Subjects -> HEALTH AND SAFETY (Total: 1508 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (86 journals)
    - HEALTH AND SAFETY (704 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (385 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (106 journals)
    - PHYSICAL FITNESS AND HYGIENE (123 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (704 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access   (Followers: 3)
Acta Informatica Medica     Open Access  
Acta Scientiarum. Health Sciences     Open Access   (Followers: 2)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 11)
Advances in Public Health     Open Access   (Followers: 27)
Adversity and Resilience Science : Journal of Research and Practice     Hybrid Journal   (Followers: 1)
African Health Sciences     Open Access   (Followers: 4)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 2)
Ageing & Society     Hybrid Journal   (Followers: 43)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 6)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 3)
Akademika     Open Access  
American Journal of Family Therapy     Hybrid Journal   (Followers: 10)
American Journal of Health Economics     Full-text available via subscription   (Followers: 18)
American Journal of Health Education     Hybrid Journal   (Followers: 34)
American Journal of Health Promotion     Hybrid Journal   (Followers: 34)
American Journal of Health Sciences     Open Access   (Followers: 10)
American Journal of Health Studies     Full-text available via subscription   (Followers: 13)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 29)
American Journal of Public Health     Full-text available via subscription   (Followers: 264)
American Journal of Public Health Research     Open Access   (Followers: 27)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 6)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 6)
Annales des Sciences de la Santé     Open Access  
Annali dell'Istituto Superiore di Sanità     Open Access  
Annals of Global Health     Open Access   (Followers: 12)
Annals of Health Law     Open Access   (Followers: 6)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 14)
Applied Biosafety     Hybrid Journal   (Followers: 1)
Applied Research In Health And Social Sciences: Interface And Interaction     Open Access   (Followers: 4)
Apuntes Universitarios     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Community Medicine and Public Health     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 4)
Archives of Suicide Research     Hybrid Journal   (Followers: 7)
Archivos de Prevención de Riesgos Laborales     Open Access   (Followers: 1)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 10)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 4)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 11)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 4)
Asian Journal of Medicine and Health     Open Access   (Followers: 1)
Atención Primaria     Open Access   (Followers: 2)
Atención Primaria Práctica     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 5)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 12)
Behavioral Healthcare     Full-text available via subscription   (Followers: 8)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
Biosalud     Open Access   (Followers: 1)
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 7)
BMC Pregnancy and Childbirth     Open Access   (Followers: 22)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 12)
Boletin Médico de Postgrado     Open Access  
Brazilian Journal of Medicine and Human Health     Open Access  
British Journal of Health Psychology     Hybrid Journal   (Followers: 49)
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 21)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos de Saúde     Open Access  
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 12)
Canadian Family Physician     Partially Free   (Followers: 13)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 11)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 23)
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 1)
Carta Comunitaria     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 4)
Case Studies in Fire Safety     Open Access   (Followers: 23)
CASUS : Revista de Investigación y Casos en Salud     Open Access   (Followers: 1)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
CES Salud Pública     Open Access   (Followers: 1)
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 11)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access   (Followers: 2)
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia & Salud     Open Access  
Ciencia & Trabajo     Open Access   (Followers: 1)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud     Open Access   (Followers: 3)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
Cities & Health     Hybrid Journal   (Followers: 2)
Clinical and Experimental Health Sciences     Open Access   (Followers: 1)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
Clocks & Sleep     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 5)
Conflict and Health     Open Access   (Followers: 8)
Contraception and Reproductive Medicine     Open Access   (Followers: 2)
Cuaderno de investigaciones: semilleros andina     Open Access   (Followers: 2)
Cuadernos de la Escuela de Salud Pública     Open Access  
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 10)
Current Opinion in Environmental Science & Health     Hybrid Journal   (Followers: 1)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Design for Health     Hybrid Journal  
Digital Health     Open Access   (Followers: 5)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 15)
Diversity and Equality in Health and Care     Open Access   (Followers: 9)
Diversity of Research in Health Journal     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 3)
Drogues, santé et société     Open Access   (Followers: 2)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 23)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 22)
EcoHealth     Hybrid Journal   (Followers: 5)
Education for Health     Open Access   (Followers: 8)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência : Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 4)
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 5)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 6)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 20)
EsSEX : Revista Científica     Open Access   (Followers: 1)
Estudios sociales : Revista de alimentación contemporánea y desarrollo regional     Open Access   (Followers: 1)
Ethics & Human Research     Hybrid Journal   (Followers: 3)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 6)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 8)
Ethnicity & Health     Hybrid Journal   (Followers: 14)
Eurasian Journal of Health Technology Assessment     Open Access  
EUREKA : Health Sciences     Open Access   (Followers: 2)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 4)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 1)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 9)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 9)
Family & Community Health     Hybrid Journal   (Followers: 14)
Family Medicine and Community Health     Open Access   (Followers: 10)
Family Relations     Partially Free   (Followers: 14)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 17)
Food Quality and Safety     Open Access   (Followers: 1)
Frontiers in Digital Health     Open Access  
Frontiers in Public Health     Open Access   (Followers: 8)
Frontiers of Health Services Management     Partially Free   (Followers: 2)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access   (Followers: 1)
Ganesha Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access  
Gestão e Desenvolvimento     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Advances in Health and Medicine     Open Access  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Journal     Open Access   (Followers: 1)
Global Health Promotion     Hybrid Journal   (Followers: 17)
Global Journal of Health Science     Open Access   (Followers: 10)
Global Journal of Public Health     Open Access   (Followers: 13)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 9)
Global Reproductive Health     Open Access  
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Global Transitions     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 8)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 4)
HCU Journal     Open Access  
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 19)
Health & Justice     Open Access   (Followers: 6)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 13)
Health and Human Rights     Open Access   (Followers: 10)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 10)
Health and Social Work     Hybrid Journal   (Followers: 69)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 3)
Health Care Analysis     Hybrid Journal   (Followers: 16)
Health Equity     Open Access  
Health Inform     Full-text available via subscription  

