The validity of Visual Blood Loss Estimation in Postpartum Hemorrhage in Shanghai Hospitals: A Web-based Survey (Preprint)

2019 ◽  
Author(s):  
Ying Liu ◽  
Weiwei Cheng ◽  
Ying Shen ◽  
Lin Rao ◽  
Wei Zhu ◽  
...  
Keyword(s):  
Blood Loss ◽  
Postpartum Hemorrhage ◽  
Descriptive Analysis ◽  
Mainland China ◽  
Visual Estimation ◽  
Chi Square ◽  
Cross Sectional ◽  
Estimated Blood Loss ◽  
Tertiary Hospitals ◽  
Chi Square Test

BACKGROUND Postpartum Hemorrhage has been recognized as the most fatal factor in maternal death. Yet midwives can barely distinguish whether the blood loss has reached a life-threatening amount without precise measurement, particularly during a slow hemorrhage. Also, understaffed midwives in mainland China adds to the difficulty of timely accurate measurement of blood loss. OBJECTIVE To evaluate the accuracy of visual estimated blood loss in postpartum hemorrhage by clinical midwives, as well as the reproducibility of the visual estimation and influencing factors on accuracy. METHODS With a modified on-line visual estimation questionnaire of blood loss, a cross-sectional multicenter study was conducted among voluntary midwives or obstetrical nurses engaged in clinical practice in secondary and tertiary hospitals in Shanghai. A descriptive analysis was performed with demographic features and the rate of accurate responses. The Kappa coefficient was employed to determine the reproducibility of the agreement of visual estimation. The correlations between demographics and items of the questionnaire were conducted with Chi-square test and Spearman correlation analysis. RESULTS A total of 281 midwives and nurses participated in the survey. The finding showed relatively low accuracy and reproducibility of visual estimation, with 25.6% and 17.8% subjects in Shanghai hospitals distinguishing the postpartum hemorrhage (500ml) and the severe postpartum hemorrhage (1000ml), respectively. The Kappa coefficients were slight to moderate (0.062~0.450). The institutional routine for blood loss calculation turned out to be relevant to the accuracy of visual estimation. CONCLUSIONS Visual estimation cannot provide sound validity for blood loss evaluation in postpartum hemorrhage in China, especially when the amount exceeds 500ml. Institutions should make routines on how blood loss can be reckoned with the sterile drapes and gauzes they use, and provide regular training for midwives and nurses.

scholarly journals Relationship of Bone Marrow Plasma Cell Morphology with Cytogenetic Abnormalities in Patients with Multiple Myeloma

2021 ◽  
Author(s):  
Vikram Narang ◽  
Maneet Luthra ◽  
Avantika Garg ◽  
Amit Dhiman ◽  
Neena Sood
Keyword(s):  
Multiple Myeloma ◽  
Plasma Cells ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Morphological Pattern ◽  
Cross Sectional ◽  
Cytogenetic Abnormalities ◽  
Cytogenetic Studies ◽  
Chi Square Test

Introduction: Cytogenetics has become an integral part of Multiple Myeloma (MM) diagnosis and prognostication. A combination of conventional cytogenetics and interphase Fluorescence In Situ Hybridization (FISH) is currently used to stratify tumours into high, intermediate and standard risk disease. Aim: To compare the morphological details of plasma cells with cytogenetic abnormalities. Materials and Methods: The present retrospective cross sectional study was conducted at Department of Pathology Dayanand Medical College and Hospital, Ludhiana in three and a half year duration (1st January 2014 to 30th June 2017). All the diagnosed MM patients in whom cytogenetic was available were included and descriptive analysis was done using Chi-Square test and relevant statistical analysis using SPSS 21 version. Correlation was done with various morphological pattern (plasmacytic, plasma blastic). Results: Cytogenetic studies were performed on 42 cases using FISH technique (n=31, 81.6%) and GTG (Giemsa) banding (n=4, 10.5%). Three (7.9%) patients were tested with both methods. In the present study, all the patients (n=2,100%) with plasmablastic morphology who got tested with cytogenetics had del13q14.3 and none of the patients with normal genome (n=22) had plasmablastic morphology. Conclusion: Morphologic patterns of plasma cells and cytogenetic studies correlate well and can together help in better prognostication of MM patients.

