scholarly journals Profile of Patients with Penile Neoplasms Who Have Undergone Penectomy

10.3823/2493 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Maria das Neves Figueiroa ◽  
Maria Lúcia Neto De Menezes ◽  
Leonardo Nogueira Tavares ◽  
Andre Frederico Franklin Maciel ◽  
Laurecir Gomes

Introduction: Penile cancer accounts for 10% to 20% of the male urogenital tumors. In Brazil, the North and Northeast regions have the highest rates. Objective: Analytical, retrospective, and cross-sectional study addressing the profile of individuals with penile neoplasms who have undergone penectomy in Recife, Pernambuco, Brazil. Methods: The population of this study consisted of 305 men who underwent penectomy at the Pernambuco State Cancer Hospital (HCP), from 2000 to 2009. There was prevalence of elderly, low-schooling and low-income men, as well as individuals from municipalities outside the Metropolitan Region of Recife. Results: Poor hygiene, smoking, and phimosis were the main risk factors identified. Patients showed epidermoid carcinoma (type I) and metastasis. The early signs and symptoms were tumor and painful ulcer. Conclusion: Most of the individuals have undergone partial penectomy. Keywords: Penile Neoplasms; Epidemiology; Hygiene; Phimosis; Brazil.

Author(s):  
Farhang Babamahmoodi ◽  
Fatemeh Ahangarkani ◽  
Fatemeh Bahrami Dounchali ◽  
Atabak Nikbakht

Background: Nematodes of Trichostrongylus genus are mainly parasites of herbivores, although human infections in sporadic form ‎ have been reported worldwide‎. Herein we reported an outbreak of trichostrongyliasis in Qaemshar city in Mazandaran province, north of Iran from May to June 2020.  Methods: The investigation was designed as a retrospective cross-sectional study on an outbreak occurred in Qaemshahr city in the north of Iran. The diagnosis of trichostrongyliasis cases was confirmed by hypereosinophilia and existence of Trichostrongylus ‎ eggs in the stool. Results: Trichostrongyliasis ‎ diagnosed in twelve patients. The age range of patients was ‎10-78 years old. 83.5% of the patients were female and ‎75% of them lived in the rural area.  ‎ The most common ‎‏ ‏signs and symptoms of patients were abdominal pain‎ 91.6%, diarrhea 83.3%, ‎vomiting 41.6%, nausea 50%, anemia ‎‎‎‎8.3% and chill ‎ ‎16.6% respectively. ‎ These patients undertook a course of treatment consisting of antihelminth ‎drug ‎for adult ‎and albendazole for children.‎ Symptoms of trichostrongyliasis ‎ improved completely after therapy‎. Conclusions: Our study indicated that trichostrongyliasis may be a major parasitic aetiology for gastrointestinal symptoms such as abdominal pain among rural residents in endemic areas with outbreak presentations.


Author(s):  
Rana Sarvar ◽  
D. D. Bant

Background: Micronutrients are vitamins and minerals required in small amounts that are essential to our health, development, and growth.  As tiny as the amounts are, however, the consequences of their absence are severe. Iodine, vitamin A and iron are most important in global public health terms; their lack represents a major threat to the health and development, particularly children and pregnant women in low-income countries. The objectives were to clinically evaluate micronutrient deficiencies among children aged 1-5 years enrolled in anganwadi’s of old Hubli.Methods:A community-based cross-sectional study was carried out on 100 children enrolled in the anganwadis of Hubli slums for signs and symptoms of micronutrient deficiency.Results: Pallor was found in 78% children and delayed developmental milestones in 20% followed by delayed eruption of teeth in 17%. Among the studied group 37% had dry hair and dry skin. Vitamin A, B, C, D deficiency was seen in 1%, 29%, 14%, 38% respectively.Conclusions:The study concludes micronutrient deficiencies are prevalent among preschool children more so in with higher birth order having partial immunization. This appeals effective implementation of national health programmes, which can play a crucial role in addressing the hidden hunger. Correcting micronutrient deficiencies can significantly reduce childhood mortality and morbidity.


