scholarly journals HBV, HCV and HIV Seroprevalence in Syrian Refugee Patient Population Undergoing Preoperative Anaesthetic Assessment: A 10-Year Survey in a Tertiary Teaching Hospital

2021 ◽  
Author(s):  
Mehmet Çömez ◽  
Tayibe Bal ◽  
Mehmet Çabalak
Keyword(s):  
Patient Group ◽  
Major Surgery ◽  
Hiv Seroprevalence ◽  
Seropositivity Rate ◽  
Turkish Patient ◽  
Syrian Refugee ◽  
Tertiary Teaching ◽  
Hbsag Seropositivity ◽  
Turkish Patients ◽  
Anti Hiv

Objective: Migration can lead to a change in the demographic dynamics of host populations in terms of communicable diseases in destination countries. This is a potential public health challenge for health authorities. HBV and HCV infections can lead to the development of chronic liver diseases, cirrhosis and hepatocellular carcinoma, and HIV infection can lead to the development of serious opportunistic diseases. The aim of this study is to evaluate the seroprevalence of HBV, HCV and HIV in Syrian refugees and Turkish patients who were evaluated preoperatively in our hospital. Materials and methods: HBsAg, Anti-HBs, Anti-HBc, Anti-HCV and Anti-HIV results of Syrian refugee and Turkish patients who applied to surgical clinics between 2011-2021 were retrospectively reviewed. Results: The study is comprised of 54446 patients: Turkish patient group (n=20569) and Syrian refugee patient group (n=33877). The Syrian refugee patients had a significantly higher HBsAg seropositivity rate and a significantly lower anti-HBs seropositivity rate than the Turkish patients (p=0.002 and p<0.001, respectively). The anti-HCV and anti-HIV seropositivity rates were similar. The annual preoperative prevalance of HBsAg seropositivity in the Syrian refugee patients tended to significantly decrease gradually from year 2011 to year 2021 (p<0.001 for ≤30 and p=0.001 for >30 years old). Conclusion: As a result, although HBV seroprevalence gradually decreases and HCV and HIV seroprevalence is low; screening, information and treatment programs should be given due importance because of the serious disease potential and preventable conditions with precautions. In addition, preoperative screening of refugee patients coming for major surgery may be important for the safety of healthcare professionals.

Factors influencing older adults to complete advance directives

2010 ◽  
Vol 8 (3) ◽  
pp. 267-275 ◽  
Author(s):  
Gloria J. Alano ◽  
Renee Pekmezaris ◽  
Julia Y. Tai ◽  
Mohammed J. Hussain ◽  
Jose Jeune ◽  
...  
Keyword(s):  
Older Adults ◽  
New York ◽  
Health Care Providers ◽  
Female Gender ◽  
Community Dwelling ◽  
Major Surgery ◽  
Care Providers ◽  
Media Campaigns ◽  
Tertiary Teaching ◽  
Relief Of Suffering

AbstractObjective:The purpose of this study was to determine the factors which influence advance directive (AD) completion among older adults.Method:Direct interviews of hospitalized and community-dwelling cognitively intact patients >65 years of age were conducted in three tertiary teaching settings in New York. Analysis of AD completion focused on its correlation with demographics, personal beliefs, knowledge, attitudes, and exposure to educational media initiatives. We identified five variables with loadings of at least 0.30 in absolute value, along with five demographic variables (significant in the univariate analyses) for multiple logistic regression. The backward elimination method was used to select the final set of jointly significant predictor variables.Results:Of the 200 subjects consenting to an interview, 125 subjects (63%) had completed ADs. In comparing groups with and without ADs, gender (p < 0.0002), age (p < 0.0161), race (p < 0.0001), education (p < 0.0039), and religion (p < 0.0104) were significantly associated with having an AD. Factors predicting AD completion are: thinking an AD will help in the relief of suffering at the end of life, (OR 76.3,p < 0.0001), being asked to complete ADs/ or receiving explanation about ADs (OR 55.2,p < 0.0001), having undergone major surgery (OR 6.3,p < 0.0017), female gender (OR 11.1,p < 0.0001) and increasing age (76–85vs.59–75: OR 3.4,p < 0.0543; <85vs. 59–75: OR 6.3,p < 0.0263).Significance of results:This study suggests that among older adults, the probability of completing ADs is related to personal requests by health care providers, educational level, and exposure to advance care planning media campaigns.

scholarly journals Anti-HIV seropositivity was related to HBsAg seropositivity among injecting drug users in Taiwan

2016 ◽  
Vol 32 (2) ◽  
pp. 96-102 ◽  
Author(s):  
Meng-Hsuan Hsieh ◽  
Ming-Yen Hsieh ◽  
Chung-Feng Huang ◽  
Ming-Lun Yeh ◽  
Shu-Chi Wang ◽  
...  
Keyword(s):  
Drug Users ◽  
Injecting Drug Users ◽  
Hiv Seropositivity ◽  
Hbsag Seropositivity ◽  
Anti Hiv

scholarly journals Study of direct cost of care among ENT surgical inpatients at a tertiary teaching hospital

2018 ◽  
Vol 5 (7) ◽  
pp. 2493
Author(s):  
Vinish Kumar Agarwal ◽  
Sampan Singh Bist ◽  
Lovneesh Kumar ◽  
Himanshu Kumar Mittal ◽  
Mahima Luthra
Keyword(s):  
Health Care ◽  
General Anaesthesia ◽  
Direct Cost ◽  
Cost Of Care ◽  
Pharmacy Cost ◽  
Major Surgery ◽  
Health Cost ◽  
Tertiary Teaching ◽  
Tertiary Teaching Hospital ◽  
Investigation Cost

