Pub Date : 2024-07-31DOI: 10.47363/jmhc/2024(6)270
Badriya A 1 Rahbi
Introduction: Type 2 Diabetes Mellitus (T2DM) is a group of metabolic disorders characterized by insulin resistance. It’s a multifactorial chronic disease and if not managed properly, it can lead to complications in both short-term and long-term incidences. These complications involve intensified blood cholesterol due to high incidence of blood glucose, which can lead to several complications. The gold standard treatment for T2DM is metformin, however other approaches have been studied in conjunction with the standard treatment, which can lead to improvement of cholesterol and blood sugar levels in diabetic patients in order to prevent further complications Method: Thermal Dry Cupping Therapy was done using traditional glass cups on 30 T2DM patients, who have been diagnosed with diabetes for more than three years and are still using metformin. This method was repeated once a week for 4 weeks. Then fasting blood samples were obtained to measure the levels of blood glucose and lipid profile for total cholesterol levels, low density lipoprotein (LDL) and high density lipoprotein (HDL). Whereas the % of HAb1c was determined by ELISA method. Result: Post cupping measurements showed a significant decrease in fasting blood glucose measurements of 8.15 ± 1.09, % HAb1c of 45.71±5.89, and a significant decrease in total cholesterol levels of 186.65±27.83 and low density lipoprotein (LDL) of 135.73±15.2, however an increase in high density lipoprotein (HDL) of 45.71±5.89 was observed . Conclusion: The data suggest that several sessions of Thermal Dry Cupping therapy can decrease values of total cholesterol, low density lipoprotein, fasting blood glucose and percent of glycated haemoglobin. Hence, it might play a role in the improvement of impaired glucose metabolism, which can be beneficial as a complementary treatment for T2DM in Omani patients besides the standard treatment.
{"title":"The Effects of Thermal Dry Cupping Therapy in Type II Diabetes Mellitus in Omani Patients","authors":"Badriya A 1 Rahbi","doi":"10.47363/jmhc/2024(6)270","DOIUrl":"https://doi.org/10.47363/jmhc/2024(6)270","url":null,"abstract":"Introduction: Type 2 Diabetes Mellitus (T2DM) is a group of metabolic disorders characterized by insulin resistance. It’s a multifactorial chronic disease and if not managed properly, it can lead to complications in both short-term and long-term incidences. These complications involve intensified blood cholesterol due to high incidence of blood glucose, which can lead to several complications. The gold standard treatment for T2DM is metformin, however other approaches have been studied in conjunction with the standard treatment, which can lead to improvement of cholesterol and blood sugar levels in diabetic patients in order to prevent further complications Method: Thermal Dry Cupping Therapy was done using traditional glass cups on 30 T2DM patients, who have been diagnosed with diabetes for more than three years and are still using metformin. This method was repeated once a week for 4 weeks. Then fasting blood samples were obtained to measure the levels of blood glucose and lipid profile for total cholesterol levels, low density lipoprotein (LDL) and high density lipoprotein (HDL). Whereas the % of HAb1c was determined by ELISA method. Result: Post cupping measurements showed a significant decrease in fasting blood glucose measurements of 8.15 ± 1.09, % HAb1c of 45.71±5.89, and a significant decrease in total cholesterol levels of 186.65±27.83 and low density lipoprotein (LDL) of 135.73±15.2, however an increase in high density lipoprotein (HDL) of 45.71±5.89 was observed . Conclusion: The data suggest that several sessions of Thermal Dry Cupping therapy can decrease values of total cholesterol, low density lipoprotein, fasting blood glucose and percent of glycated haemoglobin. Hence, it might play a role in the improvement of impaired glucose metabolism, which can be beneficial as a complementary treatment for T2DM in Omani patients besides the standard treatment.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141795377","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}
Pub Date : 2024-02-29DOI: 10.47363/jmhc/2024(6)257
M. M. Aldhilan, Mohamed E Abdel Wanis
This is a short commentary made regarding the recent study authored by Aldhilan et al. Titled “The Healing CallusPromoting Effect of Fenugreek in a Humerus Shaft Fracture: A Case Report” published in Cureus.
