Central Asian Journal of Global Health最新文献

{"title":"Examining Students' Motivations to Pursue a Bachelor's Degree in Nutrition","authors":"Allison Moreno Arriaga, R. Terán, Cecilia Flores Martínez, M. J. Zamora, Hilda Lissette López Lemus, Cuauhtémoc Sandoval Salazar","doi":"10.5195/CAJGH.2019.378","DOIUrl":"https://doi.org/10.5195/CAJGH.2019.378","url":null,"abstract":"Introduction: With high level of obesity in Mexico, there is a growing need to train more students in nutrition. Understanding what motivates students to choose pursuing degree in nutrition is very important for in post-secondary education. Better understanding of motivating factors may help educators to make sure that students complete their degress. The aim of this paper was to determine factors influencing student motivations for pursuing a bachelor's degree in nutrition at the University of Guanajuato. Methods: This was a survey study targeting 50 students at the University of Guanajuato. Questions in the survey targeted the following issues: general student characteristics, main reason for the choice of study area, objectives of higher education, university study field, and future plans. The descriptive statistics were calculated for the data obtained. The Z test was applied to analyze the differences between the ages. Results: The mean age of these students was 19 years; 74% were female while 26% were male. The students reported that the main reason for choosing a career in nutrition was personal preference and pointed out that such degree will give them better career options in the future, including better financial renumeration in comparison to other careers. Most of the students stated that their main reason for choosing University of Guanajuato was its prestige at the national and international level. Conclusions: Our study corroborates previously published study suggesting that students pursuing healthcare professions are motivaed by prestige and financial renumeration. With importance of nutrition in tackling obesity epidemic, it is very important to continue research on factors motivating students to choose careers in nutrition","PeriodicalId":42537,"journal":{"name":"Central Asian Journal of Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43464088","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":"Evaluation of micronuclei in oral mucosa of individuals exposed to ionizing radiation: a pilot study from Celaya, México","authors":"N. Padilla-Raygoza, María del Rocio Adame Gutiérrez, Itza Zelene Moreno Martínez, V. Beltrán-Campos, Silvia del Carmen Delgado-Sandoval, María de Lourdes García-Campos, M. Sosa-Aquino, T. Córdova-Fraga, R. Guzmán-Cabrera","doi":"10.5195/cajgh.2019.331","DOIUrl":"https://doi.org/10.5195/cajgh.2019.331","url":null,"abstract":"Introduction Occupational exposure to ionizing radiation can potentially lead to adverse health effects, including cancer and genetic defects. Genetic damage caused by radiation can be detected if micronuclei are observed. The objective of this pilot study was to detect the presence of micronuclei in cells of the oral mucosa in inidividuals occupationally exposed to ionizing radiation. Methods We implemented a pilot case-control study in which we compared oral mucosa micronuclei in 30 medical and nursing personnel in radiology centers in Celaya, Mexico, with 30 volunteers not exposed to ionizing radiation recruited from a public University. The oral mucosa was brushed and the amount of micronuclei was quantified. Chi-square test or t-test for two proportions were used to compared ionizing radiation and genetic damage between exposed and non-exposed groups. Results The exposed group had an average of 5.37 ± 3.49 micronuclei and the non-exposed had 0.37 ± 0.61 (P<0.01). In the exposed group, 90% of participants exhibited genetic damage compared to 6.67% in the unexposed group (P<0.05). Conclusion In this pilot study, medical and nursing staff from radiology centers presented with higher genetic damage compared to control group. Further studies are needed to identify the prevalence of genetic damage due to occupational radiation exposure in Mexico.","PeriodicalId":42537,"journal":{"name":"Central Asian Journal of Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42043718","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":"Sero-Occurrence of HBV/HCV Co-infection and Levels of Liver Enzymes among Patients at a Tertiary Care Hospital in Central India: a Pilot Study","authors":"P. Desikan, A. Rangnekar, Z. Khan, N. Panwalkar, P. Bose, H. Gulwani, S. Kaur","doi":"10.5195/cajgh.2019.313","DOIUrl":"https://doi.org/10.5195/cajgh.2019.313","url":null,"abstract":"Introduction Hepatitis B and C viral infections share common modes of transmission and account for a large proportion of liver disease burden across the globe. Patients with Hepatitis B (HBV) and Hepatitis C virus (HCV) co-infection may have more severe liver disease and are potentially at higher risk for developing hepatocellular carcinoma. The aim of this study was to assess the sero-occurrence of HBV/HCV co-infection by examining the medical records of tertiary care hospital patients in Central India and determine the extent of liver damage based on liver function tests (LFTs). Methods Patients with a positive test for HBV surface antigen (HBsAg) over a period of 10 years were identified from laboratory records in a tertiary care facility in central India. Records of 51,075 consecutive non-duplicate blood samples were then screened for a positive HBV and HCV tests. LFT, liver enzymes, and bilirubin data were also extracted. Means and standard deviations were determined for continuous variables, and the difference in means was compared using a independent samples t-test. Associations between