scholarly journals Socio-demographic Features of Mothers in Relation to Duration of Breastfeeding in Manipal Teaching Hospital, Pokhara, Nepal

1970 ◽  
Vol 1 (1) ◽  
pp. 27-30 ◽  
Author(s):  
S Basnet ◽  
E Gauchan ◽  
K Malla ◽  
T Malla ◽  
DP Koirala ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Gender Discrimination ◽  
World Health ◽  
Breastfeeding Duration ◽  
Medical Sciences ◽  
Mother’S Age ◽  
Health Organization ◽  
A Prospective Study ◽  
Duration Of Breastfeeding ◽  
Demographic Features

Background: It was noticed by the authors that the patients attending the Pediatrics Department were being breastfed for a longer duration than the recommended two years by the World Health Organization (WHO). This study was undertaken to see the exact duration of breastfeeding of the children who were being treated at the hospital. Method: This was a prospective study carried out from April 2010 to March 2011 in 500 children who were treated at Manipal Teaching Hospital, Pokhara, Nepal. Other demographic features such as the mother’s age, occupation, education, ethnicity and child’s sex were also some of the factors which were studied to see if these factors influenced the duration of breastfeeding. Results: Our study revealed that the median age of breastfeeding among the children studied was 43 months. Out of the 500 mothers who were interviewed 159 of them breastfed their child beyond the age of 60 months (5 years). In addition, we did not find any statistically significant gender discrimination with regards to the breastfeeding duration. Conclusion: This study shows that the studied population has been breastfed for longer duration than the recommended guideline stipulated by the WHO. The duration of breastfeeding seen in this study is higher than shown in previous studies. Keywords: Breastfeeding; extended breastfeeding; socio-demographic DOI: http://dx.doi.org/10.3126/njms.v1i1.5793   Nepal Journal of Medical Sciences. 2012; 1(1): 27-30

scholarly journals Breastfeeding Duration and Its Effective Factors in Mothers with Children Aged 30-36 Months in Kerman in 2020

2021 ◽  
Author(s):  
Sedighe Mirafzali ◽  
Ali Akari Sari ◽  
somayeh alizadeh
Keyword(s):  
World Health ◽  
Breastfeeding Duration ◽  
Validity And Reliability ◽  
Related Factors ◽  
Cross Sectional ◽  
Health Organization ◽  
The Right ◽  
Rural Mothers ◽  
Duration Of Breastfeeding ◽  
Mean Time

Abstract Introduction: Complete cessation of breastfeeding (CCB) at the right time is as important as starting breastfeeding, as well as identifying the factors that affect the duration of breastfeeding, so that breastfeeding promotion programs focus on these causes, to increase mothers' ability and desire to breastfeed. This study aimed to determine the time of CCB and its related factors.Methods: This study was a descriptive-analytical and cross-sectional type. A total of 802 urban and rural mothers with children aged from 30 to 36 months completed the questionnaire. The validity and reliability of the questionnaire were confirmed by Cronbach's alpha of 85%. Data were analyzed using SPSS software version 16.Results: The mean time of breastfeeding was 19.23±7.09 and the median was 22-month-year. About 41% of children were breastfed until 24-month-year. There was a significant relationship between the time of cessation of breastfeeding with contraception, number of households, place of residence, and weight at 6-month-year at the level of 0.05.Conclusion: Duration of breastfeeding is influenced by some demographic and cultural factors. The timing of the CCB differs from the suggestions of the World Health Organization (WHO) and religious teachings. Useful interventions are needed to increase the duration of breastfeeding.

scholarly journals Evaluation of prescribing indicators and pattern among dermatological outpatients in a teaching hospital of central Nepal

2016 ◽  
Vol 12 (2) ◽  
pp. 44-49
Author(s):  
Manohar Pradhan ◽  
Mahesh Mathur
Keyword(s):  
Teaching Hospital ◽  
Essential Medicines ◽  
World Health ◽  
Medical Sciences ◽  
Prescribing Indicators ◽  
Central Nepal ◽  
Therapeutic Class ◽  
The Common ◽  
Common Problems ◽  
Health Organization

Background: Evaluation of prescribing indicators by proper analysis of prescriptions under the guidelines of World Health Organization enables us to detect some of the common problems of prescribing.Methodology: This study was conducted on randomly selected 325 prescriptions of dermatological outpatients of teaching hospital of College of Medical Sciences Bharatpur (Nepal) with an objective to detect the problems of prescribing as well as to delineate the pattern of medicines prescribing.Results: Total number of medicines prescribed on these prescriptions was 743. The average number of medicines per encounter was 2.28. Antihistamines, antifungals, corticosteroids and antibiotics were four most frequently prescribed therapeutic classes. One systemic as well as one topical medicine belonging to same therapeutic class was prescribed on about one-third of totally analyzed prescriptions. Cetrizine was the most common individually prescribed medicine and fluconazole was the most commonly prescribed antifungal. Medicines prescribed by their generic name were 15.07% and those prescribed from national essential medicines list were 23.42%.Conclusion: This study reveals polypharmacy, inclination of prescribers for branded medicines and prescribing out of national formulary as problems. Educational and managerial interventions are required to rationalize the prescribing practice.JCMS Nepal. 2016;12(2):44-9.

