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Assessment of Undernutrition and Its Influencing Factors among Prisoners Living with HIV/AIDS in North Shoa Zone Amhara Region Ethiopia, 2022 埃塞俄比亚阿姆哈拉地区北部Shoa区艾滋病毒/艾滋病囚犯营养不良及其影响因素评估,2022
Pub Date : 2023-05-20 DOI: 10.30654/mjhiv.10023
Yohannis Yilma, Metasebia Getachew, Asrat Fenta, Yordanos Mezemir
Background: Nutrition status is one of the health problems in developing countries. Prisons typically comprise marginalized sections of society and at high nutritional risk due to lack of diet diversity; And there is a lack of clarity on the dimensions of food security this study was identifying malnutrition and associated factors among prisoners to alleviate the problem. Objective: This study aimed to assess the nutritional status and influencing factors among prisoners in North Shoa prison, Ethiopia in 2021. Method: Institution based comparative cross-sectional study was conducted from August 01 to September 10; 2021. Multi-stage sampling technique was employed to recruit a total of 364 study participants. Data has been collected by using interviewer administered questionnaire. Weight and height measured and BMI was calculated as weight/height (kg/m2). Haemoglobin measurement has been measured by a simple procedure for determining iron level in blood using Hemo-cue methods. Cleaned data was entered to Epi data version 3.1 and transferred to SPSS version 25 for further analysis, Bivariate and multivariate logistic regression was fitted to identify factors associated with under nutrition (nutritional status). Significance variable was obtained with adjusted odds ratio at 95% CI of p< 0.05. Result: The overall prevalence of under nutrition among prisoners estimated as 33.8% (95% CI 28.8-39.3); and the prevalence of anaemia among PLHIV and negative sero-status residents was 54.2%, 50.8% respectively. The respondents who had anaemia were 3.26 times more likely to develop malnutrition AOR 3.269[95 % CI 1.908-5.600]) than who had no anaemia. had anaemia (AOR 4.464 [95 % CI 1.556-12.81]), hadn’t social support (AOR 6.281 [95 % CI 2.153-18.321]), age group 30 to 39 (AOR 0.180 [95 % CI 0.038-0.844]), use alcohol before jail (AOR 3.048 [95 % CI 1.037-8.965]).
背景:营养状况是发展中国家的健康问题之一。监狱通常由社会边缘阶层组成,由于缺乏饮食多样性,他们面临着很高的营养风险;食品安全的维度还不明确这项研究确定了囚犯的营养不良和相关因素,以缓解这个问题。目的:本研究旨在评估2021年埃塞俄比亚北沙阿监狱在押人员的营养状况及其影响因素。方法:8月1日至9月10日进行基于机构的比较横断面研究;2021. 采用多阶段抽样方法,共招募364名研究对象。数据收集采用采访者管理问卷。测量体重和身高,BMI以体重/身高(kg/m2)计算。血红蛋白测量已经测量了一个简单的程序,以确定铁水平在血液中使用血液提示方法。清洗后的数据输入Epi数据3.1版本,并转移到SPSS 25版本进行进一步分析,拟合双变量和多变量逻辑回归以确定与营养不良(营养状况)相关的因素。以校正优势比获得显著变量,95% CI为p< 0.05。结果:囚犯中营养不良的总体患病率估计为33.8% (95% CI 28.8-39.3);hiv阳性者贫血患病率为54.2%,血清阳性者为50.8%。有贫血的被调查者发生营养不良的可能性是无贫血者的3.26倍(AOR 3.269[95% CI 1.908-5.600])。贫血(AOR 4.464 [95% CI 1.556 ~ 12.81])、无社会支持(AOR 6.281 [95% CI 2.153 ~ 18.321])、30 ~ 39岁年龄组(AOR 0.180 [95% CI 0.038 ~ 0.844])、入狱前饮酒(AOR 3.048 [95% CI 1.037 ~ 8.965])。
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引用次数: 0
Secondary Bronchiectasis due to HIV Infection in Children 儿童HIV感染所致继发性支气管扩张
Pub Date : 2021-04-30 DOI: 10.30654/mjhiv.10021
S. Tshimanga, A. Fouad, K. Fakiri, N. Rada, G. Draiss, N. Soraa, Brahim Admou, M. Bouskraoui
Introduction: Bronchiectasis is defined as a permanent and irreversible dilatation of the bronchial airways. Its association with HIV infection in the pediatric population is not widely reported in the literature. The objective was to analyze the epidemiological, clinical, etiological, therapeutic and evolutionary profile of secondary bronchiectasis due to HIV infection children. We retrospectively studied 6 cases of secondary bronchiectasis due to HIV infection children collected at the pediatric ward B of the Mohammed VI University Hospital in Marrakech over a period of 7 years from January 2012 to December 2018. There was no difference between the two sexes, an average age of 61.3 months. All 6 cases had recurrent pneumonia preceding the diagnosis of bronchiectasis; in the 5 cases with CD4 T cell counts 4 had a count less than 100 cells/mm3. The entire chest CT scan enabled us to make the diagnosis of bronchiectasis in all the patients. The management of all our patients consisted of a good hydration, a postural drainage physiotherapy, an appropriate antibiotherapy based on the germ in question, and finally an antiretroviral therapy. The clinicovirological outcome was satisfactory for all the cases, all cases had an undetectable viral load between 6-12 months of specific treatment, an improved CD4 T cell count, and no exacerbation of bronchial dilation within one year of initiation of antiretroviral therapy.
