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Modern Dressings for the Treatment of Chronic Wounds and the Family Doctor - Case Reports
Issue:
Volume 9, Issue 1, March 2023
Pages:
1-6
Received:
4 December 2022
Accepted:
28 December 2022
Published:
9 January 2023
Abstract: The appearance of modern dressings for the treatment of chronic wounds with the concept of moist wound healing has brought a completely new doctrine of their treatment, enabling significantly faster healing and thus a number of other benefits for health systems and health workers, patients with chronic wounds, and for society as a whole, reducing treatment costs drastically. The greatest benefit from their use is achieved by patients with chronic wounds, bearing in mind that a chronic wound significantly reduces and impairs the quality of life of patients. What makes modern dressings for the treatment of chronic wounds special is their simple use, which enables even family doctors to successfully treat chronic wounds with modern dressings, when the location of the wound itself and the involvement of frozen tissue allow it. They can be applied in the doctor's offices as well as in the patients' homes by the patrol services. Their application can be of particular importance to patients in rural areas where the health care system is more difficult to access and where the appointments of health workers, doctors and nurses are not daily. In those cases, patients, as well as their family members, can be educated to apply modern dressings for the treatment of chronic wounds by themselves with occasional control examinations by health workers.
Abstract: The appearance of modern dressings for the treatment of chronic wounds with the concept of moist wound healing has brought a completely new doctrine of their treatment, enabling significantly faster healing and thus a number of other benefits for health systems and health workers, patients with chronic wounds, and for society as a whole, reducing t...
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Intimate Partner Violence and Its Associated Factors Among Women in Owo, Ondo-State, Southwest, Nigeria
Akintunde Opeoluwa Akinyugha,
Oyewunmi Joseph Olajide,
Hannah Iyabo Okunrinboye,
Adesola Olawumi Kareem,
Olawale Joshua Oladimeji,
Abiodun John Kareem,
Tolulope Moses Akinola,
Festus Rotimi Babalola,
Adewole Sunday Awoyeni,
Charles Ojo Atimoh,
Olakunle Femi Oladapo,
Liasu Adeagbo Ahmed
Issue:
Volume 9, Issue 1, March 2023
Pages:
7-14
Received:
23 December 2022
Accepted:
14 January 2023
Published:
9 February 2023
Abstract: Background: Intimate Partner Violence is a public health problem of global magnitude that majorly affects women and is often under-reported. Objectives: This study was carried out to determine the prevalence of Intimate Partner Violence, its pattern, and its associated factors with a view to reducing the burden. Methods: The study was a descriptive cross-sectional study of 347 consenting adult females. Data was collected using the adaptation of the World Health Organization’s Multi-Country Study on Women’s Health and Domestic Violence against Women questionnaire–a cross-culturally validated instrument. Data were analysed using the SPSS version 22 and a p-value < 5% was considered significant. Results: The mean age of the respondents was 41.77 ± 15.64 years. The overall prevalence of IPV was 71.2%. The types of violence in descending order revealed controlling behaviour (49.6%), psychological (47.0%), physical (32.9%), and sexual (19.6%). IPV was significantly associated with marital status (p = 0.023), partners’ being drunk (p = 0.025), money problems (p = 0.002), absence of food at home (p = 0.015), jealousy (p=0.012), sex refusal (p =< 0.001), disobedience to partners (p = 0.003), other situations like children matters (p =< 0.001) and partners’ belief in wife-beating (p = 0.002). Logistic regression revealed partners’ belief in wife beating (OR = 3.734, CI = 1.610 to 8.660, p = 0.002) to be the sole predictor of Intimate Partner Violence. Conclusion: Intimate Partner Violence was prevalent and solely predicted by Partners belief in wife-beating. This, therefore, calls for partners’ education against such beliefs.
Abstract: Background: Intimate Partner Violence is a public health problem of global magnitude that majorly affects women and is often under-reported. Objectives: This study was carried out to determine the prevalence of Intimate Partner Violence, its pattern, and its associated factors with a view to reducing the burden. Methods: The study was a descriptive...
