and share capital owned by members.


Author(s):  
Mamoon H. Syed ◽  
Ayesha Yasmeen ◽  
Marie-Claire Van Hout

AbstractIn Saudi Arabia, there are concerning rates of non-compliance with pharmaceutical regulations prohibiting the pharmacy dispensing of prescription-only medications without a physician prescription. This is the first study in the Middle East which examines physicians’ perceptions regarding misuse of codeine, listed as a narcotic, controlled, and prescription-only drug. The CODEMISUSED survey was adapted to the Saudi Arabian context and pilot tested, prior to cross-sectional administration to physicians in Riyadh, Jeddah, Abha, and Jazan (n = 105). Descriptive statistics (frequencies and percentage) present physician level of agreement, neutrality, and disagreement with statements regarding codeine prescribing, patient awareness and use, online and community pharmacy availability, and dependence. The study indicates concern by physicians regarding patient intentional use of codeine to enhance mood, misuse patterns, lack of awareness around habit-forming use and iatrogenic dependence, and sourcing via illegal dispensing. It underscores the imperatives to address pharmacy compliance with pharmaceutical regulatory controls, implement enhanced pharmacovigilance, and improve awareness around safe use.


Author(s):  
Samaneh Usef Shoeibi ◽  
Fariba Asgari Bezayeh ◽  
Mitra Sedghi Sabet ◽  
Atefeh Ghanbari Khanghah ◽  
Ehsan Kazemnezhad Leyli

Introduction: The scope of nursing care is abundant in cases requiring moral decisions, and awareness of the underlying reasons for choosing a decision is an inseparable part of the daily work of nurses. On the other hand, work environment is also an important part of the organization environment which can affects both employees and their productivity. Objectives: The purpose of this study was to determine the relationship between moral sensitivity and work environment conditions on nurses working in health-education centers of city of Rasht. Methods: In this analytical cross-sectional study, 354 nurses were selected and investigated through stratified random sampling from seven health-education centers from Rasht in 2015. Data were collected using a questionnaire consisting of three sections; the first section included personal-social information, the second part included the lutzen's sensitivity questionnaire, and the third part included the severinsen work environment questionnaire. Descriptive statistics and descriptive statistics such as linear regression, Chi-square and Fisher's exact test were used to analyze the data. Results: The results of this study showed that nurses, in terms of moral sensitivity, were in a moderate position and their point views on the work environment conditions were in an inappropriate situation. Also, the work environment conditions including communication with the boss and colleagues, stress and work engagement had the highest relationship with moral sensitivity. Conclusion: Considering that most of the individuals had an unfavorable work environment conditions were had a moderate moral sensitivity, more attention of managers to the relevant factors is necessary.


Author(s):  
Ernest Owusu ◽  
◽  
Chief Bright Akomeah ◽  
Francis Duah ◽  
◽  
...  

Purpose: The current research aimed to investigate demographic differences in job stress prevalence and job stress causes among the staff of universities. Research methodology: The study is based on a descriptive, quantitative, and cross-sectional research design. A sample of 100 respondents, from Sunyani Technical University, were sampled using the convenience sample method. Data were collected in a survey using a questionnaire which was designed by the researchers and administered to the respondents at their workplaces. The collected data were analyzed using descriptive statistics, regression analysis, and One-Way Analysis of Variance. Results were presented in Tables. Results: The findings indicate that significant demographic differences exist in job stress prevalence and job stress causes. The management of universities should take into account the current findings of the research in dealing with job stress. Appropriate policies are recommended to be put in place to deal with stress related to the job to improve staff output, so as not to have a deleterious effect on staff professional work and personal welfare. Limitations: Some respondents felt reluctant to take part in the survey. The causal conclusions cannot be made based on the current findings since a causal investigation was not the focus of the study, and hence was not done. Some respondents also did not answer all the questions asked. Contributions: The paper contributes to the literature in the area of job stress sources and the role demographic factors in job stress causes in higher institutions. The work is the first of its kinds in the study institution on the role of culture and belief on job stress.