{"title":"Available, Effective, Cheap, and Easy to Prepare with Safe Reputation Among Community, Fenugreek: A Short Commentary","authors":"M. M. Aldhilan, Mohamed E Abdel Wanis","doi":"10.47363/jmhc/2024(6)257","DOIUrl":"https://doi.org/10.47363/jmhc/2024(6)257","url":null,"abstract":"This is a short commentary made regarding the recent study authored by Aldhilan et al. Titled “The Healing CallusPromoting Effect of Fenugreek in a Humerus Shaft Fracture: A Case Report” published in Cureus.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140413624","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}
Pub Date : 2024-01-31DOI: 10.47363/jmhc/2024(6)253
Bimalesh Yadav
Ochrobactrum anthropi, an emerging nosocomial pathogen associated with medical devices, presents a distinct challenge in healthcare. While prevalent in patients with invasive devices, such as central venous catheters, its occurrence in hemodialysis (HD) patients is rarely reported. This study details a case of O. anthropi bacteremia-induced septic shock in an immunocompetent, non-diabetic, post-LSCS-postpartum female undergoing intermittent dialysis at AIIMS Rishikesh, a tertiary care center in Uttarakhand, India. In addition to the clinical case, we provide a concise review of O. anthropi infections in HD patients, emphasizing the need for rapid pathogen identification, susceptibility testing, and tailored antimicrobial therapy for favorable outcomes.
炭疽赭曲霉菌是一种与医疗器械相关的新出现的鼻腔病原体，给医疗保健带来了明显的挑战。虽然这种病菌在使用中心静脉导管等侵入性器械的患者中很常见，但在血液透析（HD）患者中出现这种病菌的报道却很少。本研究详细介绍了一例在印度北阿坎德邦三级医疗中心 AIIMS Rishikesh 接受间歇性透析治疗的免疫功能正常、无糖尿病、LSCS 产后女性患者因 O. anthropi 菌血症引发脓毒性休克的病例。除了该临床病例外，我们还简要回顾了血液透析患者中的花斑癣菌感染，强调了快速病原体鉴定、药敏试验和针对性抗菌治疗以获得良好疗效的必要性。
{"title":"“Index Case of Multiresistant Ochrobactrum Anthropi in an Immunocompetent Postpartum Female with Posterior Reversible Encephalopathy Syndrome: A Unique Case at a Tertiary Care Centre in India”","authors":"Bimalesh Yadav","doi":"10.47363/jmhc/2024(6)253","DOIUrl":"https://doi.org/10.47363/jmhc/2024(6)253","url":null,"abstract":"Ochrobactrum anthropi, an emerging nosocomial pathogen associated with medical devices, presents a distinct challenge in healthcare. While prevalent in patients with invasive devices, such as central venous catheters, its occurrence in hemodialysis (HD) patients is rarely reported. This study details a case of O. anthropi bacteremia-induced septic shock in an immunocompetent, non-diabetic, post-LSCS-postpartum female undergoing intermittent dialysis at AIIMS Rishikesh, a tertiary care center in Uttarakhand, India. In addition to the clinical case, we provide a concise review of O. anthropi infections in HD patients, emphasizing the need for rapid pathogen identification, susceptibility testing, and tailored antimicrobial therapy for favorable outcomes.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139591321","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}
Pub Date : 2023-11-30DOI: 10.47363/jmhc/2023(5)250
Jeyapraniya Arumugam, Shamila De Silva
A 46-year-old woman, diagnosed with hypothyroidism, was on treatment with synthetic thyroxine 100 micrograms per day for one year. She complained of recent-onset exertional dyspnoea, and had malaise, lethargy, and pica. Investigations revealed significant anaemia and severe thrombocytopenia, necessitating blood transfusion. She had Coombs-positive autoimmune haemolytic anaemia and immune thrombocytopenic purpura, confirming a diagnosis of Evans syndrome. She also had a positive antinuclear antibody test but had no other notable findings of autoimmune disease, suggesting a diagnosis of primary Evans syndrome. The patient was treated with intravenous dexamethasone for four days, followed by oral prednisolone at 1mg/kg/ day, with supplemental calcium and vitamin D. Thyroperoxidase antibody was positive and there was reduced uptake in thyroid scintigraphy, confirming a diagnosis of autoimmune thyroiditis. Hashimoto’s thyroiditis frequently coexists with non-endocrine autoimmune disorders. Presence of antithyroid antibodies is sometimes observed in Evans syndrome, a condition where there is simultaneous occurrence of autoimmune Haemolytic Anaemia, Cytopoenia and immune thrombocytopenic purpura. However, the development of Evans syndrome in patients with overt hypothyroidism and Hashimoto’s thyroiditis is rare. This case implies the potential existence of a shared immunogenetic pathway among three distinct autoimmune diseases, namely autoimmune haemolytic anemia, immune thrombocytopenic purpura, and Hashimoto’s thyroiditis, in the pathogenesis.