简介:支气管扩张被定义为支气管气道的永久和不可逆的扩张。它与儿童人群中HIV感染的关系在文献中没有广泛报道。目的是分析艾滋病毒感染儿童继发性支气管扩张的流行病学、临床、病因学、治疗和进化概况。我们回顾性研究了2012年1月至2018年12月7年间在马拉喀什穆罕默德六世大学医院儿科B病房收集的6例由HIV感染引起的继发性支气管扩张儿童。男女之间没有差异,平均年龄为61.3个月。6例患者在诊断为支气管扩张前均有肺炎复发;CD4 T细胞计数5例中有4例计数小于100个/mm3。整个胸部CT扫描使我们能够诊断所有患者的支气管扩张。我们所有患者的治疗包括良好的水合作用,体位引流物理治疗,基于问题细菌的适当抗生素治疗,最后是抗逆转录病毒治疗。所有病例的临床病毒学结果都令人满意,所有病例在特异性治疗6-12个月期间病毒载量未检测到,CD4 T细胞计数改善,并且在开始抗逆转录病毒治疗的一年内支气管扩张未加剧。
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引用次数: 0
HIV Drugs Resistance - A Possible Consequence of Massive Anti-Retroviral Roll Out in Developing Countries - an Urgent Call For Proper Monitoring (Part 1) 艾滋病毒耐药性——发展中国家大量使用抗逆转录病毒药物的可能后果——紧急呼吁进行适当监测(上)
Pub Date : 2019-09-25 DOI: 10.30654/mjh.10020
Olorunfemi Stephen
The case of providing treatment with Highly Active Anti-Retroviral Therapy (HAART) to those who are found to be Human Immunodeficiency Virus (HIV) positive is clear and compelling. But the consequences for not doing it very well might form the most serious public health problem to have ever faced by the developing countries with the advent manifestation of drug resistant strain of the virus. It is estimated that 36.9 million people are presently living with HIV with Sub-Saharan Africa and remains the most heavily affected region by HIV, about 68% of all people living with HIV resided in subSaharan Africa in 2010. The World Health Organization report shows that out of the eleven countries surveyed in 2017, six of these countries have over 10% of people starting antiretroviral therapy had a strain of HIV that was resistant to some of the most widely used HIV medication. In addition, HIV drug resistance (HIVDR) to some few selected medications which are well tolerated among children is becoming an increasing concern among health practitioners all over the world, with more children developing treatment resistant strains of the virus as a result of the scale up of prevention of mother-to-child transmission (PMTCT) programmes. For infants exposed to PMTCT programmes, the WHO has also estimated that there is an HIVDR prevalence of 21.6%, compared to just 8.3% among those with no treatment exposure. The introduction of HIV therapy to these large number of people, who are HIV infected, the same way we have approached most of our health programme in the past such as tuberculosis (TB), then we will certainly not accomplished the aim and objectives we wish to ccomplished. The fundamental concept of health system quality improvement is that a system that is left unchanged can only be expected to continue producing the same results.
向那些被发现是人类免疫缺陷病毒(HIV)阳性的人提供高效抗逆转录病毒疗法(HAART)的案例是明确和令人信服的。但是,如果做得不好,随着病毒耐药菌株的出现,可能会形成发展中国家面临的最严重的公共卫生问题。据估计,撒哈拉以南非洲目前有3690万人感染艾滋病毒,该地区仍然是受艾滋病毒影响最严重的地区,2010年约68%的艾滋病毒感染者居住在撒哈拉以南非洲。世界卫生组织的报告显示,在2017年接受调查的11个国家中,其中6个国家有超过10%的开始抗逆转录病毒治疗的人携带一种对一些最广泛使用的艾滋病毒药物具有耐药性的艾滋病毒。此外,艾滋病毒对儿童能够良好耐受的少数几种选定药物的耐药性正日益成为全世界卫生从业人员关注的问题,由于预防母婴传播方案的扩大,越来越多的儿童出现了对治疗具有抗药性的病毒株。世卫组织还估计,对于接触预防母婴传播规划的婴儿,艾滋病毒感染率为21.6%,而在没有接触治疗的婴儿中,这一比例仅为8.3%。像我们过去对待我们大多数保健方案(如结核病)的方式一样,向这些大量感染艾滋病毒的人提供艾滋病毒治疗,那么我们肯定不会实现我们希望实现的目的和目标。卫生系统质量改进的基本概念是,一个保持不变的系统只能被期望继续产生同样的结果。
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引用次数: 0
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Mathews Journal of HIV/AIDS
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