Need For Medical Help Research Articles

Assessment of Public Awareness on Alarming Signs of Posttraumatic Intracranial Hemorrhage in the Jeddah Population: A Cross-Sectional Study.

Background Post-traumatic intracranial hemorrhage is a life-threatening condition, and early detection and response can significantly reduce morbidity and mortality rates. The aim of this study was to assess public awareness of the alarming signs of intracranial bleeding after trauma in adults in Jeddah, Saudi Arabia. Methodology From August 2023 to April 2024, a descriptive cross-sectional study was conducted using a five-scale structured questionnaire: demographics, risk factors for road traffic accidents, alarm signs and symptoms, ability to recognize these signs, and participants who experienced head trauma. The study focused on people aged 18 and over living in Jeddah. Results A total of 584 participants were included, with 34.2% males and 65.8% females. Findings revealed that 57% recognized the critical need for medical help after head trauma. Furthermore, only 45% of the population were unaware that low levels of awareness or wakefulness indicate bleeding, reflecting a low awareness level in the adult population. Among children, only 34% recognized changes in eating and lactation habits, and 54% identified continuous crying and irritability. Furthermore, 66% of participants identified loss or change in consciousness as a symptom that required hospital admission, while 60% recognized chronic headaches as a critical sign. Conclusion This study revealed the critical need for public health campaigns to improve awareness and understanding of signs of intracranial post-traumatic bleeding. The results highlighted the importance of early medical interventions to reduce the morbidity and mortality associated with this condition.

Towards an international consensus on safety netting advice for acutely ill children presenting to ambulatory care: a modified e-Delphi procedure

ObjectiveDevelop a consensus on the content and form of safety netting advice (SNA) for parents of acutely ill children.DesignFour-round modified e-Delphi using online questionnaires and feedback among clinical and research...

Longitudinal prospective cohort study evaluating prognosis in idiopathic intracranial hypertension patients with and without comorbid polycystic ovarian syndrome

IntroductionIdiopathic intracranial hypertension (IIH) and polycystic ovary syndrome (PCOS) are hyperandrogenic metabolic disorders that affect women of reproductive age living with obesity. The previously reported prevalence of comorbid PCOS in IIH patients is highly variable and the longitudinal impact on visual and headache outcomes are unknown.MethodsIn this prospective longitudinal cohort study patients were identified from the IIH: Life database over a nine-year period (2012–2021). Data collected included demographics and PCOS questionnaire data. Key visual and detailed headache outcomes were recorded. We analysed the key variables for influential outcomes of vision and headache. Logistical regression methods were used to model long term visual and headache outcomes.ResultsOverall 398 women with IIH and documented PCOS questionnaires were followed up for a median of 10 months (range 0–87). Prevalence of PCOS in IIH was 20% (78/398) diagnosed by the Rotterdam criteria. Patients with IIH and comorbid PCOS reported higher self-reported fertility problems (3.2-fold increased risk) and increased need for medical help in becoming pregnant (4.4-fold increased risk). Comorbid PCOS in IIH patients does not adversely impact long-term vision or headache outcomes. The headache burden was high in both cohorts studied.ConclusionsThe study demonstrated that comorbid PCOS in IIH is common (20%). Diagnosing comorbid PCOS is important as it can impact on fertility and is known to have long-term adverse cardiovascular risks. Our data suggest that a diagnosis of PCOS in those with IIH does not significantly exacerbate long-term vision or headache prognosis.

Modern methods of remote monitoring and rehabilitation of patients with cardiovascular diseases

Highlights. The review summarizes the latest achievements in the field of remote patient monitoring, highlights the main advantages and limitations of modern methods of remote monitoring and rehabilitation of patients with cardiovascular diseases.Abstract. Devices for remote health monitoring and rehabilitation that use modern telemedicine technologies are becoming more and more widespread in cardiovascular disease management. Modern technologies are affordable and reliable assistants for healthcare professionals, they assist in monitoring patients “at home”, early detection of adverse events, and timely notification of the need for medical help. The review summarizes the latest achievements in the field of remote patient monitoring for ambulatory management, diagnostics, dynamic monitoring, and cardiac rehabilitation of patients with cardiovascular diseases. The main advantages and limitations of remote patient monitoring technologies are presented, and methods for the implementation of these technologies are discussed.

