scholarly journals Effects of call reminders, short message services (SMS) reminders, and SMS immunization facts on childhood routine vaccination timing and completion in Ilorin, Nigeria

2021 ◽  
Vol 21 (2) ◽  
pp. 951-959
Author(s):  
Rasheedat Ibraheem ◽  
Moshood Akintola ◽  
Mohammed Abdulkadir ◽  
Hafsat Ameen ◽  
Oladimeji Bolarinwa ◽  
...  

Background: Reminders via mobile devices deployed as short message services (SMS) or calls have been identified to be a useful strategy in improving routine immunization uptake in several countries. Objective: To identify the timeliness of appointments with reminders (calls or SMS), SMS health education and the routine care, and the vaccination completion rates in Ilorin, Nigeria. Method: Mother-infant pairs presenting for the first vaccination appointment were randomized into four (three inter- ventions, one control) groups, each consisting of 140 participants. Intervention groups were reminders via calls (A), SMS reminders (B), immunization fact SMS messages (C) and controls on usual care (D). Reminders were made a day before the appointment while SMS immunization facts were sent at five weeks, nine weeks and eight months. Appropriate timing was defined as the scheduled visit ±3 days. Results: The immunization completion rates after the nine months’ visit were 99.2%, 99.3%, 97% and 90.4% for Groups A, B, C and D respectively. Compared with controls, Group A had the highest odds [AOR 8.78 (6.10, 12.63)] of presenting at an appropriate time, followed by Group B [AOR 2.56 (1.96, 3.35)], then Group C [AOR 2.44 (1.87, 3.18)]. Conclusion: Reminders/SMS immunization facts improve vaccination completion rates. Keywords: Call reminders; short message services (SMS) reminders; SMS immunization; vaccination timing; Nigeria.

2009 ◽  
Vol 69 (01) ◽  
pp. 65-69 ◽  
Author(s):  
Y P M Goekoop-Ruiterman ◽  
J K de Vries-Bouwstra ◽  
P J S M Kerstens ◽  
M M J Nielen ◽  
K Vos ◽  
...  

Objectives:To compare the efficacy of Disease Activity Score (DAS)-driven therapy and routine care in patients with recent-onset rheumatoid arthritis.Methods:Patients with recent-onset rheumatoid arthritis receiving traditional antirheumatic therapy from either the BeSt study, a randomised controlled trial comparing different treatment strategies (group A), or two Early Arthritis Clinics (group B) were included. In group A, systematic DAS-driven treatment adjustments aimed to achieve low disease activity (DAS ⩽2.4). In group B, treatment was left to the discretion of the treating doctor. Functional ability (Health Assessment Questionnaire (HAQ)), Disease Activity Score in 28 joints (DAS28) and Sharp/van der Heijde radiographic score (SHS) were evaluated.Results:At baseline, patients in group A (n = 234) and group B (n = 201) had comparable demographic characteristics and a mean HAQ of 1.4. Group A had a longer median disease duration than group B (0.5 vs 0.4 years, p = 0.016), a higher mean DAS28 (6.1 vs 5.7, p<0.001), more rheumatoid factor-positive patients (66% vs 42%, p<0.001) and more patients with erosions (71% vs 53%, p<0.001). After 1 year, the HAQ improvement was 0.7 vs 0.5 (p = 0.029), and the percentage in remission (DAS28 <2.6) 31% vs 18% (p<0.005) in groups A and B, respectively. In group A, the median SHS progression was 2.0 (expected progression 7.0), in group B, the SHS progression was 1.0 (expected progression 4.4).Conclusions:In patients with recent-onset rheumatoid arthritis receiving traditional treatment, systematic DAS-driven therapy results in significantly better clinical improvement and possibly improves the suppression of joint damage progression.


2012 ◽  
Vol 01 (07) ◽  
pp. 51-61
Author(s):  
Nanik Ram ◽  
Altaf Hussain Ansari

This research explores income patterns and determinants of rural poverty in Sindh province. The Data were collected from 300 households from two districts i.e. Khairpur, and Thatta of Sindh Pakistan by using the simple random technique; a structural questionnaire was design as an instrument tool for measuring the poverty determinants and income patterns. The households are classified into three groups i.e. A, B and C. Group A and B are below subsistence holding and group C is related to subsistence holding and, all the households were engaged in farm production . It was revealed that the average size of farm A group is 7.2 acres but the grower cultivates average area 4.5 acres and the remaining 2.7 acres are not cultivated by them due to deficiency of water. In the same way, the grower of group B cultivates 7.475 acres instead of 11.5 acres and grower of C group cultivates 16.56 acres in place of 27.6 acres. The surveyed data of district Khairpur describes that the average size of farm of group A is 7.47 acres but each grower average cultivates 4.78 acres and the remaining 2.69 acres are uncultivated. Similarly, the grower of B group cultivates 7.462 acres instead of 11.9 acres and the grower of C group brings 17.4 acres under cultivation in place of 29 acres. The surveyed data of both districts clearly indicate that the income of all growers is low because they do not bring all land under cultivation. The surveyed data has further pointed out that 50% households are below the official poverty line, 33.33% households are just above poverty line and 16.67% well above official poverty line. The group C is in a better position to provide health, education etc facilities to their family members.