        1 2 3 4 | Last

Similar Journals
Journal Cover
Annals of Tropical Medicine and Public Health
Journal Prestige (SJR): 0.152
Number of Followers: 14  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1755-6783 - ISSN (Online) 0974-6005
Published by Medknow Publishers Homepage  [425 journals]
  • Importance and awareness of medico legal issues in dental
           practice… Alarm call

    • Authors: Manas Gupta, Kirti Shrivastava, Sunil Kumar Mishra, Ravish Ahuja, Pankaj Mishra, Shail Kumari
      Pages: 103 - 107
      Abstract: Manas Gupta, Kirti Shrivastava, Sunil Kumar Mishra, Ravish Ahuja, Pankaj Mishra, Shail Kumari
      Annals of Tropical Medicine and Public Health 2018 11(4):103-107
      Background: Dental Medicine is a noble profession but the dentist-patient relationship has transformed over the last two decades by upsurge anxiety in the community and dental profession regarding increasing trends of complaints and lawsuits against dentists. Purpose: Knowledge about ethics and medicolegal issues is fundamental to the dental practice as clinical skills. This review was done to evaluate the oral healthcare services, and to provide awareness that a dentist should follow certain protocol to avoid any litigation in the name of malpractice. Materials and Methods: In January 2017 an electronic search was done of published literature in PubMed, Medline, EBSCO host and data base. The search was focused on literature on medicolegal issues and medical negligence. The titles and abstracts related to review and available in English were screened. Results: Due to the scarcity of articles on this topic, all the articles related to search were included in the study. Conclusion: Consent is a fundamental and established principle in the Indian Law. Professional indemnity insurance also known as 'Defense Costs' will pay all the costs, fees, and expenses incurred with their prior consent in the investigation, defense, or settlement of any claim made against the insured.
      Citation: Annals of Tropical Medicine and Public Health 2018 11(4):103-107
      PubDate: Tue,10 Dec 2019
      DOI: 10.4103/ATMPH.ATMPH_317_17
      Issue No: Vol. 11, No. 4 (2019)
       
  • Cryptosporidiosis in Southern Africa: Review of prevalence and molecular
           epidemiology of a neglected disease