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Prevalence and Risk Factors of Obstructed Labor Among Pregnant Women at Selected Public Hospitals in Mogadishu- Somalia: Multi-Centered Case-Control Study
Mohamed Gedi Sheikhow,
Abdisamad Sheikh Yusuf,
Abdirahman Mohamed Ahmed,
Sadia Mohamud Mohamed,
Yusuf Gedi Sheikhow
Issue:
Volume 9, Issue 1, March 2023
Pages:
15-22
Received:
6 January 2023
Accepted:
2 February 2023
Published:
16 February 2023
Abstract: Obstructed labor (OL) is a typical reason for maternal morbidity and mortality in sub-Saharan Africa and Southeast Asia. A retrospective case-control study was conducted to determine the prevalence and risk factors of obstructed labor among pregnant women at selected public hospitals in Mogadishu-Somalia. Methods: a retrospective case-control study was conducted to ascertain risk factors of obstructed labor among pregnant women at selected public hospitals in Mogadishu- Somalia, from 1st July 2020 to 30th December 2020. The study site was one of the selected public hospitals in Mogadishu- Somalia, including Banadir, SOS, Madina Daynile, and Demartino public hospitals. The Maternal Sociodemographic factors, clinical factors, and complications associated with obstructed labor were obtained from selected public and clinical data. These variables were coded numerically and computerized using statistical analysis software called statistical package for social science (SPSS) version 24). Results: 143 out of 960 patients were obstructed Labor prevalence of 14.8%; according to age group, 22% were 15–19 years, over 47.2% were married, had educational levels (25.52%), and patients were illiterate. The majority (89.5%) of the patients were rural dwellers with (80.2%) who came from a distance between 30-59Km. Being nulliparous (first pregnancy) was the leading cause for the patients in obstructed labor (27.27%) of all the cases group. This was followed by being referred with Obstructed Labor (OL) (72.0%) and referred from Private health facilities alone, forming about (65.0%). The fetal risk factors observed in this study were Cephalo-pelvic disproportion, with a reported (71.1%), and fetal malpresentation, with (23.8%). The dominant maternal complication type reported in this study was ruptured uterus (43.3%) among obstructed labor. The most typical fetal complication was birth Asphyxia (40.5%), although there was a significant association between demographics, Obstetrical risk factors, and the developing obstructed labor. Conclusion: This study showed a high prevalence of obstructed labor, and sociodemographic attributes and obstetrical factors are causal factors to its development. The results of this study make it clear that the Ministry of Health and other healthcare stakeholders must seek to scale up present facility-based interventions to improve maternal outcomes and lessen the effects and incidences of obstructed labor.
Abstract: Obstructed labor (OL) is a typical reason for maternal morbidity and mortality in sub-Saharan Africa and Southeast Asia. A retrospective case-control study was conducted to determine the prevalence and risk factors of obstructed labor among pregnant women at selected public hospitals in Mogadishu-Somalia. Methods: a retrospective case-control study...
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Diagnosis and Management of Mountain Sickness - A Review
Issue:
Volume 9, Issue 1, March 2023
Pages:
23-27
Received:
6 February 2023
Accepted:
22 February 2023
Published:
3 March 2023
Abstract: Acute mountain sickness (AMS) is the most common form of illness at high altitude; however, it is still unclear whether age is a protective factor or a risk factor for the development of AMS in travellers. The condition generally occurs at altitudes higher than 8,000 feet (ft), or 2,500 meters (m), and is usually due to a lack of oxygen. A person who is not used to high altitudes is most at risk of developing altitude sickness. Mountain sickness is also called high altitude sickness, referring to the impact of environment on the body health at high elevation. Altitude illness is divided into 3 syndromes: acute mountain sickness, high-altitude cerebral edema (HACE), and high-altitude pulmonary edema (HAPE). Mountain climbers are at risk of developing altitude sickness. Altitude sickness is caused by ascending too rapidly, which doesn't allow the body enough time to adjust to reduced oxygen and changes in air pressure. Symptoms include headache, vomiting, insomnia and reduced performance and coordination. Generally, it is classified into three categories based on the onset condition, namely acute mountain sickness, high-altitude cerebral edema (HACE) and high-altitude pulmonary edema (HAPE). Hypoxic sleep disruption contributes to the symptoms of acute mountain sickness. Hypoxemia at high altitude is most severe during sleep. The sickness signifies that the human body has yet to adapt to the environment at 2500 meters or above in elevation, where low air pressure and oxygen will impair body functions. Mild cases can be treated according to symptoms (such as with painkillers for a headache), which usually go away on their own within a few days. Medicines specific for altitude sickness are also available. Acetazolamide is used to prevent and reduce the symptoms of altitude sickness. This medication can decrease headache, tiredness, nausea, dizziness, and shortness of breath that can occur when you climb quickly to high altitudes.
Abstract: Acute mountain sickness (AMS) is the most common form of illness at high altitude; however, it is still unclear whether age is a protective factor or a risk factor for the development of AMS in travellers. The condition generally occurs at altitudes higher than 8,000 feet (ft), or 2,500 meters (m), and is usually due to a lack of oxygen. A person w...
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