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Postpartum depression among primigravida mothers in Kabul, Afghanistan 阿富汗喀布尔初产妇的产后抑郁症
Pub Date : 2024-01-10 DOI: 10.62134/ajbms/v2.i1.khatamuni.3
Maria Jamizada
Introduction: Postpartum depression (PPD) is a prevalent mental health issue affecting women post-childbirth, particularly primigravida mothers. This study aims to explore the prevalence and risk factors of PPD among primigravida mothers in Kabul, Afghanistan, a low- and middle-income country with limited research on PPD among primigravida mothers. Materials and Methods: A descriptive cross-sectional study design was employed, and data were collected from 200 primigravida mothers who gave birth in Rabia Balkhi and Malalai Hospitals in Kabul. A structured questionnaire was utilized to gather data on socio-demographic characteristics, PPD symptoms, and risk factors, which were analyzed using descriptive statistics and SPSS. Results: The study findings revealed that 42.5% of the primigravida mothers in Kabul experienced symptoms of PPD according to EPDS scores. This prevalence rate was higher than global estimates and previous studies in high-income countries. Risk factors associated with PPD among primigravida mothers in Kabul included a history of depression or mental health problems (55.5%), job loss or financial difficulties (74.5%), trauma related to natural disasters or war (63%), experiences of physical or verbal abuse (34.5%), lack of social support or feelings of isolation (23%), and difficulties adjusting to motherhood (48.5%). Conclusion: The study highlights the prevalence and risk factors of Postpartum Depression among primigravida mothers in Kabul, Afghanistan, emphasizing the need for interventions to support new mothers' mental health, including prioritizing screening, providing targeted support, and addressing socioeconomic and environmental challenges, through investment in mental health services and public health campaigns.
简介产后抑郁症(PPD)是影响产后妇女,尤其是初产妇的普遍心理健康问题。阿富汗是一个中低收入国家,对初产妇产后抑郁症的研究十分有限。本研究旨在探讨初产妇产后抑郁症在阿富汗喀布尔的发病率和风险因素。材料和方法:采用描述性横断面研究设计,从 200 名在喀布尔 Rabia Balkhi 和 Malalai 医院分娩的初产妇中收集数据。采用结构化问卷收集有关社会人口特征、PPD 症状和风险因素的数据,并使用描述性统计和 SPSS 对这些数据进行分析。结果研究结果显示,根据 EPDS 评分,喀布尔 42.5%的初产妇有 PPD 症状。这一患病率高于全球估计值和以往在高收入国家进行的研究。在喀布尔的初产妇中,与 PPD 相关的风险因素包括:有抑郁症或精神健康问题史(55.5%)、失业或经济困难(74.5%)、与自然灾害或战争有关的创伤(63%)、身体或语言虐待经历(34.5%)、缺乏社会支持或有孤独感(23%)以及难以适应做母亲(48.5%)。结论这项研究强调了产后抑郁症在阿富汗喀布尔初产妇中的流行程度和风险因素,强调有必要采取干预措施来支持新妈妈的心理健康,包括优先进行筛查、提供有针对性的支持,以及通过投资心理健康服务和开展公共卫生运动来应对社会经济和环境挑战。
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引用次数: 0
Prevalence of β-thalassemia in anemic children referred to City Medical Complex in Kabul City in 1401 1401 年喀布尔市医疗中心转诊的贫血儿童中 β 地中海贫血症的患病率
Pub Date : 2024-01-10 DOI: 10.62134/ajbms/v2.i1.khatamuni.2
Fazal Rabi Salarzai, Abdolghani Azizi, Latifa Sadeqi
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引用次数: 0
Prevalence of diabetes mellitus in females living in Kabul in 2022 2022 年喀布尔女性糖尿病患病率
Pub Date : 2024-01-10 DOI: 10.62134/ajbms/v2.i1.khatamuni.4
Mohammad Latif Nazari, Fazal Rabi Salarzai, Dawood Hossaini, Ahmad Jamshid Mehrpoor, Murtaza Hiadary
Introduction: Diabetes is a multifaceted metabolic disorder characterized by increased levels of blood glucose, resulting from several factors that impede proper glucose regulation in affected individuals. This study aims to investigate the relationships between age and blood glucose levels in non-pregnant women in Kabul in 2022. Materials and Methods: A retrospective cross-sectional descriptive study was conducted in Kabul, Afghanistan, involving patients attending the City Medical Complex in 2023. Blood samples were collected after fasting, and blood glucose levels were assessed using the enzymatic approach. Hyperglycemia was defined using the criteria of the American Diabetes Association. Data were analyzed using SPSS V.18, with a chi-square test for quantitative data, an independent t-test, and an analysis of variance for qualitative data. Results: The study involved 5102 participants aged 5 to 88 years, with a mean FBS level of 153.18 ± 70.315 mg/dl. 30.5% had normal FBS, 15.8% were pre-diabetic, and 53.7% had diabetes. Age distribution varied significantly across FBS groups, with diabetics having the highest age range (54.68 years) and normals having the smallest (44.07 years). Discussion: The correlation between aging and diabetes is intricate and diverse. Numerous elements contribute to this association, encompassing the heightened occurrence of diabetes as individuals grow older and the influence of diabetes on the aging progression itself.
