Articles

Safe sexual practice in people living with HIV/AIDS

Research article of Global Journal of Men’s Health Safe sexual practice in people living with HIV/AIDS Ferreira F. M. S 1; Cabral J. R 2; Souza T. R. R 3; Moraes D. C A 4; Filho D. M. B 5; Oliveira R. C 6. 1 Estudante do Curso de Enfermagem da Universidade de Pernambuco –UPE, Recife-PE-Brasil; 2,3 Enfermeira. Mestranda em Enfermagem pelo Programa Associado de Pós-graduação UPE/UEPB, Recife-PE, Brasil. 4 Enfermeira. Doutoranda em Enfermagem pelo Programa Associado de Pós-graduação UPE/UEPB, Recife-PE, Brasil. 5 Médico. Pós-doutorado na London School of Hygiene and Tropical Medicine/University of London. Professor adjunto da Universidade de Pernambuco. Coordenador do Programa de Pós-Graduação em Ciências da Saúde da Universidade de Pernambuco. Recife-PE, Brasil. 6 Enfermeira. Pós-Doutorado pela Escola de Enfermagem de Ribeirão Preto. Professora adjunta da Universidade de Pernambuco. Vice-coordenadora do Programa Associado de Pós-graduação UPE/UEPB. Recife-PE, Brasil. Introduction:The human immunodeficiency virus (HIV) epidemic in Brazil was modified with access to antiretroviral therapy (ART) and prevention actions, reducing morbidity and mortality in people living with HIV / AIDS (PLHA). The promotion of safe sex practices is an effective method of controlling HIV transmission and superinfection. Objective: To evaluate the use of condoms in sexual practices in PLWHA. Objective: To evaluate the use of condoms in sexual practices in PLWHA. Methodology: This is a descriptive cross-sectional study with a quantitative approach developed in the city of Recife, Brazil, in 2016, with 184 users of a Specialized Assistance Service (SAE). The study obeyed Resolution No. 466/2012 of the National Health Council, approved by the Research Ethics Committee of the Hospital Complex of the University of Pernambuco under CAEE: 17510113.8.0000.5192. Results / Discussion: There was a predominance of males (58.2%, n = 107). The age range ranged from 18 to 70 years, with a prevalence of 40 to 60 years expressed ...

Flu B or not Flu B: An atypical case of minimal change disease triggered by Influenza B presenting with multi-organ dysfunction

Case Report of International Journal of Case Reports Flu B or not Flu B: An atypical case of minimal change disease triggered by Influenza B presenting with multi-organ dysfunction Jordana Cheta1, Alamgir Mirza1, Michael Binder1, Sandeep Magoon1 and Thomas McCune1 1Affiliated with Eastern Virginia Medical School (EVMS), 825 Fairfax Avenue, Norfolk, Virginia 23507 Minimal change disease (MCD) accounts for 10-15% of idiopathic nephrotic syndrome in adults. Patients typically present with nephrotic range proteinuria, hypertension, microscopic hematuria and can even progress to acute renal failure. MCD can be primary (idiopathic) or secondary from etiologies such as cancer, medications, autoimmune conditions and infections. The link between infectious etiologies for MCD is important to recognize, since MCD tends to show a good response to treatment of the underlying cause. Influenza A has been reported as a secondary cause of MCD and rarely, influenza A, not B, can also present with liver failure. We present an atypical case of a 60-year-old female with no past medical history who presented with liver failure along with acute kidney injury and nephrotic range proteinuria. She was diagnosed with liver failure and secondary MCD from influenza B, the first reported case, and made a full recovery with treatment of Influenza B ...

