International journal of health sciences
Not a member yet
9988 research outputs found
Sort by
Efforts to improve vaginal birth after caesarean in Indonesia: Literature review
Full text linkObjective: to find out the evidence based onefforts to increase VBAC in Indonesia. Methods: This study used a five-step framework adapted from Arksey and O'Malley. The review focused on searching for articles with databases (PubMed and Science Direct), to find relevant articles published in 2015-2025 with the keywords used VBAC (Vaginal Birth After Caesarean). There were 225 articles found and sorted based on inclusion and exclusion criteria, so that 13 articles were used in this study which would then be extracted data, as well as compiled, summarized and reported the results. Results: The study showed that comprehensive education and counseling regarding the benefits and risks of VBAC, VBAC success factors and providing psychological support, careful assessment of VBAC candidates, labor strategies and monitoring of complications, increasing human resource capacity and readiness of health facilities and clear information systems and policies can increase VBAC. Conclusion:By implementing integrated efforts, it is hoped that the VBAC success rate can increase, thus providing a safer and more beneficial birth option for mothers and babies
E-Health implementation in the Democratic Republic of the Congo: Current position
Full text linkE-health holds significant potential to address healthcare challenges in the Democratic Republic of Congo (DRC), a nation grappling with limited resources, vast geographical distances, and a fragile health system. This paper examines the current state of e-health implementation in the DRC, exploring existing initiatives, key achievements, and persistent obstacles. While nascent, e-health adoption is gaining momentum, driven by factors like increasing mobile phone penetration and government recognition of its potential. Successful projects include mHealth programs for disease surveillance, maternal health, and HIV/AIDS management, demonstrating positive impacts on data collection, patient follow-up, and health outcomes. However, significant challenges remain. These include inadequate infrastructure, particularly reliable internet access and electricity, limited funding, a shortage of skilled human resources in ICT and health informatics, and issues of interoperability between different systems. Furthermore, regulatory frameworks and national e-health strategies are still under development, hindering coordinated and sustainable implementation. This paper concludes by highlighting the need for strategic investments in infrastructure, capacity building, and policy development to unlock the full potential of e-health and improve healthcare delivery in the DRC
Modeling and forecasting emergency department crowding using SARIMA, Holt Winter method, and Prophet models
Full text linkEmergency department (ED) crowding in health care is linked with longer wait times, high mortality rates, and low healthcare quality. Univariate time series models such as Seasonal Autoregressive Integrated Moving Average (SARIMA), Holt-Winters method (HW), and Prophet model (PM) have been widely employed to predict ED crowding. However, there is no consensus on the best fit time series model for ED crowding forecasting. This study compared the predictive precision of three univariate time series models, SARIMA, HW, and PM, in predicting ED crowding at Nizwa Hospital in Oman. The study used hourly patient visits at ED from January to December 2023. The model selection was based on minimizing Root Mean Square Error (RMSE) and Mean Absolute Error (MAE). ED visits showed irregular trends and seasonal effects due to time and day of the week effects. The 24-hour ED visits depicted two peak phases: noon (local maximum) and around 10 PM to midnight (global maximum). The prophet model had better accuracy than the SARIMA and HW models. Adopting the Prophet model predictions can help avoid unexpected ED crowding, reduce waiting times, and improve quality health care management
The relationship between Vitamins B12, B9, and D and polycystic ovarian syndrome: A review article
Full text linkPolycystic ovary syndrome (PCOS) is one of the most common endocrine disorders in women of reproductive age, with a constellation of symptoms including hyperandrogenism, ovulatory dysfunction, and polycystic ovarian morphology. Approximately 8–13% of women worldwide are diagnosed with PCOS. PCOS affects women of reproductive age, regardless of their ethnic background, although signs and symptoms may vary by ethnicity. Symptoms include obesity, hirsutism, acne, amenorrhea, infertility, and occasionally menorrhagia. It is particularly important to consider the presence of clinical and biochemical signs of hyperandrogenism in female patients. According to previous studies, vitamin deficiencies may play a role in the pathophysiology of PCOS, leading to insulin resistance, inflammation, dyslipidemia, and obesity, all of which are associated with the syndrome. The aim of the study: A review of the effect of some vitamins on polycystic ovary syndrome
Prevalence of hepatitis b virus surface antigen by using (ELISA) technique in Duhok Governorate, Kurdistan Region/Iraq
Full text linkPurpose: Hepatitis B virus (HBV) infection is a public health problem such as chronic liver diseases, it belongs to family “Hepadnaviridae”, It mostly affects humans and a small number of other primates, with a limited host range. Therefore, controlling this harmful virus requires quick detection with great specificity and precision. To assess the ELISA Technique's specificity and accuracy to isolates and Prevalence of Hepatitis B Virus. Methods: The study will be performed during the period from January 2024 to January 2025 for collecting samples(serum) from patients of both sexes and different ages visiting or attending Eyes Teaching Hospitals in Duhok city. Results: Out of 11396 specimens, 0.7% (81/11396) of the isolates were identified as Hepatitis B Virus, isolated from patients with chronic liver diseases. Regarding isolate rates among specimens, the highest rate (2.2 %) was from Male, with a highly significant (P< 0.001) difference from other sources. Conclusion: This discovery will aid in the detection and identification of the Hepatitis B virus using the proper ELISA technique, which increases the probability of pathogen diagnosis
