scholarly journals Factors associated with distal symmetric polyneuropathies in adult Zambians: A cross-sectional, observational study of the role of HIV, non-antiretroviral medication exposures, and nutrition

2018 ◽  
Vol 388 ◽  
pp. 61-69 ◽  
Author(s):  
Michelle Kvalsund ◽  
Takondwa Chidumayo ◽  
Johanna Hamel ◽  
David Herrmann ◽  
Douglas Heimburger ◽  
...  
2018 ◽  
Vol 56 (2) ◽  
pp. 155-159 ◽  
Author(s):  
Eiko GOTO ◽  
Hirono ISHIKAWA ◽  
Tsuyoshi OKUHARA ◽  
Mio KATO ◽  
Masafumi OKADA ◽  
...  

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Hanna Wijk ◽  
Sari Ponzer ◽  
Hans Järnbert-Pettersson ◽  
Lars Kihlström ◽  
Jonas Nordquist

Abstract Background Educational leaders have been pointed out as being important for quality of medical education. However, their actual influence on the education can be limited. At the postgraduate level, educational leadership and its connection with quality is underexplored and knowledge about how to increase its impact is lacking. An increased understanding could be used in order to prioritize actions for strengthening the role. The aim of this study was to investigate factors related to the role of programme director associated with quality in postgraduate medical education. Methods A cross-sectional study was carried out. A questionnaire was sent to programme directors in Sweden (n = 519) comprising questions about background factors, work characteristics, work tasks, hindering and enabling factors, and the Utrecht Work Engagement Scale. A logistic regression and classification tree were used to identify factors associated with high qualitative education, defined as compliance with national regulations. Results The response rate was 54% (n = 279). In total, 62% of the programme directors reported high quality and factors associated with high quality included experiences of communication with residents, superiors and supervisors, and support from the supervisors. Other factors were consensus regarding postgraduate medical education at the workplace, adequate financial resources, the programme directors’ competence, and their perceived impact on education. Factors of particular importance seemed to differ depending on whether the programme directors were responsible for one or for multiple units. Most high-quality education was found in cases where programme directors were responsible for a single unit and perceived sufficient impact on education. Conclusions These results indicated that there was an association between factors related to programme director and quality in postgraduate medical education. The findings pointed out the importance of combining activities at both individual, group and organizational levels. Relational aspects should not be underestimated; faculty development and involvement are crucial.


2017 ◽  
Vol 42 (6) ◽  
pp. 656-658 ◽  
Author(s):  
D. Falcone ◽  
R. J. H. Richters ◽  
N. E. Uzunbajakava ◽  
P. E. J. van Erp ◽  
P. C. M. van de Kerkhof

Sains Medika ◽  
2015 ◽  
Vol 6 (1) ◽  
pp. 8
Author(s):  
Desia Laila Dian Saputri ◽  
Ika Rosdiana ◽  
Endang Lestari

Introduction: Stroke ranks as the first cause of disabilities and the third cause of death in the world. Many factors associated with stroke. Objective: this study aimed at evaluating the factors associated with stroke. Study Design: This study was an analytical observational study using cross sectional design. Samples were obtained from medical records of 263 patients who were admitted in neurology’s ward of Sultan agung Islamic hospital during 1 January 2012-31 August 2013. Samples categorized in 2 groups: 97 hemorrhagic’s stroke patients and 166 non hemorrhagic’s stroke patients with simple random sampling technique. This study were conducted by analyzing 5 variables such as gender, age, hypertension, diabetes mellitus and total cholesterol levels. Results: Logistic regression test using SPSS showed that hypertension was the most dominant factor associated with stroke (p=0.001; PR=1.707; CI=1.249–2.433). Conclusion: Hypertension was the most dominant risk factor for stroke.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Mariene Wiwin Dolang ◽  
Christina - Leasa

Reproductive Health is a state of complete physical, mental and social well-being that is not solely free from diseases related to the reproductive system. Cervical cancer is cancer that grows from cervical cells, cervical cancer can originate from cells in the cervix but can also grow from cervical cells. This situation is usually accompanied by bleeding and abnormal vaginal discharge. The purpose of this study was to analyze the factors associated with early detection of cervical cancer in fertile age women at Puskesmas Benteng. The design of this study was an observational analytic study with a cross sectional approach. The sample in this study was WUS aged 15-49 years old who were in the Puskesmas Benteng area as many as 135 respondents. The results showed there was a relationship between knowledge (p = 0.004), first age of marriage (p = 0.014), husband's support (p = 0.005), and the role of health workers (p = 0.005) with early detection of cervical cancer in fertile age women at Puskesmas Benteng.DETERMINAN DETEKSI DINI KANKER SERVIKS PADA WANITA USIA SUBUR


2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Michelle R. Kaminski ◽  
Anita Raspovic ◽  
Lawrence P. McMahon ◽  
Katrina A. Lambert ◽  
Bircan Erbas ◽  
...  

2018 ◽  
Vol 46 (6) ◽  
pp. 608-613 ◽  
Author(s):  
Y. Ohashi ◽  
J. C. Walker ◽  
F. Zhang ◽  
F. E. Prindiville ◽  
J. P. Hanrahan ◽  
...  

The purpose of this prospective observational study was to measure gastric volumes in fasted patients using bedside gastric ultrasound. Patients presenting for non-emergency surgery underwent a gastric antrum assessment, using the two-diameter and free-trace methods to determine antral cross-sectional area. Gastric residual volume (GRV) was calculated using a validated formula. Univariate and multivariable analyses were performed to examine any potential relationships between ‘at risk’ GRVs (>100 ml) and patient factors. Two hundred and twenty-two successful scans were performed; of these 110 patients (49.5%) had an empty stomach, nine patients (4.1%) had a GRV >100 ml, and a further six patients (2.7%) had a GRV >1.5 ml/kg. There was no significant relationship between ‘at risk’ GRV and obesity, diabetes mellitus, gastro-oesophageal reflux disease or opioid use, although our study had insufficient power to exclude an influence of one or more of these factors. Our results indicate that despite compliance with fasting guidelines, a small percentage of patients still have GRVs that pose a pulmonary aspiration risk. Anaesthetists should consider this background incidence when choosing anaesthesia techniques for their patients. While future observational studies are required to determine the role of preoperative bedside gastric ultrasound, it is possible that this technique may assist anaesthetists in identifying patients with ‘at risk’ GRVs.


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