European Journal of Medical and Health Research
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Stressors and Coping Strategies Employed by Post Cesarean Birth Mothers in North Central, Nigeria
Get PDFObjectives: Childbirth is exciting, and a very joyful experience in women’s live. As much as its beauty, childbirth often bring about a lot of stress, which requires coping and adaptation for the mother; especially for mothers who undergo caesarean birth. Most importantly, whether or not the caesarean birth was successful, it however creates memories, sometimes bad experiences and unmet expectations difficult for post caesarean birth mothers (PCBM) to cope and in some cases may leave the mother with those memories for life. Thus, this study explored lived experiences related to stressors and coping strategies employed by PCBM in Asokoro District Hospital, Abuja, Nigeria.Material and Methods: a phenomenological-hermeneutics research design, a sample of 19 PCBM who were able to consent for themselves were purposively included in the study and data collected through an in-depth face-to-face interview with a semi-structured interview guide. Three major themes emerged from the data analytic process.Results: Although, few PCBMs (five) sees caesarean birth as being scary, unwomanly and cause body image dissatisfaction; majority (ten) PCBM see the process as life saving for them and their baby which is the most important advantage of a caesarean birth. Hence, pregnant women should be prepared early for possibility of caesarean birth during antenatal periods and visits.Conclusion: Due to lack of physical accessibility to medical services which is an important barrier to maternal health care access; improving accessibility should be a focus of reforms
The Role of lL-6, Vitamin D Deficiency and TSH on Chronic Tonsillitis Children: A Clinical Study
Get PDFBackground. It is very normal for kids to get tonsillitis. Tonsillectomy is the most common surgery done on kids who get tonsils over and over again. When a child is three to ten years old, their tonsils are at their most immune-boosting. Because of this, the tonsils stand out more during this time and eventually show age-dependent involution. Aims of the study. Evaluating the role of vitamin D, interleukin 6, and thyroid-stimulating hormone in tonsilitis and the relationship of these biomarkers in controlling the severity of the disease in children. Methodology. A case- control study was conducted including 30 children with chronic pharyngitis with an average age of 14.19 years, as well as a control group of 25 healthy children. The study took place at the Al-Kadhimiya Teaching Hospital from 10/2/2022 to 10/8/2023, after approval by the Research Committee of the College of Medicine at Al-Nahrain University and obtaining verbal consent from the parents. Blood samples were collected and the necessary analyzes were performed. CRP, ASO, and interleukin-6 levels were measured using an ELISA. The total number of white blood cells was calculated using a Sysmex CBC device, and the ESR was measured with a Fast ESR device. TSH and vitamin D levels were analyzed using a Cobas E411 device. Result. The levels of several biochemical and immune markers were very different between the patient group and the control group (P< 0.001). In the patient group, levels of ASOT, CRP, ESR, WBC, TSH, and IL-6 all went up, while levels of vitamin D went down. The results also showed that TSH and IL-6 levels were different in men and women with chronic tonsillitis. However, there were no statistically significant changes in the other indicators (P> 0.05). Conclusions. The results indicate that there are significant differences in biochemical and immunological indicators between children with chronic tonsillitis and healthy children. This can be explained by the increased inflammatory response in patients, which raises ASOT, CRP, ESR, and IL-6 levels and lowers vitamin D levels
Beyond the Norm: Natal Teeth in a Term Male Neonate in Rivers State, Nigeria—a Rare Case Report
Get PDFThis case report sheds light on a challenging obstetric and neonatal scenario involving a 31-year-old gravida 3 para 2 (2 alive) who presented with complications from a traditional birth attendant (TBA) home and subsequently was delivered of a stillbirth with two maxillary incisors in Rivers State, Nigeria. This case underscores the significance of inadequate antenatal care. It also highlights the challenges parents face in decision-making following the management of a stillbirth with natal teeth
Bioremediation of Soil Contaminated with Crude Oil Using Some of Bacteria
