British journal of medicine and medical research最新文献

{"title":"Computerized Tomography Imaging Features of Head Injury in Abuja, Nigeria’s Capital","authors":"D. Itanyi, H. kolade-Yunusa","doi":"10.9734/bjmmr/2017/31880","DOIUrl":"https://doi.org/10.9734/bjmmr/2017/31880","url":null,"abstract":"Background: Trauma is global health epidemic and associated head injury is a major contributor to the high mortality. This necessitates the urgent use of neuroimaging for early diagnosis and patient care. Computer Tomography CT, scan is the imaging modality of choice in emergency situations because of its image acquisition speed and ability to accurately detect fractures and intracranial bleeds. Aim: To document the CT imaging findings in head trauma patients in Abuja, Nigeria’s Federal capital. Methods: A retrospective, cross-sectional study of findings in 319 head trauma Nigerians visiting a referral hospital in the Federal Capital Territory Abuja from January 2014-October 2016. Numerical and graphical descriptors were used to summarize the data. In all statistical tests, significance level was set at an alpha level of 0.05. Results: The mean age of the patients was 32.7±17 years with most between the ages of 24 – 35 years (n=99, 31.0%). More males than females participated in the study in a ratio of 5.8:1. Road traffic accident, RTA was the commonest cause occurring in 280 (87.8%) cases (male=240, female=40), especially in the third and fourth decades. Original Research Article Itanyi and Kolade-Yunusa; BJMMR, 20(6): 1-9, 2017; Article no.BJMMR.31880 2 271(84.9%) had abnormal CT findings while 48(15.1%) were recorded as normal. The most prevalent abnormal findings were complex lesions (including more than one type of intracranial pathology) in 112 (35.1%) cases. Hemorrhagic contusion was the commonest intracranial lesion in 65 (21%) patients cases while extra axial cerebrospinal space heamorrhages were the least detected in 3 (0.9%) cases. There were 132 (41.4%) recorded cases of fracture with only 25(8.8%) occurring without an associated intracranial lesion. Conclusion: RTA is a major cause of head injury in the most productive age group in our environment with CT scan as an invaluable imaging tool in the investigation and management of these patients.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"35 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80320197","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":"Chronic Oral Alendronate Use is Associated with Gastrointestinal Reflux Disease and Voice Alterations Irrespective of the Presence of Esophagitis","authors":"A. Araujo, N. Lobo, S. Barbosa, E. Bandeira, F. Bandeira","doi":"10.9734/bjmmr/2017/31790","DOIUrl":"https://doi.org/10.9734/bjmmr/2017/31790","url":null,"abstract":"Aims: This study aimed to compare the presence of atypical symptoms and signs of gastroesophageal reflux disease (GERD) in postmenopausal women with osteoporosis on longterm oral alendronate (ALN). Methodology: One hundred and eighteen postmenopausal women, 59 on oral alendronate (cases) and 59 without using bisphosphonates (controls) were evaluated using a questionnaire of symptoms of gastroesophageal reflux and voice changes; voice capture using the Auditory Perceptive Assessment of Voice and Acoustic Evaluation of Voice. The voice was assessed by the GRBASI Scale and the acoustic measurement of voice by VoxMetria Software. Original Research Article Araujo et al.; BJMMR, 19(12): 1-7, 2017; Article no.BJMMR.31790 2 Results: The median age was 66.87 ± 7.78 years (cases 68.83 ± 7.55 and control 64.91 ± 8.01, p = 0.0073) ranging from 52 to 85 years. The median body mass index was 27.38 ± 4.63, and there was no significant difference between groups (cases 26.64 ± 4.81 and control 28.13 ± 4:46 p = 0.0833). A greater frequency of typical clinical manifestations of Gastro-esophageal reflux disease (GERD) was observed (98, 83.05%), in the case group (52; 88.14%) in the control group (46; 77.97%), but there was no statistically significant difference (p = 0.146). Although, there was a trend towards more esophagitis in the control group (9 / 15.25% vs 2/ 3.39%; p = 0.042), atypical symptoms of the globus pharyngeal, dysphagia, discomfort in the upper airways (UA) and odynophagia had significantly more referrals in the ALN group. The presence of voice changes (96; 81.36%), was more frequent in the cases (53; 89.83%) than in controls (43; 72.88%; p = 0.022). Conclusion: In conclusion, we found an independent association between voice disorders and gastroesophageal reflux independent of the presence of esophagitis, with the long-term use of oral alendronate.