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Assessment of Knowledge, Attitude and Practices Regarding Antenatal Care Among Urban and Rural Women of Tehsil Hajira District Poonch: A Comparative Study
Farah Tabassam,
Tahira Amjad,
Attiya Hameed Khan,
Sadaf Jamil
Issue:
Volume 6, Issue 5, October 2020
Pages:
237-241
Received:
5 July 2020
Accepted:
3 August 2020
Published:
25 August 2020
Abstract: The objectives of my study was to assess the current Knowledge, Attitude and Practices of women belonging to reproductive age group of tehsil Hajira regarding antenatal care, to identify the barriers towards not seeking antenatal care, to compare the rural-urban antenatal care seeking behavior of these women and the services provided and to suggest viable recommendations in relation to creating awareness among rural and urban women regarding antenatal care. Descriptive cross sectional, comparative study, at Tehsil Hajira district Poonch AJK Pakistan. Data was collected through pre-structured questionnaire with both open and close ended questions given to respondents. Total of 400 sampled for the study (200 Urban and 200 rural women) questionnaires were completed, giving a response rate of 100%. The mean age of Responded rural women was 35.58±6.549 and urban women was 34.20±6.452. Most of the rural women had good knowledge about ANC (70%) others had bad knowledge (30%), while the urban had knowledge (80%). Attitude of rural women towards ANC was very low (38.43%) while the urban women had also bad attitude towards ANC (31%). The Mean score of ANC visits was 3.03±1.977 for rural women while it was satisfactory for urban women, 3.89±2,491. A significant difference was seen between Rural and urban women about ANC. Antenatal care is an important implication of quality of life and overall public health. In Kashmir, there is a poor maternal and child health services due to many barriers especially among rural women. Most of the rural women goes towards local private hospitals for delivery but urban women goes towards local private and out of city for delivery during last pregnancy. There is a significant difference between rural and urban women towards ANC.
Abstract: The objectives of my study was to assess the current Knowledge, Attitude and Practices of women belonging to reproductive age group of tehsil Hajira regarding antenatal care, to identify the barriers towards not seeking antenatal care, to compare the rural-urban antenatal care seeking behavior of these women and the services provided and to suggest...
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Health Facility Preparedness and Response to COVID-19: An Assessment of Employee Satisfaction in a Teaching Hospital in Southern Nigeria
Esohe Olivia Ogboghodo,
Joy Chinyere Nwaogwugwu,
Otaniyenuwa Eloghosa Obarisiagbon,
Orezimena Temitope Omo-Ikirodah,
Edith Imuwahen Uwugiaren,
Obehi Aituaje Akoria,
Darlington Ewaen Obaseki,
Mokogwu Ndubuisi
Issue:
Volume 6, Issue 5, October 2020
Pages:
242-250
Received:
4 August 2020
Accepted:
21 August 2020
Published:
10 September 2020
Abstract: Employee satisfaction is increasingly recognized as a measure that largely determines the productivity and efficiency of health institutions. This study assessed employees’ satisfaction with preparedness for, and response to COVID-19 in a tertiary hospital in Benin City, Edo State, Nigeria. This was a descriptive cross-sectional study using mixed methods (qualitative and quantitative) for data collection from employees at the University of Benin Teaching Hospital, Benin City. Quantitative data were analyzed using IBM SPSS version 25.0 while qualitative data were analyzed thematically using ATLAS. ti software. The statistical measures for the quantitative analysis were the adjusted odds ratios (OR) and 95% confidence intervals (CI). The level of significance was set at p < 0.05. A total of 590 respondents with mean age 38.9 ± 9.7 years and 20 focus group discussion (FGD) participants participated in the study. Overall, 368 (62.4%) of employees were satisfied with the measures put in place to combat COVID-19 in the facility. Staff were most satisfied with infection prevention and control measures (72.9%) and information and education communication (IEC) on respiratory hygiene and cough etiquette (67.8%). Age of respondents <40 years, being a clinical staff and having direct contact with patients were significant predictors of employee satisfaction, aOR 0.661 (p=0.024); aOR 0.528; (p=0.003); aOR 0.594 (p=0.039), respectively. Thematic analysis of the FGDs revealed that awareness creation about COVID-19, and policies and protocols were areas that employees were least satisfied with. In conclusion, two-thirds of employees were overall satisfied with measures put in place to combat COVID-19 in the health facility. Younger staff and those who worked in clinical areas, were less satisfied than other groups. The management of the study facility can leverage these findings to sustain and strengthen IPC and IEC measures while addressing communication of policies and protocols in areas where staff were less satisfied.
