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Prevalence and Factors Associated with Hypothermia among Neonates in Regional Referral Hospitals in Dar es Salaam, Tanzania 坦桑尼亚达累斯萨拉姆地区转诊医院新生儿体温过低的患病率及相关因素
Pub Date : 2022-10-31 DOI: 10.5539/gjhs.v14n11p37
Mkiwa Akida, Leonard Malasa, Ayam R. Kalingonji, F. S. Kalabamu, F. Rutachunzibwa, M. Fataki, E. Mwaikambo, Y. Mashalla
BACKGROUND: Neonatal hypothermia is a major cause of mortality. This study determined the prevalence and factors associated with neonatal hypothermia in two regional referral hospitals in Dar es Salaam, Tanzania. METHODS: Cross-sectional study was carried out between March and May 2021 at the Mwananyamala and Temeke Regional Referral Hospitals. Simple random and stratified sampling procedures were used to select study sites and proportionate population samples from each hospital respectively. Body temperature was measured within 90 minutes post birth; knowledge of the WHO guidelines on thermal protection of new-borns was collected from the mothers and health care providers using questionnaires. Logistic regression was used to assess associations between variables. SPSS version 25 was used to analyse the data and p < 0.05 was considered significant. RESULTS: Total of 296 mother-new-born pairs and 41 health care providers were enrolled in the study. 26 mothers did not consent for the study. 25.6% of the 270 studied neonates were hypothermic. Lack of skin-to-skin contact with the mother; early neonatal weighing and bathing increased likelihood of neonatal hypothermia. Knowledge of neonatal thermal protection among mothers and care-providers was inadequate. CONCLUSIONS: The prevalence of neonatal hypothermia among neonates in the referral hospitals is high. The findings suggest knowledge gaps of the WHO recommended guidelines on neonatal hypothermia are associated with neonatal hypothermia. Efforts to increase awareness of the WHO recommended thermal protection guidelines are needed.
背景:新生儿体温过低是死亡的主要原因。本研究确定了坦桑尼亚达累斯萨拉姆两家地区转诊医院新生儿体温过低的患病率和相关因素。方法:横断面研究于2021年3月至5月在Mwananyamala和Temeke地区转诊医院进行。采用简单随机抽样和分层抽样方法分别从各医院选择研究地点和按比例分配人口样本。出生后90分钟内测量体温;通过问卷调查从母亲和卫生保健提供者那里收集了世卫组织关于新生儿热保护指南的知识。使用逻辑回归来评估变量之间的关联。采用SPSS version 25对数据进行分析,p < 0.05为差异有统计学意义。结果:共有296对母婴和41名医护人员参与了这项研究。26位母亲不同意这项研究。270名新生儿中有25.6%的人体温过低。缺少与母亲的肌肤接触;新生儿早期称重和洗澡增加了新生儿低温症的可能性。母亲和护理人员对新生儿热保护的知识不足。结论:转诊医院新生儿低温症患病率较高。研究结果表明,世卫组织推荐的新生儿体温过低指南的知识缺口与新生儿体温过低有关。需要努力提高对世卫组织推荐的热防护指南的认识。
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引用次数: 0
Predictors of Lost to Follow Up (LTFU) among HIV Positive Patients Enrolled in 70 PEPFAR Supported Treatment Facilities in Edo, Bayelsa and Lagos States, Nigeria 在尼日利亚埃多州、巴耶尔萨州和拉各斯州的70个总统防治艾滋病紧急救援计划支持的治疗机构中登记的艾滋病毒阳性患者的随访失败预测指标(LTFU)
Pub Date : 2022-10-17 DOI: 10.5539/gjhs.v14n11p13
Eale E. Kris, Nwafor S. Uchenna, Mary P. Selvaggio, Ladi-Akinyemi Babatunde O