Factors Associated With Extended Breastfeeding in India

2016 ◽  
Vol 33 (1) ◽  
pp. 140-148 ◽  
Author(s):  
Arpit R. Mehta ◽  
Sigamani Panneer ◽  
Suparna Ghosh-Jerath ◽  
Elizabeth F. Racine
Keyword(s):  
Median Duration ◽  
Rural Areas ◽  
Health Effect ◽  
World Health ◽  
Breastfeeding Duration ◽  
Cross Sectional ◽  
Factors Associated ◽  
Nationally Representative ◽  
Health Organization ◽  
Duration Of Breastfeeding

Background: Extended breastfeeding duration is common in India. Extended breastfeeding protects the infant from infectious disease and promotes child spacing. In the 1990s, the median breastfeeding duration in India was 24 months. Research aim: This study aimed to investigate the median duration of breastfeeding in India and to identify the factors associated with extended breastfeeding to 24 months as recommended by the World Health Organization. Methods: This cross-sectional data analysis used nationally representative data from the 2011–2012 Indian Human Development Survey II. The outcome in this study was extended breastfeeding defined as breastfeeding to 24 months or more. Multivariate logistic regression was used to identify the factors associated with extended breastfeeding. Results: The median duration of breastfeeding was 12 months; approximately 25% of women breastfed 24 months or more. Women were at greater odds of breastfeeding 24 months or more if the infant was a boy compared with a girl, if the women lived in a rural area compared with an urban area, if the women were married at a young age (< 17 vs. 20 years or older at marriage), and if the delivery was assisted by a friend or relative compared with a doctor. Conclusion: The median duration of breastfeeding has decreased by 50% from 1992–1993 to 2011–2012. The women who continue to breastfeed 24 months or more tend to be more traditional (i.e., living in rural areas, marrying young, and having family/friends as birth attendants). Further research to study the health effect of decreased breastfeeding duration is warranted.

Evaluation of Drug Use Based on WHO Prescribing Indicator in Mizan- Tepi University Teaching Hospital, south Western Ethiopia: A Cross Sectional Study

2020 ◽  
Vol 15 ◽  
Author(s):  
Solomon Hambisa ◽  
Rediet Feleke ◽  
Ameha Zewudie ◽  
Mohammed Yimam
Keyword(s):  
Drug Use ◽  
World Health Organization ◽  
Teaching Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
World Health ◽  
Sectional Study ◽  
Hospital Data ◽  
Cross Sectional ◽  
Health Organization

Background:: Rational drug use comprises aspects of prescribing, dispensing and patient use of medicines for different health problems. This study is aimed to assess drug prescribing practice based on the world health organization prescribing indicators in Mizan-Tepi University teaching hospital. Methods:: An institutional based retrospective cross sectional study was conducted to evaluate prescribing practices in Mizan-Tepi University teaching hospital. Data were collected based on World health organization drug use indicators using prescription papers. 600 prescriptions dispensed through the general outpatient pharmacy of the hospital were collected by systematic random sampling method from prescriptions written for a 1-year time in Mizan-Tepi University teaching hospital. Results:: The present study found that the average number of drugs per prescription was 2.04 ± 0.87 in Mizan-Tepi University teaching hospital with a range between 1 and 5. Prescribing by generic name was 97.6 % and 47.8% of prescriptions contained antibiotics in the hospital. 27.7% of prescriptions contained at least one injectable medication in Mizan-Tepi University teaching hospital. From prescribed drugs, 96.7% of them were prescribed from Ethiopian essential drug list. Conclusion:: Present study indicated that the average number of drugs prescribed per encounter, the percentage of generic prescribing and prescribing from the EDL were close to optimal value. However, the percentage of encounters with antibiotics and injections prescribed were found be very high. Thus, the study highlights some improvements in prescribing habits, particularly by focusing on the inappropriate consumption of antibiotics and injections.

scholarly journals Pulmonary tuberculosis screening in anti-retroviral treated adults living with HIV in Kenya

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jill K. Gersh ◽  
Ruanne V. Barnabas ◽  
Daniel Matemo ◽  
John Kinuthia ◽  
Zachary Feldman ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Preventive Therapy ◽  
World Health ◽  
People Living With Hiv ◽  
Tuberculosis Screening ◽  
Hiv Positive Adults ◽  
Health Organization ◽  
A Prospective Study ◽  
Living With Hiv ◽  
Tuberculosis Prevalence

