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mHealth app usage amongst paediatric department doctors in South Africa 南非儿科医生中移动健康应用的使用情况
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.24
Shahid Mahmood, Ashraf Coovadia, Abdullah E Laher, Ahmed Adam
{"title":"mHealth app usage amongst paediatric department doctors in South Africa","authors":"Shahid Mahmood, Ashraf Coovadia, Abdullah E Laher, Ahmed Adam","doi":"10.4314/ahs.v23i3.24","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.24","url":null,"abstract":"Background: Smartphone and mobile health (mHealth) applications (apps) have become an integral part of the day-to-day function of healthcare professionals, allowing quick, comprehensive, and up-to-date access to current clinical guidelines and other reference material.
 Objective: To evaluate the extent and nature of use of mHealth apps by paediatric department doctors in South Africa.
 Methods: E-mails requesting study participation were sent out to 285 paediatric department doctors employed at six hospitals affiliated to the University of the Witwatersrand. Willing participants were directed to complete the online study questionnaire.
 Results: A total of 150 respondents completed the questionnaire. All respondents owned a mobile device and already had one or more mHealth apps, 95.3% were unaware of any regulatory body responsible for regulating the use of mHealth apps, 86.0% did not have access to free Wi-Fi at work and 87.3% used an mHealth app at least once daily. Drug dosing (81.3%), diagnostic (59.3%) and clinical decision-making (44.7%) apps were the most common app categories with Medscape® (62.0%) and EMGuidance® (41.3%) being the most frequently used apps. Peer recommendation (76.0%), app credibility (74.0%) and app functionality (66.0%) were the most common factors that were considered by respondents prior to downloading or using an mHealth app.
 Conclusion: Medical apps are frequently used among paediatric medical doctors of all ranks. Drug dosing, diagnostic and clinical decision-making apps are the most common app categories in use. Improved awareness of the regulations pertaining to the use of mHealth apps amongst doctors is required.
 Keywords: Medical apps; mHealth; mobile health; smartphone health; information technology; drug dosing app; medical diagnostic app.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136212129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk factors of recurrent thyroid nodules after radiofrequency ablation 射频消融后甲状腺结节复发的危险因素分析
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.68
Yuke Xia, Yuehe Fu, Mengjia Qian, Yiyao Cui
{"title":"Risk factors of recurrent thyroid nodules after radiofrequency ablation","authors":"Yuke Xia, Yuehe Fu, Mengjia Qian, Yiyao Cui","doi":"10.4314/ahs.v23i3.68","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.68","url":null,"abstract":"Objective: To investigate the risk factors of thyroid nodule recurrence after radiofrequency ablation (RFA).&#x0D; Methods: The medical record information of 120 patients with thyroid nodules admitted to our hospital from June 2019 to April 2022 was retrospectively analysed. All participants received RFA treatment. According to the results of the postoperative thyroid ultrasoundexamination (USG), the patients were divided into the recurrence group (R, N=16) and the non-recurrence group (NR,N=104). Binary logistic regression analysis was performed to identify the independent risk factors of thyroid nodule recurrenceafter RFA. The receiver operating characteristic (ROC) curve was used to analyse the value of the forecast of each independentfactor and combined model for thyroid nodule recurrence after RFA.&#x0D; Results: During the follow-up period, 16 patients recurred, and the recurrence rate was 13.33%. Univariate regression analysisshowed that whether the nodules are solitary (WNS), nodule diameter (ND), the degree of risk of nodular location (DRN),recurrent laryngeal nerve (RLN) injury were associated with thyroid nodule recurrence after RFA (P<0.05). Binary logisticregression analysis showed that WNS, ND, DRN and RLN injury were independent risk factors for the recurrence of thyroidnodules after RFA (P<0.05). ROC analysis of independent factors and combined model showed that solitary nodules, nodulediameter and nodule location risk degree had diagnostic value, while RLN injury had no predictive value. The combined modelis more predictive than the independent factors.&#x0D; Conclusions: The risk factors of recurrent thyroid nodules after radiofrequency ablation are related to WNS, ND, DRN and so on, which should be paid attention to and preventive measures should be taken.&#x0D; Keywords: Thyroid nodules; radiofrequency ablation; recurrence; risk factors.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136212130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impacts of the Covid-19 pandemic on smoking cessation success Covid-19大流行对戒烟成功的影响
