Predictors of Breastfeeding Initiation Among Postnatal Mothers at Tertiary Care Center of a Tribal Dominant State in India: A Regression Analysis

4 Background: Rural residence, educational status & longer travel distance are variably associated with suboptimal cancer treatment and outcomes. There are limited data on impact of these factors on treatment patterns & survival outcomes in penile cancer. Methods: Patients with a histological diagnosis of carcinoma penis during 2015 to 2019 were identified from the database of a large tertiary care center in India. Chart reviews were performed to retrieve demographic, clinicopathological and treatment details. Educational status was categorized as no formal education and any educational attainment, while travel distance was dichotomized at 500 km. Logistic regression analyses were performed to examine the associations with cancer treatments. Relapse free survival (RS) and overall survival (OS) were calculated by plotting Kaplan Meir curves and compared using log rank test. Multivariable Cox regression analysis were used to determine the associations of socioeconomic status and residence on survival outcomes. Results: A total of 100 patients were eligible for the current analysis. The median age was 56 (interquartile [IQR]range, 42-65) years. The median duration of symptoms was 6 (IQR, 4-12) months. Ulcero-proliferative growth (65%) was the most common presenting symptom followed by pain (57%) and dysuria (36%). Most patients had grade 2 tumor (60%), while stage was equally distributed from I-IV. Three-fourths of patients had clinically enlarged inguinal lymph nodes, while, 42 % were pathologically involved. Of all patients, 58% were from rural communities, 44% patient didn’t receive any formal education, and 36% had travelling distance of over 500 km from the hospital. Surgery, radiotherapy, and chemotherapy were administered in 53%, 42% and 24%, respectively. On multivariable logistic regression analysis, lower education, rural residence and longer travel distance were not associated with a lower likelihood of receiving any treatment. At a median follow-up of 50.7 months, median RFS and OS were 59.8 (95% CI, 15.8-NR) and 83.9 (95% CI, 29.2–NR) months, respectively. After adjusting for tumor stage, involvement of lymph nodes, PS, and grade, education status, primary residence (urban vs rural), and distance from the treatment center were not associated with RFS and OS. However, advanced stage was the only factor predictive of worse RFS and OS (Table). Conclusions: Rural residence, educational status and travel time were not associated with treatment administration and survival outcomes in patients with penile cancer treated in a publicly funded tertiary care center in India. [Table: see text]

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Prevalence of metabolic syndrome and its components in patients presenting to tertiary care center

Asian Journal of Medical Sciences ◽

10.3126/ajms.v11i4.29037 ◽

2020 ◽

Vol 11 (4) ◽

pp. 53-57

Author(s):

Ramesh Raj Acharya ◽

Dipak Kunwar ◽

Susmita Khadka ◽

Rajyashree Kunwar ◽

Adhyashree Karki ◽

...

Keyword(s):

Metabolic Syndrome ◽

Regression Analysis ◽

Care Center ◽

Tertiary Care ◽

Multivariate Logistic Regression Analysis ◽

Nationwide Survey ◽

Survey Study ◽

Tertiary Care Center ◽

Cross Sectional ◽

The Metabolic Syndrome

Background: Globally prevalence of metabolic syndrome ranges from 10 to 84%, depending upon sex, age, race, and ethnicity, region and the definition used. There is limited literature in the prevalence of metabolic syndrome in Nepal. One nationwide survey study reported prevalence of metabolic syndrome is 15% and 16% according to ATP III and IDF criteria respectively. Aims and Objectives: The aims and objective of our study is to study the prevalence of metabolic syndrome and its components in tertiary care center. Material and Methods: This was a descriptive cross-sectional study. We used convenient method of sampling and data collection was done in between May 2019 to July 2019. Bivariate and multivariate logistic regression analysis was done for association of metabolic syndrome with different variables. Results: The total of 362 participants was included in the study. Among them 54.4% were 53 years and above and 45.6% were below 53 years of age. Among all participants 25% were diabetic and 55% were hypertensive. Among all participants metabolic syndrome was found in 45.3%. All components of metabolic syndrome were found to be significantly associated with metabolic syndrome both in bivariate and multiple regression analysis. Conclusion: The metabolic syndrome is very prevalent in our population. These findings prompt the concerned authorities to formulate strategies to prevent the risk factors.

