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Journal Cover Advance Tropical Medicine and Public Health International
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  This is an Open Access Journal Open Access journal
   ISSN (Print) 2228-897X - ISSN (Online) 2228-897X
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  • Blood culture findings in patients with acute cholangitis and

    • Abstract: 2016-01-08T19-08-25Z
      Source: Advance Tropical Medicine and Public Health International
      Beuy Joob, Junomma Kanoma, Atulla Singh.
      Acute cholangitis is an infection of the biliary tract with the potential to cause significant morbidity and mortality. There is no report concerning the causative agents of acute cholangitis in the cholangiocarcinoma patients. This retrospective review was made on 56 hospitalized patients who had been diagnosed as cholangiocarcinoma with cholangitis. Bacterial pathogens were identified in eighteen (64.3 %) of the 56 cases. Most positive blood cultures contained Gram-negative aerobes. In conclusion, the causative agents for acute cholangitis in the cholangiocarcinoma are similar to those seen in non cholangiocarcinoma.

      PubDate: Wed, 06 Jan 2016 19:53:01 GMT
  • Viral hepatitis in West African country, Burkina Faso

    • Abstract: 2015-10-11T23-18-26Z
      Source: Advance Tropical Medicine and Public Health International
      Traore Kuan Abdoulaye, Rouamba S Hortense, Traore Sababénédjo Alfred, Roques Pierre.
      Given the threat posed to public health by viral hepatitis in developing countries, we report here an update on the prevalence of viral hepatitis in Burkina Faso. These data will be important to assess health risks associated with viral outbreaks. Although the pathogenicity of the five hepatocyte-tropic viruses associated with hepatic diseases (A, B, C, D and E) is very similar, the viruses differ significantly from each other in terms of their genomic organization, viral family, particle size, mortality rates, ability to cause chronic disease, severity, modes of transmission and distribution in West Africa. Thus, the epidemiology of each of these viruses is different, which affects the choice of primary control mechanisms designed to stop their spread, such as sensitization campaigns, vaccination, and improved safety regarding blood transfusions (B, C, D and E virus) and food (mainly for A and E virus). This review identifies the current problems regardingviral hepatitis in Burkina Faso. Because intervention like vaccination, or infrastructure modification (water services, population movement etc…) regular updates are needed in order to clearly evaluate the public health risks associated with these infections.

      PubDate: Fri, 09 Oct 2015 03:50:48 GMT
  • Clinical documentation and doctor: Is it a challenge in HIV care'
           Experience of four new comprehensive HIV sites in Oyo State, Nigeria

    • Abstract: 2015-09-17T23-16-31Z
      Source: Advance Tropical Medicine and Public Health International
      Olabanjo Okunlola Ogunsola, Folake Adurogbola, Olalere Olajide, Babatunde Ladi-Akinyemi.
      Medical documentation is a powerful tool that allows the physicians to track patient’s history, identify problems and patterns that may help determine the course and outcomes of health care. The study assessed the documentation practice of physicians in the management of HIV/AIDS patients in four comprehensive HIV health facilities in Oyo State, Nigeria. A clinic folder audit and key in-depth interview of physicians was conducted in four comprehensive HIV health facilities in Oyo State. Eighty HIV care folders were randomly selected from the four facilities and audited for documentation of key parameters in the management of HIV patients. Data were entered into excel sheet and analyzed using excel 2013. Although documentation practices vary from facility to facility, only 73% and 75% of the folders had documented weight as of last visit and functional status respectively. CD4 and WHO clinical staging are the parameters used to determine eligibility for therapy; only 66% and 74% of the folders had documented CD4 count and WHO clinical stage respectively. Evidence of TB screening was documented in only 74% of the folder. Only 71% of the eligible patients had documented evidence of being placed on therapy and only 63% of the clinic folders had documented evidence of clinicians assessing adherence to therapy. Reasons alluded to this poor documentation practices included few human resources for health, numerous forms and sections in the care card to tick and high turnover of trained clinicians. There is urgent need for health facilities and programmers to institutionalize clinic folder audit in HIV practice in order to assess and improve patient care and uphold professional standards. Regular clinic folder audits will create a culture of quality improvement in patient care.