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.50
Pakize Ayşe Turan, Onur Turan
{"title":"Impacts of the Covid-19 pandemic on smoking cessation success","authors":"Pakize Ayşe Turan, Onur Turan","doi":"10.4314/ahs.v23i3.50","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.50","url":null,"abstract":"Setting-objective: Current COVID-19 outbreak has led to many behavioural changes, including smoking behaviours. We aimed to investigate the success of quitting smoking of smoking cessation outpatients.&#x0D; Design: Patients who applied to the smoking cessation outpatient clinic of a state hospital during the pandemic were retrospectively analysed. Smoking cessation success, personal views and experiences about COVID-19 were questioned. Hospital Anxiety and Depression (HAD) Scale was applied.&#x0D; Results: The smoking cessation rate in the study population was 14.7%. The reasons for not being able to quit smoking were; stress (51.9%), drug discontinuation (28.4%) and reasons related to COVID-19 (12.3%). According to HADS scores; 35.8% of the participants were at risk for anxiety and 72.6% for depression. Those with pulmonary symptoms at the time of application (p=0.001), those who continued smoking cessation treatment (p=0.016), and those without depressive symptoms (p=0.040) were significantly more successful in quitting smoking. The rate of continuing smoking was significantly higher in patients with a history of COVID-19 <18.9% of participants>(p=0.013).&#x0D; Conclusion: Intense stress and depressive symptoms, discontinuation of smoking cessation treatment and being infected with Coronavirus negatively affect the smoking cessation process in pandemic. These parameters should be considered during smoking cessation interviews and behavioural support should be obtained if necessary.&#x0D; Keywords: Smoking; cessation; pandemics.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136213464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The relationship between weight self-stigma, depression and loneliness in people with obesity 肥胖患者体重、自我耻辱感、抑郁和孤独之间的关系
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.80
Aysel A Özdemir, Hilal Türkben
{"title":"The relationship between weight self-stigma, depression and loneliness in people with obesity","authors":"Aysel A Özdemir, Hilal Türkben","doi":"10.4314/ahs.v23i3.80","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.80","url":null,"abstract":"The research was conducted to determine the level of weight self-stigma, depression loneliness and whether is there a relationshipbetween them. This was a descriptive correlational study. The study was conducted in a diet outpatient clinic of auniversity hospital. Participants had moderate weight self-stigma, depression and loneliness. Weight self-stigma sub-dimensionsself-devaluation (β=0.28; p<0.001) and fear of enacted stigma (β=0.28; p<0.001) equally predicted depression. Fear of enactedstigma predicted social loneliness negatively (β=-.44; p<0.001). Fear of enacted stigma (β =.16, p<.005) and depression (β =.44,p<.001) predicted emotional loneliness positively. Weight self-stigma was positively correlated with depression and loneliness(p<0.001).&#x0D; Keywords: Obesity; weight self stigma; depression; loneliness.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136213471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative genomics of spike, envelope, and nucleocapsid protein of severe acute respiratory syndrome coronavirus 2 严重急性呼吸综合征冠状病毒刺突、包膜和核衣壳蛋白的比较基因组学研究
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.45
Sufyan Sohail Khan, Anwar Ullah
