scholarly journals Analysis of Five-Year Trend of Malaria at Bichena Primary Hospital, Amhara Region, Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Awoke Minwuyelet ◽  
Yibeltal Aschale

Background. Malaria is a life-threating infectious diseases caused by protozoan parasite of the genus Plasmodium. The WHO African region bears the largest burden of malaria morbidity and mortality every year. Prevention and control activity of malaria in Ethiopia is implemented as guided by a national strategic plan to decrease malaria burden. This study is aimed at assessing the five-year trend of malaria at Bichena Primary Hospital. Method. A retrospective study was conducted at Bichena Primary Hospital to assess the five-year (2015-2019) trend of malaria by reviewing blood film reports from a laboratory logbook. Result. In a five-year period, 9182 blood films were requested for malaria diagnosis of whom 53.8% were males and 41% were in the age group 15-29. The overall prevalence of malaria was 9.28% ( n = 852 ), P. falciparum being the dominant malaria species. The highest peaks of total malaria cases were observed in 2016 and in December, and the lowest peaks were observed in 2018 and March (mean annual case 170.4; mean monthly case 14.2), and there was a statistically significant year and monthly variation of malaria cases ( P < 0.001 ). Malaria was reported in both sexes and all age groups; of which, males and the age group 15-29 years old consist the highest number of malaria cases ( P < 0.001 ). Conclusion. Malaria remains an important public health problem in the study area, and a significant fluctuation was noticed in a five-year period, P. falciparum being slightly the dominant malaria species. Successive efforts are still required to reduce malaria burden to a level that has no longer public health effect.

Author(s):  
Ravinder Kaur ◽  
Pragyan Swagatika Panda ◽  
Shahnawaz Khan

Background: Onychomycosis is rarely life threatening but can affect patient’s quality of life by its associated morbidity and cosmetic disfigurement that makes it an important public health problem. So the current study was undertaken to look for causes of onychomycosis including the non-dermatophytic molds that are normally considered as contaminants. Methods: A total of 100 nail samples from clinically suspected cases of onychomycosis, were processed by direct microscopy of the KOH mount followed by two sets of culture on Sabourauds’ Dextrose Agar and incubated at 25ºC and 37ºC and were examined once a week for a period of 4-6 weeks, to look for the fungal causative agent. Results: Infection was more common among males and amongst age group 21-30 years (31%). The finger nails (57%) were more commonly involved than toe nails (43%). Onychomycosis was mostly caused by molds (55%), followed by dermatophytes (15.8%) and yeasts (9.3%). Aspergillus niger and A. flavus (13% each) were the most common molds, T. verrucossum (4.6%) was the most common dermatophyte, while Candida albicans (6.5%) was the most common yeast isolated. Conclusions: There is a rising trend of non dermatophytic molds causing onychomycoses, Thus microbiologists should look for all the possible causes of superficial fungal infection. 


2011 ◽  
Vol 18 (03) ◽  
pp. 494-500
Author(s):  
ALTAF PERVEZ QASIM ◽  
MUHAMMAD ANWER SULEHRI

Background: Violence against women is an important public health problem. It has global significance regarding violation of human rights. Violence is an important risk factor related to ill health of women, having far reaching consequences affecting physical, social, mental and reproductive health of the victims. Objectives: To study the various types of interpersonal violence against women and find out the magnitude of physical violence and sexual assault among the victims. Study Design: A descriptive hospital record based study. Setting & Duration: The study was conducted from January to December 2005 in casualty out patient department of Allied Hospital, Punjab Medical College (PMC), Faisalabad. Methodology: Total 286 cases of violence, who reported for medico-legal examination during calendar year 2005, were included in the study. The cases of physical violence / sexual assault were examined in detail. Findings were tabulated and analyzed. Results: Among total 286 cases, 221 (77%) victims were married, and commonly involved age group was 21–30 years accounting for 82 (28.68%) victims. Blunt trauma was sustained by 193 (67.50%) victims, sharp edged weapon affected 17 (6.0%) cases, firearm bears the responsibility in 13 (4.54%) victims, a mix pattern of injuries by sharp / blunt objects was observed in 8(2.80%) females and (1.75%) women were said to be burnt. Forty-three (15%) cases were reported as victims of alleged sexual assault with peak incidence during 2nd decade of life in age group 11–20 years involving 23 (53.5%) cases. Among total 43 cases of sexual assault, 27 (63%) victims belonged to rural areas. Twenty Eight (65%) unmarried girls were subjected to sexual assault. In 43 sexual assault victims, semen was detected in 28 (65%) cases, 13 (30%) cases were negative; whereas reports of 2 (5%) cases were not available in the record. Conclusions: The cases of physical violence are common in Faisalabad and incidence of sexual assault is higher in rural areas more commonly affecting the unmarried young girls. There is need to attend this public health problem with concrete efforts to stop the violence against women & reduce the incidence of sexual assaults. 


