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  Subjects -> HEALTH AND SAFETY (Total: 1290 journals)
    - CIVIL DEFENSE (18 journals)
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    - HEALTH AND SAFETY (520 journals)
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HEALTH AND SAFETY (520 journals)                  1 2 3 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 9)
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access  
Adultspan Journal     Hybrid Journal  
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 20)
African Health Sciences     Open Access   (Followers: 2)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 6)
African Journal of Health Professions Education     Open Access   (Followers: 4)
Afrimedic Journal     Open Access   (Followers: 2)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 3)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 11)
American Journal of Health Education     Hybrid Journal   (Followers: 26)
American Journal of Health Promotion     Hybrid Journal   (Followers: 22)
American Journal of Health Studies     Full-text available via subscription   (Followers: 9)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 21)
American Journal of Public Health     Full-text available via subscription   (Followers: 181)
American Journal of Public Health Research     Open Access   (Followers: 26)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 2)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 2)
Annali dell'Istituto Superiore di Sanità     Open Access  
Annals of Global Health     Open Access   (Followers: 9)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences : Interface And Interaction     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 8)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 2)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 8)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 3)
Association of Schools of Allied Health Professions     Full-text available via subscription   (Followers: 6)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 2)
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: 1)
Behavioral Healthcare     Full-text available via subscription   (Followers: 5)
Best Practices in Mental Health     Full-text available via subscription   (Followers: 7)
Bijzijn     Hybrid Journal   (Followers: 2)
Bijzijn XL     Hybrid Journal   (Followers: 1)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 5)
BMC Pregnancy and Childbirth     Open Access   (Followers: 18)
BMJ Simulation & Technology Enhanced Learning     Full-text available via subscription   (Followers: 7)
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 16)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Canadian Family Physician     Partially Free   (Followers: 12)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 11)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 1)
Canadian Journal of Public Health     Full-text available via subscription   (Followers: 18)
Case Reports in Women's Health     Open Access   (Followers: 2)
Case Studies in Fire Safety     Open Access   (Followers: 12)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
Central European Journal of Public Health     Full-text available via subscription   (Followers: 4)
CES Medicina     Open Access  
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  
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia y Cuidado     Open Access  
Ciencia, Tecnología y Salud     Open Access  
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 1)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 1)
Conflict and Health     Open Access   (Followers: 8)
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 1)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Full-text available via subscription  
Duazary     Open Access   (Followers: 1)
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 13)
East African Journal of Public Health     Full-text available via subscription   (Followers: 3)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 16)
EcoHealth     Hybrid Journal   (Followers: 3)
Education for Health     Open Access   (Followers: 4)
electronic Journal of Health Informatics     Open Access   (Followers: 4)
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  
Environmental Sciences Europe     Open Access   (Followers: 1)
Epidemics     Open Access   (Followers: 3)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 3)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 18)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 1)
Ethiopian Journal of Health Development     Open Access   (Followers: 8)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 7)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 2)
European Medical, Health and Pharmaceutical Journal     Open Access  
Evaluation & the Health Professions     Hybrid Journal   (Followers: 9)
Evidence-based Medicine & Public Health     Open Access   (Followers: 5)
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: 8)
Family & Community Health     Partially Free   (Followers: 12)
Family Medicine and Community Health     Open Access   (Followers: 3)
Family Relations     Partially Free   (Followers: 11)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 1)
Food and Public Health     Open Access   (Followers: 10)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 11)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Health : Science and Practice     Open Access   (Followers: 5)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 8)
Global Journal of Public Health     Open Access   (Followers: 10)
Global Medical & Health Communication     Open Access  
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 3)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 7)
Health and Human Rights     Free   (Followers: 8)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 7)
Health and Social Work     Hybrid Journal   (Followers: 48)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 1)
Health Care Analysis     Hybrid Journal   (Followers: 12)
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 11)
Health Issues     Full-text available via subscription   (Followers: 1)
Health Policy     Hybrid Journal   (Followers: 33)
Health Policy and Technology     Hybrid Journal   (Followers: 1)
Health Professional Student Journal     Open Access   (Followers: 1)
Health Promotion International     Hybrid Journal   (Followers: 21)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 10)
Health Promotion Practice     Hybrid Journal   (Followers: 15)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 46)
Health Psychology Research     Open Access   (Followers: 18)
Health Psychology Review     Hybrid Journal   (Followers: 39)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 10)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Services Insights     Open Access   (Followers: 2)
Health Systems     Hybrid Journal   (Followers: 2)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 11)
Health, Risk & Society     Hybrid Journal   (Followers: 11)
Healthcare     Open Access   (Followers: 1)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
HIV & AIDS Review     Full-text available via subscription   (Followers: 10)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 5)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 2)
Hospitals & Health Networks     Free   (Followers: 3)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 3)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences     Open Access   (Followers: 2)
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Inmanencia. Revista del Hospital Interzonal General de Agudos (HIGA) Eva Perón     Open Access  
Innovative Journal of Medical and Health Sciences     Open Access  
Institute for Security Studies Papers     Full-text available via subscription   (Followers: 6)
interactive Journal of Medical Research     Open Access  
International Health     Hybrid Journal   (Followers: 5)
International Journal for Equity in Health     Open Access   (Followers: 7)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 32)
International Journal of Applied Behavioral Sciences     Open Access   (Followers: 2)
International Journal of Behavioural and Healthcare Research     Hybrid Journal   (Followers: 7)
International Journal of Circumpolar Health     Open Access   (Followers: 1)
International Journal of Community Medicine and Public Health     Open Access   (Followers: 5)
International Journal of E-Health and Medical Communications     Full-text available via subscription   (Followers: 2)
International Journal of Environmental Research and Public Health     Open Access   (Followers: 20)
International Journal of Evidence-Based Healthcare     Hybrid Journal   (Followers: 8)
International Journal of Food Safety, Nutrition and Public Health     Hybrid Journal   (Followers: 14)
International Journal of Health & Allied Sciences     Open Access   (Followers: 2)
International Journal of Health Care Quality Assurance     Hybrid Journal   (Followers: 7)
International Journal of Health Geographics     Open Access   (Followers: 6)
International Journal of Health Policy and Management     Open Access   (Followers: 2)
International Journal of Health Professions     Open Access   (Followers: 2)
International Journal of Health Promotion and Education     Hybrid Journal   (Followers: 12)

