Malaria is a vector borne infectious disease caused by protozoan parasites of the genus Plasmodium and is transmitted by an infected female Anopheles mosquito. Until the late 19th Century, the contributory agent for malaria was largely unknown.
Malaria is one of the commonest infections, disproportionately affecting children and pregnant women
In 2019, an estimated 409,000 people died of malaria. Most (274,000) were young children, and 94% of the infections and deaths occurred in Africa. (WHO, 2019)
Children under five years are one of the most vulnerable groups affected by malaria. Severe anaemia, hypoglycaemia and cerebral malaria are features of severe malaria more commonly seen in children than in adults.
According to the WHO 2016 report, the global prevalence of malaria among under-five children was 16%. In the same year, the prevalence in Ethiopia was 0.6%.
Malaria is the most widespread endemic disease in Cameroon, responsible for 2.7 million reported cases, and absenteeism from school and work annually. It continues to be a major public health problem and is the first cause of infant-child morbidity and mortality with a mortality rate in children under five, estimated at 40%.
Much is being done to curb and eradicate malaria infection by the government, USAID and more.
Determinants of Malaria Prevalence among Children below Five Years in North W...IIJSRJournal
Background: Globally, malaria remains a major public health problem. In 2019 an estimated 229 million cases of malaria were reported, WHO African region accounted for 94% of total cases. In Kenya, malaria is a leading cause of morbidity and mortality among children under five years living in malaria endemic zones. This study investigated the factors that are associated with malaria prevalence among children under-five years living in North West Kisumu Ward, Kisumu County.
Methods: This cross-sectional study was carried out at Chulaimbo County Hospital from July 2019 to January 2020. Using a validated structured questionnaire, data were obtained from 369 randomly sampled children < 5 years who presented with signs and symptoms of malaria and had malaria positive or negative test results from the laboratory. Children with chronic illnesses such as HIV were not enrolled. Chi-square test of independence and logistic regression analysis was done using SPSS 20.0 software.
Results: Out of 369 participants, 183 (49.6%) tested positive for malaria. Child age was significantly associated with malaria (P = 0.04). There were low malaria odds among females (OR = 0.92, 95% CI 0.61-1.39) and in households where mothers (OR = 0.47, 95% CI 0.16-1.37) or fathers (OR = 0.86, 95% CI 0.31-2.35) had university education. Low malaria risk was also reported among children whose fathers had employment (OR = 0.94, 95% CI 0.49-1.80). On the contrary, high malaria risk was recorded among children whose mothers were employed (OR = 1.24, 95% CI 0.62-2.50). Children from married respondents were likely to test positive for malaria (OR = 1.07, 95% CI 0.60-1.93). Children who used bed nets were less likely to test positive for malaria (OR = 0.70, 95% CI 0.35-1.41). Surprisingly, low malaria risk was reported among severely malnourished children (OR = 0.71, 95% CI 0.42-1.20).
Conclusion: Child age and bed net use, but not nutritional status, are important determinants of malaria prevalence in children under 5 years. The Ministry of Health should promote more efforts towards protecting young children from malaria, by ensuring access and use of bed nets, and enhancing health education.
AIM AND OBJECTIVE: • To compare and assess the clinical features and outcome of pneumonia occurring in infants with traditional child rearing practices and in infants without traditional child rearing practices. • To assess the influence of individual traditional child rearing practices with the outcome of pneumonia occurring in infants. MATERIALS AND METHODS: : For this study detailed clinical history was taken. Infants with clinical and radiological evidence of pneumonia were selected as per the selection criteria The study. After eliciting necessary history some children were excluded using exclusion criteria. Detailed questionnaires were asked to mother / care taker which included details regarding various traditional child rearing practices. . RESULTS: On comparing and analyzing the clinical parameters and outcome of pneumonia in infants between traditional child rearing practices and without traditional child rearing practice. it is found that increased morbidity pattern of pneumonia in infants associated with traditional child rearing practices is high while comparing non traditional child rearing infants CONCLUSION: In my study increased morbidity in the infants is attributed to traditional child rearing practice, mortality was very less probably due to increased vaccination status and also due to increasing literacy rate in mothers.