{"title":"Evans Syndrome in a Patient with Auto Immune Thyroiditis – A Rare Association","authors":"Jeyapraniya Arumugam, Shamila De Silva","doi":"10.47363/jmhc/2023(5)250","DOIUrl":"https://doi.org/10.47363/jmhc/2023(5)250","url":null,"abstract":"A 46-year-old woman, diagnosed with hypothyroidism, was on treatment with synthetic thyroxine 100 micrograms per day for one year. She complained of recent-onset exertional dyspnoea, and had malaise, lethargy, and pica. Investigations revealed significant anaemia and severe thrombocytopenia, necessitating blood transfusion. She had Coombs-positive autoimmune haemolytic anaemia and immune thrombocytopenic purpura, confirming a diagnosis of Evans syndrome. She also had a positive antinuclear antibody test but had no other notable findings of autoimmune disease, suggesting a diagnosis of primary Evans syndrome. The patient was treated with intravenous dexamethasone for four days, followed by oral prednisolone at 1mg/kg/ day, with supplemental calcium and vitamin D. Thyroperoxidase antibody was positive and there was reduced uptake in thyroid scintigraphy, confirming a diagnosis of autoimmune thyroiditis. Hashimoto’s thyroiditis frequently coexists with non-endocrine autoimmune disorders. Presence of antithyroid antibodies is sometimes observed in Evans syndrome, a condition where there is simultaneous occurrence of autoimmune Haemolytic Anaemia, Cytopoenia and immune thrombocytopenic purpura. However, the development of Evans syndrome in patients with overt hypothyroidism and Hashimoto’s thyroiditis is rare. This case implies the potential existence of a shared immunogenetic pathway among three distinct autoimmune diseases, namely autoimmune haemolytic anemia, immune thrombocytopenic purpura, and Hashimoto’s thyroiditis, in the pathogenesis.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139207685","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}
Pub Date : 2023-10-31DOI: 10.47363/jmhc/2023(5)244
Arnab Choudhury, Ajinkya Rahatgaonkar
This case report outlines the presentation and clinical course of a 28-year-old lady with previously unremarkable health, who developed symptoms including fever, headache, gastrointestinal distress, and jaundice. Her condition rapidly deteriorated, culminating to multisystem involvement in the form of severe anaemia, acute kidney injury, thrombocytopenia, and acute respiratory distress syndrome (ARDS). The aetiology was confirmed as leptospirosis. Despite optimum therapeutic measures, including mechanical ventilation and plasmapheresis in view of suspected thrombotic microangiopathy, the patient succumbed to the complications of severe ARDS. This case underscores the imperative of early identification and tailored management strategies for intricate multi-system involvement in conditions like leptospirosis.
{"title":"Confronting Leptospirosis: A Tropical Illness Presenting with Thrombotic Microangiopathy and Multiorgan Dysfunction","authors":"Arnab Choudhury, Ajinkya Rahatgaonkar","doi":"10.47363/jmhc/2023(5)244","DOIUrl":"https://doi.org/10.47363/jmhc/2023(5)244","url":null,"abstract":"This case report outlines the presentation and clinical course of a 28-year-old lady with previously unremarkable health, who developed symptoms including fever, headache, gastrointestinal distress, and jaundice. Her condition rapidly deteriorated, culminating to multisystem involvement in the form of severe anaemia, acute kidney injury, thrombocytopenia, and acute respiratory distress syndrome (ARDS). The aetiology was confirmed as leptospirosis. Despite optimum therapeutic measures, including mechanical ventilation and plasmapheresis in view of suspected thrombotic microangiopathy, the patient succumbed to the complications of severe ARDS. This case underscores the imperative of early identification and tailored management strategies for intricate multi-system involvement in conditions like leptospirosis.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135929313","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}
Pub Date : 2023-10-31DOI: 10.47363/jmhc/2023(5)246
Satadal Das, Srijani Basu
Background: Post-COVID-19 problems now exist worldwide with a significant number of mortalities, morbidity and incapacity. In this study, we evaluate the pervasiveness of post-COVID-19 syndrome given the different age groups and gender. Complications if present were documented and grouped. Materials and Methods: Five hundred hospitalized patients during the mid episode of COVID-19 infection were observed for 15 months after being recovered and discharged from the hospital to find out any health problems related to COVID-19. We could collect health-related information of 500 such patients after our effort to communicate with 1670 patients Result: Out of those 500 post-COVID-19 individuals 279 (55.8%) were normal, 48 (9.6%) persons expired and 173 (34.6%) had complications. PostCOVID-19 persons above 60 years of age were found to have more post-COVID-19 complications and a higher mortality rate. Among those males were predominant than females. Amongst different complications extreme weakness, lung problems, psychological difficulties and increased suffering from preexisting systemic diseases were found more common. Conclusion: Death and complications in post-COVID-19 cases were found in a significant number of cases. However, most of them did not complete the full course of the COVID-19 vaccine indicating a positive role of COVID-19 vaccination in preventing post-COVID-19 syndrome conditions. Future research is needed for a better understanding of the mechanism of post-COVID-19 complications and death.
