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Relationship Between Maternal Nutritional Status and Birth Outcome Among Pregnant Women Attending Antenatal Clinic at Yusuf Dantsoho Memorial Hospital Kaduna
Safiya Aliyu Tijjani,
Maimuna Ladidi Aliyu,
Kudirat Afolabi
Issue:
Volume 6, Issue 3, September 2020
Pages:
62-65
Received:
17 February 2020
Accepted:
27 February 2020
Published:
4 June 2020
Abstract: This study was undertaken to find out the relationship between maternal dietary pattern, anthropometric indices with birth outcome among pregnant women in their 3rd trimester attending antenatal clinic at Yusuf Dantsoho Memorial Hospital, Tudun Wada, Kaduna. Sixty-seven mothers – baby pair participated in the study. Weight, height, and Mid Upper Arm Circumference (MUAC) of mothers were measured with unclothed newborn length, weight, head and chest circumference also taken. Results obtained shows mean maternal age, weight, height, and MUAC of 31.20±8.40 years, 70.37±12.73 kg, 1.620±0.07 m, 26.65±4.08 cm, and 26.63±3.80 kg/m2 respectively. Majority of the pregnant women (77.60%) had good nutritional status while 16.40%, 6.00% are moderately and severely malnourished respectively. Maternal dietary pattern showed daily to weekly intake of all the food groups with less than 50% except for bread and cereals which is more than 50%. Maternal mean intake of total protein and total calories was close to the recommended daily intake of 60- 75 kg/day, and 2500 – 3000 kcal respectively. Newborn anthropometric measurements indicated that 61.20% were mildly stunted, 70.10% mildly underweight, and 62.70% moderately wasted neonates. Head and chest circumference are within the normal range. Maternal anthropometry and dietary pattern showed a positive correlation with birth outcome.
Abstract: This study was undertaken to find out the relationship between maternal dietary pattern, anthropometric indices with birth outcome among pregnant women in their 3rd trimester attending antenatal clinic at Yusuf Dantsoho Memorial Hospital, Tudun Wada, Kaduna. Sixty-seven mothers – baby pair participated in the study. Weight, height, and Mid Upper Ar...
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Application of WeChat Platform to Assist Extended Care for Patients Undergoing Laparoscopic Sleeve Gastrectomy Bariatric Surgery
Li Zhang,
Shuqing Yu,
Xiuli Wei,
Lina Wu,
Lilian Gao
Issue:
Volume 6, Issue 3, September 2020
Pages:
66-69
Received:
14 May 2020
Accepted:
29 May 2020
Published:
9 June 2020
Abstract: Purpose: To explore the effect of using WeChat platform to assist extended care on the compliance behaviors, health locus of control and quality of life of patients who were undergoing laparoscopic sleeve gastrectomy (LSG) bariatric surgery. Methods: A total of 120 patients from July 2018 to June 2019 in the First Affiliated Hospital of Jinan University were enrolled in the study. 120 patients were randomly divided into control and intervention groups containing 60 patients respectively. In the control group, patients were given routine extended care. In the intervention group, WeChat platform extended care was adopted in addition to routine extended care. The compliance behaviors of patients in the two groups were collected and compared, and health locus of control and quality of life of patients in the two groups before the intervention and 3 months after the intervention were evaluated using the multidimensional health locus of control scale (MHLC) and 36 item short form health survey (SF-36). Results: The compliance rates of the intervention group were higher than those of the control group (P<0.05). Before the intervention, there were no significant differences between the two groups of patients' health locus of control and quality of life (P>0.05), but 3 months after the intervention, compared with the control group, the health locus of control and quality of life of the intervention group were significantly improved (P<0.05). Conclusions: Application of WeChat platform to assist extended care is beneficial to the enhanced compliance behaviors, improved health locus of control and quality of life of patients undergoing LSG bariatric surgery.
Abstract: Purpose: To explore the effect of using WeChat platform to assist extended care on the compliance behaviors, health locus of control and quality of life of patients who were undergoing laparoscopic sleeve gastrectomy (LSG) bariatric surgery. Methods: A total of 120 patients from July 2018 to June 2019 in the First Affiliated Hospital of Jinan Unive...