EVALUATION OF VACCINE ADHERENCE AND ROLE OF A CLINICAL PHARMACIST IN PAEDIAT...PARUL UNIVERSITY
Background: Immunization is one of the decisive factors in preventing various life threatening diseases. Vaccines have thrived as one of the most successful healthy intervention on that have diminished the occurrence of various infectious diseases and improved the quality of life in the population. Although the vaccine coverage has been gradually increasing, the average total immunization coverage is far less than desired outcome. Objective: The objective of our study were to enhance the quantity of vaccine delivered in the paediatric care setting, to improve Awareness of vaccination at community level by a more active involvement of clinical pharmacist on vaccination errors and missed opportunities in paediatric care setting, to analyse the extent of knowledge, attitude and practice of parents to minimize vaccination errors and avoid vaccine misconception thereby improving vaccine adherence. Results: It is a prospective observational study was conducted on 253 paediatric subjects upto 3years of age for a period of six months in a secondary care hospital, Hyderabad. The study was divided into Pre- intervention and post-intervention phases and was performed using a KAP questionnaire. The socio- demographic details were collected by using data collection form and their knowledge, Attitude and practice levels were assessed by using KAP questionnaire regarding child vaccination. Out of 253 subjects were enrolled in the study, the percentage distribution of the respondents age showed that the age group of 25-29 were predominant. The respondents with single child were observed to be more with a frequency of 132 out of 253 who received complete awareness about vaccination. Majority of the respondents were under graduates which was the main reason for lack of knowledge on immunization. Of the total 253 study population, male child were 128(50.50%) and female child were 125(49.40%). In the study, the majority of the children were neonates (103) which is 40.71%. majority of children were immunized with polio (75.49%) and least was varicella (3.55%). Of the total population, delayed or missed vaccine was 72 out of 253 i.e. 28.40% which was observed in both the genders. Missed vaccine opportunities were mostly observed for PCV, Rotavirus, and MMR. Conclusion: This study lead to optimal disease prevention through vaccination in multiple population groups while maintaining high levels of Safety and the clinical pharmacist’s interventions certainly will be helpful in providing education on immunization and improving immunization rates in the underdeveloped and developing countries. KAP questionnaire can be used in future researches on immunization and allow for better understanding of relation between mothers knowledge and immunization of children.
Determinants of Malaria Prevalence among Children below Five Years in North W...IIJSRJournal
Background: Globally, malaria remains a major public health problem. In 2019 an estimated 229 million cases of malaria were reported, WHO African region accounted for 94% of total cases. In Kenya, malaria is a leading cause of morbidity and mortality among children under five years living in malaria endemic zones. This study investigated the factors that are associated with malaria prevalence among children under-five years living in North West Kisumu Ward, Kisumu County.
Methods: This cross-sectional study was carried out at Chulaimbo County Hospital from July 2019 to January 2020. Using a validated structured questionnaire, data were obtained from 369 randomly sampled children < 5 years who presented with signs and symptoms of malaria and had malaria positive or negative test results from the laboratory. Children with chronic illnesses such as HIV were not enrolled. Chi-square test of independence and logistic regression analysis was done using SPSS 20.0 software.
Results: Out of 369 participants, 183 (49.6%) tested positive for malaria. Child age was significantly associated with malaria (P = 0.04). There were low malaria odds among females (OR = 0.92, 95% CI 0.61-1.39) and in households where mothers (OR = 0.47, 95% CI 0.16-1.37) or fathers (OR = 0.86, 95% CI 0.31-2.35) had university education. Low malaria risk was also reported among children whose fathers had employment (OR = 0.94, 95% CI 0.49-1.80). On the contrary, high malaria risk was recorded among children whose mothers were employed (OR = 1.24, 95% CI 0.62-2.50). Children from married respondents were likely to test positive for malaria (OR = 1.07, 95% CI 0.60-1.93). Children who used bed nets were less likely to test positive for malaria (OR = 0.70, 95% CI 0.35-1.41). Surprisingly, low malaria risk was reported among severely malnourished children (OR = 0.71, 95% CI 0.42-1.20).
Conclusion: Child age and bed net use, but not nutritional status, are important determinants of malaria prevalence in children under 5 years. The Ministry of Health should promote more efforts towards protecting young children from malaria, by ensuring access and use of bed nets, and enhancing health education.
AIM AND OBJECTIVE: • To compare and assess the clinical features and outcome of pneumonia occurring in infants with traditional child rearing practices and in infants without traditional child rearing practices. • To assess the influence of individual traditional child rearing practices with the outcome of pneumonia occurring in infants. MATERIALS AND METHODS: : For this study detailed clinical history was taken. Infants with clinical and radiological evidence of pneumonia were selected as per the selection criteria The study. After eliciting necessary history some children were excluded using exclusion criteria. Detailed questionnaires were asked to mother / care taker which included details regarding various traditional child rearing practices. . RESULTS: On comparing and analyzing the clinical parameters and outcome of pneumonia in infants between traditional child rearing practices and without traditional child rearing practice. it is found that increased morbidity pattern of pneumonia in infants associated with traditional child rearing practices is high while comparing non traditional child rearing infants CONCLUSION: In my study increased morbidity in the infants is attributed to traditional child rearing practice, mortality was very less probably due to increased vaccination status and also due to increasing literacy rate in mothers.