        1 2 3 | Last

Journal Cover Ethiopian Journal of Health Sciences
  [SJR: 0.383]   [H-I: 4]   [7 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Print) 1029-1857 - ISSN (Online) 2413-7170
   Published by African Journals Online Homepage  [266 journals]
  • Editorial

    • Authors: Abraham Haileamlak
      Abstract: Why is the Under-5 Mortality Rate in Ethiopia Slipped Back'
      Issue No: Vol. 27, No. 4
       
  • Editorial

    • Authors: Darren B. Taichman, Peush Sahni, Anja Pinborg, Larry Peiperl, Christine Laine, Astrid James, Sung-Tae Hong, Abraham Haileamlak, Laragh Gollogly, Fiona Godlee, Frank A. Frizelle, Fernando Florenzano, Jeffrey M. Drazen, Howard Bauchner, Christopher Baethge, Joyce Backus
      Abstract: Data Sharing Statements for Clinical Trials: A Requirement of the International Committee of Medical Journal Editors
      Issue No: Vol. 27, No. 4
       
  • The Prevalence of Antibiotic Resistant Diarrhogenic Bacterial Species in
           Surface Waters, South Eastern Nigeria

    • Authors: Stanley C. Onuoha
      Abstract: BACKGROUND: This study assessed the bacteriological qualities of surface waters in Afikpo, between April and September 2016.
      METHODS: Surface water samples were collected from three streams for bacteriological analysis. Bacteria species were isolated using standard microbiological and biochemical techniques. Antibiotic susceptibility study was carried out using Kirby Bauer disc diffusion method.
      RESULTS: The result of the mean heterotrophic bacteria count from the streams showed that Okpu stream had 209.5CFU/100 mL, Ohino Ngodo 162.5 CFU/100mL, and Ngwogo stream 162.0 CFU/100mL respectively. Out of the twenty-six (26) isolates obtained, E. coli and Staphylococcus species had the highest percentage occurrence (23.1%) respectively. Klebsiella, Shigella and Enterobacter sp had (11.5%) each, Pseudomonas spp (7.7%), while Salmonella and Streptococcus sp had the least percentage occurrence of (3.8%). The antibiotic susceptibility studies showed that large proportions of isolates were resistant to sulphamethaxoid (SUL), cephalothin (CEP), tetracycline (TET), penicillin G (PEN), oxytetracycline (OXY), cefotaxime (CEF), nalidixic acid (NAL) and cefuroxime sodium (CXM). The most effective antibiotic was azithromycin followed by imipenem.
      CONCLUSION: The presence of these multi-drug resistant strains in water samples could facilitate transmission of antibiotic resistance. This emphasizes the need for proper treatment of water in the study area.
      KEYWORDS: Antibiotic resistance, Bacteria, Afikpo, Surface waters
      Issue No: Vol. 27, No. 4
       
  • Bronchoscopy in Nigerian Clinical Practice: A Survey of Medical Doctors’
           Perception, Use and Associated Challenges

    • Authors: Adekunle Olatayo Adeoti, Olufemi Olumuyiwa Desalu, Joseph Olusesan Fadare, Wemimo Alaofin, Cajetan Chigozie Onyedum
      Abstract: BACKGROUND: Bronchoscopy is a vital diagnostic and therapeutic procedure in pulmonological practice. The aim of this study was to determine the perception, use and challenges encountered by Nigerian medical doctors involved in this procedure.
      MATERIALS AND METHODS: A cross-sectional study was conducted among 250 medical doctors recruited from three major tertiary institutions in Nigeria between September 2013 and June 2014. A semi-structured questionnaire was self-administered to adult physicians, paediatricians, and surgeons as well as their trainees to obtain their perception, use and associated challenges in the use of bronchoscopy in clinical practice.