{"title":"Post COVID-19 Manifestations: An Observational Study in a Tertiary Care Hospital in Eastern India","authors":"Satadal Das, Srijani Basu","doi":"10.47363/jmhc/2023(5)246","DOIUrl":"https://doi.org/10.47363/jmhc/2023(5)246","url":null,"abstract":"Background: Post-COVID-19 problems now exist worldwide with a significant number of mortalities, morbidity and incapacity. In this study, we evaluate the pervasiveness of post-COVID-19 syndrome given the different age groups and gender. Complications if present were documented and grouped. Materials and Methods: Five hundred hospitalized patients during the mid episode of COVID-19 infection were observed for 15 months after being recovered and discharged from the hospital to find out any health problems related to COVID-19. We could collect health-related information of 500 such patients after our effort to communicate with 1670 patients Result: Out of those 500 post-COVID-19 individuals 279 (55.8%) were normal, 48 (9.6%) persons expired and 173 (34.6%) had complications. PostCOVID-19 persons above 60 years of age were found to have more post-COVID-19 complications and a higher mortality rate. Among those males were predominant than females. Amongst different complications extreme weakness, lung problems, psychological difficulties and increased suffering from preexisting systemic diseases were found more common. Conclusion: Death and complications in post-COVID-19 cases were found in a significant number of cases. However, most of them did not complete the full course of the COVID-19 vaccine indicating a positive role of COVID-19 vaccination in preventing post-COVID-19 syndrome conditions. Future research is needed for a better understanding of the mechanism of post-COVID-19 complications and death.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135765865","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}
Pub Date : 2023-09-30DOI: 10.47363/jmhc/2023(5)243
Abdinasir Abdilahi Mahamed, Mustafe Mohamed Ahmed
Background: Neonatal sepsis is the main cause of neonatal death and morbidity worldwide. It is characterized by a systemic inflammatory response during the clinical course of infection which manifests within the first month of life of a newborn. Neonatal sepsis accounts for 7% of all neonatal deaths in Somalia. However, we know little about the prevalence and factors associates with neonatal sepsis in Somaliland. As a result, this study is aimed to assess the prevalence of neonatal sepsis and associated factors among neonates admitted to intensive care units at Hargeisa Hospitals in Somaliland. Methods: Institutional-based cross-sectional study was conducted among 244 medical records of neonates admitted in neonatal intensive care units of Hargeisa Hospitals from May, 2023 to June, 2023. The medical records selected at random using lottery method. Neonatal record review used to collect data using structured pretested checklist. Data entered into Epidata version 3.1 and analyzed with SPSS version 22. Bivariable and multivariable binary logistic regression used to identify associated factors at a 95% confidence interval. Significance is considered at p-value < 0.05, Multi-collinearity is examined (VIF <10) and Model fitness is evaluated using Hosmer-Lemeshow statistic test (P< 0.05). Result: The overall prevalence of neonatal sepsis in this study was 28.69% (95% CI, 22.97-34.40). Neonates whose mothers’ membranes had ruptured before giving birth (AOR=1.9; 95% CI: 1.01-3.61) and neonates delivered through assisted vaginal delivery (AOR=3.9; 95% CI: 1.19-12.64) had a positive association with neonatal sepsis than their counterparts. Recommendations: Hospitals and health professionals should enhance early detection and management of mother with PROM. Health professionals should give particular consideration to the neonate through vaginal delivery.