EVALUATION OF VACCINE ADHERENCE AND ROLE OF A CLINICAL PHARMACIST IN PAEDIAT...PARUL UNIVERSITY
Background: Immunization is one of the decisive factors in preventing various life threatening diseases. Vaccines have thrived as one of the most successful healthy intervention on that have diminished the occurrence of various infectious diseases and improved the quality of life in the population. Although the vaccine coverage has been gradually increasing, the average total immunization coverage is far less than desired outcome. Objective: The objective of our study were to enhance the quantity of vaccine delivered in the paediatric care setting, to improve Awareness of vaccination at community level by a more active involvement of clinical pharmacist on vaccination errors and missed opportunities in paediatric care setting, to analyse the extent of knowledge, attitude and practice of parents to minimize vaccination errors and avoid vaccine misconception thereby improving vaccine adherence. Results: It is a prospective observational study was conducted on 253 paediatric subjects upto 3years of age for a period of six months in a secondary care hospital, Hyderabad. The study was divided into Pre- intervention and post-intervention phases and was performed using a KAP questionnaire. The socio- demographic details were collected by using data collection form and their knowledge, Attitude and practice levels were assessed by using KAP questionnaire regarding child vaccination. Out of 253 subjects were enrolled in the study, the percentage distribution of the respondents age showed that the age group of 25-29 were predominant. The respondents with single child were observed to be more with a frequency of 132 out of 253 who received complete awareness about vaccination. Majority of the respondents were under graduates which was the main reason for lack of knowledge on immunization. Of the total 253 study population, male child were 128(50.50%) and female child were 125(49.40%). In the study, the majority of the children were neonates (103) which is 40.71%. majority of children were immunized with polio (75.49%) and least was varicella (3.55%). Of the total population, delayed or missed vaccine was 72 out of 253 i.e. 28.40% which was observed in both the genders. Missed vaccine opportunities were mostly observed for PCV, Rotavirus, and MMR. Conclusion: This study lead to optimal disease prevention through vaccination in multiple population groups while maintaining high levels of Safety and the clinical pharmacist’s interventions certainly will be helpful in providing education on immunization and improving immunization rates in the underdeveloped and developing countries. KAP questionnaire can be used in future researches on immunization and allow for better understanding of relation between mothers knowledge and immunization of children.
1Global Vaccination (attach this please with the previou.docxfelicidaddinwoodie
1
Global Vaccination (attach this please with the previous sections)
WHO estimates that three million cases of disease could be avoided annually with an appropriate prevention by vaccination.
Immunization System in Malasyia (more info please add to US)
Religious Views of Vaccination (Malaysia)(please attach this with the previous sections)
Grabenstein (2013) noted that polio immunization is obligatory when disease risk is high and the vaccine shown to have benefits far outweighing its risks.
National Immunization Program (NIP)
The Malaysian National Immunization Program (NIP) was introduced in the early 1950s and it has been given free to the children for their protection against major childhood diseases. The immunization program offers protection against major childhood diseases that can be prevented with vaccines including diphtheria, tetanus, pertussis, Haemophilus influenzae type b, hepatitis B, measles, mumps, rubella, tuberculosis, polio and some diseases caused by the human papillomavirus. This program is available at all government clinics across the country.
Parents are responsible for ensuring that their children are protected from dangerous infectious diseases that can be prevented with a vaccine. Below is the national immunization schedule to ensure your child receives the vaccination at the right time (Malaysian MOH, 2017).
Vaccine Safety Surveillance
National Centre of Adverse Drug Reactions (ADR) Monitoring, National Pharmaceutical Control Bureau (NPCB) is responsible to monitor the safety of medicines and vaccines that are registered in Malaysia. NPCB is responsible for collecting all reporting adverse events related pharmaceutical products including vaccines. All reported adverse events will be documented and serious cases following vaccination will be investigated promptly to identify the cause of the adverse events. NPCB will make further investigation in terms of product quality and regulatory action will be taken based on the results of the investigation. Types of regulatory action that can be taken are the suspension of the product registration, product recall or cancellation of the product registration.
ADR reporting system has been introduced in Malaysia to enable health providers to participate in monitoring the safety of medicines and vaccines by reporting the adverse events. Ministry of Health Malaysia (MOH) has organized trainings to the health professionals on the importance of reporting of Adverse events following immunization (AEFIs) as described in the Guidelines for the Pharmacovigilance of Vaccines. Ongoing training will be conducted more actively to increase awareness among health care providers to report AEFI and importance of disseminating the information to parents/guardians.
Currently, the AEFI reporting system has been extended to the public whereby the parents/guardians of children who experience any adverse events can report to us by themselves (Malaysian MOH, 2017).
Immunization System in the US ...
Comparative study of the effectiveness of combination therapies based on atem...Open Access Research Paper
The National Malaria Control Program recommended in 1993, the use of Chloroquina (CQ) as first line drug for malaria treatment, and sulfadoxin pyrimethamin as second drug. After years, Benin knows resistance about these antimalarials. Quinina was to treat gravities. In 2004, the strategy of treatment changed. Treatment of malaria cases is based on use of arteminisinia therapeutic combination. The goal of this study is to be sure that these drugs are efficace before general use in the country and in some regions as Dassa Zounmè where the resistance is up (61. 3% for Chloroquina CQ and 45.9% for SP in 2002).The study is based on: comparison of therapeutic efficacy of artemether Lumefantrine and Artesunate Amodiaquine. Results show that all of the tested drugs have good therapeutic efficacy. Most important rate failure is in Dassa Zounmè (33, 86%) than Parakou (23, 44%). They are parasitologic failure and are probably due to the reinfestation of children. Two drugs have a good parasitological clearance and eliminate fever after 2 days of treatment.
