This study examined factors influencing the occurrence of diabetes mellitus in Shieywe location, Kakamega County, Kenya. 327 respondents participated in the study, of which 135 (41.3%) were female and 192 (58.7%) were male. Most respondents had only a primary education. The study found that most respondents attributed diabetes to physical labor like lifting heavy loads. Few respondents engaged in exercise like walking or bicycling. Many diabetics had to travel over 6 km or 2-5 km to reach health facilities for treatment and management of their condition. The study concluded that health services for diabetes need to be more accessible by being available at local health centers to improve management of the disease.
Effects of Diabetes Mellitus in Prediction of Its Management in Kakamega Countypaperpublications3
Abstract: This descriptive study aimed at studying whether the effects of diabetes mellitus can predict its management in Kakamega County and Kenya. 327 respondents took part in the survey, with 135 (41.3%) being females and 192 (58.7%) being males. Most of the respondents, 190 (62.5%) had acquired primary education, 23 (7.6%) of the respondents had attained post-secondary education. 91(29.9%) of the respondents had attained secondary education. Most of the respondents did know the side effects of diabetes mellitus 204 (67.1%). Those who said loose of body weight 91 (29.9%) as side effects of diabetes were many as compared to those who identified non-healing wounds 9 (3%). Most of the respondents indicated that they did exercise as part of utilization of glucose in the blood stream. Although bicycling was done as an exercise but those who did were 13 (4.3%) as those who did not were 291 (95.7%). A balanced diet results in control of blood pressure and dyslipidemia which was a good riddance in the study area. Both the national government and the county government of Kenya and Kakamega respectively should strengthen health systems through innovative health care and promotion on effects of diabetes mellitus so that the burden of diabetes mellitus is reduced on both the health care services and the community in Kakamega and Kenya.
A study on awareness of diabetic complications among type 2 diabetes patientsiosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Assessment of Maternal Health Seeking Behavior and Service Utilization among ...Scientific Review
Health seeking behavior and utilization of maternal healthcare services are proximate factors that influence maternal morbidity and mortality in any society. We therefore assessed the pattern of health seeking behavior and types of maternal healthcare services utilized by women of the reproductive age in parts of Southeastern Nigeria. A cross sectional descriptive method involving the use of a well-structured pretested questionnaire was used to collect data from 521 randomly selected women between the ages of 15-49 years. Informed oral consent was obtained from these women prior to their recruitment for the study. Descriptive statistical analysis was performed on the data obtained using the Statistical Package for Social Science (SPSS). The mean age of the respondents was 32 ± 0.07620 years and most(50.5%) attained secondary education. There was a significant relationship between healthcare services and mother's age (p<0.000) with women between 29-35yrs (52.2%) utilizing healthcare services more than those in other age groups. Place of residence (r =0.568, p≤.001) and religion (r = 0.784, p≤0.001) were also significantly associated with health seeking behaviour. About 58% of the respondents understood that good maternal healthcare can reduce maternal mortality and morbidity. Our findings showed good health seeking behaviour and service utilization in the study area despite the identified hindering factors. These underscore the need to empower women of reproductive age as well as to put mechanisms in place that will increase their access to quality maternal health care services.
Socio-Cultural Factors That Perpetuate ThePractice Of Female Genital Mutilati...QUESTJOURNAL
ABSTRACT : Female genital mutilation which is the collective name given to several different traditional practices that involve the cutting of female genitals for cultural or any other non-therapeutic reasons is a direct violation of girls and woman rights. Although the practice has being outlawed, it is being practiced by some communities in Kenya, albeit under strict secrecy. The main objective of this study conducted among men inLedero village Samburu County, Kenya was to describe the social cultural reasons to the practice of Female Genital Mutilation (FGM). Majority of the participants were aged between 18-29 years (29.02%), 30- 39 years (23.32%) and 7.8% were above 60 years. According to the study, the various reasons for practicing FGM include; tradition, (91.7%), for admission into women groups (97.4%), to decrease high sexual drive in the women (90.2%), to be accepted as a bride (Increases chance of Marriage) (98.5%), to maintain cleanliness (98.5%), to ensure female purity (96.9%), to improve fertility (71%),virginity protection76.7% and 13% believed that religion plays a role in female mutilation in the community. In the Samburu community men are decision makers, therefore it is important that more education and campaigns on abandonment of FGM.is carried out.
Effects of Diabetes Mellitus in Prediction of Its Management in Kakamega Countypaperpublications3
Abstract: This descriptive study aimed at studying whether the effects of diabetes mellitus can predict its management in Kakamega County and Kenya. 327 respondents took part in the survey, with 135 (41.3%) being females and 192 (58.7%) being males. Most of the respondents, 190 (62.5%) had acquired primary education, 23 (7.6%) of the respondents had attained post-secondary education. 91(29.9%) of the respondents had attained secondary education. Most of the respondents did know the side effects of diabetes mellitus 204 (67.1%). Those who said loose of body weight 91 (29.9%) as side effects of diabetes were many as compared to those who identified non-healing wounds 9 (3%). Most of the respondents indicated that they did exercise as part of utilization of glucose in the blood stream. Although bicycling was done as an exercise but those who did were 13 (4.3%) as those who did not were 291 (95.7%). A balanced diet results in control of blood pressure and dyslipidemia which was a good riddance in the study area. Both the national government and the county government of Kenya and Kakamega respectively should strengthen health systems through innovative health care and promotion on effects of diabetes mellitus so that the burden of diabetes mellitus is reduced on both the health care services and the community in Kakamega and Kenya.
A study on awareness of diabetic complications among type 2 diabetes patientsiosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Assessment of Maternal Health Seeking Behavior and Service Utilization among ...Scientific Review
Health seeking behavior and utilization of maternal healthcare services are proximate factors that influence maternal morbidity and mortality in any society. We therefore assessed the pattern of health seeking behavior and types of maternal healthcare services utilized by women of the reproductive age in parts of Southeastern Nigeria. A cross sectional descriptive method involving the use of a well-structured pretested questionnaire was used to collect data from 521 randomly selected women between the ages of 15-49 years. Informed oral consent was obtained from these women prior to their recruitment for the study. Descriptive statistical analysis was performed on the data obtained using the Statistical Package for Social Science (SPSS). The mean age of the respondents was 32 ± 0.07620 years and most(50.5%) attained secondary education. There was a significant relationship between healthcare services and mother's age (p<0.000) with women between 29-35yrs (52.2%) utilizing healthcare services more than those in other age groups. Place of residence (r =0.568, p≤.001) and religion (r = 0.784, p≤0.001) were also significantly associated with health seeking behaviour. About 58% of the respondents understood that good maternal healthcare can reduce maternal mortality and morbidity. Our findings showed good health seeking behaviour and service utilization in the study area despite the identified hindering factors. These underscore the need to empower women of reproductive age as well as to put mechanisms in place that will increase their access to quality maternal health care services.
Socio-Cultural Factors That Perpetuate ThePractice Of Female Genital Mutilati...QUESTJOURNAL
ABSTRACT : Female genital mutilation which is the collective name given to several different traditional practices that involve the cutting of female genitals for cultural or any other non-therapeutic reasons is a direct violation of girls and woman rights. Although the practice has being outlawed, it is being practiced by some communities in Kenya, albeit under strict secrecy. The main objective of this study conducted among men inLedero village Samburu County, Kenya was to describe the social cultural reasons to the practice of Female Genital Mutilation (FGM). Majority of the participants were aged between 18-29 years (29.02%), 30- 39 years (23.32%) and 7.8% were above 60 years. According to the study, the various reasons for practicing FGM include; tradition, (91.7%), for admission into women groups (97.4%), to decrease high sexual drive in the women (90.2%), to be accepted as a bride (Increases chance of Marriage) (98.5%), to maintain cleanliness (98.5%), to ensure female purity (96.9%), to improve fertility (71%),virginity protection76.7% and 13% believed that religion plays a role in female mutilation in the community. In the Samburu community men are decision makers, therefore it is important that more education and campaigns on abandonment of FGM.is carried out.
Abstract—Diabetes Mellitus is a lifestyle disease it is increasing with increase of urbanization. It is a side effect of development. Nowadays with the development of community it is also on increase trend. So this study was conducted on 250 patients of diabetes attended at Diabetic Clinic of SMS Hospital Jaipur, with the aim to find out socio-demographic profile of these diabetes cases. General information about the these case was gathered in a pre-designed semi-structured performa. It was found in this study that majority of cases were in age group of 31 to 45 years with slight male dominance. Education wise majority were Graduate followed by secondary educated and others. Likewise occupation wise majority were either unemployed of professional. Majority of cases were from Socio economic Class II and III. So it can be concluded that diabetes is a disease of middle age slight male dominance and of educated middle class individuals. Further studies are required to establish this fact.
FACTORS ASSOCIATED WITH HUMAN IMMUNODEFICIENCY VIRUS COUNSELLING AND TESTING ...Razak Mohammed Gyasi
Since 2003, the HIV Voluntary Counselling and Testing (VCT) has been identified as one of the key strategies in the HIV/AIDS prevention, control and care programmes in Ghana. However, utilization of this service is low among Ghanaian youth. This study examined predictors associated with VCT utilization among youth in Ghana. This study utilized quantitative and qualitative data in a cross-sectional survey in three sub-metropolitan areas in Kumasi. Using a multi-variate regression, evidence from 120 respondents showed potential factors associated with VCT utilization. The qualitative data were subjected to a content analysis through direct quotes. The results suggest that less than 30% of the youth had ever tested for HIV through VC. Women were more likely to avail themselves for counselling testing than men. Psychological and emotional trauma experienced by the seropositive, lack of confidentiality, proximity to VCT sites, HIV-related stigma inter alia, were found to be strongly associated with HIV VCT in the study prefecture. VCT utilization among the youth in Ghana was low and affected by HIV/AIDS-related stigma and residence. In order to increase VCT acceptability, HIV/AIDS prevention and control programs in the country should focus on reducing HIV/AIDS-related stigma.
FACTORS ASSOCIATED WITH HUMAN IMMUNODEFICIENCY VIRUS COUNSELLING AND TESTING ...Razak Mohammed Gyasi
Since 2003, the HIV Voluntary Counselling and Testing (VCT) has been identified as one of the key strategies in the HIV/AIDS prevention, control and care programmes in Ghana. However, utilization of this service is low among Ghanaian youth. This study examined predictors associated with VCT utilization among youth in Ghana. This study utilized quantitative and qualitative data in a cross-sectional survey in three sub-metropolitan areas in Kumasi. Using a multi-variate regression, evidence from 120 respondents showed potential factors associated with VCT utilization. The qualitative data were subjected to a content analysis through direct quotes. The results suggest that less than 30% of the youth had ever tested for HIV through VC. Women were more likely to avail themselves for counselling testing than men. Psychological and emotional trauma experienced by the seropositive, lack of confidentiality, proximity to VCT sites, HIV-related stigma inter alia, were found to be strongly associated with HIV VCT in the study prefecture. VCT utilization among the youth in Ghana was low and affected by HIV/AIDS-related stigma and residence. In order to increase VCT acceptability, HIV/AIDS prevention and control programs in the country should focus on reducing HIV/AIDS-related stigma.
