Dr. Collen Sandile Nkosi, Lunga Mbuqe Lunga Mbuqe, Philani Ian Ntombela, M. Jingo, Mmampapatla Thomas Ramokgopa
{"title":"The Charlotte Maxeke Johannesburg Academic Hospital Fire: Our Orthopaedic Surgery Disaster Management and Lessons Learnt","authors":"Dr. Collen Sandile Nkosi, Lunga Mbuqe Lunga Mbuqe, Philani Ian Ntombela, M. Jingo, Mmampapatla Thomas Ramokgopa","doi":"10.47672/ajhmn.1440","DOIUrl":"https://doi.org/10.47672/ajhmn.1440","url":null,"abstract":"Purpose: This report aims to review the orthopaedic doctor's experiences and to provide insight for the formulation of response measures for similar incidents in the future.We further report on our orthopaedic surgery disaster management and lessons learnt \u0000Methodology: A retrospective review of orthopaedic patients who were admitted at Chris Hani Baragwanath academic hospital (CHBAH) from the 01 April to 30 April 2021, the month of the fire incident. Data were obtained from the hospital casualty, inpatient registers, and outpatient registers. Data were compared before and after the fire incident. \u0000Findings: Transfer was provided to 51 patients to CHBAH orthopaedic emergency unit. Forty-three (84.3%) were adult patients and eight (15.7%) were paediatric patients. There were fewer daily admissions to orthopaedic emergency unit in the last 15 days of the month of the disaster compared to the first 15 days, when the 51 cases from Charlotte Maxeke Johannesburg Academic Hospital (CMJAH) were excluded (mean: 12.89 versus 13.26). The orthopaedic outpatient department doctor to patient ratio improved after the fire incident. \u0000Recommendation: The four phases’ disaster approach- preparedness, response, recovery and mitigation remain applicable to disaster management. Planning for emergencies the dedication of orthopaedic professionals and hospital employees can all contribute to the highest quality patient care. \u0000 ","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82017238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. A. Eldarky, Eman Saied Elkeshk, Amr Elsayed Elnager, Mikel Magdy Selim Soliman
{"title":"CHA2DS2 - Vasc Score Predict No Reflow Phenomenon in Primary Percutaneous Coronary Intervention","authors":"E. A. Eldarky, Eman Saied Elkeshk, Amr Elsayed Elnager, Mikel Magdy Selim Soliman","doi":"10.47672/ajhmn.1420","DOIUrl":"https://doi.org/10.47672/ajhmn.1420","url":null,"abstract":"Purpose: ST-Elevation Myocardial Infarction is the most acute manifestation of Coronary artery disease, with substantial morbidity and mortality. Early reperfusion (re-establishing the blood flow in the occluded artery) is the most effective way to preserve the viability of the ischaemic myocardium and limit infarct size. Early diagnosis of STEMI is crucial to initiate appropriate treatment and should ideally be made within 10 minutes of first medical contact. This study aimed to evaluate the CHA2DS2-VASc score as a simple tool for predicting the no-reflow among patients with STEMI who underwent primary percutaneous coronary intervention. \u0000Methodology: This was a case-control study which was conducted on 100 patients, diagnosed with acute STEMI and underwent primary PCI, who was admitted to Cardiology Department, Benha University Hospital and National Heart Institute. Patients were classified into two groups, control and no-flow, according to their final angiographic TIMI flow rates resulting from primary PCI. The control group: 78 patients with TIMI flow rate >2. The no-reflow group: 22 patients with TIMI flow rate ≤2, despite mechanical reopening of the infarct-related artery in patients without dissection of the coronary artery. \u0000Findings: In this study, LVEF was significantly lower in patients with no-reflow compared to patients with normal TIMI flow (p <0.001), but LVEDV was significantly higher (p =0.01). There was no significant difference in LVESV between patients with no-reflow compared to patients with normal TIMI flow. CHA2DS2VASC score was significantly higher in patients with no-reflow compared to patients with normal TIMI flow (p <0.001). CHA2DS2VASC score is a significant predictor of occurrence of no reflow phenomenon (AUC: 0.689, p =0.006). At a cut off value of ≥ 2it has a sensitivity of 68.2%, specificity of 58.9%, PPV of 31.9% and NPV of 86.8%. \u0000Recommendation: The study suggest that the CHA2DS2‑VASc score can be an independent predictor of no‑reflow phenomenon in patients undergoing primary PCI. As a simple and easy‑to‑calculate score, it might be a useful assessment tool to predict no‑reflow phenomenon before primary PCI interventions in patients with STEMI. Thus we recommend