During our research, we were scrutinizing the health status of full-time healthcare workers. Following self-inventory inquiries, we posited the question that those who consider their health status bad had higher depression scores. In our survey, 66 female nurses and 5 male nurses participated; all hired by the Clinical Centers of Pécs. In this paper, the ‘SF-36 Quality of Life Questionnaire’ and answers to the ‘Beck Depression Questionnaire’ were analyzed. In the light of the results, it can be stated that the hypothesis has been justified. Healthcare workers are exposed to greater stress during their working life, which of has effects not only on their work, their performance, but also on their health. It can be declared that their health issues considerably effect their vitality. Lower vitality can result in lower productivity, higher absenteeism, and higher fluctuation. The depression scores of those who were in poor health condition were notably higher; consequently, their physical and mental state also had a contributing role in the development of their depression
{"title":"HEALTH STATUS AND LIFE QUALITY OF NURSES IN HUNGARY","authors":"Gyöngyvér Vámosiné Rovó","doi":"10.53555/eijmhs.v4i3.38","DOIUrl":"https://doi.org/10.53555/eijmhs.v4i3.38","url":null,"abstract":"During our research, we were scrutinizing the health status of full-time healthcare workers. Following self-inventory inquiries, we posited the question that those who consider their health status bad had higher depression scores. In our survey, 66 female nurses and 5 male nurses participated; all hired by the Clinical Centers of Pécs. In this paper, the ‘SF-36 Quality of Life Questionnaire’ and answers to the ‘Beck Depression Questionnaire’ were analyzed. In the light of the results, it can be stated that the hypothesis has been justified. Healthcare workers are exposed to greater stress during their working life, which of has effects not only on their work, their performance, but also on their health. It can be declared that their health issues considerably effect their vitality. Lower vitality can result in lower productivity, higher absenteeism, and higher fluctuation. The depression scores of those who were in poor health condition were notably higher; consequently, their physical and mental state also had a contributing role in the development of their depression","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123417674","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}
Skipping breakfast affects learning performance at school. This study aimed to analyze correlation between breakfast habits, family socioeconomic status and academic achievement among elementary school children. This cross-sectional study was conducted from March to May 2016 on 150 fifth graders. Subjects’ characteristics, family socioeconomic status and breakfast habits were collected by filling out questionnaire, academic achievement was estimated by average score of midterm test. Subjects with good academic achievement had better socioeconomic status than those with poor academic achievement. Most of the subjects had breakfast 5-7 times/week and it was usually done before 7 AM. Breakfast was usually served and consumed at home. Staple food and animal-based side dish were usually consumed for breakfast. Breakfast’s energy and protein contributions were significantly higher (p<0.05) among subjects with higher academic achievement than those with lower academic achievement. Subjects with better breakfast habits and socioeconomic status tended to have better school achievement.