—Reproductive health development depends on the menstrual hygiene in adolescence. Half of all mental health disorders in adulthood start during adolescence. Drug, alcohol and tobacco use is major concern in this group. The present study was conducted to study the reproductive health, mental health and various addictions in urban adolescents. This cross sectional study was conducted among 506 adolescents from standard 9 th and 10 th in a high school in Margao city of South Goa district in year 2015. Study participants were sampled by census method and interviewed by using a pretested, structured questionnaire. The mean age of study participants i.e. in girls it was 16.30 years & in boys it was observed 16.43 years. 85.4% of the study participants experienced one of the feelings of being anxious, sad, irritable or stressed, 74.4% of the study participants experienced feelings suggestive of psychosomatic disorder and 48.4% participants felt they were good for nothing. 58.1% had normal cycles of 21-35 days while 30.7% and 11.2% of the girls had cycles of < 21 days & 36-60 days respectively. 49.2% experienced mild symptoms of dysmenorrhoea, equal percentage experienced moderate symptoms and 1.6% experienced severe dysmenorrhoea. 40.4% had curdy white vaginal discharge, 5.5% had greenish yellow discharge and 19.8% had blood stained vaginal discharge. 5.5% of the adolescents smoked.1.2% of the participants chewed Gutkha. 26.5% had consumed alcohol & 3.8% had tried drugs. The study shows that adolescents face various problems which need to be addressed.
Pius Tih Muffih, PhD, MPH, Director, Cameroon Baptist Convention Health Services discusses the organization's Know Your Numbers program, which is a partnership with the local government to screen adults for hypertension and obesity at the 2018 CCIH conference.
International Journal of Humanities and Social Science Invention (IJHSSI)inventionjournals
International Journal of Humanities and Social Science Invention (IJHSSI) is an international journal intended for professionals and researchers in all fields of Humanities and Social Science. IJHSSI publishes research articles and reviews within the whole field Humanities and Social Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online
Influence of Farmer Group Membership on the Practice of Improved Agricultural...paperpublications3
The study examined the influence of farmer group membership on the practice of improved agricultural technologies by farmers in Nyamusi division of Nyamira County. Multi-stage and stratified sampling techniques were applied for sample selection. Data collection was done by use of semi-structured questionnaires. Both descriptive and inferential statistical techniques were used for data analysis. Among the descriptive statistic techniques used included Mean, Standard Deviations and frequencies. For Inferential statistics, chi-square and cross tabulation were used to establish relationships between dependent and the independent variables. A total of 332 questionnaires were filled by the sampled farmers but only 304 were completely and adequately filled and analysed. The analysed data was presented using tables. From the analysis 229(75.3%) of the farmers belonged to a farmer group while 75(24.7%) were not members of any farmer group. The results indicated that the relationship was significant at 0.005 and 0.006 for the practice of greenhouse farming and Artificial insemination respectively. It can be concluded that membership in a farmer group increased the chance of a farmer practice of greenhouse farming and Artificial insemination. The study recommends that government should facilitate the Farmer Groups to transform their organizations into cooperatives in order to gain legal identify to transact business, increase their bargaining power and intensify their collective voices in policy engagement.
Evaluations of community policing project for peace and security in West Poko...paperpublications3
Abstract: This research sought to examine the evaluation of Community Policing project “Nyumba Kumi Initiative” for peace and security in West Pokot County. The objectives of the study were to establish the extent of community partnership in community policing in West Pokot, assess the nature of personal relationship (citizen involvement) in the improvement of security situation in West Pokot County and suggested effective strategies for peace and security in West Pokot. The study targeted both the security officers and public members who are involved directly or indirectly with security members. Data for this study was obtained from both primary and secondary sources. The study adopted a constructivist (qualitative) and quantitative analysis based in West Pokot with data primarily collected through interviews.. The research was guided by a liberal peace theory which entailed mutual combination of factors used by community policing actors, and other actors on the relevance of peace and security by dealing with the conflict cycle from the structural causes of the struggle to its resolution and the assurance of a peaceful co-existence. The study established that insecurity in West Pokot reoccurs because of the adoption of ineffective methods of peace building, reconciliation and lack of community involvement. The study also found that complementary approach to peace building and policing efforts for long lasting peace is imperative. Today, a policing strategy which incorporates the communities as co-producers of their own security and safety has taken priority as a conflict management tool thus the birth of Community Policing or community oriented- policing. Community policing is one of the more significant recent developments in policing and the notion has been widely discussed and applied around the world. The recommendation established that the variety of conceptions about community policing highlight the complex nature of the notion and the many factors shaping its varied practices; police assumptions as to what constitutes good practice in community policing and what success might look like, deserve to be re-examined. The social constructions that police and citizens hold about community policing provide valuable sources of insight which challenge some of the conventional understandings regarding policing priorities.
The Effect of Fura De Nunu on Selected Clinical Isolates of Bacteriapaperpublications3
Abstract: Three clinical Isolates comprises of Gram-negative and Gram positive bacteria were invitrobially impregnated in agar-cup diffusion sensitivity of fura de nunu, a non-alcoholic fermented cow milk product. The undiluted samples of the locally fermented milk appreciably inhibited the growth of all the bacteria tested including, remarkably, Salmonella, Staphylococcus aureus and Pseudomonas aeruginosa,The bacteria however varied in their sensitivities to the fractional dilutions of the samples. This antimicrobial effect represents another property for fura de nunu and obviates the possibility of public health risk in its consumption.
Mortality of Fayoumi and Sonali Chicks in Scavenging Rearing Systempaperpublications3
Abstract: Fayoumi and Sonali breeds are commonly reared under scavenging system in Bangladesh. Chick mortality has the very important impact on economy of farmers. The aim of the present study was to determine the mortality rate and the causes of mortality of Fayoumi and Sonali chicks. One observational cross-sectional study was done on the Fayoumi and Sonali chicks at Chittagong and Noakhali district from October 2005 to July 2006. A total of 48 farmers (24 from each Upazila) were selected randomly, who rear chicks under scavenging condition and as well as had broody hens. Twelve eggs of each breed were supplied to each farmer. The chicks were hatched out by the broody hens. Then the chicks were reared under scavenging system. The mortality detected for Fayoumi was 57.3%, which was less than that of the Sonali (68.8%) but did not vary significantly (χ2 = 1.21, df = 1, p > 0.05). The mortality of Fayoumi chicks at Noakhali site was little higher (59.1%) than that of Chittagong (55.4%), but it did not vary significantly (χ2 = 0.28, df = 1, p > 0.05). The mortality of Sonali chicks also did not differ significantly (χ2 = 0.16, df = 1, p > 0.05). The mortality was more by diseases than predators. The common predators were crow, wildcat, domestic cat, mongoose and rat in both study sites. The crow predated (Fayumi; 63.64% and Sonali; 70.83%) more baby chicks than others predators. The highest proportional mortality was caused by Mycoplasmosis + Colibacillosis (36.05 % and 36.94 %) in case of Fayoumi and Sonali followed by the second highest attributed to Mycoplasmosis (26.74%) and (22.52%) respectively. Fayoumi chicks were lower mortality than Sonali under scavenging rearing condition.
ANTI-INFLAMMATORY AND ANALGESIC EFFECTS OF METHANOLIC EXTRACT OF Afrofritomia...paperpublications3
Abstract: Methanolic extract of the leaf of Afrofritomia sylvestris was investigated for its anti-inflammatory and analgesic effects. The extract was evaluated using carragenaan-induced paw oedema in rats (anti-inflammatory effect) as well as acetic acid-induced writhing (analgesic effect) in mice, after intra-peritoneal injection of the extract (250mg/kg, 500mg/kg and 1000mg/kg). The negative control animals were given normal saline (10ml/kg) and the effects were compared with that of Acetylsalicylic acid (100mg/kg), as a positive control drug. Each experiment consisted of twenty five animals divided into 5 groups of 5 animals each. Tail immersion reaction time and Naloxone antagonism of the extracts and morphine were further used to investigate the mode of action of the analgesic activity of the leaf. The extract significantly inhibited carageenan-induced hind paw inflammation in rats (P<0.05-0.01)><0.01). The methanolic extract failed to raise the pain threshold of mice towards heat stimulus and Naloxone did not show any significant antagonism (blocking effect) against the extract in the tail immersion experiment, thus ruling out the involvement of opioid receptors in the mechanism of analgesic action of the extract. Phytochemical analyses of the plant show the presence of flavonoids, alkaloids, saponins, tannins, steroids, triterpenes and cyanogenic glycosides. The LD50 of the extract was determined to be 3050+223.65mg/kg using the method of Tainter and Miller.In this study, methanolic extract of Afrofritomia sylvestris leaf was found to possess significant anti-inflammatory and analgesic effects in the tested models.
Flow Cytometric Analysis for Ploidy and DNA Content of Banana Variants Induce...paperpublications3
Abstract: Nuclear DNA content of mutated banana plants was determined by using flow cytometric techniques. It is a powerful tool for large scale screening of ploidy levels. Nuclei were isolated from young leaves from (banana mutants & Glycine plants) supplemented with Propidium- iodide (PI) and RNAse. "Glycine max" used as internal reference standard for identifying the nuclear DNA content by FCM. For ploidy estimation DAPI was used. The results showed differences in DNA content between variants indicating the effect of gamma-irradiation on the genotype of these plants. Variants of short plant stature or stunted growth showed great differences in DNA content compared to control (non-irradiated). The phenotypic variations observed at high doses were likely due to changes in the DNA sequences at the chromosomal level. Nuclear DNA contents decreased with an increase of gamma-dose from 20 Gy to 60 Gy. However, there were no significant differences between DNA content at 20 Gy and 30 Gy and also between 40 Gy and 60 Gy, while they were differed significantly from the control. The results showed no significant differences in ploidy level between all samples used (3n); while all selected mutants (variants) showed differences in DNA content.
