scholarly journals Resting Heart Rate and Associated Factors in Patients with Chronic Heart Failure in Cameroon: A Cross-sectional Study in Sub-saharan Africa

2020 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Ba Hamadou ◽  
Jérôme Boombhi ◽  
Audrey Joyce Foka ◽  
Sylvie Ndongo Amougou ◽  
Liliane Mfeukeu-kuate ◽  
...  
2021 ◽  
Vol 11 (11) ◽  
pp. 485-497
Author(s):  
Liliane Mfeukeu-Kuate ◽  
Honoré Kemnang Yemele ◽  
Ahmadou Musa Jingi ◽  
Martine Etoa ◽  
Jan Rene Nkeck ◽  
...  

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Nega Degefa ◽  
Ketema Diriba ◽  
Tekeste Girma ◽  
Amelework Kebede ◽  
Ayano Senbeto ◽  
...  

Background. The first 28 days of life (the neonatal period) constitute the most vulnerable time for a child’s survival. Overall 2.7 million neonatal deaths were stated by the 2015 global report of neonatal mortality and they account for 45% of under-five deaths. Sub-Saharan Africa remains the region with the highest risk of death in the first month of life and is among the regions showing the least progress in reducing neonatal mortality in the world. Ethiopia, as part of sub-Saharan Africa, also shares the greatest risk of neonatal death. A recent report in Ethiopia showed that neonatal mortality was 29 deaths per 1,000 live births. Therefore, the signs that suggest the onset of severe illness which leads to death and their contributing factors should be identified. The aim of the study was to assess knowledge about neonatal danger signs and associated factors among mothers attending immunization clinic at Arba Minch General Hospital. Method. Institution-based cross-sectional study design was employed from Feb to April 2018. Systematic sampling technique was used to select a total of 345 mother-child pairs. A pretested, structured, and interviewer-administered questionnaire was used to collect data. Data were entered using Epidata version 3.1 and analyzed using SPSS version 20. Bivariate and multivariable analysis were carried out using binary logistic regression to check and test the association between dependent and explanatory variables. Model fitness was checked by Hosmer-Lemeshow goodness of fit test. Result. Nearly two-fifths (40.9%) of all mothers had good knowledge about neonatal danger signs (95% CI; 35.7, 46.4). Close to thirty-three percent of mothers identified child’s body hotness (fever) as a neonatal danger sign. Maternal educational status (AOR: 5.64; 95% CI: 1.68, 18.95) and attendance of postnatal care (AOR: 2.64; 95% CI: 1.36, 5.15) were significantly associated with maternal knowledge about neonatal danger signs in multivariable analysis. Conclusion. Even though considerable improvement has been achieved over the past decades as a result of expanded coverage of maternal and childcare services, still there are a significant number of mothers who have limited knowledge about neonatal danger signs. Therefore, interventional strategies that stress strengthening maternal education and ANC follow-up should be extended.


2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Steve Raoul Ngongang Noumegni ◽  
Jobert Richie Nansseu ◽  
Vicky Jocelyne Moor Ama ◽  
Jean Joel Bigna ◽  
Felix Kembe Assah ◽  
...  

2020 ◽  
Vol 10 (04) ◽  
pp. 178-187
Author(s):  
Ba Hamadou ◽  
Sylvie Ndongo Amougou ◽  
Ismaila Daouda ◽  
Chris Nadège Nganou-Gnindjio ◽  
Liliane Mfeukeu-Kuate ◽  
...  

2021 ◽  
Author(s):  
Abraham Fessehaye ◽  
Wondimu Gudu ◽  
Tadesse Urgie ◽  
Gebeyehu Masresha

Abstract Background: External cephalic version (ECV), which is now routinely offered in developed countries, is not a popular procedure in the developing regions, such as Sub-Saharan Africa (9). There is also scarce data on success rate of ECV from this developing region of Africa. The aim of this study was to determine the success rate of ECV and it’s associated factors in an Ethiopian setting.Methods: A total of 152 ECVs performed at the St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia from June 1, 2018 up to March 30, 2019 were analyzed, using a cross-sectional study design. Patients with breech presentation were recruited at 36 weeks of gestation or more during antenatal consultations and ECV procedures were provided by Maternal-Fetal-Medicine (MFM) specialist or MFM fellow at Ultrasound room. Data was analyzed using SPSS version 21. Chi-square test of association was done for categorical data analysis. Multivariate logistic regression analysis was used to determine predictors of success of ECV. Odds ratio, 95% CI, and P-value were used to describe findings’ significanceResults: The success rate of ECV was 71.7%. Multiparous women had a 1.4-times higher probability of success than nulliparous women (95% CI, 0.07-2.35); thin abdominal wall had 3.5 fold increased success rate ( 95% CI, 0.29-42.40) ; unengaged breech had a 1.1 higher probably of success than engaged(95% CI, 0.26-4.74); a posterior placental location increased the success rate by 1.14 times compared with an anterior placenta (95% CI, 1.03–2.60); the odds of successful ECV was 14.68((95% CI, 1.65–34.97) when cases experienced no pain during the procedure ; and tense uterine tone was associated a lower success rate as compared to soft tone (AOR= 0.08 ,95% CI, 0.016—0.39). Eighty-four percent of those mothers who had successful ECV had spontaneous vertex vaginal delivery.Conclusion: The success rate of ECV in this study is found to be 71.7%, which is higher than reports from previous studies. Multiparty, absence of pain during procedure, posterior placenta, unengaged breech, soft uterine tone, and thin abdominal wall were significantly associated with ECV success.Précis: The success rate of ECV in this study is found to be 71.7%, which is higher than reports from previous studies.