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"6 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80618641","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-acceptance and Attitude towards Disability among People with Disability Attending a Nigerian Tertiary Health Facility","authors":"O. Oyewole, O. Odusan, O. Bodunde, L. Thanni, B. Osalusi, A. Adebanjo","doi":"10.9734/bjmmr/2017/33268","DOIUrl":"https://doi.org/10.9734/bjmmr/2017/33268","url":null,"abstract":"Acceptance of disability status and positive attitude towards disability may be modulating factors in improving quality of life of individuals with disability. Although many studies have investigated attitudes toward disability, none has evaluated personal attitude towards disability among People With Disability (PWD) in Nigeria. This study was to investigate self-acceptance and attitude towards disability among PWD in Nigeria and to examine factors influencing their attitudes. A cross-sectional design was employed to recruit 260 PWD consecutively from out-patient clinic of a Original Research Article tertiary hospital in Nigeria. Data were collected on participants’ socio-demographic information, disability and attitude towards disability using World Health Organization Disability Assessment Schedule and Attitudes toward Disabled Persons Form A (ATDP-A) questionnaires. Descriptive and inferential statistics were used to analyse the data. Poisson regression was applied to assess factors associated with attitudes. ATDP- A score was 92.7 ± 21.1 (ranged, 34-170) with more participants (54%) having a score ≥ 90 which indicates a positive attitude and acceptance of their disabilities. Item-by-item analysis of responses to 30 items on ATDP-A Scale showed that negative attitudes were preponderant on items relating to their emotional and competitiveness. PWD largely held positive attitude towards disability and this remained unchanged when stratified by disability severity. Factors such as educational level, mild disability, younger age, type and duration of disability were associated with positive attitude held towards disability. In conclusion , PWDs largely held positive attitude, accepted their disability status irrespective of disability severity though negative attitudes were more on items relating to their emotion and competitiveness.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"27 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83297522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Study of Relationship between Self – efficacy and Marital Satisfaction of Couples Referring to the Community Health Centers of Babol in 2015","authors":"N. Khorasani, M. Hosseini, M. Matbouei, S. Khafri, Parvaneh Vasli, Ali Esmaeili Vardanjani","doi":"10.9734/BJMMR/2017/29999","DOIUrl":"https://doi.org/10.9734/BJMMR/2017/29999","url":null,"abstract":"background and Goal : \u0000 Marital satisfaction is the most important component of marriage. In most studies, there is disagreement on the relationship between self – efficacy and marital satisfaction. Therefore; in this paper, it is addressed to study the relationship between self – efficacy and marital satisfaction of couples. \u0000Methods: This cross sectional study was performed on 354 couples referring to the community health centers of Babol in 2015. Self – efficacy level \u0000 was measured using Sherer’s general self – efficacy scale, and marital satisfaction was measured using 47 – question form of Enrich’s marital satisfaction questionnaire. Using multi – variable regression analysis model and correlation test, the relationship between the self - efficacy and marital satisfaction was evaluated. \u0000Findings: Mean (standard deviation= SD) age of males was 37.26 (8.81) years and mean (SD) age of females was 35.05 (9.04) years. Most males (86.2 \u0000 percent) and most females (88.7 percent) reported strong self – efficacy, and most males (52.6 percent) and 49.7 percent of females reported high marital satisfaction. According to the results of regression analysis, self – efficacy was an effective factor in marital satisfaction of couples, (P<0/05, \u0000β =0/08). \u0000Conclusion: \u0000 Self – efficacy with a middle correlation value (r=0.41) is the predictor of marital satisfaction. Performing interventional studies to increase the self – efficacy and evaluation of its effect on marital satisfaction is recommended in future studies.