      PubDate: Thu, 17 Sep 2015 04:38:21 GMT
  • Sero-prevalence of brucellosis in small ruminants in Kiruhura District of

    • Abstract: 2015-09-12T23-18-17Z
      Source: Advance Tropical Medicine and Public Health International
      Abdirahman Bare Dubad, Sylvia Angubua Baluka, John B Kaneene.
      Sero-prevalence of brucellosis in small ruminants in Kiruhura District of Uganda

      PubDate: Tue, 08 Sep 2015 20:37:01 GMT
  • Conception of tuberculosis and evidence from slum area

    • Abstract: 2015-08-28T23-28-43Z
      Source: Advance Tropical Medicine and Public Health International
      Nasrin Sultana, Fatema Tania.
      Tuberculosis (TB) remains as an important public health problem in Bangladesh. TB is an infectious bacterial disease caused by Mycobacterium tuberculosis, which most commonly affects the lungs. The common symptoms of tuberculosis include cough for a prolonged duration that is more than three weeks, unexplained or intended weight loss, fatigue, general feeling of tiredness, fever, sweating at night, chills and loss of appetite. The patients of Tuberculosis hide their disease from family, relatives, and community due to the presence of misconception. This cross-sectional study was done with 103 respondents .The objectives of this study were to assess knowledge of TB patients about their disease, and to identify their misconceptions associated with TB. The study was conducted to identify the conception regarding tuberculosis among the slum dweller in Shyamoli and Mohammmadpur area, in Dhaka city. Data were collected by face to face interview using semi-structured questionnaire. Out of 103 respondents, among them 48.5% were in 15-25 years age group with mean 26.15; (SD = ± 5.34). More than two fifth (53.4%) respondents were male and 46.6 % were female and 53.41% were educated up to primary level, 71.84% were married, 88% were Muslims, 26.21% respondents were Garment worker, 60.0% were lived in a nuclear family. Majority respondents (86.41%) live in tin shade house. Among the respondents 53.4% heard about TB disease and the main source of information was mass media(TV, Radio).Majority(70.87%) of respondents knew that Cough for more than 2 weeks is the Common Symptom of TB. Study findings shows that there is lots of misconception about tuberculosis but various TB control program are running in Bangladesh by Gob and different NGOs which can be help the people of our country to overcome the problems.

      PubDate: Mon, 24 Aug 2015 05:05:39 GMT
  • Awareness and acceptance on health insurance, and willingness to pay: a
           community based study in Myanmar

    • Abstract: 2015-06-24T23-32-40Z
      Source: Advance Tropical Medicine and Public Health International
      Win Myint Oo, Kay Thi Lwin, Pa Pa Soe, Su Htar Lwin, Myat Ohnmar Win, The&#; Zar Chi Bo, May Soe Aung.
      Most health care spending in Myanmar is borne by means of out-of-pocket payment(OOP). A national health insurance scheme has not yet been established. This crosssectionalstudy explored the awareness and acceptance of community related to healthinsurance, and their willingness to pay during February and March, 2014. Multi-stagerandom sampling procedure was used to recruit 1,346 household heads from 27townships. As might be expected, the awareness of health insurance was low (8.4%; 95%CI = 7.0%, 10.0%). But following thorough explanation, the acceptance towards healthinsurance scheme was high (78.5%; 95% CI = 76.2%, 80.7%). The challenges towardsthe acceptance included as being poor (42.3%), thought as unnecessary (17.5%) and goodhealth (12.2%). Significant determinants for the acceptance of community on healthinsurance were level of awareness, education, family size and urban/rural residence. Theaverage annual value of willingness to pay (WTP) per person was 19,767 kyats(approximately 20 US$). People who were aware of health insurance, those with higherincome, those with higher education status, those with smaller family size, those withoutexperience of hospitalization, males and rural dwellers stated higher WTP values thantheir counterparts. This study pointed out that in line with the readiness of the communitymembers, establishment of a national health insurance scheme should be considered andthe awareness on its benefits requires improvement to ensure the success andsustainability of this scheme. The premium for health insurance should be adjusted forincome.

      PubDate: Wed, 24 Jun 2015 17:10:08 GMT
  • A Rare Case of Hepatocellular Carcinoma manifesting as Left
           Supraclavicular Lymph Node enlargement

    • Abstract: 2015-06-24T23-32-40Z
      Source: Advance Tropical Medicine and Public Health International
      Avtar Singh Dhanju, Smit Rajput.
      HCC is one of the most common malignancies of the world and about 30-50% cases of HCC have extrahepatic metastasis. Though abdominal lymphnodes are 2nd most common metastasisi site for HCC, cervical lymphnode spread is rare. We report a case of left supraclavicular lymph node metastases in HCC confirmed by FNAC of involved lymph node. Extrehepatic metastases of HCC to unusual sites is reported in a few case reports and cervical lymph node is one of these rare sites and should be kept in mind during evaluation of cervical lymphadenopathy.