using CHA2DS2-VASc score as it is very simple and a quick tool to predict no-reflow before primary PCI","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83957916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Determinants of Adherence to Option B+ Antiretroviral Therapy among HIV Positive Pregnant Women Attending Antenatal Clinics at Tertiary Health Institutions in Anambra State","authors":"Esther A Silas, C. Nwankwo","doi":"10.47672/ajhmn.1415","DOIUrl":"https://doi.org/10.47672/ajhmn.1415","url":null,"abstract":"Purpose: The study ascertained determinants of adherence to option B+ antiretroviral therapy (ART) among HIV positive pregnant women attending antenatal clinics at tertiary health institutions in Anambra state. \u0000Methodology: A cross-sectional descriptive design was adopted in conducting the study among HIV positive pregnant women attending antenatal clinics at tertiary health institutions in Anambra state. A sample size of one hundred and forty six (146) HIV positive pregnant women was selected by purposive and convenience sampling techniques. Adult AIDS Clinical Trial Group (AACTG) standardized questionnaire was used in data collection which were analyzed with IBM SPSS software database (version 25). Chi square was used for test of hypotheses at p < 0.05 level of significance. \u0000Findings: Results revealed that the women with parity less than 4 (105(89%) were more adherent to ART; the women with primary education as highest level of education (13(92.9%) were more adherent to ART; the women within the age range 15-25 years (32(97%) were adherent; the women working in the informal sector (31 (96.9%) were more adherent to ART. The study also showed that there is no significant relationship between the women’s level of education, parity, age and adherence to ART but there is significant relationship between the women’s occupation and adherence to ART. From the study, it was ascertained that the HIV positive pregnant woman’s parity, level of education and age are not determinants of adherence to Option B+ ART but occupation of the women is. \u0000Recommendations: Health care providers or mentor mothers in the health care facilities should give more attention to the HIV positive pregnant women working in the informal sector and unemployed than the women working in the formal sector in regards to their adherence to ART. \u0000 ","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83113136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Mitwalli, N. Sharaf, K. Bamookrah, Amerah Hassan Badokhon, Rayan Mohammed Albauomi, Sadah Qamous Alobaid, Manal Hamed Alamri
{"title":"Awareness of the Attendants of Primary Health Care Centers about Screening Investigations","authors":"J. Mitwalli, N. Sharaf, K. Bamookrah, Amerah Hassan Badokhon, Rayan Mohammed Albauomi, Sadah Qamous Alobaid, Manal Hamed Alamri","doi":"10.47672/ajhmn.1413","DOIUrl":"https://doi.org/10.47672/ajhmn.1413","url":null,"abstract":"Purpose: Screening investigations are group of tests designed to the risks of subsequent disease or early detection of diseases in apparently healthy individuals. Seeking for screening tests is influenced by awareness of the individuals about its importance. The current study aimed at estimating the level of awareness about screening investigations among attendants of the primary health care centers. \u0000Methodology: Through a cross-sectional design, 389 attendants were randomly selected form four primary health care centers in Jeddah governorate, they responded to a predesigned questionnaire including items reflecting awareness of the respondents about the importance and types of screening investigations in the primary health care centers. Data entry and statistical analysis were done using Statistical Package for Social Science (SPSS) version (26). The awareness scores were tested for normality using Shapiro Wilk’s test, accordingly, for testing significance in difference between two subgroups. Independent sample t test was used, and ANOVA test was used for more than two groups. To detect significant factors predicting the level of awareness, linear logistic regression was used. Statistical significance was set at P-value <0.05 and confidence interval of (95%). \u0000Findings: Out of all interviewed participants (n=389), females formed two thirds (68.9%), and the great majorities were Saudis (87.4%) and most of the respondents had university qualifications (79.9%). The overall awareness score accounted for 3.82±0.48 that corresponds to 76.4%. The majority were aware that checking blood pressure 368(94.6%) and blood sugar 343(88.2%) are among the