2021 ◽  
pp. 793-800
Author(s):  
Mohammed J. Al-Obaidi ◽  
Hayder B. Ali

Leishmaniasis diseases constitute an important public health problem in both tropical and subtropical areas. The aim of this study is to evaluate the epidemiological situation of cutaneous leishmaniasis (CL) in Babylon province, Iraq. The current work included the recording of 142 new cases of CL infection in Babylon province for the period from November 2019 to February 2020. Male infection was represented by 87 cases (61.27%), while females composed 55 samples (38.73%), with a significant difference (p<0.05) between the two groups. The age group of 5-14 years was found to have the highest recorded CL cases  (56; 39.44%), while the age group of less than one year had the lowest  cases  (1; 0.70%), with the differences being significant at p<0.05. Al-Gazali location was found to include the highest recorded CL cases  (29; 20.42%), whereas Kish location had the lowest cases (1; 0.70%). The dry type of CL lesions was represented in 112 cases (78.9%), while the wet type was represented 30 cases (21.1%). The ulcero-crusted form of CL sores was more frequent  (105; 73.7%), followed by the papulonodular form  (30; 21.1%). According to the location of lesions, the upper limb lesions were more frequent  (90; 63.16%), followed by the lower limb lesions  (37; 26.32%). About 82 (57.9%) of the recorded CL cases were appearing as new cases, whereas 60 cases (42.1%) were recorded as a relapse after treatment. The study concludes that CL is highly distributed in Babylon province.


2021 ◽  
Vol 6 (14) ◽  
pp. 51-55
Author(s):  
Ülkü VERANYURT ◽  
Betül AKALIN

Background: Carbapenem-resistant Enterobacterales (CRE) infections are a significant threat to public health due to the limited availability of antibiotics and the effect on mortality. This study was conducted retrospectively to determine the prevalence of CRE in a teaching and research hospital in Istanbul. Materials and Methods: In 2016, 2017 and in the first half of 2018 Klebsiella species were evaluated retrospectively in culture samples that were sent to Microbiology Laboratory in an educational hospital. The typing of Klebsiella species were performed with MALDITOF-MS device (Biomerieux, France). Imipenem, merapenem, ertapenem susceptibilities of the strains were evaluated with VITEC2 Compact (Biomerieux, France) according to EUCAST (European Committee on Antimicrobial Susceptibility Testing). If the strains were found to be resistant, the results were confirmed by the antibiotic gradient test. Results: In our study, 257 samples; Klebsiella oxytoca 9 (3.49%) and Klebsiella pneumoniae 248 (96.51%) were detected. 130 endotracheal aspirates, 57 wounds, 34 blood, 15 urine, 9 sputum, 3 catheters, 4 tissue biopsies, 2 mediastinum, 2 peritoneal fluid and 1 pleural fluid strains were identified. While none of the Klebsiella oxytoca strains were resistant to carbapenems, the percentages of Klebsiella pneumoniae resistance against imipenem, merapenem and ertapenem were found to be 23.29%, 16.94% and 29.44% respectively. Conclusion: The increasing problem of carbapenem-resistant (CR) Klebsiella pneumoniae in the last decade has been observed in our hospital for the last 2 years. CR strains often show increased resistance to other antibiotics and their treatment possibilities are limited. It increases the importance of controlling this factor. The application of effective infection control programs and the use of rational antibiotics are of great importance.


2021 ◽  
Vol 6 (2) ◽  
pp. 111
Author(s):  
Hepti Muliyati ◽  
Menis Mbali ◽  
Hadidja Bando ◽  
Riana Pangestu Utami ◽  
Opyn Mananta

Wasting on children is an important public health problem because of its considerable impact on their health and growth. This problem could lead to iron deficiency which could induce infection disease and probably lower a child’s intelligence as a long-term effect. This study aimed to analyze factors related to wasting on 12-59 months children in Bulili Public Health Center (PHC), Palu City. The analytical descriptive study designed with a cross-sectional approach was applied in this study. One hundred and twenty-one subject was selected from 283 children with purposive sampling technique. Data were analyzed with chi-square and Fisher exact test with significant (p < 0,05). The result showed that most children with low birth weight experienced wasting with a p-value = 0,000. Most of the children from higher-income families did not experience wasting with a p-value = 0,004. Most children who didn’t receive breastfeeding milk did not experience wasting with a p-value = 0,958. This study concluded a correlation between low birth weight and income to wasting, but breastfeeding practice was not related.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256659
Author(s):  
Mehmet Aykur ◽  
Hande Dagci

