scholarly journals Soil Transmitted Helminth Infections Among Children Admitted to Hospital Tengku Ampuan Afzan, Kuantan, Pahang

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Abdullah Asady ◽  
Pakeer Oothuman ◽  
Soraya Ismail ◽  
Marsitah Abdul Jalil

Introduction: Soil-transmitted helminth (STH) infections by Ascaris lumbricoides, Trichuris trichiura and hookworms still persist in poor communities in rural and urban areas. Recent studies in Malaysia focused on Orang Asli communities and few in hospital settings. This study determines the prevalence and risk factors for STH among children admitted to Paediatric ward of Hospital Tengku Ampuan Afzan (HTAA). Materials and Methods: This study was conducted among 133 (77 males, 56 females) paediatric patients in Hospital Tengku Ampuan Afzan from Dec 2017 to May 2018. Faecal samples were examined using wet smear, Kato-Katz, Harada-Mori and sedimentation techniques. Demographic data and hygiene practice information were collected using a pre-tested questionnaire. Results: The overall prevalence of STHs was 6% (A.lumbricoides 5.3%, T.trichiura 0.8%, and hookworms 0.8%). Prevalence among males was 3.9% and females 8.9%. Majority (94.7%) were Malays. There were two Orang Asli children and both were infected, one of whom had a mixed infection. Chi square analysis showed that the important risk factors for STH infections are education level of mother (p<0.05) and father (p<0.05), the source of drinking water (p<0.05), and the method of trash disposal (p<0.05). Conclusion: This study shows that the prevalence of STH infections is low in children due to better socio-economy and good hygiene practice. Differences in individual lifestyles and humid weather condition are probable reasons for sporadic infection to still exist.

2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Asady Asady ◽  
Soraya Ismail ◽  
Marsitah Abdul Jalil ◽  
Oothuman Pakeer

Soil-transmitted helminth (STH) infections by Ascaris lumbricoides, Trichuris trichiura and hookworms still persist in rural and urban areas of developing communities. Recent studies in Malaysia focused on Orang Asli communities and none in the hospital settings. This study aimed to investigate the prevalence and associated risk factors for STH among children admitted to Paediatric ward of the Hospital Tengku Ampuan Afzan (HTAA). This study was conducted among 135 (78 males, 57 females) patients in HTAA from December 2017 to May 2018. Faecal samples were examined using wet smear, Kato-Katz, Harada-Mori and sedimentation techniques. Demographic data and hygiene practice information were collected using a pre-tested questionnaire. The overall prevalence of STH was 5.9% (A.lumbricoides 5.2%, T.trichiura 0.7%, and hookworms 0.7%). Prevalence among males was 3.8% and females 8.8%. Majority (95.6%) were Malays. Chi square analysis showed that factors significantly associated with STH infections are household monthly income (p<0.05), education level of mother (p><0.05) and father (p><0.05), the source of drinking water (p><0.05), the method of garbage disposal (p><0.05). Logistic regression analysis confirmed garbage disposal via burning as a risk factor of STH infections (p= 0.021, OR=23.8, 95% CI=1.6- 350.06). Conclusion: This study shows that the prevalence of STH infections is low in children probably due to the effective implementation of control programs and good hygiene practice. Differences in individual lifestyles and the humid weather condition are probable reasons for sporadic infection to still exist.>


2017 ◽  
Vol 28 (4) ◽  
pp. 154 ◽  
Author(s):  
Themba Mzilahowa ◽  
Madalitso Luka-Banda ◽  
Veronica Uzalili ◽  
Don P. Mathanga ◽  
Carl H. Campbell Jr ◽  
...  

Author(s):  
Neba Noela Buwah ◽  
Chofor Joyvice

Aim: This study seeks to analyse the managerial challenges that affiliated Credit Unions to Cameroon Cooperative Credit Union League (CamCCUL) are exposed to. The prevalence of Credit Unions with limited managerial capacities in most Cameroonian communities both in rural and urban areas invites corporate parenting from bigger support and supervisory organizations like CamCCUL. This parenting relationship between CamCCUL and her affiliates presumes superior managerial capabilities to affiliates which in most cases is a misplaced expectation. This is prompted by the fact that these institutions affect a multitude of lives both directly and indirectly. The Agency and Stakeholder theories served as foundation. Study Design: The study adopted a survey and causal exploratory design with both qualitative and quantitative parameters. The focus of the researcher was to explore managerial challenges from the managers themselves and members of credit unions who are better placed to gauge the effectiveness of managerial actions in terms of the service they receive. Place and Duration: This study was conducted between April 2016 and November 2018, involving 138 of the 210 Credit Unions operating mostly in the Northwest and Southwest regions of Cameroon. Methodology: The major instrument for data collection was questionnaire and a pilot study of 50 copies was carried out across various Chapters of CamCCUL. With a population of 210, a stratified sample of 138 was obtained using the Taro Yamane Formula.The primary data was tested to be reliable with a 0.701 consistency coefficient using Cronbach alpha. The study employed Chi-Square as a tool of analysis to measure Credit Unions’ affiliation to CamCCUL and specific Managerial Challenges. Findings: The findings revealed that affiliate Credit Unions to face numerous managerial challenges ranging from structural to resources deficiencies. The most alarming of these problems were the lack of autonomy to take managerial decisions and threats from CamCCUL supervisors. Conclusion: The study concluded that CamCCUL as a league is not operating solely to achieve its mission and has rather kept its affiliated Credit Unions in a tight corner. The researchers recommended that the regulating authorities should render Credit Unions more autonomous where possible. Additionally, there should be well-structured and comprehensive governance policies for the management of all affiliated Credit Unions to comply with.