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Comparison of accidental pediatric scald burns in a tertiary care center: hot cauldron burns versus accidental spill burns

F1000Research ◽

10.12688/f1000research.73840.1 ◽

2021 ◽

Vol 10 ◽

pp. 1086

Author(s):

Kiran Kishor Nakarmi ◽

Bishnu Deep Pathak ◽

Dhan Shrestha ◽

Pravash Budhathoki ◽

Shankar Man Rai

Keyword(s):

Regression Analysis ◽

Multinomial Logistic Regression ◽

Care Center ◽

Tertiary Care ◽

Hospital Setting ◽

Secondary Data ◽

Cross Sectional Study ◽

Tertiary Care Center ◽

Cross Sectional ◽

Multinomial Logistic Regression Analysis

Background: Scald burns result from exposure to high-temperature fluids and are more common in the pediatric age group. They occur mainly by two mechanisms: (i) spill and (ii) immersion (hot cauldron) burns. These two patterns differ in clinical characteristics and outcomes. Scalds cause significant morbidity and mortality in children. The objective of this study was to compare accidental spill burns and hot cauldron burns in a hospital setting. Methods: An analytical cross-sectional study was conducted by reviewing the secondary data of scald cases admitted during the years 2019 and 2020 in a burn-dedicated tertiary care center. Total population sampling was adopted. Data analysis was done partly using SPSS, version-23, and Stata-15. Mann Whitney U-test and Chi-square/Fisher's exact test were done appropriately to find associations between different variables. Regression analysis was performed taking mortality events as the outcome of interest. Results: Out of 108 scald cases, 43 (39.8%) had hot cauldron burns and 65 (60.2%) had accidental spill burns. Overall mortality was 16 (14.8%), out of which hot cauldron burns and accidental spill burns comprised 12 (75.0%) and 4 (25.0%), respectively. Multinomial logistic regression analysis showed the type of scald, age, and Baux score found to be associated with mortality. Every one-year increment in age had a 29% lower odds of occurrence of mortality event (adjusted odds ratio [OR], 0.71; 95% confidence interval [CI], 0.50-0.99, p=0.042). Likewise, every one-point increment in Baux score was associated with 19% higher odds of mortality (adjusted OR, 1.190; 95% CI, 1.08-1.32; p<0.001). Conclusions: Accidental spill burns were more common but mortality was significantly higher for hot cauldron burns. The majority of burn injuries occurred inside the kitchen emphasizing appropriate parental precautions. The risk of mortality was significantly higher in burn events occurring outside the house, and burns involving back, buttocks, perineum, and lower extremities.

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A cross-sectional study of knowledge, attitude, and practice toward breastfeeding among postnatal mothers delivering at a tertiary care center in Garhwal, India

International Journal of Applied and Basic Medical Research ◽

10.4103/ijabmr.ijabmr_605_20 ◽

2021 ◽

Vol 11 (2) ◽

pp. 64

Author(s):

Rajlaxmi Mundhra ◽

Rakesh Kumar

Keyword(s):

Care Center ◽

Tertiary Care ◽

Cross Sectional Study ◽

Tertiary Care Center ◽

Sectional Study ◽

Cross Sectional ◽

Attitude And Practice ◽

Postnatal Mothers ◽

Knowledge Attitude And Practice

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Comparison of accidental pediatric scald burns in a tertiary care center: hot cauldron burns versus accidental spill burns

F1000Research ◽

10.12688/f1000research.73840.2 ◽

2022 ◽

Vol 10 ◽

pp. 1086

Author(s):

Kiran Kishor Nakarmi ◽

Bishnu Deep Pathak ◽

Dhan Shrestha ◽

Pravash Budhathoki ◽

Shankar Man Rai

Keyword(s):

Regression Analysis ◽

Care Center ◽

Tertiary Care ◽

Hospital Setting ◽

Secondary Data ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Binary Logistic Regression Analysis ◽

Tertiary Care Center ◽

Cross Sectional

Background: Scald burns result from exposure to high-temperature fluids and are more common in the pediatric age group. They occur mainly by two mechanisms: (i) spill and (ii) immersion (hot cauldron) burns. These two patterns differ in clinical characteristics and outcomes. Scalds cause significant morbidity and mortality in children. The objective of this study was to compare accidental spill burns and hot cauldron burns in a hospital setting. Methods: An analytical cross-sectional study was conducted by reviewing the secondary data of scald cases admitted during the years 2019 and 2020 in a burn-dedicated tertiary care center. Total population sampling was adopted. Data analysis was done partly using SPSS, version-23, and Stata-15. Mann Whitney U-test and Chi-square/Fisher's exact test were done appropriately to find associations between different variables. Binary regression analysis was performed taking mortality events as the outcome of interest. Results: Out of 108 scald cases, 43 (39.8%) had hot cauldron burns and 65 (60.2%) had accidental spill burns. Overall mortality was 16 (14.8%), out of which hot cauldron burns and accidental spill burns comprised 12 (75.0%) and 4 (25.0%), respectively. Binary logistic regression analysis showed the type of scald, age, and Baux score found to be associated with mortality. Every one-year increment in age had a 29% lower odds of occurrence of mortality event (adjusted odds ratio [OR], 0.71; 95% confidence interval [CI], 0.50-0.99, p=0.042). Likewise, every one-point increment in Baux score was associated with 19% higher odds of mortality (adjusted OR, 1.190; 95% CI, 1.08-1.32; p<0.001). Conclusions: Accidental spill burn was more common but mortality was significantly higher for hot cauldron burns. The risk of mortality was significantly higher in burn events occurring outside the house, and burns involving back, buttocks, perineum, and lower extremities.

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