      RESULTS: The majority (91.6%) of the respondents perceived bronchoscopy as a beneficial procedure to respiratory medicine. However, 59.2% of them were not aware of the low mortality rate associated with this procedure. The commonest indications for bronchoscopic use were foreign body aspiration (88.8%) and management of lung tumors (75.6%). Only 21 (8.4%) of the respondents had received formal training in bronchoscopy. Very few procedures (1-5 cases per month) were performed. The respondents identified the lack of formal training in the art of bronchoscopy as the foremost challenge facing its practice in Nigeria. In addition, availability of bronchoscopes, level of awareness, knowledge of the procedure among medical doctors and the cost of the procedure were the challenges faced by the medical doctors.
      CONCLUSION: There is an urgent need to equip training centers with modern bronchoscopic facilities. In addition,well-structured bronchoscopic training programme is imperative to enhance the trainees’ proficiency for the furtherance of bronchoscopic practice.
      KEYWORDS: Bronchoscopy, Nigeria, Respiratory medicine, Interventional pulmonology, Training
      Issue No: Vol. 27, No. 4
       
  • Utilization of Primary Health Care Services in Jaba Local Government Area
           of Kaduna State Nigeria

    • Authors: Agofure Otovwe, Sarki Elizabeth
      Abstract: BACKGROUND: Primary health care was designed to provide accessible health care for all. However, most primary health care facilities are in various states of disrepair, catering for less than 20% of potential patients in the population. This study was designed to investigate the utilisation of primary health care services in Jaba Local Government Area of Kaduna State Nigeria.
      METHODS: The study employed a cross-sectional study design conducted among 383 respondents utilising simple random sampling techniques. A pretested semi-structured questionnaire was administered to obtain information from respondents, while descriptive statistics was used to analyse the data.
      RESULTS: The results show that almost all of the respondents, 333(97.90%), were aware of the existence of primary health care services in their community. Furthermore, the majority of the respondents, 304(89.40%), utilized primary health care services while 293(86.20%) and 212(62.40%) were satisfied with the amount of charges for services and the supply of drugs respectively. According to the respondent, weak services in primary health care includes; personal hygiene and nutritional education, management of chronic diseases and cancer screening. Factors that influence the utilization of primary health care services according to the respondents were availability of trained personnel (AOR=1.828 95% CI=0.410-1.672), attitude of staffs (AOR=1.114 95% CI=0.527-2.355), waiting times (AOR=1.110 95% CI=0.584-2.224) and availability of diagnostic services (AOR=0.951 95% CI=0.472-1.918).
      CONCLUSION: The study highlighted the weaknesses in some of the services offered at the various primary health centres and the factors which can hinder the residents from patronizing primary health care services.
      KEYWORDS: Primary Health Care Services, Utilisation, Satisfaction, Jaba
      Issue No: Vol. 27, No. 4
       