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HIV Sero Status and Associated Factors Among HIV-Exposed Infants’ in Selected Health Facilities in Sidama Zone, Southern Ethiopia
Yirgalem Yosef,
Bosena Tebeje,
Jophine Joseph,
Seblework Abeje
Issue:
Volume 6, Issue 3, September 2020
Pages:
70-77
Received:
15 January 2020
Accepted:
27 May 2020
Published:
9 June 2020
Abstract: MTC transmission of HIV is a major public health challenge in Ethiopia; however there were a shortage of evidence on HIV sero status of exposed infants in Sidama zone, Southern Ethiopia. Therefore, this study aimed to assess, the HIV sero status and associated factors among HIV-exposed infants in selected public health facilities. A cross-sectional study was conducted in 14 public health facilities at Sidama zone SNNPR state, Ethiopia from May 1- 30/2019Gc. Medical record cards of HIV-exposed infants and their mothers enrolled from January 2014 to January 2018 was extracted using data extraction checklist. Magnitude and associated factors of HIV sero status of exposed infants was computed using SPSS version 21.0 software. A total of 203 HIV-exposed infants who had HIV DNA/PCR test results were included in the study. The overall prevalence of HIV among HIV exposed infants were nearly 9% (95% CI: 4.4, 12.8) Infants born from mothers’ with baseline CD4+ counts of mother less than 350, (AOR=5.629; 95% CI: 1.454, 21.79), Mothers who had WHO clinical stage I and II, (AOR=4.975; 95% CI: 1.342, 18.446), and Poor ART adherence (AOR=4.302; 95% CI: 1.100, 16.823) had an increased odds of HIV infection comparing to their counterparts. Conclusion and recommendation: The prevalence of HIV infection among infants born to HIV infected mothers was high in the study area. Baseline CD4+ counts, WHO clinical staging, and ART adherences of mothers are associated with their infants HIV status. Therefore, stakeholders including health care workers working at PMTCT centers should make create awareness on the effects of poor ART adherence and undertaking further rigorous longitudinal studies are recommended.
Abstract: MTC transmission of HIV is a major public health challenge in Ethiopia; however there were a shortage of evidence on HIV sero status of exposed infants in Sidama zone, Southern Ethiopia. Therefore, this study aimed to assess, the HIV sero status and associated factors among HIV-exposed infants in selected public health facilities. A cross-sectional...
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The Effect of Type-D Personality Traits on Smoking in Students of Medicine Faculty
Issue:
Volume 6, Issue 3, September 2020
Pages:
78-82
Received:
4 May 2020
Accepted:
11 June 2020
Published:
20 June 2020
Abstract: Objective: The purpose of this study is to examine the relationship between the smoking status, smoking, and Type-D personality traits of medical students. Method: This cross-sectional study was conducted with 627 Medical Faculty students in the 2019-2020 academic year. In the study, personal information form, Type-D Personality Scale, Fagerstrom Nicotine Dependency Test and Beck Depression Scale Inventory were used. In the analysis of the data, Chi-square test, Mann-Whitney U test and Kruskal-Wallis H test were used. p<0.05 was considered significant. Results: The average age of the students was 21.87±2.23 (min-max; 18-32), 341 (54.4%) of the students were females and 286 (45.6%) of them were males. Smoking prevalence among the students was 31.6% (n=198). It was determined that 353 (56.3%) of the students had Type-D personalities and 118 (18.8%) of the Type-D personalities were smokers. There was no significant difference between the students with and without Type-D personality traits in terms of smoking (p>0.05). The average score of negative affect, which is a sub-dimension of Type-D personality, was higher in smokers (p=0.001). It was found that 267 (42.6%) of the students with type D personality traits had depressive symptoms (p=0.01). Conclusion: It was concluded that Type-D personality was not related to smoking, however, was associated with the presence of depressive symptoms. Furthermore, the fact that negative affect was higher in the students who smoke was associated with demonstrating more depressive symptoms.
Abstract: Objective: The purpose of this study is to examine the relationship between the smoking status, smoking, and Type-D personality traits of medical students. Method: This cross-sectional study was conducted with 627 Medical Faculty students in the 2019-2020 academic year. In the study, personal information form, Type-D Personality Scale, Fagerstrom N...
