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Factors Affecting Health Seeking Behaviors Among Mothers of Under Five Children Attending Primary Health Care Centers, Sudan
Mahmouda Mohammed Khalil,
Elfatih Mohamed Malik,
Nada Mohamed Ali Alnair,
Ibrahim Ismail Mohamed Abu
Issue:
Volume 7, Issue 6, November 2019
Pages:
181-186
Received:
24 September 2019
Accepted:
18 October 2019
Published:
30 October 2019
Abstract: Children represent the most vulnerable age group in any community. In Sudan they have higher morbidity and mortality rates. Mothers’ health seeking behaviors are major determinants for improving child health and knowledge about the factors influencing such practice is very crucial for designing effective intervention strategies. This studyaimsto study factors affecting health seeking behaviors for illness in under five children among the mothers in Khartoum state, Sudan. It was Across-sectional study usingbothquantitative and qualitative methods, Four hundreds and ninety five (495) mothers of those who visited the vaccination units of 33 public health centers were interviewed. Four focus group discussions were held. Chi-square test and regression analysis were used to determine the association between different factors and health seeking behaviors. The results showed that Eighty percent of mothers (80%) seek health care for their ill children. Of them, 70% went immediately to heath facility after disease occurrence. The person who took the decision of going to health facility (p-value=0.000) and work time for the health facility (p-value=0.001) were found to be significantly associated with mothers’ seeking behavior using bivariate and multivariate analysis. Since the person who took the decision of going to health facility is the most determinant for mothers’ seeking behavior, awareness rising among mothers about the importance of going to health facility immediately after disease occurrence can improve child health outcomes.
Abstract: Children represent the most vulnerable age group in any community. In Sudan they have higher morbidity and mortality rates. Mothers’ health seeking behaviors are major determinants for improving child health and knowledge about the factors influencing such practice is very crucial for designing effective intervention strategies. This studyaimsto st...
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Changing Characteristics of Extravascular Lung Water After Fluid Resuscitation in Septic Shock Patients by Early PiCCO Monitoring
Chanjuan Ji,
Jinliang Hu,
Qing Ye
Issue:
Volume 7, Issue 6, November 2019
Pages:
187-192
Received:
31 August 2019
Published:
8 November 2019
Abstract: This study aims to explore the changing characteristics of extravascular lung water after fluid resuscitation in septic shock patients by early PiCCO monitoring. 42 patients who were admitted to the ICU in our hospital and diagnosed as septic shock were collected. The patients were divided into two groups: treatment group (PiCCO group) (n=21) and control group (CVP group) (n=21). They were given early fluid resuscitation using different monitoring methods on the basis of conventional treatment for septic shock to monitor the changes of hemodynamics, EVLWI, oxygenation index (PaO2/FiO2) and BNP level before and after resuscitation. The BNP and LAC levels of the treatment group were significantly lower than those of the control group within 72 h (P<0.05). The use time of vasoactive drug, duration of mechanical ventilation and length of stay in ICU were significantly shorter in the treatment group than those in the control group (P<0.05), but there were no significant differences in the incidence of MODS and mortality between the two groups (P>0.05). ITBVI and GEDVI immediately, 12 h and 24 h after the fluid resuscitation were increased in the two groups compared with those before, between which the difference was statistically significant (P<0.01). Compared with those before resuscitation, the differences in PaO2/FiO2 at each time point in the two groups were not statistically significant (P>0.05). Early fluid resuscitation under the guidance of PiCCO has significant effect, which can be used as one of indicators for hemodynamic monitoring.
Abstract: This study aims to explore the changing characteristics of extravascular lung water after fluid resuscitation in septic shock patients by early PiCCO monitoring. 42 patients who were admitted to the ICU in our hospital and diagnosed as septic shock were collected. The patients were divided into two groups: treatment group (PiCCO group) (n=21) and c...