Free-living amoeba (FLA) is widely distributed in the natural environment. Since these amoebae are widely found in various waters, they pose an important public health problem. The aim of this study was to detect the presence of Acanthamoeba, B. mandrillaris, and N. fowleri in various water resources by qPCR in Izmir, Turkey. A total of (n = 27) 18.24% Acanthamoeba and (n = 4) 2.7% N. fowleri positives were detected in six different water sources using qPCR with ITS regions (ITS1) specific primers. The resulting concentrations varied in various water samples for Acanthamoeba in the range of 3.2x105-1.4x102 plasmid copies/l and for N. fowleri in the range of 8x103-11x102 plasmid copies/l. The highest concentration of Acanthamoeba and N. fowleri was found in seawater and damp samples respectively. All 27 Acanthamoeba isolates were identified in genotype level based on the 18S rRNA gene as T4 (51.85%), T5 (22.22%), T2 (14.81%) and T15 (11.11%). The four positive N. fowleri isolate was confirmed by sequencing the ITS1, ITS2 and 5.8S rRNA regions using specific primers. Four N. fowleri isolates were genotyped (three isolate as type 2 and one isolate as type 5) and detected for the first time from water sources in Turkey. Acanthamoeba and N. fowleri genotypes found in many natural environments are straightly related to human populations to have pathogenic potentials that may pose a risk to human health. Public health professionals should raise awareness on this issue, and public awareness education should be provided by the assistance of civil authorities. To the best of our knowledge, this is the first study on the quantitative detection and distribution of Acanthamoeba and N. fowleri genotypes in various water sources in Turkey.


Author(s):  
Pratibha U. Mulik ◽  
Sudam R. Suryawanshi

Background: After comparing data of NFHS-3 and 4, prevalence of overweight and obesity in women of an urban population almost doubled in 10 yr. So, the causes of increasing prevalence need to be studied as public health concern. Objective of the study is to determine prevalence of overweight and obesity among reproductive age group (15-49 years) of women in an urban slum of Mumbai.Methods: Total 220 women were selected among 11 sectors from A to K by simple random method and data collected by using validated questionnaire. WHO’s classification was used to classify as overweight and obese.Results: Out of 220 women participated in study, 14 (6.36%) were obese, 75 (34.09%) were overweight according to BMI and 17 (7.7%) were found to be obese according to waist to hip ratio. From the present study it was seen that age group of the women, socio economic class, education, history of hypothyroidism, family history of obesity, types of work women do, hours of television watching, calorie and fat intake, had a significant relationship with BMI, whereas physical exercise they used to do and tendency to sleep in the afternoon and hours of sleep in the night had non-significant relationship with BMI.Conclusions: Obesity and overweight is found to be a growing public health problem and can be preventable. Interventional measures include developing healthy eating habits, regular moderate physical exercise, sleeping habits, health camps for screening of overweight and obesity.


PEDIATRICS ◽  
1964 ◽  
Vol 34 (1) ◽  
pp. 32-37
Author(s):  
Dacio Pinheiro

Tetanus in the newborn infant is still a most important public health problem in Brazil. An analysis of 238 cases, admitted in a two-year period to the pediatric service of the University Hospital in Sao Paulo, is presented. It is suggested that prognosis is related more closely to amount of tetanospasmin produced and absorbed by the central nervous system than to some of the more traditional indices of clinical severity. The plan of treatment in use is presented, since the over-all recovery rate compares very favorably with other published reports.


Author(s):  
Jose Andonegui ◽  
Aitor Eguzkiza ◽  
Mikel Auzmendi ◽  
Luis Serrano ◽  
Ane Zurutuza ◽  
...  

e-Ophthalmology is the use of information and telecommunications technologies to provide or support a group of activities related to ophthalmic care. Chronic glaucoma is an ocular disease characterized by optic neuropathy that leads to progressive loss of the visual fields and often is associated with elevated intraocular pressure levels. Glaucoma is an important public health problem because it is one of the main causes of blindness worldwide and generates an important demand for ophthalmologic consultations. The aim of this chapter is to discuss the application e-Ophthalmology-based models in the diagnosis and follow-up of chronic glaucoma. The authors describe the current status of the use of e-Ophthalmology-based models in the screening and follow-up of chronic glaucoma, the main advantages of these models, the technologic requirements for their implementation, and future trends in this field.


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