We report on the results of a survey carried out on 30 Traditional Birth Attendants (TBA) in the littoral region of the Republic of Cameroon. The main objective of this survey was to evaluate knowledge, attitudes and practices of traditional birth attendants with regard to their ability to recognize danger signs during pregnancies and the prevention of infections. The survey did not include trained birth attendants who perform deliveries in homes. The mean age of traditional birth attendants was 49.6 years; the lowest age being 33 and the highest 69.
Communicating Anti-Malaria Drugs Amongst a Group Gynotype Groups in South Eas...semualkaira
The effective communication of risks involved in anti-malaria dosage information dissemination is fundamental in health education and advocacies. Although there is no known pattern of communication perspective regarding numerous health risks involved in self-medication of anti-malaria drugs in Nigeria setting especially as more than half of the entire population relay on self-medication because of poor healthcare system.
Communicating Anti-Malaria Drugs Amongst a Group Gynotype Groups in South Eas...semualkaira
The effective communication of risks involved in anti-malaria dosage information dissemination is fundamental in health education and advocacies. Although there is no known pattern of communication perspective regarding numerous health risks involved in self-medication of anti-malaria drugs in Nigeria setting especially as more than half of the entire population relay on self-medication because of poor healthcare system.
Communicating Anti-Malaria Drugs Amongst ‘A’ Group Gynotype Groups in South E...semualkaira
The effective communication of risks involved in anti-malaria dosage information dissemination is fundamental in health education
and advocacies. Although there is no known pattern of communication perspective regarding numerous health risks involved in
self-medication of anti-malaria drugs in Nigeria setting especially
as more than half of the entire population relay on self-medication
because of poor healthcare system
Knowledge, Attitude and Practices of School Children on Prevention and Contro...Premier Publishers
Superficial fungal infections are common among school-going children due to their involvement in practices that promote the spread at school or home. However, practices, knowledge and attitude of these children on prevention and control of fungal infection are poorly understood. This study assessed the practices, knowledge and attitude on the prevention and control of fungal infections among 163 children aged 5-12 years in western Kenya. A cross-sectional study design and systematic sampling method were adopted. Information on knowledge, attitude and practices on fungal prevention and control was collected using a structured questionnaire. Results showed that over 50% of the pupils had adequate knowledge on prevention and control of superficial fungal infections. On attitude, 58.9%of the children believed that those with fungal infection should not be allowed to play with others or go to school. Furthermore, 70.6% and 54.6% of the pupils agreed that sharing of toys and hairbrushes respectively leads in promoting the infections. These findings show that pupils demonstrate a good knowledge of superficial fungal with marked limited infection and control measures. Therefore, there is a need for stakeholders in health and education sectors to develop a policy framework involving learners in prevention and control of fungal infections.
Factors Associated with Human Papilloma Virus Vaccine Uptake amongst Girls Ag...PUBLISHERJOURNAL
Human papillomavirus (HPV) infection is a sexually transmitted infection. HPV vaccine since its first licensure in 2006 has proven to be safe, highly immunogenic, and induces strong direct and indirect protection against HPV and its sequelae. The study was designed to determine the socio-demographic, health care, and parental factors associated with human papillomavirus vaccine uptake amongst girls aged 9-14 years. The study was a cross-sectional study employing a simple random sampling method and a total of 364 girls were interviewed following the set criteria using questionnaire data. Data were cleaned, coded, and analyzed using SPSS version 22.0. Findings were presented as frequencies, percentages, odd ratios, and p-values using univariate, bivariate, and multivariate analysis. From the study, statistically significant sociodemographic factors such as age (p=0.0000), schooling status (p=0.0000), level of education (p=0.007442), attitudes towards the HPV vaccine (p=0.005175), Receiving vaccine doses from different vaccination sites (p=0.0000), and Ethnicity (p=0.0000), healthcare factors such as outreaches in communities (p=0.0000), information received (p=0.0000), encouragement from health workers (p=0.0000), availability of vaccines (p=0.0000) and parental factors such as knowledge about HPV vaccine(p=0.001), parental hesitancy (p<0.001), level of education (p=0.0000), social economic status (p=0.001), attitudes towards HPV vaccine, (p=0.0000) and HPV vaccine awareness (p=0.0000) were found statistically associated with HPV vaccine uptake amongst girls aged 9-14 years. From the study findings, the study variables such as sociodemographic, and health-related factors were found to be statistically associated with HPV vaccine uptake amongst girls aged 9-14 years. Therefore, effort should be brought to all levels of intervention so that HPV uptake is taken into consideration if the need for good health among girls needs to be achieved.
Keywords: Human papillomavirus virus, sexually transmitted infection, Health care, HPV vaccine, Cancer.
Perceptions of tertiary students on the prevention of sexually transmitted di...iosrjce
The purpose of the study was to evaluate tertiary student’s sexual behaviour and their knowledge and attitudes
towards STDs, among students of University for Development Studies (UDS).
The research design: data was collected by using a quantitative survey using self-answered questionnaire, from
a sample of one hundred and thirty-four (n=134) out of a total student population of 3,881, using the simple
random sampling technique in the data gathering process.
Results/findings: out of the sample size of 134 students aged 15-44, 46.3% were males and 53.7% were females.