This retrospective cross-sectional study examined demographic factors that predict Lost to Follow-up (LTFU) among HIV-positive patients on treatment based on patient-level data from 2000 to 2021 from 70 the President's Emergency Plan for AIDS Relief (PEPFAR)-supported facilities in Edo, Lagos and Bayelsa states of Nigeria. A total of 32,910 patients were identified for the descriptive analysis, although only 26,797 were included in the final model due to missing values for certain variables. Descriptive statistics describe the basic features of the data, while logistic regression identified patient characteristics at ART initiation that predicted LTFU. A stepwise forward and backward regression were used to select the variables to include in the model. Despite improving adherence in each cohort initiated since 2005, a large proportion of patients (72%) were LTFU between 2005 and 2015. However, thereafter (2016 to 2020) Anti-Retroviral Therapy (ART)’s adherence improved with the average retrospective cumulative LFTU dropping to 27% for the period. The predictive analysis suggests the following patient variables are significantly associated with LTFU at 95% CI: Patients initiated prior to 2018 were 57% more likely to become LTFU. HIV patients who reported post-secondary education as their highest education level were twice as likely to become LTFU in comparison to those with no education. Compared to their counterparts aged 25+, the patients’ ages 0-19 and 20-24 subset are less likely to become LTFU. HIV patients who were divorced or separated were about 1.3 times more likely to be LTFU compared to their married counterparts. The tendency to be LTFU increases at WHO stage 2 and decreases as the patient’s WHO clinical stage progresses from stage 3 to stage 4. Lastly, patients in Edo were 23 times more likely to become LTFU, while patients in Lagos were 4 times more likely to become LTFU compared to their Bayelsa counterparts.
这项回顾性横断面研究根据尼日利亚埃多州、拉各斯州和巴耶尔萨州70个总统艾滋病紧急救援计划(PEPFAR)支持的机构2000年至2021年的患者数据,调查了预测接受治疗的艾滋病毒阳性患者失去随访(LTFU)的人口统计学因素。共有32910名患者被确定用于描述性分析,尽管由于某些变量的值缺失,只有26797名患者被纳入最终模型。描述性统计描述了数据的基本特征,而逻辑回归确定了ART开始时预测LTFU的患者特征。采用逐步向前和向后回归来选择模型中包含的变量。尽管自2005年以来每个队列的依从性都有所改善,但在2005年至2015年期间,很大一部分患者(72%)是LTFU。然而,此后(2016年至2020年)抗逆转录病毒治疗(ART)的依从性得到改善,平均回顾性累积LFTU在此期间降至27%。预测分析表明,以下患者变量与LTFU在95% CI下显着相关:2018年之前开始的患者成为LTFU的可能性增加57%。将高等教育作为其最高教育水平的HIV患者成为LTFU的可能性是未受过教育的患者的两倍。与25岁以上的患者相比,0-19岁和20-24岁的患者不太可能成为LTFU。离婚或分居的HIV患者发生LTFU的可能性是已婚患者的1.3倍。在世卫组织第2阶段,LTFU倾向增加,并随着患者的世卫组织临床阶段从第3阶段进展到第4阶段而减少。最后,江户的患者成为LTFU的可能性是巴耶尔萨患者的23倍,而拉各斯的患者成为LTFU的可能性是巴耶尔萨患者的4倍。
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引用次数: 0
Prevalence and Determinants of Undernutrition among Under-Five Children in Nigeria: A Systematic Review 尼日利亚五岁以下儿童营养不良的患病率和决定因素:系统综述
Pub Date : 2022-10-13 DOI: 10.5539/gjhs.v14n11p1
B. Nwankwo, M. Mohammadnezhad, Victoria Mensah Hagan, Christopher Garatsa, Emily Bukachi Barasa
