Health science journal最新文献

{"title":"Sexual Dysfunction and Its Predictors amongMale Patients with Epilepsy Attending PublicHospitals, East Ethiopia: A Cross-Sectional Study","authors":"Bahar Suleyman, Sewbesew Yitayih, T. Fanta, Alemi Kebede, Derebe Madoro","doi":"10.36648/1791-809X.21.15.841","DOIUrl":"https://doi.org/10.36648/1791-809X.21.15.841","url":null,"abstract":"Introduction: Sexual dysfunction is common Comorbid conditions in patients with epilepsy; however, its causes are complex and multifactorial. Nearly five fold increased risk compared to the general population. However, there is limited study that examined prevalence and determinants of sexual dysfunction among male epileptic patients. Objective: To determine prevalence of Sexual Dysfunction and its predictors among male epileptic patient attending public hospitals, East Ethiopia. Methods: An institutional-based cross-sectional study was conducted between May 15 - June 15, 2019 among 581 participants, who were selected using a systematic random sampling technique. A sexual dysfunction was measured by the Change in Sexual Functioning Questionnaires (CSFQ-M-C) Clinical Version. The association between outcome and independent variables was identified by bi-variable and multivariate logistic regression. Finally, variables with P-value less than 0.05 were considered statistically significant at 95% CI. Results: The prevalence of global sexual dysfunction was 59.4 % with 95% CI - 57.6, 64.9. Factors like, age ≥ 45 years (AOR - 5.43; 95% CI - 1.22, 7.18), uncontrolled seizure (AOR - 3.11; 95% CI-1.8, 5.29), current khatuse (AOR - 3.66, 95% CI - 2.21, 6.04) and psychological distress (AOR - 2.01; 95% CI - 1.19, 3.38) were significant predictors. Conclusion: The question of sexual activity should be raised by health-care professionals as a routine part of the management of patients with epilepsy and needs to refer to psychiatry clinic accordingly.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"114 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88013784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Voluntary Medical MaleCircumcision and Factors Associated withLow Uptake amongMen Aged 20 Yearsand Older in Mpanda Municipal Council","authors":"Alex H Semwali","doi":"10.36648/1791-809X.15.1.795","DOIUrl":"https://doi.org/10.36648/1791-809X.15.1.795","url":null,"abstract":"Background: Voluntary Medical Male Circumcision (VMMC) is among the important and popular interventions for the prevention of new HIV infections. The overall coverage of male circumcision is still low to some of the regions especially Katavi region The situation is worse among adults this is known due to high numberof young boysattending VMMC clinicsThis study assessed prevalence and factors affecting VMMC uptake among 20 years and older in Mpanda Municipal Council. Methods: Cross-sectional community based study was undertaken in Mpanda Municipal council in Katavi Region , from August 2017 toSeptember 2018.Multistage sampling was used to obtainvillages then households with study participants. A total of 570 men were interviewed. Quantitative data were analyzed using logistic regression. Results: Overall uptake of VMMC among men aged 20 years and older islow only (53.5%). Majority of respondents were knowledgeable on VMMC with 92.2% (525).However, more than half of the respondents393 (69%) know health benefits of VMMC andreported that HIV could be prevented through medical Male Circumcision. 508(88%) of the respondents reported that the service was accepted by the community. Regarding on the Factorsreportedto affect VMMCincludes servicesdiscourages men to take the services (P-value= 0.001), Services conducted in few days per week (special days) (P-value<0.001) and cultural beliefs of not taking circumcision(P-value= 0.033.), services encourages other to go for the service (P- value <0.001). Regarding onhealth personnel negative behavior of not observing confidentiality(P-value 0.0250). Conclusion: In general, the Uptake of Voluntary Medical Male Circumcision was found to be high as compared to the TACAIDS report of 2013. Few days of the service, Health workers behavior was among the factors showed significant association in VMMC service provision. Therefore, there is a need of addressingand strengthening VMMC in all health facilities and equip health facilities with adequate and competent health workers.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90617531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Save Our Cities 2021: Building Sustainable, Resilient, and Healthy Cities by 2030 through Prevention of and Reduction in Spread of Disease","authors":"Nicholas Kokiko","doi":"10.36648/1791-809X.21.S3.004","DOIUrl":"https://doi.org/10.36648/1791-809X.21.S3.004","url":null,"abstract":"For many individuals, cities are the hubs for which all facets of their life revolve around. The COVID-19 pandemic poses a threat to the health and wellbeing of individuals as well as the sustainability of cities in the future. Cities are a resource hub that have existed for thousands of years. Today’s cities not only provide jobs for millions of people but also function as a place to get educated and interact with other people. Throughout history, cities have been faced at some point with the need to increase their capacity to meet the