      PubDate: Sun, 21 Jun 2015 21:12:42 GMT
  • Health care behavior among caregivers of under-five children with febrile
           episodes in Ogbomoso, Nigeria

    • Abstract: 2015-06-07T14-23-15Z
      Source: Advance Tropical Medicine and Public Health International
      Idowu Ajibola; Samson Ayo Deji; Olorunfemi Akinbode Ogundele.
      Appropriate health care behaviour is a major determinant of health outcome particularly among under-five children with febrile episodes. There is currently dearth of information regarding factors associated with such behaviour among caregivers of children with febrile illness in Ogbomoso, south west Nigeria. The study assessed the knowledge of caregivers on causes of febrile illness and explored factors associated with appropriate health care behavior for children with febrile episodes in Ogbomoso. It was a community based cross-sectional study carried out using multi-stage sampling technique among 405 caregivers recruited in Ogbomoso, Nigeria. A pre-tested questionnaire was used for data collection and data analysis was done using SPSS version 17. Chi-square test and binary logistic regression were used for analysis. The mean age of the respondents was 35±5. More than half (57.0%) of the respondents had good knowledge on causes of febrile illness among children but only 35% of them had appropriate health seeking behaviour. The proportion of caregivers with appropriate health care behavior was significantly higher among female caregivers (90.1%) compared to their male counterparts (p < 0.05). The proportion was also significantly higher among respondents who were in the middle socio-economic class compared to caregivers in other socio-economic classes (84.4%, p=0.05). Caregivers in low socio-economic class had significantly less odds (60%) for appropriate health care behavior compared to those in high socio-economic class (OR;0.40,95%CI;0.207-0.790). Caregivers who were Christians had significantly higher odds compared to those who practiced traditional religion (OR; 5.4, 95%CI; 1.127-26.636). The proportion of caregivers with appropriate health care behavior was found to be unacceptably low among caregivers of children with febrile episodes in Ogbomoso, south west Nigeria; as such, there is urgent need to design a cost effective behavioural change communication programme that will particularly target caregivers in lower socio-economic class.

      PubDate: Thu, 04 Jun 2015 05:33:23 GMT
  • Parasitic contamination in water: a brief review

    • Abstract: 2015-05-03T14-28-06Z
      Source: Advance Tropical Medicine and Public Health International
      Husson Ayo Deno, Alun Aodeno Onapompe.
      An important problem at present is the contamination of drinking water. In this paper, the author will focus on the parasitic contamination in water and further implication on human health. The important parasites that are usually mentioned as major contaminants will be briefly reviewed.

      PubDate: Wed, 29 Apr 2015 01:01:07 GMT
  • Vitamin D and invasive aspergillosis: a controversial issue

    • Abstract: 2015-02-28T09-30-39Z
      Source: Advance Tropical Medicine and Public Health International
      Horos Solo, Alexandra Orades.
      This short letter to editor is for discussing on thHoros Soloe controversial issue in usefulness of vitamin D supplementation in invasive aspergillosis.

      PubDate: Wed, 25 Feb 2015 19:40:53 GMT
  • A comparative study on complementary feeding pattern among
           mothers/caregivers of children aged 6 to 23 months in selected rural
           villages of Osun State Nigeria

    • Abstract: 2015-02-16T14-33-37Z
      Source: Advance Tropical Medicine and Public Health International
      Samson Ayo Deji, Onayade Adedeji Ayodeji, Arije Olujide.
      Inappropriate complementary feeding is a determinant of malnutrition among young children in developing countries. The study compared complementary feeding practices of mothers/caregivers nursing children aged six to twenty three months in selected villages of Ife East Local Government Area of Osun State, Nigeria. The study design was a comparative cross sectional. Three of the villages were participating in Agricultural Extension Programme (AEP) activities of the Obafemi Awolowo University Ile Ife, Nigeria, while the other three were comparison villages. Five hundred and eighteen caregiver–child pairs were recruited for the study by convenience sampling method.Quantitative data was collected from mother-child pair with interviewer administered questionnaire that obtained information of socio-demographic characteristics, complementary feeding practices among other relevant pieces of information.. Of the 518 caregiver–child pairs,, 257 (49.6%) and 261 (50.4%) were from the Agricultural Extension Programme and comparison villages respectively The feeding practices of the mothers differed by age of the children. While 19.5% and 19.4% of women in both AEP and comparison villages respectively reported good feeding practices for children aged 6-11 months, those with children aged 12-23 months had a much higher proportion (78.2% and 85.1% ) (p< 0.05) with comparison villages having reported a higher feeding practices.