  • Are Past Adverse Pregnancy Outcomes Associated with Maternal Anxiety and
           Depressive Symptoms in a Sample of Currently Pregnant Women'

    • Authors: Amanuel Alemu Abajobir, Rosa Alati, Steve Kisely, Jake Moses Najman
      Abstract: BACKGROUND: There has been a great deal of concern about the mental health of women whose pregnancies involve miscarriage, termination of a pregnancy (ToP), child death or where a child has been given up for adoption. Despite this concern there has been remarkably little population-based research which has addressed the long-term consequences of pregnancy loss and child death. This study investigated the maternal mental health consequences of women whose pregnancies involve miscarriage, ToP, child death or where a child has been given up for adoption at two different time points, adjusting for socio-demographic characteristics and baseline mental health.
      METHODS: The Mater-University of Queensland Study of Pregnancy is a prospective pre-birth cohort study. Women were recruited early in pregnancy over the period 1981 to 1983 at their first antenatal clinic visit (FCV). Women were interviewed again at the 14-year follow-up. Data from 4403 mothers were analysed using maternal reports of a prior history of giving a child up for adoption, miscarriage, ToP, and neonatal, infant and/or child deaths. Symptoms of maternal anxiety and depression were measured at FCV and the 14-year follow-up using the Delusions-Symptoms-States Inventory. We carried out logistic regression analysis using Stata 13. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to display the findings.
      RESULTS: A prior miscarriage was associated with anxiety (adjusted OR (AOR) = 1.30; 95% CI: 1.10-1.66) and depressive (AOR = 1.70; 95% CI: 1.21-2.39) symptoms at the 14-year follow-up. Having had a neonatal, infant and/or child deaths was associated with symptoms of depression at 14-year follow-up (AOR = 2.12; 95% CI: 1.06-4.25).
      CONCLUSION: The period after a child loss which involves a new pregnancy may be associated with relatively good mental health despite the fact that some mothers have experienced previous adverse pregnancy outcomes.
      KEYWORDS: Women, anxiety, depression, adoption, miscarriage, termination of pregnancy, death of neonatal, infant and/or child
      Issue No: Vol. 27, No. 4
       
  • Sociodemographic Correlates of HIV Discordant and Concordant Couples in
           Anambra State, Nigeria

    • Authors: Chinomnso Nnebue, Adaeze Anaekwe, Chidebe Anaekwe
      Abstract: BACKGROUND: The contribution of discordant partnerships to the burden of HIV/AIDS is significant. An understanding of the characteristics of HIV- affected couples will help modify preventive strategies. The aim of this study was to compare the HIV discordant and concordant partnerships for sociodemographic determinants in comprehensive health centers in Anambra State, Nigeria.
      METHODS: This was an institution based case-control study of 289 (148 HIV-concordant and 141 HIV-discordant) couples, selected using multistage sampling technique. Data collection was done through nterview using semi-structured questionnaire, while analysis was performed with Statistical Package for Social Sciences version 22.0. Chi-square and t tests were used to identify statistically significant associations between variables. Significance level was set at p value of < 0.05.
      RESULTS: There were more HIV-discordant positive males 83(28.6%) than females 58(20.1%) (p = 0.043). The mean age (SD) of respondents was 37.8(9.8) years. Concordant couples tended to be younger than discordant couples, with differences in mean ages of 2.41 years (p = 0.028) for males and 2.87 years (p = 0.007) for females. There were no significant differences in proportion of remarriages (p = 0.625) and type of marriage (p = 0.900). The majority of remarriages among discordant couples 15(65.2%), were due to divorce of previous spouses (p = 0.054).
      CONCLUSIONS: This study found that there were more HIV positive males than females among discordant couples; females in discordant relationships were generally younger than their concordant counterparts. Concordant couples tended to be younger than discordant couples. Such knowledge should be factored in designing novel couple-targeted preventive strategies.
      KEYWORDS: Sero-concordant, couples, sero-discordant, HIV, determinants, Nigeria
      Issue No: Vol. 27, No. 4
       
