scholarly journals Prevalence of Nausea and Vomiting of Pregnancy and its Associated Factors at Three Teaching Hospitals in Ethiopia

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Fessehaye Abraham ◽  
Abate Desalegn Degafu
2021 ◽  
Author(s):  
Delelegn Emwodew ◽  
Tesfahun Melese ◽  
Adamu Takele ◽  
Nebiyu Mesfin ◽  
Binyam Tariku

BACKGROUND EBM teaching programs are popular and widely available, they have successfully incorporated in medical curriculum and shown to be effective in helping clinicians search for, retrieve and apply evidence. In Ethiopia, teaching of the EBM is not yet a component of the undergraduate medical curriculum. In particular, little is known about the levels of knowledge and attitude regarding EBM, their ability to access and understand evidence, their information about statistical terms among medical interns. Thus, it is required that the current state of EBM to be understood in order to plan long-term educational programs. OBJECTIVE The objective of this study was to assess the knowledge and attitude towards EBM and its associated factors among medical interns in Amhara regional state teaching hospitals, Northwest Ethiopia. METHODS An institution based cross-sectional survey was conducted from March to April, 2020. Simple random sampling with proportional allocation was used. A total of 403 medical interns were included in the study. Multi-variable logistic regression analysis method was used to identify the factors associated with the knowledge and attitude of medical interns towards EBM. RESULTS From a sample of 423 medical interns, 403 completed the questionnaire making a response rate of 95.3%. Out of the respondents, 291 (72.2%) were males. The mean age of the participants were 24.7 ± 0.97 SD years and 324 (80.4%) had never received any training related to EBM. Most, 276 (68.5%) of the participants have their own computer and 355 (88.1%) have an internet access. The level of good knowledge and favorable attitude were 57.1% and 68.0% respectively. The variables associated with the level of EBM knowledge were found to be previous EBM training (AOR=2.947, 95% CI = 1.648-5.268), understanding of sensitivity (AOR= 2.836, 95% CI = 1.824-4.408) and internet access (AOR=2.914, 95% CI = 1.494-5.685). The multivariable analysis also showed a positive association between use of electronic database to make clinical decision (AOR=1.808, 95% CI= 1.143-2.861) and knowledge of absolute risk reduction (AOR =2.750, 95% CI= 1.105-6.841) with attitude of medical interns towards EBM. CONCLUSIONS Medical interns have limited knowledge and understanding of key concepts of EBM, but a relatively positive attitude towards the concepts. There is a need to setup EBM journal club, which helps to increase awareness and use of evidence, as well as assist medical interns and other clinical staffs to ensure the correct application of EBM in to clinical practice.


2016 ◽  
Vol 8 (11) ◽  
pp. 127
Author(s):  
Farideh Kazemi ◽  
Fatemeh Nahidi ◽  
Nourossadat Kariman

<p>Women experience physical, chemical, endocrine gland and organ changes during pregnancy that limit their activities and reduce their quality of life. The present study was conducted to investigate the quality of life in pregnant women in Iran, the assessment scales used to measure this variable and the factors associated with it.</p><p>The present study searched databases including Science Direct, PubMed, Scopus, SID, Iranmedex, Mahiran, IranDoc and Google Scholar using keywords such as pregnant women, Iran, quality of life, pregnancy and prenatal and their Persian equivalents to find relevant articles conducted in Iran and ultimately found 20 articles to review without any regard for their time, language and publication site.</p><p>Studies conducted in Iran to assess the quality of life in pregnant women have used four tools, including the SF-36, the WHOQOL-BRIEF, the SF-12 and the Nausea and Vomiting of Pregnancy-Specific Health-Related Quality of Life Questionnaire. The mean quality of life score obtained using these different tools varied from 61.18±13.21 to 66.48±15.57. Social support, socioeconomic status, the pregnancy being wanted, satisfaction with life and sexual function were related directly to the quality of life, while prenatal mental disorders, the severity of pregnancy nausea and vomiting and sleep disorders were related inversely to it.</p><p>Given the lack of a specific tool designed to assess the quality of life in pregnant women, general tools were used for its assessment. Further studies are thus required to design a specific localized tool and to also assess the relationship between the quality of life and its associated factors.</p>


2019 ◽  
Vol 16 (1) ◽  
pp. 82-92
Author(s):  
Ali Reza Yusefi ◽  
Zahra Ebrahim ◽  
Sanaz Zargar Balaye Jame ◽  
Peivand Bastani ◽  
◽  
...  

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Degena Bahrey ◽  
Gebreamlak Gebremedhn ◽  
Teklewoini Mariye ◽  
Alem Girmay ◽  
Woldu Aberhe ◽  
...  