Get PDFBioremediation can be considered as an effective strategy for managing the contaminants from the petroleum hydrocarbons. This paper assesses the bioremediation utility of Bacillus circulans C1 in cleanup of crude oil-contaminated soils surrounding Thi-Qar oil refinery in the laboratory (seasoning region) as well as in field experiments. The initial TPH levels in the soil sample used in the laboratory was 15,000 mg/kg and the soil tested in the field was 18,000 mg/kg. Soil samples treated with Bacillus circulans C1 in the laboratory environment had a first order degradation constant of TPH of 0.798 with a degradation period of 30 days; thus having a reduction of 70% compared to control samples with an overall reduction of only 10%. The subject field test also yielded similar results in a reduction of TPH levels from the plots treated for 60 days, 70 % of the TPH level was reduced in treated sample plots while, 10 % of the total TPH level in the control sample plots. The examinations of soil chemistry showed that the values of PH close to 8 of alkaline reaction, nitrogen increase and the stability of the micronutrient concentrations were crucial for the stimulation of bacterial processes and hydrocarbon leaching. These observations confirm the effectiveness of Bacillus circulans C1 as a strong biological solution to eliminate pollution of water and soil. According to the findings, Bacillus circulans C1 can be regarded as an efficient and eco-friendly method of dealing with contaminated soil and oil spillage, and this work confirms its capability of reducing the levels of the hydrocarbons to a significant level hence making it feasible to apply on a large scale. Performing more studies to fine-tune bioremediation and analyze connections with other microorganisms is advisable
The Spread of Toxoplasmosis in Women within Al-Rifai District
Get PDFToxoplasmosis is a disease caused by a single-celled protozoan parasite called Toxoplasma gondii. Infe
Self-Injurios Behaviour in an Adult with Autism Spectrum Desorder
Get PDFSelf-injurious conduct is a highly maladaptive behaviour that is often associated with severe mental retardation and autism. Research has highlighted the complexity and multifactorial nature of the aetiology of the disorder. In this paper we present, after careful analysis, the treatment of an adult subject with autism spectrum disorder to reduce self-injurious behaviour and teach him more effective and less disabling ‘coping strategies’. The experimental design used is of the criterion-variant type. The analysis of the data showed that the goals set were achieved. In the post-treatment sessions, we achieved extinction of the target behaviour
Public Health in Kashmir: Challenges and Opportunities
Get PDFThis research paper provides an in-depth analysis of the public health landscape in Kashmir, focusing on the region's most pressing challenges and opportunities. The findings highlight key public health issues, such as inadequate healthcare infrastructure, limited access to healthcare in rural areas, and the severe mental health crisis caused by decades of conflict. The paper also examines the effectiveness of government policies and initiatives, as well as the role of non-governmental organizations (NGOs) in addressing these challenges. Using secondary data from various reports, journal articles, and studies, the research underscores the disparities between urban and rural healthcare, maternal and child health issues, and the emerging threats posed by environmental and infectious diseases. Recommendations are provided to enhance healthcare access, improve mental health services, and promote a more equitable healthcare system in Kashmir
Challenges for Improving Nursing Documentation at PHCs, Riyadh, Saudi Arabia
Get PDFBackground: Family and Community Medicine Department is providing quality primary health care service through its 16 peripherals PHCs that are providing direct patients care and performing documentation on patients' charts on electronic nursing records (Rabet system). Each of these peripherals is taking a sample of 10% of their total patient census per session, subject to submission every Sunday of the week for audit for compliance to completeness. Nursing documentation is a legal record and communication for continuity of care; it is an important function of professional nursing practice. The project aimed to examine the current practice of nursing documentation and develop a project for improvement. The project was conducted from January to July 2024. It is based on the fundamental concepts of assessment and documentation.Methods: Nursing documentation uses electronic nursing records (Rabet system) in entering data for each patient and this is the documentation-guiding framework. In this initiative, we approached the problem by multiple interventions. The memo released by the Director of Nursing dated August 02, 2023, asking all the staff nurses to follow strict compliance to documentation completeness criteria in order to improve documentation practice. An