      PubDate: Mon, 16 Feb 2015 03:08:31 GMT
  • Combination between ginseng and gingko regimen: synergistic effect
           demonstrated by ontology study

    • Abstract: 2015-01-02T04-20-42Z
      Source: Advance Tropical Medicine and Public Health International
      Wuh Hsui Ngam, Kin Cheon Jung, Metas Ferius.
      Ginseng is a widely used oriental herb that is mentioned and confirmed for several clinical advantages. The use of ginseng in combination with other herb is very interesting. The combination between ginseng and gingko regimen is an interesting regimen. Study and design: There are some limited reports on this combination. The author designs an ontology study to assess this combination. Here, the author uses the standard ontology study to assess the synergistic effect due to combination between ginseng and gingko. It can concluded that the synergistic effect between ginseng and gingko result in usefulness and it is result from both a) specific effect of each herb and b) the new additional effect due to the combination.

      PubDate: Sun, 28 Dec 2014 22:52:39 GMT
  • Polymorphous Low Grade Adenocarcinoma of the Palate: A case Report

    • Abstract: 2014-11-17T23-28-45Z
      Source: Advance Tropical Medicine and Public Health International
      Oluwasesan Adelowo Abdul, Olabode Peter Oluwole, Akinbola Michael Akinnagbe, Edmund Joseph Nwana, Ngyor Ver-or.
      Polymorphous low grade adenocarcinomas are indolent tumours that are localized preferentially to the palate and affect minor salivary exclusively. It was described in 1984 by Evans and Batsakis, when they reported a subset of heterogenous groups of malignant adenocarcinomas arising from the palate and minor salivary glands and named them ‘‘polymorphous low grade adenocarcinomas’’. An increasing number of reports in the pathology literature since then have identified this as the second or third most common minor salivary gland malignancy. The natural history of polymorphous low grade adenocarcinoma is distinct from other malignant salivary tumours. The most common presentation is that of a lump in the oral cavity, usually on the palate. Diagnosis is established after biopsy as cytological studies are not helpful. The morphological features can resemble pleomorphic adenoma and adenoid cystic carcinoma. We report a case of a middle-aged woman that presented with a fungating mass in the hard palate. The public health importance of this tumor is also discussed in this article.

      PubDate: Mon, 17 Nov 2014 03:33:44 GMT
  • 'Syringocystadenoma Papilliferum presenting as an ulcerated mass

    • Abstract: Publication year: 2014
      Source:Advance Tropical Medicine and Public Health International
      Olabode Peter Oluwole, Ozieghie Paul Omoregie, Oluseyi Ademola Adeosun, Thomas A Azer.
      Syringocystadenoma papilliferum is a benign adnexal skin tumor of the apocrine of the eccrine type with characteristic histological features and varied and non-distinct clinical findings. It is relatively a rare neoplasm, which is called as a childhood tumor, since it usually appears at birth or during puberty. A report of syringocystadenoma papilliferum of the scalp a benign skin appendage tumor diagnosed over a 12 months period (August 2009- July 2010) diagnosed at the Department of Pathology, Federal Medical Centre, Keffi, Nasarawa State, Nigeria. Patients’ biodata and clinical information were obtained from departmental records. Histology slides stained routinely with haematoxylin & eosin. The slides were reviewed by two consultant pathologists blinded who were in agreement over the diagnosis. Three cases of syringocystadenoma papilliferum were studied. All the three patients were females aged 18, 20 and 25 years respectively. Clinical presentations were recurrent ulcerated exophytic scalp lesions located at the frontal and occipital areas of the scalp. Histopathologically, the tumors were characterized by a number of cystic invaginations extending downwards from a papillomatous epidermis with a distinct verrucous hyperplasia. Numerous papillary projections extended into the lumen of these invaginations. Papillary projections were lined by a two-layer epithelium comprising an inner cylindrical and an outer cuboidal layer. The basement membrane remained intact. An inflammatory infiltrate consisting of lymphocytes, histiocytes and plasma cells was present in the stroma of papillary projections. The histological findings were consistent with syringocystadenoma papilliferum. Syringocystadenoma papilliferum of the scalp should be considered in young female adolescents presenting with a recurrent ulcerated exophytic lesion of the scalp. A high index of suspicion on the part of clinicians with proper histopathologic examination will be of immense assistance in making adequate diagnosis.

