Public Health

  • Estimation of Risk Factors for Cardio vascular Diseases in urban & semi-urban population: A prospective Observational Study

    Cardiovascular diseases (coronary heart disease, stroke, peripheral arterial disease) are the major causes of morbidity and mortality in type 2 diabetes. It has been reported that 60–80% of patients with diabetes die of cardiovascular events. Hypertension and Diabetes are the major causes for the cardio vascular diseases across the world particularly in India. In present study, in our study population, we found that males are more prone to CVD. Hypertension and Alcohol intake are the leading causes of Cardiovascular Diseases .

  • Strategy to Reduce Incidence Disease of Dengue Hemorrhagic Fever in Bukittinggi West Sumatera, Indonesia

    Background: Disease of Dengue Hemorrhagic Fever (DHF)) is contagion which because of virus dengue and contagious through of Aedes aegypti. This disease can attack everybody and death. In Bukittinggi represent non-area of endemic DHF, but almost every year the progress of occurrence DHF, District which at most case of DHF is Aur Birugo Tigo Baleh (ABTB), besides wide of the smallest area also there is the environmental factor which related case of DHF. In this context, the study aims to know Related of existence larva mosquitoes Aedes aegypti and Implementation of 3M Plus with Improvement incidence disease Dengue Hemorrhagic Fever in Bukittinggi. Methods: It is an analytic survey with study design of case-control use test of chi- square. Research location in District of ABTB, its research responder are 78 with the technique of totally sampling. Result: The research show existence snap fingers at house snapping fingers at and suffering DHF 61,5%, do not snap fingers at and suffer DHF 38,5%. Value of House Index (HI) 43,6%, Container Index (CI) 17,9%. Implementation of 3M Plus unfavorable and suffer DHF 69,2%, while Implementation of 3M Plus good and suffer DHF 30,8%. Conclusions: From the result of research pvalue=0,003 (p

  • Depression Predictors among Older Persons in a Rural Community in South Africa

    Background: Depression is a very important part of global mental health concerns. Many of the studies on correlates of depression stopped short of finding the predictors. Predictive models will empower preventative efforts by healthcare providers and policy makers. The purpose of this study was to determine the factors predicting depressive symptoms among a population of older men and women in rural South Africa. Methods: Data were obtained from “Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa (HAALSI) in the INDEPTH Health and Demographic Surveillance System (HDSS) site of Agincourt” in rural Mpumalanga province, South Africa. Previously validated short-version Center for Epidemiologic Studies Depression Scale (CES-D 8) was used to assess for depressive symptoms. Multivariable logistic regression model with stepwise selection, and receiver operating curve were used to examine the predictors of depression. Results: Of the 4027 participants included in this study, 743 (18.5%) met the criterion for depression (CES-D 8 score ≥3). Older age (OR 1.025, CI 1.016-1.034), diabetes (OR 1.467, CI 1.152-1.868), and alcohol consumption (OR 1.536, CI 1.261-1.872) predicted depression. Being male (OR 0.734, CI 0.588-0.915) and homemaker rather than not working (OR 0.513, CI 0.372-0.707) were protective. Compared to those who were married, depressive symptoms were significantly higher among the separated/divorced (OR 1.372, CI 1.027-1.834) and the widowed (OR 1.468, CI 1.172-1.839). Conclusions: It is possible to predict the development of depression in this community, and findings are generalizable to other communities and countries. Healthcare workers and policy makers should use the findings for preventative care and policies.

  • Public Health aspects of Cesarean section including overuse and underuse of the procedure

    Caesarean section (CS) is lifesaving medical procedure that is able to avert both maternal and neonatal mortality. However, across the globe an estimated 3.2 million necessary CSs do not happen in low income countries and an estimate of 6.2 million unnecessary CSs happen in middle and high income countries. The overuse and underuse of this procedure driven by both the supply-side (such as resources within the health system, healthcare policy and strategies, health financing systems and perceptions of the healthcare professional) and demand-side (such as socio-economic status, population preference and perceptions and trust in health system) determinants. There are stark inequities in CS rates between and within regions and countries. Many regions across the globe (Eastern Asia, Northern Europe, Central America, Southern America, Northern America and Oceania) have over double recommended optimal rates, whereas several African regions (Eastern, Middle and Western) have dangerously low rates. Both of these have detrimental impacts on maternal and neonatal outcomes. There is a need now for health policy and decision makers at both national and facility level to try and optimize the CS rates through facilitating strategies that promote positive human relations and encourage standardized evidence based care.