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Serial Arterial Lactate Clearance and Outcome in Patients with Cardio-respiratory Insufficiency Presenting in Emergency Ward at Tertiary Level Hospital
Siddharth Dhoj Khati,
Bishal Pokhrel,
Rekha Karki
Issue:
Volume 6, Issue 3, September 2020
Pages:
83-86
Received:
12 June 2020
Accepted:
28 June 2020
Published:
13 July 2020
Abstract: Introduction: Acute cardio-respiratory failure is one of the acute common problems encountered in emergency and which required immediately intervention. It creates an imbalance between energy supply, demand, and consumption. Earlier lactate clearance should be useful to identify patient able to reverse the metabolic derangement and failure to rapidly resolve the oxygen debt, indicated by poor lactate clearance, would be correlated with negative outcome. For this purpose lactate clearance at 2 hour is more useful. Methods: This was a prospective study conducted at B. P. Koirala Institute of Health Sciences, Dharan, Nepal. Preliminary diagnosis was made according to clinical history, physical examination, arterial blood gas and chest radio graph. A national emergency warning system was used for patient evaluation. Gas exchange and lactate blood concentration was assessed at Emergency ward at arrival, 2 & 6 hr. Two-hour lactate clearance was calculated as (Lactate start − lactate 2 hour)/lactate start (%). Blood gas-analysis and arterial lactate was performed by intermittent blood sampling and co-oximetry. Results: Out of 74 patients the COPD was the most common co-morbidity condition (25.7%), followed by congestive heart failure (18.9%). Comprising of lactate clearance at two hours and the lactate clearance at six hours, the lactate clearance at two hours and its outcomes was more significant (P=0.001, OR=10.133) than lactate clearance at six hours (P=0.213). Conclusions: Early lactate clearance was associated with positive outcome rather than late clearance.
Abstract: Introduction: Acute cardio-respiratory failure is one of the acute common problems encountered in emergency and which required immediately intervention. It creates an imbalance between energy supply, demand, and consumption. Earlier lactate clearance should be useful to identify patient able to reverse the metabolic derangement and failure to rapid...
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Breast Pathologies and Inadequate Breastfeeding Practices: A Survey Among a Group of Newly Delivered Women in Yaoundé, Cameroon
Issue:
Volume 6, Issue 3, September 2020
Pages:
87-90
Received:
22 June 2020
Accepted:
7 July 2020
Published:
23 July 2020
Abstract: Breastfeeding women may develop a number of breast disorders during the postpartum period. Such disorders could involve masses of varying sizes, breastmilk secretion anomalies and painful-inflammatory or infectious conditions. Though very few of these conditions may be absolute contraindications to breastfeeding, they are however a significant source of worry for newly delivered women and may disrupt the breastfeeding process. This survey aimed to investigate breast anomalies in women with inadequate breastfeeding practices. We conducted a cross-sectional study from December 2018 to May 2019 at the Yaoundé Gynaeco-Obtetric and Paediatric Hospital. Mothers with livebirth neonate infants weighing > 2000g and with no initial contraindication to breastfeeding were included. A total of 250 mothers were enrolled in the survey. Delivery was eutocic in 230 (92%) women and 199 (79.6%) had the intension to exclusively breastfeed their babies. The state of the neonates was satisfactory in 204 (96%) deliveries. However, inadequate breastfeeding was noted in 153 mothers (61.2%), with breast pathologies occurring in 85 women (55.5%), among which 24 (28.2%) had secretion anomalies predominated by quantitative disorders. Painful inflammatory and/or infectious conditions occurred in 58 women (69.4%) including nipple crevices, breast engorgement, inverted nipples, mastitis and abscess. All women with obvious or supposed breast disorders had inadequate breastfeeding practices. Therefore, painful breast pathologies and secretion disorders should firstly be investigated in women with eutocic delivery, who are willing to breastfeed, but unable to do so adequately. More so, these pathologies are essentially benign and may be prevented by good hygiene, adequate breastfeeding techniques such as proper nipple and areolar positioning into the baby’s mouth.
Abstract: Breastfeeding women may develop a number of breast disorders during the postpartum period. Such disorders could involve masses of varying sizes, breastmilk secretion anomalies and painful-inflammatory or infectious conditions. Though very few of these conditions may be absolute contraindications to breastfeeding, they are however a significant sour...