scholarly journals SOCIETY DIMENSIONS REVIEWED FROM LOSS & GRIEVING IN COVID-19 PANDEMIC ERA

2021 ◽  
Vol 10 (1) ◽  
pp. 18-25
Author(s):  
Rahmawati Rahmawati ◽  
Evita Muslima Isnanda Putri ◽  
Fidrotin Azizah
Keyword(s):  
Sex Education ◽  
Cultural Context ◽  
Process Analysis ◽  
Descriptive Analysis ◽  
Sampling Technique ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Educational Backgrounds ◽  
Chi Square Test

Background:Covid-19 pandemic has spread across the world and is having an impact globally. The rules for handling the Covid-19 pandemic force people to change their habits and patterns of daily life. Covid-19 has brought dramatic changes to our lives, including many losses. However, change or transition experienced by the community due to the Covid-19 pandemic can cause loss and grief.Objectives:This study aims to determine society dimension variables with loss and grief in Covid-19 pandemic era.Methods:. Correlational analytic with cross sectional approach that analyzes the relationship between age, sex, education and occupation with Loss and Grieving. A sample of 278 respondents with accidental sampling technique. The instrument uses a questionnaire distributed by social media. Descriptive analysis with process analysis, analytic analysis with chi square test and Spearman's Rho at a significance level of 5%Results: All respondents experienced a grieving phase and most were in the Bargaining stage (54.3%). Men are more acceptable (14.3%) than women (9.6%). The age of 33.3% early adolescents and people who do not work 50% are dominant in the anger phase, most of all educational backgrounds are in the Bargaining phase (42.8% -55.9%)Conclusion:The length of time the incident occurred, the cultural context, the similarity of policies, and the territorial background of the Indonesian State greatly influenced the loss and grieving stages, making the majority of the grieving stages in the Bargaining stage. Keywords: loss, grief, Covid-19

scholarly journals Students’ Perception on Government Policy of Routine HIV Testing: A Case of University of Zambia Ridgeway Campus

2021 ◽  
Vol 1 (3) ◽  
Author(s):  
Chibochi Kaminsa ◽  
Chirwa Simon ◽  
Kalembwe Vincent ◽  
Mukomenji Celestine ◽  
Martha Mbewe Mwelwa ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Descriptive Analysis ◽  
Structured Interview ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Good Policy ◽  
Routine Hiv Testing ◽  
Voluntary Counselling And Testing ◽  
Design And Methods

Background HIV Routine testing to all hospital attendants offers testing to all patients irrespective of their presenting illness even if it has nothing to do with HIV. This approach differs from voluntary counselling and testing, which is client-initiated. Adolescents and young adults especially those in colleges are a sexually active group of people which makes them prone to HIV infection. Therefore, there was need to conduct this study to determine the perception of students on routine HIV testing at the University of Zambia (Ridgeway campus) to determine their attitude towards HIV testing. Design and Methods A cross sectional quantitative study was conducted at UNZARidgeway hostels using stratified random sampling to select study participants which included all males and females who were on campus. A semi-structured interview questionnaire was applied to collect data which was analyzed using SPSS version 23software. A Chi-square test was applied for descriptive analysis and results were presented in tables and charts. Results Majority indicated that routine HIV testing was a good policy and supported it; though surprisingly 94% of the students were knowledgeable about routine HIV testing and yet their knowledge did not affect their perception of the policy. However, their experiences, expectations and beliefs affected students’ perception on routine HIV testing. Conclusion Health practitioners should have positive attitude and good work culture in order to uphold students’ positive perception so as to encourage a culture of HIV testing and is free from stigma.

scholarly journals Depression, anxiety, and stress in dentists in times of covid-19 in northern Peru.