HBV/HCV co-infection status and demographic variables were calculated using Pearson’s Chi-squared test. A p-value less than 0.05 was considered statistically significant. Results In this study, 1674 (3.27%) screened patients were positive for HBsAg and the sero-occurrence of co-infection with HCV in HBsAg positive patients was reported in 28 individuals (1.67%). There was no significant gender difference for HBV/HCV co-infection (p>0.05). HBV/HCV co-infection was observed more frequently in the 31–60 year old age group (p=0.001). HBV/HCV co-infected patients had significantly higher levels of liver enzymes and bilirubin than those with HBsAg mono-infection (p=0.001). Conclusion Liver function tests are potentially important predictors for HBV/HCV coinfection. Screening for HCV co-infection in HBsAg-positive patients is recommended in India. Detection of co-infection may enable timely preventive/therapeutic interventions aimed at preventing progression to hepatocellular carcinoma.","PeriodicalId":42537,"journal":{"name":"Central Asian Journal of Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47430831","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":"Screening Procedure for Hemihypertrophy: Preliminary Results of International Multicenter Prospective Study","authors":"M. Vaiman, Phillip Shilco, Yulia Roitblat, N. Padilla-Raygoza, Aidan Leit, A. Kavin, Edan Schonberger, Liliia Nehuliaieva, Noa Buchris, M. Shterenshis","doi":"10.5195/cajgh.2019.336","DOIUrl":"https://doi.org/10.5195/cajgh.2019.336","url":null,"abstract":"Introduction Isolated or congenital hemihypertrophy is a rare disorder characterized by asymmetric overgrowth of one side of the body. This article describes the protocol and preliminary results of a lateral body asymmetry (hemihypertrophy) screening procedure performed in healthy adolescents in a multicenter study. The reported incidence of hemihypertrophy varies between different publications and standardized protocols are needed to improve research in this area. Methods Our screening program is taking place in Australia, Israel, Mexico, Ukraine and USA. Procedure includes two steps: (1) “three measurements – three questions” screening, or assessment of face, palms, and shins; (2) in-depth assessment of selected cases in order to exclude localized, lesional, and syndrome-related cases as well as body asymmetry within normative range and to select suspected cases of isolated hemihypertrophy. This step includes measurements of various anatomical regions and a detailed questionnaire. Results At this stage, the screening procedure is completed and the selected participants are advised to refer to medical institutions for further clinical and genetic follow up to exclude possible tumors and other accompanying disorders. Conclusion We present an easy-to-use selection tool to identify children with suspected IH, which results in the selection of the risk group that may benefit from referral to a pediatrician and a clinical geneticist.","PeriodicalId":42537,"journal":{"name":"Central Asian Journal of Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48881810","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":"Interval Hysterectomy for Placenta Percreta - a Case Report.","authors":"Mohammad Sazzadul Huque,&nbsp;Mini Ravi","doi":"10.5195/cajgh.2019.345","DOIUrl":"10.5195/cajgh.2019.345","url":null,"abstract":"<p><strong>Introduction: </strong>Placenta percreta is an abnormality of placentation where it invades the serosa and can go beyond it. Complications include massive hemorrhage, bladder dysfunction, and severe infections during delivery. The aim of this study is to report a complex case of placenta percreta managed by interval hysterectomy.</p><p><strong>Case presentation: </strong>Pre-operative: 34 years old patient with previous three cesarean sections was followed in antenatal clinic. She came with repeated bouts of vaginal bleeding at 30-31 weeks. At 32 weeks and 4 days classical cesarean section was done with placenta left in situ. Prophylactic bilateral internal iliac artery balloon was inserted. Post cesarean section, uterine artery embolization was performed. Post-operative: Clinical features of pulmonary embolism (PE) developed about 4 hours later. Post-Operative Day 13: Total abdominal hysterectomy was done. After few days of discharge, the patient presented to the emergency department with shortness of breath. She was consequently diagnosed with chronic pulmonary embolism and treated with warfarin.</p><p><strong>Conclusion: </strong>This is a case of placenta percreta managed by interval hysterectomy. However, the most widely accepted method of management is cesarean hysterectomy. In this case, interval hysterectomy was done due to the possibility of bladder invasion by placenta, to decrease the amount of blood loss and to reduce the number of days stayed in hospital. Appropriate management for the patient must be personalized, whether it is by cesarean hysterectomy or interval hysterectomy, as each has risks and benefits.