needs of residents especially during times of distress. The COVID-19 pandemic poses a challenge to cities that do not have the necessary health infrastructure in place when it comes to dealing with pandemics. The very nature of cities-being interconnected to one another primarily through transportation-can be antithetical to any progress made at slowing down the spread of the virus. In the today’s globalized world, people move from one place to the other instantaneously in a very seamless manner. Such movements lead to the creation of so many networks among people who might have never even met face-to- face. As a result, government stakeholders have to exercise the highest form of leadership when it comes to addressing the daily needs of the populace. The government response to this pandemic is also one that needs to be timely since an untimely response not only adds an additional burden to health systems but also leads to mass casualties. With so many variable factors, this paper seeks to explore what a 21st century campaign aimed at tackling COVID-19 ought to have. Throughout this paper, there is special emphasis on contextualizing the response of a city based on trusted data that looks at the local context at hand as well as the heterogeneous makeup of the population being served.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"57 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89799547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Induced Abortion and Its Associated Factors among Reproductive Age Group Women in Debre Markos Referral Hospital, Amhara region, Northwest Ethiopia","authors":"Sileshi Berihun, Enat Kefyalew, H. Tadele, Belsity Temesgen","doi":"10.36648/1791-809X.21.15.852","DOIUrl":"https://doi.org/10.36648/1791-809X.21.15.852","url":null,"abstract":"Background: Nearly 56 million induced abortions (safe and unsafe) were performed worldwide every year between 2010-2014, and from these about 25 million accounts for unsafe abortion and over half of all estimated unsafe abortions globally had taken place in Asia. In developing countries, the risk of death following complications of unsafe abortion procedures was several hundred times higher than that of an abortion performed professionally under safe conditions. Worldwide women of all ages seek abortion, but there was highest burden of illness and deaths due to abortion among the youths. So, the aim of this study was to assess induced abortion and its associated factors among reproductive age group women in Debre Markos Referral Hospital, Northwest Ethiopia. Methods: Institutional based cross sectional study design was conducted in Debre Markos Referral Hospital among reproductive age group women from September, 1/2017 to December, 20/2017. Sample size was determined by using single population proportion formula. Systematic sampling technique was used. The data were entered into Epi-Data version 3.1 and were exported to SPSS version 23 software for further analysis. Logistic regression model was fitted to determine the predictors of induced abortion and those variables with p value <0.2 in binary logistic regression were entered into a multi-variable logistic regression analysis. Finally variables with a p value of <0.05 in multi-variable logistic regression model were declared as statistically significant. Result: In our finding the magnitude of induced abortion was 32(18.2%). Unwanted pregnancy [AOR=0.28 (95%CI (0.87-0.89)], utilizing of family planning [AOR=7.4 (95%CI) (2.7-20.3)], maternal illness in the last one month [AOR=4.28 (95%CI) (1.27- 15.1)] were statistically significant factors associated with induced abortion. Conclusion: This study had shown the undeniable fact that the problem of induced abortion was still the highest as compared with previous studies. Majority of induced abortion was the result of unwanted pregnancy. Federal ministry of health in collaboration with different stake holders had better work on strengthening comprehensive reproductive health education, particularly on the consequences of abortion.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83331972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Search for the Truth aboutHydroxychloroquine Prophylaxis ofCovid-19","authors":"Elena Filipova, Elitsa Gotseva, K. Uzunova, V. Pavlova, S. Hristova, T. Vekov","doi":"10.36648/1791-809X.21.S3.005","DOIUrl":"https://doi.org/10.36648/1791-809X.21.S3.005","url":null,"abstract":"Introduction: COVID-19, caused by the coronavirus SARS-CoV-2 has quickly spread around the world. Currently there is an active search for vaccines and therapeutics, including repurposing of well-known drugs. COVID-19 continues to be a challenge with only a few therapeutic and no chemoprophylactic interventions to combat the virus. Methods: We aimed to review available data for the application of hydroxychloroquine (HCQ) as a chemoprophylactic agent for COVID-19, outline weakness of published trials and assess the objectivity of conclusions regarding the possible benefits of HCQ prophylaxis against the novel coronavirus disease. Results: Our search turned 15 articles describing trials investigating the application of HCQ as a chemoprophylactic agent for COVID-19. Different cohorts of subjects were used, mainly health care workers exposed to coronavirus patients; people with rheumatic arthritis and systemic lupus erythematosus; cases of household transmission. Conclusions: Trials investigating the potential of HCQ to be a prophylactic agent for SARS-CoV-2 have quite conflicting results. Further research is required in the form of large randomized trials with carefully considered methodological approach which will help avoid limitations making the potential results unreliable.