International Journal of Medical and Health Sciences最新文献

{"title":"Epidemiological and Clinical Characteristics of Egyptian Patients with Hepatocellular Carcinoma: A Single Center Study","authors":"M. El-Assal, S. Alhassanin, A. Hussein","doi":"10.18488/JOURNAL.9/2015.2.11/9.11.177.186","DOIUrl":"https://doi.org/10.18488/JOURNAL.9/2015.2.11/9.11.177.186","url":null,"abstract":"Background: Hepatocellular carcinoma is a common malignancy, which usually develops on top of cirrhosis of viral origin; it is responsible for more than one million deaths worldwide per year. Aim: This study was conducted to identify the epidemiological and clinical characteristics of HCC patients attended Menofia oncology unit in the duration from 2003-2012, Egypt. Methodology: A retrospective analysis of records of 1500 HCC patients attended the Menofia oncology unit .The results: Of the 1500 studied HCC patients, 74.4% (1116) were male, and mean age was 54.98 years. HCV, HBV infection was reported to be 69.8 %, 17.2%, respectively, and 18.6 % were positive for Bilharziasis. Cirrhosis was present in (58.93%) of patients and was classified as Child-A (64.47%), Child-B (26.53 %) and Child-C (9 %). Hepatocellular carcinoma was multifocal/ diffuse in (51.26 %) of patients. 59.8% of patients were presented with metastatic disease. As regard to therapy; (59.6 %) of patients received palliative treatment, meanwhile about 28.1%, 12.3 % underwent other lines of treatment, no treatment, respectively. Conclusion: According to the results of this study, we concluded that most of HCC patients presented at Menofia oncology unit were of advanced stage and poor survival. More effort is needed to discover early HCC cases with high risk factors.","PeriodicalId":13971,"journal":{"name":"International Journal of Medical and Health Sciences","volume":"22 1","pages":"177-186"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72885458","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":"The Correlation between Educational Level and Incidence of Syphilis among Female Sex Workers within 7 Cities in Indonesia in 2007","authors":"Roselinda, N. Puspandari, V. Setiawaty","doi":"10.18488/JOURNAL.9/2015.2.8/9.8.141.149","DOIUrl":"https://doi.org/10.18488/JOURNAL.9/2015.2.8/9.8.141.149","url":null,"abstract":"Background: Syphilis is a chronic disease that may cause disability among patients and the child that is delivered by the patient. It is a sexually transmitted disease (STD), caused by Treponema pallidum. Syphilis may increase transmission of HIV/AIDS. The objective of this article is to reveal prevalence of syphilis and its risk factors among Female Sex Workers (FSWs) in 7 cities in Indonesia in 2007. Methods: The data analyzed in this article is derived from cross sectional study among FSWs in 7 cities in Indonesia in 2007. The respondents were chosen by cluster random sampling from Kupang, Samarinda, Pontianak, Yogyakarta, Timika, Makassar and Tangerang. Blood specimens were collected from respondents who fulfilled the inclusion criteria. The Diagnosis of Syphilis confirmed in accordance with the results of Rapid Plasma Reagen (RPR) and Treponema Pallidum Haemaglutination Assay (TPHA), and the educational data were collected by using structured questionnaire. Results: There were 1750 respondents who had the complete data, 12,2% respondent were diagnosed as Syphilis. The highest prevalence of Syphilis was in Makassar (64,5%). Indirect FSWs had infections 2,22 times higher compared to direct FSWs (RRa = 2,22 ; 95% CI = 1,67 – 2,96 ; p = 0,000). FSWs that never had formal study had 2.48 times higher incidence of syphilis compared to the high school graduates and university degree holders [Adjusted Relative Risk (RRa) = 2,84 ; 95% CI = 1,46 – 5,52 ; p = 0.002].Conclusion: Lack of knowledge because of low education among FSWs and no clinical symptoms in the early stage of syphilis makes its prevalence remained high. The Risk of syphilis among indirect FSWs was higher than the direct ones because of the difficulty to be reached by STD controlling programed.","PeriodicalId":13971,"journal":{"name":"International Journal of Medical and Health Sciences","volume":"124 1","pages":"141-149"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77455151","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":"Determinants of Non-Adherence to Antiretroviral Therapy and Modeling Progression of Adherence Level: At Yirgalem Regional Hospital, Ethiopia; January, 2012","authors":"Zeray Abebe Irano, A. Taye, Tesfalem T. Tessema, H. T. Adane, C. Alemayehu","doi":"10.18488/JOURNAL.9/2015.2.1/9.1.1.14","DOIUrl":"https://doi.org/10.18488/JOURNAL.9/2015.2.1/9.1.1.14","url":null,"abstract":"Non-adherence is a global problem and has been seen in all diseases. According to WHO, adherence to long-term therapies in chronic illnesses averages 50% in developed countries? Adherence to HAART is challenging, because patients need almost perfect adherence of at least 95 percent to keep viral load at undetectable levels as long as possible and maintain the functionality of the immune system. Poor adherence to antiretroviral therapy increases the risk of incomplete viral suppression, disease progression and death. The purpose of this study was to assess the level and factors associated with non-adherence to antiretroviral therapy. A random sample of 368 patients were taken from the ART clinic at Yirgalem Regional Hospital from September 2006 to July 2011.Adherence levels were measured using methods