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Heydari G., Tafti S. F.*, Alvanpour A., Talischi F., Mojhgani N., Mokri B. and Ashagh Hosseini S. M.
Abstract: Despite many studies correlating smoking with later onset of ulcerative colitis and probable decreased severity of disease, controversies still exist. This study evaluates correlation between smoking status and severity of ulcerative colitis among Iranian patients. This was a cross-sectional retrospective study. Patients with ulcerative colitis attending the Amir Alam Hospital gasteroenterology clinics in 2009 to 2010 were included. Smoking habits and severity of ulcerative colitis were evaluated depending on number of visits required to the clinic and related hospitalization in the past year, radiology results and pathology of patients. A total of 674 newly diagnosed and follow-up patients were included of which 304 (45.1%) individuals were men. Of these patients, 160 (23.7%) individuals were cigarette smokers. Nonsmokers on the average had 3.6 ± 1.8 and smokers 4.0 ± 1.4 visits per year (p = 0.02). Average number of hospitalizations per patient per year was 1.4 ± 1.1 for nonsmokers and 2.6 ± 0.7 for smokers (p < 0.000). Severity of illness in respect to pathology was stage 0 to 2 (mild) in 272 (40.4%) individuals and stages 3 and 4 (severe) in the remaining 402 (59.6%) individuals. Radiology showed mild disease in 270 (40.1%) and severe ulcerative colitis in 404 (59.9%) patients and the frequency was unrelated to gender or cigarette consumption. Unlike many studies from other countries severity of ulcerative colitis was not found to be correlated with smoking or nonsmoking status and average number of visits to physician or need for hospitalization were found to be higher in smokers which needs further studies for conclusions to be made.[...] Read More.
Keywords: Colitis, ulcerative, cigarette smoking, smoking cessation, severity of illness index.
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William O. Ogara*, Nduhiu J. Gitahi Samuel A. Andanje, Nicolas Oguge, Dorcas W. Nduati and Alfred O. Mainga
Abstract: This study determined the prey base for four main carnivores found in Samburu community group ranches and grazing area, Lion (Panthera leo), Leopard ( Panthera pardus), Wild dog ( Lycaon pictus) and Hyaena ( Crocuta crocuta, and Hyaena hyaena). A total of 96 scat samples including, 8 from Lion, 16 Leopards’, 2 Wild dogs’, and 70 Hyaenas’ were collected, identified and microscopically analyzed for prey hair characterisation. At least 50 different hairs from every scat sample were mounted on slides and microscopically characterized using details from reference hairs. Hairs from 18 depredated species both domestic and wild ungulates were recovered from the scat samples. Predated species were identified, as either domestic (Cow, Sheep, Goat, Donkey, and Camel) or wild ungulate prey (Grant’s gazelle, plain Zebra, Grevy’s Zebra, Impala, Waterbuck, Dikdik, Eland, lesser Kudu, greater Kudu, Baboon, rock Hyraxes, Elephant and Oryx). The carnivores showed a relatively high kill of wild ungulate prey compared to domestic prey. Camel was the most preferred domestic animal by both the Lion and the leopard, while wild Dog and Hyaena preferred cow and donkey respectively. Grevy’s zebra contributed highest to the lion’s diet while the Plain zebra was most preferred by the leopard. Both the hyaena and the Wild dog had a preference for the waterbuck. The Hyaena had the highest domestic depredation, while all the other big cats depredated more on wild ungulates[...] Read More.
Keywords: Scat, group ranch, domestic, wild ungulate, prey, depredation.
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Marion W. Mutugi* and Samuel G. Maingi
Abstract: A disaster is defined as an event or series of events, which give rise to casualties and/or damage or loss of property, infrastructure, essential services or means of livelihoods on a scale which is beyond the normal capacity of the affected community to cope with unaided. This event or events disrupt the normal patterns of life (or ecosystem) and extraordinary emergency interventions are required to save and preserve human lives and/or the environment. Disasters can either be manmade or natural, and either of slow or rapid onset. The objective of this work was to review disasters that have happened in Kenya in the last twenty five years in respect to their public health impact, community perceptions and preparedness. Results indicate that there is inadequate preparedness and responses despite the repetitive nature of specific disaster episodes. This may be due to economic, social, and cultural barriers prevent effective devolution of mitigating institutional and policy frameworks from central institutions to local communities.[...] Read More.
