scholarly journals Maternal body weight: as predictor of birth weight of new born

2020 ◽  
Vol 7 (4) ◽  
pp. 1360
Author(s):  
Padmaja R. Walvekar ◽  
Bhuvana Gajula
Keyword(s):  
Birth Weight ◽  
Maternal Nutrition ◽  
Important Determinant ◽  
Demographic Data ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Maternal Weight ◽  
New Born ◽  
Childhood Morbidity ◽  
Study Association

Background: Low birth weight (LBW) is a major public health problem in developing countries, the causes of LBW are multifactorial, associated with maternal, foetal and placental factors. In addition, factors related with maternal anthropometry such as maternal weight, height and BMI also predict anthropometry of new-born. In particular, maternal nutrition during pregnancy has been regarded as an important determinant of foetal growth. Infant size, such as birth weight, was reported to affect not only infant mortality, but also childhood morbidity. To know the association of maternal weight as predictor of birth weight of new-born.Methods: Study among 700 pregnant women using predesigned and pre-tested questionnaire after taking informed consent. Information was collected regarding socio-demographic data and maternal weight and anthropometry of the new-born was collected.Results: Our study showed association of maternal weight and birth weight of new-born, there was no association of maternal weight with length and chest circumference of new-born.Conclusions: In our study association between maternal weight and birth weight of new-born was positively and statistically significant.

scholarly journals Cancer incidence trend in northern tunisia: 1994-2009

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Dhaouadi ◽  
A Cherif ◽  
M Osman ◽  
M Hsairi
Keyword(s):  
Public Health ◽  
Cancer Incidence ◽  
Demographic Data ◽  
Public Health Problem ◽  
Incidence Rates ◽  
Cervix Uteri ◽  
Major Public Health Problem ◽  
Northern Tunisia ◽  
Incidence Trend ◽  
North East

Abstract Background Cancer is a major public health problem in Tunisia. The objectives of this study were to describe the epidemiological pattern of cancer for all and main cancer sites in Northern Tunisia during the period 2007-2009 and to analyze it’s incidence trend between 1994 and 2009. Methods Cancer registry of Northern Tunisia was the source of data for the identification of patients for this study. This registry notify, since 1994, all cases of malignant tumor in people living in the District of Tunis, Nabeul, Zaghouan, Bizerte (North East) Beja, Jendouba, Kef and Siliana (North West). Cases were codified using the third version of International Classification of Diseases for Oncology. Demographic data were provided by the National Statistical Institute. Incidence trend analysis was achieved by using JoinPoint Software. Results During the period 2007-2009, the age-standardised incidence rate of all sites combined was 149.2/100 000 person-years and 112.3/100 000 person-years respectively among males and females. The sex ratio was 1.26. The mean age at diagnosis was 58.28±16.77 years. The most common sites for males were: lung, bladder, prostate and colorectal; while for females, they were breast, colorectal, thyroid and cervix uteri. Local stage at diagnosis was observed in 37.7% of cases. The highest incidence rates were observed in the District of Tunis and in the governorates of North East. The trend incidence cancer of all sites combined during the period from 1994 to 2009 was significantly risen except for stomach cancer among males and cervix uteri among females with annual percent changes of -2.5% and of -4.1% respectively. Conclusions Despite the existence of a national cancer strategy in Tunisia, many barriers affect the implementation of interventions; while the trend cancer incidence continues to rise particularly in males. Strengthening prevention strategy of this scourge is strongly recommended. Key messages Cancer is a major public health in world and in Tunisia. Prevention must be applied to reduce the incidence of cancer.

scholarly journals Triage and flow management in sepsis

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Hudson Henrique Gomes Pires ◽  
Fábio Fernandes Neves ◽  
Antonio Pazin-Filho
Keyword(s):  
Intensive Care ◽  
Demographic Data ◽  
Waiting Times ◽  
Public Health Problem ◽  
Interquartile Range ◽  
Critical Conditions ◽  
Major Public Health Problem ◽  
Surgical Interventions ◽  
Increased Risk ◽  
Incidence And Mortality

