scholarly journals Evaluation of Lifestyle and Some Biochemical Parameters Involved in Bone Health in Pre and Postmenopausal Cameroonian Women

2019 ◽  
pp. 1-11
Author(s):  
Gerard Nkeunen ◽  
Tsafack Takadong Julie Judith ◽  
Simo Gustave ◽  
Betrand Ayuk Tambe ◽  
Ayangma Celestin Roger ◽  
...  
Keyword(s):  
Alkaline Phosphatase ◽  
Bone Health ◽  
Multivariable Analysis ◽  
Sun Exposure ◽  
Cross Sectional Study ◽  
Assessment Instrument ◽  
Military Hospital ◽  
Cross Sectional ◽  
Risk Assessment Instrument ◽  
Significant Difference

Aims: A healthy skeletal system with strong bones is essential to overall health. This study aimed to assess lifestyle and bone’s biomarkers of women. Study Design: This was a cross-sectional study. Place and Duration of Study: The enrollment took place at the Yaounde Military Hospital from November 2016 to July 2017. Methodology: A set of 105 postmenopausal and 127 premenopausal participants were enrolled from November 2016 to July 2017 in Yaounde. Their physical activities level was evaluated using a questionnaire. Sunlight exposure between 10:00AM and 4:00PM was assessed. Colorimetric methods were used to evaluate calcium, albumin, and alkaline phosphatase activity in plasma. These parameters were then compared within year since menopause (YSM) and osteoporosis risk assessment instrument (ORAI) sub-groups. Results: 13.4% participants were moderately active. Only 22.8% participants had at least 30 minutes sun exposure daily. A multivariable analysis of demographic, lifestyle, biochemical characteristic revealed age, BMI, albumin and calcium were the main factors that influenced bone health among our participants. A significant difference of calcium concentration was found between the two groups whereas albumin was significantly higher in premenopausal than postmenopausal. Albumin was the only variable with a significant difference in the YSM sub-groups while only calcium was non-significantly higher among the ORAI sub-groups. Conclusion: Elevated plasma level of calcium, albumin and alkaline phosphatase could be indicators of high bone turnover.

scholarly journals KNOWLEDGE AND PRACTICES REGARDING VITAMIN D DEFICIENCY AMONG WOMEN ATTENDING IMAM HUSSEIN MEDICAL CITY IN KARBALA 2018

2019 ◽  
pp. 39-43
Author(s):  
SARAH JAFAR AL-GHRAIBAWI ◽  
SAAD IBRAHIM AL-GHABBAN ◽  
RIYADH DHEYHOOD AL-ZUBAIDY
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Public Awareness ◽  
Sun Exposure ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significant Difference ◽  
Medical City ◽  
The Mean ◽  
Socio Demographic Factors

Objective: Vitamin D deficiency is a global health problem. It is significantly associated with skeletal and non-skeletal problems. Prevention can be maintained mainly by effective sun exposure or supplementation and to lesser extent by dietary intake. To determine the magnitude of knowledge and practice of women towards vitamin D deficiency. Methods: A cross-sectional study, purposive sample of 442 women were approached who attended consultants’ clinics of Imam Hussein Medical City in Karbala. Data collection done between March 2 and June 30, 2018 through direct interviews using a special questionnaire prepared for the purpose of the study. Results: Less than half (45.2%) of the women had heard about vitamin D; their source of information was from relatives and friends then from health care provider. The mean score for the participants’ knowledge about VDD was 4.25 out of 9.0 (47%). It has a significant association with higher educational levels and urban residence. There is no significant difference regarding age, marital status or occupation. The mean score for the participants’ practice about vitamin D deficiency was 2.53 out of 5 (50.71%). There is no influence of practice score by socio-demographic factors. Conclusion: Overall knowledge towards vitamin D deficiency was suboptimal. Improving practices towards VD is directly related to increase knowledge about it that indicates the need to increase public awareness about the problem, encourage appropriate way of sun exposure, consumption of vitamin D rich food and taking supplementation when sun exposure is difficult.

scholarly journals Knowledge, attitudes and practices about sun exposure and photoprotection in outpatients attending dermatology clinics at four hospitals in Lima, Peru