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"23 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81555978","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":"Ultrastructure of Teleost Retina II: Interstitial Amacrines, Dislocated Amacrines, Ganglion Cells, Müller Fiber, Oligodendroglia, Adrenergic Terminals, Inner Plexiform Layer, Glycogen Cytochemistry","authors":"J. O'daly","doi":"10.9734/bjmmr/2017/31018","DOIUrl":"https://doi.org/10.9734/bjmmr/2017/31018","url":null,"abstract":"Aims: To analyze the ultrastructure of internal interstitial amacrine cell, dislocated amacrine cell, ganglion cells, oligodendroglia, Müller cells, in MT2 ultramicrotome and with periodic acid for Retinal morphology revealed external interstitial amacrine cells as the most voluminous cell above inner plexiform layer. Dislocated amacrine cells described by the first time, localized at the inner plexiform layer, had clear cytoplasm, few ribosomes, few vesicles of rough endoplasmic reticulum and elongated mitochondria with clear matrix. Dark and clear amacrine piriform cells were characterized by glycogen density, and their functional contacts described. External horizontal cells, dark piriform amacrines, stellate amacrines and Müller cells exhibited the highest glycogen concentration in teleost fish retina. Conclusion: This paper is a comprehensive analysis of ultrastructure of five retinal cells, adrenergic terminals inner plexiform layer and glycogen distribution in the retina, finding one new cell, the dislocated amacrine cell and also describing the amacrine interstitial external cell the most voluminous cell in teleost retina.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"24 1","pages":"1-25"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78749766","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":"Improving Clinicians’ and Nurses’ Response to Abnormal Vital Signs in Hospital: The Roles of Modified Early Warning Scoring System and Rapid Response System","authors":"O. Akanbi, D. Onilede, M. Adeoti, O. Olakulehin, N. Idowu, O. Olanipekun","doi":"10.9734/bjmmr/2017/32370","DOIUrl":"https://doi.org/10.9734/bjmmr/2017/32370","url":null,"abstract":"Background: Most adverse events in hospitalised patients are often preceded by documented progressive deterioration of physiological parameters without appropriate responses. Modified Early Warning Score (MEWS) is a simple physiological score that was developed to aid early recognition of patient at risk of deterioration and assist in timely response especially in low and middle income countries where nurse patients ratio is low. Aim: To determine nurses’ and clinicians’ responses to abnormal vital signs and to evaluate the usefulness of MEWS in early recognition of patients at risk of adverse outcome Methodology: This was a retrospective case-control study reviewed case notes of 264 patients discharged alive and 243 patients who died in Ladoke Akintola University of Technology Teaching Hospital Ogbomoso. The Patients’ relevant data and vital signs were gotten from case notes and were used to calculate Mean MEWS for each patient over 72 hours preceding outcome. Results: One hundred and fourteen (79.72%) of 143 patients with MEWS of above six were classified to be critically ill and managed in general wards instead of higher care unit. Mean MEWS among the patients discharged alive was statistically significantly lower than the dead patients (2.7±0.7 vs. 8.0±2.6, P <.001). Mean MEWS for pulse rate (0.2±0.63 vs. 2.1±1.0 P <.001) and respiratory rate (1.2±0.01 vs. 2.3±0.75, P <.001) were statistical significantly lower for the patients discharged alive. The main reason for calling attention of clinicians to deteriorating patients was gasping in 52.6% of cases which is a late sign. Responses of house officers when called upon to review critically ill patients were to inform registrars in 44.03% of cases. There was a mean delay of 131(±66.28) minutes between house officers’ review and consultants’ inputs. Conclusion: Our study showed poor response to patients’ abnormal vital signs and significant delay in nurses’ and clinicians’ responses and decision making process; we thus suggest use of MEWS and introduction of rapid response system to aid early recognition and activation of clinicians with core competence in management of at risk patients.