Keywords: Disasters, Kenya.
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Sudip Datta Banik
Abstract: Undernutrition in children and adolescents is a major problem in India. Age at menarche is a significant indicator of growth in girls. The present study records age at menarche, prevalence of under nutrition measured by Rohrer Index in both pre-menarcheal (n=107) as well as post-menarcheal (n = 131) girls (n = 238) aged 6.01 to 14.63 years. In this cross-sectional study, mean age at menarche is estimated to be 12.60 years. The comparative statements between these two sections indicate significant difference in height, weight and Rohrer Index. This Index indicates very high prevalence of low health profiles of the girls.[...] Read More.
Keywords: Menarcheal age, undernutrition, Rohrer Index.
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Umar I., Oche M. O.* and Umar A. S.
Abstract: The amount of time a patient waits to be seen is one factor which affects the utilization of health care services. Patient satisfaction has emerged as an increasingly important parameter in the assessment of quality of health care; hence, healthcare facility performance can be best assessed by measuring the level of patient’s satisfaction. This was a cross-sectional descriptive study carried out at the out patients’ departments of the Usmanu Danfodiyo University, Sokoto. A total of 384 new patients were randomly selected into the study. A set of pretested questionnaires was used to extract information from the respondents; descriptive statistics was used for analysis. A total of 118 (31%) of the patients waited for less than an hour in the waiting room, while 371 (96.6%) spent less than 30 min with the doctor. More than half, 211 (55%) of the respondents were satisfied with the service delivery in the hospital, while only 63 (16%) of the respondents admitted to being given health talks while waiting to be seen by the doctor. Although majority of the patients waited for more than 1 h before being attended to, more than half of them were however satisfied with the services rendered to them. There is the need for health care institutions and providers to put in place measures aimed at reducing waiting time and ensuring patient satisfaction.[...] Read More.
Keywords: Waiting time, outpatient department, satisfaction, Sokoto.
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Abdullateef A. Alzolibani
Abstract: Patient satisfaction is the major indicator of quality of care provided by a health facility. To determine the level of patient satisfaction with medical care at the Dermatology Clinics affiliated to Qassim University, Saudi Arabia and to identify the socio-demographic characteristics of patients that might influence the level of satisfaction. A cross-sectional survey of 741 patients attending the Outpatient Dermatology Clinics affiliated to Qassim University, Saudi Arabia during the time period from January 1st to March 30th 2010. An Arabic language questionnaire was used to assess various domains of patient satisfaction. The satisfaction rate for overall quality of dermatology services was 66.1% in our patients. High levels of satisfaction were expressed about the general maintenance and hygienic conditions of the clinic. About 38% of patients indicated their dissatisfaction regarding the waiting time for appointment and about 40% were not satisfied about the information they received about their problems. About 48% felt that the consultation time was inadequate and 36.7% felt that they were not allowed to express their symptoms in detail. A significantly high level of satisfaction was associated with female gender, age below 40, single status, low education, low socioeconomic status and rural residence. We also found that patients coming on their first visits were significantly more satisfied than those on follow up visits. Majority of our patients were satisfied with overall care. However, specific questioning exposed certain areas that need to be improved such as reducing waiting period for appointments, providing more information about the disease and by ensuring that patients have the opportunity to ask questions.[...] Read More.
Keywords: Patient satisfaction, dermatology clinic, satisfaction score, quality of care.
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Iroha I. R.*, Ugbo E. C., Ilang D. C., Oji A. E. and Ayogu T. E.
Abstract: Frequency of contamination in retail meat sold in Abakaliki, Ebonyi State was examined in the present study. Three hundred raw meat samples including beef (n = 100), chicken (n = 100), chevron (n = 100) were collected from Abakaliki abattoir and were analyzed for microbiological contamination using standard Microbiological methods. Antimicrobial susceptibility of isolated microbes was determined using the Kirby and Bauer method of disc diffusion. Out of the 300 samples, 79 (29.3%) were contaminated with bacteria species including Bacillus cereus, Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, Salmonella typhi, Shigella dysenteriae and Staphylococcus aureus. Of these, E. coli had the highest occurrence (8%), followed by K. pneumoniae (5.3%), S. typhi (5%), S. dysenteriae 2.6%, P. aeruginosa 2.0%, B. cereus 2.0% and S. aureus (1.3%). The antibiotic susceptibility studies showed an alarming level of resistance to all the tested antibiotics reflecting multi-drug resistant strains. Our data confirms the circulation of antibiotic resistant pathogens in raw meat sold in Abakaliki abattoir and market, which could possibly play a role in the spread of antimicrobial resistance amongst food-borne bacteria.[...] Read More.