2011 ◽  
Vol 86 (6) ◽  
pp. 1122-1128 ◽  
Author(s):  
Elizabeth Thomas-Gavelan ◽  
Eliana Sáenz-Anduaga ◽  
Willy Ramos ◽  
Leonardo Sánchez-Saldaña ◽  
María del Carmen Sialer
Keyword(s):  
College Education ◽  
Sun Exposure ◽  
Sun Protection ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
Attitudes And Practices ◽  
Significant Difference ◽  
Chi Square Test

BACKGROUND: To establish the knowledge, about sun exposure and photoprotection in outpatients treated at the dermatology clinics in four hospitals in Lima, Peru. MATERIAL AND METHODS: A cross-sectional study was conducted involving a sample of 364 patients selected using a systematic random sampling process in the four participating hospitals. The selected patients were interviewed to determine their knowledge, behavior and practices in relation to sun exposure and photoprotection. The chi-square test was used to identify any significant differences between knowledge and practices. RESULTS: The mean age of the patients in this sample was 45.1 ± 21.4 years. Of the 364 patients, 55.9% were women and 54.8% had skin phototype IV. The principal risks related to sun exposure were skin cancer (80.5%) and sunburn (77.8%). Knowledge regarding sun protection was more evident in individuals with university/college education (p<0.001). In addition, 78.9% of the individuals reported that they knew about photo-protectors and 52.3% stated that they used them regularly. In general, women were more knowledgeable regarding sun protection (p=0.001). Of the total number of users of photoprotection, 38.4% used these products daily, while 61.6% used them only occasionally. The use of photo-protectors differed significantly in accordance with the individual's education level (p<0.001). In the majority of cases there was a statistically significant difference between knowledge and practice with respect to solar protection. CONCLUSIONS: The level of awareness of the outpatients treated at the dermatology clinics in these four hospitals in Lima, Peru about the risks of sun exposure is acceptable; however, a large proportion fail to incorporate regular solar protection as a practice in their daily life.

scholarly journals Evaluation of Perceived Stress and Mental Health of Health Defenders in Military and Civilian Hospitals Infected with Corona Virus (COVID 19)

2021 ◽  
Author(s):  
Amir mohsen Rahnejat ◽  
mohammadreza ghasemzadeh ◽  
Arsia Taghva ◽  
Vahid Donyavi ◽  
Farnoosh Yari ◽  
...  
Keyword(s):  
Mental Health ◽  
Perceived Stress ◽  
Mental Health Problems ◽  
Univariate Analysis ◽  
Hospital Staff ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
Psychological Resilience ◽  
Cross Sectional ◽  
Significant Difference

Abstract Background: Considering the prevalence of coronavirus and its effect on mental health and increasing perceived stress, the aim of this study was to investigate the perceived stress and mental health of health defenders in military and civilian hospitals involved in treating patients with COVID 19. Methods: The present study was a descriptive cross-sectional study. The available sampling method was done by sending online questionnaires of demographic characteristics, Goldberg general health and perceived stress (PSS). 323 health advocates were involved with virus patients. Through descriptive statistics, independent mean test, univariate analysis of variance and chi-square test were analyzed using SPSS 25 version. Results: the frequency of symptoms of mental disorder in military hospital staff (61.1%) and civilian hospital staff (50.7%) which indicates a significant difference between the two groups of employees (P <0.05); But there is no significant difference between the two groups in perceived stress.Conclusion: Considering the stressful period of COVID 19 pandemic, to reduce and prevent the psychological effects of this pandemic such as burnout, mental health problems, symptoms of persistent stress, providing psychological resilience interventions for treatment staff on the front lines of the crisis is one of the highest priorities during this epidemic.

scholarly journals ANTERIOR NASAL PACKING POST SUBMUCOUS RESECTION (SMR): A COMPARISON BETWEEN REMOVAL ON 1ST VERSUS 2ND POST OPERATIVE DAY

2021 ◽  
Vol 71 (1) ◽  
pp. 91-95
Author(s):  
Sunarays Akhtar ◽  
Uzma Gul
Keyword(s):  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Nasal Packing ◽  
Military Hospital ◽  
P Value ◽  
Deviated Nasal Septum ◽  
Cross Sectional ◽  
Hematoma Formation ◽  
Significant Difference ◽  
Submucous Resection

