Relationship between the Quality of Informed Consent at Surgical Procedure in Terms of Ethics and Medicolegal with Satisfaction of Patient Health Service in dr. Zainoel Abidin Hospital

Objective: To determine the relationship between the quality of informed consent in terms of ethics and medicolegal with patient health service satisfaction at the dr. Zainoel Abidin Hospital (ZAH) Banda Aceh.Method: This study is an observational analytic with a cross-sectional method. Subject selection through a total sampling method. This study involved patients who were treated at dr. Zainoel Abidin Hospital (ZAH) Banda Aceh and a total of patients were 100 (52 men and 48 women) who met the inclusion criteria carried out on 16 December 2019 to 31 December 2019.Results: As many as 90% of respondents rated informed consent made at ZAH as good quality and 85% expressed the satisfaction with health services at ZAH. An ethical and medicolegal review of informed consent emphasizes the basic principles of bioethics. As many as 84% of respondents stated that their autonomy rights had been fulfilled, 92.50% thought that the doctor had done beneficence, nonmaleficence, and justice well in the process of informed consent and 92.33% of respondents rated the three elements of informed consent as being well implemented. Based on the results of the chi-square statistical test showed a significant relationship between the quality of informed consent in terms of ethics and medicolegal with patient health service satisfaction under the value of p = 0.001 (p≤0.05).Conclusion: Good quality of informed consent in terms of ethics and medicolegal has an important role in increasing patient satisfaction with health services at the dr. Zainoel Abidin Hospital of Banda Aceh

Decomposition of Formaldehyde Using Vanadium Oxide Nanostructures as Catalysts

The speed of formaldehyde decomposition has been studied using catalysts (vanadium nanoparticles, nano vanadium oxide with nano hydroxyapatite and vanadium oxide). The catalysts have been made with three different concentrations (100, 500 and 1000) ppm and at three different temperatures (25, 50 and 75) ° C. X-ray diffraction (XRD) and transmission electron microscope (TEM) images were used to study the structural and engineering properties of the prepared catalysts, which were nanostructured materials. The increase in the concentration of the catalysts and the temperature led to increasing the chemical reactions rate. However, it decreased the activation energy, which was calculated using the Arrhenius equation. The catalyst NV2O5 showed a better reaction rate compared to other prepared catalysts 100.1 x 〖10〗^(-3) and 112.5 x 〖10〗^(-3) ) for the catalysts such as nano vanadium oxide and nano vanadium oxide with nano hydroxyapatite, respectivel

Maternal characteristics and outcomes affected by hypothyroidism during pregnancy (Maternal hypothyroidism on pregnancy outcomes, MHPO-1)

Background: Hypothyroidism in pregnancy is an arena of ongoing research, with international conflicts regarding screening, management, and outcomes. Various studies have described the outcomes depending on geographical and international diagnostic criteria. No study has been conducted in this regard from the region of Pakistan. Therefore, we aim to report the clinical features and maternal outcomes of hypothyroid pregnancies and compare the maternal outcomes between uncontrolled and controlled TSH levels in the preconception as well as the gestational period.Methods: We conducted a cross-sectional retrospective study on 718 cases in the Aga Khan University Hospital after ethical approval. We collected information on pregnant females who have diagnosed hypothyroidism before conception or during their antenatal period. We noted the maternal characteristics and maternal comorbidities. Laboratory data were recorded for thyroid stimulating hormone levels before conception and during gestation. We recorded maternal outcomes as pregnancy loss (including miscarriage, stillbirth/intrauterine death, medical termination of pregnancy and ectopic pregnancy), gestational hypertension, pre-eclampsia, postpartum hemorrhage, placental abruption, and modalities of delivery. Data analysis was performed on Statistical Package for the Social Sciences version 20.0.Results: Among 708 hypothyroid women 638 had live births. Postpartum hemorrhage was the most frequent maternal outcome (38.8%). The emergency cesarean section occurred in 23.4% of cases. We determined TSH levels in 53.2, 56.7, 61.7 and 66.6% of cases in preconception, 1st, 2nd, and 3rd trimester periods. A significant association existed between cesarean section and preconception thyrotropin levels \u3e 2.5 mIU/L, whereas postpartum hemorrhage was significantly associated with thyrotropin levels \u3e 2.5 mIU/L in the preconception and third trimester.Conclusion: Successful live births in our patients were complicated by maternal postpartum hemorrhage and a frequent number of emergency cesarean section

Frequency and predictors of non-adherence to lifestyle modifications and medications after coronary artery bypass grafting: A cross-sectional study

Background: Non-adherence to dietary recommendations, exercise and prescribed drug regimens, in coronary heart disease (CHD) patients following coronary artery bypass grafting (CABG), is a major health care issue worldwide. Aims and objectives: The primary objective of this study was to investigate the frequency and predictors of non-adherence to lifestyle changes and medication among CHD patients after undergoing CABG surgery. Method: The sample of this cross sectional descriptive study was 265 patients who underwent isolated primary CABG. Participants who met the eligibility criteria were provided with a pre-coded questionnaire 4 weeks or more after surgery. Adherence was assessed on the basis of patient's self-report. Significance of results was analyzed using Chi square test. Results: Roughly half of the patients were non-adherent to dietary recommendations (n = 120, 45.3%) and exercise (n = 109, 41.1%) while about one third (n = 69, 26%) were non-adherent to prescribed medications. Unwillingness to adopt a new lifestyle and more than one social gathering per week, were found to be statistically significant predictors of non-adherence to diet (p-values < 0.001). Reluctance to follow exercise regimen, busy schedule, and fear that exercise will aggravate heart issues were commonly reported as reasons for non-compliance to exercise. As for non-adherence to medication, forgetfulness, affordability of drugs and too many medications to take were important predictors. Conclusion: Non-adherence to lifestyle modifications and medication is an emerging problem worldwide. It is essential for medical health professionals to discuss these predictors and address them individually. Our findings highlight the need for a healthy physician and patient relationship

Synthesis of Thermally Stable h-BN-CNT Hetero-Structures via Microwave Heating of Ethylene under Nickel, Iron, and Silver Catalysts

Initially, three samples of carbon nanotubes (SWCNTs) were synthesized from neem tree material. Afterward, these samples were coated with hexagonal boron nitride (h-BN) to form h-BN and CNT composite (h-BN-CNT). The essence of using h-BN (being a perfect insulator) with armchair SWCNT (being a conductor) is to create an interface between an insulator and conductor. The samples were treated under three different transition metal nanoparticles; silver, iron, and nickel. Thermogravimetric (TGA) analysis reveals that h-BN/CNT is thermally more stable with silver than iron and nickel nanoparticles. TGA profile showed resistance to mass loss at the beginning due to the higher thermal resistivity by the impurity compounds. The DFT calculation, generalized gradient approximation (GGA), and Perdew–Burke–Ernzerhof (PBE) analysis found engineered bandgap energy of 3.4 eV for the synthesized h-BN-CNT heterostructure. Because of its unique structural and electronic properties such as tunable bandgaps, the h-BN-CNT heterostructure may open new ways for manipulating excitons in the CNTs, and thus can be explored to develop various new electronic devices