Abstract Background Sepsis is a major public health problem, with a growing incidence and mortality rates still close to 30% in severe cases. The speed and adequacy of the treatment administered in the first hours of sepsis, particularly access to intensive care, are important to reduce mortality. This study compared the triage strategies and intensive care rationing between septic patients and patients with other indications of intensive care. This study included all patients with signs for intensive care, enrolled in the intensive care management system of a Brazilian tertiary public emergency hospital, from January 1, 2010, to December 31, 2016. The intensivist periodically evaluated the requests, prioritizing them according to a semi-quantitative scale. Demographic data, Charlson Comorbidity Index (CCI), Sequential Organ Failure Assessment (SOFA), and quick SOFA (qSOFA), as well as surgical interventions, were used as possible confounding factors in the construction of incremental logistic regression models for prioritization and admission to intensive care outcomes. Results The study analyzed 9195 ICU requests; septic patients accounted for 1076 cases (11.7%), 293 (27.2%) of which were regarded as priority 1. Priority 1 septic patients were more frequently hospitalized in the ICU than nonseptic patients (52.2% vs. 34.9%, p <  0.01). Septic patients waited longer for the vacancy, with a median delay time of 43.9 h (interquartile range 18.2–108.0), whereas nonseptic patients waited 32.5 h (interquartile range 11.5–75.8)—p <  0.01. Overall mortality was significantly higher in the septic group than in the group of patients with other indications for intensive care (72.3% vs. 39.8%, p <  0.01). This trend became more evident after the multivariate analysis, and the mortality odds ratio was almost three times higher in septic patients (2.7, 2.3–3.1). Conclusion Septic patients had a lower priority for ICU admission and longer waiting times for an ICU vacancy than patients with other critical conditions. Overall, this implied a 2.7-fold increased risk of mortality in septic patients.

MATERNAL NUTRITION AND WEIGHT GAIN AFFECTING OUTCOME OF PREGNANCY

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Dr. Pratibha Patil ◽  
Dr. Sanjay Patil
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Nutritional Status ◽  
Growth And Development ◽  
Maternal Nutrition ◽  
Steady Increase ◽  
Socioeconomic Group ◽  
Maternal Weight ◽  
The Mean ◽  
Pregnancy Weight

Poor nutritional status and inadequate food intake during and prior to pregnancy not only affect Women’s health but also have negative impact on growth and development of fetus.  The birth weight of an infant is a powerful predictor of growth and survival of infant and is dependent on maternal health and nutritional status, pre-pregnancy weight and general weight gain are all strongly associated with fetal growth and development. So, improving maternal nutrition prior to conception and during pregnancy are potential strategies to improve birth weight. The Present study has been carried out to discuss the circumstances under which the effect of maternal nutrition on birth weight can be observed, and to determine the specific contributors of calories and protein to birth weight. Materials and methods: The present study has been carried out at Teaching Medical College and hospital to find out correlation between various factors responsible for maternal weight gain and nutrition with birth weight of baby and to standardize diet chart for pregnant mothers in rural area. The study included 100 women who were followed up from 8 to 10 week of pregnancy till delivery. Anthropometric measurements including maternal weight, height and total weight gain in pregnancy and infant’s birth weight were recorded and all mothers were interviewed for their bio-social variables. Results: The mean birth weight is below 2.4 kg in age <19 years and in 30 years and above, it is >2.5 kg.  The mean birth weight in primipara is 2.4 kg and then it gradually increased maximum up to 2.6 kg in multipara. The mean birth weight in 2.4 kg in mothers below 145cm.Above that till 160 cm there is steady increase in birth weight up to 3.08 kg. The mean birth weight was lowest in cases where maternal weight is below 40 kg and it reached maximum 3 kg in weight group 60-69 kg. The mean birth weight is 2.4 kg in weight gain between 5-9 kg and maximum up to 3 kg in weight gain between 15-19 kg. The mean birth weight is 3.2 kg in high socioeconomic group and 2.2 kg in low socioeconomic group. Conclusion: There is definite relation between maternal age, parity, height, pre-pregnancy weight, weight gain during pregnancy, socioeconomic status and daily dietary intake per day and birth weight of baby. So health policies should be aimed at early detection and effective management of under nutrition to reduce the burden of low birth weight babies and there is a need to focus attention on better maternal nutrition and education on birth spacing, early pregnancy and family planning.