Author(s):  
Steve Raoul Ngongang Noumegni ◽  
Jobert Richie Nansseu ◽  
Vicky Jocelyne Ama Moor ◽  
Jean Joel Bigna ◽  
Felix Kembe Assah ◽  
...  

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e045992
Author(s):  
Eugene Budu ◽  
Bright Opoku Ahinkorah ◽  
Richard Gyan Aboagye ◽  
Ebenezer Kwesi Armah-Ansah ◽  
Abdul-Aziz Seidu ◽  
...  

ObjectiveThe objective of the study was to examine the association between maternal healthcare utilisation and complete childhood vaccination in sub-Saharan Africa.DesignOur study was a cross-sectional study that used pooled data from 29 countries in sub-Saharan Africa.ParticipantsA total of 60 964 mothers of children aged 11–23 months were included in the study.Outcome variablesThe main outcome variable was complete childhood vaccination. The explanatory variables were number of antenatal care (ANC) visits, assistance during delivery and postnatal care (PNC).ResultsThe average prevalence of complete childhood vaccination was 85.6%, ranging from 67.0% in Ethiopia to 98.5% in Namibia. Our adjusted model, children whose mothers had a maximum of three ANC visits were 56% less likely to have complete vaccination, compared with those who had at least four ANC visits (adjusted OR (aOR)=0.44, 95% CI 0.42 to 0.46). Children whose mothers were assisted by traditional birth attendant/other (aOR=0.43, 95% CI 0.41 to 0.56) had lower odds of complete vaccination. The odds of complete vaccination were lower among children whose mothers did not attend PNC clinics (aOR=0.26, 95% CI 0.24 to 0.29) as against those whose mothers attended.ConclusionThe study found significant variations in complete childhood vaccination across countries in sub-Saharan Africa. Maternal healthcare utilisation (ANC visits, skilled birth delivery, PNC attendance) had significant association with complete childhood vaccination. These findings suggest that programmes, interventions and strategies aimed at improving vaccination should incorporate interventions that can enhance maternal healthcare utilisation. Such interventions can include education and sensitisation, reducing cost of maternal healthcare and encouraging male involvement in maternal healthcare service utilisation.


PLoS ONE ◽  
2016 ◽  
Vol 11 (10) ◽  
pp. e0164052 ◽  
Author(s):  
Ibitola O. Asaolu ◽  
Jayleen K. Gunn ◽  
Katherine E. Center ◽  
Mary P. Koss ◽  
Juliet I. Iwelunmor ◽  
...  

Challenges ◽  
2015 ◽  
Vol 6 (2) ◽  
pp. 229-243 ◽  
Author(s):  
Ayuk Tambe ◽  
Leonie Nzefa ◽  
Nchang Nicoline

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e021966 ◽  
Author(s):  
Federica Dellafiore ◽  
Cristina Arrigoni ◽  
Francesco Pittella ◽  
Gianluca Conte ◽  
Arianna Magon ◽  
...  

AimThe aim of this study was to critically analyse and describe gender differences related to self-care among patients with chronic heart failure (HF).Methods and resultsA monocentric real-world cohort of 346 patients with chronic HF in follow-up was used for this cross-sectional study. We report data related to the cohort’s demographic and clinical characteristics. Self-care was assessed using the Self-Care of Heart Failure Index before patients’ discharge. After bivariate analysis, logistical regression models were used to describe the relationship between gender, self-care behaviours and self-care confidence. While men were found to have more than quadruple the risk of poor self-care than women (OR 4.596; 95% CI 1.075 to 19.650), men were also found to be approximately 60% more likely to have adequate self-care confidence than women (OR 0.412; 95% CI 0.104 to 0.962). Considering that self-care confidence is described as a positive predictor of behaviours, our results suggest a paradox. It is possible that the patient–caregiver relationship mediates the effect of confidence on behaviours. Overall, adequate levels of self-care behaviours are a current issue, ranging 7.6%–18.0%.ConclusionThis study sets the stage for future research where elements of the patient–caregiver relationship ought to be considered to inform the planning of appropriate educational interventions. We recommend routinely measuring patients’ self-care behaviours to guide their follow-up and as a basis for any changes in their daily life behaviours.


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