Abstract—Diabetes Mellitus is a lifestyle disease it is increasing with increase of urbanization. It is a side effect of development. Nowadays with the development of community it is also on increase trend. So this study was conducted on 250 patients of diabetes attended at Diabetic Clinic of SMS Hospital Jaipur, with the aim to find out socio-demographic profile of these diabetes cases. General information about the these case was gathered in a pre-designed semi-structured performa. It was found in this study that majority of cases were in age group of 31 to 45 years with slight male dominance. Education wise majority were Graduate followed by secondary educated and others. Likewise occupation wise majority were either unemployed of professional. Majority of cases were from Socio economic Class II and III. So it can be concluded that diabetes is a disease of middle age slight male dominance and of educated middle class individuals. Further studies are required to establish this fact.
FACTORS ASSOCIATED WITH HUMAN IMMUNODEFICIENCY VIRUS COUNSELLING AND TESTING ...Razak Mohammed Gyasi
Since 2003, the HIV Voluntary Counselling and Testing (VCT) has been identified as one of the key strategies in the HIV/AIDS prevention, control and care programmes in Ghana. However, utilization of this service is low among Ghanaian youth. This study examined predictors associated with VCT utilization among youth in Ghana. This study utilized quantitative and qualitative data in a cross-sectional survey in three sub-metropolitan areas in Kumasi. Using a multi-variate regression, evidence from 120 respondents showed potential factors associated with VCT utilization. The qualitative data were subjected to a content analysis through direct quotes. The results suggest that less than 30% of the youth had ever tested for HIV through VC. Women were more likely to avail themselves for counselling testing than men. Psychological and emotional trauma experienced by the seropositive, lack of confidentiality, proximity to VCT sites, HIV-related stigma inter alia, were found to be strongly associated with HIV VCT in the study prefecture. VCT utilization among the youth in Ghana was low and affected by HIV/AIDS-related stigma and residence. In order to increase VCT acceptability, HIV/AIDS prevention and control programs in the country should focus on reducing HIV/AIDS-related stigma.
FACTORS ASSOCIATED WITH HUMAN IMMUNODEFICIENCY VIRUS COUNSELLING AND TESTING ...Razak Mohammed Gyasi
Since 2003, the HIV Voluntary Counselling and Testing (VCT) has been identified as one of the key strategies in the HIV/AIDS prevention, control and care programmes in Ghana. However, utilization of this service is low among Ghanaian youth. This study examined predictors associated with VCT utilization among youth in Ghana. This study utilized quantitative and qualitative data in a cross-sectional survey in three sub-metropolitan areas in Kumasi. Using a multi-variate regression, evidence from 120 respondents showed potential factors associated with VCT utilization. The qualitative data were subjected to a content analysis through direct quotes. The results suggest that less than 30% of the youth had ever tested for HIV through VC. Women were more likely to avail themselves for counselling testing than men. Psychological and emotional trauma experienced by the seropositive, lack of confidentiality, proximity to VCT sites, HIV-related stigma inter alia, were found to be strongly associated with HIV VCT in the study prefecture. VCT utilization among the youth in Ghana was low and affected by HIV/AIDS-related stigma and residence. In order to increase VCT acceptability, HIV/AIDS prevention and control programs in the country should focus on reducing HIV/AIDS-related stigma.
—Reproductive health development depends on the menstrual hygiene in adolescence. Half of all mental health disorders in adulthood start during adolescence. Drug, alcohol and tobacco use is major concern in this group. The present study was conducted to study the reproductive health, mental health and various addictions in urban adolescents. This cross sectional study was conducted among 506 adolescents from standard 9 th and 10 th in a high school in Margao city of South Goa district in year 2015. Study participants were sampled by census method and interviewed by using a pretested, structured questionnaire. The mean age of study participants i.e. in girls it was 16.30 years & in boys it was observed 16.43 years. 85.4% of the study participants experienced one of the feelings of being anxious, sad, irritable or stressed, 74.4% of the study participants experienced feelings suggestive of psychosomatic disorder and 48.4% participants felt they were good for nothing. 58.1% had normal cycles of 21-35 days while 30.7% and 11.2% of the girls had cycles of < 21 days & 36-60 days respectively. 49.2% experienced mild symptoms of dysmenorrhoea, equal percentage experienced moderate symptoms and 1.6% experienced severe dysmenorrhoea. 40.4% had curdy white vaginal discharge, 5.5% had greenish yellow discharge and 19.8% had blood stained vaginal discharge. 5.5% of the adolescents smoked.1.2% of the participants chewed Gutkha. 26.5% had consumed alcohol & 3.8% had tried drugs. The study shows that adolescents face various problems which need to be addressed.
Pius Tih Muffih, PhD, MPH, Director, Cameroon Baptist Convention Health Services discusses the organization's Know Your Numbers program, which is a partnership with the local government to screen adults for hypertension and obesity at the 2018 CCIH conference.
International Journal of Humanities and Social Science Invention (IJHSSI)inventionjournals
International Journal of Humanities and Social Science Invention (IJHSSI) is an international journal intended for professionals and researchers in all fields of Humanities and Social Science. IJHSSI publishes research articles and reviews within the whole field Humanities and Social Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online
Influence of Farmer Group Membership on the Practice of Improved Agricultural...paperpublications3
The study examined the influence of farmer group membership on the practice of improved agricultural technologies by farmers in Nyamusi division of Nyamira County. Multi-stage and stratified sampling techniques were applied for sample selection. Data collection was done by use of semi-structured questionnaires. Both descriptive and inferential statistical techniques were used for data analysis. Among the descriptive statistic techniques used included Mean, Standard Deviations and frequencies. For Inferential statistics, chi-square and cross tabulation were used to establish relationships between dependent and the independent variables. A total of 332 questionnaires were filled by the sampled farmers but only 304 were completely and adequately filled and analysed. The analysed data was presented using tables. From the analysis 229(75.3%) of the farmers belonged to a farmer group while 75(24.7%) were not members of any farmer group. The results indicated that the relationship was significant at 0.005 and 0.006 for the practice of greenhouse farming and Artificial insemination respectively. It can be concluded that membership in a farmer group increased the chance of a farmer practice of greenhouse farming and Artificial insemination. The study recommends that government should facilitate the Farmer Groups to transform their organizations into cooperatives in order to gain legal identify to transact business, increase their bargaining power and intensify their collective voices in policy engagement.
Evaluations of community policing project for peace and security in West Poko...paperpublications3
Abstract: This research sought to examine the evaluation of Community Policing project “Nyumba Kumi Initiative” for peace and security in West Pokot County. The objectives of the study were to establish the extent of community partnership in community policing in West Pokot, assess the nature of personal relationship (citizen involvement) in the improvement of security situation in West Pokot County and suggested effective strategies for peace and security in West Pokot. The study targeted both the security officers and public members who are involved directly or indirectly with security members. Data for this study was obtained from both primary and secondary sources. The study adopted a constructivist (qualitative) and quantitative analysis based in West Pokot with data primarily collected through interviews.. The research was guided by a liberal peace theory which entailed mutual combination of factors used by community policing actors, and other actors on the relevance of peace and security by dealing with the conflict cycle from the structural causes of the struggle to its resolution and the assurance of a peaceful co-existence. The study established that insecurity in West Pokot reoccurs because of the adoption of ineffective methods of peace building, reconciliation and lack of community involvement. The study also found that complementary approach to peace building and policing efforts for long lasting peace is imperative. Today, a policing strategy which incorporates the communities as co-producers of their own security and safety has taken priority as a conflict management tool thus the birth of Community Policing or community oriented- policing. Community policing is one of the more significant recent developments in policing and the notion has been widely discussed and applied around the world. The recommendation established that the variety of conceptions about community policing highlight the complex nature of the notion and the many factors shaping its varied practices; police assumptions as to what constitutes good practice in community policing and what success might look like, deserve to be re-examined. The social constructions that police and citizens hold about community policing provide valuable sources of insight which challenge some of the conventional understandings regarding policing priorities.
The Effect of Fura De Nunu on Selected Clinical Isolates of Bacteriapaperpublications3
Abstract: Three clinical Isolates comprises of Gram-negative and Gram positive bacteria were invitrobially impregnated in agar-cup diffusion sensitivity of fura de nunu, a non-alcoholic fermented cow milk product. The undiluted samples of the locally fermented milk appreciably inhibited the growth of all the bacteria tested including, remarkably, Salmonella, Staphylococcus aureus and Pseudomonas aeruginosa,The bacteria however varied in their sensitivities to the fractional dilutions of the samples. This antimicrobial effect represents another property for fura de nunu and obviates the possibility of public health risk in its consumption.
Mortality of Fayoumi and Sonali Chicks in Scavenging Rearing Systempaperpublications3
Abstract: Fayoumi and Sonali breeds are commonly reared under scavenging system in Bangladesh. Chick mortality has the very important impact on economy of farmers. The aim of the present study was to determine the mortality rate and the causes of mortality of Fayoumi and Sonali chicks. One observational cross-sectional study was done on the Fayoumi and Sonali chicks at Chittagong and Noakhali district from October 2005 to July 2006. A total of 48 farmers (24 from each Upazila) were selected randomly, who rear chicks under scavenging condition and as well as had broody hens. Twelve eggs of each breed were supplied to each farmer. The chicks were hatched out by the broody hens. Then the chicks were reared under scavenging system. The mortality detected for Fayoumi was 57.3%, which was less than that of the Sonali (68.8%) but did not vary significantly (χ2 = 1.21, df = 1, p > 0.05). The mortality of Fayoumi chicks at Noakhali site was little higher (59.1%) than that of Chittagong (55.4%), but it did not vary significantly (χ2 = 0.28, df = 1, p > 0.05). The mortality of Sonali chicks also did not differ significantly (χ2 = 0.16, df = 1, p > 0.05). The mortality was more by diseases than predators. The common predators were crow, wildcat, domestic cat, mongoose and rat in both study sites. The crow predated (Fayumi; 63.64% and Sonali; 70.83%) more baby chicks than others predators. The highest proportional mortality was caused by Mycoplasmosis + Colibacillosis (36.05 % and 36.94 %) in case of Fayoumi and Sonali followed by the second highest attributed to Mycoplasmosis (26.74%) and (22.52%) respectively. Fayoumi chicks were lower mortality than Sonali under scavenging rearing condition.