Abstract: Employee satisfaction is increasingly recognized as a measure that largely determines the productivity and efficiency of health institutions. This study assessed employees’ satisfaction with preparedness for, and response to COVID-19 in a tertiary hospital in Benin City, Edo State, Nigeria. This was a descriptive cross-sectional study using mixed m...
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Knowledge, Attitude and Willingness of Health Care Workers Towards COVID-19 Preventive Measure in a Tertiary Health Institution in North Eastern Part of Nigeria
Olayinka Victor Ojo,
Ramsey Msheliza Yalma,
Ebenezer Obi Daniel,
Paul Olaiya Abiodun,
Ahmed Mamuda Bello,
Israel Olukayode Popoola,
Christie Omolola Adams
Issue:
Volume 6, Issue 5, October 2020
Pages:
251-255
Received:
13 August 2020
Accepted:
24 August 2020
Published:
10 September 2020
Abstract: Covid-19 outbreak has been a great public health challenge to the world where government in various countries has made drastic effort to mitigate the outbreak of the pandemic “COVID-19” by imposing lockdown, movement control. Adherence to control measure is affected by their knowledge, attitude and willingness towards covid-19 preventive measure. In this study, to assess the knowledge, attitude and willingness towards covid-19 preventive measure among the healthcare workers in a tertiary health institution in North Eastern part of Nigeria. Method: A descriptive cross sectional survey was performed in a tertiary health institution in North Eastern part of Nigeria between May and July 2020. Data were obtained through the use of structured questionnaire, which was subjected to a pilot study for validation of the main study. Summated scores were used to grade respondents who are healthcare workers on their knowledge, attitude and willingness towards covid-19 preventive measures. Data were presented in using descriptive analysis and inferential status was used to test for the association between various characteristics and their knowledge, attitude and willingness of healthcare workers toward covid-19 preventive measures. Result: The result showed that (37.5%) of the 127 respondent has good knowledge on covid-19 and (93.6%) has positive attitude and willingness toward covid-19 preventive measure. It was further revealed that there was a statistical significant association between occupation out of all the demographic variables and the knowledge, attitude and willingness toward covid-19 preventive measure. Conclusion: Most of the healthcare workers had good knowledge, attitude and willingness toward covid-19 preventive measure. Additional educative interventive strategies are to be adopted by the hospital/health ministry for health workers to improve their knowledge on communicable disease.
Abstract: Covid-19 outbreak has been a great public health challenge to the world where government in various countries has made drastic effort to mitigate the outbreak of the pandemic “COVID-19” by imposing lockdown, movement control. Adherence to control measure is affected by their knowledge, attitude and willingness towards covid-19 preventive measure. I...