{"title":"CHILDREN WITH BETTER BREAKFAST HABIT AND FAMILY SOCIOECONOMIC STATUS TENDED TO HAVE BETTER ACADEMIC ACHIEVEMENT","authors":"L. Kustiyah, Maudi Kusprastesia","doi":"10.53555/eijmhs.v4i3.37","DOIUrl":"https://doi.org/10.53555/eijmhs.v4i3.37","url":null,"abstract":"Skipping breakfast affects learning performance at school. This study aimed to analyze correlation between breakfast habits, family socioeconomic status and academic achievement among elementary school children. This cross-sectional study was conducted from March to May 2016 on 150 fifth graders. Subjects’ characteristics, family socioeconomic status and breakfast habits were collected by filling out questionnaire, academic achievement was estimated by average score of midterm test. Subjects with good academic achievement had better socioeconomic status than those with poor academic achievement. Most of the subjects had breakfast 5-7 times/week and it was usually done before 7 AM. Breakfast was usually served and consumed at home. Staple food and animal-based side dish were usually consumed for breakfast. Breakfast’s energy and protein contributions were significantly higher (p<0.05) among subjects with higher academic achievement than those with lower academic achievement. Subjects with better breakfast habits and socioeconomic status tended to have better school achievement. ","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125989523","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}
Background: As a versatile and safe vector, in vitro transcribed messenger RNA (ivt mRNA) is currently being intensively evaluated as an active pharmaceutical ingredient. Its therapeutic uses encompass vaccination, cell reprogramming, genome engineering, gene complementation and the expression of protein drugs (e.g., growth factors or antibodies). Objectives: The therapeutic efficacy of ivt mRNA correlates with the efficacy of its translation. Untranslated regions (UTRs) from stable mRNA, such as globin mRNA, and optimized 5’ cap structures have been used to improve the functionality of ivt mRNA. However, the recruitment of the eukaryotic initiation factor 4E (eIF4E) protein to the 5’ end of transfected ivt mRNA remains a ratelimiting parameter for translation. Method: We added aptamer sequences that bind the eiF4G protein to the 5’ UTR of ivt mRNA. Results: One of the tested aptamer sequences produced a several fold increase in ivt mRNA expression (specifically, an increase of threefold to over tenfold depending on mRNA sequence and cell type). Conclusion: This simple modification of the 5’ UTR of ivt mRNA may represent an efficacious and general method for improving the therapeutic index of all new mRNA-based therapeutic products.
{"title":"AN EIF4G-RECRUITING APTAMER INCREASES THE FUNCTIONALITY OF IN VITRO TRANSCRIBED MRNA","authors":"Marina Tusup, T. Kündig, S. Pascolo","doi":"10.53555/eijmhs.v4i2.36","DOIUrl":"https://doi.org/10.53555/eijmhs.v4i2.36","url":null,"abstract":"Background: As a versatile and safe vector, in vitro transcribed messenger RNA (ivt mRNA) is currently being intensively evaluated as an active pharmaceutical ingredient. Its therapeutic uses encompass vaccination, cell reprogramming, genome engineering, gene complementation and the expression of protein drugs (e.g., growth factors or antibodies). \u0000Objectives: The therapeutic efficacy of ivt mRNA correlates with the efficacy of its translation. Untranslated regions (UTRs) from stable mRNA, such as globin mRNA, and optimized 5’ cap structures have been used to improve the functionality of ivt mRNA. However, the recruitment of the eukaryotic initiation factor 4E (eIF4E) protein to the 5’ end of transfected ivt mRNA remains a ratelimiting parameter for translation. \u0000Method: We added aptamer sequences that bind the eiF4G protein to the 5’ UTR of ivt mRNA. \u0000Results: One of the tested aptamer sequences produced a several fold increase in ivt mRNA expression (specifically, an increase of threefold to over tenfold depending on mRNA sequence and cell type). \u0000Conclusion: This simple modification of the 5’ UTR of ivt mRNA may represent an efficacious and general method for improving the therapeutic index of all new mRNA-based therapeutic products.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130580621","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}