Governance Factors and Mismanagement of Public Project Funds in Ondo State, Nigeria

Research Article of American Journal of Financial Management Governance Factors and Mismanagement of Public Project Funds in Ondo State, Nigeria 1Adedeji, D. B, 2Lawal, A. F and 3Simon, O. O 1&2Department of Project Management, Federal University of Technology, Akure. Ondo State. Nigeria; 3Department of Economics, Federal University of Technology, Akure. Ondo State. Nigeria This paper evaluates the governance factors that contribute to the mismanagement of public project funds in Nigeria. Governance factors are variables that influence the effective usage of project fund to achieve project delivery while Public projects relate to works done by the government to satisfy public interests. The target population for this study were the public sectors in Ondo State which comprises the Ministries, Departments and Agencies (MDAs) with the total number of seventy-four (74) establishments in the state. Primary and secondary data were collected. Multiple regression analysis was used to analyse the effects of corruption, rule of law, bureaucracy and accountability as proxies for governance factors on public project delivery. Findings reveals that Public projects’ execution is fettered with different types of corrupt practices such as bribery, favour to favour, nepotism, percentage sharing and contract inflation in the study area, weaknesses and lapses were observed in bureaucracy, accountability and due process. Therefore, the study suggest among others, that there should be a political will to redress corruption dilemma, tightens accountability, due process and bureaucratic control in project environment. Keywords:   Evaluation, Governance factors, MDAs, Mismanagement, Public project funds ...

Empirical analysis of finance mechanism for public projects delivery in Ondo state, Nigeria

Research Article of American Journal of Financial Management Empirical analysis of finance mechanism for public projects delivery in Ondo state, Nigeria 1Adedeji, D. B, 2Lawal, A. F and 3Simon, O. O 1&2Department of Project Management, Federal University of Technology, Akure. Ondo State. Nigeria; 3Department of Economics, Federal University of Technology, Akure. Ondo State. Nigeria Funding is the life-blood of any project, whether private or public organizations. It may be the release of funds, the ability to spend funds or the access to funds set aside to achieve a successful project delivery. The aim of this study is to assess the financing mechanism (Budget, Grant, Loan, Public Private Partnership (PPP) and NGO’s) and some control variables on public projects finance in Ondo State, Nigeria with a view to provide a framework that will promote effective service delivery, performance and socio-economic development. Data on financing mechanism of public project funds were collected from the Ministries, Departments and Agencies(MDAs) that were directly involved in the implementation of such projects were analysed using descriptive statistics and Pearson Moment Correlation. Findings revealed that budget and grant were the main mechanisms; delays in the completion of public projects were caused by untimely release of funds, mismatch of financing mechanism to the nature of projects and excessive budgeting for capital expenditure above the available resources. Therefore, the study recommends that financing mechanisms should be considered alongside with the nature of public projects to determine the appropriate source. Also, timely and correct disbursement of funds appropriated for projects should be done to avoid inadequacy of funds, project delay and abandonment. Keywords:    Financing mechanism, public project funds, public private partnership, service delivery ...

Turning Performance and Factors Related to Turning in Mild And Moderate Phase Parkinson’s Disease Patients

Research Article of International Journal of Aging Research Turning Performance and Factors Related to Turning in Mild And Moderate Phase Parkinson’s Disease Patients Ferhan Soyuer1 Prof Dr, Murat Gültekin2 MD, Ass Prof, Feyzan Cankurtaran1 Ass Prof 1Department of Physiotherapy and Rehabilitation, Nuh Naci Yazgan University, Faculty of Health Sciences, Kayseri /Turkey 2Department of Neurology, Erciyes University Faculty of Medicine, Kayseri, Turkey Background/aim: The purpose of study is to determine the turning performance and other factors related to turning in mild and moderate phase Parkinson’s disease patients (PD). Methods: Ninety two patients were followed up for observation. After passing neurological examinations, the Unified Parkinson Disease Rating Scale (UPDRS), Hoehn / Yahr Scale (H&Y), Mini Mental State Examination (MMSE), Tinetti test, Berg Balance test, 6 m walking test, step count, 360° turning duration, and Functional Independence Measure (FIM) were applied. All cases were evaluated according to the “on” period. Results: Forty one females and 51 males participated in the study. The duration of time it took to turn right was 8.22 ± 6.26 seconds, and the time it took to turn from left was 8.51 ± 6.63 sec. There appeared to be no statistical difference in the turn times of patients either in terms of the socio-economic factors of gender, education level, or employment status. But, statistically significant relationships were found when it came to in both directions, age, duration of illness, UPDRS, FIM, Tinetti, the Berg Test, the walking test, and the number of steps taken. Conclusion: Our results suggest that 360 degree turning performance in mild and moderate stage PD is strongly associated with patient’s age, disease duration and disease severity. Keywords:   Parkinson’s disease, turning, gait factors ...