scholarly journals DEMENTIA IN DR. SOETOMO GENERAL HOSPITAL SURABAYA: A SYNTHETIC REVIEW OF ITS CHARACTERISTICS

2021 ◽  
Vol 7 (1) ◽  
pp. 12-16
Author(s):  
Nabilah Hasna Imami ◽  
Yudha Haryono ◽  
Anggraini Dwi Sensusiati ◽  
Muhammad Hamdan ◽  
Hanik Badriyah Hidayati
Keyword(s):  
Public Health ◽  
Elderly Patients ◽  
General Hospital ◽  
Demographic Data ◽  
Public Health Problem ◽  
Clinical Syndrome ◽  
Research Data ◽  
Public Health Care ◽  
Major Public Health Problem ◽  
Dementia Patients

Background: Dementia is a clinical syndrome characterized by progressive loss of cognitive function in elderly people interferes the ability to function independently. The number of elderly patients increased so fast in worldwide. The prevalence of dementia rapidly increases due to increasing of population. Aging demographic transition is proceeding rapidly especially in China, India, and Latin America, where dementia is rapidly becoming the major public health problem. Demographic data of elderly patients of dementia in Indonesia is still a little. Dementia’s research data in Indonesia were only obtained from Bali and Yogyakarta, while data from Surabaya were not obtained. Our research data is taken from Dr. General Hospital Soetomo Surabaya, East Java, Indonesia. This study is important for dementia epidemiological data and baseline data for further treatment of dementia patients in Surabaya. Objective: The purpose of this study to determine the characteristics profile of elderly patients with dementia in Dr. Soetomo General Hospital Surabaya, East Java, Indonesia. Methods: Sampling was done with purposive sampling by observing the medical records of patients in the period of January 2017 to December 2017 based on inclusion and exclusion criterias that have been set. The data was taken from the patient's medical record which had been written and examined by neurologists from the neurology department in the neurobehaviour sub-department of Dr. Soetomo Surabaya. Results: The majority of dementia patients are men (51,7%); the age group which is most at risk for dementia is between age of 75-79 years; most of the patients are jobless; more than half of patients are high school graduates; and Vascular Dementia (VaD) is the type of dementia that most people suferred Conclusion: This characteristic’s data of dementia can be used for providing information about dementia to make public health care provides a better facillities and treatment for elderly patients to prevent dementia burden.

scholarly journals Faunistic study on scorpions and their health impact in Bashagard County, Hormozgan Province, Southern Iran

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Mehran Shahi ◽  
Seyed Aghil Jaberhashemi ◽  
Ahmad Ali Hanafi-Bojd ◽  
Morteza Akbari ◽  
Javad Rafinejad
Keyword(s):  
Uv Light ◽  
Demographic Data ◽  
Public Health Problem ◽  
Abundant Species ◽  
Health Impact ◽  
Healthcare Personnel ◽  
Suitable Habitat ◽  
Major Public Health Problem ◽  
Scorpion Sting ◽  
Southern Iran