  • Should We Build Our School Here? Children’s Level of Fitness, School Site-Typology and the Built Environment

    Background: No prior studies have assessed the relationship of school-sites with children’s fitness, nor evaluated how it is influenced by types of built environments surrounding school-sites. Purpose: To create a typology of school-sites and assess their associations, with school-level cardiorespiratory fitness (PACER score), as well as 34 environmental measures, reflecting food retailers and parks. Methods: PACER scores (#laps) were obtained on 20,900 children, 5-18 years-old, attending 103 rural and urban public schools in Wisconsin 2009-2010. Scores were aggregated at the school-level (mean 25.2±10.5). School-site typology reflects walkability context and parcel size. Schools were classified as: Neighborhood-School, Neighborhood-Campus, Neighborhood-Suburban, or Campus-School. Geospatial and linear regression were performed , overall and by sex and age strata, using a 1600-meter circular buffer around each school. Associations with school-level-PACER score were assessed for school types; density of unhealthy and healthier food retailers; and types of parks. Results: Campus-Schools predict a school average-PACER 7 laps significantly higher than Neighborhood-schools. ‘Neighborhood-Campus’ showed the lowest PACER for males and 11-13 years-old (10 and 12 laps lower). Negatively correlated with average-PACER were, unhealthy convenience stores for both sex, large parks for females. More fast-casual restaurants predict higher average-PACER. Schools with more students predict higher average-PACER for males and 6-10 years-old. Conclusion: Among Wisconsin schools, school-site and its context are associated with children’s physical fitness, suggesting that school-siting should include a health benefit analyses in the process. This study demonstrates the utility of school-level PACER scores and suggests further study of the mechanisms by which children’s fitness is influenced by food retailers around school zones.

  • Assessment The Role Of Motivation On Technicians And Teaching Assistants Performance In College Of Medical Technology In Derna City, Libya

    Background: Motivation is crucial for organizations to function; without motivation the organization would be less efficient. Objective: To assess the role of motivation on technicians and teaching assistants performance in College of Medical Technology in Derna, city. Methodology: A cross- sectional design was used to conduct the study. The target population of the study was technicians and teaching assistants working in College of Medical Technology. Data was collected using a questionnaire and analyzed by percentage, mean, range, rank, frequency and standard deviation. Results: Among 39 study sample 11 were male and 28 were female. Most of them were within age group of 21- 30 years (87.18%). The study reveals that, “training” was ranked first as the most important motivational factor, followed by second rank was shared between “salary and job security”. Few of the study sample received incentives in form of financial incentive, clothing allowance, phone and petrol cards. And said the incentive has a positive impact on job performance. All participants said would do better job if they were motivated. Conclusion: The findings of this study indicate that motivational factors such as “training, salary, and job security” are major motivational factors, which can lead to better services delivery in the college as it brings positive results on the technicians and teaching assistant’s performance. The study also revealed that incentives available to technicians and teaching assistants in the college are inadequate.

  • A quasi experiment to implementing standard multimodal strategy to improve hand hygiene behavior in a healthcare facility in central Saudi Arabia

    Hand hygiene (HH) compliance of healthcare workers (HCWs) remains suboptimal despite standard multimodal promotion, and evidence for the effectiveness of novel interventions is urgently needed. Aim: Improve HCWs’ HH compliance toward minimizing healthcare associated infection (HCAI) risk in Wadi Al Dawasir Hospital (WDH), central Kingdom of Saudi Arabia (KSA). Methodology: A quasi experimental approach was adopted to achieve study aim. The HCWs’ behavior of HH during the duration between 2015 and 2016 was evaluated before and after a HH educational plan based on the World Health Organization (WHO) “Multimodal HH Improvement Strategy” (MMHHIS). The HCWs’ compliance in response to HH indications represented by the WHO’s “My 5-Moments for HH” and the type of HH action taken, whether hand washing (HW) or hand-rubbing (HR) were analyzed. Results: The number of opportunities observed of HH performance accounted 230 in 2015 (pre-education), and 237 in 2016 (post-education). The HCWs’ HH compliance rate in the pre-education phase did not vary by the 5-moment indications [χ2(df 4) = 0.01, p=0.98]. Conversely, the compliance rate after HH education was higher than non-compliance across all 5-moment indication opportunities (ranged between 57.0% up –to 88.9%) [χ2(df 1) =18.25, p