Introduction Accurate age estimation is required in the field of health sciences, as it is relevant to the timing of various treatment procedures. Differences in the development among children of the same chronological age have led to the concept of physiologic age as a means to define progress toward completeness of development or maturity in the individual child. The most common dental age estimation methods are Nolla &Demirjin’s.Demirijan’s being the more result oriented method of age estimation. Aim and Objective: To evaluate the Dental age estimation using Demirijan’s 8 teeth method and 7 teeth method. Materials and methods: The sample for the study consisted of 400 individuals aged between 618 years. The chronological age of the patient will be obtained by official birth certificate. Radiographic age estimation of the selected sample was done after analyzing Orthopantomographs using both Demirijan’s 7 teeth and 8 teeth method. The chronological age was then statistically compared with the results obtained by the radiographic age using SPSS v16 software. Results: The estimation of dental age estimation using Demirijan’s 7 teeth method showed overestimation compare with Demirjian 8 teeth method. Conclusion: Dental age estimation using Demiijan’s 8 teeth method reduces the margin of error in correctly estimating age
{"title":"DENTAL AGE ESTIMATION USING DEMIRIJAN’S 7 TEETH AND 8 TEETH METHOD APPLYING IN RAJASTHAN (KOTA) POPULATION","authors":"H. Mankel, Charvi Gupta, Akash Ghosh","doi":"10.53555/eijmhs.v4i2.35","DOIUrl":"https://doi.org/10.53555/eijmhs.v4i2.35","url":null,"abstract":"Introduction Accurate age estimation is required in the field of health sciences, as it is relevant to the timing of various treatment procedures. Differences in the development among children of the same chronological age have led to the concept of physiologic age as a means to define progress toward completeness of development or maturity in the individual child. The most common dental age estimation methods are Nolla &Demirjin’s.Demirijan’s being the more result oriented method of age estimation. \u0000Aim and Objective: To evaluate the Dental age estimation using Demirijan’s 8 teeth method and 7 teeth method. \u0000Materials and methods: The sample for the study consisted of 400 individuals aged between 618 years. The chronological age of the patient will be obtained by official birth certificate. Radiographic age estimation of the selected sample was done after analyzing Orthopantomographs using both Demirijan’s 7 teeth and 8 teeth method. The chronological age was then statistically compared with the results obtained by the radiographic age using SPSS v16 software. \u0000Results: The estimation of dental age estimation using Demirijan’s 7 teeth method showed overestimation compare with Demirjian 8 teeth method. \u0000Conclusion: Dental age estimation using Demiijan’s 8 teeth method reduces the margin of error in correctly estimating age","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115498969","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}
Frozen shoulder syndrome is a commonly encountered clinical complaint. It is encountered by clinicians (General Practitioners (GP’s), Rheumatologists, Orthopedic surgeons) and physical therapists (Physiotherapy, Osteopathy, Chiropractic).Shoulder joint is one of the most rewarding and functional joints involved in daily routines including performances, occupational and recreational activities. Aim to Compare the Therapeutic efficacy of codmans and Maitland regime for the treatment of frozen shoulder syndrome Methods Each group consists of fifteen patients and they were equally divided into two groups such as Group A and B. The group include both male and female with the age group of 30-55 years. One group of patients treated with conventional Shoulder exercise regime and other group treated with Maitland manipulation. Study Design Comparative study with pretest and post –test design Results Group A patients which shows significantly 1.46(P0.05) pain reduction. Group B patients which shows significantly 1.40(P0.05).Finally both the groups shows the pain reduction Clinical Implications The notion of the current study which provides evidence that Conventional Shoulder exercises and Maitland mobilization were equally effective for the management of pain in frozen shoulder. Both manual mobilization therapy along with general exercises and exercises alone brought improvements in outcome measure scales for pain, glenohumeral ranges and shoulder pain.