Abstract. Shahi M, Jaberhashemi SA, Hanafi-Bojd AA, Akbari M, Rafinejad J. 2020. Faunistic study on scorpions and their health impact in Bashagard County, Hormozgan Province, Southern Iran. Nusantara Bioscience 13: 85-90. Scorpion sting is a major public health problem in tropical and subtropical countries, endangering thousands of lives annually. About 2300 scorpion sting cases including several deaths are reported from Hormozgan Province annually. This study aimed to determine the fauna of scorpions and epidemiological aspects of scorpion sting in one of the high-risk areas in this province. Scorpions were collected by diurnal searching and night catch using UV light during 2015-2016. Clinical and demographic data of scorpion sting were obtained from Hormozgan Health Center using the checklist of the Center for Disease Control (CDC) archive during the study period. Data analysis was performed using SPSS 21 software. A total of 382 scorpions comprising of 9 species belonging to Buthidae (76%) and Hemiscorpiidae (24%) families were collected and identified as Mesobuthus phillipsi, Androctonus crassicauda, Hottentotta sistanensis, Compsobuthus persicus, Hemiscorpius acanthocercus, Orthochirus farzanpayi, H. acanthocercus, and Odontobuthos sp. The most abundant species in the study area was M. phillipsi. During 2015-2016, a total of 1221 scorpion sting cases including four deaths were recorded in Bashagard County, while most of the cases occurring during summer. The climate of the eastern regions of Hormozgan Province provides a suitable habitat for one of the deadliest genera of scorpions, i.e. Hemiscorpius. This genus is the main cause of death due to scorpion sting in these regions. It is thus necessary to design appropriate programs for the prevention and treatment of scorpion sting, including health education programs for both community members and healthcare personnel.

Infant Feeding and Infant Growth

PEDIATRICS ◽  
1984 ◽  
Vol 74 (4) ◽  
pp. 728-762
Author(s):  
Jane F. Seward ◽  
Mary K. Serdula
Keyword(s):  
Developing Countries ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Birth Order ◽  
Infant Nutrition ◽  
Whooping Cough ◽  
Public Health Problem ◽  
The United States ◽  
Major Public Health Problem ◽  
Infant Birth

Growth in infancy is a complex process affected directly or indirectly by numerous interrelated factors. The predominant factors include diet, the nutritional status and health of the mother, and the occurrence of infections. In addition, social factors (family structure and cohesiveness), economic status, cultural practices, and biologic factors—such as the sex of the infant, birth weight, birth order, birth interval, and genetics—may also play a significant role in growth. Nutritional factors may affect growth in infancy both before and after birth. Maternal and infant nutrition are intimately related. For breast-fed infants, nutrition of the mother and that of her young are interrelated from conception until weaning; therefore, dietary intake of pregnant and lactating women is very important.67 Underweight mothers with poor weight gain in the last trimester of pregnancy bear infants with lower mean birth weights.111 Although there are ethnic differences in low birth weight in the United States, the incidence is relatively low.45 In contrast, in developing countries, low birth weight (≤2,500 g), mainly caused by the high proportion of growth-retarded newborns, is a major public health problem.126,138 Infants who have suffered from intrauterine growth retardation remain smaller, on average, than normal babies throughout infancy and early childhood.30,39,44 In developing countries, many nondietary factors also play an important role in determining growth. Infections, particularly gastroenteritis, are among the most important of these factors.91,124 Case-control studies examining factors that differ between malnourished (weight-for-age less than Harvard third or tenth percentile) and adequately nourished children in the second 6 months of life have found significant associations between the following nondietary factors and growth failure: high birth order (greater than six or seven), lower mean maternal age, low maternal weight, children from families in which one or more siblings had died, greater mean number of children less than 5 years old in the home, birth weight less than 2.4 kg, twinning, infections (measles, whooping cough, severe or repeated diarrhea), death of either parent, or a broken marniage.4,96

Prematurity: Impact on Neurodevelopmental and Behavioral Outcomes

2010 ◽  
Author(s):  
Betty R. Vohr
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Birth Rate ◽  
Very Low Birth Weight ◽  
Public Health Problem ◽  
Multiple Births ◽  
Major Public Health Problem ◽  
Neurodevelopmental Outcomes ◽  
Antenatal Steroids