  • Client-Centeredness of Family Planning Services in a Resource Limited
           Setting

    • Authors: Ayinengida Walle, Mirkuzie Woldie
      Abstract: BACKGROUND: Clients’ needs and their satisfaction are priority issues in studying quality in reproductive health services. However, only 24-37% of Ethiopian women were informed about the available family planning methods and their utilization. High national total fertility rate (4.8) and low contraceptive prevalence rate (29%) might be attributed to these and other reasons. This study assessed the level of client-centeredness of family planning services and their determinants in public health facilities of Bahir Dar Town, Northwest Ethiopia.
      METHODS: Exit interviews of 326 consecutively enrolled clients were conducted using structured questionnaire. Thirty consultation sessions were observed using a checklist to record client-provider interaction. The outcome variable was client centeredness as measured by perceived informed choice with perceived client-provider interaction as the intermediate variable.
      RESULTS: The average levels of perceived informed choice and client provider interaction were 70.0% and 67.6%, respectively. Perceived clinical competence of providers, perceived integration and coordination of care, perceived accessibility of services, perceived participation of families and friends in care delivery, perceived physical comfort of the facilities and type of the health facility were the independent predictors of perceived client provider interaction. Perceived degree of client provider interaction, perceived clinical competence of providers, type of health facility and perceived accessibility of services were independent predictors of perceived informed choice (p≤0.01).
      CONCLUSION: Client-centeredness of family planning services, as measured by clien- provider interaction and informed choice was not sufficiently assured in the study facilities.
      KEYWORDS: Perceived informed choice, perceived client provider interaction, client centeredness
      Issue No: Vol. 27, No. 4
       
  • Audit of Oral Histopathology Service at a Nigerian Tertiary Institution
           over a 24-Year Period

    • Authors: Akindayo O. Akinyamoju, Bukola F. Adeyemi, Akinyele O. Adisa, Chidinma N. Okoli
      Abstract: No AbstractKEYWORDS: Oral, Biopsy, Histopathology Service, Nigerian
      Issue No: Vol. 27, No. 4
       
  • Intestinal Obstruction in Early Neonatal Period: A 3-Year Review Of
           Admitted Cases from a Tertiary Hospital in Ethiopia

    • Authors: Mustefa Mohammed, Tadesse Amezene, Moges Tamirat
      Abstract: BACKGROUND: Failure to pass meconium by a full-term neonate within the first 24 hours should raise a suspicion of bowel obstruction. The objective of this study was to determine pattern of presentation, diagnosis and outcome of management of intestinal obstruction in the early neonatal period in the Neonatal Care Unit of Tikur Anbessa Specialized Hospital in Addis Ababa, Ethiopia
      METHODS: Retrospective chart review of admitted cases from January 2011 to December 2013 was done. Data were entered into SPSS software version 20. Descriptive analysis of data were done at first; then cross tabulation of variables with chi-square tests were done
      RESULT: Fifty-one (41 males and 10 females) cases of neonatal intestinal obstructions were described. ARM was the most common type of intestinal obstruction followed by intestinal atresia and Hirschsprung’s disease.
      Delayed diagnosis of cases was observed in 72%. Associated congenital anomalies were documented in 13 % of the cases. Death occurred in 20% of the cases. One or another form of infection accounted for 90% of the deaths. Neonatal sepsis and being unfit for anesthesia were determinants of mortality with p-value <0.02 and < 0.0007 respectively.
      CONCLUSION: Anorectal malformation is the commonest cause of early neonatal obstruction followed by small intestinal atresia and Hirschsprung’s disease. Low number of associated anomalies has been reported. High rate of death due to preventable causes such as sepsis is observed. Delayed diagnosis of cases were also prevalent.
      KEYWORDS: Neonatal intestinal obstruction, Anorectal malformation, Hirschsprung’s Disease
      Issue No: Vol. 27, No. 4
       
