scholarly journals Factors Associated with Undernutrition of Children Admitted in Koshi Zonal Hospital Nutritional Rehabilitation Home

2018 ◽  
Vol 32 (2) ◽  
pp. 29-36
Author(s):  
Punam Kumari Mandal

This study follows mixed method with the objective to assess the factor associated with undernutrition among the children admitted in NRH. This study was conducted in Koshi Zonal Hospital. The study covers the children admitted in NRH and their mothers from 14th March to 28th May 2016 with sample size of 20. The study shows the highest number of children belonged to disadvantaged non Dalit Terai caste groups (35 %) and majorities (45 %) of the mothers found to be illiterate. A statistically significant difference was observed between the mean weight at discharge and the mean weight at admission for the study group (t=2.98, P<0.008, CI 0.46-2.65). The cause of malnutrition was lack of nutritious food, poverty, unhygienic condition at home, diseases and lack of nutritious food during pregnancy. There were knowledge gap regarding the nutrition, causes of malnutrition and its prevention, balanced diet and therapeutic food among the mothers. An urgent need to link these centers with community-based models was felt necessary to improve health education measures and awareness.

2017 ◽  
Vol 39 (1) ◽  
pp. 116-126 ◽  
Author(s):  
Nuzhat Choudhury ◽  
Tahmeed Ahmed ◽  
Md Iqbal Hossain ◽  
M. Munirul Islam ◽  
Shafiqul A. Sarker ◽  
...  

Background: With a prevalence of 3.1%, approximately, 450 000 children in Bangladesh are having severe acute malnutrition (SAM). There is currently no national community-based program run by government to take care of these children, one of the reasons being lack of access to ready-to-use therapeutic food (RUTF). Objective: To develop RUTF using locally available food ingredients and test its acceptability. Methods: A checklist was prepared for all food ingredients available and commonly consumed in Bangladesh that have the potential of being used for developing a RUTF. Linear programming was used to identify the combinations of nutrients that would result in an ideal RUTF. To test the acceptability of 2 local RUTFs compared to the prototype RUTF, Plumpy’Nut, a clinical trial with a crossover design was conducted among 30 children in the Dhaka Hospital of International Centre for Diarrhoeal Disease Research, Bangladesh. The acceptability was determined by using the mean proportion of offered food consumed by the children themselves. Results: Two RUTFs were developed, one based on chickpea and the other on rice–lentils. The total energy content of 100 g of chickpea and rice–lentil-based RUTF were 537.4 and 534.5 kcal, protein 12.9 and 13.5 g, and fat 31.8 and 31.1 g, respectively, without any significant difference among the group. On an average, 85.7% of the offered RUTF amount was consumed by the children in 3 different RUTF groups which implies that all types of RUTF were well accepted by the children. Conclusion: Ready-to-use therapeutic foods were developed using locally available food ingredients—rice, lentil, and chickpeas. Chickpea-based and rice–lentil-based RUTF were well accepted by children with SAM.


2020 ◽  
Vol 2 (3-4) ◽  
pp. 233-241
Author(s):  
Shivali Aggarwal ◽  
Sandeep Grover ◽  
Subho Chakrabarti

Aim: To evaluate the marital profile, family size, fertility rates, and perception about various aspects of marriage among the couples, with one of the partner having schizophrenia and compare the same with a group of couples, with one of the partner having recurrent depressive disorder (RDD). Methodology: A total of 76 married patients with schizophrenia and 58 married patients with RDD were evaluated by using a semistructured interview, which covered information about the duration of marriage, number of children, different aspects of marital and sexual life like perception about marriage, mental illness, sexual compatibility, and other variables. Results: A significantly higher proportion of patients with schizophrenia had onset of illness prior to marriage, when compared to the patients with RDD. There was no significant difference between the 2 groups in terms of mean number of children, number of spontaneous abortions, and medical termination of pregnancies. The mean numbers of postnatal deaths were significantly higher in the group in which one of the partners was diagnosed with schizophrenia. Compared to spouses of patients with RDD, higher proportion of the spouses of patients with schizophrenia reported sexual incompatibility since the beginning of the marriage and lack of full satisfaction with sexual life. Compared to patients with RDD, higher proportion of patients with schizophrenia were worried about their children developing mental illness and believed that people with mental illness should not marry. Conclusion: To conclude, this study demonstrates that compared to the spouses of patients with RDD, spouses of patients with schizophrenia have higher negative perception about the marriage.