Objective: To evaluate the effect of removal of nasal packs after sub mucous resection (SMR) on the first postoperative day versus second post operative day in terms of bleeding control and prevention of septal hematoma formation. Study Design: Comparative cross sectional study. Place and Duration of Study: ENT department, Combined Military Hospital Jhelum Pakistan, from Oct 2017 toOct 2018. Methodology: Total 100 patients of both genders, ages from 16 to 35 years with a deviated nasal septum wereincluded. Written informed consent was taken and hospital ethical committee approval was obtained. Patientswere randomly divided into two groups of 50 patients each by simple random sampling. Patients in both groupsunderwent submucous resection. Patients in whom sub mucous resection was combined with other procedureslike rhinoplasty, turbinectomy, polypectomy were excluded. In group A the nasal packs were removed on thefirst post operative day. In group B the nasal packs were removed on the second post operative day. Nasal packing in all patients was done with vaseline gauze rolls. The groups were compared for bleeding at the time of nasal pack removal and septal hematoma formation in the follow up period. Results: There was no statistically significant difference between the two groups in terms of bleeding (p-value0.40) and septal hematoma formation (p-value 0.49). Conclusion: After sub mucous resection, removal of nasal packs on 1st versus 2nd post operative day is notassociated with any significant difference in bleeding and septal hematoma formation.

scholarly journals Burnout among surgeons; depression, anxiety and stress between consultant versus post-graduate trainee

2020 ◽  
Vol 36 (7) ◽  
Author(s):  
Saleh Khurshied ◽  
Aliya Hisam ◽  
Nawal Khurshid ◽  
Madiha Khurshid
Keyword(s):  
Marital Status ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
P Value ◽  
Cross Sectional ◽  
Post Graduate ◽  
Creative Commons ◽  
Significant Difference ◽  
The Difference

Objective: To compare depression, anxiety and stress between consultant and post-graduate trainee (PG-trainee) surgeons and to find the difference of different factors i.e. gender, marital status, physical activity, BMI, comorbidity and Income per month between the two. Methods: A descriptive cross-sectional study of eight months duration from March 2018 to August 2018 was conducted in Military Hospital and Combined Military Hospital, Rawalpindi, Pakistan. Convenient sampling technique was used. DASS 21 questionnaire was used for data collection. Data were entered and analysed by SPSS 22. A p-value of < 0.05 was considered statistically significant. Results: The mean age of participants was 37.44±10.512 years. Out of 68 participants, 54 (79.4%) were males and 14 (20.6%) were females. There was a significant difference between the consultants and PG trainees in terms of gender, marital status and income per month (p= <0.005) PG-trainees were more depressed and anxious but not stressed as compared to consultants (p= 0.014, 0.012 and 0.280 respectively). Conclusions: There was a significant association in terms of gender, marital status and income per month between consultants and PG trainees. A statistically significant association was found between consultants and PG trainees concerning depression and anxiety showing PG trainees were more depressed and anxious. doi: https://doi.org/10.12669/pjms.36.7.1415 How to cite this:Khurshied S, Hisam A, Khurshid N, Khurshid M. Burnout among surgeons; depression, anxiety and stress between consultant versus post-graduate trainee. Pak J Med Sci. 2020;36(7):1745-1748. doi: https://doi.org/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Prevalence of Anaemia Based on Haemoglobin Levels among Under Five Years Children in Combined Military Hospital, Sylhet

2021 ◽  
Vol 16 (2) ◽  
pp. 76-79
Author(s):  
Most Sarmin Sultana ◽  
Md Rezaur Rahman ◽  
Md Abdul Wahab ◽  
Md Mahbub Ul Alam
Keyword(s):  
Negative Impact ◽  
Personal Data ◽  
Cross Sectional Study ◽  
Severe Anaemia ◽  
Military Hospital ◽  
Cross Sectional ◽  
Under Five ◽  
Data Collection Sheet ◽  
Significant Difference ◽  
Mild Anaemia