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"16 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89883524","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":"Seroprevalences and Associated Factors of Viral Infections (HIV, Hepatitis B and C) among Pregnant Women Attending Antenatal Care at the Yaoundé Central Hospital","authors":"F. Y. Fouelifack, R. Metchiem, J. H. Fouedjio, R. Mbu","doi":"10.9734/BJMMR/2017/31003","DOIUrl":"https://doi.org/10.9734/BJMMR/2017/31003","url":null,"abstract":"Aims: A viral infection is a proliferation of a harmful virus inside the body. HIV infection, viral hepatitis B (HBV) and C (HCV) constitute a public health problem. They affect millions of people worldwide and particularly in Sub-Saharan Africa, and sometimes share common modes of transmission, among which vertical transmission. The objective of this study was to assess Original Research Article Fouelifack et al.; BJMMR, 20(1): 1-14, 2017; Article no.BJMMR.31003 2 seroprevalences and associated factors of these infections among pregnant women. Study Design: We carried out a cross-sectional and analytical study. Place and Duration of Study: Antenatal care clinic (ANC) of the Obstetrics and Gynecology Unit, at the Yaoundé Central Hospital (Cameroon) from 1st January to 30 June 2016. Methodology: We consecutively enrolled 360 women attending ANC. Blood samples were collected to screen for HIVAb, HBsAg and HCVAb through rapid diagnostic tests, and confirmed at the “Centre Pasteur” laboratory of Cameroon. Data were processed using Excel 2007, EpiData Analysis Version 3.2 and STATA version 12.0 (Texas USA 2001) softwares. Odds ratios were used to assess strength of the association between variables. Statistical significance was accepted for P value less than 0.05. Results: The mean age was 27.99 +/5.63 years, ranging from 15 and 47 years. The prevalence of HIVAb, HBsAg and HCVAb were 13.1% (n = 47), 9.4% (n = 34) and 1.7% (n = 6) respectively. We had 1.4% and 0.6% of HIV/HBV and HIV/HCV co-infections respectively. Independent risk factors associated with HIV were: the level of primary study (OR: 7.97; 95% CI = 2.23 28.49; P = 0.001) and multiple sexual partners (OR: 4 79; 95% CI = 1.79 12.79, P = 0.002). Multiple sexual partners was the Independent risk factor associated with HBsAg (OR: 11.62; 95% CI = 5.057 26.731; P = <0.001). No factor was associated with HCVAb. Conclusion: Increased awareness, promotion of screening and / or treatment of infections and immunization against HBV in the general population, and in women of childbearing age in particular, would reduce their impact and therefore prevent their horizontal and vertical transmission.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"107 1","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86751675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Hamstrings’ Cooling and Cryostretching on Sit and Reach Flexibility Test Performance in Healthy Young Adults","authors":"Panagiotis Gkrilias, E. Tsepis, K. Fousekis","doi":"10.9734/BJMMR/2017/31034","DOIUrl":"https://doi.org/10.9734/BJMMR/2017/31034","url":null,"abstract":"Aims: To investigate the effect of hamstrings’ cooling and short-duration Cryostretching on sit and reach flexibility test (SR) performance. Study Design: Crossover Randomized Clinical Trial. Place and Duration of the Study: Department of Physical Therapy, Technological Educational Institute (TEI) of Western Greece, Aigio Achaias, Greece, 3 months. Methodology: Eighteen (18) healthy male (age: 21,3±4,5 yr, weight: 79,0±12,7 Kg, body fat: 14,6± 4,0%) participated in the present study. Subjects were randomly divided into 3 groups which received in a random and counterbalanced order: a) hamstrings’ cooling with cold packs for 15 minutes, b) hamstrings’ cooling and static stretching for 14 minutes and 1 minute (30’’ for each extremity), respectively and c) passive rest (control status) for 15 minutes, on three visits made. Sit and Reach (SR) test, was applied before and after each intervention to assess the hamstrings’ flexibility. Original Research Article Gkrilias et al.; BJMMR, 19(6): xxx-xxx, 2017; Article no.BJMMR.31034 2 Results: Baseline Sit-and Reach results (SR 1) did not differ significantly between all 3 conditions (Cooling vs Control: 13,6±5,8 cm vs 13,8±7,1 cm P = 0,817; Cryostretching vs Control: 13,4±6,3 cm vs 13,8±7,1 cm P=0,620; Cooling vs Cryostretching: 13,6±5,8 vs 13,4±6,3 cm P=0,817). A significant improvement of hamstrings’ flexibility in SR2, was observed after hamstrings’ cooling intervention compared to corresponding values of Control (14,5±6,1 cm vs 13,2±7,0 cm P=0,026) and after cryostretching intervention compared to corresponding values of Control (14,9 ± 6,6 cm vs 13,2±7,0 cm, P=0,011). Flexibility values of hamstrings’ cooling alone compared with those after hamstrings’ cooling associated with a short bout of cryostretching (in SR 2), did not differ significantly (14,5±6,1 cm vs 14,9±6,6 cm, P= 0,502). Conclusion: Hamstrings’ cooling and cryostretching can improve performance in SR test and thus can be used as alternative methods for increasing the hamstrings’ flexibility in short term.