recommended routine medical checkup for individuals. Almost one third undergone previous routine medical checkup (36.7%). The awareness score was significantly higher among females (3.87±0.49), Saudis (3.85±0.48) and highly educated individuals (3.87±0.48) p<0.05. \u0000Recommendations: The attendants of the primary health care centers have a good level of awareness about the importance. Types of routine screening investigation, nevertheless, their utilization of these services is suboptimal. The level of awareness was found to be higher in females and highly educated individuals. It is recommended that health education should be provided to the attendants of the primary health care centers focusing on males and the low educated individuals.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84863782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abeer A. Alzahrani, Afnan A Malibari, K. A. Abdalla, Eman Khan, Tariq G Alasaad
{"title":"Common Clinical Manifestations and a Rare Diagnosis: A Case Report of Hemoglobin Köln in Saudi","authors":"Abeer A. Alzahrani, Afnan A Malibari, K. A. Abdalla, Eman Khan, Tariq G Alasaad","doi":"10.47672/ajhmn.1403","DOIUrl":"https://doi.org/10.47672/ajhmn.1403","url":null,"abstract":"Background: Hemoglobin Köln is the most widely diagnosed among unstable hemoglobin. Patients with hemoglobin Köln often have moderate hemolytic anemia, reticulocytosis, splenomegaly, and high levels of lactate dehydrogenase and bilirubin in the blood. Hemoglobin Köln happened as a result of the substitution of an amino acid methionine for the usual valine at position 98 of the beta chain. Up to the time, there were no previous reports in Arabian Peninsula, hence, the patient involved in this study is considered to be the first reported case. \u0000Case: A 13 years old Saudi male, product of consanguineous marriage, known to have chronic hemolytic anemia and jaundice since birth. Previously labeled as query Gilbert syndrome and treated with folic acid supplements by primary health care. However, due to the several emergency room admissions caused by severe left upper quadrant abdominal pain in association with dark urine, gallstones and hepatosplenomegaly, the patient was referred to pediatric hematology. Subsequent investigations identified that patient's vague and common complaints was a result of hemoglobin Köln disease. Those investigations showed mild macrocytic anemia, polychromasia, and bite cells in blood smear, while in hemoglobin electrophoresis, a small peak in zone (E) was observed. Hemoglobin Köln was confirmed by whole exome sequencing (WES) test that reported the presence of amino acid exchange (Val99Met). \u0000Recommendations: Careful examination is necessary for the differential diagnosis of hemoglobinopathy variations, which can be challenging especially in pediatric cases. Unstable hemoglobin should be investigated in cases mimicking a β-thalassemia trait, but associated with abnormally rapid hemolysis and reticulocytosis, or in cases that cannot be explained with common causes. \u0000 ","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77767373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maryam Rehman, Zahra Masood, R. Shakeel, Hafiz Muhammad Almas Sabir, Ammar Javeid, M. Rasheed, Sabahat Anwar, H. Ali
{"title":"Prevalence of Carpel Tunnel Syndrome in Middle Aged Pregnant Females","authors":"Maryam Rehman, Zahra Masood, R. Shakeel, Hafiz Muhammad Almas Sabir, Ammar Javeid, M. Rasheed, Sabahat Anwar, H. Ali","doi":"10.47672/ajhmn.1404","DOIUrl":"https://doi.org/10.47672/ajhmn.1404","url":null,"abstract":"Purpose: The purpose of study was to check the prevalence of CTS in pregnant women of Multan city. \u0000Methodology: The study design was Cross sectional. Data was collected by convenient sampling technique from 260 participants, in accordance with defined inclusion & exclusion criteria. Study settings include Ibn e Sina Hospital, Nishtar Hospital and Fatima Hospital Multan. The study duration was 6 months. The Boston Carpal Tunnel Syndrome Questionnaire was used as an outcome measure to obtain data from targeted population. The questionnaire was filled by researcher through asking questions to participants. Data was analyzed by using spss 21 \u0000Findings: The study results showed that 22% of women had CTS during pregnancy. It was more common among women in their third trimester with age of 18 to 28 years. About 13.1%ad slight pain and 2.3% had severe pain in their hand or wrist. The study concluded that CTS is prevalent in pregnant women. With increasing gestational age, the frequency of CTS increased, while asymptomatic cases decreased. Maternal and child health (MCH) practitioners should be knowledgeable about the increased risk of carpal tunnel syndrome (CTS) during pregnancy and provide appropriate education and support to pregnant women who may be at risk.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90500561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Mathew, Siddharth Agarwal, A. Sherif, K. Bumrah
