{"title":"Coronary Heart Disease Risk in Cuban Americans with and without Type 2 Diabetes","authors":"F. Huffman, Joan A. Vaccaro, G. Zarini, S. Nath","doi":"10.5580/1274","DOIUrl":"https://doi.org/10.5580/1274","url":null,"abstract":"Background and AimsCoronary heart disease can be greatly reduced by lifestyle changes. The death rate from diabetes for Cuban Americans is more than twice that for non-Hispanic Whites; yet, recent studies of risk factors and health outcomes for Cuban Americans are lacking. The purpose of this study was to assess dietary, biometric and clinical predictors of coronary heart disease (CHD) in Cuban Americans by diabetes status and gender. Secondary objectives were to assess predictors of the incidence of stroke, angina and coronary or peripheral artery disease (CAD/PAD). Methods and ResultsCuban American adults: N = 367; 190 with type 2 diabetes (72 males, 118 females) and 177 (59 males, 118 females) without diabetes were recruited from a randomly generated mailing list from Broward and Miami-Dade counties, Florida, USA. Significant differences in predictors of CHD risk were found by gender and diabetes status. As expected, we found a positive association between diabetes and stroke; however, female participants were less likely to report having stable angina than male participants. The probable CAD/PAD was predicted by SBP and age; whereas, probable unstable angina was associated with family history of coronary heart disease, being male and smoking.ConclusionsWe found gender and diabetes status delineated risk factor patterns among a Cuban American sample. These findings suggest the need to revise health policies to promote early screening and aggressive treatment of CHD risk factors for both men and women. Prospective studies of CHD risk factors and mortality for Cuban Americans are warranted.","PeriodicalId":89628,"journal":{"name":"The Internet journal of mental health","volume":"80 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90700887","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":"Self Medication in Rural Africa: The Nigerian Experience","authors":"G. E. Arikpo, M. E. Eja, K. Enyi-Idoh","doi":"10.5580/7d5","DOIUrl":"https://doi.org/10.5580/7d5","url":null,"abstract":"Self medication in rural Africa has reached a crisis state, as people take anything, and even potentially toxic substances as remedies. Thus, this study investigated the self medication profile of the rural people of Cross River and Akwa Ibom States of Southeastern Nigeria. Five hundred and fifty two out of seven hundred and thirty six persons which were randomly selected served with structured questionnaires, were interviewed. The study revealed that 99.4% relied on self medication, while 0.6% consulted physicians. A wide range of substances such as herbs, antibiotics, ash, kerosene, petrol, etc, are used as remedies, and no specific drugs are used for specific ailments, depicting a confusing state of folk medicine in rural Africa. Herbs (10.8%) and antibiotics (9.1%) can be used for the treatment of any of the identified sixteen ailments in the communities. The intervention of government to reduce poverty and provide adequate healthcare and education is recommended.","PeriodicalId":89628,"journal":{"name":"The Internet journal of mental health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73334512","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}
P. Adhikari, S. Khanal, R. Bhatta, S. Sigdel, D. Baral
{"title":"Status Of Contralateral Ear In Patients With Chronic Otitis Media","authors":"P. Adhikari, S. Khanal, R. Bhatta, S. Sigdel, D. Baral","doi":"10.5580/15f7","DOIUrl":"https://doi.org/10.5580/15f7","url":null,"abstract":"Objective: To study the status of contralateral ear in patients with chronic otitis media.Materials and Methods: This is a prospective study in patients attending GMS Memorial Academy of ENT and Head and Neck Studies, Kathmandu between July 2008 and December 2008. There were 750 patients diagnosed as having chronic otitis media (COM) squamous and mucosal type. Otoscopy was performed in all patients in such ears and the status of contralateral ear was noted. Statistical analysis was performed by simple manual analysis using frequency and percentage. Results: Out of 750 patients, 64.4% were male and 35.6% were female. Regarding types of COM, 36.0% were squamous type. In 68.4% of the patient, the contralateral ear was found to have some form of abnormalities. In mucosal type of COM, 62.9% patients had abnormal contralateral ear while in squamous type, 71.4% patients had abnormal contralateral ear. The most common findings on contralateral ear in both group of patients was retraction of the tympanic membrane.Conclusion: Patients with COM in one ear are more likely to develop some degree of disease in the contralateral ear. The squamous type of chronic otitis