2018 ◽  
Vol 6 (4) ◽  
pp. 98
Author(s):  
Mehibe Akandere ◽  
Fatma Arslan ◽  
Evrim Cakmakci

The purpose of this study is to determine the levels of empathy for regularly exercising women and to determine whether empathy levels differ according to some variables.The study is planned as a single group pretest-posttest. 178 sedentary and healthy adult women participated in the study as a volunteer. Aerobic-Dance Exercise program was applied to the participants 60 minutes a day, 3 days per week for 8 weeks; then, The Empathic Tendency Scale (EQS) were filled at the beginning and at the end of the exercise program. The validity and reliability study of the scale was conducted by Dokmen (1988).Statistical Package for Social Sciences (SPSS) 16.00 software was used in the analysis of the data obtained from the research. One way ANOVA was used to determine the differences between the groups when the data showed normal distribution and after the homogeneity of the variances was tested, the Tukey test was used for differences between the groups and the error level was taken as 0.05.When the findings are examined; the mean score of " Empathic Tendency " according to the marital status, the study status and the number of children of the participants was statistically significant in the pretest-posttest after the exercise program (p<0.005). But, there was no statistically significant difference between the group's comparisons in terms of the “Empathic Tendency "(p>0.05). As a result, it was seen that exercise had a positive effect on the "Empathic Tendency” levels of the women participating in the study.


Author(s):  
Hassan Zareei Mahmood Abadi ◽  
Razieh Heydari Sooreshjani ◽  
Fatemeh Rajaei Rizi ◽  
Leila Akrami

Introduction: Drug addiction, is one of the major challenges in human societies. This study aimed to investigate religious orientation, locus of control, and the tendency toward substance abuse in addicts and non-addicts in Isfahan, 2018. Methods: A case-control method was used, and the study population was 200 men who participated in Isfahan. Cases were selected from drug-dependent using cluster sampling method. Allport’s Religious Orientation Scale, Rotter’s Locus of Control Scale, and Scale of Tendency toward Substance Abuse were used for data collection. The mean ± SD age of addicts was 34.8 (±4.35) years. Most addicts were illiterate 33% (33), and about 30% (30) had academic degrees. Finally, data analysis was done by SPSS version 16 and confidence Level was 95%. Results: The groups were homogeneous in terms of income, number of children and residential area. The mean ± SD of religious orientation was in normal group 60.39 ± 3.26, addicted group 40.25 ± 7.8 and locus of control was in normal group 59.13 ± 3.17, and addicted group 45.45 ± 1.33 that findings of t-test showed that there was a significant difference in religious orientation (t= 5.40, p<0.003), and locus of control (t= 4.37, p<0.001) between addicts and normal individuals. There was a significant relationship between religious orientation (r=-0.328, p<0.04) and locus of control (r= -0.365, p<0.01) in addicts with a tendency toward substance abuse. confidence Level was 95%. Conclusion: Poor religious orientation and lack of internal locus of control are important causes of the tendency toward substance abuse, which demands measures to be urgently taken.


2021 ◽  
Vol 42 (1) ◽  
pp. 91-103
Author(s):  
Theresa Banda ◽  
Khataza Chawanda ◽  
Wakako Tsuchida ◽  
Slyvester Kathumba

Background: Globally, ready-to-use therapeutic food (RUTF) with peanut and milk as the primary source of protein is used to treat children having severe acute malnutrition (SAM). Valid Nutrition in collaboration with Ajinomoto Co., Inc has developed a nonmilk RUTF from soybean, maize, and sorghum (SMS-RUTF) and demonstrated its efficacy. Objective: To pilot SMS-RUTF in treatment of SAM within Community-Based Management of Acute Malnutrition (CMAM) program in Malawi, Africa. Methods and Findings: This was implemented from January to July 2018 and its performance was based on the SPHERE criteria and Ministry of Health CMAM guidelines. A total of 742 children were treated with SMS-RUTF. Of these, 94.5% (95% CI: 92.6-96.0) were successfully discharged to supplementary feeding program (SFP) with middle upper arm circumference (MUAC) ≥115 mm or directly to their homes with MUAC ≥125 mm; 3.6% (95% CI: 2.4-5.3) defaulted, 1.9 % (95% CI: 1.0-2.1) died, and 0.0% nonresponders. Analysis of 222 children who were discharged home with MUAC ≥125 mm gave a recovery rate of 88.3% (95% CI: 88.3-92.2), a defaulter rate of 6.8 % (95% CI: 3.8-10.9), a mortality rate of 1.3% (95% CI: 0.3-3.9), and a nonresponders rate of 1.8% (95% CI: 0.5-4.5). These outcomes exceed SPHERE minimum performance standards. The mean (standard deviation) length of stay of children discharged to SFP and discharged directly home were 42.0 (20.9) and 46.1 (21.1) days, respectively. These outcomes are within the recommended average duration of <60 days. Conclusion: The pilot CMAM program using SMS-RUTF recipe that contains no milk or peanuts achieved SPHERE minimum standards. Based on this evidence, SMS-RUTF should be encouraged for treatment of SAM in children between 6 and 59 months in routine CMAM programs in Malawi and globally.