2014 ◽  
Vol 29 (3) ◽  
pp. 230-236 ◽  
Author(s):  
Adam R. Aluisio ◽  
Robert Gore ◽  
Isnelle Decome ◽  
Annelies De Wulf ◽  
Christina Bloem

AbstractIntroductionAlthough prehospital care is recognized as key in health systems development, it has been largely neglected in Haiti. The North East Department is one of the poorest areas of Haiti, and is a region where no data on out-of-hospital health care exists. This research assessed prehospital characteristics in the North East Department with the aim of providing baseline data to inform prehospital systems development.MethodsIn this observational study, data were collected from patients presenting at the Fort Liberté Hospital, the public regional referral health center in the North East Department. Data were accrued from April 2, 2012 through June 5, 2012. All patients accessing acute care at the hospital were eligible for enrollment. After obtaining consent, data on demographics, health needs, and prehospital information were gathered via a standardized questionnaire administered by hospital staff trained in study protocols.ResultsData were collected from 441 patient visits. The median age was 24 years, with 62% of the population being female. Medical complaints comprised 75% of visits, with fever and gastrointestinal complaints being the most common reasons for presentation. Traumatic injuries accounted for 25% of encounters, with an equal distribution of blunt and penetrating events. Extremity injuries were the most common traumatic subclassification. The majority of patients (67.2%) were transported by motorcycle taxi and paid transport fees. Trauma patients were more likely to be transported without charge (OR = 9.10; 95% CI, 2.19-37.76;P< .001). Medical patients were most commonly brought from home (78.5%) and trauma patients from a road/street setting (42.9%). Median time to presentation was 240 minutes (IQR = 120-500) and 65 minutes (IQR = 30-150) for medical and trauma complaints, respectively (P< .001). Eleven percent of patients reported receiving care prior to arrival. As compared with medical patients, trauma victims were less likely to have received prehospital care.ConclusionsAssessing prehospital care in this low-income setting that lacks surveillance systems was feasible and required minimal resources. Motorcycle taxi drivers function as the primary emergency transport mechanism and may represent an access point for prehospital interventions in the North East Department of Haiti. Out-of-hospital care is nearly nonexistent in the region and its development has the potential to yield public health benefits.AluisioAR,GoreR,DecomeI,De WulfA,BloemC.Prehospital characteristics in the North East Department of Haiti: a cross-sectional study from a low-income setting without prehospital systems.Prehosp Disaster Med.2014;29(3):1-7.


2013 ◽  
Vol 7 (05) ◽  
pp. 365-371 ◽  
Author(s):  
Caroline Amuche Okoli ◽  
Seline Nneaku Okolo ◽  
John Chibunkem Collins

Introduction: This cross-sectional study investigated the rate of congenital and neonatal malaria infections in patients attending our hospital. Methodology: Thick and thin blood films of 288 neonates admitted in the Special Care Baby Unit of Jos University Teaching Hospital, Nigeria, were examined microscopically for malaria parasites. Babies’ and mothers’ demographic and clinical data were analyzed. Results: Of 288 blood samples examined, 160 (55.6%) were from males, 115 (39.9%) were from babies 0 to 7 days old, and 173 (60.1%) were from babies 8 to 28 days old. In total, 91 (31.6%) babies had malaria parasitaemia, of whom 49 (53.8%) were males. Malaria was significantly higher in babies 8 to 28 days old (p<0.001) and was independent of gender (p=0.692). Prevalence rates for congenital and neonatal malaria were 6.9% and 24.7% respectively. Clinical presentations on admission included fever, cough, pallor, jaundice, and inability to suck. A total of 145 (50.3%) babies had symptoms of malaria, of whom 56 (61.5%) had malaria parasitaemia. Symptoms of malaria were present in 35 (12.2%) babies of 59 (20.5%) mothers who had symptoms of malaria during pregnancy. Ten (11.0%) of these neonates had malaria parasitaemia, of whom 4 (0.4%) were 0 to -7days old. Plasmodium falciparum was the only specie identified. No mortality was recorded against malaria-infected babies. Conclusion: High prevalence of malaria in these neonates calls for high index of suspicion. Inclusion of malaria parasite test in the routine battery of tests for babies presenting with clinical signs and symptoms of neonatal infections is recommended.