media had a greater chance of contralateral ear involvement.","PeriodicalId":89628,"journal":{"name":"The Internet journal of mental health","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84510867","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":"Pattern Of Domestic Injuries In A Rural Area Of India","authors":"Ramnika Aggarwal, Gpi Singh, K. Aditya","doi":"10.5580/1d1f","DOIUrl":"https://doi.org/10.5580/1d1f","url":null,"abstract":"Objective: To study the frequency and type of domestic accidents Study design: Prospective Epidemiological studyParticipants / Study area: Rural area of Punjab, India Methodology : Frequency of domestic accidents was studied in the participants as per age, sex, mode of injury, category of injury and place of injuryStatistical analysis: Percentages & Chi-square testResults: A total of 300 accidents occurred in one year in the 2825 individuals studied in one year. Incidence density was calculated to be 106.2 accidents per thousand person-years of observation. More accidents occurred in females (173) as compared to males (127). There were 53.2 % Trivial, 27.3% Minor & 11.7% serious accidents. No Fatal accident was reported. 44.3% of accident were reported to be ‘fall at level and fall from height’. Maximum (53.3%) accidents occurred in the courtyard.","PeriodicalId":89628,"journal":{"name":"The Internet journal of mental health","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84607108","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":"Patterns Of Contraceptive Use Among Female Undergraduates In The University Of Ibadan, Nigeria","authors":"E. Cadmus, E. Owoaje","doi":"10.5580/559","DOIUrl":"https://doi.org/10.5580/559","url":null,"abstract":"This study was conducted to determine pattern of contraceptives use among female undergraduates in the University of Ibadan, Nigeria. A descriptive crosssectional study was conducted among female undergraduates resident on campus using self administered questionnairesOverall, 425 female undergraduates between the ages of 15 and 30 years were interviewed. Only 28.7% of the respondents were sexually active and mean age at sexual debut was 19 years ±2.31 years. About 63.9% of the sexually active respondents had ever used some form of contraceptives mainly the condom and pills. Only (26.7%) of the sexually active respondents used a contraceptive at their last sexual encounter and contraceptive use was significantly higher (p<.05) among the older females.Contraceptive use among the sexually active female undergraduates of the University of Ibadan was not optimal although knowledge of various methods was high. Appropriate interventions are needed to encourage contraceptive use among sexually active female undergraduates.","PeriodicalId":89628,"journal":{"name":"The Internet journal of mental health","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87605878","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":"An Unusual Pattern Of Post-Traumatic Subcutaneous Emphysema Of The Neck, Chest And Abdominal Wall","authors":"M. Akinkunmi","doi":"10.5580/913","DOIUrl":"https://doi.org/10.5580/913","url":null,"abstract":"Motor vehicle accidents are a major health concern in both developed and developing countries. These result in varying degrees of morbidity and even death. There are many causes of subcutaneous emphysema. Most cases of subcutaneous emphysema encountered in clinical practice are iatrogenic. These are usually secondary to procedures. Traumatic causes as a result of blunt or penetrating injuries is a known aetiology. An unusual case of massive subcutaneous emphysema involving the neck, chest, and abdominal wall following traumatic rib fracture, with associated pneumothorax, pneumomediastinum, and prevertebral soft tissue air, is presented. Chest x-ray examination alone may not be sufficient in investigating these patients, as other associated conditions may not be shown with this imaging modality. The importance of computed tomography (CT) in evaluating this condition is highlighted. The prompt CT examination established the extent of the soft tissue air and the other associated abnormalities; and this contributed remarkably to the favourable outcome in this case presented.","PeriodicalId":89628,"journal":{"name":"The Internet journal of mental health","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83257133","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":"A Study of Antibiotic Use and Abuse in Ghana: a case study of the Cape Coast Metropolis","authors":"D. Tagoe, C. Attah","doi":"10.5580/bec","DOIUrl":"https://doi.org/10.5580/bec","url":null,"abstract":"Recent trends of antibiotic misuse with its attendant resistance development neccissated this study to determine patient’s perspective and involvement in the use and abuse of antibiotics in the Cape Coast Metropolis of Ghana. A purposive sampling of 530 patients from 15 years and above patronizing 11 pharmacy shops in the Cape Coast Metropolis was undertaken by administering questionnaires and interviews. 