2019 ◽  
Vol 35 (5) ◽  
pp. 379-383
Author(s):  
Sahar Zare ◽  
Rita Rezaee ◽  
Azam Aslani ◽  
Mohammad Shirdeli ◽  
Javad Kojuri

AbstractBackgroundAlthough self-care can control and prevent complications in hypertensive patients, self-care adherence is relatively low among these patients. Community-based telehealth services through mhealth can be an effective solution.ObjectiveThis study aimed to evaluate the effect and acceptance of an mhealth application as a community-based telehealth intervention on self-care behavior adherence.MethodThis clinical trial included sixty hypertensive patients and their matched controls from two heart clinics affiliated to Shiraz University of Medical Sciences (SUMS). Self-care behaviors were assessed using Hill-Bone questionnaire before and after the intervention. Acceptability was evaluated in the intervention group at the end of the study period. The data were analyzed via SPSS 18 software using descriptive and inferential statistics.ResultThe results showed a significant difference between the intervention and control groups regarding the mean score of self-care behaviors (4.13 ± 0.23 versus 3.18 ± 0.27, p < .001). Additionally, a significant difference was observed between the two groups concerning the mean scores of the two subscales of self-care behaviors, including “medication taking” and “proper diet”. However, no significant difference was observed between the two groups regarding the mean score of “appointment keeping” (p = .075). Overall, the intervention group participants were satisfied (4.27 ± 0.34) with this approach for managing hypertension.ConclusionCommunity-based telehealth services through mhealth had the potential to improve self-care behaviors in hypertensive patients and seemed to be accepted by the patients in the intervention group.


2020 ◽  
Vol 2 (3) ◽  
pp. 109-120
Author(s):  
Ghasem Modarresi ◽  
Kaveh Jalilzadeh ◽  
Raheleh Zolfaghary

The researchers in Interpreting Studies have underrated the importance of interpretation strategies in interpretation courses at the university level in the Iranian context. As a mixed-method study, the present study mainly aimed at discovering the subtitling strategies used in interlingual subtitling and bilingual subtitling by translation students. The researchers selected 30 homogeneous students majoring in Translation Studies which were divided into two experimental groups. During the treatment phase, the researchers worked with each group's students on subtitling strategies on a comedy film, following Peterson's (2005) strategies. The results of the post-tests confirmed that there was a significant difference for interlingual subtitling since the students’ scores increased significantly from the mean score of 24.53 to the mean score of 27.66 as well as for bilingual subtitling since the students’ scores increased significantly from the mean score of 22.80 to the mean score of 27.13. However, the results revealed no significant difference in students' interpretation scores for interlingual and bilingual subjects. The results of the interviews also supported the effectiveness of audio-visual activities on oral translation. Translation students should pay attention to how they foster their interpreting competence and find the type of subtitling that is more beneficial.


1970 ◽  
Vol 13 (4) ◽  
pp. 715-724 ◽  
Author(s):  
Richard L. Powell ◽  
Oscar Tosi

Vowels were segmented into 15 different temporal segments taken from the middle of the vowel and ranging from 4 to 60 msecs, then presented to 6 subjects with normal hearing. The mean temporal-segment recognition threshold of 15 msecs with a range from 9.3 msecs for the /u/ to 27.2 milliseconds for the /a/. Misidenti-fication of vowels was most often confused with the vowel sound adjacent to it on the vowel-hump diagram. There was no significant difference between the cardinal and noncardinal vowels.


1991 ◽  
Vol 30 (05) ◽  
pp. 183-188
Author(s):  
A. Aydrner ◽  
A. Oto ◽  
E. Oram ◽  
O. Gedik ◽  
C. F. Bekdik ◽  
...  

Left ventricular function including regional wall motion (RWM) was evaluated by 99mTc first-pass and equilibrium gated blood pool ventriculography and glycohemoglobin (HbA1c) blood levels determined by a quantitative column technique in 25 young patients with insulin-dependent diabetes mellitus without clinical evidence of heart disease, and in healthy controls matched for age and sex. Phase analysis revealed abnormal RWM in 19 of 21 diabetic patients. The mean left ventricular global ejection fraction, the mean regional ejection fraction and the mean 1/3 filling fraction were lower and the time to peak ejection, the time to peak filling and the time to peak ejection /cardiac cycle were longer in diabetics than in controls. We found high HbA1c levels in all diabetics. There was no significant difference between patients with and without retinopathy and with and without peripheral neuropathy in terms of left ventricular function and HbA1c levels.


1996 ◽  
Vol 75 (05) ◽  
pp. 772-777 ◽  
Author(s):  
Sybille Albrecht ◽  
Matthias Kotzsch ◽  
Gabriele Siegert ◽  
Thomas Luther ◽  
Heinz Großmann ◽  
...  

SummaryThe plasma tissue factor (TF) concentration was correlated to factor VII concentration (FVIIag) and factor VII activity (FVIIc) in 498 healthy volunteers ranging in age from 17 to 64 years. Immunoassays using monoclonal antibodies (mAbs) were developed for the determination of TF and FVIIag in plasma. The mAbs and the test systems were characterized. The mean value of the TF concentration was 172 ± 135 pg/ml. TF showed no age- and gender-related differences. For the total population, FVIIc, determined by a clotting test, was 110 ± 15% and the factor VIlag was 0.77 ± 0.19 μg/ml. FVII activity was significantly increased with age, whereas the concentration demonstrated no correlation to age in this population. FVII concentration is highly correlated with the activity as measured by clotting assay using rabbit thromboplastin. The ratio between FVIIc and FVIIag was not age-dependent, but demonstrated a significant difference between men and women. Between TF and FVII we could not detect a correlation.


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