{"title":"Comparative genomics of spike, envelope, and nucleocapsid protein of severe acute respiratory syndrome coronavirus 2","authors":"Sufyan Sohail Khan, Anwar Ullah","doi":"10.4314/ahs.v23i3.45","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.45","url":null,"abstract":"Background: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) upsurge sprang up in Wuhan, China, in late December 2019.&#x0D; Objectives: Due to the exceptionally high mutation frequency, comparative genomics of viruses isolated throughout time and in various geographical locations are crucial. To better understand how SARS-CoV-2 heterogeneity has changed around the globe, this research was conducted.&#x0D; Methods: Nucleotide and protein sequences of SARS-CoV-2, SARS-CoV, and bat SARS-like CoV were extracted from the NCBI Virus database. The Wuhan SARS-CoV-2 variant was used as a reference. Molecular Evolutionary Genetics Study performed the phylogenetic analysis, while the Genome Detective Coronavirus Typing Tool performed the mutational analysis.&#x0D; Results: The evolutionary research has revealed that bats are the primary host for coronavirus evolution and the origin of the formation of SARS-CoV and SARS-CoV-2. Numerous mutations have been discovered in the spike, envelope, and nucleocapsid protein.&#x0D; Conclusions: The current research findings may have an implication that facilitates the development of prospective immunization candidates/small pharmacological compounds targeting COVID-19.&#x0D; Keywords: SARS-CoV-2; COVID-19; pandemic; comparative genomics; spike protein; envelope protein; nucleocapsid protein.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136213472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of the relationship between miR-499C/T (rs3746444) polymorphism and lung carcinoma in Iranian population; a case-control study 伊朗人群miR-499C/T (rs3746444)多态性与肺癌的关系病例对照研究
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.36
Mehdi Torabi, Mostafa Khafaei, Behnaz Jahanbin, Morteza Sadeghi
{"title":"Assessment of the relationship between miR-499C/T (rs3746444) polymorphism and lung carcinoma in Iranian population; a case-control study","authors":"Mehdi Torabi, Mostafa Khafaei, Behnaz Jahanbin, Morteza Sadeghi","doi":"10.4314/ahs.v23i3.36","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.36","url":null,"abstract":"Introduction: Lung carcinoma is characterized by uncontrollable division of respiratory system cells with detrimental and lethalconsequences on human health. Critical roles of microRNAs (miR) are scientifically approved in biological and pathologicalpathways, such as the role of miR-499 (rs3746444) in lung carcinomas. Thus, in this case-control investigation, we aimed toassess the probable relationship between miR-499C/T variant and the occurrence of lung carcinoma in Iranian population forthe first time.&#x0D; Methods: Genotype of miR-499 polymorphism was described by the Polymerase Chain Reaction-Restriction Fragment LengthPolymorphism (PCR-RFLP) assay in patients and healthy individuals. Following definite diagnosis of lung carcinoma, the bloodsamples were collected, and the DNA extraction was performed by Salting-Out method. Finally, data were analysed by SPSS (v.20) and the significant level was considered p-value<0.05.&#x0D; Results: Statistically, the frequency of combined genotypes of CC+CT were 83.33% and 35% and TT+CT were 100% and 92%in case and control individuals, respectively. Also, individuals with genotypes of TC (OR: 3.08, CI95%: 3.03-3.17, p<0.0001),TC+CC (OR: 0.10, CI95%: 0.05-0.23, p<0.0001), CC (OR: 0, CI95%: 0.00-0.60, p=0.0214), and TC (OR: 0.07, CI95%: 0.03-0.15, p<0.0001) represented statistically significant (p<0.05) differences lung carcinoma than those with TT, TT, TT+TC, andTT+CC genotypes, respectively. The frequency of miR-499C (78.5%) and miR-499T (21.5%) alleles were also statistically significantly(p<0.05) difference associated with lung carcinoma in patients than controls.&#x0D; Conclusion: In this study, a possible relationship among miR-499C/T polymorphism and lung carcinoma was detected in Iranianpopulation. Since this study was conducted for the first time, thus other supplementary assessments are needed for definiteconclusion.&#x0D; Keywords: Lung, neoplasm; carcinoma; rs3746444; miR-499C/T; miR-499A/G; RFLP-PCR; Polymorphism; Iran.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"254 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136213643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endoscopic esophageal foreign body removal among children at Lubaga Hospital, Kampala, Uganda 乌干达坎帕拉卢巴加医院儿童食管异物内窥镜移除术