{"title":"THERAPEUTIC EFFICACY OF CODMANS VERSUS MAITLAND REGIME FOR THE TREATMENT OF FROZEN SHOULDER SYNDROME","authors":"Karthikeyan, P. Sing, Moorthy","doi":"10.53555/eijmhs.v4i2.34","DOIUrl":"https://doi.org/10.53555/eijmhs.v4i2.34","url":null,"abstract":"Frozen shoulder syndrome is a commonly encountered clinical complaint. It is encountered by clinicians (General Practitioners (GP’s), Rheumatologists, Orthopedic surgeons) and physical therapists (Physiotherapy, Osteopathy, Chiropractic).Shoulder joint is one of the most rewarding and functional joints involved in daily routines including performances, occupational and recreational activities. \u0000Aim to Compare the Therapeutic efficacy of codmans and Maitland regime for the treatment of frozen shoulder syndrome \u0000Methods Each group consists of fifteen patients and they were equally divided into two groups such as Group A and B. The group include both male and female with the age group of 30-55 years. One group of patients treated with conventional Shoulder exercise regime and other group treated with Maitland manipulation. \u0000Study Design Comparative study with pretest and post –test design \u0000Results Group A patients which shows significantly 1.46(P0.05) pain reduction. Group B patients which shows significantly 1.40(P0.05).Finally both the groups shows the pain reduction \u0000Clinical Implications The notion of the current study which provides evidence that Conventional Shoulder exercises and Maitland mobilization were equally effective for the management of pain in frozen shoulder. \u0000Both manual mobilization therapy along with general exercises and exercises alone brought improvements in outcome measure scales for pain, glenohumeral ranges and shoulder pain.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121995821","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}
Dr. Ana Luisa Godoy Caballero, Dr. Luis Regino Murillo Zamorano
The aim of this paper is to evaluate the efficiency and quality of primary healthcare in Extremadura (Spain), assessing at the same time the importance and influence of the quality indicators in the performance of the health units. This analysis considers a series of quality indicators that may affect the efficiency and activity levels of a series of primary care centres. We build different synthetic indices of quantitative output; output adjusted by quality; input, and costs, applying Principal Component Analysis. Using those indices we run several two‐stage cluster analyses. In a first analysis, the output of the health system is obtained from a strictly quantitative point of view and compared to the levels of inputs and costs. In a second analysis, we include an output adjusted by quality to perform such a comparison. The health units in which the region is organised can be clustered in four levels of efficiency and activity: efficientactive, efficient‐inactive, inefficient‐active and inefficient-inactive. The comparison of both analyses highlights the importance of considering qualitative indicators as they substantially influence the efficiency and activity levels of the different primary healthcare centres.
{"title":"IMPORTANCE OF CONSIDERING QUALITY INDICATORS IN PRIMARY HEALTHCARE. APPLICATION OF A TWOSTAGE CLUSTER ANALYSIS.","authors":"Dr. Ana Luisa Godoy Caballero, Dr. Luis Regino Murillo Zamorano","doi":"10.53555/eijmhs.v4i2.33","DOIUrl":"https://doi.org/10.53555/eijmhs.v4i2.33","url":null,"abstract":"The aim of this paper is to evaluate the efficiency and quality of primary healthcare in Extremadura (Spain), assessing at the same time the importance and influence of the quality indicators in the performance of the health units. This analysis considers a series of quality indicators that may affect the efficiency and activity levels of a series of primary care centres. We build different synthetic indices of quantitative output; output adjusted by quality; input, and costs, applying Principal Component Analysis. Using those indices we run several two‐stage cluster analyses. In a first analysis, the output of the health system is obtained from a strictly quantitative point of view and compared to the levels of inputs and costs. In a second analysis, we include an output adjusted by quality to perform such a comparison. The health units in which the region is organised can be clustered in four levels of efficiency and activity: efficientactive, efficient‐inactive, inefficient‐active and inefficient-inactive. The comparison of both analyses highlights the importance of considering qualitative indicators as they substantially influence the efficiency and activity levels of the different primary healthcare centres. ","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125562349","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}
Background: Preeclampsia (PE) is a one of the leading causes of maternal mortality as well as morbidity and long-term disability to mothers and newborns in sub-Saharan Africa. Various micronutrients have been implicated in its pathophysiology. Supplementation of some of these micronutrients, like calcium being recommended as part of the preventive strategies of PE in resource-poor countries. The status of these micronutrients and their relationship with PE vary from population to population. Objective: To investigate the serum levels of select micronutrients (Vitamin D, calcium, zinc, and selenium) in preeclamptic and normotensive primigravid women in a tertiary teaching hospital in Kenya. Methods: This was a case-control study. Primigravid controls matched for age and gestation with those with preeclampsia were included in the study. Data on their demographic and obstetric, nutritional were obtained. They were interviewed on frequency of consumption of specific nutrient rich foods. Blood samples were obtained for serum analysis of Vitamin D, Calcium, Selenium and Zinc levels. Results: 108 participants were included. There were no significant differences in age, educational level and income level between the two study groups. Mean serum calcium and Vitamin D levels were significantly lower among the participants with preeclampsia. The mean serum vitamin D level amongst cases and controls was 20.8±10.2 ng/ml and 28.6±7.9 ng/ml respectively (p<0.001) while the serum calcium levels were 2.2±0.3mmol/l for the cases and 2.3±0.09mmol/l for the controls (p=0.024). There was no statistically significant association between serum levels of Selenium and Zinc with preeclampsia. Most of the controls consumed diets rich in calcium in comparison to the cases. The controls were more likely to consume fish, one of the dietary sources of Vitamin D, compared to the cases. There were no differences in consumption of foods rich in zinc and selenium. Conclusion: Pregnant women with preeclampsia have lower serum levels of calcium and vitamin D compared to their normotensive counterparts.