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"124 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87958225","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":"Changes in Central Corneal Thickness and Endothelial Cell Count after Lasik","authors":"Syed Heena Kubravi, S. Qureshi, S. Nawaz, A. Nazir, Khalid Kawoosa","doi":"10.9734/bjmmr/2017/29973","DOIUrl":"https://doi.org/10.9734/bjmmr/2017/29973","url":null,"abstract":"This work was carried out in collaboration between all authors. Authors SHK and STQ conceived of the study and participated in its design. Author SN participated in the design of the study. Author AN participated in the study design and coordination. Author KK performed the statistical analyses. All approved the final manuscript. Purpose: To Results: The mean age of the patients was 26.9±4.71 years (range 19 to 36 years). The study included 30(56.6%) males and 23(43.4%) females. A total of 100 eyes were operated.47 patients underwent LASIK in both eyes while only one eye was operated in 6 patients. At the end of 3 months, the mean spherical equivalent of refraction was -0.24±0.369 compared to a preoperative mean of -4.81±2.053. The preoperative central corneal thickness ranged from 442 to 590 microns with a mean of 515.7 microns ± 36.4 and endothelial cell count ranged from 2365 to 3578 cells per mm 2 with a mean of 2874.6 cells per mm 2 ± 225.14. At 1 day, 1 week, 1 month and 3 months after LASIK, mean CCT was recorded as 414.5±48.5, 406.7±47.9, 411.3±48.1 and 418.3±48 respectively. No significant correlation was found between age, refractive error and mean CCT. The mean endothelial cell count was recorded as 2867.1±218.14, 2865.6±212.64, 2864.8±207.64 and 2861.3±201.48 at 1 day, 1 week, 1 month and 3 months after LASIK. Conclusion: There was a significant decrease in central corneal thickness in the immediate postoperative period. It continued to decline till 1 week after the surgery and then increased over time in the late postoperative period. However no significant change was observed in endothelial cell counts in the postoperative period.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"70 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86321581","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-rated Health of Institutionalized Elderly in Kuala Lumpur","authors":"O. Onunkwor, S. Al-Dubai, J. Arokiasamy, H. Shuaibu, Philip George, L. Aye","doi":"10.9734/BJMMR/2017/33515","DOIUrl":"https://doi.org/10.9734/BJMMR/2017/33515","url":null,"abstract":"Aims: There is a growing number of institutionalized elderly in Malaysia. This group of elderly are commonly not included in population based surveys, thus little is known about their health and well-being. This study aims to determine the self-rated health of the elderly living in institutions and the associated factors. Methodology: This cross-sectional study was conducted in 2014, in eight elderly institutions in Kuala Lumpur. The institutions were selected randomly, and the participants were selected through stratified proportionate sampling. A total of 203 residents participated in this study. Chi-square test was used for univariate analysis and binary logistic regression was used for multivariate analysis. P value less than 0.05 were considered statistically significant. Results: The prevalence of poor self-rated health was 39.9%. Factors significantly associated with Original Research Article self-rated health included educational level (OR=2.1, 95%CI=1.18-3.74), physical activity (OR=0.4, 95%CI=0.22-0.81) outdoor leisure activity (OR=0.4, 95%CI= 0.21-0.82), visual impairment (OR=1.9, 95%CI= 1.06-3.52), chronic pain (OR= 2.4, 95%CI=1.35-4.27), diabetes (OR=1.9, 95%CI=1.03-3.49) heart disease (OR=4.2, 95%CI=1.25-13.74), renal failure (OR=11.5, 95%CI= 1.38-94.89), fall (OR=2.9, 95%CI= 1.28-6.48) hospitalization (OR=4.9, 95%CI= 2.43-9.86) comorbidities (OR=3.2, 95%CI=1.30-761), and satisfaction with access to healthcare (OR=0.3 95%CI= 0.17-0.79). Conclusion: This study revealed a high prevalence of poor self-rated health among residents in these institutions. Factors significantly associated with self-rated health were mostly co-morbidities. There is need for interventions targeted at improving healthcare services and leisure activities for residents of these institutions.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"1 1","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88945736","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}