About 24.6%, (n=33) have ever had sex without a condom. The study revealed that 99.3% ever heard of STDs,
85.1% had either below or average knowledge about the causes of STDs, 55.2% had knowledge above average
on the prevention of STDs and more than 90% of the student sampled indicated that STDs are very common.
Interestingly, 6.7% of the sampled population said STDs are mainly female infections.
Recommendations: There is need for wider education at various levels of the educational system on STDs by
health care providers, and effective collaboration among health care providers, social activists, NGOs and
tertiary students to promote peer education on STDs prevention among students.
A Study to Assess the Effectiveness of Planned Teaching Program on the Knowle...ijtsrd
Malnutrition and Tuberculosis chronic infectious disease are both problems of considerable magnitude in the most underdeveloped regions of the world. Malnutrition can leads to secondary immunodeficiency that increase the host susceptibility to infection. The aim of the study was to assess the effectiveness of planned teaching program on the knowledge and practice regarding dietary pattern among mothers of children with tuberculosis admitted in pediatric ward. Quasi experimental with two groups pre test post test design was used for 60 mothers at IPD and OPD of pediatric department and purposive sampling technique was used. Self structured questionnaire was used to assess knowledge and checklist for practice. In post test experimental group mothers have 63.3 average knowledge, 26.6 poor knowledge and 10 good knowledge while in the control group, 53.3 poor knowledge, 46.6 average knowledge and non hove good knowledge. In experimental group mean score was 17.9 1.96 while in control group mean score was 11.8 2.99. At the “p” value 0.05, the calculated t value 3.21 was compared with the tabulated value 2.01 . In post test experimental group, mothers have 53.3 good practice, 46.6 average practice and none have poor practice while in the control group, 63.33 average practice, 23.3 poor practice and 13.3 good practice. In experimental group mean score was 19.13 1.99 while in the control group, mean score was 14.06 2.85.At the “p” value 0.05, the calculated t value 3.28 was compared with the tabulated value 2.01 . These finding reveals that the planned teaching program on dietary pattern was effective. Mrs. Anchal Tiwari | Mrs. Anugrah Charan | Dr. Sarika Gupta "A Study to Assess the Effectiveness of Planned Teaching Program on the Knowledge and Practice Regarding Dietary Pattern among Mothers of Children with Tuberculosis Admitted in Pediatric Ward at KGMU Hospital, Lucknowv" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-2 , February 2021, URL: https://www.ijtsrd.com/papers/ijtsrd38591.pdf Paper Url: https://www.ijtsrd.com/medicine/nursing/38591/a-study-to-assess-the-effectiveness-of-planned-teaching-program-on-the-knowledge-and-practice-regarding-dietary-pattern-among-mothers-of-children-with-tuberculosis-admitted-in-pediatric-ward-at-kgmu-hospital-lucknowv/mrs-anchal-tiwari
Effectiveness of Video Teaching Program on Knowledge Regarding 5Fs Of Disease...ijtsrd
Introduction Infectious diseases are caused by pathogenic microorganisms, such as bacteria, viruses, parasites or fungi the diseases can be spread, directly or indirectly, from one person to another.1 These infectious diseases often spread through direct contact that means from person to person. Coming with the contact of body fluids, or any secretions or even the fomites used by the infected person. The feaco oral route can be summarized into 5fs finger, food, fluid, feaces, flies. The main diseases that are caused by feaco oral route are diarrhoea, cholera, polio, hepatitis.2 The objectives of the study were to assess the knowledge regarding the prevention of 5f’s finger, food, fluid, flies and feaces disease transmission among children. Materials and methods Research approach was quantitative and research design was descriptive research design. 30 samples who fulfilled the inclusion criteria were selected by non probability convenient sampling technique. The tool used for the collection comprises of 2 sections section A demographic variables section B to assess the effectiveness of structured teaching programme on knowledge regarding 5Fs of disease transmission food, finger, fluid, fomite, faces among children Data collected were analyzed by using descriptive and inferential statistics. Results The study findings reveals that, the pre test mean value is 11.3 with SD of 66 and post test value is 18.3 with SD of 97, it shows that there is a significance difference between pre test post test knowledge regarding 5Fs disease transmission among mothers of school children and there is a significant association between the level of post test knowledge regarding 5Fs disease transmission with mother’s age group, educational status and at 5 level of significance respectively. Mrs P. Umalakshmi "Effectiveness of Video Teaching Program on Knowledge Regarding 5F's Of Disease Transmission (Food, Finger, Fluid, Fomite, Faces) among Children at Selected Setting, Chennai" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd63422.pdf Paper Url: https://www.ijtsrd.com/medicine/other/63422/effectiveness-of-video-teaching-program-on-knowledge-regarding-5fs-of-disease-transmission-food-finger-fluid-fomite-faces-among-children-at-selected-setting-chennai/mrs-p-umalakshmi
Integrating severe acute malnutrition into the management of childhood diseas...Malaria Consortium
Since December 2010, Malaria Consortium has been implementing an innovative approach to community management of severe acute malnutrition, together with an existing integrated community case management (ICCM) programme in South Sudan. This learning paper considers Malaria Consortium’s experience of this combined approach in a highly complex context and shows whether the management of severe acute malnutrition is an effective, acceptable and feasible component of ICCM programming.