2021 ◽  
Vol 10 (2) ◽  
pp. 1-7
Author(s):  
Gleiser Arias-Vásquez ◽  
◽  
María Espinoza-Salcedo ◽  
Keyword(s):  
Work Experience ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Northern Region ◽  
Psychological Disorder ◽  
Mild Stress ◽  
Mild Depression ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

Objective: To determine the levels of depression, anxiety, and stress in dentists working in the northern region of Peru in times of COVID-19. Material and Methods: 310 dentists working in the northern region of Peru in times of COVID-19 were evaluated by means of an observational and cross-sectional study. Subjects were asked to give their informed consent and answer a virtual questionnaire containing 21 items based on the DASS-21 Scale that assesses depression, anxiety, and stress. A descriptive analysis was carried out with frequencies; for the variables of gender and years of work experience the Chi square test (p<0.05) was used. Results: It was found that 291 (93.87%) of the dentists suffered from some type of psychological disorder: stress (35.74%), anxiety (35.05%), depression (29.21%). Mild stress was the most prevalent accounting for 49.04% (51); mild depression with 45.88% (39), and moderate anxiety with 40.20% (41). A higher prevalence was found in females and in those dentists who had less than 5 years of work experience. Conclusion: 93.87% of dentists working in the northern region of Peru in times of COVID-19 presented some type of psychological disorder, a higher frequency of mild stress was found, followed by mild depression, and moderate anxiety.

scholarly journals Coping with COVID-19 in an international border region: health and economy

2021 ◽  
Vol 29 ◽  
Author(s):  
Reinaldo Antonio Silva-Sobrinho ◽  
Adriana Zilly ◽  
Rosane Meire Munhak da Silva ◽  
Marcos Augusto Moraes Arcoverde ◽  
Enrique Jorge Deschutter ◽  
...  
Keyword(s):  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Border Region ◽  
Chi Square ◽  
Cross Sectional ◽  
Unified Health System ◽  
The Social ◽  
Chi Square Test ◽  
Level Of Significance ◽  
International Border

Objective: to analyze how the social isolation measures and closed borders affected the health and economy in an international border region. Method: descriptive cross-sectional study conducted in the western region of Paraná, Brazil, using an electronic form created using Google® forms. A sample of 2,510 people was addressed. Descriptive analysis and the Chi-square test were performed, with a level of significance established at 5%. This public opinion survey, addressing unidentified participants, is in accordance with Resolutions 466/2012 and 510/2016. Results: the participants were 41.5 years old on average, most were women and worked in the education sector; 41.9% reported that the closing of borders/commercial businesses negatively influenced income; 17.7% reported the possibility of losing their jobs; 89.0% consider that a larger number of people would be sick if the borders/commercial had not been closed; 63.7% believe the health services are not prepared to deal with the pandemic; 74.9% realize that the Brazilian Unified Health System may not have sufficient service capacity; 63.4% reported anxiety; and 75.6% of commercial workers will experience changes in their income level. Conclusion: the closing of international borders and commercial businesses was related to a perception of physical and mental changes, job loss, and decreased income.

scholarly journals Satisfaction of deaf patients with the health care

Revista CEFAC ◽  
2020 ◽  
Vol 22 (5) ◽  
Author(s):  
Regiane Ferreira Rezende ◽  
Leonor Bezerra Guerra ◽  
Sirley Alves da Silva Carvalho
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Self Perception ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
Deaf Adults ◽  
Chi Square Test

ABSTRACT Purpose: to investigate the satisfaction of deaf people in relation to the health services, to characterize the sample regarding sociodemographic, socioeconomic, and self-perception of deafness, and to verify if there is an association between satisfaction with care, communication, professionals, and self-perception of deafness. Methods: an observational, cross-sectional study conducted with a semi-structured questionnaire in 74 deaf adults. A descriptive analysis of the characterization of the sample and attendance, and an analysis of the association between satisfaction, professionals, self-perception, service used, and schooling level was performed, using the chi-square test. The level of significance adopted was 5%. Results: the sample was composed mainly of women (66.2%), 18 to 28 years old (46.5%), of socioeconomic class D (51.3%), having finished high school (56.76%), and employed as an office assistant or typist (90%), 63.5% self-declared as deaf, 51.3% were bilingual, and 54.4% were not satisfied with the medical care. There was a statistically significant difference between the level of satisfaction of the volunteers with the health care received in relation to the different health professionals who attended them (p< 0.05). Conclusion: most of the population was not satisfied with medical care, although this service was most sought. The type of communication used by the professionals and the presence of an interpreter were not effective. It is necessary to implement strategies to ensure accessibility and comprehensive careto this population.

