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Effects of interventional vascular embolization at different timing on prognosis and serum S100 calcium-binding protein B level of patients with aneurysmal subarachnoid hemorrhage 不同时间介入血管栓塞对动脉瘤性蛛网膜下腔出血患者预后及血清S100钙结合蛋白B水平的影响
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.65
Peidong Yue, Lei Zhang, Bin Wang
{"title":"Effects of interventional vascular embolization at different timing on prognosis and serum S100 calcium-binding protein B level of patients with aneurysmal subarachnoid hemorrhage","authors":"Peidong Yue, Lei Zhang, Bin Wang","doi":"10.4314/ahs.v23i3.65","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.65","url":null,"abstract":"Objective: To evaluate the effects of interventional vascular embolization at different timing on the prognosis and serum S100calcium-binding protein B (S100B) level of patients with aneurysmal subarachnoid hemorrhage (aSAH).&#x0D; Methods: A total of 229 aSAH patients enrolled from January 2016 to January 2020 were divided into an early-stage group(n=66), a middle-stage group (n=95) and a late-stage group (n=68. Their baseline data, serum indices and clinical outcomes werecompared. The factors affecting their prognosis were analysed. The value of serum S100B level for predicting the prognosis wasevaluated.&#x0D; Results: The early-stage group had the highest GOS score, and the late-stage group had the lowest score (P<0.05). Older age,large diameter of aneurysm, high Hunt-Hess grade upon admission, late surgical treatment and high S100B level were risk factorsfor the poor prognosis of aSAH patients. The optimal cut-off value of S100B for predicting the prognosis was 2.785 μg/L.The area under the receiver operator characteristic curve, sensitivity, specificity, Youden index and 95% confidence interval were0.892, 84.3%, 86.3%, 0.706 and 0.844-0.940, respectively.&#x0D; Conclusion: Early vascular interventional embolization is beneficial to the alleviation of brain injury and the reduction of serumS100B level.&#x0D; Keywords: Aneurysmal subarachnoid hemorrhage; interventional vascular embolization; prognosis; S100 calcium-binding proteinB; timing.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"26 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":"136211815","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
Neutralising antibodies against SARS-CoV-2 give important information on Covid-19 epidemic evolution in Rabat, Morocco, March 2020-February 2021 针对SARS-CoV-2的中和抗体提供了2020年3月至2021年2月摩洛哥拉巴特Covid-19流行演变的重要信息
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.46
Nadia Touil, Charifa Drissi Touzani, El Mostafa Benaissa, Jalal Kasouati, Zineb Rhazzar, Hicham El Annaz, Nadia El Mrimar, Lamiae Neffah, Rachid Abi, Rida Tagajdid Rida Tagajdid, Safae El Kochri, Mariette Ducatez, Youssouf Akhouad, Ahmed Reggad, Zouhour El Kassimi, Abdelhamid Zrara, Fatna Bssaibis, ElMostapha El Fahime, Idriss Lahlou Amine, Abdelkader Belmekki, Yashpal Singh Malik, Mostafa Elouennass, Khalid Ennibi
{"title":"Neutralising antibodies against SARS-CoV-2 give important information on Covid-19 epidemic evolution in Rabat, Morocco, March 2020-February 2021","authors":"Nadia Touil, Charifa Drissi Touzani, El Mostafa Benaissa, Jalal Kasouati, Zineb Rhazzar, Hicham El Annaz, Nadia El Mrimar, Lamiae Neffah, Rachid Abi, Rida Tagajdid Rida Tagajdid, Safae El Kochri, Mariette Ducatez, Youssouf Akhouad, Ahmed Reggad, Zouhour El Kassimi, Abdelhamid Zrara, Fatna Bssaibis, ElMostapha El Fahime, Idriss Lahlou Amine, Abdelkader Belmekki, Yashpal Singh Malik, Mostafa Elouennass, Khalid Ennibi","doi":"10.4314/ahs.v23i3.46","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.46","url":null,"abstract":"Background: The SARS-CoV-2 is an extremely contagious and acute viral disease mainly affecting humans.&#x0D; Objective: To estimate seroprevalence of SARS-CoV-2 neutralizing antibodies (NAbs) for illegible armed force individuals living in Rabat, Morocco&#x0D; Method: A convenience sample (N = 2662) was conducted from May 2020 to February 2021. We used the standard neutralization assay to quantify the NAbs titers. A serum was positive when the titer was 1:4. High positive NAbs titers were defined when ≥ 1:32.&#x0D; Results: Demographic and socioeconomic status did not affect seroprevalence data. An overall seroprevalence of 24,9% was found. Sera from blood donors, young recruits and auto-immune population had lower NAbs titers. However, titers were above 1:16 in 9% of the population with high risk of SARS-CoV-2 exposure. Seropositivity increased over time with values reaching peaks after the epidemic waves (2.4% in May 2020; 16.2% in August 2020; 22.7% in December 2020 and 37% in February 2021).&#x0D; Conclusion: And increase of NAbs was observed over time and correlated with the post-epidemic waves of COVID-19 in Morocco.&#x0D; Keywords: SARS-CoV-2; Serum neutralizing assay; Seroprevalence; Rabat; Morocco.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"3 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":"136213313","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