audit was continuously conducted weekly from January up to July 2024, followed by a monthly meeting to all Head Nurses citing the full adherence of each staff. Per peripherals there are two staff nurses who are covering the screening area for documentation and with 16 peripherals; two of these peripherals are having 24hrs duty (6 sessions), while the other peripherals they are having regular 3 sessions. Verbal counseling to those staff who are neglecting to complete the documentation process. The nursing documentation completion rates before the implementation of the action plan /intervention were compared with the completion rates after the implementation. The increase in nursing documentation completion rates in post-intervention implementation was attributed to the effectiveness of the intervention.Results: The nursing documentation completion rates during the months when the action plan was still being developed were notably low, with January 2024 at 51%, February at 65%, and March at 81%. After the implementation of the intervention strategy, the completion rates improved, reaching 90% in April 2024, 91% in May and June, and 96% in July 2024. This demonstrates the effectiveness of the intervention implementation in improving nursing documentation compliance.Conclusion: The nursing Documentation Completeness Project had a significant impact on improving the completion rate of nursing documentation. The goal of the project is to guarantee that patient information is regularly and accurately captured by standardizing and optimizing nursing documentation procedures. This project enhances clinical decision-making, lowers the risk of errors, fosters continuity of care, and increases communication between medical personnel.Recommendations: Adopting the Nursing Documentation Completeness Project is suggested as an essential strategy for improving the standard of nursing documentation completeness for effective patient care
Erythrocytapheresis Service in the Basrah: Safety and Efficacy Statistics
Get PDFOne of the methods of treatment of sickle cell anemia is erythrocyte apheresis. This disease is widespread throughout the world, including the Middle East. This study has two goals: describe the erythrocytapheresis service at the Center in Basra (Iraq) taking into account the characteristics of the patients and the type of procedure, as well as show the safety profile of erythrocytapheresis using adverse reaction statistics
In the context of histopsthology, the Role of the Skin Microbiome in Atopic Dermatitis
Get PDFThe skin microbiome role in atopic Dermatitis reveals critical insights into how microbial imbalances contribute to disease pathology. Skin microbiota play a critical role in human and health sickness, such as the processes that underpin development of atopic dermatitis. This review offers researches concerned with the primary focus of microorganisms in skin disease and delineates dysbiosis based on the disease’s pathology. This review also discusses interventions that target the skin microbiota and summarises the relevant literature implications for skin microbiome research. Therefore, the nature of the present review show that more investigations describing the effects of Staphylococcal species on skin diseases may contribute to design new targets for atopic dermatitis and others similar ailments in the future. Moreover, it revealed that there is recognition of the host and microbiome interconnectivity in health and skin homeostasis in the literature. Among the numerous extrinsic and intrinsic factors that disrupt skin microbiota there are many that eventually lead to the development of skin diseases. Imbalance or derangement of a normal microbial skin flora referred to as dysbiosis is evident in atopic dermatitis. The skin is responsive in that it must work as a shield between it and the rest of the world and actively counter act the mechanical and chemical forces most of the time manifested on the skins surface. These lead to changes in their environment in terms of pH, sebum content, water content and skin co-efficient of sweating non specific immunity. Host genetics with environment, commensal organisms and allergens are barriers that must be studied and unmask the pathophysiology of atopic dermatitis and therapeutic management for this disease. Dysbiosis has even been described as a disruption in skin microbiome; over the past decade technology and cost has enabled exploration of the skin and microbiota. Skin Barrier Dysfunction: In AD, the skin barrier is often impaired, creating a favorable environment for pathogenic microbes like Staphylococcus aureus. Histopathologically, this barrier dysfunction is associated with reduced levels of proteins like filaggrin, which leads to abnormal epidermal differentiation and visible changes in the stratum corneum