Introduction: Anaemia is the commonest nutritional problem in the world but the burden of anaemia is disproportionately borne among children in developing countries. Physical, mental and social developments of the children are adversely affected by childhood anaemia. Objective: To assess the prevalence and severity of anaemia based on haemoglobin levels in children less than five years of age attending in Combined Military Hospital (CMH), Sylhet. Materials and Methods: This cross sectional study was conducted at CMH, Sylhet from January 2018 to December 2018. The study included 184 children aged 6 months to less than 5 years. Personal data and history of co-existing medical conditions were collected by data collection sheet and then analyzed. Results: The prevalence of anaemia was 74(40.2%). Out of the anaemic under five children, 46 (75.7%) had mild anaemia, 18(24.3%) had moderate anaemia, and no one had severe anaemia (WHO definition). There was no significant difference for prevalence of anaemia in relation to sex and age different groups. Conclusion: The prevalence of anaemia in 6 months to less than 5 years children was found to be high, given the negative impact of anaemia on the development of children in future, so there is an urgent need for effective and efficient remedial health interventions. JAFMC Bangladesh. Vol 16, No 2 (December) 2020: 76-79

scholarly journals EFFICACY OF SACCHAROMYCES BOULARDII IN THE MANAGEMENT OF ACUTE WATERY DIARRHEA

2021 ◽  
Vol 71 (2) ◽  
pp. 686-89
Author(s):  
Sajid Ali Shah ◽  
Misbah Baloch ◽  
Saeed Zaman ◽  
Lutfullah Goheer ◽  
Sana Bushra ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Saccharomyces Boulardii ◽  
Watery Diarrhea ◽  
Military Hospital ◽  
Control Group ◽  
P Value ◽  
Cross Sectional ◽  
Reduced Frequency ◽  
Acute Watery Diarrhea ◽  
Significant Difference

Objective: To determine the Efficacy of probiotic (saccharomyces boulardii) in children (2 months to 5 years) with acute watery diarrhea. Study Design: Comparative cross sectional study. Place and Duration of Study: This study was carried out in the department of pediatrics, Combined Military Hospital, Quetta, from Jan 2017 to Jun 2018. Methodology: All children (2 months to 5 years) with acute watery diarrhea presenting within 24 hour of illness with no dehydration and some dehydration were enrolled and divided into two groups, study group and control group. Efficacy was assessed by reduced frequency of stools(less than 3 per day) and duration during the study period. Results: Mean age of the children in probiotic saccharomyces boulardii group was 3.42 ± 1.36 years, while mean age in control group was 3.91 ± 1.16 years (p-value 0.002). Significant difference was also observed in duration of stool and frequency of stool at day 1-5 (p-value <0.05). Statistically significant difference was observed among children in probiotic sacchramyces boulardii group 114 (53%) as compared to controls 101 (47%) (p-value 0.021). Conclusion: The Efficacy of probiotic (saccrharomyces boulardii) was found satisfactory in children (2 months to 5 years) with acute watery diarrhea. In children with acute watery diarrhea saccrharomyces boulardii may be recommended for better outcome.

Personal Audio System: Hearing Symptoms, Habits, and Sound Pressure Levels Measured in Real Ear and a Manikin

2020 ◽  
Vol 63 (6) ◽  
pp. 2016-2026
Author(s):  
Tamara R. Almeida ◽  
Clayton H. Rocha ◽  
Camila M. Rabelo ◽  
Raquel F. Gomes ◽  
Ivone F. Neves-Lobo ◽  
...  
Keyword(s):  
Sound Pressure ◽  
Daily Basis ◽  
Cross Sectional Study ◽  
Normal Hearing ◽  
Chi Square ◽  
Cross Sectional ◽  
The Real ◽  
Significant Difference ◽  
Sound Pressure Levels ◽  
Audio System

Purpose The aims of this study were to characterize hearing symptoms, habits, and sound pressure levels (SPLs) of personal audio system (PAS) used by young adults; estimate the risk of developing hearing loss and assess whether instructions given to users led to behavioral changes; and propose recommendations for PAS users. Method A cross-sectional study was performed in 50 subjects with normal hearing. Procedures included questionnaire and measurement of PAS SPLs (real ear and manikin) through the users' own headphones and devices while they listened to four songs. After 1 year, 30 subjects answered questions about their usage habits. For the statistical analysis, one-way analysis of variance, Tukey's post hoc test, Lin and Spearman coefficients, the chi-square test, and logistic regression were used. Results Most subjects listened to music every day, usually in noisy environments. Sixty percent of the subjects reported hearing symptoms after using a PAS. Substantial variability in the equivalent music listening level (Leq) was noted ( M = 84.7 dBA; min = 65.1 dBA, max = 97.5 dBA). A significant difference was found only in the 4-kHz band when comparing the real-ear and manikin techniques. Based on the Leq, 38% of the individuals exceeded the maximum daily time allowance. Comparison of the subjects according to the maximum allowed daily exposure time revealed a higher number of hearing complaints from people with greater exposure. After 1 year, 43% of the subjects reduced their usage time, and 70% reduced the volume. A volume not exceeding 80% was recommended, and at this volume, the maximum usage time should be 160 min. Conclusions The habit of listening to music at high intensities on a daily basis seems to cause hearing symptoms, even in individuals with normal hearing. The real-ear and manikin techniques produced similar results. Providing instructions on this topic combined with measuring PAS SPLs may be an appropriate strategy for raising the awareness of people who are at risk. Supplemental Material https://doi.org/10.23641/asha.12431435