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Profile of Obesity and Factors Associated Among Adults Cameroonian Living in Urban Area: A Cross Sectional Study
Christine Fernande Nyangono Biyegue,
William Dakam,
Francoise Raissa Ntentie,
Nathalie Missia,
Jasmine Nika,
Marie Noelle Mbemene,
Judith Laure Ngondi,
Julius Enyong Oben
Issue:
Volume 6, Issue 5, October 2020
Pages:
256-267
Received:
16 July 2020
Accepted:
21 August 2020
Published:
16 September 2020
Abstract: Background and objectives: The emergence of nutritional transition in developing countries leads to increased prevalence of obesity and related adverse health effects. Cameroon which urbanization rate is among the highest in Sub-Saharan Africa is facing to this situation. This study was aimed at establishing the obesity profile of Cameroonian population living in Douala. Methods: Across-sectional and descriptive survey was performed during July2016 in Douala city. A total of 650 apparently healthy participants aged between 18 years to 60 years were recruited during health campaign organized by the Cameroon Nutritional Science Society on good nutritional practices. The data were collected by using a questionnaire adapted from WHOSTEP wise approach for chronic disease risk factor surveillance. WHO guidelines and NCEP-ATPIII definition were used to define overweight (BMI: 25.0–29.9kg/m2), Overweight/Obesity (BMI ≥ 25.0 kg/m2), generalized obesity (GO, BMI ≥30.0kg/m2), abdominal obesity (AO, waist circumference≥102cm for men and ≥ 88cm for women) and combined obesity (CO, GO plus AO). Results: The prevalence of overweight/obesity, GO, AO and CO was 54.2%, 25.2%, 40.2% and 16.2% respectively. Concerning risk factors: age (38–47 years, female gender, marriage (or in couple) status, secondary level and trade activity were associated to overweight / obesity. Age (28–37 years; 38–47 years and 58 60 years), female gender, marriage (or in couple), primary level, secondary level, and away from home foods consumption, were associated to GO. Age (38–47 years, 48–57 years and 58–60 years), female gender, marriage (or in couple) status, primary level, secondary level, trade activity and cigarette smoking were associated to CO. Risk factors associated to AO were: Age (38–47years), female gender, marriage (or in couple) status, polygamous marriage, secondary level, trade activity two meals/ day consumption, morning and evening meals timing consumption, restaurant and fast-food place of purchase and consumption, daily eating offriedfoods, chocolate consumption, imported distilled beverages consumption and cigarette smoking. Conclusion: All obesity profiles were found among Douala dwellers and AO which is among all an important cardiovascular risk factor was the most frequent. Nutritional education should be emphasized to reduce and prevent complications.
Abstract: Background and objectives: The emergence of nutritional transition in developing countries leads to increased prevalence of obesity and related adverse health effects. Cameroon which urbanization rate is among the highest in Sub-Saharan Africa is facing to this situation. This study was aimed at establishing the obesity profile of Cameroonian popul...
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The Counterfeit Petrol Business in Benin and Associated Health Consequences Among Stakeholders
Gbankoto Mamatou,
Gbaguidi Ahotondji Bertin,
Dotché Ogoudanan Ignace,
Biaou Olivier,
Youssao Abdou Karim Alassane,
Akpovi Dêwanou Casimir,
Youssao Abdou Karim Issaka
Issue:
Volume 6, Issue 5, October 2020
Pages:
268-279
Received:
4 September 2020
Accepted:
17 September 2020
Published:
25 September 2020
Abstract: In Benin counterfeit fuel is sold across the country, but the health consequences associated with this activity are not documented. The present study was conducted to describe the specificities of this business in a representative municipality of Southern Benin and to identify its health-related consequences as perceived by the vendors. Data was collected using a questionnaire survey in 160 vendors of counterfeit petrol in the municipality of Abomey-Calavi. The data were analyzed with SAS software and the proportions were compared two by two with the two-tailed Z test. The findings reveal that the trade of counterfeit petrol involves as many men (53%) as women (47%). The vendors have an average of 10.14 years of experience in the business. The conditions for practicing the profession are not optimal. Vendors store their fuel at the point of sale and they work more than 8 hours a day. Most of the respondents sold