scholarly journals Perbedaan Fungsi Kognitif Mahasiswa Fakultas Kedokteran Unissula dengan IPK Kurang dari 3 dan IPK Lebih sama dengan 3 Yudisium Tahun 2018

2019 ◽  
Vol 2 (1) ◽  
pp. 293
Author(s):  
Ahmadi NH ◽  
Elly Noerhidajati ◽  
Siti Maesaroh
Keyword(s):  
Mini Mental State Examination ◽  
Descriptive Analysis ◽  
P Value ◽  
Test Results ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
Chi Square Test ◽  
The One ◽  
State Examination

Cognitive function varies in each human being, from simple to complex, requiring attention, concentration, and coordination. Cognitive is related to a person's ability to think, solve problems, organize and also to communicate and interact with others and the environment. Methods: cross-sectional research, samples involve the students of medical faculty of Unissula-Semarang with GPA less than 3 and more than 3 graduated in 2018, instrument Mini-Mental State Examination (MMSE). Descriptive analysis and Chi-square test. Results and Discussion: samples are 56 students, the highest gender is men (51%), the range of age 18-21 years old (53.6%), the number of GPA is the same as the one below and above 3 there are 28 (50%). Test Chi Square gender difference with P value of 0.422 GPA gender does not have significant difference to the GPA, based on the age of the results of T-test p-value 0.000, showed age had significant difference to the GPA, where the age is getting younger GPA is getting better, based on the scores of MMSE test, it was obtained p 1.000, MMSE score has no significant difference with the GPA. Conclusion: Gender and MMSE value have no difference with GPA, there is difference between age and GPA, the younger the students the better GPA the students achieve.

scholarly journals La realización del test diagnóstico para el VIH entre los participantes del carnaval

2018 ◽  
Vol 18 (1) ◽  
pp. 134-182
Author(s):  
Márcio Tadeu Ribeiro Francisco ◽  
Vinícius Rodrigues Fernandes Da Fonte ◽  
Carina D'Onofrio Prince Pinheiro ◽  
Monyque Évelyn Dos Santos Silva ◽  
Thelma Spindola ◽  
...  
Keyword(s):  
Access To Health Care ◽  
Descriptive Analysis ◽  
Rapid Test ◽  
Cross Sectional Study ◽  
Sexual Practices ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Access To Health ◽  
Chi Square Test

Objetivo: Identificar a adesão e descrever fatores associados à realização da testagem para o HIV entre os participantes do carnaval.Método: Estudo transversal realizado com 557 participantes. Os dados foram coletados com auxílio de um questionário. Foi realizada análise descritiva e empregado o teste qui-quadrado com nível de significância de 95%.Resultados: 66,2% já fizeram teste para o HIV alguma vez na vida, 54,2% realizaram nos últimos 12 meses e 83,8% nunca fizeram o teste rápido. Houve associação significativamente estatística (p <0.05) na realização do teste com as variáveis, sexo, faixa etária, relacionamento, pratica sexual com pessoa do mesmo sexo, cadastro em Unidades de Atenção Básica e conhecimento sobre serviços de saúde que realizem o teste gratuitamente.Conclusão: Questões sociais, culturais, de gênero e acesso a unidades de saúde tem se mostrado mais eficientes no estímulo para a realização da testagem do que a exposição a práticas sexuais de risco. Objetivo: Identificar la adhesión y describir factores asociados a la realización de la prueba diagnóstica para el VIH entre los participantes del carnaval.Método: Estudio transversal realizado con 557 participantes. Los datos fueron recolectados con ayuda de un cuestionario. Se realizó un análisis descriptivo y se empleó la prueba chi-cuadrado con nivel de significancia del 95%.Resultados: 66,2% ya han hecho pruebas para el VIH alguna vez en la vida, el 54,2% se realizó en los últimos 12 meses y el 83,8% nunca hizo la prueba rápida. Se observó una asociación significativamente estadística (p<0.05) en la realización del test con las variables, sexo, edad, relación, práctica sexual con persona del mismo sexo, registro en Unidades de Atención Básica y conocimiento sobre servicios de salud que realizan el test gratuitamente.Conclusión: Cuestiones sociales, culturales, de género y acceso a unidades de salud se han mostrado más eficientes en el estímulo para la realización del test que la exposición a prácticas sexuales de riesgo. Objective: To identify adherence and to describe factors associated with realization HIV testing among carnival participants.Method: A cross-sectional study with 557 participants. Data were collected using a questionnaire. A descriptive analysis was performed and the chi-square test was used, with a significance level of 95%.Results: 66.2% have ever tested for HIV at any time in their lives, 54.2% have performed in the last 12 months and 83.8% have never taken the rapid test. There was a statistically significant association (p <0.05) in the test with the variables, gender, age group, relationship, sexual practice with the same sex, enrollment in Primary Care Units and knowledge about health services that performed the test free of charge.Conclusion: Social, cultural, gender, and access to health care issues have been shown to be more effective in stimulating testing than exposure to risky sexual practices.