2007 ◽  
Vol 13 (1) ◽  
pp. 179-187 ◽  
Author(s):  
Z. Joyce Fan ◽  
Daniel T. Lackland ◽  
Stuart R. Lipsitz ◽  
Joyce S. Nicholas ◽  
Brent M. Egan ◽  
...  

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Lili Xiong ◽  
Qiongying Chen ◽  
Aihua Wang ◽  
Fanjuan Kong ◽  
Donghua Xie ◽  
...  

Objectives. To compare the differences of epidemiology analysis in population birth defects (BDs) between the rural and urban areas of Hunan Province in China. Methods. The data of population-based BDs in Liuyang county (rural) and Shifeng district (urban) in Hunan Province for 2014–2018 were analyzed. BD prevalence rates, percentage change, and annual percentage change (APC) by sex and age were calculated to evaluate time trends. Risk factors associated with BDs were assessed using simple and multiple logistic regression analyses. Results. The BD prevalence rate per 10,000 perinatal infants (PIs) was 220.54 (95% CI: 211.26-230.13) in Liuyang and 181.14 (95% CI: 161.18-202.87) in Shifeng. Significant decreasing trends in BD prevalence rates were noted in the female PIs ( APC = − 9.31 , P = 0.044 ) and the total BD prevalence rate in Shifeng ( APC = − 14.14 , P = 0.039 ). Risk factors for BDs were as follows: rural area, male PIs, PIs with gestational age < 37 weeks, PIs with birth weight < 2500   g , and migrant pregnancies. Conclusions. We should focus on rural areas, reduce the prevalence of premature and low birth weight infants, and provide maternal healthcare services for migrant pregnancies for BD prevention from the perspective of population-based BD surveillance.


2018 ◽  
Vol 08 (01) ◽  
pp. 35-47
Author(s):  
Hamidou Oumar Bâ ◽  
Ichaka Menta ◽  
Youssouf Camara ◽  
Ibrahima Sangaré ◽  
Guida Landouré ◽  
...  

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Natalia Llanos ◽  
Carlos Pardo ◽  
Gabriel Pinilla ◽  
Akemi Arango ◽  
Jaime Valderrama ◽  
...  

Objective: To describe the clinical features of stroke patients from rural and urban areas and to identify possible associations with clinical outcomes. Introduction: There is little information in Latin America about risk factors, treatments, and outcomes in stroke patients from rural areas and urban people. The rural population faces multiple healthcare access barriers that might influence stroke outcomes. This paper describes and analyzes clinical features in stroke patients according to their location. Methods: Prospective cohort study of Colombian stroke patients using demographic and clinical data collected between 2018 and 2020 in a high complexity hospital from southwestern Colombia, as part of a pilot stroke network consisting of rural primary centers and a mothership center. Mode of transport to the stroke center, timing, clinical characteristics, interventions, and modified Rankin scale (mRS) at discharge and 3 months were assessed. Results: We included 579 stroke patients (66.14% ischemic), with a median age of 70 years (60-81). Urban subjects showed higher prevalence of dyslipidemia (p=0.009), previous hemorrhagic stroke (p=0.036), and TIA (p=0.002). Approximately 35% of cases were initially evaluated at a rural primary care center. These subjects exhibited a higher NIHSS scores (10 IQR 5-19 vs. 5 IQR 2-13; p=0.000) with a longer window (p<0.001) and were mainly transferred by ambulance (89.80%, p=0.000). Due to the severity, door-to-imaging time was shorter (p=0.001). Rural patients receive thrombolysis in 27.36% and underwent thrombectomy in 14.43%. Higher mRs at discharge (3 IQR 2-5 vs. 2 IQR 1-4; p=0.000) and three-months follow-up (3 IQR 1-6 vs. 1 IQR 0-4; p<0.001) were observed. Conclusions: Rural patients from southwestern Colombia were more likely to present with severe strokes even though they had lower rates of cardiovascular risk factors. They arrived later to the stroke center, but the final diagnosis was reached faster. Nonetheless, disability was higher at discharge and 3-months follow-up.


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