ANTI-INFLAMMATORY AND ANALGESIC EFFECTS OF METHANOLIC EXTRACT OF Afrofritomia...paperpublications3
Abstract: Methanolic extract of the leaf of Afrofritomia sylvestris was investigated for its anti-inflammatory and analgesic effects. The extract was evaluated using carragenaan-induced paw oedema in rats (anti-inflammatory effect) as well as acetic acid-induced writhing (analgesic effect) in mice, after intra-peritoneal injection of the extract (250mg/kg, 500mg/kg and 1000mg/kg). The negative control animals were given normal saline (10ml/kg) and the effects were compared with that of Acetylsalicylic acid (100mg/kg), as a positive control drug. Each experiment consisted of twenty five animals divided into 5 groups of 5 animals each. Tail immersion reaction time and Naloxone antagonism of the extracts and morphine were further used to investigate the mode of action of the analgesic activity of the leaf. The extract significantly inhibited carageenan-induced hind paw inflammation in rats (P<0.05-0.01)><0.01). The methanolic extract failed to raise the pain threshold of mice towards heat stimulus and Naloxone did not show any significant antagonism (blocking effect) against the extract in the tail immersion experiment, thus ruling out the involvement of opioid receptors in the mechanism of analgesic action of the extract. Phytochemical analyses of the plant show the presence of flavonoids, alkaloids, saponins, tannins, steroids, triterpenes and cyanogenic glycosides. The LD50 of the extract was determined to be 3050+223.65mg/kg using the method of Tainter and Miller.In this study, methanolic extract of Afrofritomia sylvestris leaf was found to possess significant anti-inflammatory and analgesic effects in the tested models.
Flow Cytometric Analysis for Ploidy and DNA Content of Banana Variants Induce...paperpublications3
Abstract: Nuclear DNA content of mutated banana plants was determined by using flow cytometric techniques. It is a powerful tool for large scale screening of ploidy levels. Nuclei were isolated from young leaves from (banana mutants & Glycine plants) supplemented with Propidium- iodide (PI) and RNAse. "Glycine max" used as internal reference standard for identifying the nuclear DNA content by FCM. For ploidy estimation DAPI was used. The results showed differences in DNA content between variants indicating the effect of gamma-irradiation on the genotype of these plants. Variants of short plant stature or stunted growth showed great differences in DNA content compared to control (non-irradiated). The phenotypic variations observed at high doses were likely due to changes in the DNA sequences at the chromosomal level. Nuclear DNA contents decreased with an increase of gamma-dose from 20 Gy to 60 Gy. However, there were no significant differences between DNA content at 20 Gy and 30 Gy and also between 40 Gy and 60 Gy, while they were differed significantly from the control. The results showed no significant differences in ploidy level between all samples used (3n); while all selected mutants (variants) showed differences in DNA content.
Comparison of Intubating Conditions of Succinylcholine and Rocuroniumpaperpublications3
Abstract: The aim of study on neuromuscular drugs was to have nondepolarising muscle relaxant, which is like succinylcholine without its side effects.
The new NDMR drug rocuronium became the first competitor for succinylcholine. Rocuronium introduced in 1994 is said to produce excellent to good intubating conditions in 60 seconds. Further rocuronium is said to be devoid of the adverse effects that are seen with succinylcholine
Hence, the present study was undertaken to evaluate the intubating conditions with rocuronium 0.6 mg kg-1 and 0.9 mg kg-1 body weight and to compare the intubating conditions with that of succinylcholine 1 mg kg-1 body weight, for use during rapid sequence intubation of anaesthesia in emergency cases.
The study population consisted of 90 adult patients of ASA grade I and II
Group I consisting of 30 patients were to receive ROCURONIUM 0.6 mg kg-1 body weight and intubation attempted at 60 seconds.
Group II consisting of 30 patients were to receive ROCURONIUM 0.9 mg kg-1 body weight and intubation attempted at 60 seconds.
Group III consisting of 30 patients were to receive SUCCINYLCHOLINE 1 mg kg-1 body weight and intubation attempted at 60 seconds.
group I patients who received rocuronium 0.6 mg kg-1 body weight, 10 patient had excellent intubating conditions with jaw relaxed, vocal cords apart and immobile and no diaphragmatic movements.
In group II, 24 patients (80%) out of 30 had excellent intubating conditions, 6 (20%) patients had satisfactory intubating conditions.
In group III patients, 23 (77%) patients out of 30 had excellent intubating conditions, 7 (23%) Patients had satisfactory intubation condition. There was no case of failed intubation at 60 seconds in any of the three groups.Heart rate ,systolic ,diastolic and mean arterial pressure changes were comparable in all three groups.
Rocuronium is a safe alternative to Succinycholine for rapid sequence induction in adult patients in situations where Succinycholine is contraindicated and in whom there is no anticipated difficult way.
Nutritional Status of Fresh Water Crab Maydelliathelphusa Masoniana (Henderso...paperpublications3
Abstract: The present study aims to analyse the nutritional status of edible meat in adult male and female of the fresh water crab, M.masoniana with respect to the proximate composition (protein, lipid, moisture, ash) during two year study period. Protein & lipid exhibit minimum values during spawning period and maximum during non-spawning period. Moisture exhibited inverse relationship with proteins & lipids. Ash content showed irregular trend with no definite relationship with spawning activity. The aim of the present study was to evaluate the nutritive value of M. masoniana with respect to seasonal variations viz spawning, post spawning and post monsoon periods, with an aim to assess its potential as an edible and culture candidate species.
Wild Vegetable Used By the Tribal and Rural People of Area Kolwan, Arni Tahsi...paperpublications3
Abstract: Different wild vegetable used by Tribal and Rural people at Kolwan area of Arni Tahasil Dist. Yavatmal, (M.S.) India. Present survey studied during March, 2nd 2014 to January, 2nd 2015. A total 18 wild vegetable species were found used by these Tribal people. The study was done to observe the different species varieties used for the food purpose, on the condition of Biodiversity and also to conserve them.
Prevalence of Low Birth Weight in Maternal Pregnancy Induced Hypertension in ...paperpublications3
Abstract: Pregnancy induced hypertension is one of the common conditions of unknown aetiology which increases the risk of maternal and perinatal morbidity and mortality. The aim of the study was to determine the prevalence of low birth weight in maternal pregnancy induced hypertension in patients of kashmiri origin. An observational study was carried out in the Postgraduate Department of Gynaecology and Obstetrics, Lalla Ded Hospital, Government Medical College Srinagar w.e.f September 2014 to February 2015. Methods: The study included all patients of PIH BP≥140/90 mm Hg after 20 weeks of gestation. Necessary information was collected such has detailed history, clinical examination, investigation performed, mode of delivery and neonatal birth weight Results: 37.5% had systolic blood pressure > 160 mmHg and 42.10% had a DBP > 110 mmHg. The frequency of caesarean section was 53% and 42% for normal birth. Low birth weight (<2.5 kg) was seen in (42.10%) when associated with severe diastolic hypertension and (37.5%) when severe systolic hypertension was taken into account Conclusion: DBP i.e. 110 mmHg or more was associated with low birth weight.
Effects of Phytochemicals in the Post Embryonic Development of the Lesser Mea...paperpublications3
Abstract: Coleopteran insects constitute the major insects causing havoc damage to the stored food grains both for human consumption and sowing. Lesser mealworm (Alphitobius diaperinus) is considered as a minor pest causing damage to different stored grains especially in poorly maintained grain processing warehouses. Additionally it is an important pest of poultry houses where it lives in poultry droppings and litter. Its larvae and adults are also suspected to be health risk to humans as they are the vector of pathogens of many viruses, bacteria and protozoa causing serious diseases in birds. Synthetic insecticides are widely used for the control of stored grain coleopteran pests but development of pesticide resistance, accumulation of toxic residues in food and consequent health hazards creating more and more problems than resolving them due to indiscriminate use of broad-spectrum insecticides has been creating serious health hazards. These problems have led the scientists to introduce new insecticides that are equally lethal to the insects but very less harmful to the consumers. With a view to this objective the insecticidal efficacy of neem, eucalyptus oil, sesame oil and mustard oil have been tested to report their various physiological effects on A. diaperinus during post embryonic developmental stages. Adults are broadly-oval, moderately convex, black - 5.8 to 6.3 mm long in length. Eggs are about 1.5 mm in length, creamy white with slightly rounded ends. Their incubation period is 6-7 days. Larvae show 6 instars attaining 7 - 11 mm long at last instar. Pupae are creamy white to tan coloured, 6-8 mm long, with 6 days duration; the pharate adults appear brown that gradually become black. The larvae show decline in survivality; the size and weight gradually increase in successive instars. Treatment with different neem, eucalyptus oil, sesame oil and mustard oil depicted substantial decline in survival rate and sizes of larval instars starting from 4th instars. Increased duration of respective instars actually starts from third instars and increased duration of respective instars is maximum following nimbecidine treatment and minimum in mustard oil treatment.
The Efficacy of Biological Therapies for Psoriasis - Review Articlepaperpublications3
Abstract: Background: it is indicated that Biological Therapies has great effect in dealing with Psoriasis. Differences in response rates of biologics for the treatment of moderate-to-severe plaque psoriasis have been reported in many published articles.
Objective: this paper aims to declare the effectiveness of biological therapies for psoriasis.
Methods: using the search engine PubMed to prepare comprehensive literature about the specified topic.
Main results: it is indicated that psoriasis is a chronic inflammatory skin disease condition that involves altered expression of a broad spectrum of proinflammatory cytokines which are associated with activation of T cells and proliferation of keratinocytes.
Conclusion: The introduction of targeted biologic therapies has greatly improved the treatment options for psoriasis although the pathogenesis of the autoimmune skin disease has not been fully elucidated. The potential for psoriasis disease is implicit because altered expressions of cutaneous and systemic cytokines are well demonstrated in psoriasis patients.
Re-Colonizing Soft Corals on the Degraded Coral Reefs of Gulf Of Kachchh Mari...paperpublications3
Abstract: Coral reefs of the Gulf of Kachchh are in a highly degraded condition, when compared with other three major coral reef regions of India. In correlation with geographical and oceanographical changes, its arid climate and the semi-diurnal tidal amplitudes fluctuations hamper the recovery of the reef. Soft corals may play the alternative key role in maintaining the ecological role in the degraded reef ecosystem in the absence of hard corals. Re-colonization of soft corals on the degraded reefs is among the first steps to make them to recover gradually. Present Line Intercept Transect survey (LIT) conducted in a reef of the Gulf inferred the possibility to recovery of the reefs due to the colonization of soft corals on the bare coral boulders.
Diversity of monogenean (Platyhelminthes) parasites in freshwater fishes of K...paperpublications3
Abstract: Monogeneans are ectoparasites of fishes that can cause serious damage in the aquaculture industry. Twenty five species of freshwater fishes collected from different freshwater habitats of the Kannur district of Kerala were analysed for monogenean infection. A total of seven species of monogeneans were recovered from six species of fishes and overall prevalence was 7.81%.The parasites recovered include Gyrodactylus recurvensis, Dactylogyrus daniconi, Bifurcohaptor indicus, Dactylogyroides tripathii, Scleirocleidoides etropli, Diplozoon indicum and Neodiplozoon barbi. Among the fish hosts, Cyprinidae was found to be most suitable host for monogeneans. Dactylogyridae was the most diverse family. Four new host records were reported and all the seven species are new to the locality.