    • Authors: Oladele Teslim Ojuromi, Anofi Omotayo T. Ashafa
      Pages: 108 - 118
      Abstract: Oladele Teslim Ojuromi, Anofi Omotayo T. Ashafa
      Annals of Tropical Medicine and Public Health 2018 11(4):108-118
      Cryptosporidium spp. are associated with diarrheal disease which leads to nutritional deficiencies and significant morbidity and mortality in children and patients with immune defects. The continuous emergence and molecular diversity of Cryptosporidium spp. still remains a threat to human health in respect of diarrhea and malnutrition in children <5 years. The impact of the cryptosporidiosis is exacerbated by the spread of human immunodeficiency virus/AIDS, and water shortage in most part of Southern Africa and the burden of the disease is underestimated within the region. Both anthroponotic and zoonotic transmission are identified as a common transmission route. Molecular characterization of Cryptosporidium infection is still a challenge, and there is a paucity of information on the burden of the parasite in Southern Africa. Ongoing attempts to find appropriate drugs and vaccines to cure and prevent the spread of the disease have limitations; perhaps considering isolation of bioactive compounds from medicinal plants extracts for their effectiveness and potency may be an option in future to control and eliminate the disease. This review considered the prevalence and molecular diversity in respect of transmission routes and associated risk factors. Urgent assessment of public health significance of this parasite in Southern Africa and elsewhere is of utmost importance. It is apparent that there is a need for adequate surveillance in monitoring the pathogen and to control the spread of infection.
      Citation: Annals of Tropical Medicine and Public Health 2018 11(4):108-118
      PubDate: Tue,10 Dec 2019
      DOI: 10.4103/ATMPH.ATMPH_29_17
      Issue No: Vol. 11, No. 4 (2019)
       
  • Open-air defecation: A qualitative approach

    • Authors: Rock Britto, S Cynthiya Arputham, S Monika, R Meena, R Neevetha, S Dheekshana, A Deepa, AM Veerakumar, Neethu George
      Pages: 119 - 124
      Abstract: Rock Britto, S Cynthiya Arputham, S Monika, R Meena, R Neevetha, S Dheekshana, A Deepa, AM Veerakumar, Neethu George
      Annals of Tropical Medicine and Public Health 2018 11(4):119-124
      Introduction: India is facing a challenge in controlling open-air defecation (OAD). There are various sociocultural and behavioral factors that influenced the practice. Objective: To study the attitude, behavior, and practice associated with OAD among individuals in Samayapuram area, Trichy district, Tamil Nadu. Methodology: This was a qualitative study done during August 2016. The topic guide comprised questions about OAD and latrines. Focus group discussions (FGDs) and in-depth interviews (IDIs) were conducted among various groups and individuals. Results: The study population comprised people of different age groups and gender residing in Samayapuram, Trichy District, Tamil Nadu. Five FGDs were conducted among field workers, adult males, adult females, and school children (both males and females). Ten IDIs were conducted among school children, adults, the elderly, a medical officer, an executive officer, a sanitary inspector, and a sanitary worker. The study showed that people prefer OAD over latrine for the following reasons: economical, habit, comfort, space constraints, opportunity to be combined with walking, smoking and chatting with friends, ventilation, and easy accessibility. They did not prefer community latrines for maintenance constraints such as water scarcity, cleanliness, and distance. Conclusion: The issue of OAD can be addressed only by strong and continuous motivation of individuals and groups. Any intervention to reduce OAD should aim at exploring the unique beliefs, culture, common factors, etc., for it to be effective. The intervention should be highly multidimensional with a special focus on behavior, engineering, and legislation.
      Citation: Annals of Tropical Medicine and Public Health 2018 11(4):119-124
      PubDate: Tue,10 Dec 2019
      DOI: 10.4103/ATMPH.ATMPH_516_17
      Issue No: Vol. 11, No. 4 (2019)
       
