European Journal of Medical and Health Research
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Impact on Incorporation of Purple Yam Flour (Dioscorea alata var. Purpurea) in Development of Multigrain Nutri-Bar
Get PDFConsumption of wholesome and healthy diet is the most effective way to combat protein-energy malnutrition and micro-nutrient deficiencies. Present study was carried out to develop a nourishing and cost effective nutri-bar from selected locally available yams, cereals, legumes and oil seeds. Incorporation of purple yam flour at 20% (F1), 15% (F2) and 10% (F3) was performed with changing only the ratio of processed rice flour.The highest mean rank scores for all tested sensory properties of appearance, taste, texture, aroma and overall acceptability were observed in F1. Proximate composition of ash, protein, fat, crude fiber, carbohydrate and calorie contents of products ranged 1.26-1.37%, 11.20-12.02%, 6.57-7.29%, 2.69-3.58%, 73.28-73.41% and 397.57 - 406.81 kcal/100g respectively. The highest values for total sugar, crude-fibre, potassium, sodium, calcium were recorded in F1 with 20.06±0.12%, 3.55±0.08%, 3903±2.8mg/kg, 396.50±10.60mg/kg, 305.00±29.70mg/kg respectively. F1 had the highest TPC- 4.120 mg GAE/g, TFC- 0.179 mg QE/g, anthocyanin content- 0.225 mg/g and antioxidant potential through DPPH assay- 3.142 mg TE/g followed by F2 and F3. The anthocyanin content of three formulas showed significantly positive correlation with antioxidant capacity (r =1.00, p<0.05). In conclusion, nutri-bars are the excellent source of nutrients supplements especially for undernourished population
The Assessment of Female Breast Cancer Tumors Using Some Biomarkers in Attendees of Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria
Get PDFBreast cancer has remained a major public health issue globally but predominantly affects women in developing nations. The overall survival rate of Nigerian women with breast cancer is low and patients with early breast cancer tend to have better survival than those with advanced distic basis and pathology. These changes are leading to revisions in the management of the disease with a positive impact on prognosis.The current research was done to describe the epidemiological and histopathological features of breast cancer amongst females attending the Federal Medical Center, Yenagoa, Bayelsa State, Nigeria. In this retrospective study, 178 breast specimens were used, spanned from 2010 to 2022. Results presented an age at diagnosis lower to the Western population and invasive ductal carcinoma as the main histological type. In this study, the prevalence of breast cancer amongst females attending Federal Medical Center, Yenagoa, Bayelsa State, Nigeria was analyzed using Hematoxylin and Eosin staining techniques on breast cancer samples collected over the study period. The pathophysiology of breast cancer is not very clear; however, some risk factors are. While some common risk factors are advancing age and the female gender, genetic mutations—namely BRCA 1 and 2—account for only about 10% of breast cancers. The role played by biomarkers, such as estrogen receptors, progesterone receptors, and human epidermal growth factor receptors, in the detection and management of patients with breast cancer. Human breast cancer is known to be dependent on sexual hormones for its growth, as it is derived from breast tissue that normally responds to endogenous hormones. Despite improvements in early detection and therapy, Breast Cancer remains one of the major burdens to healthcare systems and societies
Social Services Provided to Patients Attending Primary Health Care Centers, Riyadh Saudi Arabia
Get PDFIntroduction: Social Services is an essential part of the PHC procedures. This work prescribes the diversity of services supplied to support quality in health care services at PHC, Riyadh, Saudi Arabia.Methods: The study comprised patients who got social services from the social services overflow unit at PHC in Riyadh, Saudi Arabia. Frequency distribution patient and par shard altered to describe the study population, and par shard produced to explain details of services provided.Results: The social services unit served 411 patients, with 60% married and 80% widowed, 17% illiterate, and 66% had a housing adaptation for the sick and his family. 46.22% average, family support 40.14% good, and connection with the surrounding environment 42.10%, Social Services' Health Status 51.6% chronic sickness and 49.% anxiety, 67% low income, treatment recommendations for social services. Financial aid was provided to 53.5% of patients, 68.6% for procedures, and 31% for other services such as guidance and support.Conclusion: The social service program in PHC is an essential component of primary health care services. It promotes quality improvement in healthcare services. Social services can improve the quality of health care services provided in primary health care. And the same time helping patients to get improved access to health care services through counseling and financial aid. Social services also have a role in improving the awareness of family members of patients' conditions and determinants. Social services in PHCs realize the social responsibility of primary health care services towards the families of patients in the community
Strokes at the Maradi Referral Hospital: Clinical Presentation, Treatment and Evolution