Survey of Musculoskeletal Injuries among Female Bharatanatyam Dancers in the Udupi District of India.

Bharatanatyam is an Indian classical dance form that is practiced globally. There is limited information about the prevalence of injuries in Bharatanatyam dancers. To investigate the prevalence of musculoskeletal injuries and specifics of dance training in female Bharatanatyam dancers in the Udupi district of India. We developed and tested a survey for Bharatanatyam dancers regarding injury history in the prior year, including location, time loss, cause, and need for medical help. We also obtained demographic and training information. 101 dancers completed the survey. 10.8% of dancers reported musculoskeletal injuries because of participation in dance. They sustained 0.65 injuries/1,000 hours of dancing. The most frequently injured areas were ankle (27.2%) and knee (27.2%) followed by lower back (13.6%) and hip (9%). Despite being injured, 36.4% of the dancers continued to dance. 54.5% of the injured dancers sought the help of a medical professional for their dance-related injuries. The most common surface for dance was concrete followed by other hard surfaces such as marble and tile. Female Bharatanatyam dancers are prone to injuries of the lower extremity and back. Most dancers in our study practice the Pandanalluru style on hard surfaces. There is a need to investigate the impact of training factors on the injury occurrence.

Assessment of the Personal Losses Suffered by Correctional Officers due to Burnout Syndrome.

Background:Professional burnout is defined as a state of depletion and loss of motivation accompanied by different mental and physical symptoms.Objective:To assess personal losses suffered by correctional officers due to burnout.Methods:This cross-sectional study conducted between June and December 2012 included 201 correctional officers in two Bulgarian prisons. The mean age of the whole group was 41.2 (SD 8.0) years. The respondents was mostly male (56.7%), married (72.6%), had a secondary educational level (61.7%), and 76.1% of them had been in current prison work over 5 years.Results:The demographic characteristics had no influence on the occurrence of burnout but there was a correlation between level of burnout and the number of sick-leaves, the need for medical help, and the expenses spent on medications. Officers affected by burnout took more sick-leaves and this affected adversely their remuneration as they lost 3.1% of their annual wages. Their expenses spent on user fees for medical services were 3 times higher. Their monthly expenses spent on medications were 3.14 times higher than those of people without the burnout syndrome.Conclusion:The high level of burnout has a negative personal economic effect on the prison employees.

Mission Not Impossible For Ohio Psychiatrist

Mission Not Impossible For Ohio Psychiatrist

A study about adjustment of Indian girls in relation to menstruation

The study aimed at examining adjustment of girls in relation to menstruation and in two types of schools. Using incidental sampling method, sample of 100 ninth grade girls from girls' school and from coeducation school was included. Data were collected with the help of three instruments, namely, Personal Information Schedule, Adjustment Inventory and Menstrual Attitude Questionnaire (MAQ). In general, the girls were properly adjusted and exhibited fairly positive attitude towards menstruation. It was found that attitude towards menstruation and health adjustment were highly correlated; where as, the correlations of attitude towards menstruation and the other four areas of adjustment- home and family, personal and emotional, social, and educational- are not significant. Girls from two types of schools showed similar attitude towards menstruation. They also exhibited similar adjustment, except in home and family adjustment. Girls from coeducation school excelled in home and family adjustment. Adjustment of 16 girls was unsatisfactory in either one or more areas of adjustment. These girls showed maladjustment mainly in the areas of education and health. They held fairly positive attitude towards menstruation. Out of them, 13 reached menarche and 3 were at premenarche stage. Their interviews having very unsatisfactory health adjustment, complained about stomach ache during menstruation suggesting need for medical help.

Voice problems experienced by Finnish comprehensive school teachers and realization of occupational health care

A survey was conducted among teachers to explore 1) risk factors of voice disorders, 2) the number and nature of problems experienced, 3) the need for medical help, and 4) how occupational health care reacts to this need. Additionally, the knowledgeability of occupational health care physicians and the way treatment of voice disorders is currently organized was explored. Of the 181 teachers who responded, 42% reported voice symptoms occurring daily or weekly. Every tenth teacher also had vocal nodules, and 40% of those with recurring voice problems had been on sick-leave. The respondents suggested improvements in occupational health care: it should also cover prevention, waiting times need to be shortened and care chains established, and resources need to be allocated for voice therapy services.