Author(s):  
Elisangela Barros ◽  
Eline Borges ◽  
Célia Oliveira ◽  

Objectives: To estimate the prevalence of people with elimination stoma and to characterize them for sociodemographic and clinical aspects. Method: A descriptive cross-sectional study with a sample of 27 patients with elimination stomas residing in a microregion in the north of Minas Gerais, who met the inclusion criteria. The data collected were recorded in an instrument used in previous studies and analyzed using descriptive statistics. Study approved by the Ethics Committee. Results: The prevalence of people with stoma was 2.16/10.000, the sample contained 55.6% of men, 40.7% were married, mean age 59.1 years, 59.2% were literate and 74.0% had low income; 59.3% of the stomas were cancerous, more frequent colon and rectum tumours, 70.4% of the stomas were definitive, and 74.0% were colostomies. Dermatitis was the main complication and 68.2% of the patients presented effluent of pasty consistency and performed self-care. Conclusion: The prevalence of people with stoma was like that of other municipalities in Minas Gerais and below that expected by the National and International Ostomized Associations. The characterization of the people, of the stomas and the management of these, will contribute for health professionals and managers to review the assistance protocols used in the studied microregion.


2021 ◽  
pp. 1-10
Author(s):  
Camila S Ferreira ◽  
Catarina M Azeredo ◽  
Ana Elisa M Rinaldi

Abstract Objective: To analyse trends of social inequality in breastfeeding and infant formula (IF) use in Latin America between 1990 and 2010 decades. Design: Time-series cross-sectional study with data from Demographic and Health Surveys. We described the prevalence of exclusive breastfeeding (EBF), breastfeeding between 6 and 12 months (BF6-12) and IF for infants under 6 months (IF < 6) and between 6 and 12 months (IF6-12). Social inequalities were assessed using the slope index of inequality (SII) and concentration index (CIX). Trends in the prevalence of breastfeeding, IF and index of social inequality were analysed by a linear regression model with weighted least squares variance. Setting: Bolivia, Colombia, Dominican Republic, Guatemala, Haiti and Peru. Participants: 51·358 alive infants younger than 12 months. Results: Five countries showed an increasing trend for EBF and BF6-12, four increased for IF < 6 and six for IF6-12. Simultaneous decrease in IF < 6 (Colombia: −0·3/year; Haiti: −0·02/year) and increase in EBF (Colombia: +2·0/year; Haiti: +1·9/year) were observed only in two countries. EBF prevalence was high in the lowest income quintiles in five countries, and IF prevalence was high in the highest income quintiles in all countries and over the decades. For BF6-12, a decrease in inequality (prevalence increased in the highest quintile) was observed in Guatemala (SII1995 = −0·42; SII2015 = −0·28) and the Dominican Republic (SII1996 = −0·54; SII2013 = −0·26). Guatemala was the only country showing a decrease in inequality for BF (SII = −0·005; CIX = −0·0035) and an increase for IF (SII = 0·022; CIX = 0·01). Conclusions: The inequality in BF and IF remained over time. However, inequality in IF < 6 has decreased because low-income infants have increased use and high-income infants have decreased.


Vaccines ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 210
Author(s):  
Masaki Machida ◽  
Itaru Nakamura ◽  
Takako Kojima ◽  
Reiko Saito ◽  
Tomoki Nakaya ◽  
...  

Vaccination could be a key protective measure against coronavirus disease 2019 (COVID-19), and it is important to understand the acceptability of the COVID-19 vaccine among the general public. However, there is no study on the acceptance of a COVID-19 vaccine in Japan. Therefore, this study aimed to describe the COVID-19 vaccine acceptance and hesitancy situation in Japan and assess the factors associated with such issues. This was a cross-sectional study based on an internet survey completed by 2956 people. Participants were asked to indicate how likely they were to get vaccinated for COVID-19. In addition, the participants responded to questions regarding sociodemographic factors, attitudes, and beliefs regarding COVID-19 infection and vaccination. The proportion of participants with a high likelihood of getting a COVID-19 vaccine was 62.1%. Multiple logistic regression analysis showed that vaccine acceptance was lower among several sociodemographic groups, such as women, adults aged 20–49 years, and those with a low-income level. Several psychological factors, especially the perceived effectiveness of the COVID-19 vaccine, and willingness to protect others by getting oneself vaccinated, were associated with vaccine acceptance. Our results indicate that the perceived effectiveness of the vaccine and willingness to protect others may play an important role in the acceptance of the COVID-19 vaccine.


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