Background: Cost of care in hospital includes direct cost and indirect cost. Direct cost is a price that patient pays to hospital in form of expenditure. Ever-growing health cost is concern for both health care provider and health care seeker.Methods: Non-sponsored self-paying inpatients of ENT department were included in this prospective study. Structured proforma was used to extract information regarding surgery cost, investigation cost, pharmacy cost, patient care charges and hospital staying charges.Results: Out of 33 patients 49% were admit for >6 days, 39% were admitted up to 3 days, while 12% patients stayed for 4-6 days. Average surgery fees charges were 37% and pharmacy charges and investigation charges were about 25%. 82% patients were operated under general anaesthesia while 18% patients were operated under local anaesthesia.Conclusions: Major surgery under general anaesthesia force patients longer stay in hospital and increases cost of care by increasing pharmacy and investigation bill. So, we should focus on anaesthesia time, anaesthesia type and judicious use of investigations for reducing overall health cost care to make it affordable to all.

RETROSPECTIVE STUDY OF PREVALENCE OF HIV IN BLOOD DONORS AT A.D.GORWALA BLOOD BANK

2021 ◽  
pp. 42-43
Author(s):  
Neha Patel ◽  
Sanjay Chaudhari ◽  
Sonal Chitroda
Keyword(s):  
Retrospective Study ◽  
Blood Transfusion ◽  
Hiv Infection ◽  
Blood Donors ◽  
Blood Donation ◽  
Cumulative Effect ◽  
Blood Bank ◽  
Hiv Seroprevalence ◽  
Safe Blood ◽  
Anti Hiv

Background: India has the second highest HIV population in the world with about 2.5-3.0 million cases. Blood transfusion saves millions of lives worldwide each year but Blood transfusion is an important mode of transmission of infections to recipients and at the same time it is also associated with large number of complications including transfusion-transmissible infections (TTIs). Aims & objective: to study the prevalence of HIVin blood donors of A.D.Gorwala Blood bank From January 2005 To December 2010. Methods: A retrospective study was conducted among blood donors through the years 2005-2010. Sera from blood donors were tested for the detection of Anti HIV by using third generation ELISA tests, strictly following the instruction of manufacturers. The donor information was collected through the donor registers from A.D. Gorwala Blood Bank. Result: From the total of 28,371 screened blood samples collected, the prevalence of HIV in blood donors in the blood bank was 0.23% in the ve consecutive years but the trend of HIV infection has decreased from 2005(0.31%) to 2010 (0.04%). The age groups18-30 has the highest prevalence and the age group 51-60 was the lowest prevalence of HIV infection. The Prevalence of HIV among male (0.18%) was higher than in female donors (0.05%). The trend of HIVinfection was decreasing for both male and female blood donors. Conclusion: The analysis of HIV seroprevalence among blood donors through the year 2005- 2010 showed a signicantly decreasing trend, probably due to the cumulative effect of increasing awareness of HIVand improved screening system for safe blood donation.

MHC Class I related chain A (MICA), Human Leukocyte Antigen (HLA)-DRB1, HLA-DQB1 genotypes in Turkish patients with ulcerative colitis

2020 ◽  
Vol 45 (5) ◽  
pp. 587-592
Author(s):  
Cigdem Kekik Cinar ◽  
Kadir Demir ◽  
Sonay Temurhan ◽  
Filiz Akyuz ◽  
Binnur Pinarbasi ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Human Leukocyte Antigen ◽  
Mhc Class I ◽  
Patient Group ◽  
Human Leukocyte ◽  
Class I ◽  
Control Group ◽  
Leukocyte Antigen ◽  
Hla Genotypes ◽  
Turkish Patients

AbstractObjectivesWe aimed to determine Human Leukocyte Antigen (HLA)-DRB1, DQB1, and MHC Class I related chain A (MICA) genotypes in patients with ulcerative colitis.MethodsHLA-DRB1, HLA-DQB1, MICA genotyping of patient (n:85) and controls (n:100) were performed by PCR-SSO Luminex (One Lambda genotyping kit).ResultsWe found significantly higher DRB1*01 (p:0.022, OR:0.23, CI:0.06–0.8) and MICA*0002/20/55 (p:0.03, OR:0.53, CI:0.29–0.93) alleles in control group whereas DRB1*14 (p:0.04, OR:2.25, CI:1–5.08), DRB1*15 (p:<0.0001, OR:4.54, CI:2.09–9.88) and MICA*0004 (p:0.01, OR:2.84, CI:1.2–6.7) alleles were higher in patient group.ConclusionsThe present study will inform the MICA and HLA genotypes about the protective (DRB1*01, MICA*0002/20/55) or susceptible (DRB1*14, DRB1*15, MICA*0004) alleles of the disease and helps the literature on Turkish patients with ulcerative colitis.

scholarly journals HBsAg, Anti-HBs, Anti-HCV and Anti-HIV Seroprevalence of the Patients Applied to Artvin State Hospital

2013 ◽  
Vol 19 (1) ◽  
pp. 41-44 ◽  
Author(s):  
Ayşe İNCİ ◽  
Demirhan GÜVEN ◽  
Murat OKAY
Keyword(s):  
State Hospital ◽  
Hiv Seroprevalence ◽  
Anti Hiv
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