petrol at less than 400 F CFA (97.47%). At this price, most of them (51.27%) made a daily profit between 1000 and 5000 F CFA per day. Despite this daily profit, most of the respondents (73.20%) wish to change their profession because of the perceived health hazards that can be caused by prolonged exposure to petrol. Most vendors said to experience fatigue (82.76%), headache (66.21%), dizziness (60.69%) and skin irritations (51.03%). Moreover, respiratory symptoms were reported by the respondents including mainly sneezing (69.92%), stuffed nose (68.42%), loss of smell (55.64%), episodes of rhinorrhea (53.38%) and throat irritations (51.88%). The proportions of people reporting sneezing and stuffy nose were significantly higher (p<0.05) than in the other categories. Despite these health risks, very few of them seek medical care when ill. A spatial distribution of vendors based on symptoms generated three main categories. The 1st group is composed of vendors from Glo-Djibé, Hèvié and Kpanroun. Those of group 2 are located in Akassato and Zinvié; while vendors from Godomey, Calavi, Togba and Ouédo made the last group. Frequently reported symptoms were dizziness, irritation of the eyes and loss of smell in the 1st group; episodes of rhinorrhea and irritation of the throat in group 2. Most symptoms reported in group 3 were headache, fatigue, lower back pain, stuffy nose and dental problems. Although the counterfeit petrol business generates interesting profits to traders, the associated hazards are enormous, hence the need to improve the technical and safety conditions of this sector.
Abstract: In Benin counterfeit fuel is sold across the country, but the health consequences associated with this activity are not documented. The present study was conducted to describe the specificities of this business in a representative municipality of Southern Benin and to identify its health-related consequences as perceived by the vendors. Data was co...
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Distribution and Determinants of Etiologies and Complications of Chronic Liver Diseases Among Patients at a Tertiary Hospital in a Lower Economic Region of Ghana
Matthew Aidoo,
Baba Sulemana Mohammed
Issue:
Volume 6, Issue 5, October 2020
Pages:
280-287
Received:
4 September 2020
Accepted:
17 September 2020
Published:
25 September 2020
Abstract: There is dearth of data on the epidemiology of chronic liver diseases (CLDs) in northern Ghana. To this extent, we intended to investigate the distribution and determinants of the etiologies and complications of CLDs at the Tamale Teaching Hospital, a referral hospital of northern Ghana. The medical records of patients with CLDs admitted at the medical ward of Tamale Teaching Hospital from June to December 2019 were reviewed in a retrospective cross-sectional study. Out of 180 patients reviewed, 130 (72.2%) were males; the age range was 18–86 years, with a mean age of 41 43 years. Etiologies of CLDs comprised hepatis B viral infection (53.3%), hepatitis C viral infection (21.7%), unknown (9.4%), hepatocellular carcinoma (8.9%), and alcoholic liver disease (6.7%). Among the complications of CLDs; cirrhosis (71.1%), hypoalbuminemia (59.4%), ascites (58.3%) and jaundice (52.2%) occurred in more than half of the patients. Age (p=<0.001), education (p=0.005) and intake of herbal medicine (p=0.001) were associated with the etiologies of CLDs. There was a significant association between the etiologies of CLDs and complications; cirrhosis (p=<0.001), hypoalbuminemia (p=0.003), ascites (p=<0.001), and jaundice (p=0.009). Hepatitis B and hepatitis C viral infections were the main etiologies of CLDs. Young/middle age, non-education and intake of herbal medicine were risk factors for the main etiologies of CLDs. Cirrhosis, hypoalbuminemia, ascites, and jaundice were the major complications of CLDs. Chronic hepatitis B and C viral infections were risk factors for developing the major complications of CLDs. Implementation of integrated public health strategies targeted at risk groups (young/middle age adults, illiterates, consumers of herbal medicine, patients with hepatitis B and C viral infections) may help curtail the burden of CLDs in northern Ghana.
Abstract: There is dearth of data on the epidemiology of chronic liver diseases (CLDs) in northern Ghana. To this extent, we intended to investigate the distribution and determinants of the etiologies and complications of CLDs at the Tamale Teaching Hospital, a referral hospital of northern Ghana. The medical records of patients with CLDs admitted at the med...