Prematurity continues to be a major public health problem and, despite advances in antenatal care, prematurity rates continue to rise in the United States. Preterm and low-birth-weight (LBW) rates increased in 2006 to 12.8% and 8.3%, respectively. The very low birth weight (VLBW) (<1500 g) rate rose to 1.46% (62,283 of 4,265,996 births in 2006). In addition, the birth rate for women aged 40–44 years rose 3% to 9.4 per 1,000 between 2005 and 2006 (Martin et al. 2008). A component of the increase in the preterm birth rate remains attributed to older maternal childbearing, multiple births, and increasing rates of assisted reproductive technology (Heck et al. 1997). The increase in the number of multiple births is a concern because of the associated increased risk of death, preterm birth, low birth weight, and long-term adverse neurodevelopmental outcomes. Major therapeutic advances in perinatal and neonatal care in the past 20 years, including surfactant therapy, antenatal steroids for both pulmonary maturation and central nervous system protection, improved ventilation techniques, and parenteral nutritional support have resulted in a significant improvement in survival of extremely low-birth-weight infants (ELBW) (<1000 g) (National Institutes of Health [NIH] 1995; El-Metwally, Vohr, and Tucker 2000; Fanaroff, Hack, and Walsh 2003; Fanaroff et al. 2007; Hintz et al. 2005a; Hintz et al. 2005b). These infants have increased complex neonatal medical morbidities affecting all organ systems including lungs, gastrointestinal tract, kidneys, and brain, and increased growth, neurological, developmental, and behavioral morbidities both in the neonatal intensive care unit (NICU) and after discharge (Blakely et al. 2005; Ehrenkranz, 2000; Ehrenkranz et al. 2005; Laptook et al. 2005; Shankaran et al. 2004; Schmidt et al. 2003; Vohr et al. 2003; Vohr et al. 2004;Vohr et al. 2005; Walsh et al. 2005). Predicting the survival and neurodevelopmental outcomes of preterm infants becomes a challenge since outcomes are dependent on a combination of biologic factors including gender, gestational age, birth weight, singleton versus multiple, neonatal morbidities, neonatal interventions, and post-discharge environment.

scholarly journals Prevalence and Clinico- Laboratory Profile of Tuberculosis in Children in Nobel Medical College, Biratnagar

2019 ◽  
Vol 17 (1) ◽  
pp. 47-49
Author(s):  
Vijay Kumar Sah ◽  
Arun Giri ◽  
Niraj Niraula
Keyword(s):  
College Teaching ◽  
Public Health Problem ◽  
Screening Tests ◽  
Mantoux Test ◽  
Published Data ◽  
Major Public Health Problem ◽  
Medical College ◽  
Childhood Morbidity ◽  
Laboratory Profile ◽  
Tuberculosis In Children

Introduction: Tuberculosis infection is very common, and it continues to be the major public health problem in Nepal. Published data about the epidemiology of TB in children is scarce in Nepal, though it is considered one of the most common causes of childhood morbidity in the country. Aims and objectives: To calculate the prevalence of tuberculosis in children aged 0-15 years and to study their clinico-laboratory profile. Methodology: This is a hospital based study conducted in Nobel Medical College Teaching Hospital, Biratnagar over a period of one year. We analyzed 289 children aged 0-15 years suspected of having tuberculosis on clinical grounds and subjected to further screening tests. Results: Majority of the children were males and most of the children were 5-15 years of age. 15 of the cases were diagnosed as tuberculosis out of which one case was bacteriologically confirmed pulmonary tuberculosis and be 5.2 %. Fever and cough were the most common clinical presentations and mantoux test and chest X-ray were most suggestive in majority of the cases. Conclusions: This study supports the use of history and thorough clinical examination and high index of clinical suspicion for diagnosis of childhood tuberculosis.