Author(s):  
Asta Sarkauskiene ◽  
Brendon Noble ◽  
Laimute Kardeliene

The aim of this study was to develop and implement curriculum of non-formal physical education in school and assess its effectiveness for health related physical fitness of 11-13 year old children. The research was conducted in two stages. In the first stage 51 11-13 year old children participated in a quasi-experiment for two years. Pupils were organized into E (experimental) and C (control) groups. Both groups shared the duration (1 hour) and frequency (twice a week) but were different in their education curriculum. In the second stage 72 pupils (groups A and B) attended in the research from the same schools. The curriculum of the group A was modified and differed from group E, group B - the same as group C. In both stages the focus groups performed four physical fitness tests and BMI was calculated. Group E girls’ indices of three tests and boys’ indices of all four tests were significantly (p<0.05) higher than young adolescents’ from group C. Group A girls’ flexibility and aerobic endurance as well as boys aerobic endurance were higher (p < 0.05) than pupils from group B. Results suggest that the individualized, diverse, 11‒13 years old children hobbies, needs, abilities, physical and functional powers answering non-formal curriculum, which expands knowledge and develops new skills and when various child-activating teaching methods and forms are used, positively influence their health related physical fitness.  


1991 ◽  
Vol 65 (3) ◽  
pp. 226-231 ◽  
Author(s):  
O. C. Nwaorgu

ABSTRACTThe prevalence of guinea worm Dracunculus medinensis was determined in communities in Anambra State, Eastern Nigeria during the 1984–1985 guinea worm season. Thereafter combined intervention measures which included health education and community participation in pond treatment were introduced in one of the two communities. There was a decrease in disease prevalence from 88.7% to 33% in Group A (372 households) and from 88% to 53% in Group B (368 households), two years after control measures were introduced in Igbeagu community. However, in 345 households in Mpu community without control measures, any decrease was not significant (from 88·7% to 86·5%). Health Education combined with pond disinfection proved to be a much better intervention measure, contributing to the change in attitude and therefore decrease in disease prevalence, than pond disinfection alone.


2021 ◽  
Author(s):  
Shuping Hao ◽  
Sisi Tan ◽  
Jing Li ◽  
Weimin Li ◽  
Jingyun Li ◽  
...  

Abstract Background: At present, there are few studies on individualized dietary guidance and exercise intervention for perimenopausal women. The purpose of this article is to explore the effects of centralized health education, health education + individualized diet guidance, and health education + individualized diet guidance + intensive resistance exercise on the physical measurements of perimenopausal women. Design: 78 perimenopausal women divided into three groups: Group A, Group B and Group C. Participants: Group A received routine gynecological diagnosis and treatment and participated in centralized lifestyle health education. Group B required to participate in all intensive education content, professional dietitians to give individualized dietary guidance. Group C received intensive education, individualized diet intervention, and intensified resistance exercise. Main Measures: Dietary scores, exercise habits, waist circumference, body mass index, fat and muscle mass were observed after 3 months. Results: After intervention, the total diet score of group C was higher than that of group A and B, and the red meat score was significantly reduced. The number of patients in group B and group C who exercised >3 times per week and the number of resistance exercises per week were significantly increased, while the number of aerobic exercises per week in group C was significantly increased. Comparison of the changes of body measurement indexes after the three different interventions showed that body fat and waist circumference were significantly reduced, and skeletal muscle weight was significantly increased; body mass index, trunk fat ratio and waist to hip ratio were significantly decreased in group B and C, while trunk muscle was significantly increased in group C. Conclusion: The combined intervention of the three methods can give full play to the synergistic effect of various interventions, and the improvement effect of increasing the appropriate amount of resistance exercise is more obvious, which is worthy of further promotion and application. Retrospectively registered: researchregistry6331, date of registration : December 4, 2020.


2016 ◽  
Vol 2 (1) ◽  
pp. 5
Author(s):  
Richard Agbonluai EHIMIGBAI

Introduction The aim of this study was aimed at evaluating the effects of lead nitrate on adult wistar rats.Methodology A total of 32 adult wistar rats weighing between 200 and 240g were divided into 4 groups of 8 rats per group. The control groups (group A) were placed on normal diet, while Group B rats received 35mg/ kg body weight / day of lead nitrate via orogastric tube. Group C rats received 45mg / kg body weight/ day of lead nitrate via orogastric tube. Group D rats received 50 mg/ kg body weight/ day of lead nitrate via orogastric tube and all the dosage were given for 40 days.Results The results in group A, B, C and D showed normal histologic testicular architecture as evidenced by normal seminiferous tubules and interstitial spaces in figure 1, 2, 3 and 4.Conclusion It was concluded that lead nitrate at 35mg/kg, 45mg/kg and 50mg/kg body weight/day was not toxic to the testis of an adult Wistar rats. 


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mirjam N. Landgraf ◽  
Florian Heinen ◽  
Lucia Gerstl ◽  
Christine Kainz ◽  
Ruth Ruscheweyh ◽  
...  