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Ramadan Intermittent Fasting and Its Beneficial Effects of Health: A Review Article
Ahmed Ismail Mohamed,
Abdifatah Mohamoud Abdi,
Mohamed Mussa Abdilahi
Issue:
Volume 6, Issue 5, October 2020
Pages:
288-292
Received:
5 August 2020
Accepted:
27 August 2020
Published:
30 September 2020
Abstract: During the Ramadan month, Muslims abstain from eating any food, drinking any liquid, smoking and sexual intercourse in this holy month as testimony of faith, charity, pilgrimage, and daily prayer during daylight hours. Food and drinks are allowed before dawn and after sunset these meals are called suhoor and iftar, respectively. the aim of this article is to review the health benefits of Ramadan fasting by addressing peer reviewed human and animal studies published in international academic journals. this article is reviewed 40+ published papers from the period of 1970 up to 2019. The papers were searched from different databases, including PubMed/Medline, science direct, plose one, scopus, directory of open access journals and the Cochrane library by using the following key words: - “intermittent fasting”, ” Ramadan fasting”, “Ramadan month”, “fasting”, “and/or”, “cardiovascular diseases”, “coronary heart diseases”, “diabetics”, “dyslipidemia”, “HDL”, “LDL”, “cholesterol”, “overweight”, “obesity”, “metabolic diseases”, “metabolism”, “cancer”, “immunity”,: immune system”. This review article concluded that, Ramadan fasting significantly reduces the risk for cardio-vascular diseases and diabetics by decreasing body weight, total cholesterol, ldl cholesterol and increasing HDL cholesterol. other hand, Ramadan fasting have beneficial effects of metabolic markers. It also improves the effectiveness of immune system by decreasing pro-inflammatory cytokines, increasing level of complement proteins and phagocytic activity of polymorphs. It lowers the incidence of diabetes by decreasing insulin resistance, increasing insulin sensitivity, glucose uptake, decreasing lipolysis, and assisting in weight loss. According to the results of the current review, the health benefits of Ramadan fasting could be sustained by leading a healthy lifestyle and practicing optional fasting regularly after the holy month of Ramadan twice a week on mondays and thursdays.
Abstract: During the Ramadan month, Muslims abstain from eating any food, drinking any liquid, smoking and sexual intercourse in this holy month as testimony of faith, charity, pilgrimage, and daily prayer during daylight hours. Food and drinks are allowed before dawn and after sunset these meals are called suhoor and iftar, respectively. the aim of this art...
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Impact of Performance Based Financing on Health Facilities Performance in Immunization in Two Health Districts in Benin
Agonnoude Togbédji Maurice,
Houeto Sègbegnon David,
Sambieni N’koué Emmanuel,
Adoukonou Tododjitché Thierry Armel
Issue:
Volume 6, Issue 5, October 2020
Pages:
293-298
Received:
3 September 2020
Accepted:
22 September 2020
Published:
7 October 2020
Abstract: Background: two pilot studies of RBF have been conducted in some health districts of Benin since 2012, which results have been scaled up in 2015. Then, it’s important to see whether the impacts of health care from those studies will be confirmed by HFs performance in IS. Objective: to analyze the impact of RBF on IS performance in Parakou/N’dali and Nikki/Kalalé/Pèrèrè health districts, through the quality of the structure and the process of supplying these services, and their possible association with the immunization services performance. Method: A retrospective study was conducted including all public and private functional HFs covered by the period of 14 trimesters (T1 2014 to T2 2017). The dependent variable was the performance in IS. The independent variables were the quality of the structure, the quality of the process and the environment. A linear regression model was adjusted; the significance threshold was 5%. Results: 55 HFs participated to the study; they were mostly in rural areas (76.4%) and 36.4% were at the first level of the pyramid. There was no improvement in both trained staff (p=0.67) and midwifery staff (p=0.75) and in the rest of the structure (p=0.697); however there was a significant improvement in supplying process of immunization services (p=0.001) and the performance in IS (p=0.010). In multivariate analysis, overall and in cluster by area analysis, models were not significant. Conclusion: RBF act only on the processes of supplying immunization services to improve HF performance, taking into account the environment. No explained factors were found for this performance improvement. Local dynamics in each HF should be in action which can be uncover in interactions with local actors.