      PubDate: Tue, 28 Oct 2014 03:50:39 GMT
  • Nutrigenomics and tropical diseases: a short summary

    • Abstract: Publication year: 2014
      Source:Advance Tropical Medicine and Public Health International
      Beuy Joob.
      Nutrigenomics is the advance “omics” science that can be useful in nutritional and food research and development. The application of nutrigenomics can be seen in many aspects. In this short editorial, the author discusses on important application of nutrigenomics relating to tropical disease.

      PubDate: Sat, 27 Sep 2014 20:07:21 GMT
  • Bilateral filariasis of breast – a diagnostic challenge for

    • Abstract: Publication year: 2014
      Source:Advance Tropical Medicine and Public Health International
      Sibaprashad Pattanayak, Subrata Pramanik.
      Extranodal filariasis is a rare entity, and the breast is an uncommon site for filariasis. Patients commonly present with an underlying lump and may occasionally mimic malignancy. We present a case of bilateral breast lump without axillary lymphadenopathy in an old lady diagnosed as filariasis of breast . The patient subsequently received antihelmenthic therapy and showed marked clinical response thereafter .

      PubDate: Thu, 11 Sep 2014 18:02:03 GMT
  • Hearing Impairment: Implications of mobile phone use

    • Abstract: Publication year: 2014
      Source:Advance Tropical Medicine and Public Health International
      Adedayo Olugbenga Olaosun, Ebenezer Olabamiji Ojofeitimi, Tajudin Adesegun Adetunji, Olawale Ogundiran.
      With the increase in use of mobile phones have come concerns about safety. Unfortunately, effects on hearing have not received much attention. This cross-sectional study investigated the prevalence, patterns and awareness of possible hazards to hearing of mobile phones use among teachers and health professionals in Osogbo, Nigeria. All respondents reported ownership of mobile phones. Majority (51.2%) possessed one, and 48.8% owned at least two phones. Mean duration of use was 5.6 years (SD-2.25years), median number of calls made and received daily were nine (Range-19) and ten (Range -19 ) calls per day respectively. The median daily cost of maintenance was 100 Naira/US$0.6 daily (Range=1428Naira/US$9.25). Level of education was a significant predictor of earlier onset of use (OR=2.755, p=0.036) and only 18.2% were aware that mobile phones might pose a risk to hearing. The rapid increase in mobile phone use makes it important to sensitize the public about effects that injudicious use may have on hearing. In addition, well designed studies are needed to determine the exact risks that mobile phone use may pose to hearing and to identify and study characteristics that may modify these risks in a world that is becoming increasingly dependent on the mobile phone.

      PubDate: Wed, 16 Jul 2014 05:10:18 GMT
  • A comparative study on prevalence of violence among adolescents in public
           and private school in Osun State Nigeria

    • Abstract: Publication year: 2014
      Source:Advance Tropical Medicine and Public Health International
      Olusegun T Afolabi, Samson Ayo Deji.
      The objective of the study was to compare the prevalence of different forms of violence among adolescents in public and private schools in Osun state Nigeria. A total of six schools and a sampled population of 600 students (300 each from both public and private schools ) were recruited for the study. Three private and three public schools were selected by simple random sampling from the list of schools located in the area. One hundred students were picked through systematic random sampling from each school selected. Data collection was done using pretested facilitated self administered semi structured questionnaires. Data was analyzed using statistical package for social sciences version 16. Various forms of violence were discovered among the students such as verbal abuse, forceful collection of other people properties, physical assault s, threatened with weapons, attacked with weapons and intentional act of damaging properties. The Public schools had more of the different forms of violence with the commonest forms of violence in both public and private schools being verbal abuse( 87.2% and 62%), physical assaults (53.3% and 28.7%) The least form of violence was threat with weapons(18% and 3.3% respectively). The prevalence of these various forms of violence especially in Public schools calls for more vigilance on both the school teachers and parents to intensify monitoring over their wards in school and at home. The school authorities should set rules that will check and reduce to the barest minimum the rate at which these violence are perpetrated by students.