59.9% of the interviewees were aware of the harmful potential of antibiotics abuse yet a significant number (71.5%) purchase antibiotics without prescriptions with 69.9% personally requesting specific drugs without seeking advice from the pharmacists (P<0.01). A significant amount of the antibiotics purchased was Amoxicillin (71.5%) whilst Cold/Running Nose (50.8%) and Cough/Chest pains (33.1%) were the highest reasons for antibiotic purchases respectively. About 25.4% of patients purchased the drug without any sign or symptom of illness whilst 18.5% of the patients confirmed the drug did not work when used for the illness for which they were purchasing the last time. However, 70.8% of the patients have at least secondary education. This research work exposes the abuse of antibiotics, the nature of the abuse and the drugs abused in the Cape Coast Municipality of Ghana.","PeriodicalId":89628,"journal":{"name":"The Internet journal of mental health","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83929998","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":"Recidivism Among Women Charged With Prostitution Who Participated In At Least Six Months Of Residential Rehabilitation Compared To Community Controls.","authors":"Deepika Nelson, R. Leonard","doi":"10.5580/817","DOIUrl":"https://doi.org/10.5580/817","url":null,"abstract":"This study was designed to determine the efficacy of an intensive residential rehabilitation program for women charged with prostitution compared to women charged with prostitution in the same county who never participated in this program. Using Illinois State police records we compared what percent of women had any criminal charge following their participation in the rehabilitation program, and the time to that first charge, for the 16 women who completed the program versus 98 women who had never entered it. We found that 50% of the program vs 79% of the non-program participants had at least one criminal charge (p<0.05) corresponding to an incidence rate ratio of 0.43 (95% CI, 0.18 to 0.89) favoring the program. To our knowledge, this is the first comparative study of a program designed to help women leave prostitution.","PeriodicalId":89628,"journal":{"name":"The Internet journal of mental health","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73992589","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":"Traumatic Brain Injury; Case experience as a model for learning and literature review","authors":"A. Ara, I. Bhat","doi":"10.5580/1d80","DOIUrl":"https://doi.org/10.5580/1d80","url":null,"abstract":"The history, evaluation, treatment and follow-up of a patient with Traumatic Brain Injury (TBI) are presented to illustrate the approach and the difficulties that may be encountered. The literature on TBI is reviewed and a checklist prepared that covers the historical aspects, evaluative procedures, and treatment approaches to TBI. The work with the illustrative case has been compared to the literature review check list to evaluate the completeness of the patient’s care. The result of attempts to obtain outside information, of events prior to the trauma, immediately after the trauma and concurrent with the ongoing treatment also are described. The value of proceeding from a textbook to reviews to recent articles is illustrated.","PeriodicalId":89628,"journal":{"name":"The Internet journal of mental health","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85344981","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":"Beef Meat Oesophageal Foreign Body Impaction In An Infant","authors":"M. Akinkunmi, O. Olubi","doi":"10.5580/2028","DOIUrl":"https://doi.org/10.5580/2028","url":null,"abstract":"Ingestion of foreign body is common and the oesophagus is the commonest site of impaction in the upper gastrointestinal tract. We present the case of a 12 month old boy who was fed beef meat and subsequently experienced persistent regurgitation which prompted radiological examination. Barium swallow examination under fluoroscopic guidance confirmed foreign body impaction, and he subsequently had endoscopic retrieval under general anesthesia. We emphasize the importance of radiological imaging in establishing an early diagnosis and effecting prompt treatment to prevent complications. This case is presented because of the rarity of beef meat bolus causing oesophageal impaction in infancy, and to highlight the role of imaging in the management of this condition. The literature was also reviewed.","PeriodicalId":89628,"journal":{"name":"The Internet journal of mental health","volume":"51 5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73040400","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}