pill count, pill identification test, and self-report. Descriptive statistics and both Bivariate and multivariate Logistic Regression were used to analyzed the data. Homogeneous Semi-Markov Stochastic Model was used to reveal the conditional probability of staying in non-adherence. The Multivariate Logistic Regression Method showed that the gender (sex), family size, social support available to the patients, ART knowledge of the patients, time on ART in month, and baseline CD4 counts/mm3 were significant factors associated with non-adherence to ART medications. The conditional probability of staying in non-adherence, until a given time in month was higher than staying in adherence. Thus, it is suggested that health-care providers need to be watchful about adherence levels of patients. Specifically males, who have been on ART for several months, living in large family members, lack of social support, having high baseline CD4 counts/mm3, and having poor knowledge of ART.","PeriodicalId":13971,"journal":{"name":"International Journal of Medical and Health Sciences","volume":"42 1","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79301973","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":"EFFECT OF DIETARY SUPPLEMENTATION WITH CYPHOSTEMMA DIGITATUM ON SERUM LIPID PROFILE AND LIVER ENZYMES IN HYPERLIPIDEMIC SUBJECTS","authors":"Mohammed A. Al-Duais, Yahya S. Al-Awthan, Q. Nogaim, Aisha Al-Dherasi","doi":"10.18488/JOURNAL.9/2015.2.1/9.1.15.24","DOIUrl":"https://doi.org/10.18488/JOURNAL.9/2015.2.1/9.1.15.24","url":null,"abstract":"Aims: To examine the effects of the administration of CD on lipid metabolism and liver enzymes in hyperlipidemic subjects. Study design: 20 subjects were divided into two groups, each containing ten subjects. Each subject in the 1st group ingested 1g, while the subject in the 2nd group ingested 2g of CD powder as a broth suspension in a single daily dose before lunch during the follow up period of one month. Patients kept their individual diet relatively constant. Methodology: We included 20 hyperlipidemic volunteers (men; age range 20-50 years) of a total of 80 subjects. Blood samples were taken and analyzed for total cholesterol (TC), triglycerides (TG), high density lipoprotein cholesterol (HDL-C), Low density lipoprotein cholesterol (LDL-C), atherogenic index (AI), serum aspartate aminotransferase (AST), alanine aminotransferase (ALT), and alkaline phosphatase (ALP). Results: The results of the present study show a significant decrease in the levels of TC, LDL-C and TG in 1g and 2g of CD administration groups by 12.6, 24.1, 17.1% and 19.9, 25.5 23.4% respectively while the level of HDL-C was significantly increased by 45.6 and 32.5% in 1g and 2g respectively. The atherogenic index (AI) was significantly decreased in 1g and 2g groups by and 47.4% and 45.5% respectively. Our results also show that, CD administration in 1g and 2g subjects causes a significant decrease in ALT and AST by 39.2, 32% and 48.5, 33.3% respectively while the level of ALP was non-significantly decreased. Conclusion: dietary supplementation with CD administration decreased serum lipid profile and liver enzymes in hyperlipidemic subjects. Therefore, it may be regarded as a useful therapy for hyperlipidemia and liver disease. However, further studies are required to compare it with other medicinal plants and with lipid lowering drugs.Place and Duration of Study: Department of Chemistry, Ibb University, Yemen, between February to June 2012.","PeriodicalId":13971,"journal":{"name":"International Journal of Medical and Health Sciences","volume":"311 1","pages":"15-24"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76277961","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 Stunting and Associated Factors among Under Five Children in Wondo Genet Woreda, Sidama Zone, Southern Ethiopia","authors":"Yadessa Tegene Woldie, T. Belachew, Dejene Hailu, T. Teshome, Hordofa Gutema","doi":"10.18488/JOURNAL.9/2015.2.2/9.2.36.49","DOIUrl":"https://doi.org/10.18488/JOURNAL.9/2015.2.2/9.2.36.49","url":null,"abstract":"Background: Stunting is a serious health problem and deep rooted in southern Ethiopia of poor diet, in adequate food intake, disease burden, population growth, poor health service delivery and repeated drought. Objective: to assess the prevalence of stunting and associated factors among under five year’s old children in the study area. Methods: This cross sectional study was conducted in Wondo Genet Woreda from February, 25 to March 15, 2011. The sample size was determined using formula for estimating single population proportion. The sample size was determined using formula for estimating single population proportion. Three Kebele’s were selected by stratified two stage cluster sampling method and study households were identified by simple random sampling technique from each ‘Kebele. The data was analyzed using SPSS v.16.0 statistical software version16.0. For all statistical significance tests, the cut- off value set will be p","PeriodicalId":13971,"journal":{"name":"International Journal of Medical and Health Sciences","volume":"11 1","pages":"36-49"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79148921","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":"Correlation between Certain Complications and Health Education Program among Non-Insulin Dependent Diabetes Miletus Patients","authors":"H. F. Almola, Riyadh Hamed","doi":"10.18488/JOURNAL.9/2015.2.10/9.10.171.176","DOIUrl":"https://doi.org/10.18488/JOURNAL.9/2015.2.10/9.10.171.176","url":null,"abstract":"Background: A total of 150 diabetic patients were selected retrospectively from Khartoum State Diabetic Care Centers, this group divided to two equal groups, had been analyzed using the certain complications of non-insulin dependent diabetes mellitus patients after implementation of health education program. Group (cases) the program was implemented and the other group was considered as a control (75 patients for each group). Objective: The aim of the study to evaluate the correlation between the Health education program and complications among non-insulin dependent diabetes Miletus patients. Results: Reveals that the controls & intervention group had the same basic knowledge about DM complications at pre-test. Knowledge relevant to complications of DM was improved as a result of educational program in the intervention group in the immediately post-test. The level of knowledge were shown some decline in follow up test after 15 months the level of knowledge were significantly higher than the pre-test program another had, significant differences between intervention & control group was found. Shows foot care practiced among the studied patients before and after the program and after 15months of the program. Practicing good foot care was not done by a high percentage of our studied patients before program intervention. The most common practiced was washing the feet daily (46.7%). The least practiced foot care was asking the doctors for food exam (6.7 %), then management of minor foot complications (8.00%). Immediately after the program, there significant improvement was observed in the practices of foot care, as started to avoid activities that injure the feet, washed their feet daily, and chooses footwear (78.7%, 88%, and 65.3% respectively). Statistically significant was found between both groups (intervention and control) regarding foot care practiced compound to pre-program. Conclusion: In this study population, the Health education program of non-insulin dependent diabetes Miletus patients its relation diabetic complication determined.","PeriodicalId":13971,"journal":{"name":"International Journal of Medical and Health Sciences","volume":"2 1","pages":"171-176"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78827847","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":"FNAC OF NORMAL SIZE PAEDIATRIC LYMPH NODES: IS IT JUSTIFIED?","authors":"G. Jain, Deep J. Kalita, L. Pant, Sompal Singh","doi":"10.18488/JOURNAL.9/2015.2.6/9.6.118.121","DOIUrl":"https://doi.org/10.18488/JOURNAL.9/2015.2.6/9.6.118.121","url":null,"abstract":"This study was performed to assess utility of FNAC in normal size paediatric lymph nodes and to compare cytological findings in these normal size lymph nodes with enlarged lymph nodes. Two years retrospective study included all paediatric (age ≤ 14 years) patients referred to our department of cytopathology, for fine needle aspiration of lymph node swellings. Total 1524 lymph node FNAs were performed in 2011-12. Among these 484 (31.8%) were paediatric cases and were included in the study. Out of these cases 293 (60.5%) were normal by size and 191 (39.5%) were enlarged lymph nodes. It was observed that fine needle aspiration is more useful in large lymph node lesions than normal size lymph nodes for specific diagnosis. Still owing to small but finite possibility of finding specific lesions in normal sized lymph nodes, cytological examination of these cases is still recommended.","PeriodicalId":13971,"journal":{"name":"International Journal of Medical and Health Sciences","volume":"05 1","pages":"118-121"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85899812","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":"Observations About The Principal Components Analysis And Data Clustering Techniques In The Study Of Medical Data","authors":"C. Dascălu, C. D. Cozma, E. Cotrutz","doi":"10.5281/ZENODO.1085330","DOIUrl":"https://doi.org/10.5281/ZENODO.1085330","url":null,"abstract":"The medical data statistical analysis often requires the\u0000using of some special techniques, because of the particularities of\u0000these data. The principal components analysis and the data clustering\u0000are two statistical methods for data mining very useful in the medical\u0000field, the first one as a method to decrease the number of studied\u0000parameters, and the second one as a method to analyze the\u0000connections between diagnosis and the data about the patient-s\u0000condition. In this paper we investigate the implications obtained from\u0000a specific data analysis technique: the data clustering preceded by a\u0000selection of the most relevant parameters, made using the principal\u0000components analysis. Our assumption was that, using the principal\u0000components analysis before data clustering - in order to select and to\u0000classify only the most relevant parameters – the accuracy of\u0000clustering is improved, but the practical results showed the opposite\u0000fact: the clustering accuracy decreases, with a percentage\u0000approximately equal with the percentage of information loss reported\u0000by the principal components analysis.","PeriodicalId":13971,"journal":{"name":"International Journal of Medical and Health Sciences","volume":"26 1","pages":"162-166"},"PeriodicalIF":0.0,"publicationDate":"2008-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82491130","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}