简介糖尿病是一种多方面的代谢紊乱疾病,其特点是血糖水平升高,由多种因素造成,阻碍了患者适当的血糖调节。本研究旨在调查 2022 年喀布尔非怀孕妇女的年龄与血糖水平之间的关系。材料和方法:在阿富汗喀布尔进行了一项回顾性横断面描述性研究,涉及 2023 年在市医疗中心就诊的患者。研究人员在空腹后采集血液样本,并使用酶法评估血糖水平。高血糖的定义采用美国糖尿病协会的标准。数据分析采用 SPSS V.18,定量数据采用卡方检验,定性数据采用独立 t 检验和方差分析。研究结果研究涉及 5102 名 5 至 88 岁的参与者,平均 FBS 水平为 153.18 ± 70.315 mg/dl。30.5%的人 FBS 正常,15.8%的人是糖尿病前期,53.7%的人患有糖尿病。各 FBS 组的年龄分布差异很大,糖尿病患者的年龄范围最大(54.68 岁),正常人的年龄范围最小(44.07 岁)。讨论:衰老与糖尿病之间的关系错综复杂、多种多样。造成这种关联的因素有很多,其中包括随着年龄的增长,糖尿病的发病率会升高,以及糖尿病对衰老进程本身的影响。
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引用次数: 0
Comparative Studies on Toxoplasmosis in Different Provinces of Afghanistan 阿富汗不同省份弓形虫病比较研究
Pub Date : 2024-01-10 DOI: 10.62134/ajbms/v2.i1.khatamuni.6
Abdul Wakil Qarluq, Shapoor Bakhtyar
Toxoplasmosis a zoonotic disease caused by Toxoplasma Gondii (T.gondii) is a serious health problem for most undeveloped countries including Afghanistan. The prevalence of toxoplasmosis in Afghanistan varies between different provinces, with rural areas showing a higher risk of infection compared to urban areas. This may be due to the lifestyle and environmental factors in these regions, such as agricultural practices, contact with animals, and consumption of contaminated food and water. The high prevalence of toxoplasmosis among pregnant women is particularly concerning, as it can lead to severe complications for both the mother and the unborn child. Overall, addressing toxoplasmosis in Afghanistan requires a multifaceted approach that considers the unique social, cultural, and environmental factors influencing its transmission and impact on human health. This may involve targeted interventions in rural areas, where the risk of infection is higher, as well as broader public health campaigns to raise awareness and promote preventive measures across the country. By addressing these factors, it may be possible to reduce the burden of toxoplasmosis and improve the overall health outcomes for the population of Afghanistan.
弓形虫病是一种由弓形虫(T.gondii)引起的人畜共患疾病,是包括阿富汗在内的大多数不发达国家面临的严重健康问题。弓形虫病在阿富汗不同省份的发病率各不相同,农村地区的感染风险高于城市地区。这可能是由于这些地区的生活方式和环境因素造成的,如农业耕作、与动物接触以及食用受污染的食物和水。弓形虫病在孕妇中的高发病率尤其令人担忧,因为它可能导致母亲和胎儿出现严重的并发症。总体而言,在阿富汗解决弓形虫病问题需要采取多方面的方法,考虑到影响其传播和对人类健康影响的独特社会、文化和环境因素。这可能涉及在感染风险较高的农村地区采取有针对性的干预措施,以及在全国范围内开展更广泛的公共卫生运动,以提高人们的认识并推广预防措施。通过解决这些因素,有可能减轻弓形虫病的负担,改善阿富汗人口的总体健康状况。
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引用次数: 0
Integrating molecular docking and molecular dynamics simulation approaches for the investigation of the affinity and interactions of curcumin with Class D β-lactamase 整合分子对接和分子动力学模拟方法研究姜黄素与 D 类 β-内酰胺酶的亲和力和相互作用
Pub Date : 2024-01-10 DOI: 10.62134/ajbms/v2.i1.khatamuni.5
Jawid Khan Mangal, Sayed Hussain Mosawi, A. Bayan, Hijratullah Rahmatzai, Enayatullah Stanikzai
ntroduction: Antimicrobial resistance has become major concern of treating infectious disease due to their extensive use, which led to bacterial gen modification and secretion of some enzymes by these microorganisms that make them survival despite the presence of antibiotics. Searching of inhibitors for these resistant pathogens were helpful to elevate the impact of antibiotics in curing diseases. Curcumin is a natural compound which has several medicinal effects, can be used to inhibit OXA-10 β-lactamase class D enzymes. Materials and Methods: Molecular docking and Molecular dynamic simulation utilized to understand the binding pose, structural integrity, stability and binding energy of class D beta lactamase with Curcumin using Autodock 4.2.2 software and GROMACS 2019.6 program applying AMBER99SB force field respectively. Results: Molecular docking results and interaction analysis of molecular dynamics simulations indicated stable hydrogen bonds and van der Waals interactions of Curcumin with OXA-10 β-lactamase. Conclusion: This paper indicates that curcumin which is a natural ingredient can be used as a potential inhibitor of class D β -lactamase OXA-10.
导言:抗生素的广泛使用导致细菌基因发生改变,并使这些微生物分泌一些酶,从而使它们在抗生素存在的情况下仍能生存,因此抗生素耐药性已成为治疗传染病的主要问题。寻找针对这些耐药性病原体的抑制剂有助于提高抗生素在治疗疾病方面的效果。姜黄素是一种天然化合物,具有多种药用功效,可用于抑制 OXA-10 β-内酰胺酶 D 类酶。材料与方法使用Autodock 4.2.2软件和GROMACS 2019.6程序,应用AMBER99SB力场,分别进行分子对接和分子动力学模拟,以了解D类β-内酰胺酶与姜黄素的结合姿态、结构完整性、稳定性和结合能。结果分子对接结果和分子动力学模拟的相互作用分析表明,姜黄素与 OXA-10 β-内酰胺酶之间存在稳定的氢键和范德华相互作用。结论本文表明,姜黄素这种天然成分可用作 D 类 β 内酰胺酶 OXA-10 的潜在抑制剂。
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引用次数: 0
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Afghanistan Journal of Basic Medical Science
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