Rate and pattern of weight gain in Indian women from the upper income group during pregnancy and its effect on pregnancy outcome

2012 ◽  
Vol 3 (5) ◽  
pp. 387-392 ◽  
Author(s):  
L. Raje ◽  
P. Ghugre
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Pregnancy Outcome ◽  
Maternal Nutrition ◽  
First Trimester ◽  
Income Group ◽  
Maternal Weight Gain ◽  
Maternal Weight ◽  
Indian Women ◽  
Weight Gain During Pregnancy

Maternal weight gain and pattern of weight gain during pregnancy influence the ultimate outcome of pregnancy. Pregravid body mass index (BMI), maternal dietary intake, maternal height and age all determine the weight gain during pregnancy. The study was taken up with an objective to observe maternal weight gain and its pattern in pregnancy in women from an upper income group and to find out their association with pregnancy outcome. 180 normal primiparous pregnant Indian women (20–35 years) from an upper income group were recruited between the 10th and 14th weeks of pregnancy and were followed up throughout their pregnancy to record total and trimester-wise weight gain. Neonatal birth weights were recorded. The results showed that mothers with high pregravid BMI gained more weight during pregnancy than the recommended weight gain; in addition, weight gain in the first trimester was significantly correlated with birth weight of the neonates (P = 0.019). Significant correlation was found between weight gain in the third trimester and birth weight of the neonate irrespective of maternal BMI. The rate of weight gain was significantly correlated with neonatal birth weights irrespective of maternal pregravid BMI (P = 0.022) and as per its categories (P = 0.027). Thus, overall it can be concluded that adequate maternal nutrition before and during pregnancy is important for adequate weight gain by the mother and can result in better outcome of pregnancy. The rate of weight gain is also an important contributing factor.

scholarly journals Assessment of Teachers’ Knowledge about Tuberculosis at Primary School in Balad City

2020 ◽  
Vol 1591 (1) ◽  
pp. 012001
Author(s):  
Wafaa S. Hasanain
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Primary Schools ◽  
Demographic Data ◽  
Statistical Treatment ◽  
Public Health Problem ◽  
World Health ◽  
Bacterial Disease ◽  
Major Public Health Problem ◽  
Diagnostic Features ◽  
Increased Risk

Abstract Tuberculosis (TB) is one of the most common infectious diseases worldwide and continues to be a major public health problem for low and middle-income countries. Undoubtedly, Lack of knowledge about tuberculosis among health care and education workers, as well as if knowledge and practices of tuberculosis among students were generally insufficient causes an increased risk of contracting the disease. Tuberculosis (TB) is a chronic communicable bacterial disease caused by Mycobacterium tuberculosis. The Latest World Health Organization (WHO) Report shows that there were 9.0 Million new TB cases and 1.5 Million tuberculosis deaths. The Transmission of the TB disease by Mycobacterium tuberculosis (a bacterium of a group that includes the causative agents of tuberculosis). takes place by air in the form of sneeze, talk, cough, spit, etc. [1,9,11,12,13] This applied study attempt to identify, assess and analyze teachers’ knowledge about tuberculosis in primary schools. A descriptive design, cross-sectional study was carried out in order to achieve the earlier stated objectives of this study by find out the relationship between teachers’ knowledge and social demographic data (sex, age, academic achievement, ….). The present study lasted for four months by prepared a questionnaires to assess the level of teachers’ knowledge, and these questionnaire contains many themes, each theme contained a number of questions to evaluate and analyze teachers’ knowledge of tuberculosis by answering a set of questions (as a variables); (mode of transmission, symptoms and signs, diagnostic features of TB, duration of treatment, prevention methods, risk of developing tuberculosis). The research hypothesis also states that (mycobacterium tuberculosis factor) has a direct impact on TB infection, and to achieve this hypothesis, a questionnaire was distributed to a sample with a size of (58) teachers and the method of Multiple Logistic Regression was used for statistical treatment. Finally, the research concluded a set of results and conclusions included in tables by comparing Likelihood-ratio chi-square statistics and classification table of the observed versus predicted responses.

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