  • Sporadic outbreaks of cutaneous anthrax: A tip of the iceberg

    • Authors: Arun Achar, Partha S Satpathi, Purba Mukherjee, Girish C Bera, Sanghamitra Satpathi
      Pages: 125 - 129
      Abstract: Arun Achar, Partha S Satpathi, Purba Mukherjee, Girish C Bera, Sanghamitra Satpathi
      Annals of Tropical Medicine and Public Health 2018 11(4):125-129
      Background: Although primarily a zoonotic disease, anthrax can be transmitted to human beings either directly or indirectly from animals. India being an endemic region for anthrax, the underreporting of cases from different parts makes it difficult to estimate the actual burden of anthrax, particularly in rural belt. Materials and Methods: A medical team consisting of members from medical college, public health and animal husbandry department went to visit a tribal village of Paschim Medinipur, West Bengal, from which place one person attended the skin department of Midnapur Medical College with painless hemorrhagic vesicular lesion. It resulted to high index of suspicion for an outbreak of anthrax. We interrogated the risk population of the area along with clinical examination and samples for relevant investigation were collected from them. Results: Out of 151 persons, 111 were found to come in contact with a dead cow. Among them, 11 persons had cutaneous anthrax, and all were associated with butchering animal. Attack rate was 7.3%, and the mean age was 35.9 years with a mean incubation period of 2.81 days. Six cows were found positive for anthrax in blood examination. Conclusion: Public awareness programs are to be undertaken from time to time so that early detection and treatment can prevent death from human anthrax. Regular survey and vaccination of livestock in endemic regions are to be undertaken by the animal health department.
      Citation: Annals of Tropical Medicine and Public Health 2018 11(4):125-129
      PubDate: Tue,10 Dec 2019
      DOI: 10.4103/ATMPH.ATMPH_12_17
      Issue No: Vol. 11, No. 4 (2019)
       
  • Uncommon sites affected by a common disease: An autopsy study

    • Authors: Kausalya Kumari Sahu, Pooja K Suresh, Urmila N Khadilkar, Radha R Pai, Flora D Lobo, Hema Kini, Jyoti R Kini
      Pages: 130 - 132
      Abstract: Kausalya Kumari Sahu, Pooja K Suresh, Urmila N Khadilkar, Radha R Pai, Flora D Lobo, Hema Kini, Jyoti R Kini
      Annals of Tropical Medicine and Public Health 2018 11(4):130-132
      Context: Disseminated tuberculosis (DTB) is quite an uncommon entity. It is usually undetected as it can present in an atypically bland manner and go unsuspected. Aims: Our study aimed to determine the frequency of DTB in autopsies in our setting. Subjects and Methods: A retrospective study was done for a period of 6 years, i.e., from January 2009 to December 2015, wherein all the cases of DTB encountered in autopsy specimens were included in the study. Results: During the study period, we encountered 19 cases of DTB. In all 19 cases, the organs examined were lung (19/19 cases), liver (18/19 cases), kidney (12/19 cases), spleen (18/19 cases), pancreas (3/19 cases), heart (8/19 cases), and brain (5/19 cases). Caseating epithelioid granulomas were seen in all cases of lungs (19/19 cases), 16 cases in liver, 12 cases in kidney, and 17 cases in spleen, 2 cases of heart, and 2 cases of pancreas. DTB accounted for 1.3% (n = 19) of all autopsy cases, with the mean age being 41.35 years. The male: female ratio was 18:1. Eleven out of 19 cases were unknown bodies. Acid-fast bacilli stain showed positivity in 10 cases. Conclusions: Despite recent technological advances in the diagnosis of tuberculosis, autopsy still remains an important complementary tool for identification of DTB.
      Citation: Annals of Tropical Medicine and Public Health 2018 11(4):130-132
      PubDate: Tue,10 Dec 2019
      DOI: 10.4103/ATMPH.ATMPH_2_17
      Issue No: Vol. 11, No. 4 (2019)
       
  • Fetal hemoglobin level and its relationship with spleen size and malaria
           parasite density in Nigerian children with sickle cell anemia