BACKGROUND: Child undernutrition is a key public health issue that both causes and contributes to disease and death. Undernutrition accounts for 45% of under-five deaths globally most of which occur in Low- and Middle-income countries (LMIC). Malnutrition has a substantial and long-lasting effect on individuals, families, communities and the entire nation. This study aimed to assess the prevalence and determinants of undernutrition in under-five children in Nigeria. METHODOLOGY: This systematic review was done following the Cochrane library guidelines. A search of literature written in English language and published between 2000 and 2022 was done using PubMed, CINAHL, MEDLINE and ProQuest databases. The initial search resulted in 760 studies. These were exported to End note version 9 to remove duplicates. Titles and abstracts were screened for studies that met the inclusion criteria. Finally, 11 studies that met the inclusion criteria were thoroughly assessed and data that were relevant to this systematic review were captured. The study findings were analyzed using descriptive statistics. RESULTS: The prevalence of undernutrition was between 1.0% and 43.3%. The highest prevalence of underweight, wasting and stunting were 43.3%, 29.3% and 41%, respectively. Factors associated with undernutrition were age, sex, birth order, recent acute diarrhoea and acute respiratory infection, maternal literacy level, maternal income <$20 and socio-economic class among others. CONCLUSION: Under-five undernutrition is a huge public health issue in Nigeria. Prevalence of undernutrition varies widely across geo-political zone with a myriad of associated risk factors. Multi-level and multidisciplinary interventions are required to sustainably address the determinants of under-five undernutrition.
背景:儿童营养不良是一个关键的公共卫生问题,既导致疾病和死亡,也助长疾病和死亡。营养不足占全球五岁以下儿童死亡的45%,其中大多数发生在低收入和中等收入国家。营养不良对个人、家庭、社区和整个国家都有重大而持久的影响。本研究旨在评估尼日利亚五岁以下儿童营养不良的患病率和决定因素。方法:本系统综述遵循Cochrane图书馆指南进行。使用PubMed、CINAHL、MEDLINE和ProQuest数据库检索2000年至2022年间发表的英文文献。最初的搜索结果是760项研究。这些被导出到End note版本9以删除重复项。对符合纳入标准的研究进行标题和摘要筛选。最后,对符合纳入标准的11项研究进行了全面评估,并收集了与本系统综述相关的数据。对研究结果进行描述性统计分析。结果:营养不良患病率在1.0% ~ 43.3%之间。体重不足、消瘦和发育迟缓的发生率最高,分别为43.3%、29.3%和41%。与营养不良有关的因素有年龄、性别、出生顺序、最近的急性腹泻和急性呼吸道感染、产妇识字率、产妇收入< 20美元和社会经济阶层等。结论:五岁以下儿童营养不良是尼日利亚一个巨大的公共卫生问题。不同地缘政治区域的营养不良发生率差异很大,存在无数相关的风险因素。需要采取多层次和多学科干预措施,以可持续地解决5岁以下儿童营养不良的决定因素。
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引用次数: 0
Reviewer Acknowledgements for Global Journal of Health Science, Vol. 14, No. 10 《全球健康科学杂志》第14卷第10期审稿人致谢
Pub Date : 2022-10-01 DOI: 10.5539/gjhs.v14n10p77
E. Grey
Reviewer Acknowledgements for Global Journal of Health Science, Vol. 14, No. 10, 2022.
《Global Journal of Health Science》,Vol. 14, No. 10, 2022。
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引用次数: 0
Reviewer Acknowledgements for Global Journal of Health Science, Vol. 14, No. 9 《全球健康科学杂志》第14卷第9期审稿人致谢
Pub Date : 2022-10-01 DOI: 10.5539/gjhs.v14n9p60
E. Grey
Reviewer Acknowledgements for Global Journal of Health Science, Vol. 14, No. 9, 2022.