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.27
Michael Okello, Sabrina Bakeera-Kitaka, Ponsiano Ocama, Esther Patience Nabwire, Dave Darshit, Christine Namata, Annah Ainembabazi Tinka
{"title":"Endoscopic esophageal foreign body removal among children at Lubaga Hospital, Kampala, Uganda","authors":"Michael Okello, Sabrina Bakeera-Kitaka, Ponsiano Ocama, Esther Patience Nabwire, Dave Darshit, Christine Namata, Annah Ainembabazi Tinka","doi":"10.4314/ahs.v23i3.27","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.27","url":null,"abstract":"Background: Diagnostic upper gastrointestinal endoscopy involves examination of the lining of the esophagus, stomach and part of the duodenum. Interventional endoscopy in addition to evaluating the upper gastrointestinal tract to make a diagnosis, also offers a treatment benefit. Traditionally, esophageal foreign bodies (FBs) in Uganda were removed using rigid endoscopy. We therefore report an emerging trend of using flexible endoscopy to remove these FBs.&#x0D; Objective: To describe participant characteristics and endoscopic findings among children who underwent esophageal FB removal in Lubaga Hospital in Kampala.&#x0D; Methods: This was a retrospective review of endoscopy reports for children who underwent endoscopic esophageal FB removal at Lubaga Hospital from December 2014 to March 2022.&#x0D; Results: Overall, 61 symptomatic children underwent this procedure. The majority of the FBs were removed by flexible endoscopy (n=55, 90.16%). The mean age of the participants was 7.88 (SD=2.12) years old. The majority of the children were females (72.13%) and coins were the most ingested FBs (84%), others included steel crucifix, nails etc. The upper esophageal sphincter was the commonest site for FB impaction (74%).&#x0D; Conclusion: We report high success rates of 90.16% for endoscopic removal of impacted esophageal foreign bodies among Ugandan children using the now widely available flexible endoscopy.&#x0D; Keywords: Endoscopy; esophagus; foreign body.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136213773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of the effects of different blood conservation techniques in elderly patients undergoing total hip arthroplasty 不同保血技术在老年全髋关节置换术中的效果比较
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.59
Yuanxing Cai, Xin He, Qinghao Cheng
{"title":"Comparison of the effects of different blood conservation techniques in elderly patients undergoing total hip arthroplasty","authors":"Yuanxing Cai, Xin He, Qinghao Cheng","doi":"10.4314/ahs.v23i3.59","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.59","url":null,"abstract":"Background: To probe into the influences of different blood conservation techniques on the postoperative coagulation function and prognosis of elderly patients receiving Total Hip Arthroplasty (THA).&#x0D; Methodology: A total of 60 patients were randomly divided into Autologous Blood Transfusion (ABT) group (n=30) and ANH group (n=30). For patients in the ABT group, an autologous blood recovery machine was used to recover, wash and filter the surgical field blood. For those in the Acute Isovolumic Hemodilution (ANH) group, blood was collected preoperatively from the central vein and stored in a citrate anticoagulant blood storage bag, while the same amount of hydroxyethyl starch was injected into the peripheral vein to dilute the blood. After Mai bleeding steps of the operation were completed, the autologous blood of patients was transfused back in both groups. The clinical indicators of patients in each group were observed.&#x0D; Results: 48 h after operation, the ANH group obtained a higher level of hemoglobin (Hb), shorter Activated Partial Thromboplastin Time (APTT), and a lower expression rate of platelet activating factor CD62P than the ABT group.&#x0D; Conclusion: The ANH group exhibits higher content of hemoglobin and fewer platelet (Plt)activating factors produced than the ABT group, while no significant difference in the shortened length of hospital stays is found.&#x0D; Keywords: Hip arthroplasty; blood transfusion; autologous; hemodilution; transfusion of red blood cells; platelet activating factors.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136211819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors associated with poor asthma symptom control in adult Angolan regularly seen at an outpatient respiratory clinic 安哥拉成人哮喘症状控制不佳的相关因素经常出现在门诊呼吸诊所