Abstract Background People living with HIV (PLHIV) who reside in high tuberculosis burden settings remain at risk for tuberculosis disease despite treatment with anti-retroviral therapy and isoniazid preventive therapy (IPT). The performance of the World Health Organization (WHO) symptom screen for tuberculosis in PLHIV receiving anti-retroviral therapy is sub-optimal and alternative screening strategies are needed. Methods We enrolled HIV-positive adults into a prospective study in western Kenya. Individuals who were IPT-naïve or had completed IPT > 6 months prior to enrollment were eligible. We evaluated tuberculosis prevalence overall and by IPT status. We assessed the accuracy of the WHO symptom screen, GeneXpert MTB/RIF (Xpert), and candidate biomarkers including C-reactive protein (CRP), hemoglobin, erythrocyte sedimentation rate (ESR), and monocyte-to-lymphocyte ratio for identifying pulmonary tuberculosis. Some participants were evaluated at 6 months post-enrollment for tuberculosis. Results The study included 383 PLHIV, of whom > 99% were on antiretrovirals and 88% had received IPT, completed a median of 1.1 years (IQR 0.8–1.55) prior to enrollment. The prevalence of pulmonary tuberculosis at enrollment was 1.3% (n = 5, 95% CI 0.4–3.0%): 4.3% (0.5–14.5%) among IPT-naïve and 0.9% (0.2–2.6%) among IPT-treated participants. The sensitivity of the WHO symptom screen was 0% (0–52%) and specificity 87% (83–90%). Xpert and candidate biomarkers had poor to moderate sensitivity; the most accurate biomarker was CRP ≥ 3.3 mg/L (sensitivity 80% (28–100) and specificity 72% (67–77)). Six months after enrollment, the incidence rate of pulmonary tuberculosis following IPT completion was 0.84 per 100 person-years (95% CI, 0.31–2.23). Conclusions In Kenyan PLHIV treated with IPT, tuberculosis prevalence was low at a median of 1.4 years after IPT completion. WHO symptoms screening, Xpert, and candidate biomarkers were insensitive for identifying pulmonary tuberculosis in antiretroviral-treated PLHIV.

scholarly journals A Case of Polyneuropathy Following a Single Dose of Diethylcarbamazine and Albendazole During Mass Administration of Drug - A Case Report

1970 ◽  
Vol 1 (1) ◽  
pp. 56-58
Author(s):  
SC Kohli ◽  
UK Shrestha ◽  
VM Alurkar ◽  
A Maskey ◽  
M Parajuli ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Single Dose ◽  
Case Report ◽  
Side Effects ◽  
World Health Organization ◽  
Mass Drug Administration ◽  
World Health ◽  
Medical Sciences ◽  
The World ◽  
Health Organization

The global program to eliminate Lymphatic Filariasis created by The World Health organization in 1997 is based on mass administration of single annual doses of diethylcarbamazine ( DEC) plus albendazole in non African regions and of albendazole plus ivermectin in Africa. The usual side effects of DEC treatment include fever, chills, arthralgia, headaches, nausea, and vomiting. Albendazole is associated with relatively few side effects consisting of occasional nausea, vomiting, abdominal pain, headache, reversible alopecia, elevated aminotransferases and rarely leucopenia and rash. We report a case of polyneuropathy in a young individual following DEC and albendazole during mass drug administration. Keywords: Albendazole; DEC; Polyneuropathy. DOI: http://dx.doi.org/10.3126/njms.v1i1.5800   Nepal Journal of Medical Sciences. 2012; 1(1): 56-58

BioMed_Central_Tex_Template_v1.06 Exploration of Workplace violence experience among nurses at a selected University teaching Hospital in Rwanda

2019 ◽  
Author(s):  
Valens MUSENGAMANA ◽  
Oluyinka Adejumo ◽  
Gilbert BANAMWANA ◽  
Marie Josée MUKAGENDANEZA ◽  
Thimothée Shahidi TWAHIRWA
Keyword(s):  
Teaching Hospital ◽  
Workplace Violence ◽  
Health Sector ◽  
University Teaching ◽  
World Health ◽  
Research Approach ◽  
International Labor Organization ◽  
Chi Square ◽  
Cross Sectional ◽  
Health Organization