{"title":"Prevalence and Associated Factors of Neonatal Sepsis among Neonates Admitted at Neonatal Intensive Care Units of Hargeisa Hospitals, Somaliland, 2023","authors":"Abdinasir Abdilahi Mahamed, Mustafe Mohamed Ahmed","doi":"10.47363/jmhc/2023(5)243","DOIUrl":"https://doi.org/10.47363/jmhc/2023(5)243","url":null,"abstract":"Background: Neonatal sepsis is the main cause of neonatal death and morbidity worldwide. It is characterized by a systemic inflammatory response during the clinical course of infection which manifests within the first month of life of a newborn. Neonatal sepsis accounts for 7% of all neonatal deaths in Somalia. However, we know little about the prevalence and factors associates with neonatal sepsis in Somaliland. As a result, this study is aimed to assess the prevalence of neonatal sepsis and associated factors among neonates admitted to intensive care units at Hargeisa Hospitals in Somaliland. Methods: Institutional-based cross-sectional study was conducted among 244 medical records of neonates admitted in neonatal intensive care units of Hargeisa Hospitals from May, 2023 to June, 2023. The medical records selected at random using lottery method. Neonatal record review used to collect data using structured pretested checklist. Data entered into Epidata version 3.1 and analyzed with SPSS version 22. Bivariable and multivariable binary logistic regression used to identify associated factors at a 95% confidence interval. Significance is considered at p-value < 0.05, Multi-collinearity is examined (VIF <10) and Model fitness is evaluated using Hosmer-Lemeshow statistic test (P< 0.05). Result: The overall prevalence of neonatal sepsis in this study was 28.69% (95% CI, 22.97-34.40). Neonates whose mothers’ membranes had ruptured before giving birth (AOR=1.9; 95% CI: 1.01-3.61) and neonates delivered through assisted vaginal delivery (AOR=3.9; 95% CI: 1.19-12.64) had a positive association with neonatal sepsis than their counterparts. Recommendations: Hospitals and health professionals should enhance early detection and management of mother with PROM. Health professionals should give particular consideration to the neonate through vaginal delivery.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136272242","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}
Pub Date : 2023-08-31DOI: 10.47363/jmhc/2023(5)239
Mahamed Abib, Abdinasir Abdilahi
Introduction: The term sexually transmitted infections (STIs) refers to a variety of clinical syndromes caused by pathogens that can be acquired and transmitted through sexual activity. STIs are caused by more than 30 different pathogens including bacteria, viruses, protozoa, fungus, and ectoparasites. Sexual transmitted diseases can lead to serious health complications and affect individual’s future reproductive plans and responsible for 17% of the total burden of disease, There is limited study done about Sexual transmitted diseases on most of regions in Ethiopia specifically in Somali region and most studies that have been done in Ethiopia were community based studies. Therefore the aim of this study was to assess magnitude and associated factors of sexual transmitted diseases among adult clients attending at public health facilities in Jigjiga town eastern Ethiopia 2021. Methods and Materials: An institution based cross sectional study was conducted among adult clients attending Public health facilities in Jigjiga city Administrative from June 15 to july15, 2021. Data were collected from 398 respondents by using systematic sampling technique with proportional allocation of size employed to each health facilities. Structured interview questionnaires were used to collect the data. Data were entered into the computer using Epi-data 3.1 software and exported to Statistical package for social science version 20.0 for analysis. Binary logistic regression model was carried out for analysis to identify independent predictors at p-value 0.25. Results: The prevalence of reported ever had sexual transmitted diseases was found to be 34.5%(95%CI, 29.8-39.2) ,While assessing the independent predictors for acquiring STIs, clients who had sexual intercourse after having alcohol (AOR= 2.4; 95%CI: 1.0-6.0), clients who had multiple sexual partner in their life time (AOR=10.2; 95%CI: 3.6-28.3), as well as condom utilization was significantly associated with STD (AOR=0.064 95% CI; 0.023-0.17). Conclusion: This study shows high prevalence of STDs among respondents. Risky of sexual behaviors like having multiple sexual partners, sexual intercourse after having alcohol; multiple sexual partners and condom utilization during intercourse were significantly associated with STDs. As a result, every STDs consultation should include preventive education, such as reducing the number of sexual partners to reduce the risk of STD.