{"title":"SERUM LEVELS OF SELECT MICRONUTRIENTS IN PRIMIGRAVIDA WITH PREECLAMPSIA VERSUS THEIR NORMOTENSIVE COUNTERPARTS: A CASE CONTROL STUDY AT A TERTIARY TEACHING HOSPITAL IN KENYA.","authors":"Pulei An, Kinuthia J","doi":"10.53555/eijmhs.v4i2.32","DOIUrl":"https://doi.org/10.53555/eijmhs.v4i2.32","url":null,"abstract":"Background: Preeclampsia (PE) is a one of the leading causes of maternal mortality as well as morbidity and long-term disability to mothers and newborns in sub-Saharan Africa. Various micronutrients have been implicated in its pathophysiology. Supplementation of some of these micronutrients, like calcium being recommended as part of the preventive strategies of PE in resource-poor countries. The status of these micronutrients and their relationship with PE vary from population to population. \u0000Objective: To investigate the serum levels of select micronutrients (Vitamin D, calcium, zinc, and selenium) in preeclamptic and normotensive primigravid women in a tertiary teaching hospital in Kenya. \u0000Methods: This was a case-control study. Primigravid controls matched for age and gestation with those with preeclampsia were included in the study. Data on their demographic and obstetric, nutritional were obtained. They were interviewed on frequency of consumption of specific nutrient rich foods. Blood samples were obtained for serum analysis of Vitamin D, Calcium, Selenium and Zinc levels. \u0000Results: 108 participants were included. There were no significant differences in age, educational level and income level between the two study groups. Mean serum calcium and Vitamin D levels were significantly lower among the participants with preeclampsia. The mean serum vitamin D level amongst cases and controls was 20.8±10.2 ng/ml and 28.6±7.9 ng/ml respectively (p<0.001) while the serum calcium levels were 2.2±0.3mmol/l for the cases and 2.3±0.09mmol/l for the controls (p=0.024). There was no statistically significant association between serum levels of Selenium and Zinc with preeclampsia. Most of the controls consumed diets rich in calcium in comparison to the cases. The controls were more likely to consume fish, one of the dietary sources of Vitamin D, compared to the cases. There were no differences in consumption of foods rich in zinc and selenium. \u0000Conclusion: Pregnant women with preeclampsia have lower serum levels of calcium and vitamin D compared to their normotensive counterparts.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126452005","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}
Introduction: Few studies on respiratory distress in neonates (RDN) have been conducted in Gabon. In order to improve the management of this condition, we propose to carry out this work. Objectives: To determine the prevalence of DRNN, highlight the risk factors and evaluate the quality of the management of this pathology. Material and methods: A retrospective and descriptive including all newborns with respiratory distress and admitted to the ward during a 3 years period. Results: Of the 661 hospitalized patients, 201 were admitted for respiratory distress, ie a prevalence of 30.4%. Respiratory distress was severe in 22.1% of cases. The most common functional sign was polypnea (38.4%). The associated signs were hyperthermia (34.2%), jaundice (18.4%) and hypotonia (12.1%). Peri-natal asphyxia was diagnosed in 12.1% of cases. Treatment was dominated by oxygen therapy with goggles or Hood (95.3%); CPAP was used once and artificial ventilation 8 times (4.2%). The hospitalization delay was less than 12 hours (45.3%). The mortality rate was 41.6%. Factors related to death in case of respiratory distress were: prematurity, low birth weight, and severity of respiratory distress. Conclusion: Neonatal respiratory distress remains a frequent pathology of the perinatal period, its high mortality requires an appropriate antenatal and postnatal care urgent to improve the vital prognosis of the newborns.