  • The Association between Fruit and Vegetable Intake and Liver Enzymes
           (Aspartate and Alanine Transaminases) in Tehran, Iran

    • Authors: Mehdi Mollahosseini, Elnaz Daneshzad, Mohammad Hossein Rahimi, Mir Saeed Yekaninejad, Zhila Maghbooli, Khadijeh Mirzaei
      Abstract: BACKGROUND: Intake of fiber and antioxidants and following hypocaloric diets has beneficial effects on reduction of the liver enzymes. Fruits and vegetables are low in calorie and rich in fiber and antioxidants. There are few studies about special dietary effects on liver function. The aim of this study was to evaluate the association between fruit and vegetables intake and liver function enzymes.
      METHODS: This cross-sectional study was conducted on 265 Tehrani healthy adults. Fruit and vegetable intake was assessed by a 147-items semi-quantitative food frequency questionnaire. Serum glucose, lipids, liver enzymes (alanine aminotransferase (ALT), aspartate aminotransferase (AST)), hs-Crp and body composition were measured in a fasting state.
      RESULTS: The mean age (± SD) of the participants was 35 ± 8.78. In the higher quartiles of vegetable intake, low-density lipoprotein (LDL) serum and total cholesterol (TC) levels were lower after adjusting for confounders (p = 0.03 and 0.02 respectively). Individuals in the upper quartile of vegetable intake were less likely to have elevated ALT (OR=0.21; 95% CI =0.08-0.49) and AST (OR=0.33; 95% CI =0.15-0.75) levels before adjusting for confounders. After controlling for potential confounders, only the association between vegetable intake and ALT level remained significant (OR=0.32; 95% CI =0.12-0.90). Liver enzymes had no significant relationship with the quartiles of fruit intake. In the higher quartiles of fruit intake, the visceral fat rating was lower after adjustment (p = 0.04) but not in the higher vegetable intake (p = 0.50).
      CONCLUSIONS: The results of this study showed that vegetable intake is reversely associated with LDL, TC and ALT level in Tehrani healthy adults, whereas fruit intake is only associated with lower visceral fat rating.
      KEYWORDS: AST (SGOT), ALT (SGPT), fruit, vegetables, Anthropometric status, Biochemical testes
      Issue No: Vol. 27, No. 4
       
  • Intestinal Parasitosis and Their Associated Factors among People Living
           with HIV at University of Gondar Hospital, Northwest-Ethiopia

    • Authors: Tegegne Eshetu, Getinet Sibhatu, Mohammed Megiso, Abrham Abere, Habtamu Wondifraw Baynes, Belete Biadgo, Ayalew Jejaw Zeleke
      Abstract: BACKGROUND: Most HIV clients die of AIDS related intestinal parasitic infections rather than due to the HIV infection itself. Therefore, this study was aimed at determining the prevalence of intestinal parasite and their associated factors among HIV/AIDS clients at the University of Gondar Hospital, Northwest Ethiopia.
      METHODS: Institution based cross sectional study was conducted using systematic random sampling technique from March to May 2016. A semi-structured questionnaire was used to collect data. Stool samples were collected and processed using direct wet mount, formol-ether concentration and modified Ziehl-Neelson staining techniques. Besides, blood samples were collected for CD4+ count estimation. Both descriptive and logistic regression analyses were used in data analysis. P-values <0.05 were considered as statistically significant.
      RESULTS: A total of 223 participants were enrolled in this study, and the prevalence of intestinal parasitosis was found to be 29.1%. The most predominant intestinal parasite detected was cyst of Entamoeba histolytica (8.5%) followed by Ascaris lumbricoides (6.7%), Strongyloides sterocoralis (3.6%) and Cryptosporidium parvum (3.1%), whereas Schistosoma mansoni (0.9%) and Hymenolepis nana (0.9%) were the least detected. Absence of toilet (AOR= 19.4, CI: 6.46-58.3), improper hand washing before meal (AOR=11.23, 95% CI: 4.16-30.27 and CD4+ count < 200 cells/mm3 (AOR=33.31, 95% CI: 9.159-121.149) had significant association with prevalence of intestinal parasites.
      CONCLUSION: The study indicated that intestinal parasites are still a problem among HIV/AIDS patients in the study area. Thus, routine examination for intestinal parasites and interventions should be carried out for better management of clients.
      KEYWORDS: Intestinal Parasites, HIV/AIDS, associated factors, Gondar, Ethiopia
      Issue No: Vol. 27, No. 4
       