Get PDFIntroduction: Strokes, with their increasing frequency in sub-Saharan Africa, are on the verge of becoming an epidemic and constitute a real development problem. The aim of our work was to determine the sociodemographic aspects and risk factors of stroke at the Maradi referral hospital. Patients and methods: This was a prospective descriptive study from February 15, 2023 to August 15, 2023. Patients hospitalized in the Cardio-Neurology Department and those attending neurological consultations for stroke were included in the study. Results: A total of 106 patients were included, including 72.64% (n=72) ischemic stroke and 27.36% (n=29) haemorrhagic stroke. Men accounted for 56.60% (n=60) of cases; mean patient age was 58.10 years; patients aged 50-60 years made up 27.37% (n=29) of cases. Hemiplegia was the most frequent cause (98.11%) (n=104); language disorders were observed in 88.68% (n=94) of cases; headache 62.26%(n=66); balance disorders 83.96% (n=89) and consciousness disorders were rare in 28.30% (n=30) of cases. Stroke risk factors were dominated by: hypertension in 83.01% (n=88) of cases, dyslipidemia in: (Total = 50.57% (n=45), TG = 31.03% (n=27), HDL = 23.25% (n=20) and LDL = 67.82%(n=59) and overweight/obesity present in 68.87% (n=75) of our patients. Indeed, these risk factors for stroke are now fairly well identified; it is currently possible to influence most of them effectively, within the framework of primary prevention. Conclusion: In our countries where the technical platform remains limited, especially in terms of the management of these pathologies, it is more than necessary to strengthen primary prevention
Assess the Level of Knowledge Regarding Hospital Emergency Codes among Staff Nurses
Get PDFEmergency codes warn healthcare staff during an emergency while additionally scaring patients or visitors. When a code is called, a pre-designated team of doctors, nurses, and other professionals react quickly and efficiently, according to learning. Nurses must empower themselves to enable them to function effectively, amid hospital emergency codes. Aim of the study is to evaluate the knowledge level on hospital emergency codes. To determine the relationship between the demographic variables and the knowledge level. Research approach and design was utilized is quantitative, Non-experimental methods -univariate descriptive design. The purposive sampling approach was used for a sample size among 100 staff nurses, to figure out the degree of competence regarding hospital emergency codes with a structured knowledge questionnaires. Descriptive and inferential statistics analysis was adopted. The p-value was <0.001 indicating statistically significant. Findings indicate that knowledge enhancements are linked to improve responses can be impact hospital emergency codes outcome
Assessment of Communication Skills Competence for New Graduate Nurses in Babylon Province Hospitals: A Cross-Sectional Study
Get PDFBackground: Good communication is essential to nursing since it has a direct impact on patient satisfaction, safety, and care. New Graduate Nurses (NGNs), however, frequently find it difficult to acquire these abilities as they enter the workforce. The communication capabilities of NGNs have not been extensively studied in Iraq, particularly in Babylon province.Objective: This investigation directed to assess the communication skills of NGNs in Babylon province, directing on three areas; effective communication, therapeutic relationships, and teamwork. Second, moreover studied how these three skills are affected by demographic characters: (age, gender, and marital status)Methods: Five public hospitals in Babylon province were selected in the cross-sectional survey between March and April 2023, sample of current study were thirty-two NGNs who had graduated in the preceding year. A37-item questionnaire that validated measure competence in communication skills was used for data collection. One-way ANOVA, t-tests, and descriptive statistics were used to examine the data.Results: the new graduated nurses of 81.3% showed great competency in teamwork, approximately 69% bested at building therapeutic relationships with their patients, and = (43.8%) presented good skills in area of effective communication. In each area, female nurses and younger nurses (ages 22–24) achieved improved. Once it approached to therapeutic relationships and effective communication, individual nurses outshined their married colleagues.Conclusion: findings of this study highlight in what way significant it is to recover NGNs' communication skills, very in areas as therapeutic relationships and effective communication. While they exhibited great collaboration capabilities, weaknesses in other of these areas point to the need for concentrating lessons. Developing these critical skills should be the major aim of nursing training and licensed training courses to contribution NGNs in their initial professions and improve care outcomes
SWOT Analysis of the Method of Radiographic Assessment of the Pathogen Mechanism in the Lungs of COVID-19 Patients
Get PDFMRAPL-COVID 19 is an adjusted and simplified method of radiographic assessment of the pathogen mechanism in the lungs of patients who are confirmed cases of COVID-19 by using the PCR test. The basis of this method is the method of Radiographic Assessment of Lung Edema (RALE) score. Research goal: To compare and analyze the already applied modified models in COVID-19 patients with our method in order to highlight the advantages and opportunities of its use as well as to perceive the weaknesses and threats of its use. Methodology: Application of SWOT analysis in MRPPB- COVID 19. Results: The advantages of MRPPB-COVID19 are: fast, simple, easily applied in one step, possibility of individual work and usage in primary and secondary health. It saves time, finances and it is not an invasive method. The single exposure to X-ray compared to CT makes this method safer and less harmful. Unified, standardized and systematized X-ray findings have simplified the access to family doctors and COVID centers. The possibilities are: its easy adaptability allows for its adjustment and use for assessment in other diseases, complementary use with CT, possibilities for software upgrade and artificial intelligence algorithms. The expansion of analysis in the method through implementation of other factors: gender, age, comorbidity, other complications, clinical and laboratory analysis (C-reactive protein and D-dimer) contributes to its improvement. The lower specificity and sensitivity rates are highlighted as shortcomings or weaknesses of this method compared to CT as well as the method’s dependency on the picture quality, the individual approach and the experience of the radiologist in the interpretation of the X-ray findings. The threats of this method are: the obsolescence of technology and the scoring method as well as the development of new, more sophisticated and more advanced methods. Conclusion: This easily applied and overall cheap method allows for an order in the healthcare system, relieving the burden of tertiary health and a normal flow of the other activities as well as continuous and uninterrupted work of the of the other diagnostic methods. The use of mobile X-ray machine allows for maintaining a higher control of the pathogen which reduces the possibilities of contamination and infection of other patients