《Global Journal of Health Science》,Vol. 14, No. 9, 2022。
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引用次数: 0
Access and Adequate Utilization of Malaria Control Interventions among Women of Childbearing Age in Badbaado IDP Refugee Camp, Mogadishu, Somalia 索马里摩加迪沙Badbaado境内流离失所者难民营育龄妇女疟疾控制干预措施的获取和充分利用
Pub Date : 2022-09-29 DOI: 10.5539/gjhs.v14n10p57
A. M. Mohamoud, Magda Elhadi Ahmed Yousif, O. Saeed
BACKGROUND: Somalia has a high burden of malaria and between 2000 and 2019, an estimated 759,000 cases and 1,942 deaths from malaria have occurred. Although there is limited national data and statistics on the burden of malaria in Somalia, it is considered a major public health problem in the country. AIM OF THE STUDY: The purpose of this study is to explore the results of a rapid assessment of the extent of current access and adequate utilization of malaria control interventions among women of childbearing age from 15 to 49 years in Bad-bado Refugee Camp, Dharkenley District, Mogadishu, Somalia. METHOD: This study applied a non-probability purposive sampling strategy for recruiting study participants. A total of 150 women aged 15 to 49 years old were selected, and semi-structured questionnaires were the main data collection methods. The data was analyzed using SPSS version 23 and used a P-value of 95% to assess associations between variables with ≤0.05 regarded as a statistically significant. RESULTS: The incidence of malaria among respondents was 59 cases (39.3%), of which 39 (66.1%) were mothers followed by 17 cases (28.8%) of children under the age of five years. The vast majority of 51 (63.0%) of the respondents who seek treatment confirmed that the distance from the health facility to their residence is about three kilometers or further. The majority of 39 (66.1%) of the respondents who were infected with malaria did not take the malaria medicine, while non-availability and/or non-affordability of the prescribed medicines in the clinics was the reason for not taking the medicine. Most of the respondents, 140 out of 150 of the study participants (93.3%), confirmed that they did not get any malarial services in their internally displaced persons (IDP) settlements. Almost all of the respondents’ household members 147 (98%) did not own insecticide-treated bed nets (ITNs), reasoning that due to the lack of distribution of ITNs and the unaffordability of their costs. CONCLUSION AND RECOMMENDATION: The study revealed a high incidence of malaria cases. However, this study recommends the government and other stakeholders should provide funding to establish camp clinics and increase mobile teams to provide adequate and accessible public health services to combat malaria in these vulnerable populations.
背景:索马里的疟疾负担很高,在2000年至2019年期间,估计发生了75.9万例疟疾病例和1942例死亡。虽然关于索马里疟疾负担的国家数据和统计数据有限,但它被认为是该国的一个主要公共卫生问题。研究目的:本研究的目的是探讨索马里摩加迪沙达肯利区Bad-bado难民营15至49岁育龄妇女目前获得和充分利用疟疾控制干预措施程度的快速评估结果。方法:本研究采用非概率目的抽样策略招募研究参与者。选取150名年龄在15 ~ 49岁的女性,以半结构化问卷为主要数据收集方法。数据采用SPSS 23进行分析,p值为95%,以≤0.05为差异有统计学意义。结果:调查对象疟疾发病率为59例(39.3%),其中母亲39例(66.1%),5岁以下儿童17例(28.8%);在寻求治疗的51名答复者中,绝大多数(63.0%)确认,从卫生机构到住所的距离约为3公里或更远。39名感染疟疾的答复者中的大多数(66.1%)没有服用疟疾药物,而诊所无法获得和/或负担不起处方药物是不服用药物的原因。在150名研究参与者中,有140人(93.3%)证实,他们在国内流离失所者安置点没有得到任何疟疾防治服务。几乎所有答复者的家庭成员147(98%)都没有驱虫蚊帐,理由是驱虫蚊帐没有分发,而且无法负担其费用。结论和建议:该研究揭示了疟疾病例的高发病率。然而,本研究建议政府和其他利益攸关方提供资金,建立营地诊所和增加流动医疗队,为这些弱势群体提供充足和可获得的公共卫生服务,以防治疟疾。
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引用次数: 0
How Is Health Promoting University Strategy to Handle the COVID-19 Pandemic? 健康促进大学如何应对COVID-19大流行?