  • Risk Factors of Pregnancy-Induced Hypertension in Block Hazratbal of District Srinagar, Jammu and Kashmir- a Prospective Longitudinal Study

    INTRODUCTION:The term Pregnancy induced hypertension (PIH) refers to a disorder of blood pressure that arises because of the state of pregnancy. PIH is defined as new onset hypertension with or without significant proteinuria emerging after 20 weeks of gestation, during labour, or in first 48 hours post-partum. Objectives:To find out the risk factors of PIH in block Hazratbal, Srinagar. METHODOLOGY:A Community based longitudinal study was conducted in Block Hazratbal (District Srinagar) for a period of 18 months. All the pregnant females attending the antenatal clinic at the subcenters and PHCs were included in the study and assessed for eligibility. The pregnant women enrolled in the study were examined again around 30 weeks, 37 weeks and once in postnatal period. The information was collected from the study subjects on the basis of pretested semi- structured questionnaire regarding age, educational status, income per capta, occupation, family history of PIH, history of (H/O) hypertension in any family member, H/O addiction, physical activity, gravidity, parity, time since last child birth, H/O PIH in previous pregnancy, height, weight, anemia, edema, gestational age at delivery, fetal gender mode of delivery. RESULTS: Incidence of PIH increased with increasing age and was much higher among those study subjects who had a history of PIH in the previous pregnancy, who had a family H/O PIH, who delivered twins, who had a H/O hypertension in any family member, who had edema at baseline examination and who delivered male babies. DISCUSSION AND CONCLUSION: Risk factors of PIH include increasing age, H/O PIH in past, family H/O PIH, family H/O hypertension, male gender of fetus, twin pregnancy and edema in early pregnancy. PIH is a major cause of perinatal mortality, preterm delivery, IUGR, and maternal morbidity and mortality. Awareness about PIH and its risk factors among females and health care workers must…

  • Community Based Assessment of Bed Bug Infestation Status in Arba Minch Zuria Woreda, Southern Ethiopia

    Introduction: Bedbug infestations have become a serious problem in housing dueto their crawling and blood sucking activities. Objective: This study was aimed to assess the infestation status and public health importance of bed bug infestation in low income communities at household level. Methods: A community based cross-sectional study was conducted between January and February, 2018 on 721 housuholds in Arba Minch zuria Woreda, Southern Ethiopia with random sampling technique. Data collection was undertaken on knowledge and attitude about bed bug and bedbug infestation health impacts and factors for the infestation and control practices used were collected with well prepared questionnaire and standard observational check. Results: From all inspected materials, 97% infestation were on wall and sleeping and mosquito bed nets. The left materials relatively infested less were arm chair (2.76%) and other materials (0.89%) found in the house of the participants. About 31% and 15% participants reported bed bug infestation prohibited from using mosquito nets and cause thyphoid respectively. The left 55 % of participants reported the infestation causes wounds, itching, lossing rest and skin lesion. 98.1% of the participants have a knowledge about bed bug, blood sucking insects and 44% of respondents believed in insecticide nets increases the infestation. 72.5% household are using together hot water (42.28%) and ajjacks with water (30.2%) followed by 18.8% chemicals to control infestation. Omo soap, sun lights and plants were optional mechanisms of infestation controls. Conclusion: Bedbugs resurgences and its related factors are being considered as public health problem in Ethiopia. More researches focusing on bed bug biology and epidemiology are required establish a new prevention, treatment, control options and public health response.

  • Change of pain threshold in patients with muscle disorder subjected to conservative treatment

    Temporomandibular Disorder (TMD) is a clinical syndrome that mainly affects the masticatory muscles and temporomandibular joints (TMJ). The manual palpation is the most used clinical method to evaluate the muscle pain and is considered an important part of the clinical examination. The pressure algometry is used to verify the initial threshold of myofascial pain perception in the temporomandibular disorder. The purpose of this research was to evaluate the pain threshold change in patients with muscle-type TMD before and after the conservative treatment. Twenty seven volunteers were screened according to the Research Diagnostic Criteria (RDC/TMD), and 14 had muscle TMD and 13 with absence of TMD (control group). Measurements were taken with the pressure algometer in every patient in temporal and masseter muscles in order to quantify the response to the patient painful stimulus. After the proposed treatment the patient was scheduled to return in 7,14, 28 and 56 days. Therefore, it resulted in 18 patients for the study. The algometer comparison between the groups treated before and after the care, showed an initial value (in KgF) of 0.827 ± 0.405 and final of 1.416 ± 0.745, p