Biochemical Changes in Ascorbate and Peroxidase Activity in the Adrenal Gland...paperpublications3
Abstract: Rapid synthesis of progesterone under the action of ACTH may be controlled by a similar mechanism as reported for LH in the ovary, thus causing increased synthesis and secretion of the progesterone and corticosteroids from the adrenal gland. ACTH is also known to cause depletion of adrenal ascorbate and cholesterol in the hypophysectomized rat which is shown to occur within Minutes of ACTH injection and to exhibit a characteristic time sequence. Peroxidase mediated conversion of pregnenolone to progesterone stimulated in the presence of ascorbate in the rat and rabbit ovarian tissue had also been demonstrated.Since ascorbate is known to be a donor in peroxidase reaction, the possibility of peroxidase system being involved in the rapid depletion of ascorbate during the normal reproductive cycle .
Abstract: Good nutrition is important for all New Zealanders, but it assumes an even greater Importance for women when they are pregnant or breastfeeding their infant. Pregnancy is a time when nutritional needs are higher, and meeting those needs has a positive effect on the health of both the mother and her unborn baby. The effects of nutrition while the foetus is developing during pregnancy last for a lifetime, and we want to see children inherit a legacy of good health for the future. We also want to see women enjoying a healthy pregnancy without the negative effects of poor nutrition on their health, and in the best possible nutritional state to support breastfeeding. Breastfeeding is the best and safest way to feed infants, and women and families need to be given all the advice and support possible to assist them in establishing and continuing breastfeeding for at least the first six months of the infant’s life.
This paper brings together all the key areas of food and nutrition affecting the health of pregnant and breastfeeding women. It is intended that health practitioners ,educators and caregivers will use this paper and the accompanying health education booklets, Eating for Healthy Pregnant Women and Eating for Healthy Breastfeeding Women, to provide sound advice and support to pregnant and breastfeeding women and their families to achieve a healthy lifestyle.
Ecological Diversity of Flora and Fauna at Curzon Hall, University Of Dhaka, ...paperpublications3
Abstract:The diversity of local flora and fauna at the Curzon Hall premises, University of Dhaka, Bangladesh was studied from April 2nd, 2014 to January 10th, 2015. A total of 98 species of flora and fauna were found during the study. The study was done to observe the condition of the biodiversity and also to conserve them.
Study and compare Medical problems of ‘on the street’ and ‘of the street’ chi...paperpublications3
Abstract: Introduction; A more serious and vulnerable group of the urban poor that is growing rapidly in big cities is that of street children and working children, with a home or without a home. In comparison to the urban poor, the phenomenon of street children is a recent one. The present study is an attempt to determine the physical health problem of street children registered at “Apanga Va Niradhar Bahuddeshiya Kalyankari Sanstha”, Nagpur, Maharashtra, India. Methods: 461 children were included in the study of which 343 were ‘on the street’ and 118 were ‘of the street’ children. Detailed clinical examination was carried out at centres of NGO including general and systemic examinations. Height and weight were recorded as per standard procedure and compared with NCHS standard 17. The haemoglobin estimation was performed on 442 street children. Stool samples of 298 street children were send for microscopic examination. Treatment and referral – Treatment was given whenever required and necessary referrals to Government Hospital, Nagpur were made for further expert opinion and management. Results: The percentage change of median height and weight of boys as well as girls in ‘of the street’ category, from NCHS standard median height and weight was found to be more in all the ages than ‘on the street’ category. Major morbidities found to be in street children were anaemia. 192 (43.4%), wax in ear 175 (38%), dental carries 156 (33.8%), fungal infection 55 (11.9%), URI 49 (10.6%), worm infestation 28 (9.4%) and injury 36 (7.8%). The mean morbidity was found to be 1.7 per street children. Conclusions: The proportion of adoption of hygienic practices among ‘on the street’ children were significantly higher than ‘of the street’ children. Majority of street children 210 (45.6%) went to government hospital when become ill while 108 (23.4%) took treatment from medical store.
Relationship between Metal Ions in Gum Arabic (Acacia Senegal) and the Minera...paperpublications3
Abstract: The aim of this study was to determine the relationship between metal ions in the gum polymer and those present in the soil under the tree stands. Samples of gum arabic and soils were collected from sites representing three main soil types viz (sand, clay and sandy clay or “gardud” under three rainfall (low, medium and high) conditions throughout the gum belt of North, South Kordofan and Blue Nile States. Gum and soil samples were analyzed to determine metal ions. Analysis of variance was used to determine the differences in metal ions of gums from different sites under different soils types and rainfall. The differences in rainfall isohyets in different soil types significantly affected calcium, potassium and magnesium contents and there was no significant effect on sodium content. From gum analysis the soil types were not significantly different in magnesium and sodium content. The difference exists only on calcium and potassium content in sandy soil, while clay soils contain higher potassium ions. Rainfall levels gave no significant difference on gum minerals in different soils except magnesium in sandy soil and calcium in sand and clay soils.
Dry Matter Yield and Agronomic Performance of Herbaceous Legumes Intercropped...paperpublications3
Abstract: The study was conducted at the two trial sites (Cheffa and Sirinka) of Sirinka Agricultural Research Center which represents the low and mid altitude agro ecologies of the eastern Amhara region to identify legume species that would have best compatibility with Napier grass and to examine the DM herbage yield of mixed cultures of legumes and Napier grass. Seven adaptable and recommended perennial herbaceous legume species (Desmodium unicinatum, Macrotyloma axillare, Clitoria ternatea, Macroptilium atropurpreum, Stylosanthes guianensis, Stylosanthes hamata and Medicago sativa) were intercropped with recommended Napier grass (Pennisetum purpureum) Acc. No. 14984 for the areas were included in the study. With in the three years experimental periods a total of six and four harvests, with an average harvesting interval of 135 and 206.75 days were obtained at Cheffa and Sirinka trial site, respectively. The agronomic performances of legumes among intercropped treatments and during each harvesting stages, respectively were significantly (P<0.001)><0.01)><0.05)><0.001) in advancement of harvesting stages. As the study result indicates, intercropping Napier grass with herbaceous legumes has significant advantage than growing Napier grass solely in increasing the DM yield harvested. Therefore, among the tested legumes and Napier grass combinations, intercropping Stylosanthes guianensis with Napier grass was found to be the best for its compatibility and higher Napier total (leaf + stem), legume and both (Legume + Napier) DM yields at each (Cheffa and Sirinka) trial site. Therefore, we recommend this combination for future use. However, further studies are needed to evaluate the effect of legume intercropping on herbage quality and soil fertility improvement, and the economic advantage of legumes and Napier intercropping.
Running head UNION COUNTY, GEORGIA .docxtoltonkendal
Running head: UNION COUNTY, GEORGIA 1
UNION COUNTY, GEORGIA 2
Union County, Georgia
Kimberly Crawford
January 30, 2017
Kaplan University
The following paper will answer the asked questions.
Name of County and State
Union County, Georgia.
County population with racial and gender breakdowns
As of July 1, 2015 estimates, the County population was 22, 267 individuals. Of this, 51.7% were Females, while as the males were 48.3%. The white people were 96.5%, the African Americans were 1.0%, the American Indian and Alaska Natives were 0.5%, Asians were 0.7%, Hispanics were 3.2%, and people with two or more races present accounted for 1.3%.
Number of Senior Citizens
The number of senior citizens was 32.5%.
Number of Disabled Individuals
The number of disabled individuals under the age of 65 was 13.9%.
Number of Children
The number of children was 16.1%.
Of the populations above, I choose the senior citizens. The first health concern for this population is elder abuse. At this age, this people are not able to actively take care of themselves like they would a while back. For this reason, they constantly required to be taken care of, in almost all the aspects of their lives. However, elder abuse is a common occurrence in which, the caregivers neglect this population so much, to the extent of some of them even dying. It is such a shame that such a thing might happen to such a delicate population. A second health concern for this population, is the risk of heath disease and other chronic diseases. According to the Centre for Disease Control (CDC), heart disease is one of the leading killers for the senior citizens because at this age, they are delicate and their hearts are very weak (Motooka et al., 2006).
The senior citizens require a number of community health interventions and public policies, which are aimed at ensuring they lead a comfortable life. For instance, they should have access to caregivers when they cannot adequately take care of themselves (Takano, 2002). In addition, they should have access to proper diets, and they should be provided with as much assistance as possible when they are at home and in public places. They should also have regular medical check-ups, to ascertain their health conditions, as well as have access to a hospital and a personal doctor in case they need consultation before their regular sessions (Anderson, 2003). Regular exercises is also good for ensuring their lives are going on smoothly.
Health Risk Assessment
In the health risk assessment tests, I took the eating behaviour test. The questions asked basically were about the kind of foods and drinks that I take on a daily basis, how often I take the meals per day, the rate and posture at which I take the meals, my favourite comfort food, and the circumstances under which I take th ...
Logging in 3 communities ECIL conference 2021Pamela McKinney
Presentation developed with Andrew Cox and Laura Sbaffi to summarise our quantitative research into Food and activity tracking in 3 communities of participants - people who run for leisure with Parkrun, people with type 2 diabetes who are members of the Diabetes.co.uk online community, and members of the IBS Network charity.