      PubDate: Fri, 13 Jun 2014 05:34:18 GMT
  • The causes and consequences of medical treatment non - adherence

    • Abstract: Publication year: 2014
      Source:Advance Tropical Medicine and Public Health International
      Michael K. Hole, Shushmita M. Ahmed, J. Zachary Wright, Daniel S. Orlovich, David M. Carreon, Yann A. Meunier.
      From ancient times, the physician’s work was limited by the patient’s participation in his cure. The art of adherence is enormously important and, to master it, one must understand all the subtle obstacles. Many challenges to adherence lie in the patient herself: her cognitive capacity, age, race, and acculturation to the patient role all may affect her ability and willingness to submit to treatment. A strong patient-provider relationship can often overcome many of these issues, but even in cases where a patient is in accord with her physician, cost or treatment complexity can prevent it. Such problems allow needless harm; non-adherence may account for 69% of US hospital admissions and cost $100 billion per year. We provide guidelines for overcoming the challenges to adherence.[NOTE: THIS ARTICLE IS RETRACTED DUE TO THE POOR QUALITY OF ITS CONTENT]

      PubDate: Mon, 26 May 2014 09:33:37 GMT
  • Clinical presentation of confirmed cases of dengue fever managed at Al
           Noor Specialist Hospital, Makkah, Saudi Arabia

    • Abstract: Publication year: 2014
      Source:Advance Tropical Medicine and Public Health International
      Manal Al Gethamy, Mohamed Ali, Mohamed Haji, Mohannad Tayeb, Sadeq Serdar.
      According to the WHO guideline, the presence of two clinical features out of headache, retro-orbital pain, myalgia, arthralgia, rash, haemorrhagic manifestations and leucopenia can be suggestive for dengue fever. Studies done in Makkah and other places has being reported some of the clinical symptoms of dengue fever; common symptoms were found to be fever, malaise, musculoskeletal pain, headache, nausea, vomiting and abdominal pain in a study conducted in Makkah; Based on a study result from Sri Lanka, headache, body aches, vomiting, retro-orbital pain, generalised weakness and skin erythema had a good positive predictive value for dengue fever; High grade fever, headache and body aches, nausea etc. were listed as frequent clinical presentations in another study carried out in Alnoor Specialist Hospital in Makkah. However, the value of clinical symptoms in diagnosing dengue fever has not been paid enough attention, as atypical manifestations may be under reported because of lack of awareness, yet, are also on the rise. This study was conducted to find out the prevalence demographic characteristics and various clinical manifestations in patients with confirmed dengue fever managed at Alnoor Specialist Hospital in Makkah. A hospital based analytical cross-sectional study was carried out in all patients with fever managed in Alnoor Specialist Hospital during the period of July 2008 to July 2012. Details on all symptoms, signs from physical examination, clinical course and laboratory investigations were collected from patients’ medical records. Enzyme-linked immunosorbent assay (ELISA) or reverse transcriptase polymerase chain reaction (RT-PCR) tests were used as a guideline for confirmed dengue cases; related symptoms. The study includes 103 cases of confirmed dengue fever. Their age ranged between two and 75 years with a mean of 30.6±16.1years. 45.1% of dengue cases were diagnosed and managed in winter season. Duration of fever among confirmed dengue cases ranged between 4 and 7 days among more than half of them (58.4%). In addition to fever, the commonest reported manifestations were vomiting (50.4%), malaise (37.2%), nausea (34.5%), headache (31%), diarrhoea (28.3%), and abdominal pain (24.8%). Hypotension was present in 40.5% of confirmed DF cases. Leukopenia and thrombocytopenia were diagnosed among most of patients (77.9% and 75.2%, respectively) while anaemia according to age and sex was diagnosed among 20.2% of cases. Fever was more accompanied with gastrointestinal manifestations than headache, musculoskeletal and retro-orbital pain. Fever typically lasts for four to seven days. The diagnosis of acute dengue virus infection should be based mainly on clinical signs and symptoms in endemic countries.

      PubDate: Tue, 29 Apr 2014 04:49:01 GMT
  • Internet addiction among children in slum, Surin province, Thailand

    • Abstract: Publication year: 2014
      Source:Advance Tropical Medicine and Public Health International
      Pailin Umpai, Wasana Kaewla, Viroj Wiwanitkit.
      Internet becomes a common available communication tool that helps bridge the people from remote area together. There is a worldwide distribution of internet at present. It becomes a new concern in public health among the side effect of using internet. The internet addiction becomes a new challenge in the present day. Here, the authors briefly report on a preliminary survey on internet addition among children in slum, Surin province, Thailand. Conclusively, the problem is existed and it is the hot issue in public health for management of this problem.

      PubDate: Mon, 17 Feb 2014 04:59:32 GMT
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