简介:性传播感染(STIs)一词是指由病原体引起的各种临床症状，这些症状可以通过性活动获得和传播。性传播感染由30多种不同的病原体引起，包括细菌、病毒、原生动物、真菌和体外寄生虫。性传播疾病可导致严重的健康并发症，影响个人未来的生殖计划，占疾病总负担的17%。在埃塞俄比亚的大多数地区，特别是在索马里地区，对性传播疾病进行的研究有限，在埃塞俄比亚进行的大多数研究都是基于社区的研究。因此，本研究的目的是评估2021年在埃塞俄比亚东部吉吉加镇公共卫生机构就诊的成年客户中性传播疾病的严重程度和相关因素。方法与材料:采用基于机构的横断面研究方法，对2021年6月15日至7月15日在吉吉加市公共卫生机构就诊的成年病人进行调查。采用系统抽样技术，按比例分配每个卫生机构的规模，从398名答复者中收集数据。采用结构化访谈问卷收集数据。使用Epi-data 3.1软件将数据输入计算机，导出到Statistical package for social science version 20.0进行分析。采用二元logistic回归模型进行分析，识别p值为0.25的独立预测因子。结果:报告曾有性传播疾病的患病率为34.5%(95%CI, 29.8 ~ 39.2);在评估性传播疾病感染的独立预测因素时，有过酒后性行为者(AOR= 2.4;95%CI: 1.0-6.0)，一生中有多个性伴侣的患者(AOR=10.2;95%CI: 3.6-28.3)，避孕套使用与性病有显著相关性(AOR=0.064 95%CI;0.023 - -0.17)。结论:本研究显示调查对象中性传播疾病的患病率较高。有多个性伴侣、酒后性交等性行为风险;多个性伴侣和性交时使用避孕套与性传播疾病有显著关系。因此，每次性传播疾病咨询都应包括预防教育，例如减少性伴侣的数量以降低患性病的风险。
{"title":"Magnitude and Associated Factors of Sexually Transmitted Diseases Among Adult Clients Attending Public Health Facilities in Jigjiga City, Eastern Ethiopia","authors":"Mahamed Abib, Abdinasir Abdilahi","doi":"10.47363/jmhc/2023(5)239","DOIUrl":"https://doi.org/10.47363/jmhc/2023(5)239","url":null,"abstract":"Introduction: The term sexually transmitted infections (STIs) refers to a variety of clinical syndromes caused by pathogens that can be acquired and transmitted through sexual activity. STIs are caused by more than 30 different pathogens including bacteria, viruses, protozoa, fungus, and ectoparasites. Sexual transmitted diseases can lead to serious health complications and affect individual’s future reproductive plans and responsible for 17% of the total burden of disease, There is limited study done about Sexual transmitted diseases on most of regions in Ethiopia specifically in Somali region and most studies that have been done in Ethiopia were community based studies. Therefore the aim of this study was to assess magnitude and associated factors of sexual transmitted diseases among adult clients attending at public health facilities in Jigjiga town eastern Ethiopia 2021. Methods and Materials: An institution based cross sectional study was conducted among adult clients attending Public health facilities in Jigjiga city Administrative from June 15 to july15, 2021. Data were collected from 398 respondents by using systematic sampling technique with proportional allocation of size employed to each health facilities. Structured interview questionnaires were used to collect the data. Data were entered into the computer using Epi-data 3.1 software and exported to Statistical package for social science version 20.0 for analysis. Binary logistic regression model was carried out for analysis to identify independent predictors at p-value 0.25. Results: The prevalence of reported ever had sexual transmitted diseases was found to be 34.5%(95%CI, 29.8-39.2) ,While assessing the independent predictors for acquiring STIs, clients who had sexual intercourse after having alcohol (AOR= 2.4; 95%CI: 1.0-6.0), clients who had multiple sexual partner in their life time (AOR=10.2; 95%CI: 3.6-28.3), as well as condom utilization was significantly associated with STD (AOR=0.064 95% CI; 0.023-0.17). Conclusion: This study shows high prevalence of STDs among respondents. Risky of sexual behaviors like having multiple sexual partners, sexual intercourse after having alcohol; multiple sexual partners and condom utilization during intercourse were significantly associated with STDs. As a result, every STDs consultation should include preventive education, such as reducing the number of sexual partners to reduce the risk of STD.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46370398","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}
Pub Date : 2023-08-31DOI: 10.47363/jmhc/2023(5)238
Sajida Misse Dicka, Mandeng Ma Linwa Edgar
Kaposi sarcoma (KS) is a low-grade vascular tumor believed to be caused by a virus known as Kaposi sarcoma herpesvirus/ human herpesvirus 8 (KSHV/HHV8) and is usually but not always associated with HIV infection. Although it can affect any organ or anatomical location, kaposi sarcoma lesions are most frequently found in mucosal surfaces and the skin.