Health Seeking Behaviors following Diabetes Mellitus of Various Ethnic Groups...ijtsrd
The research on Health Seeking Behaviours following Diabetes Mellitus DM of various ethnic groups was conducted because different patients within a given ethnic group or cultural group have different options regarding actions to seek health care services. The purpose of this study was to determine the Health Seeking Behaviours HSB following DM patients from various ethnic groups and the roles of the Health Psychologists HP on the DM patients in Nkwen Health District of Bamenda III Subdivision within Mezam Division of the North West Region of Cameroon. A descriptive survey research design was conducted among 230 sampled DM patients from various ethnic groups in Nkwen Health District. A non probability purposive sampling technique was used to set the population under study. The data was collected using both Focus Groups Discussions FGDs and questionnaire for a period of two months during the period that the DM patients came to Nkwen Health District either to consult or to refill their drugs. The questionnaire were administered to 230 DM patients from the various ethnic groups which were Bali, Bafut, Banso, Bamendankwe, Babanki, Santa, Nkwen and Ndu during this period as well.. The data collected was analysed using both descriptive and inferential statistics with SPSS software tool version 20.0, following the objectives of the study. For HSB, 38.3 agreed that they sought health care from traditional medicine whereas 26.1 remained neutral on traditional medicine. On the other hand, 37.7 disagreed that they used traditional medicine. Cultural believes and distance deterred HSB which were statistically significant with P = 0.001 and P= 0.001 respectively. The options taken to seek health care from the hospital were influenced by family relatives with P=0.001. Therefore, HSB was found to be statistically significant for the first traditional medicine and second line hospital among the different ethnic groups with P = 0.001 and 0.001 respectively. These results showed that poor HSB following DM among the different ethnic groups was statistically significant in Nkwen Health District. Foncham Paul Babila "Health-Seeking Behaviors following Diabetes Mellitus of Various Ethnic Groups in Nkwen Health District of Bamenda III Subdivision, Mezam Division, North West Region of Cameroon" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-5 , August 2022, URL: https://www.ijtsrd.com/papers/ijtsrd51783.pdf Paper URL: https://www.ijtsrd.com/humanities-and-the-arts/psychology/51783/healthseeking-behaviors-following-diabetes-mellitus-of-various-ethnic-groups-in-nkwen-health-district-of-bamenda-iii-subdivision-mezam-division-north-west-region-of-cameroon/foncham-paul-babila
Health promotion survey in overweight and obese students of universities in n...pharmaindexing
Introduction
Overweight and obesity is one of the major health problems in the UK and worldwide. Approximately two-thirds of the population in the UK is either overweight or obese. Overweight and obesity is an important issue that causes distress to most women. Health promotion is the best method to educate overweight and obese women. It is defined as the process enabling people to increase control over and to improve their health by Ottawa Charter for Health Promotion. It is aimed to enhance the well-being of the individuals and their positive attitudes towards prevention of various diseases. In order to make any improvement to the health promotion for overweight and obesity, the risk factors and the opinions from the public should first be identified and addressed.
Methods
Cross-sectional survey design was selected with a questionnaire that consisted of 20 open and close ended questions. A sample size of 196 was determined. The data thus gathered was analyzed using SPSS V20 (Statistical Package for Social Science version 20). Descriptive statistics (fx) and (SD) were used and Chi-square X2 test for association was employed.
Results
Out of the total 196 responses, only (40%) of the students had normal weight (SD 1.1), (25%) students had a good understanding of health promotion (SD 1.6), half (50%) appeared concerned about their weight (SD 0.5), (60%) had an obese family member (0.5). The BMI of students was associated with the presence of an obese member in their family and their weight as a concern for them. (P-value <0.05).
Conclusion
The health promotion service is beneficial as it was found to have raised concerns in the mind of the students regarding over weight and obesity. However it was observed that the understanding of health promotion service was different among students and this is the root of the problem.
RunningHead: PICOT Question 1
RunningHead: PICOT Question 7
PICOT Question
Avery Bryan
NRS-433V
Professor Christine Vannelli
May 19, 2019
Clinical Problem
A report from the Center for Disease Control and Prevention in 2015 revealed that (9.4%) 30.3 million Americans are diabetic and 84.1 million have prediabetes. This is a total population of over 100 million is at risk of developing type 2 diabetes which is a growing health problem being the seventh leading cause of death in the U.S. An estimated 1.5 million new cases were among 18-year old bracket and the rates of diagnosed diabetes increased proportionally to age. Below 44 years accounted for 4%, below 64 years at 17 % and 25% for those above 65 years across both genders. One-third of adults in America has prediabetes but sadly, they are unaware despite reports released by The National Diabetes Statistics Report every year. These reports elaborate on prevalence and incidence, prediabetes, long-term complications, risk factors, mortality, and cost. Diabetes poses the risk of serious complications like death, blindness, stroke, kidney disorders, cardiac diseases and health problems that lead to amputation of legs. However, the risks can be mitigated through physical body activities, proper dieting and prescribed use of insulin and other related measures to control the blood sugar levels. Diabetes Prevention Program was funded by NIH to research a yearly evidence-based program to improve healthy weight loss through diet and physical activities. There also efforts to determine the effectiveness of public service campaigns in improving the real-life experience in the diagnosis and treatment of diabetes.
PICOT Question.
The population affected by diabetes cuts across all ages, gender, race, and ethnicity. The prevalence is significantly high from 18 years and it increases with age to about 25% above 65 years. In terms of gender, men are at higher risk accounting for 37% while women are at 30% across races and educational levels. On races, the rates were higher among Indians/Alaska natives at 15%, non-Hispanic blacks at 12.7% and Hispanics at 12%. Among Asians, the rates were lower at 8% and 7.4% for non-Hispanic whites.
Intervention indicator for diabetes shows that individuals who do not observe a healthy diet are more exposed to the disease. Some risk behaviors include lack of exercise and excessive intake of junk foods that lead to obesity and increased blood sugar levels. Diabetes prevalence varied according to education levels were those with less than high school education at 12.6% and 7.2% for those higher than high school education.
Comparison and use of a control group from the popularity of Complementary and Alternative Medicine and Traditional Chinese Medicine showed distinct knowledge of diabetes, blood sugar control, and self-care. The experimental group received education through interactive multimedia for three months while the control group received.
A Study to Assess the Effectiveness of Text Message Intervention on Preventio...ijtsrd
Background Obesity is perhaps the most prevalent form of malnutrition. As a chronic disease, prevalent in both developed and developing countries, and affecting the children as well as adults, it is now so common that is replacing the more traditional public health concerns including malnutrition. It is one of the most significant contributors to ill health. For industrialized countries, it has been suggested that such increase in body weight have been caused primarily by reduced levels of physical activity, rather than by changes in food intake or by other factors. Methods A quantitative experimental research was conducted among 60 obese adults. Clients meeting these inclusion criteria were divided into two groups of 30 members in each group. Out of 60 sample, 30 sample in experimental group and 30 sample in control group. A purposive sampling technique was used to select the samples. The purpose of the study was explained to the samples and written informed consent was obtained from them. The demographic graphic variables and clinical variables were collected by multiple choice questionnaire. Body Mass Index BMI for Pre test assessment was assessed in the 1st day of data collection both in the experimental group and control group. The Body Mass Index BMI level was assessed by measuring as the weight in kilograms divided by the square of the height in metres kg m2 . The text message intervention with motivational messages, exercise, foods to be taken and foods to be avoided was sent to the experimental group twice daily, for 14 days. The control group followed regular routine. The post test was conducted in control group and experimental group on the 14th day after text message intervention. Collected data were analysed by descriptive and inferential statistics. Result The result in the post test between the experimental and control group was found to be statistically significant at p 0.001 level, this clearly infers that text message intervention for prevention and management of obesity among adolescents in the experimental group was found to be effective than the adolescents with obesity in control group who follow regular activities and lifestyle habits. Beautily. V | Thilagavathi N | Astheetha S "A Study to Assess the Effectiveness of Text Message Intervention on Prevention and Management of Obesity among Adolescents" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-7 , December 2022, URL: https://www.ijtsrd.com/papers/ijtsrd52567.pdf Paper URL: https://www.ijtsrd.com/medicine/other/52567/a-study-to-assess-the-effectiveness-of-text-message-intervention-on-prevention-and-management-of-obesity-among-adolescents/beautily-v
Microbiologist Michael Jacobson, PhD introduced the term “junk food” in 1972.
Junk food is a slang word for foods with limited nutritional value.
high in salt, sugar, fat or calories and low nutrient content can be termed junk food.
The Time Factor
They are easy to prepare and are very tasty. Junk foods such as potato wafers do not even need cooking or heating.
we prefer to eat them when we watch TV. We save our self a lot of hassles and time when we are in a hurry eating pizzas and burgers as they are served at our door step hot and ready to eat.
Brief overview of group 2 final PowerPoint presentation pertaining to the affects of macro-trends on the U.S.Healthcare Systems and potential job growth/opportunities that will come from them.
A Pilot Study on Prevalence of Obesity and its Determinants among Adolescents...ijtsrd
Objective To assess prevalence of obesity in adolescents of selected schools of Jalandhar, Punjab, to assess Obesity determinants in adolescents of selected schools of alandhar, Punjab, To find out the association between the findings of the study and the selected demographic variables, and In a view to prepare a pamphlet on prevention of obesity. Methodology A cross sectional pilot study was conducted in corporate school of Jalandhar, Punjab and school children aged between13 years to 15 years of age were recruited by purposive random sampling method. Children with physical limitations, mental disability or children undergoing any form of clinical therapy were not included in this study. Anthropometric assessment was done and data were analyzed models using SPSS P value less than 0.05 was considered as statistically significant. Results The WHO BMI chart was used to calculate BMI of adolescents. Among 47 participants the prevalence of obesity was 4.2 and 17.02 were overweight, 60 were under weight and 19 were healthy. Based on the sex 7.40 males were having prevalence of obesity , 22.22 males and 11.11 females were having over weight.. The demographic variables revealed that, 57 of participants were from 15 yrs age group, 26 were of 14 yrs age group and the lowest 17 of them were 13 yrs old. Determinants which contribute prevalence of obesity reveal that, there is a significant association between selected socio demographic variables with sedentary behavior P value at 0.001 level which shows highly significant. There is a highly significant association between level of obesity with selected demographic variables in areas like obesity, mothers qualification and family history of obesity at P 0.001, P 0.05 levels. Prof. M. Chinna Devi ""A Pilot Study on Prevalence of Obesity and its Determinants among Adolescents in Schools of Jalandhar, Punjab"" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-4 , June 2019, URL: https://www.ijtsrd.com/papers/ijtsrd23825.pdf
Paper URL: https://www.ijtsrd.com/medicine/nursing/23825/a-pilot-study-on-prevalence-of-obesity-and-its-determinants-among-adolescents-in-schools-of-jalandhar-punjab/prof-m-chinna-devi
Observation of Io’s Resurfacing via Plume Deposition Using Ground-based Adapt...Sérgio Sacani
Since volcanic activity was first discovered on Io from Voyager images in 1979, changes
on Io’s surface have been monitored from both spacecraft and ground-based telescopes.
Here, we present the highest spatial resolution images of Io ever obtained from a groundbased telescope. These images, acquired by the SHARK-VIS instrument on the Large
Binocular Telescope, show evidence of a major resurfacing event on Io’s trailing hemisphere. When compared to the most recent spacecraft images, the SHARK-VIS images
show that a plume deposit from a powerful eruption at Pillan Patera has covered part
of the long-lived Pele plume deposit. Although this type of resurfacing event may be common on Io, few have been detected due to the rarity of spacecraft visits and the previously low spatial resolution available from Earth-based telescopes. The SHARK-VIS instrument ushers in a new era of high resolution imaging of Io’s surface using adaptive
optics at visible wavelengths.