Pub Date : 2022-09-29 DOI: 10.5539/gjhs.v14n10p70
Agnes Fitria Agnes Fitria Widiyanto, Siwi Pramatama Mars Wijayanti, Yuditha Nindya Kartika Rizqi
The current COVID-19 pandemic has affected many countries, including Indonesia. Many parties, including educational institutions, have to deal with pandemic conditions. This paper aims to describe how the academic institution, Jenderal Soedirman University, is handling the pandemic situation. Various activities led by the COVID-19 Unsoed Task Force undertook several efforts to respond to the pandemic, such as conducting active supervision for all academics, mentoring teams, educating, conducting real work lecture programs, and forming COVID-19 joint volunteer teams. During data monitoring, several activities were completed such as handling patients in surveillance, tracking, and follow-up. Other efforts in the education field were also carried out to keep running the activity, but with a joint security procedure COVID-19 as well as several policies set such as changing the way of teaching to be online. Best possible efforts have been made by the university to respond to the pandemic quickly and effectively.
当前的COVID-19大流行影响了包括印度尼西亚在内的许多国家。包括教育机构在内的许多方面都必须应对流行病的情况。本文旨在描述学术机构Jenderal Soedirman大学是如何处理疫情的。新冠肺炎非遗工作组牵头开展的各项活动为应对疫情开展了多项工作,如对所有学者进行积极监督、指导团队、开展教育、开展实际工作讲座、组建新冠肺炎联合志愿者团队等。在数据监测期间,完成了监护、跟踪、随访等患者处理工作。在教育领域也进行了其他努力,以保持活动的运行,但有一个联合安全程序COVID-19以及一些政策,如改变在线教学方式。该大学已尽最大努力迅速有效地应对这一流行病。
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引用次数: 0
Impact of Altered States of Consciousness Induced by Holotropic Respiration on Self Transcendence 全向呼吸诱导的意识状态改变对自我超越的影响
Pub Date : 2022-09-28 DOI: 10.5539/gjhs.v14n10p47
Véronique Le Deley, J. Masson, O. Pierrefiche, A. Bernoussi, Ivan Stojcevski
This study addresses altered states of consciousness through Holotropic breathwork. This technique can induce a state of deep trance, giving access to different levels of identity construction, particularly on the emotional, somatic and psychological level. This considerable piece of introspective work falls within the school of transpersonal psychology whose major contribution is the integration of transcendent nature into human dimension. The objective is to estimate the transcendent impact of this psychotherapeutic method. The sample consists of 115 male and female participants who have tried this technique at least once. Data were collected through the Adult Transcendence Inventory (Levenson, 2005), in order to assess the level of decentration. Our statistically validated results indicate a predominantly positive impact of this psychotherapy, demonstrating a transcendental effect of the holotropic method.