{"title":"Myocarditis in Adolescents (12-17 years) Associated with the Pfizer-BioNTech (BNT162b2) Vaccine: A Systematic Review and Meta-analysis","authors":"D. Mathew, Siddharth Agarwal, A. Sherif, K. Bumrah","doi":"10.47672/ajhmn.1387","DOIUrl":"https://doi.org/10.47672/ajhmn.1387","url":null,"abstract":"Purpose: Data on the incidence rate of myocarditis associated with mRNA COVID-19 vaccines in adolescents is limited. The research estimated the incidence of myocarditis associated with the Pfizer- BioNTech COVID-19 vaccine (BNT162b2) in adolescents (12-17 years). \u0000Methodology: This study was conducted as per the Meta-analysis of Observational Studies in Epidemiology (MOOSE) guidelines. Incidence rates were estimated after generating a random effects model. \u0000Findings: The Incidence rate in males after the first dose was 2.4 per 100,000 persons (0.8- 6.8 per 100,000; I2: 17.17%). The IR in females after the first dose was 1.9 per 100,000 persons (0.5-6.5 per 100,000; I2: 0.00). After the second dose, the IR in males was 15.7 per 100,000 persons (3.2-78.1 per 100,000; I2: 96.45%), while in females the IR after the second dose was 6.1 per 100,000 persons (2.9-12.1 per 100,000; I2: 0.00). The Incidence Rate Ratio (IRR) after the first dose between males and females was 1.86 (0.40-8.5; I2: 0.00) and 6.35 (2.98-13.49; I2: 0.00) after the second dose. Among individuals between 12- 17 years of age, myocarditis is a rare side effect associated with Pfizer- BioNTech COVID-19 vaccine (BNT162b2) vaccination. The incidence in males were about two times greater than females following the first dose and six times greater following the second dose. \u0000Recommendation: Vaccination strategy in adolescent males needs to be revisited to mitigate risk of myocarditis. \u0000 ","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87207904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Faiza Altaf, Urooj Manzoor, Nusrat Prveen, Mehreen Mazhar, Rida Ejaz, Maria Abbass
{"title":"Prevalence of Low Back Pain in Women Wearing High Heels Residing in Khanewal, Pakistan","authors":"Faiza Altaf, Urooj Manzoor, Nusrat Prveen, Mehreen Mazhar, Rida Ejaz, Maria Abbass","doi":"10.47672/ajhmn.1372","DOIUrl":"https://doi.org/10.47672/ajhmn.1372","url":null,"abstract":"Purpose: Low back pain is not much prevalent among women wearing high heels but in certain cases it is the cause of disability, absence from work and also affects the quality of life. The objective of the study was to determine the prevalence of low back pain among the women of Khanewal wearing high heels.\u0000Methodology: A cross sectional survey was used. Data was collected from Khanewal from 1st October to 31st December 2019. The sample size was 250 women ranging between 20 to 40 years. Inclusion criteria include age between 20 to 35 years, height of heel 2 – 10 cm, duration of wearing of high heel shoes > 3 hours per day, frequency of wearing high heel shoes > 3 times / week. Exclusion criteria consisted of previous history of any accident or injury to the back, fracture of the vertebrae, any spinal pathology, any systemic disease, women who left wearing heels, women wearing heels occasionally. Data was collected by convenient sampling technique, through the use of oswestry low back pain disability questionaire.Study was completed in 3 months after the approval of synopsis. Data entry and analysis were done using computer software SPSS 21.\u0000Findings: Among 250 women with the mean age of 27 years, 208(83.2%) female lie in minimum disability sore and 42(16.8%) females lie in moderate disability score. The study concluded that there is relatively low prevalence of low back pain among the women wearing high heels.\u0000Recommendations: The duration of study was short, so in future more time is required for this study. Sample was only conducted in Khanewal, therefore more cities should be selected for target population to collect sample in future.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84617783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Darwish, S. Ammar, Yasser Omar Abdel Rahman, Mahmoud Helmy Alsayed