IDOSR JSR 8(2) 40-57.Evaluation of the Awareness and Practice of HIV Positive...PUBLISHERJOURNAL
Evaluation of the Awareness and Practice of HIV Positive Mothers towards Infant Feeding Options at Serere Health Center IV, Serere District
Omoding, Basil
School of Nursing, Kampala International University, Uganda
________________________________________ABSTRACT
This study was carried out to evaluate the knowledge and practice of HIV positive mothers towards infant feeding options at Serere Health Center IV, Serere District. The study design was a cross sectional and descriptive research. The research used both quantitative and qualitative data collection methods. The study involved a total of 30 respondents. HIV positive mothers were not fully knowledgeable about infant feeding options as only half of the respondents 15 (50%) had heard of infant feeding options for HIV positive mothers and obtained information about infant feeding options from health workers. However, most of the respondents 17 (56.7%) were not knowledgeable about the available mixed feeding options and 16 (53.3%) respondents were not aware of the importance of infant feeding options which was perhaps not surprising as most 17 (57%) had never been sensitized by health workers about infant feeding options. Respondents also had poor practices towards the use of infant feeding options and most of them 13 (43.3%) selected their current feeding option because it was cheap, 11 (36.7%) said it was readily accessible while 6 (20%) said it was culturally appropriate. However, majority of respondents 25 (83.3%) were laughed at or criticized for using infant feeding options by 12 (48%) friends, 7 (28%) community members and 6 (24%) relatives yet 25 (83.3%) reported that fear of being laughed at prevented use of using infant feeding options. Furthermore, all respondents 30 (100%) reported facing challenges in using infant feeding options including 14 (46.7%) lack of support by family members and friends, 10 (33.3%) baby not feeding well and 6 (20%) unnaturalness of some methods. We therefore, recommend national sensitization programs about MTCT of HIV as well as how this could be reduced and prevented through adequate and effective use of replacement infant feeding options, supporting health facilities offering EMTCT programs with subsidized infant feeding options such as formula in an effort to improve uptake and utilization of this safe replacement infant feeding option.
Keywords: Infant feeding, Serere District, feeding options, infant formula.
1Global Vaccination (attach this please with the previou.docxfelicidaddinwoodie
1
Global Vaccination (attach this please with the previous sections)
WHO estimates that three million cases of disease could be avoided annually with an appropriate prevention by vaccination.
Immunization System in Malasyia (more info please add to US)
Religious Views of Vaccination (Malaysia)(please attach this with the previous sections)
Grabenstein (2013) noted that polio immunization is obligatory when disease risk is high and the vaccine shown to have benefits far outweighing its risks.
National Immunization Program (NIP)
The Malaysian National Immunization Program (NIP) was introduced in the early 1950s and it has been given free to the children for their protection against major childhood diseases. The immunization program offers protection against major childhood diseases that can be prevented with vaccines including diphtheria, tetanus, pertussis, Haemophilus influenzae type b, hepatitis B, measles, mumps, rubella, tuberculosis, polio and some diseases caused by the human papillomavirus. This program is available at all government clinics across the country.
Parents are responsible for ensuring that their children are protected from dangerous infectious diseases that can be prevented with a vaccine. Below is the national immunization schedule to ensure your child receives the vaccination at the right time (Malaysian MOH, 2017).
Vaccine Safety Surveillance
National Centre of Adverse Drug Reactions (ADR) Monitoring, National Pharmaceutical Control Bureau (NPCB) is responsible to monitor the safety of medicines and vaccines that are registered in Malaysia. NPCB is responsible for collecting all reporting adverse events related pharmaceutical products including vaccines. All reported adverse events will be documented and serious cases following vaccination will be investigated promptly to identify the cause of the adverse events. NPCB will make further investigation in terms of product quality and regulatory action will be taken based on the results of the investigation. Types of regulatory action that can be taken are the suspension of the product registration, product recall or cancellation of the product registration.
ADR reporting system has been introduced in Malaysia to enable health providers to participate in monitoring the safety of medicines and vaccines by reporting the adverse events. Ministry of Health Malaysia (MOH) has organized trainings to the health professionals on the importance of reporting of Adverse events following immunization (AEFIs) as described in the Guidelines for the Pharmacovigilance of Vaccines. Ongoing training will be conducted more actively to increase awareness among health care providers to report AEFI and importance of disseminating the information to parents/guardians.
Currently, the AEFI reporting system has been extended to the public whereby the parents/guardians of children who experience any adverse events can report to us by themselves (Malaysian MOH, 2017).
Immunization System in the US ...