Clinicopathological pattern of breast lesions in children and adolescents 儿童和青少年乳腺病变的临床病理模式
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.28
Chukwuemeka Charles Nwafor, Kingsley Uwaemechi Umeh, Emmanuel Benjamin Etuk, Uchechukwu Brian Eziagu, Ikwo Jonathan Kudamnya, Esther Ekwo
{"title":"Clinicopathological pattern of breast lesions in children and adolescents","authors":"Chukwuemeka Charles Nwafor, Kingsley Uwaemechi Umeh, Emmanuel Benjamin Etuk, Uchechukwu Brian Eziagu, Ikwo Jonathan Kudamnya, Esther Ekwo","doi":"10.4314/ahs.v23i3.28","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.28","url":null,"abstract":"Background: Breast lesions are not common in children and adolescents. The aim of this study is to retrospectively survey the clinicopathological pattern of breast lesions in children and adolescents in our setting.&#x0D; Materials and method: This is a retrospective study of all breast specimens from children and adolescents that were histopathologically diagnosed in University of Uyo Teaching Hospital.&#x0D; Results: The youngest patients seen were 11 years old, with mean age of 17.1 ± 1.91. The commonest clinical diagnoses were fibroadenoma (n=134, 72.4%). Thirty-five-point seven percent of the patients presented within 6 months of noticing the lump. The mean size of the lumps was 6.2cm ± 3.9. Fibroadenoma was the most common benign diagnosis and the most common histopathologic diagnosis in this study. The mean age of patients with fibroadenoma was 17.15±1.83.&#x0D; Conclusion: The pattern of breast lesions in adolescents in Uyo is similar to that from other parts of Nigeria.&#x0D; Keywords: Adolescents; benign; breast lesions; fibroadenoma.","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":"136213476","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
Molecular characterization of multidrug resistant (MDR) clinical isolates of Pseudomonas aeruginosa from Nsukka, South Eastern Nigeria 尼日利亚东南部Nsukka多药耐药铜绿假单胞菌临床分离株的分子特征
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.57
Martina C Agbo, Kenneth O Ugwu, Boniface N Ukwah, Ifeoma M Ezeonu
{"title":"Molecular characterization of multidrug resistant (MDR) clinical isolates of Pseudomonas aeruginosa from Nsukka, South Eastern Nigeria","authors":"Martina C Agbo, Kenneth O Ugwu, Boniface N Ukwah, Ifeoma M Ezeonu","doi":"10.4314/ahs.v23i3.57","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.57","url":null,"abstract":"Background: P. aeruginosa is an important nosocomial pathogen with increasing resistance to antibiotics. Objective: This studywas performed to evaluate the genetic relatedness of MDR clinical isolates of P. aeruginosa.&#x0D; Method: A total of 1000 samples were analysed in the study. Antibiotic resistance profiles of the isolates were determined usingKirby Bauer disk diffusion method. Polymerase chain reaction (PCR) and sequencing were simultaneously used to detect theconsensus region of 16S rRNA. Genetic relatedness of the isolates was determined using restriction patterns from ALU 1 digestand random amplified polymorphic DNA.&#x0D; Results: Out of the 192 P. aeruginosa isolates recovered, 136 (78.83%) were multidrug resistant. Sequence analysis of the confirmedisolates (80.68%) revealed that all the isolates shared homology with each other and also showed sequence similarity toknown strains of P. aeruginosa (ATCC 27853; KT 315654; KU 321274 and KT894767). The PCR-Restriction fragment lengthpolymorphism (PCR-RFLP) analysis revealed that there was a lot of genetic relatedness among the isolates. The RFLP fingerprinting technique detected seven distinct RFLP types among the isolates.&#x0D; Conclusions: Thus, study shows that there is high prevalence of MDRPA and high degree of genetic relatedness among theMDRPA isolates circulating in Nsukka area.&#x0D; Keywords: MDRPA; PCR-RFLP; RAPD; Sequencing; 16S rRNA gene.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"50 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":"136213778","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
Service delivery inaccessibility as a predictor of teenage pregnancy in South Africa 服务提供难及性作为南非少女怀孕的预测因子
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.9
Mkwanazi Sibusiso