2019 ◽  
Vol 8 (2) ◽  
pp. 277-284
Author(s):  
Foluso Olugbenga Aribaba ◽  
Abdul-Lateef Olamide Ahmodu ◽  
Rotimi Oladele ◽  
Adesina Saliu Yusuff ◽  
Ridwan Banji Olaleye

Abstract The credit money banks whose obligation is to contribute money-wise to small and medium scale enterprises (SMEs) to oblige an essential utensil in decreasing the dismal paucity and enhancing pecuniary change in Nigeria. This paper examines the role deposit money banks’ loan facilities plays in funding SMEs businesses in Nigeria. The study employed the cross-sectional method of survey research. Ten (10) years financial performance index report of SMEs businesses was extracted from the Central Bank of Nigeria (CBN) statistical bulletin between the periods of 2008 – 2017 were selected. The index captured dependent and independent variables. Gross domestic product (GDP) is a proxy to SMEs while fund deposit, loan facilities and return on equity were proxies to deposit money banks variable. Data collected was analysed using descriptive statistics and ordinary least square techniques. The study revealed the positive co-efficient value of 17.19434 and 15.84082 for fund deposit and loan facilities variables; and the negative co-efficient value of −3.442694 for the returns on equity variable which affect the growth of SMEs in Nigeria. The recent economic recession experienced in Nigeria also affect SMEs businesses because the return on equity from SMEs was not encouraging. Therefore, financial regulators should adhere to stability and sustainability of fiscal guidelines that will readdress the loan facilities requirements of 65% to SMEs in the nation’s economy. This will aid enhancement of the country’s economy from the deficiency of funds that impedes investment.


2019 ◽  
Vol 11 (01) ◽  
pp. 96
Author(s):  
Triani Yuliastanti ◽  
Rismawati .

ABSTRAK                           Latar Belakang: Kanker serviks merupakan salah satu penyakit kanker yang paling banyak terjadi pada kaum wanita. Kanker serviks menduduki urutan tertinggi di negara berkembang dan urutan ke 10 di negara maju atau urutan ke 5 secara global Berdasar pada kebijakan pemerintah mengadakan program baru pencegahan Ca Serviks yang dilakukan melalui pemeriksaan Inspeksi Visual Asam Asetat (IVA). Tujuan : Mengetahui hubungan peran bidan dengan perilaku periksa Inspeksi Visual Asam Asetat (IVA). Metode: Desain penelitian menggunakan korelasional dengan pendekatan cross sectional. populasi penelitian semua WUS di Desa Karanggeneng Kecamatan Boyolali sebanyak  971 WUS. Berdasarkan rumus slovin didapatkan jumlah sempel yaitu 91 responden. Teknik sampling accidental sampling. Alat pengumpulan data berupa kuesioner. Analisa data menggunakan uji chi square. Hasil : Penelitian menunjukkan responden yang diberikan penyuluhan dan  melakukan pemeperiksaan  IVA  sebanyak  41,2%, responden yang pernah dilakukan penyuluhan namun tidak periksa IVA sebanyak 58,8%. Sedangkan 100% responden yang tidak mendapatkan penyuluhan tidak melakukan pemeriksaan IVA. Hasil uji fisher exact didapatkan nilai p 0,006  < =0,05 sehingga ada hubungan antara peran bidan dengan perilaku periksa IVA. Kesimpulan : Ada hubungan  antara  peran bidan dengan perilaku periksa IVA. Bidan diharapkan melakukan penyuluhan dan memotivasi ibu secara berulang-ulang tentang pemeriksaan IVA agar meningkatkan pengetahuan dan minat ibu melakukan pemeriksaan IVA sebagai deteksi dini kangker servikKata kunci:  Peran bidan, perilaku periksa IVABIDAN ROLE RELATIONSHIP ROLE OF MIDWIVES WITH CHECK BEHAVIOR OF VISUAL ACID ACID INSPECTION (IVA) ABSTRACTBackground: Cervical cancer is one of the most common cancers in women. Cervical cancer ranks highest in developing countries and ranks 10th in developed countries or 5th place globally. Based on government policy, the implementation of a new program to prevent Cervical Ca is done by examining Visual Acetate Acid inspection (IVA). Objective: To determine the relationship between the role of midwives and the behavior of check for Visual Acetate Acid inspection (IVA). Method: The study design used correlational with cross sectional approach. the research population of all WUS in Karanggeneng Village, Boyolali District was 971 WUS. Based on the Slovin formula, the number of respondents was 91 respondents. The sampling technique is accidental sampling. Data collection tool in the form of a questionnaire. Data analysis using chi square test. Results: The study showed that respondents who were given counseling and conducted IVA examinations were 41.2%, respondents who had been given counseling did not check IVA for 58.8%. While 100% of respondents who did not receive counseling did not carry out IVA examinations. Fisher exact test results obtained p value 0.006 <= 0.05 so that there was a relationship between the role of midwives and IVA check behavior. Conclusion: There is a relationship between the role of midwives and the behavior of check IVA. Midwives are expected to conduct counseling and motivate mothers repeatedly about IVA examination so as to increase knowledge and interest in mothers conducting IVA examination as early detection of cervical cancerKeywords: Role of midwives, IVA check behavior.


Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 130-139 ◽  
Author(s):  
Danica W. Y. Liu ◽  
A. Kate Fairweather-Schmidt ◽  
Richard Burns ◽  
Rachel M. Roberts ◽  
Kaarin J. Anstey

Abstract. Background: Little is known about the role of resilience in the likelihood of suicidal ideation (SI) over time. Aims: We examined the association between resilience and SI in a young-adult cohort over 4 years. Our objectives were to determine whether resilience was associated with SI at follow-up or, conversely, whether SI was associated with lowered resilience at follow-up. Method: Participants were selected from the Personality and Total Health (PATH) Through Life Project from Canberra and Queanbeyan, Australia, aged 28–32 years at the first time point and 32–36 at the second. Multinomial, linear, and binary regression analyses explored the association between resilience and SI over two time points. Models were adjusted for suicidality risk factors. Results: While unadjusted analyses identified associations between resilience and SI, these effects were fully explained by the inclusion of other suicidality risk factors. Conclusion: Despite strong cross-sectional associations, resilience and SI appear to be unrelated in a longitudinal context, once risk/resilience factors are controlled for. As independent indicators of psychological well-being, suicidality and resilience are essential if current status is to be captured. However, the addition of other factors (e.g., support, mastery) makes this association tenuous. Consequently, resilience per se may not be protective of SI.


Crisis ◽  
2020 ◽  
Vol 41 (2) ◽  
pp. 82-88 ◽  
Author(s):  
Bob Lew ◽  
Ksenia Chistopolskaya ◽  
Yanzheng Liu ◽  
Mansor Abu Talib ◽  
Olga Mitina ◽  
...  

Abstract. Background: According to the strain theory of suicide, strains, resulting from conflicting and competing pressures in an individual's life, are hypothesized to precede suicide. But social support is an important factor that can mitigate strains and lessen their input in suicidal behavior. Aims: This study was designed to assess the moderating role of social support in the relation between strain and suicidality. Methods: A sample of 1,051 employees were recruited in Beijing, the capital of China, through an online survey. Moderation analysis was performed using SPSS PROCESS Macro. Social support was measured with the Multidimensional Scale of Perceived Social Support, and strains were assessed with the Psychological Strains Scale. Results: Psychological strains are a good predictor of suicidality, and social support, a basic need for each human being, moderates and decreases the effects of psychological strains on suicidality. Limitations: The cross-sectional survey limited the extent to which conclusions about causal relationships can be drawn. Furthermore, the results may not be generalized to the whole of China because of its diversity. Conclusion: Social support has a tendency to mitigate the effects of psychological strains on suicidality.


2020 ◽  
Vol 35 (2) ◽  
pp. 100-104
Author(s):  
Maksudur Rahman ◽  
Mohammad Abdullah Al Mamun ◽  
MAK Azad Chowdhury ◽  
Abu Sayeed Munsi

Background: Recently it has been apprehended that sildenafil, a drug which has been successfully using in the treatment of PPHN and erectile dysfunction in adult, is going to be withdrawn from the market of Bangladesh due to threat of its misuses. Objective: The aim of this study was to see the extent of uses of sildenafil in the treatment of PPHN and importance of availability of this drugs in the market inspite of its probable misuses. Methods: This cross sectional study was conducted in neonatal intensive care unit (NICU), special baby care unit (SCABU) and cardiac intensive care unit (CICU) of Dhaka Shishu (Children) Hospital from June, 2017 to May 2018. Neonates with PPHN were enrolled in the study. All cases were treated with oral sildenefil for PPHN along with others management according to hospital protocol. Data along with other parameters were collected and analyzed. Results: Total 320 patients with suspected PPHN were admitted during the study period. Among them 92 (29%) cases had PPHN. Male were 49(53 %) cases and female were 43(47%) cases. Mean age at hospital admission was 29.7±13.4 hours. Based on echocardiography,13(14%) cases had mild, 38 (41%) cases moderate and 41(45%) cases severe PPHN. Mean duration of sildenafil therapy was 11.9±7.1 days. Improved from PPHN were 83 (90%) cases. Mortality was 10% (9). Conclusion: In this study it was found that the incidence of PPHN is 29% among the suspected newborns. Sildenafil is successfull in improving the oxygenation of PPHN and to decrease the mortality of neonates. DS (Child) H J 2019; 35(2) : 100-104


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