{"title":"Comparison between Intra-Aortic Balloon Pump and Levosimendan as Treatment Modalities for Cardiogenic Shock Post Cardiac Surgery","authors":"M. Darwish, S. Ammar, Yasser Omar Abdel Rahman, Mahmoud Helmy Alsayed","doi":"10.47672/ajhmn.1347","DOIUrl":"https://doi.org/10.47672/ajhmn.1347","url":null,"abstract":"Purpose: Post cardiac surgery cardiogenic shock is one of the major life threatening complications of open heart surgeries. Two modalities are widely used to improve the cardiac output and overcome the acute postoperative complication beside other conventional treatment including mechanical ventilator, inotropes and vasopressors. Those modalities are levosimendan and Intra-aortic balloon pump. The purpose of this study is to investigate the prognosis of levosimendan vs IABP in patients who developed cardiogenic shock post cardiac surgery. \u0000Methodology: This was a prospective observational study conducted as national heart institute, Egypt on 50 patients who developed cardiogenic shock post cardiac surgery and managed by either levosimendan or Intra-aortic balloon Pump (IABP) beside other conventional therapies. Patients were then divided into two groups according to the modality used. Group I: patients who were managed by levosimendan and group II: patients who were managed by IABP. Two groups were then compared according to baseline preoperative characteristics and in-hospital course and one month follow up post discharge echocardiography. \u0000Findings: No significant difference regarding between in-hospital mortality between levosimendan, 44% and IABP, 52% P value 0.5. Levosimendan was associated with significantly shorter ICU stay, 5.56±2.85 compared to IABP, 8±3.34 days (P value 0.02). Levosimendan seems to be a better option than IABP or at least equivalent to it in postoperative cardiogenic shock. \u0000Recommendations: Levosimendan is an alternative cost effective modality for patients with post-operative low cardiac output syndrome especially when IABP isn’t available. \u0000 ","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80764492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Khan, Jehanzeb Akram, Muhammad Durrani, Muhammad Hammad Ur Rehman, M. Basharat, Momna Saeed, Uns Shehzadi, A. Attiq, Qurat Ul Ain, M. Shahid
{"title":"Risk Factors of Pilonidal Sinus in a Tertiary Care Hospital of Rawalpindi: A Descriptive Cross-sectional Study","authors":"T. Khan, Jehanzeb Akram, Muhammad Durrani, Muhammad Hammad Ur Rehman, M. Basharat, Momna Saeed, Uns Shehzadi, A. Attiq, Qurat Ul Ain, M. Shahid","doi":"10.47672/ajhmn.1341","DOIUrl":"https://doi.org/10.47672/ajhmn.1341","url":null,"abstract":"Purpose: Pilonidal sinus incidence is increasing in surgical departments all over the world. Pilonidal sinus is under the influence of several factors. These factors are studied well in various parts of the world; however, these factors are understudied in Pakistan. This study aimed to find out the risk factors of pilonidal sinus among the patients diagnosed with pilonidal sinus. \u0000Methodology: This descriptive cross-sectional study was conducted among one hundred and eight patients with pilonidal sinus at Benazir Bhutto Hospital Rawalpindi, for one year from January 2021 to January 2022. Ethical approval and informed consent were obtained before the start of study. Patients’ enrollment was done according to a developed inclusion and exclusion criteria. Convenient sampling technique was also applied for recruitment of participants. Data was collected through a self-designed questionnaire. Descriptive statistics were utilized for the data analysis. Data analysis was performed by SPSS version 25.0 (IBM Corp., Armonk, NY). \u0000Findings: Pilonidal sinus frequency was high among the patients who had age group of 11 to 30 years (68.52%), male gender (62.96%), driving profession (37.96%), family history of pilonidal sinus (64.82%), high body mass index(60.18%), daily sitting for more than 6 hours (79.62%), sitting on hard surfaces (63.88%), hairy skin (55.55%), excessive sweating (68.52%), poor hygiene of sacrococcygeal region (77.78%), number of baths less than three times per week (61.11%), and light colored skin (62.04%). \u0000Recommendations: This study recommends that health authorities should make people educated regarding the risk factors that lead to pilonidal sinus. The study also recommends that people should reduce their body weight, sit over soft places and should avoid continuous sitting for long periods. People should take care of hygiene, especially of sacrococcygeal regions by shaving hair, drying moisture, and taking frequent baths.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79539217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}