</p>","PeriodicalId":42537,"journal":{"name":"Central Asian Journal of Global Health","volume":"8 1","pages":"345"},"PeriodicalIF":0.0,"publicationDate":"2019-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5195/cajgh.2019.345","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37064691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Extent of Symptoms on Benign Prostatic Hypertrophy among Male Employees of Selected Government Agencies","authors":"Marlou R. Savella, Alegria F. Oandasan, Glicerio A. Savella","doi":"10.7828/ajoh.v10i1.1405","DOIUrl":"https://doi.org/10.7828/ajoh.v10i1.1405","url":null,"abstract":"","PeriodicalId":42537,"journal":{"name":"Central Asian Journal of Global Health","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76152469","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":"Nutritional Status, Wash in Schools, and the Academic Achievement of Public Elementary School Pupils","authors":"Oasia C. Reciña, Jolly D. Puertos","doi":"10.7828/ajoh.v10i1.1408","DOIUrl":"https://doi.org/10.7828/ajoh.v10i1.1408","url":null,"abstract":"","PeriodicalId":42537,"journal":{"name":"Central Asian Journal of Global Health","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87524004","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":"Knowledge and Perception of Diabetes and Available Services among Diabetic Patients in the State of Qatar.","authors":"Al-Anoud Al-Thani, Aiman Farghaly, Hammad Akram, ShamsEldin Khalifa, Benjamin Vinodson, Alma Loares, Abdul-Badi Abou-Samra","doi":"10.5195/cajgh.2019.333","DOIUrl":"10.5195/cajgh.2019.333","url":null,"abstract":"<p><strong>Introduction: </strong>Diabetes is a major public health concern in Qatar. This study examined diabetes knowledge and perception of available services for diabetes control among diabetic patients in Qatar.</p><p><strong>Methods: </strong>Data from 300 diabetic patients were collected through face-to-face interviews using a semi-structured questionnaire between February and May 2015 at Hamad Medical Corporation healthcare facilities in Qatar. Survey responses were represented as frequencies, and Chi-square tests were used to compare proportions across gender. A p-value of 0.05 was considered statistically significant.</p><p><strong>Results: </strong>31% of patients had Type 1 Diabetes (T1D) (females 36.6%, males 26.5%) and 54% had Type 2 Diabetes (T2D) (males 56.6%, females 50%). Knowledge about diabetes types did not differ by sex (P=0.16). 32.3% of patients were treated for diabetes-related complications including: high cholesterol (39.2%), vision problems (33.1%), hypertension (30.0%), and foot problems (25.1 %). Most patients were diagnosed at primary care clinics (41.7%). During visits, 78.3% of patients reported that they were fully advised about different diabetes tests. 57.0% of patients had ≥4 visits for diabetes checkups in the past 12 months. 66.7% of patients reported that they were confident or very confident in managing their diabetes as a result of their healthcare visits in the past year. The majority of patients reported receiving diabetes-related guidance from physicians (89.7%).</p><p><strong>Conclusions: </strong>Study participants had variable knowledge of diabetes, its complications and risk factors, and services available to diabetics. More comprehensive education and awareness about diabetes is recommended for both patients and family members. At the provider level, further improvement in patient counseling and promotion of available services can be beneficial.</p>","PeriodicalId":42537,"journal":{"name":"Central Asian Journal of Global Health","volume":"8 1","pages":"333"},"PeriodicalIF":0.0,"publicationDate":"2019-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37064689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estimating Maternal Mortality in Remote Rural Regions: an Application of the Sisterhood Method in Tajikistan.","authors":"Kylea Laina Liese,&nbsp;Heather Pauls,&nbsp;Sarah Robinson,&nbsp;Crystal Patil","doi":"10.5195/cajgh.2019.341","DOIUrl":"https://doi.org/10.5195/cajgh.2019.341","url":null,"abstract":"<p><strong>Introduction: </strong>The sisterhood method of maternal mortality data collection and analysis provides a validated framework for estimating maternal mortality ratios in situations of limited infrastructure. The aim of this study is to assess sub-national maternal mortality in the Badakhshan region of Tajikistan using the sisterhood method as part of a larger ethnographic study on maternal risk.</p><p><strong>Methods: </strong>In 2006-2007, 1004 married women of reproductive age in Gorno-Badakhshan Autonomous Oblast, Tajikistan were surveyed using the sisterhood method. Respondents were asked eleven questions about the sex, age and survivorship of all children born to the respondent's mother.</p><p><strong>Results: </strong>Using a national total fertility rate (TFR) estimate of 4.88, the maternal mortality ratio (MMR) in Tajik Badakhshan was 141 maternal deaths per 100,000 live births (95% CI 49-235). The lifetime risk of maternal death was 1 in 141 (95% CI 34-103).</p><p><strong>Conclusion: </strong>Given the inherent time-lag of the sisterhood method, precise estimates of maternal mortality are dependent on accurate TFRs, which may vary based upon regional experiences of demographic transitions. Socio-political instability and the dismantling of Soviet welfare programs and civil war following Tajikistan's independence from the Soviet Union in 1991 likely impacted TFR in Tajik Badakhshan. Socio-political trends influencing TFR in rural regions compared to urban, and the investigation of factors associated with maternal mortality, require additional investigation.</p>","PeriodicalId":42537,"journal":{"name":"Central Asian Journal of Global Health","volume":"8 1","pages":"341"},"PeriodicalIF":0.0,"publicationDate":"2019-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37064690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reproductive Health and Papanicolau Smear Among Women in Ilocos Sur, Philippines: A Mixed Quantitative and Qualitative Study","authors":"J. B. Bermio, Vonnavic R. Agad, Alegria F. Oandasan, V. F. de la Cruz","doi":"10.7828/ajoh.v8i1.1293","DOIUrl":"https://doi.org/10.7828/ajoh.v8i1.1293","url":null,"abstract":"","PeriodicalId":42537,"journal":{"name":"Central Asian Journal of Global Health","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78690733","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}