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77186572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the Analgesic Effectof Intramuscular Pethidine andIntramuscular Morphine on anOrthopedic Population in a CaribbeanTerritory","authors":"Michele A Ragoonath, Dale Ventour","doi":"10.36648/1791-809X.15.2.806","DOIUrl":"https://doi.org/10.36648/1791-809X.15.2.806","url":null,"abstract":"Introduction: Comparison of the analgesic effect of Intramuscular Pethidine and Intramuscular Morphine on an Orthopedic Population. Settings and Design: 1) Single Blinded Randomized Controlled study: Patients were divided into Morphine group or Pethidine group 2) Patient Satisfaction survey was administered to patients at the end of stay. Material and Methods: 1) Visual Analogue Scores (VAS) were taken at eight hourly intervals for three consecutive days or until the day of discharge. Incidence of opioid related complications was noted 2) A patient satisfaction survey was administered at the end of stay. Statistical Analysis: Average VAS during movement on day one during the 8am to 4pm period was calculated for both the morphine group and pethidine group. The percentage decrease in VAS was calculated for morphine vs. pethidine group on movement on Day 1. Pearson’s correlation was used to assess the relationship between opioid, side effects and overall patient satisfaction. T-test was used to evaluate the relationship between morphine, pethidine and twenty-four-hour pain relief.A one-way ANOVA test was used to evaluate the statistical significance between the morphine and the pethidine group and patient satisfaction. Results: The morphine group as compared with the pethidine group experienced an 18.5% decrease in Visual Analogue Score for pain on movement on day 1 (8 am-4 pm period). The morphine group was associated more drowsiness and prolonged time to first bowel action compared to the pethidine group. Only 1.4% (1) of patients experienced desaturation during the study which occurred in the morphine group. Overall, opioids were associated with minimal side effects and were generally safe to use. Patients who underwent regional anaesthesia used more morphine equivalents compared to those undergoing general anaesthesia. The morphine group was associated with overall increased patient satisfaction when compared to the Pethidine group. Conclusion: The study demonstrated a notable 18.5% decrease in VAS on movement with the morphine group as compared to pethidine group. Statistical significance was placed at 15%. Opioids were found to have a limited adverse side effect profile, with drowsiness and time to first bowel action being the most predominant. Only one patient representing 1.4% of the population had an episode of desaturation (Sp02 < 90%). Due to the minimal side effect profile opioids should be considered safe to use.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"142 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77341509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strength Training as an Assistant Tool in the Prevention of Falls in Elderly Sarcopenics: a Review","authors":"Jerônimo Ramos de Lima Silva, M. D. D. Silva, Adelmo José de Andrade, Katarina Kelly Dias Fern, es, P. P. Gomes, G. Santos, Thiago de Amorim Carvalho, Matheus Santos de Sousa Fern, Camila Tenório Calazans de Lira","doi":"10.36648/1791-809X.15.2.804","DOIUrl":"https://doi.org/10.36648/1791-809X.15.2.804","url":null,"abstract":"An elderly society has been growing gradually in Brazil and after retirement some tend to show levels of sedentary behavior index. In addition, the aging process creates a weakness in physical and emotional health, in addition to other things, the increase in the number of falls, caused by dysfunction and loss of muscle mass, called Sarcopenia. Considering all the benefits of strength training for the most varied audiences and that the aging process is gradual and irreversible resulting in the development of Sarcopenia that tends to worsen with the lack of physical exercises, the objective of this study was to investigate how strength training can generate benefits in elderly people who present with Sarcopenia and promote the reduction of falls. From a literature review in the Scielo and PubMed databases, eight articles were selected to compose the results. Thus, it was possible to conclude that this protocol is known as an alternative for the prevention of falls due to Sarcopenia, since it is capable of promoting a significant increase in muscle mass, as well as improving the balance and functional capacity of the elderly.