Abstract Background Workplace violence is a global problem in the health sector especially in the hospitals affecting healthcare works’ job satisfaction and performance. Workplace violence is present in different forms associated with various factors and the nurses are the most affected. The aim of this study was to explore workplace violence experience among nurses working at a selected University Teaching Hospital in Rwanda.Method The research approach used was quantitative descriptive cross-sectional design. The stratified random sampling was used to recruit 195 participants among 379 nurses. The data was collected using a structured, validated, and self-administered questionnaire that was adapted from the International Labor Organization, International Council of Nurses, World Health Organization and Public Services International. Descriptive statistics were used for analyzing frequencies and percentages. Chi-square test was used for evaluating the association between variables.Results The findings revealed that (58.5%, n=114) of nurses have experienced some types of WPV in the twelve months preceding the study, among them (44.6%, n=108) of nurses were verbally abused. The nurses providing emergency care, the nurses working at the emergency department and nurses working with vulnerable patients like HIV/AIDS patients were associated with workplace violence Chi-square (1, n=195), P=<0.001). The psychological problems has been found as the first consequences of workplace violence.Conclusions Based on the study findings, it was concluded that the hospital management needs to be aware of workplace violence, develop and implement appropriate policies and strategies. These strategies will strengthen nurses’ concentration towards their and will resulting in service delivery improvement.

scholarly journals Quality of antimalarials in Kinshasa peri-urban areas with regard to local pharmaceutical legislation and regulation

2019 ◽  
Vol 12 (4) ◽  
pp. 253-263
Author(s):  
Don Jethro Mavungu Landu ◽  
Michel Frédérich ◽  
Joseph Manzambi Kuwekita ◽  
Christian Bongo-Pasi Nswe ◽  
J K Mbinze ◽  
...  
Keyword(s):  
Urban Areas ◽  
High Performance ◽  
Brand Names ◽  
Essential Medicines ◽  
World Health ◽  
Array Detector ◽  
Ministry Of Health ◽  
Health Organization ◽  
A Prospective Study ◽  
Health Commodities

Abstract Background In the context of old pharmaceutical legislation and regulations not adapted to current realities, the aim of the present study was to evaluate the existing pharmaceutical system in peri-urban areas of Kinshasa. Methods A prospective study was carried out during the period 2016–2018. The most used antimalarial medicines were identified through household and pharmaceutical establishment surveys. The samples of the obtained medicines were assayed with generic separation methods using the high-performance liquid chromatography technique coupled to a diode array detector. The registration status was checked for 126 antimalarial brand names. A characterization was carried out in 196 pharmaceutical establishments on the basis of standards set out by the Ministry of Health. Results Of the 75 samples assayed, 19% (14/75) were non-compliant. Of the 124 brand names, 46.0% (57/124) were unlicensed and 14.5% (18/124) had an expired licence. Of the 196 pharmaceutical establishments, only 2 (1.0%) had an authorization to practice, none met all the Ministry of Health minimum standards and 24.5% (48/196) met the World Health Organization Guidelines for the Storage of Essential Medicines and Other Health Commodities. Conclusions More resources should be mobilized to apply regulator sanctions.

Toxicity, risk factors and management of cisplatin-induced toxicity: A prospective study

2020 ◽  
Vol 26 (7) ◽  
pp. 1621-1629
Author(s):  
Wiem Ben Ayed ◽  
Azza Ben Said ◽  
Adel Hamdi ◽  
Amina Mokrani ◽  
Yosri Masmoudi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cumulative Dose ◽  
Metastatic Cancer ◽  
Multivariate Logistic Regression Analysis ◽  
Prognostic Indicator ◽  
World Health ◽  
Tunisian Population ◽  
Health Organization ◽  
A Prospective Study ◽  
Digestive Toxicity

Background and propose Cisplatin is a cytotoxic drug that triggers several toxicities. However, nephrotoxicity and ototoxicity remain major clinical limitations. The aim of our study was to evaluate the incidence of chemotherapy toxicity induced by cisplatin and to analyze the influence of risk factors in the Tunisian population. Methods We performed a prospective descriptive study in a period of four months. Patients were eligible if they had pathologically confirmed malignancies and treated with cisplatin-regimen chemotherapy. Nephrotoxicity and digestive toxicity were graded according to the World Health Organization toxicity scale and ototoxicity was scored clinically according to the Common Terminology Criteria for Adverse Events (CTCAE). Multivariate logistic regression analysis was performed to evaluate the influence of clinical variables on cisplatin-induced toxicity. Results A total of 150 patients were included. Forty-four percent of patients developed cisplatin-regimen toxicity: 15% developed cisplatin-induced nephrotoxicity, 9% cisplatin-induced ototoxicity and 27% digestive toxicity. In the multivariate analysis, age >65 years (OR= 6.129, p = 0.010), metastatic cancer (OR = 0.171, p = 0.007) and cumulative dose (OR= 1.004 mg/m2; p = 0.042) were strong predisposing factors for CDDP-induced nephrotoxicity. The cumulative dose was an independent prognostic indicator for digestive toxicity (OR = 0.997, p = 0.002). Conclusion In our study, age >65 years and metastatic cancer were risk factors for cisplatin-induced nephrotoxicities. We also found the correlation between cumulative dose and nephrotoxicity or digestive toxicity.

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