{"title":"Service delivery inaccessibility as a predictor of teenage pregnancy in South Africa","authors":"Mkwanazi Sibusiso","doi":"10.4314/ahs.v23i3.9","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.9","url":null,"abstract":"Background: With the onset of the South African democracy in 1994 it was hoped that many social inequalities would beaddressed urgently. However, studies have shown that service delivery inaccessibility remains a challenge and investigating thesocial implications of such injustices remains important.&#x0D; Objective: This study determined to establish the association between service delivery inaccessibility and adolescent pregnancyin South Africa.&#x0D; Methods: Using data from 2019 and 2021 general household surveys, 7 737 teenage females were included. The study applieddescriptive statistics, chi-squared testing as well as multilevel binary logistic regression.&#x0D; Results: Random-intercept multilevel binary logistic regression revealed that the risk of adolescent pregnancy independently increased as the level of service inaccessibility increased at household level (no services: OR=1.73, 1 service: OR=1.40, 2 services:OR=1.28) and community level (medium: OR=1.22, high: OR=1.38) at a P-value of 0.05.&#x0D; Conclusion: Findings highlight the need to guarantee universal service delivery urgently not only for development, but also toprevent adolescent pregnancy. Furthermore, the findings present evidence of structural factors driving adolescent pregnancy inSouth Africa, which renders continued cycles of poverty, injustice and early pregnancy amongst the majority of Blacks.&#x0D; Keywords: Teenage pregnancy; service inaccessibility; multilevel modelling; South Africa; structural inequality; teenagers.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"11 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":"136213463","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
A 5-year review of research ethics applications in a tertiary health and educational institution in Nigeria 尼日利亚某高等卫生和教育机构研究伦理应用的5年审查
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.85
Dennis Amajuoyi Ndububa, Akinjide Olurotimi Ogundokun, Oluwagbemiga Oluwole Ayoola, Adebanjo Babalola Adeyemi, Rahman Ayodele Bolarinwa, Taiwo Olumuyiwa Ogundipe, Abdulkadir Ayo Salako, Aaron Oladiipo Aboderin, Olusegun Temitope Afolabi, Anthony Taiwo Adenekan, Ige Oluwatosin Taiwo, Oluwabanke Gold Akanbi
{"title":"A 5-year review of research ethics applications in a tertiary health and educational institution in Nigeria","authors":"Dennis Amajuoyi Ndububa, Akinjide Olurotimi Ogundokun, Oluwagbemiga Oluwole Ayoola, Adebanjo Babalola Adeyemi, Rahman Ayodele Bolarinwa, Taiwo Olumuyiwa Ogundipe, Abdulkadir Ayo Salako, Aaron Oladiipo Aboderin, Olusegun Temitope Afolabi, Anthony Taiwo Adenekan, Ige Oluwatosin Taiwo, Oluwabanke Gold Akanbi","doi":"10.4314/ahs.v23i3.85","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.85","url":null,"abstract":"Background: African contribution to global research output is said to be low. Poor funding and poor skills in grant writing havebeen suggested as important factors for this situation.&#x0D; Objectives: Applications for research ethics clearance in a hospital were reviewed to have an overview of the planned studiesand the proportion of them that attracted national and international funding.&#x0D; Methods: A review of all applications for ethical clearance received by the institutional review board of a university teachinghospital at Ile-Ife, Nigeria, from 2016 to 2020. They were analysed according to study nature, scope, purpose, and sponsorshipusing descriptive statistics presented as frequency tables and charts.&#x0D; Results: A total of 878 applications were reviewed. There were 803 (91.5%) applications for local, 45 (5.1%) for national multicentre,and 30 (3.4%) for international multicentre studies. Applications for medical fellowship were 352 (40.0%) while 208(23.8%) were from academic staff for non-degree research. There were 610 (69.5%) applications for self-sponsored studies.Only 18 (2.0%) and 26 (3.0%) received sponsorship from national and international donor agencies, respectively.&#x0D; Conclusions: Local studies formed the bulk of the submissions for ethics clearance. National and international donor fundingof research is abysmally low in this Nigerian tertiary institution studied.&#x0D; Keywords: Research ethics applications; study sponsorship.","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":"136213633","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 prevalence of sexual violence against African women: a systematic review and meta-analysis 针对非洲妇女的性暴力的普遍性:系统回顾和荟萃分析
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.15
Qu Xianguo, Cao Hui, Shen Xin, Feng Jing, Wang Zijian, Niu Zhenyu, Gan Yong