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KAP on Obstetrics Danger Signs of Pregnancy Among ANC Attending Pregnant Mother in Gununno Health Center, Gununo Town, Wolaita Zone, Southern Ethiopia April: 2019
Bulcha Guye Adema,
Wuletawu Birhanu Edamo
Issue:
Volume 6, Issue 3, September 2020
Pages:
91-96
Received:
2 June 2020
Accepted:
23 June 2020
Published:
10 August 2020
Abstract: Danger signs of pregnancies are a warning signs that women encounter during pregnancy, child birth and postpartum. It is important, to know this warning signs for women and health care providers to rule out serious complications and initiate treatment immediately. Pregnancy is normal process that results a series of both psychological and physiological changes in pregnant mother. However pregnancy is accompanied with some problems and complications which is life threatening for mother and the fetus. Awareness of obstetric danger sign is first step in accepting appropriate and timely health care service. However there is high maternal death in developing countries due the lack of adequate awareness about danger signs of pregnancy. Yet its factors are not well known in Ethiopia where maternal mortality is high. METHODOLOGY: Descriptive cross sectional study design was conducted for assessment of KAP of obstetric danger sign among pregnant mother at Gununo town, Gununo health center from May10 to June 20, 2019. The pregnant to be interviewed was selected by systematic random sampling ANC registration book at the time of data collection. The total sample size was 420. Structured interviewer administered questionnaire was used to collect data. Data was entered in to STATA 14 statistical software for analysis. Finally, results were presented in texts, graphs and tables. RESULT: A total of 420 pregnant women were included in the study making the response rate 100%. From those who were included in the study 302 (71.56%) identified severe vaginal bleeding at any time during pregnancy as danger sign. In general 248 (58.77%) of the study participants were found to have good knowledge by scoring above the mean value. overall assessment for attitude shows 203 (48.1%) of the study participants had negative attitude by scoring the mean value and below the mean value and 60% were found to have good practice. Conclusion: Knowledge on danger signs during pregnancy is low and greater than half of respondents have unacceptable attitude. The quality of ANC care particularly health education should be evaluated. Further studies are recommended to address the gaps of knowledge and attitude.
Abstract: Danger signs of pregnancies are a warning signs that women encounter during pregnancy, child birth and postpartum. It is important, to know this warning signs for women and health care providers to rule out serious complications and initiate treatment immediately. Pregnancy is normal process that results a series of both psychological and physiolog...
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Chemical Functional and Sensory Properties of Complementary Diets from Blends of Fermented Millet (Penniselum glaucum) with Groundnut (Arachis hypogeae) and Moringa oleifera Seed Flours
Makanju Dehinde Awogbenja,
Oluwatooyin Faramade Osundahunsi,
Tayo Nathaniel Fagbemi
Issue:
Volume 6, Issue 3, September 2020
Pages:
97-105
Received:
6 July 2020
Accepted:
20 July 2020
Published:
10 August 2020
Abstract: Malnutrition resulting mostly from poor infant feeding practices is a major public health problem in Nigeria. This study evaluated the nutritional and functional properties of flour blends prepared from fermented millet, groundnut and Moringa oleifera, as well as attributes of the gruel obtained from the composite flour. Seven blends were formulated using NutriSurvey for Linear Programming Software and compared with Ogi (traditional complementary food) and cerelac (commercial flour). Data were analyzed using statistical packages, means values separated using Ducan’s New Multiple Range (DNMR) test at P<0.05. Protein, fat, fibre and ash content of the formulated samples ranged from 18.18-20.46, 10.89-20.72, 3.44-3.89, and 1.62-3.30g/100g, respectively, and all were significantly higher (P<0.05) than in ogi (7.08, 5.61, 0.92 and 1.18), while energy values (Kcal/100g) ranged between 427.17 and 481.16. Calcium, phosphorous, zinc and iron content of the formulated samples were significantly higher P<0.05) than in ogi, but lower to cerelac. Bulk density, water absorption capacity, least gelation and swelling capacity of the blends ranged from 0.75-0.81g/ml, 2.81-4.24ml/g, 12.33-18.67% and 3.01-5.91% respectively. Sensory evaluation indicated that the samples were highly rated (P 0.05) with sensory scores of above 5.00 for all the sensory attributes investigated. The study shows that the formulated samples are of high nutrient dense products and possess good functional and sensory properties which are needed for the production of complementary foods for infants and older children.
Abstract: Malnutrition resulting mostly from poor infant feeding practices is a major public health problem in Nigeria. This study evaluated the nutritional and functional properties of flour blends prepared from fermented millet, groundnut and Moringa oleifera, as well as attributes of the gruel obtained from the composite flour. Seven blends were formulate...
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