    • Authors: Morenike Agnes Akinlosotu, Olugbenga O Adeodu, Samuel Ademola Adegoke, Saheed Babajide Oseni, Olugbenga O Ayoola
      Pages: 133 - 139
      Abstract: Morenike Agnes Akinlosotu, Olugbenga O Adeodu, Samuel Ademola Adegoke, Saheed Babajide Oseni, Olugbenga O Ayoola
      Annals of Tropical Medicine and Public Health 2018 11(4):133-139
      Background: Sickle cell anemia (SCA) is a major global public health concern. Fetal hemoglobin level (HbF) is a major modulating factor of the clinical manifestation of the disease. In Nigeria, data on HbF level of children with SCA and its relationship with the spleen, a major reticuloendothelial organ, are scanty. Methods: In this cross-sectional comparative study, we determined steady-state HbF levels of children with SCA aged 1–15 years by high-performance liquid chromatography and compared with their age-, sex-, and socioeconomic class-matched HbAA controls. The spleen size was determined clinically and sonographically. Relationships between HbF level and spleen size and malaria parasite density were also determined. Results: About two-thirds of children with SCA had HbF level of <10%. However, they had significantly higher mean HbF level (9.6% ± 5.9%) compared with matched controls (0.5% ± 0.7%; P< 0.001). Higher proportion (9.8%) of children with SCA who were ≥8 years developed autosplenectomy compared to none of those <8 years (P = 0.012). There was no significant relationship between HbF levels and spleen size, although children with autosplenectomy had significantly lower mean HbF levels compared with those without autosplenectomy (3.5% ± 1.4% vs. 8.3% ± 3.5%, 95% confidence interval = 1.1–8.4, P = 0.012). HbF levels had no significant correlation with malaria parasite density, P > 0.05. Conclusion: Children with SCA had higher HbF levels compared with matched controls. Furthermore, patients with autosplenectomy had significantly lower HbF levels. Further studies exploring the roles of foetal haemoglobin on spleen functions in children with SCA are advocated, since spleen dysfunction is central to morbidity and mortality in this group of patients.
      Citation: Annals of Tropical Medicine and Public Health 2018 11(4):133-139
      PubDate: Tue,10 Dec 2019
      DOI: 10.4103/ATMPH.ATMPH_393_17
      Issue No: Vol. 11, No. 4 (2019)
       
  • Outcome in gestational diabetes mellitus after various treatment modality:
           A tertiary center experience in North India

    • Authors: Munna Lal Patel, Meenakshi Singh, Pushplata Sachan, Rekha Sachan
      Pages: 140 - 144
      Abstract: Munna Lal Patel, Meenakshi Singh, Pushplata Sachan, Rekha Sachan
      Annals of Tropical Medicine and Public Health 2018 11(4):140-144
      Background: Gestational diabetes mellitus (GDM) is a potential risk factor for pregnant women because it leads to various complications during pregnancy and childbirth; thus, GDM directly increases the risk of maternal and neonatal mortality and morbidity. Aim: To estimate the prevalence of GDM and evaluate maternal and fetal outcome in pregnant women with GDM. Materials and Methods: This was a prospective study carried out over a period of 1 year. After informed consent and ethical clearance, a total of 8970 pregnant women were recruited and followed; they underwent universal screening for diabetes as per the Diabetes in Pregnancy Study Group India criteria. Three-hundred and eighty women were diagnosed with diabetes, of this 29 were found to be type 2 diabetes and 351 pregnant women were diagnosed as gestational diabetes. Women with gestational diabetes were followed till 6 weeks of postpartum. After enrollment, 290 women were treated with regular insulin and neutral protamine Hagedorn insulin and only 61 women were kept on medical nutrition therapy. Results: About 76.1% of women underwent cesarean section, whereas 23.9% women delivered vaginally. Elective (LSCS) Lower segment caesarean section was done in 22% of women while emergency cesarean section in 54.1%. Preeclampsia was observed in 13.7%, 45.3% women delivered preterm baby, polyhydramnios was found in 3.41%, and oligohydramnios was found in 2% women. Candida vaginal infection was observed in 2.50% and intrauterine growth restriction present in 11.90% women. 8.3% babies were macrosomic and 3.1% babies were admitted in Neonatal intensive care unit. Stillbirth was noted in 4.3%. Congenital malformation was seen in 1.7% babies of GDM mothers who did not receive any antenatal care. About 26.5% of total GDM cases were unbooked. Conclusion: Gestational diabetes is a rising complication of pregnancy. If women receive proper medical nutritional therapy and insulin therapy during pregnancy, better maternal and fetal outcome could be achieved.
      Citation: Annals of Tropical Medicine and Public Health 2018 11(4):140-144
      PubDate: Tue,10 Dec 2019
      DOI: 10.4103/ATMPH.ATMPH_355_17
      Issue No: Vol. 11, No. 4 (2019)
       
 
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