{"title":"The prevalence of sexual violence against African women: a systematic review and meta-analysis","authors":"Qu Xianguo, Cao Hui, Shen Xin, Feng Jing, Wang Zijian, Niu Zhenyu, Gan Yong","doi":"10.4314/ahs.v23i3.15","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.15","url":null,"abstract":"Background: High rates of sexual violence ratios in low-income countries are recognized as a global public health problem. The incidence of violence against African women has been increasing. However, no study has systematically summarized the global prevalence of sexual violence against African woman.&#x0D; Methods: We conducted a comprehensive search of PubMed, Embase and Web of Science, databases from their inception through January 2021 for pertinent studies on reporting the prevalence of sexual violence against African women. We included observational studies. The prevalence rate was estimated using a random-effects meta-analysis. The heterogeneity was evaluated using I2 statistic. Differences by study level characteristics were estimated through subgroup analysis and meta-regression.&#x0D; Results: A total of 9 cross-sectional studies were included (a total of 9,030 participants). The pooled sexual violence rate was 0.33 (95% CI = 0.23–0.42). Subgroup analyses found that there was a higher rates of sexual violence against pregnant woman in east Africa (0.41, 95% CI = 0.24–0.58), pregnant (0.42, 95% CI = 0.05–0.80), and interview (0.40, 95% CI = 0.01–0.78). The analysis found that the major sexual violence types were the physical violence (0.19, 95% CI = 0.07–0.31), psychological violence (0.36, 95% CI = 0.11–0.61), sexual assault (0.25, 95% CI = 0.02–0.47).&#x0D; Conclusions: Nearly one out of every three (33%) African woman around the world has been a victim of sexual violence in their life. This current study investigated the status and characteristics of sexual violence against women, which could provide an important reference for the African health care provider. Assessing this problem against African women helps government officials, policy makers, program designers and non-governmental organizations to design prevention and controlling strategies.&#x0D; Keywords: Sexual violence; African women; Meta-analysis.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"3 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":"136213775","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
Problem gambling among secondary school adolescents in Enugu, Nigeria 尼日利亚埃努古中学青少年的赌博问题
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.86
Awoere T Chinawa, Edmund N Ossai, Paul C Odinka, Obinna C Nduaguba, Jaclyn I Odinka, Ann E Aronu, Josephat M Chinawa
{"title":"Problem gambling among secondary school adolescents in Enugu, Nigeria","authors":"Awoere T Chinawa, Edmund N Ossai, Paul C Odinka, Obinna C Nduaguba, Jaclyn I Odinka, Ann E Aronu, Josephat M Chinawa","doi":"10.4314/ahs.v23i3.86","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.86","url":null,"abstract":"Background: Adolescent problem gambling is a common behavioural issue and could be associated with internet addiction.&#x0D; Objectives: To determine the pattern of problem gambling and factors that predict gambling among adolescents that attendedsecondary schools in southeast Nigeria.&#x0D; Methodology: This is a cross-sectional study design. A three-stage sampling technique was used to select 796 secondary schooladolescents from eight secondary schools in Enugu State, Nigeria.&#x0D; Results: The highest proportion of the respondents, 38.3% had problem gambling with negative consequences. There was aweak positive correlation between gambling severity index and internet addiction. (n=796, r=0.254, p<0.001). There is a veryweak negative correlation between gambling severity index and age in years. (n=796, r= -0.034, p=0.331).The male respondents were 1.5 times more likely to have problem gambling when compared with the females, (AOR=1.5;(95%CI: 1.1-2.0). The respondents who have internet addiction were 3.5 times more likely to have problem gambling whencompared with those who do not have an internet addiction, (AOR=3.5; 95%CI: 2.6-4.8).&#x0D; Conclusion: The prevalence of gambling among adolescents is high. Adolescents who had problem gambling also had internetaddiction. The male respondents were more likely to have problem gambling than their female folk.&#x0D; Keywords: Problem gambling; secondary school; adolescents; internet addiction; gambling severity index.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"26 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":"136211817","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
Epidemiological features of tuberculosis in the Middle East and North Africa from 1990 to 2019: results from the global burden of disease Study 2019 1990年至2019年中东和北非结核病的流行病学特征:2019年全球疾病负担研究结果
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.43
Mehdi Moradinazar, Zienab Mohseni Afshar, Uosef Ramazani, Mohammad Shakiba, Maria Shirvani, Sara Darvishi