Comparative study of the effectiveness of combination therapies based on atem...Open Access Research Paper
The National Malaria Control Program recommended in 1993, the use of Chloroquina (CQ) as first line drug for malaria treatment, and sulfadoxin pyrimethamin as second drug. After years, Benin knows resistance about these antimalarials. Quinina was to treat gravities. In 2004, the strategy of treatment changed. Treatment of malaria cases is based on use of arteminisinia therapeutic combination. The goal of this study is to be sure that these drugs are efficace before general use in the country and in some regions as Dassa Zounmè where the resistance is up (61. 3% for Chloroquina CQ and 45.9% for SP in 2002).The study is based on: comparison of therapeutic efficacy of artemether Lumefantrine and Artesunate Amodiaquine. Results show that all of the tested drugs have good therapeutic efficacy. Most important rate failure is in Dassa Zounmè (33, 86%) than Parakou (23, 44%). They are parasitologic failure and are probably due to the reinfestation of children. Two drugs have a good parasitological clearance and eliminate fever after 2 days of treatment.
We report on the results of a survey carried out on 30 Traditional Birth Attendants (TBA) in the littoral region of the Republic of Cameroon. The main objective of this survey was to evaluate knowledge, attitudes and practices of traditional birth attendants with regard to their ability to recognize danger signs during pregnancies and the prevention of infections. The survey did not include trained birth attendants who perform deliveries in homes. The mean age of traditional birth attendants was 49.6 years; the lowest age being 33 and the highest 69.
Communicating Anti-Malaria Drugs Amongst a Group Gynotype Groups in South Eas...semualkaira
The effective communication of risks involved in anti-malaria dosage information dissemination is fundamental in health education and advocacies. Although there is no known pattern of communication perspective regarding numerous health risks involved in self-medication of anti-malaria drugs in Nigeria setting especially as more than half of the entire population relay on self-medication because of poor healthcare system.
Communicating Anti-Malaria Drugs Amongst a Group Gynotype Groups in South Eas...semualkaira
The effective communication of risks involved in anti-malaria dosage information dissemination is fundamental in health education and advocacies. Although there is no known pattern of communication perspective regarding numerous health risks involved in self-medication of anti-malaria drugs in Nigeria setting especially as more than half of the entire population relay on self-medication because of poor healthcare system.
Communicating Anti-Malaria Drugs Amongst ‘A’ Group Gynotype Groups in South E...semualkaira
The effective communication of risks involved in anti-malaria dosage information dissemination is fundamental in health education
and advocacies. Although there is no known pattern of communication perspective regarding numerous health risks involved in
self-medication of anti-malaria drugs in Nigeria setting especially
as more than half of the entire population relay on self-medication
because of poor healthcare system
Knowledge, Attitude and Practices of School Children on Prevention and Contro...Premier Publishers
Superficial fungal infections are common among school-going children due to their involvement in practices that promote the spread at school or home. However, practices, knowledge and attitude of these children on prevention and control of fungal infection are poorly understood. This study assessed the practices, knowledge and attitude on the prevention and control of fungal infections among 163 children aged 5-12 years in western Kenya. A cross-sectional study design and systematic sampling method were adopted. Information on knowledge, attitude and practices on fungal prevention and control was collected using a structured questionnaire. Results showed that over 50% of the pupils had adequate knowledge on prevention and control of superficial fungal infections. On attitude, 58.9%of the children believed that those with fungal infection should not be allowed to play with others or go to school. Furthermore, 70.6% and 54.6% of the pupils agreed that sharing of toys and hairbrushes respectively leads in promoting the infections. These findings show that pupils demonstrate a good knowledge of superficial fungal with marked limited infection and control measures. Therefore, there is a need for stakeholders in health and education sectors to develop a policy framework involving learners in prevention and control of fungal infections.
Factors Associated with Human Papilloma Virus Vaccine Uptake amongst Girls Ag...PUBLISHERJOURNAL
Human papillomavirus (HPV) infection is a sexually transmitted infection. HPV vaccine since its first licensure in 2006 has proven to be safe, highly immunogenic, and induces strong direct and indirect protection against HPV and its sequelae. The study was designed to determine the socio-demographic, health care, and parental factors associated with human papillomavirus vaccine uptake amongst girls aged 9-14 years. The study was a cross-sectional study employing a simple random sampling method and a total of 364 girls were interviewed following the set criteria using questionnaire data. Data were cleaned, coded, and analyzed using SPSS version 22.0. Findings were presented as frequencies, percentages, odd ratios, and p-values using univariate, bivariate, and multivariate analysis. From the study, statistically significant sociodemographic factors such as age (p=0.0000), schooling status (p=0.0000), level of education (p=0.007442), attitudes towards the HPV vaccine (p=0.005175), Receiving vaccine doses from different vaccination sites (p=0.0000), and Ethnicity (p=0.0000), healthcare factors such as outreaches in communities (p=0.0000), information received (p=0.0000), encouragement from health workers (p=0.0000), availability of vaccines (p=0.0000) and parental factors such as knowledge about HPV vaccine(p=0.001), parental hesitancy (p<0.001), level of education (p=0.0000), social economic status (p=0.001), attitudes towards HPV vaccine, (p=0.0000) and HPV vaccine awareness (p=0.0000) were found statistically associated with HPV vaccine uptake amongst girls aged 9-14 years. From the study findings, the study variables such as sociodemographic, and health-related factors were found to be statistically associated with HPV vaccine uptake amongst girls aged 9-14 years. Therefore, effort should be brought to all levels of intervention so that HPV uptake is taken into consideration if the need for good health among girls needs to be achieved.