{"title":"Clinical Course of Kaposi Sarcoma in Persons Living with Hiv And Aids (Plwha) Treated with Combined Antiretroviral Therapy (Cart) In Cameroon","authors":"Sajida Misse Dicka, Mandeng Ma Linwa Edgar","doi":"10.47363/jmhc/2023(5)238","DOIUrl":"https://doi.org/10.47363/jmhc/2023(5)238","url":null,"abstract":"Kaposi sarcoma (KS) is a low-grade vascular tumor believed to be caused by a virus known as Kaposi sarcoma herpesvirus/ human herpesvirus 8 (KSHV/HHV8) and is usually but not always associated with HIV infection. Although it can affect any organ or anatomical location, kaposi sarcoma lesions are most frequently found in mucosal surfaces and the skin.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135990658","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}
Pub Date : 2023-06-30DOI: 10.47363/jmhc/2023(5)233
Abdullah Rashed Alharbi, Bashayr marzoug alotaibi
Pulmonary fibrosis or lung fibrosis have been one of the major complications associated with the lungs that lead to deprived quality of life and increased suffering in individuals who stop It leads an individual towards inability to involve in daily activities as well as sustain complications such as severe cuffs and shortness of breath which often leads to life-threatening condition if proper treatment and management procedures are not incorporated. It has also been found that due to the COVID-19 pandemic, the risk of sustaining pulmonary fibrosis in patients has increased which has led to increased complications and deprived health. Focusing on this evidence, the following research aims on evaluating critical care management and treatment procedures identified and acknowledged within the healthcare setting against pulmonary fibrosis or lung fibrosis. Critical care management must focus on limiting the progression of the condition, ensuring better lung functioning and health as well as improving quality of life. Concentrating on the rising issue, the following research study conducted a literature review using evidence from 5 selected articles and journals. The evidence obtained from the articles highlights that anti-fibrotic therapy such as Pirfenidone, pulmonary rehabilitation, and physical activity sustains the potential role of managing and enhancing health and quality of life in suffering patients. Apart from these identified management procedures, there is a vast range of strategies that can be incorporated into daily life by the patients to sustain better recovery from the condition and lead a healthy life with minimal risk of progression and prognosis of the condition.
{"title":"Critical Care Management of Lung Fibrosis, Review Article","authors":"Abdullah Rashed Alharbi, Bashayr marzoug alotaibi","doi":"10.47363/jmhc/2023(5)233","DOIUrl":"https://doi.org/10.47363/jmhc/2023(5)233","url":null,"abstract":"Pulmonary fibrosis or lung fibrosis have been one of the major complications associated with the lungs that lead to deprived quality of life and increased suffering in individuals who stop It leads an individual towards inability to involve in daily activities as well as sustain complications such as severe cuffs and shortness of breath which often leads to life-threatening condition if proper treatment and management procedures are not incorporated. It has also been found that due to the COVID-19 pandemic, the risk of sustaining pulmonary fibrosis in patients has increased which has led to increased complications and deprived health. Focusing on this evidence, the following research aims on evaluating critical care management and treatment procedures identified and acknowledged within the healthcare setting against pulmonary fibrosis or lung fibrosis. Critical care management must focus on limiting the progression of the condition, ensuring better lung functioning and health as well as improving quality of life. Concentrating on the rising issue, the following research study conducted a literature review using evidence from 5 selected articles and journals. The evidence obtained from the articles highlights that anti-fibrotic therapy such as Pirfenidone, pulmonary rehabilitation, and physical activity sustains the potential role of managing and enhancing health and quality of life in suffering patients. Apart from these identified management procedures, there is a vast range of strategies that can be incorporated into daily life by the patients to sustain better recovery from the condition and lead a healthy life with minimal risk of progression and prognosis of the condition.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49005593","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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