{"title":"NEWBORN’S RESPIRATORY DISTRESS: THE EXPERIENCE OF THE NEONATALOGY AND NEONATAL INTENSIVE CARE WARD OF THE UNIVERSITY HOSPITAL OF LIBREVILLE – GABON","authors":"J. Minko, E. Kuissi, S. Minto’o","doi":"10.53555/eijmhs.v4i2.31","DOIUrl":"https://doi.org/10.53555/eijmhs.v4i2.31","url":null,"abstract":"Introduction: Few studies on respiratory distress in neonates (RDN) have been conducted in Gabon. In order to improve the management of this condition, we propose to carry out this work. \u0000Objectives: To determine the prevalence of DRNN, highlight the risk factors and evaluate the quality of the management of this pathology. \u0000Material and methods: A retrospective and descriptive including all newborns with respiratory distress and admitted to the ward during a 3 years period. \u0000Results: Of the 661 hospitalized patients, 201 were admitted for respiratory distress, ie a prevalence of 30.4%. Respiratory distress was severe in 22.1% of cases. The most common functional sign was polypnea (38.4%). The associated signs were hyperthermia (34.2%), jaundice (18.4%) and hypotonia (12.1%). Peri-natal asphyxia was diagnosed in 12.1% of cases. Treatment was dominated by oxygen therapy with goggles or Hood (95.3%); CPAP was used once and artificial ventilation 8 times (4.2%). The hospitalization delay was less than 12 hours (45.3%). The mortality rate was 41.6%. Factors related to death in case of respiratory distress were: prematurity, low birth weight, and severity of respiratory distress. \u0000Conclusion: Neonatal respiratory distress remains a frequent pathology of the perinatal period, its high mortality requires an appropriate antenatal and postnatal care urgent to improve the vital prognosis of the newborns.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115209998","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}
Benson K. Biwott, Serah M Odini, Stanslaus K Musyoki
Health Management Information Systems (HMIS) have been used by many countries using platforms adopted or own-designed. It’s implemented by integrating all healthcare services and gives service providers the ability to collect, store and use health data. The System is able to provide information on all aspects of the organization from billing to patient care and beyond. Despite its significance, lack of specificity and clarity hamper systematic understanding, successful implementation, and evaluation of its functional factors. The study was aimed at assessing the organizational factors for Health Management Information System performance in Elgeiyo-Marakwet County (EMC). The specific objective is to determine organizational factors for HMIS performance. Quantitative research method was used and data gathered through administration of questionnaires to 52 respondents. Data was analyzed using Statistical Package for the Social Sciences (SPSS) computer software version 20.0. The study found that there is presence of organizational factors for HMIS performance in the County as indicated by majority of the respondents. It concludes that the presence of structures for the HMIS, organo-gram in the county, and usage of HMIS structures is evident by the availability of organizational relationship of the systems’ stakeholder (vertical, horizontal) in issues of HMIS resource allocationand level of awareness of health policy, goals and objectives. The study recommends enhanced support for organizational systems performance for HMIS and regular review in the county.