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"131 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77612621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiovascular System and SARS-COV-2 andndash; Etiology, Physiopathology and Clinical Presentation: a Systematic Review","authors":"Lucas de Alencar Viana Melo, Wantuil Matias Neto, M. Neto","doi":"10.36648/1791-809X.21.15.845","DOIUrl":"https://doi.org/10.36648/1791-809X.21.15.845","url":null,"abstract":"Background: During SARS-CoV-1 and MiddleEast Respiratory Distress Syndrome (MERS) outbreaks, a particularlyelevated incidence of cardiovascular disease among patients was observed. With COVID-19, this correlation becomes evident again. However, the cardiovascular impacts by COVID-19 pandemic are not yet well established although there are constant publications about its potential deleterious effects. Thus, we aimed to carry a systematic review of the literature with meta-analysis based on thefollowing guiding question: what practical contributionsto the scientific literature produced in theperiod of 2019-2020 does the impact of the COVID-19 on cardiovascular system have to offer? Methods: A systematic review of the literature using the Virtual Health Library (VHL) and PubMed with the following descriptors: #1 \"cardiovascular disease\" [MeSH] AND #2 \"COVID-19\" [keyword], as well as their equivalents in the Portuguese and Spanish language, during the period from December 2019 to March 2020 was performed. Results: one hundred articles are found in Pubmed and twenty-seven are selected. In VHL there were 59 articles and four are selected totaling thirty-one papers. The findings were then divided into three subcategories: Etiology, Physiopathology and Risk factors of SARS-CoV-2 in Cardiovascular System; Clinical presentation, laboratory markers and imagenological aspects of SARS-CoV-2 in cardiovascular system; and Anti- Hypertensive Drugs, Cardiovascular System and SARS-CoV-2. Conclusions: It comes to the cardiovascular system, these issues are aggravated and urge as a joint commitment from researchers, medical and governmental organizations for carry out more robust studies with bold methodologies aimed at mapping prognostic factors and assertive therapeutic approaches in the management of cardiovascular complications of COVID- 19.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74357909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unmet need for Family Planning and Associated Factors among Married and Union Reproductive-Age Women with Disability in Southern Ethiopia: Cross Sectional Study","authors":"Yibeltal Mesfin","doi":"10.36648/1791-809X.15.1.800","DOIUrl":"https://doi.org/10.36648/1791-809X.15.1.800","url":null,"abstract":"Background or Objectives: Ethiopia has high fertility rate which around 1% of the population is affect by one from of disability. However, a little know about factor affecting unmet need of family planning to disabled women. The aim of this study was to assess the unmet need for family planning and associated factors among married disabled women in southern Ethiopia. Methods: A community-based cross-sectional study was conducted among 312 disabled married and union women. Simple random sampling was adopted. Data were collected by four diploma midwife and one of them proficient in sign language. Epi-info TM version-7 and SPSS version 20 for were used for entry analysis of data respectively. Result: The prevalence of unmet family planning among disabled married and union were 25.17%. Factor significantly associated with unmet need for family planning were: age group 20-24 (AOR=5.4:95% CI,1.6-18.4) time more than age above 30, not discussed with their partners and negative attitude (AOR 3:95% CI, 1.3-7.1) & (AOR 2.4:95% CI, 1.1-5.6) times more likely than counterparts respectively. Conclusion: The level of unmet need of family planning methods was high among disabled married and union women and factors significantly associated were age, discuss with partner and attitude. Therefore governmental and non-governmental organizations should work on case by case. Male involvement on reproductive discussion should address.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75821745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hypoglycemic Influence of PhytochemicalCompounds of Medicinal Plants and theirMechanism Action","authors":"Walaa Fikry","doi":"10.36648/1791-809X.15.3.815","DOIUrl":"https://doi.org/10.36648/1791-809X.15.3.815","url":null,"abstract":"Diabetes is very common among all social classes and among all age groups. Diabetes is represented in two types, the first type and usually it comes at a young age, and its main reason is the failure of the pancreas, which is the organ responsible for producing insulin, which is the hormone responsible for the metabolism of glucose, which causes its rise in diabetes, the second type and most often affects people after the age of 20 who have it. Some of the factors that cause diabetes, in which the pancreas is an active organ that produces insulin and performs its function, but there is something that prevents it from doing its job due to the presence of insulin resistance, and this is often what appears in people with obesity. Modern science has turned to alternative medicine to treat many diseases, including type 2 diabetes, in order to reduce the side effects of prescription drugsIn this review, some natural compounds will be summarized that may contribute to treating type 2 diabetes or trying to control and control it so that no complications occur.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85475577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}