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Effect of Early Nursing Intervention on Hemodynamics After Emergency PCI in Patients with AMI and Its Clinical Significance
Nana Liu,
Dongmei Zhao,
Rongjun Jiang
Issue:
Volume 7, Issue 6, November 2019
Pages:
193-199
Received:
7 September 2019
Published:
8 November 2019
Abstract: OBJECTIVE: To investigate the effect of early rehabilitation nursing procedures on hemodynamics after percutaneous coronary intervention (PCI) in patients with acute myocardial infarction. METHODS: One hundred patients with acute myocardial infarction who were admitted to our hospital from June 2018 to June 2019 were randomly divided into rehabilitation group and control group, with 50 cases in each group. The control group received routine nursing and guidance on the basis of conventional drug therapy after PCI. The rehabilitation group performed rehabilitation nursing on the basis of conventional drug therapy after PCI, including rehabilitation exercise and health education. The routine parameters of non-invasive hemodynamics were monitored and the incidence of oozing and hematoma at the puncture site and the degree of comfort change of the patients were observed. RESULTS: The preoperative hemodynamic parameters of the two groups were compared. There was no significant difference between the rehabilitation group and the control group before PCI (P>0.05). On the third day after operation, the cardiac output of CO after rehabilitation was significantly increased compared with that before surgery, and the difference between the two groups was statistically significant (P<0.05). The mean arterial pressure MAP was significantly lower than that before surgery. The difference was statistically significant (P < 0.05). In the rehabilitation group, the bed rest and urination were significantly better than the control group (P<0.05). The degree of bloating discomfort was significantly lower than that of the control group (P<0.05), and the reduction of back pain was more significant than the control group. P<0.05)). Conclusion: In patients with acute myocardial infarction (without severe comorbidities), under the strict monitoring of non-invasive hemodynamics, early rehabilitation care does not affect the patient's cardiac function and is a safe nursing measure.
Abstract: OBJECTIVE: To investigate the effect of early rehabilitation nursing procedures on hemodynamics after percutaneous coronary intervention (PCI) in patients with acute myocardial infarction. METHODS: One hundred patients with acute myocardial infarction who were admitted to our hospital from June 2018 to June 2019 were randomly divided into rehabilit...
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An Analysis of Regularity in Fasting Blood Sugar Variations and Influence Factors After Kidney Transplantation
Zhufu Shao,
Ruirui Xu,
Chunyan Yang
Issue:
Volume 7, Issue 6, November 2019
Pages:
200-205
Received:
23 September 2019
Published:
18 November 2019
Abstract: Objective To discuss the regularity in fasting blood sugar variations following kidneytransplantation and evaluate the PTDM morbidity and the effect of fasting blood sugar on survival and complications of patients. Method 422 patients receiving kidneytransplantation in our hospital from January 2015 to December 2018 were collected. Based on the pre-operative fasting blood sugar, the patients were divided into Group DM, IFG, and NFG. The variation trends of fasting blood sugar in various groups were obtained by analysing the fasting blood sugar data of patients 3, 6, 9, 12, 24, 36, 48, and 60 months before and after operation. The PTDM occurrence conditions were analysed 3, 6, 9, 12, 36, and 60 months after operation based on the fasting blood sugar of patients; a simplified OGTT was performed for patients with their fasting blood sugar not meeting the diagnostic criteria for diabetes ≥3 years after kidneytransplantation to analyse the PTDM morbidity among patients ≥3 years after kidneytransplantation and calculate the HOMA index. The patients were divided into Group DM, IFG, and NFG based on fasting blood sugar before kidneytransplantation and PTDM Group and Non-PTDM Group. A comparison was made for the difference in survival rate among various groups. Result The fasting blood sugar in the Group DM decreased significantly compared with that before operation (P<0.05); the fasting blood sugar in the Group IFG and NFG increased compared that before operation (P<0.05). The PTDM morbidity exhibited an overall decreasing trend with time and reached as high as 52.82% 3 months after operation. HOMA-IR was the highest in Group IGR followed by Group PTDM. HOMA-IR significantly increased in Group IGR compared with the group of normal blood sugar (P<0.05). HOMA-β in Group PTDM decreased significantly compared with the group of normal blood sugar and Group IGR (P<0.05). The survival rate in Group DM significantly decreased compared with that in Group NFG (P<0.05); the survival rate in Group IFG also decreased significantly compared with that in Group NFG (P<0.05); the average survival time and survival rate in Group PTDM were significantly lower than those in groups other than Group PTDM (P<0.05). Conclusion kidneytransplantation is able to improve the fasting blood sugar of patients with diabetes and the blood sugar can significant affect the survival rate of kidneytransplantation patients and lower the survival rate of patients.