  • Analysis and Economic Implication of X-Ray Film Reject in Diagnostic
           Radiology Department of Jimma University Specialized Hospital, Southwest
           Ethiopia

    • Authors: Mesfin Zewdu, Elias Kadir, Melkamu Berhane
      Abstract: BACKGROUND: Patients usually undergo repeated X-ray examinations after their initial X-ray radiographs are rejected due to poor image quality. This subjects the patients to excess radiation exposure and extra cost.It is therefore investigating the magnitude and causes of reject is mandatory. This study aimed to assess the reject rate of X-ray films and its economic implication in order to obtain information for further recommendations on image quality, cost and radiation exposure.
      METHOD: A cross-sectional study approaches was employed. Reject rate was measured for two x-rays in the department across all plain x-ray films examinations using a structured format on which relevant data for reject were recorded by investigators. The results were then collected and entered into a database for analysis.
      RESULT: Reject rate and cause of reject were measured across all plane x-ray examinations for the hospital. From a total of 6563 exposed films, 16.85% were rejected. This leads to economic waste of 24,721.99 ETB, or 17.8% of a total cost in 4month period and increase in radiation dose to both patients and staff.
      CONCLUSION: The findings from this study show that both the overall reject rate and individual reject rate were higher than the accepted range which could be due to machine fault, operator’s technical limitations, or absence of quality control program in the department. We recommend that regular quality assurance and quality control procedure which are well documented should be established in the department.
      KEYWORDS: Rejected films, reasons for rejection, reject rate, Cost implication
      Issue No: Vol. 27, No. 4
       
  • A 3-Year Review of the Outcome of Pars Plana Vitrectomy for Dropped Lens
           Fragments after Cataract Surgery in a Tertiary Eye Hospital in Dhaka,
           Bangladesh

    • Authors: Lateefat Olokoba, Tajul Islam, Nazmun Nahar, Abdulraheem Mahmoud, Abdulfatai Olokoba
      Abstract: BACKGROUND: Dropped lens fragments into the vitreous are uncommon, but potentially sight threatening complications of cataract surgery. The recommended approach for removal of dropped lens matter is pars plana vitrectomy with or without ultrasonic emulsification with the fragmatome. This study aimed to determine the visual outcome following pars plana vitrectomy for dropped lens fragments complicating cataract surgery at 6 weeks, 3 months and 6 months.
      METHODS: This study is a retrospective review of patients who had PPV as treatment for dropped lens fragments complicating cataract surgery at Ispahani Islamia Eye hospital and Institute. The case notes of all patients who had PPV for dropped nucleus from January 2013 to December 2015 were reviewed. Information retrieved included the bio-data of the patients, clinical features such as visual acuity, intraocular pressure, cornea clarity, presence of anterior chamber activity, Lens status and fundus findings at presentation, 6 weeks, 3 months and 6 months post surgery. Details of intra ocular procedure (Cryotherapy, Endo laser, Silicon oil or gas tamponade) in addition to PPV were noted.
      RESULT: Thirty- two cases were reviewed within the 36-month time period. There were 8(25%) females and 24(75%) males. Male to female ratio was 1:3. The best corrected visual acuity of patients at presentation was better than or equal to 6/60 in 56.3% of the patients. Dropped nucleus occurred during phacoemulsification cataract surgery in the majority (59.6%) of the patients. The best corrected visual acuity was 6/18 or better in 10(31.3%) eyes at 6 months post-surgery. Worsening of visual acuity to light perception occurred in 3(9.4%) eyes at 6 months, and 3 eyes (9.4%) developed phthisis bulbi.
      CONCLUSION: Modest improvement in visual acuity can be achieved after dropped nucleus complicating cataract surgery by Pars plana vitrectomy and removal of dislocated lens fragment.
      KEYWORD: Visual outcome, Dropped lens, Pars plana vitrectomy
      Issue No: Vol. 27, No. 4
       