Estimation of Trace Elements in Gingival Crevicular Fluid and Serum-Comparative Study in Healthy and Periodontitis

2017 ◽  
Vol 9 (5) ◽  
Author(s):  
Bhagavathami Meenaksh ◽  
Chitraa R. Chandran ◽  
Aravindhan Thathchari Ranganathan ◽  
Kavindapadi Venkateswaran Rama ◽  
Valarmathy Srinivasan
Keyword(s):  
Trace Elements ◽  
Inductively Coupled Plasma ◽  
Gingival Crevicular Fluid ◽  
Serum Zinc ◽  
Cross Sectional Study ◽  
Serum Copper ◽  
Cross Sectional ◽  
Inductively Coupled ◽  
Significant Difference ◽  
Copper Zinc

Background: This study aims to determine and compare the levels of trace elements copper, zinc, selenium and chromium in GCF and serum of patients with periodontitis and healthy individuals. Methods: This cross sectional study includes 24 study subjects recruited from the patients reporting to the Department of Periodontics , Tagore Dental College Chennai. All the selected patients were subjected to a clinical examination done by a single examiner. The estimation of trace elements Copper, Zinc, Selenium and Chromium in GCF and serum is performed using Perkin Elmer optima 5300 Inductively Coupled Plasma Emission Spectrometer (ICPOES). Results: GCF and serum copper levels showed no significant difference in both periodontitis and healthy groups . Selenium levels tend to be the same in both groups. Serum zinc levels are more in periodontitis patients than healthy subjects (p less than 0.01). GCF chromium levels are found to be more in patients with periodontitis than healthy. Conclusions : More research is therefore needed to monitor the role of these trace elements C with an increased sample size to ascertain whether they are associated with a reduced risk of periodontitis.

Postpartum Depression and Its Associated Factors among Women in Bandar Abbas City

2018 ◽  
Vol 7 ◽  
Author(s):  
Arefeh Shahi
Keyword(s):  
Postpartum Depression ◽  
Associated Factors ◽  
Parental Education ◽  
Unwanted Pregnancy ◽  
Routine Care ◽  
Cross Sectional Study ◽  
Vulnerable Groups ◽  
Cross Sectional ◽  
Significant Difference ◽  
Bandar Abbas

Background: Postpartum depression with a different incidence of 40- 45% in different societies, which it has adverse effects on the health of mothers and their child, given the negative effects of maternal depression and its harmful effects on the baby and the quality of family life. So, this study was performed with the aim to determine postpartum depression and its associated factors in Bandar Abbas city. Materials and Methods: A descriptive cross-sectional study was conducted in 2015 after obtaining consent from mothers by the census. A total of 343 mothers was examined for depression who referred to Bandar Abbas health centers in the 2nd and 4th months after childbirth. The data collection tools included demographic information and Postpartum Depression Edinburgh questionnaires. Finally, the statistical analyses were performed using SPSS (version 22.0) software and data were analyzed using the Independent t-test, Mann Whitney, Chi-square, and Fisher exact tests.Result: Totally, 68 (19.8%) of samples were in the second month and 54 (15.7%) in the fourth month after delivery had postpartum depression. The incidence of depression in the four months was 6.6%. There was a significant difference between depression and income, parental education, father’s use of cigarette and abnormalities of the infant (P <0.001). There was no significant difference between other factors such as gestational age, infant sex, birth weight, unwanted pregnancy, and type of delivery. Conclusion: Regarding the prevalence of this disorder, it seems that postpartum depression screening planning should be considered during child routine care as an essential component, especially for vulnerable groups.

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