本研究通过全息呼吸法解决了意识状态的改变。这种技术可以诱发一种深度恍惚状态,从而进入不同层次的身份建构,特别是在情感、身体和心理层面。这一相当重要的内省工作属于超个人心理学流派,其主要贡献是将超越自然融入人类维度。目的是估计这种心理治疗方法的超越性影响。样本包括115名至少尝试过一次这种方法的男性和女性参与者。通过成人超越量表(Levenson, 2005)收集数据,以评估分散程度。我们经过统计验证的结果表明,这种心理治疗的主要影响是积极的,证明了全向治疗方法的超验效果。
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引用次数: 0
A Fatal Case of Adult Generalized Tetanus in the Al-Buraimi Governorate Sultanate of Oman: A First Clinically Diagnosed Case Report 阿曼Al-Buraimi省苏丹国1例成人广泛性破伤风死亡病例:首例临床诊断病例报告
Pub Date : 2022-09-26 DOI: 10.5539/gjhs.v14n10p42
Muhammad Muqeet Ullah, A. Al Balushi, Hanan Al-Marbouai, Shivdev Singh Katoch, S. S. A. Al Mamari, Mohammed Rashid Abdullah Al Shamsi, Jawaher Mohammed Al Yazeedi, S. Varughese, Muhammad Adil Anver, Fatma Rashid Al Ghaithi
Tetanus is a notifiable disease in Oman under event based surveillance system. It is an uncommon but very fatal disease caused by spores of bacteria found in the environment. The disease remains an important public health problem in many parts of the world, especially in low-income countries or districts, where immunization coverage is low. Tetanus requires a history of injury or wound. This is a clear typical clinical picture in our fatal case of a 43 years old Bangladeshi expatriate who was diagnosed for the first time in the governorate at Accident & Emergency Department of Al-Buraimi Hospital, Sultanate of Oman. Regular health education awareness of the public for immunization and timely seeking medical care can play an important role in lowering the morbidity and mortality of tetanus. This case report should definitely contribute to raise the awareness of tetanus, both at local and national level among all health workers and public.
在基于事件的监测系统下,破伤风是阿曼的一种法定报告疾病。这是一种罕见但非常致命的疾病,由环境中发现的细菌孢子引起。在世界许多地方,特别是在免疫覆盖率低的低收入国家或地区,该病仍然是一个重要的公共卫生问题。破伤风需要有外伤史。这是我们的一名43岁孟加拉国侨民的致命病例的明显典型临床表现,他在阿曼苏丹国Al-Buraimi医院急诊科在本省首次被诊断出来。定期开展健康教育,提高公众的免疫接种意识,及时就医,对降低破伤风发病率和死亡率具有重要作用。这一病例报告肯定有助于提高地方和国家各级所有卫生工作者和公众对破伤风的认识。
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引用次数: 0
Ayurveda-Practice-Based Research Network (A-PBRN): Lesson Learned and Way Forward in the UK 阿育吠陀-实践为基础的研究网络(A-PBRN):经验教训和前进的道路在英国
Pub Date : 2022-09-23 DOI: 10.5539/gjhs.v14n10p36
N. Sharma, S. Lakshmanan, Kritika Pandey, Remya L Nair, Avtar Singh, Gayatri Kulkarni, Kishor Pandav, Prabhu Shah
We have recently undertaken a corporate strategy evaluation for a more accurate appraisal of the Ayurveda Practice Based Research Network's two-year outcomes. While many of our views and experiences may not be original to PBRN networks, we feel that for Integrative Ayurveda, our insights will be valuable to others who are constructing or reshaping Ayurveda practice in a shifting health care context. Research that is contemporary, applicable, and amenable to integration into practice must be prioritized. Clinicians, academics, information technologists, and various scientists, as well as strategy implementation professionals, combining to establish a creative Hub, is a viable approach for reaching this objective in comparison to the original PBRN models. The creative Hub could assist academics in identifying significant research topics and meeting "critical" standards. Bridging the ends between practitioners, researchers, and clinicians may require novel partnerships and non-traditional funding sources in the future.
我们最近进行了一项企业战略评估,以更准确地评估阿育吠陀实践研究网络的两年成果。虽然我们的许多观点和经验对PBRN网络来说可能不是原创的,但我们认为,对于综合阿育吠陀,我们的见解对那些在不断变化的卫生保健环境中构建或重塑阿育吠陀实践的人来说是有价值的。必须优先考虑具有时代性、适用性和可融入实践的研究。与最初的PBRN模型相比,临床医生、学者、信息技术专家和各种科学家以及战略实施专业人员联合起来建立一个创造性的中心是实现这一目标的可行方法。创意中心可以帮助学者确定重要的研究课题,并达到“关键”标准。在从业者、研究人员和临床医生之间架起桥梁,未来可能需要新的伙伴关系和非传统资金来源。
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引用次数: 0
期刊
Global Journal of Health Science
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