Abstract: Objective To discuss the regularity in fasting blood sugar variations following kidneytransplantation and evaluate the PTDM morbidity and the effect of fasting blood sugar on survival and complications of patients. Method 422 patients receiving kidneytransplantation in our hospital from January 2015 to December 2018 were collected. Based on the pre...
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A Relationship Between Goitre Prevalence and Cassava (Manihot esculenta. Crantz) Consumption in Kilifi County, Coast Province of Kenya
Sam Mwachibua Mwadzombo,
Lenny Mwagandi Chimbevo,
Paul Sifuna Oshule,
Suliman Essuman,
Francis Muchiri Wambura
Issue:
Volume 7, Issue 6, November 2019
Pages:
206-213
Received:
21 May 2019
Accepted:
8 November 2019
Published:
19 November 2019
Abstract: In tropical areas, absence or poor growth of potatoes and grains makes cassava a common food. However, presence of goitrogenic compounds make cassava unfit for human consumption hindering its contribution to curb food security. The study is aimed at providing evidence based relationship between goitre prevalence and cassava consumption in Kilifi County. A longitudinal retrospective quantitative study design was conducted in six randomly selected hospitals (Wananchi Hospital, Swiss Cottage Hospital, Watamu Hospital, Malindi District Hospital, Mariakani Sub-County Hospital, Kilifi County Referral Hospital). Secondary data from Hospital records were used to identify goitre patients where questionnaires were administered and respondent’s response scored. Statistical Package for Social Scientists (SPSS) was used to summarize data and determine correlations. A total of 673503 patients attended hospitals, 232 (0.034%) had goitre, 99 (42.67%) were reached; 7 (7.07%) and 92 (92.93%) were none consumers and consumers of cassava respectively. Raw cassava consumption is a high risk factor (62%) compared to cooked (21.7%), milled (7.6%), roasted (5.4%) and fried (3.3%) forms of cassava. Adult women (52.2%), pregnant women (32.6%) and children of both sex (10.9%) were more susceptible than adult males (4.3%). 89.20% patients consumed both leaves and roots, 6.4% roots and 5.4% leaves. Flesh, central part and both flesh and central part of root consumed by 5%, 7% and 87% patients respectively. Four species of cassava were grown and consumed as follows 79.30% Chibandameno (Manihot esculenta mantenha), 10.8% Kaleso (Manihot esculenta paraibu) 6.5% Original (Manihot esculenta amanolinha) and 3.4% Mgrikacha (Manihot esculenta parmada). Cassava is consumed due to culture (13%), medicine (5.4%), food (18.4%), sexual drive booster (9.8%) and making other foods (53.4%). It can be concluded cassava consumption may induce goitre. The study recommends chemical analysis of goitrogenic compounds in blood, urine, various parts and methods of preparation of different species of cassava.
Abstract: In tropical areas, absence or poor growth of potatoes and grains makes cassava a common food. However, presence of goitrogenic compounds make cassava unfit for human consumption hindering its contribution to curb food security. The study is aimed at providing evidence based relationship between goitre prevalence and cassava consumption in Kilifi Co...
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Prevalence of Behavioural Risk Factors for Non-communicable Diseases Among Adolescents in Schools in Benin in 2016
Agbohoui Houinato Olga,
Hounkpatin Benjamin,
Houehanou Yessito Corine Nadege,
Kpozehouen Alphonse,
Gbedji Kevin Yann,
Vodougnon Charlemangne,
Guedou Fernand,
Houinato Dismand Stephan,
Perrin Rene Xavier
Issue:
Volume 7, Issue 6, November 2019
Pages:
214-224
Received:
22 September 2019
Accepted:
15 October 2019
Published:
27 November 2019
Abstract: Introduction: Non-communicable diseases (NCDs) are on the rise in sub-Saharan Africa. The overall objective of this study was to estimate the prevalence of behavioural risk factors for NCDs among adolescents in schools in Benin in 2016. Methods: This was a cross-sectional study conducted in 2016 and involving 3,841 adolescents of 10 to 19 years from 40 secondary schools in Benin. Participants were selected using a 2-level random sampling technique. Data were collected through a self-administered questionnaire and were analysed using Stata software. Associated factors were investigated by a logistic regression. Results: The average age of the participants was 16.54 ± 0.04 and the sex ratio was 1.16. The prevalence of alcohol consumption was 48.3%, and was associated with residence and class. The prevalence of tobacco use was 8%, and was associated with gender, age, type of facility and residence. The prevalence of insufficient physical activity was 56.4%, and was associated with gender. The prevalence of physical inactivity was 12.4%, and was associated with age, class, socio-economic level of parents and type of facility. The consumption of soft drinks was 34.9%, and was associated with gender and type of establishment. The prevalence of under-consumption of fruit and vegetables was 94.3%. That of consumption of fast food was 38.6%, and was associated with the type of establishment, the class and the person who the adolescent lived with. Conclusion: This work shows the importance of NCDs’ Risk Factors in schools. It is now urgent to implement specific interventions in order to reverse the trend.