A brief information about the SCOP protein database used in bioinformatics.
The Structural Classification of Proteins (SCOP) database is a comprehensive and authoritative resource for the structural and evolutionary relationships of proteins. It provides a detailed and curated classification of protein structures, grouping them into families, superfamilies, and folds based on their structural and sequence similarities.
This presentation explores a brief idea about the structural and functional attributes of nucleotides, the structure and function of genetic materials along with the impact of UV rays and pH upon them.
(May 29th, 2024) Advancements in Intravital Microscopy- Insights for Preclini...Scintica Instrumentation
Intravital microscopy (IVM) is a powerful tool utilized to study cellular behavior over time and space in vivo. Much of our understanding of cell biology has been accomplished using various in vitro and ex vivo methods; however, these studies do not necessarily reflect the natural dynamics of biological processes. Unlike traditional cell culture or fixed tissue imaging, IVM allows for the ultra-fast high-resolution imaging of cellular processes over time and space and were studied in its natural environment. Real-time visualization of biological processes in the context of an intact organism helps maintain physiological relevance and provide insights into the progression of disease, response to treatments or developmental processes.
In this webinar we give an overview of advanced applications of the IVM system in preclinical research. IVIM technology is a provider of all-in-one intravital microscopy systems and solutions optimized for in vivo imaging of live animal models at sub-micron resolution. The system’s unique features and user-friendly software enables researchers to probe fast dynamic biological processes such as immune cell tracking, cell-cell interaction as well as vascularization and tumor metastasis with exceptional detail. This webinar will also give an overview of IVM being utilized in drug development, offering a view into the intricate interaction between drugs/nanoparticles and tissues in vivo and allows for the evaluation of therapeutic intervention in a variety of tissues and organs. This interdisciplinary collaboration continues to drive the advancements of novel therapeutic strategies.
Richard's aventures in two entangled wonderlandsRichard Gill
Since the loophole-free Bell experiments of 2020 and the Nobel prizes in physics of 2022, critics of Bell's work have retreated to the fortress of super-determinism. Now, super-determinism is a derogatory word - it just means "determinism". Palmer, Hance and Hossenfelder argue that quantum mechanics and determinism are not incompatible, using a sophisticated mathematical construction based on a subtle thinning of allowed states and measurements in quantum mechanics, such that what is left appears to make Bell's argument fail, without altering the empirical predictions of quantum mechanics. I think however that it is a smoke screen, and the slogan "lost in math" comes to my mind. I will discuss some other recent disproofs of Bell's theorem using the language of causality based on causal graphs. Causal thinking is also central to law and justice. I will mention surprising connections to my work on serial killer nurse cases, in particular the Dutch case of Lucia de Berk and the current UK case of Lucy Letby.
Richard's entangled aventures in wonderlandRichard Gill
Since the loophole-free Bell experiments of 2020 and the Nobel prizes in physics of 2022, critics of Bell's work have retreated to the fortress of super-determinism. Now, super-determinism is a derogatory word - it just means "determinism". Palmer, Hance and Hossenfelder argue that quantum mechanics and determinism are not incompatible, using a sophisticated mathematical construction based on a subtle thinning of allowed states and measurements in quantum mechanics, such that what is left appears to make Bell's argument fail, without altering the empirical predictions of quantum mechanics. I think however that it is a smoke screen, and the slogan "lost in math" comes to my mind. I will discuss some other recent disproofs of Bell's theorem using the language of causality based on causal graphs. Causal thinking is also central to law and justice. I will mention surprising connections to my work on serial killer nurse cases, in particular the Dutch case of Lucia de Berk and the current UK case of Lucy Letby.
Professional air quality monitoring systems provide immediate, on-site data for analysis, compliance, and decision-making.
Monitor common gases, weather parameters, particulates.
Multi-source connectivity as the driver of solar wind variability in the heli...Sérgio Sacani
The ambient solar wind that flls the heliosphere originates from multiple
sources in the solar corona and is highly structured. It is often described
as high-speed, relatively homogeneous, plasma streams from coronal
holes and slow-speed, highly variable, streams whose source regions are
under debate. A key goal of ESA/NASA’s Solar Orbiter mission is to identify
solar wind sources and understand what drives the complexity seen in the
heliosphere. By combining magnetic feld modelling and spectroscopic
techniques with high-resolution observations and measurements, we show
that the solar wind variability detected in situ by Solar Orbiter in March
2022 is driven by spatio-temporal changes in the magnetic connectivity to
multiple sources in the solar atmosphere. The magnetic feld footpoints
connected to the spacecraft moved from the boundaries of a coronal hole
to one active region (12961) and then across to another region (12957). This
is refected in the in situ measurements, which show the transition from fast
to highly Alfvénic then to slow solar wind that is disrupted by the arrival of
a coronal mass ejection. Our results describe solar wind variability at 0.5 au
but are applicable to near-Earth observatories.
Factors Influencing Occurrence of Diabetes Mellitus in Shieywe Location Kakamega County: A Cross-Sectional Study
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Factors Influencing Occurrence of Diabetes
Mellitus in Shieywe Location Kakamega
County: A Cross-Sectional Study
Wycliffe Manyulu Clement1
, Charles Mutai2
, Anne Mutsami3
1
Mount Kenya University, Kakamega Campus
2
Masinde Muliro University of Science & Technology
3
Mount Kenya University, Kakamega
Abstract: This cross-sectional study sought to establish factors influencing occurrence of diabetes mellitus in
Shieywe location Kakamega County.
Methods: Data was collected through face-to-face interview with selected respondents by a structured
questionnaire. Results: 327 respondents took part in the survey, of which 135 (41.3%) were females and 192
(58.7%) were males. Only 23 (7.6%) of the respondents had attained tertiary education (post-secondary
education). 91(29.9%) of the respondents had attained secondary education. Most of the respondents, 190 (62.5%)
had acquired primary education. Although bicycling exercise is attributed to be a means of preventing diabetes
mellitus but those who did were 13 (4.3%) as those who did not were 291 (95.7%). The non-diabetics seeking
diabetes medical assistance who covered less than a kilometer to reach a health facility were 73 (24%), as those
who covered between 2-5 kilometers being 161 (53%) and those who covered more than 6 kilometers were 70
(23%) to attend scheduled clinics and medical attention. Conclusion: most of diabetics covered more than 6 Kms
and 2-5kms to reach a health facility. The Ministry of Health should provide comprehensive services for diabetes
mellitus management at level two health facilities to make diabetes mellitus services accessible and affordable.
Keywords: Diabetes mellitus, socio-demographic, management, community.
1. BACKGROUND
More than 180 million people worldwide were diabetic of which 2.9 million people died from diabetes (1).
Approximately, 7.1 million Africans were said to be suffering from diabetes mellitus that by the end of 2000, a figure that
is projected to rise to 18.6 million by 2030.2
The change of lifestyle has resulted in diabetes mellitus cases in urban areas in Kenya 3
that accounts for between 6-12%
of all health-care expenditure. 4
20% of women and the 2003 Kenya Demographic and Health Survey indicated that 7% of
men and 20% of women in the Kenya are overweight or obese thus being at risk of diabetes mellitus.
Diabetes mellitus is a disease in which the body is unable to properly use and store glycogen. Glucose backs up in the
bloodstream causing one’s blood glucose to rise too high 5
. Thus, causing frequent urination, excessive thirst, hunger -
cells are starved for energy, unexplained weight loss, fatigue delayed wound healing, slurred speech, amputations. Severe
diabetes mellitus complications lead to death.
Due to lack of comprehensive health education on diabetes mellitus, about 50% of diabetes mellitus cases remain
undiagnosed, Guariguata, 6
this is incriminated to lead to damage and failure of kidney, heart and liver in the body 7
.
Urbanization is another factor that contributes to increased cases of diabetes mellitus. Use of motorised transport and
sedentary lifestyles are some of the cardinal risk factors for diabetes mellitus 8
. People have abandoned the healthier
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traditional lifestyles of walking to work place. People have shied from traditional healthy foods rich in fibers, vegetables
and fruits to more refined foods rich in carbohydrates, fats and sugars.
Distance to reach a health facility is a hindrance to honour scheduled diabetes mellitus clinics at health facilities.
Comprehensive health education on management of diabetes mellitus was still missing at the household level 2
.
2. METHODS
This was a descriptive cross-sectional study that involved 327 people drawn from Shieywe location, Kakamega County.
Through simple random sampling Shieywe location was selected from the two urban locations in the urban area of the
county. The study area had a higher burden of diabetes mellitus as reported in the health management and information
systems reports by the Ministry of Health. The site is an urban area with all the characteristics required for this study that
is motorized transport to and fro town and availability of ‘western lifestyle’ foods due to proximity to town with many
retail shops and supermarkets. 384 respondents were considered adequate after calculation from the total population of
28,445 people in the study location. For non-diabetics at the community level only one respondent was interviewed for
every household visited and diabetics found at the health facility were interviewed.
The questionnaires were peer reviewed by 2 colleagues including a biostatistician for validation of the questions. The
questionnaire was then piloted on 4 respondents at Sabatia health centre in Vihiga County. This was done in order to
assess the suitability of the contents and flow of the questionnaire which was later refined for final use. All questionnaires
were in the English language, which is the official language.
Both first parts of the two questionnaires covered the respondent’s socio-demographic information which included: sex
of respondent, age, level of education, occupation and main source of income.
For the questionnaires for non-diabetics part two covered knowledge on diabetes mellitus with questions on what is
diabetes mellitus, cause of diabetes mellitus, foods attributed to cause diabetes mellitus and harmful activities that cause
diabetes mellitus and where do people with diabetes mellitus seek medical assistance.
Part three covered effects of diabetes mellitus which included questions on the signs and symptoms of diabetes mellitus,
site effects of diabetes mellitus.
Part four covered management of diabetes mellitus with questions on what foods eaten for breakfast and in the day,
exercise for prevention or control of diabetes mellitus and mode of transport, distance covered to the nearest health
facility and type of medical attention given at the facility.
The questionnaire for diabetics had questions on Sex of respondent, what is your age? What is your highest level of
education? What are the long-term effects of diabetes mellitus? Which foods do you take in the day? During the past week
did you do bicycling exercises, what is the distance to the nearest health facility and habits like smoking and taking
alcohol?
The questionnaire for the diabetics was administered by interviewers with medical knowledge of diabetes mellitus and
included community health extension workers. The questionnaires for the non-diabetics (the community) were
administered through community health volunteers.
