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Journal Cover Advance Tropical Medicine and Public Health International
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   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
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