Abstract: Introduction: Non-communicable diseases (NCDs) are on the rise in sub-Saharan Africa. The overall objective of this study was to estimate the prevalence of behavioural risk factors for NCDs among adolescents in schools in Benin in 2016. Methods: This was a cross-sectional study conducted in 2016 and involving 3,841 adolescents of 10 to 19 years fro...
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Inhibition of Jiang Tang Shu Xin (JTSX) Recipe in Endoplasmic Reticulum Stress CHOP Pathway and Improving Myocardial Remodeling in SD Diabetic Rats
Fu Xianzhao,
Huang Guangming,
Li Chunyan,
Huang Wenhua,
Qiu Haixian,
Qiu Siyuan,
Bi Honghan,
Cao Qiuxia,
Lu Mian
Issue:
Volume 7, Issue 6, November 2019
Pages:
225-231
Received:
28 October 2019
Published:
7 January 2020
Abstract: Objective To explore the therapeutic molecular mechanism of Jiang Tang Shu Xin (JTSX) recipe with“invigorating Qi, nourishing Yin, activating blood circulation and detoxifying” in improving insulin resistance, inhibiting apoptotic bypass of endoplasmic reticulum stress (ERS) CCAAT enhance-binding protein homologous protein (CHOP), improving diabetic myocardial remodeling in SD diabetic rats. Methods SD rats were used to establish diabetes mellitus models, and after modeled successfully, were randomly divided into model group, western medicine group (Gliquidone+ Benazepril), low-dose JTSX group (JTSX1), high-dose JTSX group (JTSX2), and accepted corresponding drugs for 2 months respectively, taking the same batch of rats as normal control. After drugs administration finishing, blood lipid were measured by automatic biochemical analyzer, fasting serum insulin (FINS) and glycosylated hemoglobin (GHb) were measured by enzyme-linked immunosorbent assay (ELISA), insulin resistance index (IRI) was calculated. Masson staining was used to detect the expression of myocardial collagen fibers, immunohistochemistry to test the expression of myocardial nuclear factor-kB (NF-kB), tumor necrosis factor-alpha (TNF-α), TUNEL to check the apoptotic level of myocardial cells, RT-PCR to detect the transcription level of ERS molecules glucose regulated protein 78 (GRP78) and CHOP. Results Compared with the model group, the treatment groups could significantly reduce TG, LDL-C, GHb and IRI (P<0.05), increase FINS and HDL-C (P<0.05), decrease inflammatory factors NF-kB and TNF-α (P<0.05), down-regulate transcription of CHOP and GRP78 (P<0.05), and reduce cardiomyocyte apoptosis index (AI) (P<0.05); compared with the western medicine group, JTSX2 had more significant effect (P<0.05). Conclusion JTSX can inhibit insulin resistance, correct lipid metabolism disorder, restrain ERS-induced inflammatory reaction, suppress ERS-initiated apoptotic bypass of CHOP, and improve myocardial remodeling, with dose-dependent.
Abstract: Objective To explore the therapeutic molecular mechanism of Jiang Tang Shu Xin (JTSX) recipe with“invigorating Qi, nourishing Yin, activating blood circulation and detoxifying” in improving insulin resistance, inhibiting apoptotic bypass of endoplasmic reticulum stress (ERS) CCAAT enhance-binding protein homologous protein (CHOP), improving diabeti...
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