Keywords: Meat, abattoir, contamination, antibiotic resistance.
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Seter Siziya*, Olusegun Babaniyi, Peter Songolo and Mutale Nsakashalo-Senkwe
Abstract: Tobacco use is the leading cause of non communicable diseases. There is paucity of information on correlates for tobacco smoking among adults in Zambia. The objective of this study was to determine the prevalence of tobacco use and its correlates in Lusaka urban district. A total of 1928 individuals aged 25 years or older participated in the survey, of which 33.0% were males. About half (53.2%) of the participants were of age 25 to 34 years, and 35.8% of them had attained secondary level of education. Overall, 6.8% of the participants currently smoked cigarettes (17.5% among males, and 1.5% among females). Female respondents were 90% (Adjusted Odds Ratio (AOR) = 0.10, 95% CI [0.05, 0.23]) less likely to smoke cigarettes compared to males. Compared to respondents who had[...] Read More.
Keywords: Tobacco smoking, body mass index, adults.
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Salwa Tawfik Abd Al Azeem, Eman Taher Elsayed*, Naglaa Abd El Khalek El Sherbiny and Lamiaa Abd El Gawad ahmed
Abstract: Premarital care (PMC) is a worldwide activity aiming to diagnose, treat unrecognized disorders, and reduce transmission of diseases to couples. The study was an interventional educational prospective study; its aim was to assess and improve knowledge and attitude of 200 medical students in Fayoum University towards premarital care services; through health education intervention in the form of lectures and brochures that address important issues of premarital care. The involved students were interviewed by using closed-ended questionnaires, which were distributed twice, just before the intervention and then after 2 months. A special scoring system was used. Total knowledge score showed significant improvement from 62.44±4.98 to 69.37±3.43, especially as regards components of reproductive health, contents of premarital counseling and the role of PMC in prevention of certain diseases especially hepatitis (significant increase in correct response from 58 to 72%). The main source of knowledge was TV (65.5%). Total attitude score showed significant improvement from 7.89±1.1 to 13.1±.81 especially favorable attitudes towards importance of PMC services, convention to receive such services, and refusal of marriage person with untreated infectious diseases with increase in the percentages to reach 94, 92.5 and 90%, respectively. Females showed better attitudes than males towards PMC. The results reflected the importance of health education as a cornerstone element in improving knowledge and attitude towards premarital care. There is need of continuous health education programs for students to increase their awareness and attitude.[...] Read More.
Keywords: Premarital care, knowledge, attitude, medical students.
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Adekunle Kunle-Olowu*, Onyi Euphemia Kunle-Olowu and Ugwu Moses Emeka
Abstract: The purpose of this study was to determine the coverage for immunization in the first year of life and maternal tetanus toxoid administration in the Niger Delta University Teaching Hospital (NDUTH), Bayelsa State; this will help in establishing ways of improving coverage. A total of 528 were surveyed retrospectively using the immunization register, 521 (98.7%) had BCG, 512(97.0%) had OPV0, 372 had (70.5%) had OPV1/DPT1/HEPBV1, 313 (59.3%) had OPV2/DPT2/HEPBV2, while only 251(47.5%) had OPV3/DPT3/HEPBV3. Only 94(17.8%) had measles /yellow fever vaccines. However 14.3% of the surveyed children had the complete doses of vaccines. For maternal tetanus toxoid administration, a total of 601 mothers were surveyed using the antenatal and immunization registers. Out of the 601 surveyed, 151(25.2%) and 82(13.6%) had TT1 and TT2 respectively while 368 (61.2%) had both TT1 and TT2 in that pregnancy. The low immunization coverage for children may be detrimental to the attainment of the Millennium Development Goal, aimed at reducing child mortality by 2/3rd in 2015. However the immunization of mothers will contribute effectively to the elimination of neonatal tetanus.[...] Read More.
Keywords: Immunisation, coverage, teaching, hospital.
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