Prevalence and drivers of treatment-seeking behaviour among under-five children experiencing acute respiratory infection in India: Treatment-seeking behaviour among U5 children experiencing acute respiratory infection
Full text linkThe present study aimed to examine the prevalence and determinants of treatment-seeking behaviour among under-five (U5) children experiencing Acute Respiratory Infection (ARI) in India. The last two rounds of the National Family Health Survey (NFHS), (NFHS-IV, 2015-16 & NFHS-V, 2019-21) data have been used for the study. Bivariate analysis with a chi-square test and multivariable logistic regression models were applied to examine the prevalence and determinants of treatment-seeking behaviour among U5 children in India. The prevalence of treatment-seeking behaviour among children in India has decreased from 78% in 2016 to 52% in 2021. The regression model indicated that children from rural areas (AOR: 0.85; 95% CI: 0.72-0.97), EAG states (AOR: 0.81; 95% CI: 0.67-0.99), and households reporting transportation as a barrier (AOR: 0.87; 95% CI: 0.75-0.97) had lower odds of seeking treatment compared to their counterparts. Conversely, treatment-seeking behaviour was more likely among households headed by women (AOR: 1.32; 95% CI: 1.15-1.51), mass media exposure (AOR: 1.23; 95% CI: 1.06-1.43), and those in the higher wealth categories. The current study recommends that public health programs should focus on highlighted indicators to improve treatment-seeking behaviour among children, which can help to reduce child morbidity and mortality due to ARI in India
Fourier analyzes for polymeric materials exposed to gamma rays
Full text linkThe study of epoxy exposed to gamma radiation for different periods of time up to six months of several period irradiations with the dose range of 28.05468 KGy with the first week to the six months with the accumulations dose of 721.413 KGy. FT-IR technique with FTIR analyzes of the samples was using. These results were varied comparison with the previous researches because they do not show identical destruction under similar irradiation conditions. The six-month period of exposure to gamma rays had a very large impact on the results of the current study. The broad peak ranges from 3380 to 3340 1/cm are because OOH stretches, and the sharp peak at 910 1/cm. because of the epoxide vibration peak. The the carbonyl group predominant peak is 1730 1/cm.and the broad 3500 1/cm. The strong band for the non-irradiated epoxy appears at 763.67 1/cm., but the other irradiated samples the bands is shifted to the left at 771.47 1/cm. The previous bands disappear for the samples which irradiated for three and four months by gamma ray. 
Empowering families to support pregnant women to routinely consume iron-enriching tablets: Scoping review
Full text linkThe purpose of this scoping review is to examine family empowerment in the context of support for pregnant women to routinely consume iron tablets. This scoping review method uses the PEOS framework and article identification using inclusion and exclusion criteria. The results of this study found 7 articles and 5 themes. The themes are family support, husband support, health worker support, knowledge, and attitudes of pregnant women. This study is expected to be a consideration for related health workers in providing counseling or education to pregnant women so that they are more focused on providing education about anemia and its impacts, as well as the importance of family support while the mother is consuming iron tablets
Proteomic mapping associated with clinical and sociodemographic parameters of breast cancer in Senegal
Full text linkBreast cancer refers to a malignant tumour resulting from the uncontrolled proliferation of epithelial cells in the mammary gland. It is the leading cause of cancer in women. In Senegal, regional disparities remain marked by differences in access to screening, diagnosis, and treatment. Proteomics provides a direct reflection of the functional state of tissues and biological pathways and captures the functional effects of molecular alterations. In order to better understand the relationship between the pathogenesis of breast cancer and the existence of potential biomarkers based on each underlying clinical and sociodemographic parameter, this study performs correlation analyses. Proteins were extracted from healthy and cancerous tissues. The analytical workflow showed 30 proteins that were statistically deregulated between those under and over 50 years of age, 5 proteins between married and unmarried patients, 37 proteins between women with fewer than 7 children and those with more than 7 children, six proteins between the early stage and the locally advanced stage, and treatment response showed that 17 proteins were statistically deregulated. The results of this study have identified numerous proteins with high prognostic value associated with robust statistics and significantly overexpressed according to the parameters
Comparative analysis of EQ-5D-L and SF-6D instruments to measure quality of life of osteoarthritis outpatient patients at Dr. Efram Harsana Air Force Hospital, Madiun
Full text linkThe purpose of this study was to compare EQ-5D-5L and SF-6D as instruments to measure the quality of life of OA patients at RSAU dr. Efram Harsana Madiun. This study used a descriptive study using a cross-sectional design. Data collection was carried out by distributing the EQ-5D-5L and SF-6D instruments, then scoring was carried out. The EQ-5D-5L questionnaire contains 5 domains with 5 levels each, namely walking ability, self-care, usual activities, pain and anxiety. The SF-6D questionnaire contains 6 domains, namely physical function, role limitations, social function, pain, mental health and vitality. The description of the quality of life of OA patients based on EQ-5D-5L shows that the main problem of patients is pain (100%) which has an impact on inhibiting walking ability (77.8%), while based on SF-6D the quality of life of OA patients also has a main problem in the form of pain (100%), which has an impact on physical function (67.8%), and role function (47.8%). The utility value of OA patients using EQ-5D-5L was 0.722 while SF-6D was 0.835. Sociodemographic factors that affect quality of life based on the EQ-5D-5L and SF-6D questionnaires are age, gender, location of OA, and comorbidities (p=<0.05)