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.78
Margarete L T Arrais, Tiago J P Maricoto, Ofélia M Lulua, Francisca G S Quifica, Jorge M R Gama, Miguel D Brito, Luis Taborda-Barata
{"title":"Factors associated with poor asthma symptom control in adult Angolan regularly seen at an outpatient respiratory clinic","authors":"Margarete L T Arrais, Tiago J P Maricoto, Ofélia M Lulua, Francisca G S Quifica, Jorge M R Gama, Miguel D Brito, Luis Taborda-Barata","doi":"10.4314/ahs.v23i3.78","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.78","url":null,"abstract":"Background: Asthma is one of the most common chronic respiratory diseases and one of the most frequent causes of hospitalcare.&#x0D; Objectives: To describe the clinical characteristics of asthma and factors associated with its control.&#x0D; Methods: A cross-sectional study was conducted at the Military Hospital in Luanda, from April 2018 to March 2019. Data collectionwas performed using questionnaires on asthma symptoms and treatment, socio-demographic and environmental questions,and a Global Initiative for Asthma (GINA) questionnaire to assess the level of asthma control. Ordinal logistic regressionanalyses were performed. We estimated odds ratios, for higher categories of asthma control. P<0.05 was considered significant.&#x0D; Results: The sample consisted of 305 asthmatics ≥18-years-old, 56% women, with a mean age of 41.3 years. About 28% ofpatients had controlled asthma, 36% partially controlled and 35% uncontrolled. Poor asthma control was associated with frequentuse of short-acting beta-2 agonists [OR 5.70 (95%CI 2.37;13.7)], oral corticosteroids [OR 3.68 (95%CI 2.24;6.04)], andincorrect inhaler technique [OR 4.08 (95%CI 1.25;13.3)].&#x0D; Conclusions: A significant number of adults living in Luanda have uncontrolled asthma due to the under-use of inhaled corticosteroidtherapy. It is necessary to develop strategic management and prevention plans to improve Angolan asthmatics' medicalcare.&#x0D; Keywords: Asthma; Angola; symptom control; inhalers.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136213172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Restless legs syndrome in chronic renal failure patients on dialysis 不宁腿综合征在慢性肾衰竭患者透析中的应用
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.88
Carin Behrens van Tonder, Gina Joubert, Anand Moodley
{"title":"Restless legs syndrome in chronic renal failure patients on dialysis","authors":"Carin Behrens van Tonder, Gina Joubert, Anand Moodley","doi":"10.4314/ahs.v23i3.88","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.88","url":null,"abstract":"Background: Restless legs syndrome (RLS) occurs in patients with chronic renal failure (CRF).&#x0D; Objectives: To determine the prevalence and morbidity of RLS in CRF patients on dialysis.&#x0D; Methods: This cross-sectional questionnaire-based study included 100 dialysis patients (50 on haemodialysis [HD]; 50 on peritonealdialysis [PD]). A focused lower limb examination was done. Patients were classified with RLS when reporting uncomfortablefeelings in their legs that improved with movement and worsened when resting and at night.&#x0D; Results: Gender distribution was equal. The median age was 43 (19–67) years. Six patients (HD and PD n=3 each) had internationalcriteria-confirmed RLS. Twenty-four patients reported symptoms suggestive of RLS. Fourteen and 16 patients with RLSsymptoms were on HD and PD, respectively. Sleep disturbances occurred in 43.3% (n=13) of patients with RLS symptoms,compared to 20.0% (n=20) of the large cohort. Sleep disturbances, peripheral sensory loss, chronic disease-related anaemia,increased urea and decreased albumin levels were more common among patients with RLS symptoms.&#x0D; Conclusion: RLS symptoms occurred in 30.0% of the entire cohort, although only 6.0% met the international criteria. The typeof dialysis had no impact on the incidence of symptoms. Identifying RLS in patients with CRF on dialysis will allow for earlyintervention.&#x0D; Keywords: Restless legs syndrome; chronic renal failure; haemodialysis; peritoneal dialysis; symptoms.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136213312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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