  • Association of Helicobacter Pylori with Presence of Myocardial Infarction
           in Iran: A Systematic Review and Meta-Analysis

    • Authors: Yousef Rahmani, Sareh Mohammadi, Mehran babanejad, Alireza Rai, Bahar Zalei, Afshar Shahmohammadi
      Abstract: BACKGROUND: Over the past decade, cardiovascular diseases have been recognized as the leading cause of mortality worldwide. Myocardial infarction (MI) is one of the most prevalent types of cardiovascular diseases that is caused by the closure of coronary arteries and ischemic heart muscle. Numerous studies have analyzed the role of H. pylori as a possible risk factor for coronary artery diseases, in most of which the role of infection in coronary artery disease is not statistically significant.
      METHODS: These contradictory findings made us conduct a systematic review to analyze all relevant studies in Iran through a meta-analysis and report a comprehensive and integrated result. All published studies from September 2000 until September 2016were considered. Using reliable Latin databases like PubMed, Google Scholar, Google search, Scopus, Science Direct and Persian databases like SID, Irandoc, Iran Mede and Magiran. After quality control, these studies were entered into a meta-analysis by using the random effects model. After evaluating the studies, 11 papers were finally selected and assessed.
      RESULTS: A total of 2517 participants had been evaluated in these studies, including 1253 cases and 1264 controls. Based on the results of meta-analysis and using random effects model, an overall estimate of OR Helicobacter Pylori with Presence of Myocardial Infarction in Iran was OR=2.53 (CI=1.37-4.67).
      CONCLUSIONS: The results of this review study show that H. pylori are associated with the incidence of MI so that the odds ratio of MI in the patients with helicobacter pylori is twice greater than that of the people without H. pylori. Future studies are recommended to evaluate the mechanisms associated with relation of H. pylori with MI as well as its association with time.
      KEYWORDS: Myocardial infarction, H. pylori, Meta-analysis, Iran
      Issue No: Vol. 27, No. 4
       
  • Coexistence of Peripheral Spondyloarthritis and Familial Adenomatous
           Polyposis: A Rare Case Report with Treatment Contradictions and Review of
           the Literature

    • Authors: Berna Urkmez, Muge Kepekci, Sevde Ozer Posul, Aylin Rezvani
      Abstract: BACKGROUND: The coexistence of familial adenomatous polyposis and spondyloarthritis is rarely defined in literature. The primary aim of this presentation is to report a development of peripheral arthritis in 3 years following colon surgery with the diagnosis of familial adenomatous polyposis (FAP). The secondary aim is to discuss the challenge of in treatment of refractory arthritis, which needs to be treated with biologics. However, it is not yet known well about their safety on patients who have risks for cancer development.
      CASE DETAILS: A 25-year-old female patient was admitted to the rheumotology outpatient clinic. The patient had undergone total colectomy and ileoanal anastomosis because of FAP three years ago. On her physical examination, there was arthritis on her left ankle and enthesitis on both Achilles tendons.
      CONCLUSION: This case report presents a 25-year-old female patient with Ankylosing spondylitis (AS) and FAP whose treatment with biologics is critical due to the risk of cancer development due FAP. Although the potential risk of development of malignancies with TNF-blocking therapy seems to be no more than TNF-naïve patients and general population. But the safety of these drugs on patients with risks for cancer development is still unknown.
      KEYWORDS: Spondyloarthtritis, familial adenomatous polyposis, nonsteroid anti-inflammatory drugs, disease modifying anti-rheumatic drugs, biologics
      Issue No: Vol. 27, No. 4
       
 
 
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