Abstract Objective The aim of this study was to assess the prevalence of chronic kidney disease and to identify associated factors of chronic kidney disease among hypertensive patients. A cross-sectional study was conducted among selected 578 hypertensive patients. Data were collected using face to face interviewing questionnaires and from medical chart review. Binary logistic regression analyses were performed and analyzed using SPSS version 23.0. Result Of the total 578 hypertensive patients the prevalence of chronic kidney disease was found to be 128 (22.1%). Of these hypertensive patients, patients with uncontrolled blood pressure, overweight/obesity, dyslipidemia and diabetic mellitus, 43.3%, 33.7%, 27.3% and 28.2 respectively. After adjustment, the independent variables the significant associated factors of chronic kidney disease among hypertensive patients were age [AOR (95% CI 1.43 (1.07–1.81)], uncontrolled hypertension 4.434 [AOR (95% CI 9.45 (1.34, 14.73)], overweight/obese [AOR (95% CI 7.422 (2.72, 20.28)], dyslipidemia [AOR (95% CI) 13.749 (5.69, 33.215)], diabetic mellitus [AOR (95% CI) 2.137 (1.07, 4.26)]. In conclusion, the prevalence of chronic kidney disease was considerably high. The major associated factors of chronic kidney disease were age, uncontrolled hypertension, overweight/obese, diabetic mellitus and dyslipidemia.


2019 ◽  
Vol 6 (1) ◽  
pp. 9-14
Author(s):  
Hamid Hussain ◽  
Inayat Ur Rehman ◽  
Shukrullah . ◽  
Arusa . ◽  
Sandara Bashir ◽  
...  

OBJECTIVES:To determine the prevalence of physical and verbal harassment in nurses and doctors and to evaluate the associated factors which lead to harassment in Teachings Hospitals in Peshawar district in 2018.METHODOLOGY:Nurses and doctors of three government and one private hospital of District Peshawar were included in this study. Sample size was 384. Simple random sampling was used and those nurses and doctors having experience less than 6 months were excluded. A self-administered questionnaire was implemented having both closed and open-ended questions and a written informed consent was taken. Data was analyzed using SPSS version 22.RESULTS:Out of 384 respondents 235 (61.3%) were harassed. Common type was verbal. Prevalence was more in nurses (69.5%) than doctors (52.2%), in non-pathan (73%), Muslim (62%), rural (67.2%), non-married (61.3%), younger age and in surgical and allied (65.5%) nurses and doctors. Main source of harassment were colleagues. More harassment occurs in wards and in night shift and among those nurses and doctors whose daily working hours are more than 8 hours (62.5%) and working experience is more than 4 years (64.6%).CONCLUSION:The prevalence of harassment in our study was 61.3% and significant associated factors of harassment in our study are ethnicity, daily working hours, duration of job, nature of duty, place of duty, religion, work specialty and assailant.KEYWORDS: Physical Harassment, Verbal Harassment, Prevalence, Risk Factors, Lady Doctors, Nurses


1989 ◽  
Vol 7 (8) ◽  
pp. 1142-1149 ◽  
Author(s):  
C M Lindley ◽  
S Bernard ◽  
S M Fields

Nausea and vomiting are commonly recognized side effects of chemotherapy. However, the incidence and duration of these effects have not been systematically studied in a large outpatient oncology population. This survey was conducted over two consecutive 6-week periods in the adult oncology clinics of two university teaching hospitals. The objectives were: (1) to document the incidence and duration of chemotherapy-induced nausea and vomiting; (2) to identify variables that influence nausea and vomiting; and (3) to describe patterns of antiemetic prescribing and compliance. One hundred thirty-eight completed patient-maintained diaries were returned (70% response rate). Anticipatory nausea and vomiting were reported by 9.4% and 6.5% of patients, respectively. Fifty percent and 27% of patients reported nausea and vomiting, respectively, on the day chemotherapy was administered (day 1: acute nausea and vomiting phase). Percentages fell to 22% and 11% by day three and 14% and 2.5% on day 5. Of patients who reported nausea and vomiting during the five-day period, 52% and 33% experienced nausea and vomiting, respectively, during the delayed period only (days 2 through 5: delayed emesis phase). Emetogenicity of chemotherapy significantly influenced incidence and duration of those symptoms. Sixty-seven percent of patients reported taking antiemetics on one or more days during the survey period. Of patients who reported antiemetic use, 92% reported antiemetics on day 1, 51% on day 3, and 31% on day 5. At-home antiemetic use was related to the emetogenicity of chemotherapy received. Patients who receive moderate to strong emetogens as defined in this report should receive antiemetic therapy for a minimum of three days. Increasing the dose of antiemetic prescribed both in the clinic and at home may be of benefit.


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