Abstract Background Migraine is common in childhood, peaks in adolescents and persists into adulthood in at least 40% of patients. There is need for early interventions to improve the burden of disease and, if possible, reduce chronification. The aim of the project is to compare two types of ambulatory treatment strategies regarding their effect on headache days and quality of life in 6 to 11 year old children with migraine: 1) the routine care in pediatricians’ practices (intervention group A) and 2) a structured interdisciplinary multimodal intervention administered at social pediatric centers (intervention group B). Methods The study is a nation-wide cluster-randomized study. Based on the postal codes the regions are randomly assigned to the two intervention-strategies. Children with migraine are recruited in the pediatric practices, as common outpatient-care in the German health-care system. Parents rate headache frequency, intensity and acute medication intake at a daily basis via a digital smartphone application specifically designed for the study. Migraine-related disability and quality of life are assessed every 3 months. Study duration is 9 months for every participant: 3 months of baseline at the pediatric practice (both groups); 3 months of intervention at the pediatric practice (intervention group A) or at the social pediatric center (intervention group B), respectively; 3 months of follow-up at the pediatric practice (both groups). Discussion Results of the planned comparison of routine care in pediatric practices and interdisciplinary social pediatric centers will be relevant for treatment of children with migraine, both for the individual and for the health care system. Trial registration The study was approved by the ethics committee at the Ludwig-Maximilians-University Munich (number 18–804) and was retrospectively registered on 27 April 2021 in the WHO approved German Clinical Trials Register (number DRKS00016698).


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Silvanus Olu Innih ◽  
Ikechi Gerald Eze ◽  
Kingsley Omage

Abstract Background Momordica. charantia is popularly used as a medicinal herb in ethnomedicine for the management of cardiovascular diseases. In this study, we evaluated the beneficial effects of the ethanolic extract of M. charantia (Linn.) in experimentally induced cardiovascular disorders using cholesterol-fed Wistar rat. Methods Seventy-two experimental rats were randomly assigned into nine 9 groups of 8 rats each and treated as follows: Rats in group A (control) were given distilled water only; Rats in group B were given 30 mg/kg of cholesterol dissolved in coco-nut oil (cholesterol solution); Rats in group C were given cholesterol solution and 100 mg/kg Atorvastatin; Rats in group D were given 250 mg/kg of M. charantia and cholesterol solution; Rats in group E were given 500 mg/kg of M. charantia and cholesterol solution; Rats in group F were given 250 mg/kg. M. charantia; Rats in group G were given 500 mg/kg M. charantia; Rats in group H were given 1 ml of coconut oil; Rats in group I were given 100 mg/kg of Atorvastatin. Results Mean LDL-cholesterol was significantly (P < 0.05) lower in groups F, E and H as compared with the control groups. Histological analysis of the heart and aortic branch of the experimental rats show that cholesterol administration induced myocardial degeneration, vascular ulceration and stenosis in the aorta and heavy perivascular infiltrates of inflammatory cells. However, these deleterious effects were ameliorated upon treatment with Momordica charantia and Atorvastatin as compared with the control groups. Conclusion Our findings indicate the possible cardiovascular benefits of M. charantia.


2007 ◽  
Vol 35 (03) ◽  
pp. 447-453 ◽  
Author(s):  
Jianzhu Liu ◽  
Yoo-Teak Lee ◽  
Sang-Eun Lee ◽  
Jung-Yeon Lee ◽  
Duck-Hwan Kim

The present study was conducted in order to clarify the anti-emetic effect of oculo-acupuncture (OA) on dogs with xylazine-induced vomiting, and also to compare the anti-emetic effect of OA and body acupuncture (AP). Twelve dogs induced to vomit by xylazine were selected from total 29 mongrel dogs in preliminary experiment and were used as subjects in this study. This study was comprised of two experiments. In experiment 1, the anti-emetic effects of OA on dogs were examined in the stomach/spleen region (experimental group I), the zhongjiao region (experimental group II), and the stomach/spleen region plus the zhongjiao region (experimental group III) using 12 dogs induced to vomit for one week interval repeatedly. On the other hand, needle acupuncture (AP) (BL20 + BL21, experimental group A) and OA (stomach/spleen and zhong jiao regions) combined with needle AP (BL20 + BL21) (experimental group B) were examined using 6 vomiting dogs, for one week interval repeatedly in experiment 2. As a result, the vomiting rates of experimental group I (50%, p < 0.05), experimental group II (58.3%) and experimental group III (41.6%, p < 0.01) were lower than that of control (100%), respectively in experiment 1. The vomiting rates of both experimental group A (50%, p < 0.05) and experimental group B (50%, p < 0.05) were lower than that of control (100%) in experiment 2. The starting vomiting time in experimental groups was similar to that of the control groups in experiment 1 and 2. This study demonstrated that OA had anti-emetic effects on dogs with xylazine-induced vomiting and OA in the stomach/spleen region plus the zhongjiao region was the most effective in anti-emesis among the experimental groups. In addition, body AP and OA combined with body AP had a similar anti-emetic effect on dogs with xylazine-induced vomiting.


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