Abstract: Background: two pilot studies of RBF have been conducted in some health districts of Benin since 2012, which results have been scaled up in 2015. Then, it’s important to see whether the impacts of health care from those studies will be confirmed by HFs performance in IS. Objective: to analyze the impact of RBF on IS performance in Parakou/N’dali an...
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Knowledge Levels of Breast Cancer Among Women of Reproductive Age in Kenya, a Case Study of Kitui County
Fridah Ndinda Muinde,
Mohammed Karama,
Mativo Nzioki,
Koech Cheruiyot Fred
Issue:
Volume 6, Issue 5, October 2020
Pages:
299-308
Received:
17 September 2020
Accepted:
29 September 2020
Published:
13 October 2020
Abstract: Background: Breast cancer is one of the leading causes of mortality among women in the world today. Therefore there is need for concerted efforts to advance interventions that seek to mitigate challenges associated with its screening. In Kenya, breast cancer accounts for 23% of cancerous diseases that affect women. The purpose of this study was to determine the knowledge levels on breast cancer among women of reproductive age in Kitui County, roll out community based health education intervention (CBHI) targeted at enhancing breast cancer knowledge, and finally to assess the effect of the CBHI on knowledge levels. Methods: The study design adopted was quasi-experimental. This was adopted because it enables researchers to evaluate causal relationships when interventions or agents of causation are induced. This study was undertaken with the causal mechanism being the rollout of CBHI and the impact in knowledge of breast cancer. Two groups were evaluated; intervention and control groups. The knowledge among these groups was evaluated between two time intervals; end line and at baseline. Data was collected using questionnaire instruments, analyzed using SPSS v23 and presented in form of tables and frequencies. Inferential analysis was achieved through binary logistic regression and Difference in Difference scores. Results: The individual score analysis on different aspect of breast cancer knowledge and awareness indicated that there was a direct positive impact of the CBHI on the knowledge on breast cancer among the respondents. Significant changes observed upon the implementation of CBHI on breast cancer included; respondents in the intervention group who knew at least two danger signs for breast cancer increased to 3.8 (Adj. OR=3.895, P<0.05, 95%CI: 2.538-5.979), those who knew the age related risks associated with breast cancer increased by 4.1 (Adj. OR=4.128, P<0.05, 95%CI: 2.940-5.797), and finally, those who knew at least one Breast cancer screening method increased 7 fold among the intervention group after the rollout of CBHI (Adj. OR=7.011, P<0.05, 95%CI: 4.138-11.880). Conclusion: The impact of CBHI on knowledge of breast cancer was significant. As a result, more people in the intervention group were cognizant of different warning signs of breast cancer, breast cancer screening methods, and that these opportunities facilitate early detection of breast cancer. The actionable strategies recommended by this study is implementation of community based strategies to enhance knowledge levels on breast cancer in order to improve screening uptake and therefore early detection of breast cancer.
Abstract: Background: Breast cancer is one of the leading causes of mortality among women in the world today. Therefore there is need for concerted efforts to advance interventions that seek to mitigate challenges associated with its screening. In Kenya, breast cancer accounts for 23% of cancerous diseases that affect women. The purpose of this study was to ...