The Relatıon Between Qualıtatıve And Qantıtatıve Parameters Of Freezıng And Walkıng In Idıopathıc Parkınson’s Dısease

Research Article of International Journal of Aging Research The Relatıon Between Qualıtatıve And Qantıtatıve Parameters Of Freezıng And Walkıng In Idıopathıc Parkınson’s Dısease Assistant Prof Feyzan CANKURTARAN1, Assistant Prof Murat GÜLTEKİN2, Prof Dr Ferhan SOYUER1, Prof Dr Meral MİRZA2, Assistant Prof Gözde ERTÜRK3 1Nuh Naci Yazgan University, Faculty of Health Sciences, Physical Therapy and Rehabilitation Department, Kayseri/TURKEY 2Erciyes University, School of Medicine, Department of Neurology, Kayseri/TURKEY 3 Erciyes University, School of Medicine, Department of Biostatistics, Kayseri/TURKEY Purpose: Our study is planned for determining the relation of some qualitative and quantitative parameters of freezing phenomenon and walking in patients with Idiopathic Parkinson’s Disease (IPD). Methods: 87 patients (37 -%42.5 female, 50-%57.5 male) in ErciyesUniversity Faculty of Medicine Neurology Department involved in this study. Patients were evaluated by demographic data, Mini Mental State Examination (MMSE), Hoehn- Yahr Scale, the Unified Parkinson’s Disease Rating Scale (UPDRS), freezing, 6 meter walking time, step count, rotation and related to step parameters. Results: Hoehn- Yahr Scale for the involved patients between 1-3, 14 out of their was 1(%16.1) and 17 out of their was 3 (%19.5). Freezing phenomenon was determined in 34 (%39.1) of the patients. There were no statistically difference between freezing and non-freezing patients about age, gender, education, profession, marital status and MMSE (p>0.05). Statistically difference were obsorved between freezing and non-freezing groups about UPDRS, rotation time 360 degrees from right, rotation time 360 degrees from left, balance defect at 360 degrees right rotation, 6m walking time, step count, hesitating gait, arrhythmic stepping, opening arms outside while walking (p<0.05). Discussion: Our study showed freezing phenomenon effects some walking parameters for IPD. Effect of freezing phenomenon on postural instability and It’s effection balance should be investigated. Also exercise programmes in IPD with freezing phenomenon should focus on walking education. Keywords:   Idiopathic Parkinson’s Disease, freezing, walking ...

Holistic Global Citizenship Education and Global Entrepreneurship for the Challenge of the 21st Century

Review article of American Journal of Educational Research and Reviews Holistic Global Citizenship Education & Global Entrepreneurship for the Challenge of the 21st  Century Young-Gil Kim, Ph. D Chairman of UN Academic Impact Korea Founding &Emeritus President of Handong Global University, Pohang, Korea The 21st Century brought global issues the world has never faced before. Climate challenge and destruction of the environment raise the issues of ecological preservation. Poverty and youth unemployment precipitates the issues of social inclusion. Extreme violence and moral hazard bring up the issue of social inclusion. These challenges are interconnected. It cannot solve all of them by improving one of them. Then how can we solve them? It is only possible when we address the fundamental causes. What are the basic causes of challenge? They are mainly originated by man-made and man-induced behavior and characteristics. Humanity stands at the center of these global challenges. The key solution is changing human beings. How can we change human beings? The only solution is education. Through education, we can transform the human mind and tide over the unprecedented 21st Century. However, the current education system does not provide solutions to global challenges. It mainly pursues the economic growth and development. Schools and universities focus on building competences rather concentrate raising human resources to prepare the future. We need a new educational paradigm not only to train expertise, but also to cultivate the mind sets, value and attitudes to engage in global issues. The paradigm should bring the realization that we exist, not merely as an independent person, but interdependent beings mutually interconnected. It should also address interdependence of economy, environment and society, in order to make the world sustainable. Global Citizenship Education (GCED) has received the spot light as a new education paradigm to the formation and cultivation of global citizen ...