Prior to fieldwork the interviewers were taken through one day training on the data collection tools that included dry runs
of the tools. The interviewers then embarked on data collection by moving from house to house within their allocated
areas. The first person to be encountered in the household meeting the age criteria was interviewed. For those who
declined, a second person was interviewed and in their absence the next household was visited.
All filled questionnaires were then submitted to the supervisors who checked their completeness before the interviewer
left that area. In case the information was missing the interviewer revisited the respondent for further information unless
they had initially declined to disclose. After entering the data analysis was done by descriptive statistics using SPSS
software.
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3. RESULTS
Do socio-demographic characteristics predict diabetes mellitus?
The study targeted 384 people of which 327 people were interviewed. 327 respondents took part in the survey, of which
135 (41.3%) were females and 192 (58.7%) were males (table 1). Only 23 (7.6%) of the respondents had attained tertiary
education (post-secondary education). 91(29.9%) of the respondents had attained secondary education. Most of the
respondents, 190 (62.5%) had acquired primary education (table 2).
Does being knowledgeable predict diabetes mellitus?
Majority of the respondents 135 (44.4%) perceived diabetes mellitus to be a disease of the affluent. A good proportion of
the respondents 104 (34.2%) attributed diabetes mellitus to being a disease of the poor. The respondents who indicated
that diabetes mellitus was when one had lots of sugar in the body were 56 (18.4%) as those who did not know being 9
(3%).
Majority 152 (50%) of the respondents attributed diabetes mellitus to lifting heavy loads (manual jobs). There were those
who attributed diabetes mellitus to walking 60 (19.7%), bicycling 47 (15.5%), riding motor cycle 32 (10.5%) and those
who did not link to any activity were 13 (4.3%).
Do the effects of diabetes mellitus predict its management?
Stretching exercise at 14 (4.6%) was done as those who did not do stretching exercise being 290 (95.4%). Those who did
walking exercise were 23 (7.6%) as the majority who did not walk for exercise being 281 (92.4%).
Bicycling was done as an exercise but those who did were 13 (4.3%) as those who did not were 291 (95.7%). Bicycling as
a means of preventing diabetes mellitus was done as an exercise but those who did were 13 (4.3%) as those who did not
were 291 (95.7%) (Table 3)
The non-diabetics seeking diabetes mellitus medical assistance who covered less than a kilometer to reach a health facility
were 73 (24%), as those who covered between 2-5 kilometers being 161 (53%) and those who covered more than 6
kilometers were 70 (23%).
4. DISCUSSION
The main aim of the study was to determine the factors influencing diabetes mellitus. The study took place on people who
are not having diabetes mellitus (from the community) and those who are exposed to diabetes mellitus and seeking
medical assistance from conventional health facilities. The study sought to find out the gender distribution of both non-
diabetics (people from the community) and diabetics who sought health services from Elwesero model health center.
More males 186 (61%) than females 118 (39%) took part in the study. This was attributed to the fact that men are in most
cases the head of households so during this study the head of the household was to be interviewed but in case of absence
then another person left with that responsibility was interviewed. An analysis on gender of diabetics indicated that more
females 17 (73.9%) than males 6 (26.1%) sought medical assistance from the health centre. In some instances, during this
study women had to seek permission to divulge health information of the household and this concurs with a study that
women in most developing countries have a low social, health and economic status thus their participation in health issues
is constrained. 9
The level of education of the non-diabetics was used to determine the level of their understanding and assess how a socio-
demographic characteristic predicts existence of diabetes mellitus in Kenya. Only 23 (7.6%) of the respondents had
attained tertiary education (post-secondary education) and 91 (29.9%) secondary education. Most of the respondents, 190
(62.5%) had acquired primary education. Diabetics with formal education were likely to seek medical assistance from
health facilities with confidence. There was a contrast of level of education in this community as a study 10
indicates that
comprehensive health education is important in the management of diabetes mellitus.
The respondents were asked about their main occupation as a means financial sustainability in order to determine if there
were any disparities in occupation among the respondents. A majority of the respondents practised farming, 159 (52.3%),
those who did business were 99 (32.6%), and those employed were 37 (12.2%). Those who engaged in other paying
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activities were 9 (3%). A Majority of the respondents did farming which, could be attributed to the fact that they produced
foods to supplements the household income expenditure on foods and also since they owned or had leased pieces of land
in the surrounding of Shieywe location where they live. The foods so produced in the farms could be another source of
indigenous foods that are recommended for diabetics. Indicates that diabetes mellitus mostly affects the most productive
segment of any society and most of these cases remain undiagnosed.6
The study sought to find out what the respondents perceived diabetes mellitus to be? Majority of the respondents 135
(44.4%) perceived diabetes mellitus to be a disease of the affluent. A good proportion of the respondents 104 (34.2%)
attributed diabetes mellitus to being a disease of the poor. The respondents who indicated that diabetes was when one had
lots of sugar in the body were 56 (18.4) as those who did not know being 9 (3%). Most of the respondents attributed
diabetes mellitus to the rich people in the community as they are people who can buy sugar for tea and thus contract
diabetes mellitus in due course. The description of diabetes mellitus reflects how well the community can prevent such
conditions.11
The study sought to find out the activities which the community in Shieywe location thought was the cause of diabetes
mellitus. Majority 152 (50%) of the respondents attributed diabetes to carrying heavy loads. This was linked to people
who do manual jobs. There were those who attributed diabetes mellitus to people who walk for long distances 60 (19.7%),
bicycling 47 (15.5%), riding motor cycle 32 (10.5%) and those who did not link to any activity were 13 (4.3%). This
annulled the equal distribution of harmful activities that cause diabetes mellitus. According to (12) study during gestation
period, women are at a risk of developing GDM leading to hyperglycemia and adverse pregnancy outcomes.
The study sought to find out whether the respondents take breakfast when they wake up. This is an important of dieting in
prevention of diabetes mellitus. The respondents who took breakfast were majority 261 (85.9%) as those who said did not
take breakfast were few 43 (14.1%). Skipping breakfast impacted negatively of the metabolic processes in the body. 13
In
this study majority of the respondents took breakfast which was a good indication in maintaining sound health.
The study showed that stretching exercise 14 (4.6%) was done as those who did not do stretching exercise being 290
(95.4%). It was reported that those who did walking exercise were 23 (7.6%) as the majority who did not walk for
exercise being 281 (92.4%). The study sought to identify if bicycling was done as an exercise but those who said yes were
13 (95.7%). Most of people in this location were not doing exercises for diabetes mellitus therefore this was risk factor for
diabetes mellitus. This finding concurs with a study 14
that obesity is a major risk factor for Cardio-Vascular Diseases
(CVD) and this risk is said to be accentuated when obesity has a predominantly abdominal component. When people do
not exercise through walking, stretching and weight lifting they are at a higher risk of concentrating lots of fats in the
muscles.
The study sought to establish the distance covered to reach the nearest health facility. The non-diabetics (community) who
covered less than a kilometre were 73 (24%), as those who covered between 2-5 kilometres being 161 (53%) and those
who covered more than 6 kilometres were 70 (23%). A study indicates that management of diabetes mellitus in higher
risk group is often further complicated by additional barriers like distance to health facilities. The diabetics who covered
less than two kilometres to reach a health facility were 2 (8.7%), those who covered between 2-5 kilometres were 13
(56.5%) as those who covered more than 6 kilometres were 8 (34.8%). Distance covered to reach a health facility is
important to people who need prompt follow-ups and drug adherence like diabetics. 15
5. STUDY LIMITATIONS
The questionnaires were in English and their administration relied on the translation of interviewers for the respondents to
understand and answer as truthfully as possible. The responses depended on the truthfulness of the respondents which was
assumed to be reliable. The interviewers were trained in order to reduce misinterpretations of the responses.
6. CONCLUSION
Most of the respondents had reached primary level of education therefore key messages on diabetes mellitus was difficult
to share at the household level. Distance to health facilities was one of the factors influencing diabetes mellitus in the
diabetics as they could not attend scheduled diabetic clinics. Diabetes mellitus health education is an important aspect on
factors influencing diabetes mellitus as we focus on comprehensive diabetes mellitus prevention, control and
management. Information on factors influencing diabetes mellitus is needed for individuals and communities to take
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action to control the disease. However, research to assess knowledge deficiencies on health-seeking behaviour on diabetes
mellitus is lacking in developing countries.
Competing interests:
The authors declare no conflict of interest.
Authors’ contribution:
WMC participated in proposal preparation, obtaining the ethical approval, study design, data analysis and in drafting the
manuscript. AM participated supervision, supervision of data collection, literature review and final thesis review. CM
participated in the review of the proposal and supervision of correction of thesis preparation.
Tables and figures:
Table 1: Gender distribution among diabetics and non-diabetics
Table 2: Level of education
Table 3: Exercise for diabetes mellitus
ACKNOWLEDGEMENTS
The author would like to acknowledge his supervisors Professor Charles Mutai and Ann Mutsami for their sincere and
valuable comments that shaped this thesis. Secondly, I wish to acknowledge the invaluable support and timely inputs I
received from Miriam Wepukhulu and Nelly Mbayaki. Thirdly, I acknowledge Dr Paul Wanjala for his unwavering
guidance on the use of statistical methods in analysis of the data
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[4] Ministry of public health and sanitation (2010). Kenya National Diabetes Strategy retrieved: 9thAugust
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[6] Guariguata, L. Tracking the global epidemic—new estimates from the IDF diabetes atlas update for 2012. Diabetes
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[7] Dirk, L. C., Henrik, F., David, L. M., Beatrice, K., Inge, T., Michael, K. B., Omondi, B., Lydia, K., & Knut, B.
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[10] Spencer, M.S., Rosland, A.M., and Kieffer, E.C. Effectiveness of a Community health worker intervention among
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[11] Hawthorne, K. and Tomlinson, S. Pakistani Moslems with type 2 diabetes melitus: effect of sex, literacy skills,
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2643–52.
APPENDIX - A
Table 1: Gender distribution among diabetics and non-diabetics
Gender Males (%) Females (%)
Non diabetics 186 (61.2) 118 (38.8)
Diabetics 6 (26.1) 17 (73.9)
Table 2: Level of education
Level of education Frequency %
Primary education 190 62.5
Secondary education 91 29.9
Tertiary education 23 7.6
Total 304 100.0
Table 3: Exercise for diabetes mellitus
Exercise Yes (%) No. (%)
Stretching 14 (4.6) 290 (95.4)
Walking 23 (7.6) 281 (92.4)
Bicycling 13 (4.3) 291 (95.7)