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Effectiveness of Communication Actions on the Reduction of Road Traffic Accidents Among Motorcyclists: A Systematic Review
Francois Agossou,
Jacques Saizonou,
Nicolas Gaffan,
Blasselle Houssou,
Assomption Hounsa,
Cyriaque Ahodekon,
Patrick Makoutode,
Virginie Mongbo,
Edgard-Marius Ouendo
Issue:
Volume 6, Issue 5, October 2020
Pages:
309-315
Received:
29 May 2020
Accepted:
14 September 2020
Published:
17 October 2020
Abstract: Vulnerable road users, including motorcyclists, account for more than half of all road traffic fatalities worldwide. Communication actions are an essential part of prevention both in Africa and in the world. This study aimed to review the available scientific studies on the effectiveness of communication actions for the reduction of road traffic accidents among motorcyclists. We carried out an automatic search on PubMed using an equation and a manual search on Google Scholar using keywords and the bibliographic references of the studies generated by the automatic search. Using this strategy, 155 articles were identified, 16 of which were eliminated as duplicates. Thus, 139 were screened by reading the titles, abstracts, and full-texts. In the end, 13 articles met the inclusion criteria. The included articles provided evidence of the effectiveness of communication actions on the reduction of risk factors for the occurrence or severity of road traffic accidents. However, communication actions alone seem insufficient to achieve a sustainable and significant reduction in road traffic accidents, road traffic injuries, or road traffic fatalities. This confirms the need to integrate all road safety promotion strategies to act simultaneously on the various risk factors for the occurrence or severity of road traffic accidents and thereby significantly reduce their incidence and associated consequences.
Abstract: Vulnerable road users, including motorcyclists, account for more than half of all road traffic fatalities worldwide. Communication actions are an essential part of prevention both in Africa and in the world. This study aimed to review the available scientific studies on the effectiveness of communication actions for the reduction of road traffic ac...
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Emergence of a Tape-worm Through Traumatic Perforation of the Small Intestine, Then Through the Umbilical Wound to the Exterior, Elhassaheisa Teaching Hospital, Sudan
Omer Taha Ahmed Elmukashfi,
Taha Ahmed Elmukashfi Elshiekh,
Mohammed Algily Dafalla Mohammed,
Imtethal Ali Mahmoud Abdlruhman
Issue:
Volume 6, Issue 5, October 2020
Pages:
316-319
Received:
23 July 2020
Accepted:
5 October 2020
Published:
17 October 2020
Abstract: Tapeworm infection represents a common health problem in developing countries. Taeniasaginata infection is one of endemic diseases that found in countries where most of populations eat raw or undercooked meat. A 64 years old female patient with penetrating abdominal trauma, presented to Outpatient Clinic at Elhassaheisa Teaching Hospital, Gezira State, Sudan; December 2019. On examination patient looks unwell, not pale, vitally stable, fully conscious, abdomen moving with respiration with an open wound at umbilical region, and there is a tape warm moving outside abdomen through site of trauma. Patient immediately received intravenous fluids and antibiotics together with anti tetanus. An emergency laparatomy was performed with suspicion of perforated viscous. It was found that ileum was herniated through lineasemilunaris with three sites of perforation about 60cm from ileacecal valve. The affected part was resected and anastomosed, approximation of defect of lineasemilunaris was performed, pelvic drain was fixed, hemostatsis was secure, and no other tape-warm was found. Patient had a positive history of eating raw meats, loss of appetite, cholecystitis and frequent epigastric pain. Test for TaeniaSaginata was positive for patient and negative for her family. Patient was discharged on seventh day of operation in a good condition and on Albendazole tab. Seven days later after discharge she came for follow up and she was quite well. In this case, size of intestinal perforation was of adequate size through which tape-worm can emerge out of intestine. So, most probably worm emerged through perforation of intestine then through umbilical wound to exterior.
Abstract: Tapeworm infection represents a common health problem in developing countries. Taeniasaginata infection is one of endemic diseases that found in countries where most of populations eat raw or undercooked meat. A 64 years old female patient with penetrating abdominal trauma, presented to Outpatient Clinic at Elhassaheisa Teaching Hospital, Gezira St...
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