{"title":"ASSESSMENT OF ORGANIZATIONAL FACTORS FOR HEALTH MANAGEMENT INFORMATION SYSTEM (HMIS) PERFORMANCE IN ELGEIYOMARAKWET COUNTY, KENYA.","authors":"Benson K. Biwott, Serah M Odini, Stanslaus K Musyoki","doi":"10.53555/eijmhs.v4i1.30","DOIUrl":"https://doi.org/10.53555/eijmhs.v4i1.30","url":null,"abstract":"Health Management Information Systems (HMIS) have been used by many countries using platforms adopted or own-designed. It’s implemented by integrating all healthcare services and gives service providers the ability to collect, store and use health data. The System is able to provide information on all aspects of the organization from billing to patient care and beyond. Despite its significance, lack of specificity and clarity hamper systematic understanding, successful implementation, and evaluation of its functional factors. The study was aimed at assessing the organizational factors for Health Management Information System performance in Elgeiyo-Marakwet County (EMC). The specific objective is to determine organizational factors for HMIS performance. Quantitative research method was used and data gathered through administration of questionnaires to 52 respondents. Data was analyzed using Statistical Package for the Social Sciences (SPSS) computer software version 20.0. The study found that there is presence of organizational factors for HMIS performance in the County as indicated by majority of the respondents. It concludes that the presence of structures for the HMIS, organo-gram in the county, and usage of HMIS structures is evident by the availability of organizational relationship of the systems’ stakeholder (vertical, horizontal) in issues of HMIS resource allocationand level of awareness of health policy, goals and objectives. The study recommends enhanced support for organizational systems performance for HMIS and regular review in the county.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134021158","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}
Problem: Special stains such as the Giemsa, the Alcian blue (AB) and the Periodic Acid Schiff (PAS) are widely used for gastric and/or esophageal biopsies for the diagnosis of Helicobacter pylori (H. pylori) and intestinal metaplasia (IM). The purpose of our study was to determine if these stains are actually needful Methods: We retrospectively studied 209 gastric and esophageal biopsies. We evaluated the H. pylori status on hematoxylin and eosin (H&E) stained slides and the presence of IM and finally we examined the special stains. Results: 23% of cases were H. pylori-positive. H&E stain had a high degree of accuracy (92,1%). The Giemsa stain was positive in 23,7% and negative in 71,8%. The Giemsa was useful in 16,7% biopsies. The AB revealed goblet cells in 4,8% cases. AB sensibility was 90,9%. From the 208 slides stained with PAS, 4,3% were classed IM-positive. PAS sensibility was 90%. The two special stains (AB and PAS) have made no diagnostic gain. Conclusions: Routine special stains for every single gastric and/or esophageal biopsy are not required and H&E assessment combined with selective ordering of these stains will identify all cases of H. pylori gastritis and IM.
{"title":"USE OF ROUTINE SPECIAL STAINS FOR GASTRIC AND ESOPHAGEAL BIOPSIES","authors":"O. Belkacem","doi":"10.53555/eijmhs.v4i1.29","DOIUrl":"https://doi.org/10.53555/eijmhs.v4i1.29","url":null,"abstract":"Problem: Special stains such as the Giemsa, the Alcian blue (AB) and the Periodic Acid Schiff (PAS) are widely used for gastric and/or esophageal biopsies for the diagnosis of Helicobacter pylori (H. pylori) and intestinal metaplasia (IM). The purpose of our study was to determine if these stains are actually needful \u0000Methods: We retrospectively studied 209 gastric and esophageal biopsies. We evaluated the H. pylori status on hematoxylin and eosin (H&E) stained slides and the presence of IM and finally we examined the special stains. \u0000Results: 23% of cases were H. pylori-positive. H&E stain had a high degree of accuracy (92,1%). The Giemsa stain was positive in 23,7% and negative in 71,8%. The Giemsa was useful in 16,7% biopsies. The AB revealed goblet cells in 4,8% cases. AB sensibility was 90,9%. From the 208 slides stained with PAS, 4,3% were classed IM-positive. PAS sensibility was 90%. The two special stains (AB and PAS) have made no diagnostic gain. \u0000Conclusions: Routine special stains for every single gastric and/or esophageal biopsy are not required and H&E assessment combined with selective ordering of these stains will identify all cases of H. pylori gastritis and IM.","PeriodicalId":122699,"journal":{"name":"EPH - International Journal of Medical and Health Science","volume":"202 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116169308","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}
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