Pattern of Early Childhood Development in Screen Used Children of Bangladesh. A Cross Sectional Study
Get PDFObjectives: To evaluate the pattern of early childhood development in screen used children of Bangladesh.Methods: This cross sectional type of study was conducted at Department of Paediatric Neurology, Bangabandhu Sheikh Mujib Medical University (BSMMU) from June 2023 to November 2023. Children aged 1-5 years who use mobile phone, more than 1 hour in a day were selected and enrolled in this study. Neurodevelopmental assessment was done by Rapid Neurodevelopmental Assessment (RNDA) and General Developmental Assessment (GDA).Results: Total 110 children were included. Among them about three-fourth 81 (73.6%) of patients were male and 29 (26.3%) were female and male female ratio was 2.7:1. More than half (58.1%) children passed 3-5 hours by using mobile screen. More than three-forth 90 (81.8%) children used screen during eating followed by before sleeping (37.2 %).About half 51(46.4%) of patients had abnormal speech development followed by Social problem 34(30.9%), cognitive delay 12(10.9%) and motor delay 6(5.4%). Regarding abnormal speech development, study showed more than one- third of children (39.2%) presented with speech regression, followed by self talking behaviour 37.2%, speech delay13.7% and no speech 9.8%. Nearly half of the child had sleep disturbance (44.5%).Conclusion: This study concludes that more than half of the children passed 3-5 hours by using mobile screen. More than three-forth children used screen during eating and before sleeping. Commonly found early childhood developmental disorders were abnormal speech development, social problem and cognitive delay
International Trade of Pharmaceutical and Health Industries Along the “Belt and Road” Countries
Get PDFIn recent years, the medical and health industry has become a new engine for global economic development. As a cluster of industries, the level of world's medical and health industry varies. Standards, as a comprehensive reflection and strategic resource of the competitiveness of enterprises, industries, regions, and even countries, have become an important experience and basic consensus for economic development at home and abroad. This article conducts research on the current status of standardization in the pharmaceutical and health industry both domestically and internationally. This study mainly analyzes the bilateral trade volume and industrial structure of pharmaceutical products between China and countries along the “Belt and Road” (BR), and empirically analyzes the influencing factors of pharmaceutical products trade between China and countries along the "Belt and Road" according to the trade situation. Using the explicit comparison index, the trade complementarity index, and the trade intensity index, select fifteen countries that are representative of the trade of pharmaceutical products in China and the regions along "the Belt and Road." Then, divide pharmaceutical products into traditional Chinese medicine and western medicine. Finally, analyze the problems and challenges that are associated with pharmaceutical products in China and sample countries. Through comparative analysis of organizational structure, standard system, and standard formulation and revision, combined with the practical experience of standardization in BR countries' pharmaceutical and health industry trade, measures and suggestions are proposed on how to accelerate the role of adjustment in pharmaceutical and health industry trade
Hospital Prevalence of Sickle Cell Disease in Children Under 5 Years of Age in a Region of the Democratic Republic of Congo
Get PDFBackgroung: The burden of sickle cell disease in hospitals is less described in both children and adults where there is a lack of universal screening programs. This is more observed in low-income countries and compromises the life expectancy of people with unrecognized major sickle cell disease. The objective of this study was to estimate the more or less concrete burden of sickle cell disease in pediatric hospitals, mainly in children under 5 years of age. Materials & methods: To do this, a cross-sectional and descriptive survey was carried out at the level of the pediatric services of 5 health facilities of the City of Kindu, capital of the province of Maniema in the Democratic Republic of the Congo from December 2, 2019 to October 15, 2020, that to say 10 months. It consisted mainly in the systematic screening of the electrophoretic profile of children under 5 admitted to the said health facilities using a rapid test. Results: The analyzes showed that the hospital prevalence of major sickle cell disease was 12.7%. The mean age of children with major sickle cell anemia was 41 ± 18 months. The median age was 48 months with the extreme ages 2 and 59 months. The 48 to 59 months age group was represented with 56.1% of children with SS sickle cell disease. The prevalence of sickle cell status was significantly associated with age group (p <0.0001). The sex ratio M/F was 1.1. The sickle cell status was independent of the sex of the child. Conclusion: The findings of this study show that the burden of sickle cell disease in pediatric hospitals and mainly in children under 5 years of age is underestimated in the absence of systematic screening. Faced with the delay in the implementation of universal screening in Africa, systematic hospital screening of all children and mainly those under 5 years of age using rapid tests will improve diagnosis and life expectancy of patients with major sickle cell anaemia