{"title":"Epidemiological features of tuberculosis in the Middle East and North Africa from 1990 to 2019: results from the global burden of disease Study 2019","authors":"Mehdi Moradinazar, Zienab Mohseni Afshar, Uosef Ramazani, Mohammad Shakiba, Maria Shirvani, Sara Darvishi","doi":"10.4314/ahs.v23i3.43","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.43","url":null,"abstract":"Introduction: Tuberculosis (TB) is a preventable and curable disease, although, it still causes more than one million deaths annually. Therefore, the aim of this study was to measure the epidemiological status and the burden of TB in the Middle East and North Africa (MENA) countries.&#x0D; Methods: The study population included 21 countries in the MENA region, covering a population of about 400 million. The Global Burden of Disease (GBD) 2019 database was used. The case definition comprises all forms of TB, containing pulmonary and extra pulmonary TB, which are bacteriologically approved or clinically diagnosed. The prevalence, incidence, death, and the disability-adjusted life years (DALYs) rates per 100,000 people for all national locations by standardized age rates (ASR) were measured.&#x0D; Results: In 2019, Afghanistan had the highest TB-related incidence 85.09 (95% UI, 73.69_98.46), death 21.91 (95% UI, 13.44_29.78), and DALYs rate 695.21 (95% UI, 454.34_939.49). The highest prevalence rates of TB were in Egypt 28935.42 (95% UI, 26125.54_32251.01). The highest TB-related DALYs rate was attributed to alcohol use, high fasting plasma glucose, and smoking were related to Tunisia, Qatar, and Lebanon, respectively. Between 1990 and 2019, TB- related incidence, prevalence, death, and DALYs rate have decreased by 53%, 42.19%, 76.20%, and 75.95% in MENA region, respectively.&#x0D; Conclusion: TB has continued to decrease in prevalence, incidence, death, and DALYs rates in the MENA region, although, nowadays with the COVID-19 pandemic, societies may face more challenges for TB prevention, detection, treatment, and rehabilitation.&#x0D; Keywords: Tuberculosis; disability; burden of disease; DALY; MENA.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"12 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":"136211824","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
Prevalence and factors associated with neonatal acute respiratory distress syndrome among neonates admitted to the neonatal intensive care units of Gurage zone public hospital, South West Ethiopia 埃塞俄比亚西南部古拉格区公立医院新生儿重症监护病房新生儿急性呼吸窘迫综合征患病率及相关因素
4区 医学
African Health Sciences Pub Date : 2023-10-11 DOI: 10.4314/ahs.v23i3.20
Bogale Chekole, Terefe Tamene Fetene, Tenaw Shegaw Geze, Zewudie Bitew Tefera, Gebre Eyesus Fisha Alebel, Amare Kassaw, Walle Belete Gelaw, Zeleke Fentahun Tamene, Yemsirach Mira, Tesfu Mulatu, Derartu Deressa
{"title":"Prevalence and factors associated with neonatal acute respiratory distress syndrome among neonates admitted to the neonatal intensive care units of Gurage zone public hospital, South West Ethiopia","authors":"Bogale Chekole, Terefe Tamene Fetene, Tenaw Shegaw Geze, Zewudie Bitew Tefera, Gebre Eyesus Fisha Alebel, Amare Kassaw, Walle Belete Gelaw, Zeleke Fentahun Tamene, Yemsirach Mira, Tesfu Mulatu, Derartu Deressa","doi":"10.4314/ahs.v23i3.20","DOIUrl":"https://doi.org/10.4314/ahs.v23i3.20","url":null,"abstract":"Background: Respiratory distress syndrome (RDS) is the leading cause of respiratory failure and death of a neonate in today's world, especially in developing countries like Ethiopia.&#x0D; Methods: We used an institutional-based cross-sectional study in the selected hospitals of the Gurage zone admitted from June 2019 to June 2021. The data were collected using a structured questionnaire. Data were entered into Epi data 3.1 and exported to SPSS version 25 for analysis.&#x0D; Result: The prevalence of respiratory distress syndrome (RDS) in the study area was 45.1%. The odds of RDS in neonates from mothers with gestational age between 35 &amp;37 were 3.99 times higher compared to term gestation. The odds of RDS among neonates with jaundice and sepsis are 4.33- and 1.92-times higher odds compared to their counterparts. The odds of RDS in neonates born via Caesarean section were 1.7 times higher compared with those delivered via spontaneous and instrumental delivery. RDS was also higher in neonates born to mothers <20 years of age and >=35 years old.&#x0D; Conclusion: the prevalence of RDS in the study area was high. Thus, healthcare providers should act on those factors with appropriate follow-up for early detection of the problem and prevent the risk.&#x0D; Keywords: Respiratory distress syndrome; neonate.","PeriodicalId":7853,"journal":{"name":"African Health Sciences","volume":"126 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":"136211966","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}
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