scholarly journals Route of birth delivery preferred by mothers and their motivations

2017 ◽  
Vol 22 (1) ◽  
Author(s):  
Fernanda Kottwitz ◽  
Helga Geremias Gouveia ◽  
Annelise de Carvalho Gonçalves
Keyword(s):  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Hospital Data ◽  
Chi Square ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Chi Square Test ◽  
Route Of Delivery ◽  
Type Of Delivery

Abstract Objective: Identify the route of birth delivery preferred by mothers and their motivations. Method: Cross-sectional study with 361 mothers from a university hospital. Data were obtained using a structured questionnaire from February to April 2013. Descriptive analysis was performed and the Chi-square test was used to verify association among the variables. Results: 77.6% of the women preferred vaginal delivery and the reason reported by 81.8% of them was easier recovery postpartum; 20.5% believed they took part in the decision-making concerning the type of delivery; 64.5% believed the type of delivery they experienced did not involve risk for themselves, while 21.9% believed it involved risk for the newborn. Statistical association was found between number of deliveries and type of previous delivery with the preferred route of delivery. Conclusion: Women did not have adequate knowledge regarding the risks and benefits of different types of delivery and for this reason were not empowered to exert their autonomy in regard to this decision.

scholarly journals Community Pharmacists’ Opinions towards Poor Prescription Writing in Jazan, Saudi Arabia

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 1077
Author(s):  
Saad Saeed Alqahtani
Keyword(s):  
Saudi Arabia ◽  
Descriptive Analysis ◽  
Community Pharmacists ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Health Authorities ◽  
Chi Square Test ◽  
Prescription Writing

Avoidance of medication errors is imperative for the safe use of medications, and community pharmacists are uniquely placed to identify and resolve the errors that may arise due to poorly handwritten prescriptions. Purpose: To explore the opinion and attitudes of community pharmacists towards poor prescription writing and their suggestions to overcome this concern. Methods: A cross-sectional, self-administered survey was conducted among the community pharmacists in the Jazan region, Saudi Arabia. Descriptive analysis and chi-square test were used at 5% p-value (p > 0.05) as the significance level. Results: The response rate for the survey was 78.66%, and 140 community pharmacists agreed to participate. Among the study subjects, the majority (73.57%) had a bachelor’s degree. Nearly three-fourths (3/4) of the pharmacists (72.29%) chose to send the patient back to the prescriber when they found difficulty in interpreting the information from an illegible prescription. As many as 80.71% of the pharmacists believed that poorly handwritten prescriptions were the cause of actual errors when dispensing medications. The most commonly encountered problem due to poorly handwritten prescriptions was the commercial name of medicine, which was reported by around two-thirds (67.86%) of the pharmacists. The use of e-prescription was suggested by 72.86% of the pharmacists as a probable solution to encounter this problem. Conclusion: Our findings highlight the belief and attitudes of community pharmacists in the region and their opinions to solve this impending problem of poor prescription writing. Continuous professional development courses can be adopted to tackle the problem. Additionally, health authorities can work on incorporating and facilitating the use of e-prescription in the community sector, which can be a boon to physicians, pharmacists, and patients. Proper and extensive training is however needed before the implementation of e-prescribing.

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