Keywords: Human papillomavirus virus, sexually transmitted infection, Health care, HPV vaccine, Cancer.
Perceptions of tertiary students on the prevention of sexually transmitted di...iosrjce
The purpose of the study was to evaluate tertiary student’s sexual behaviour and their knowledge and attitudes
towards STDs, among students of University for Development Studies (UDS).
The research design: data was collected by using a quantitative survey using self-answered questionnaire, from
a sample of one hundred and thirty-four (n=134) out of a total student population of 3,881, using the simple
random sampling technique in the data gathering process.
Results/findings: out of the sample size of 134 students aged 15-44, 46.3% were males and 53.7% were females.
About 24.6%, (n=33) have ever had sex without a condom. The study revealed that 99.3% ever heard of STDs,
85.1% had either below or average knowledge about the causes of STDs, 55.2% had knowledge above average
on the prevention of STDs and more than 90% of the student sampled indicated that STDs are very common.
Interestingly, 6.7% of the sampled population said STDs are mainly female infections.
Recommendations: There is need for wider education at various levels of the educational system on STDs by
health care providers, and effective collaboration among health care providers, social activists, NGOs and
tertiary students to promote peer education on STDs prevention among students.
A Study to Assess the Effectiveness of Planned Teaching Program on the Knowle...ijtsrd
Malnutrition and Tuberculosis chronic infectious disease are both problems of considerable magnitude in the most underdeveloped regions of the world. Malnutrition can leads to secondary immunodeficiency that increase the host susceptibility to infection. The aim of the study was to assess the effectiveness of planned teaching program on the knowledge and practice regarding dietary pattern among mothers of children with tuberculosis admitted in pediatric ward. Quasi experimental with two groups pre test post test design was used for 60 mothers at IPD and OPD of pediatric department and purposive sampling technique was used. Self structured questionnaire was used to assess knowledge and checklist for practice. In post test experimental group mothers have 63.3 average knowledge, 26.6 poor knowledge and 10 good knowledge while in the control group, 53.3 poor knowledge, 46.6 average knowledge and non hove good knowledge. In experimental group mean score was 17.9 1.96 while in control group mean score was 11.8 2.99. At the “p” value 0.05, the calculated t value 3.21 was compared with the tabulated value 2.01 . In post test experimental group, mothers have 53.3 good practice, 46.6 average practice and none have poor practice while in the control group, 63.33 average practice, 23.3 poor practice and 13.3 good practice. In experimental group mean score was 19.13 1.99 while in the control group, mean score was 14.06 2.85.At the “p” value 0.05, the calculated t value 3.28 was compared with the tabulated value 2.01 . These finding reveals that the planned teaching program on dietary pattern was effective. Mrs. Anchal Tiwari | Mrs. Anugrah Charan | Dr. Sarika Gupta "A Study to Assess the Effectiveness of Planned Teaching Program on the Knowledge and Practice Regarding Dietary Pattern among Mothers of Children with Tuberculosis Admitted in Pediatric Ward at KGMU Hospital, Lucknowv" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-2 , February 2021, URL: https://www.ijtsrd.com/papers/ijtsrd38591.pdf Paper Url: https://www.ijtsrd.com/medicine/nursing/38591/a-study-to-assess-the-effectiveness-of-planned-teaching-program-on-the-knowledge-and-practice-regarding-dietary-pattern-among-mothers-of-children-with-tuberculosis-admitted-in-pediatric-ward-at-kgmu-hospital-lucknowv/mrs-anchal-tiwari
Effectiveness of Video Teaching Program on Knowledge Regarding 5Fs Of Disease...ijtsrd
Introduction Infectious diseases are caused by pathogenic microorganisms, such as bacteria, viruses, parasites or fungi the diseases can be spread, directly or indirectly, from one person to another.1 These infectious diseases often spread through direct contact that means from person to person. Coming with the contact of body fluids, or any secretions or even the fomites used by the infected person. The feaco oral route can be summarized into 5fs finger, food, fluid, feaces, flies. The main diseases that are caused by feaco oral route are diarrhoea, cholera, polio, hepatitis.2 The objectives of the study were to assess the knowledge regarding the prevention of 5f’s finger, food, fluid, flies and feaces disease transmission among children. Materials and methods Research approach was quantitative and research design was descriptive research design. 30 samples who fulfilled the inclusion criteria were selected by non probability convenient sampling technique. The tool used for the collection comprises of 2 sections section A demographic variables section B to assess the effectiveness of structured teaching programme on knowledge regarding 5Fs of disease transmission food, finger, fluid, fomite, faces among children Data collected were analyzed by using descriptive and inferential statistics. Results The study findings reveals that, the pre test mean value is 11.3 with SD of 66 and post test value is 18.3 with SD of 97, it shows that there is a significance difference between pre test post test knowledge regarding 5Fs disease transmission among mothers of school children and there is a significant association between the level of post test knowledge regarding 5Fs disease transmission with mother’s age group, educational status and at 5 level of significance respectively. Mrs P. Umalakshmi "Effectiveness of Video Teaching Program on Knowledge Regarding 5F's Of Disease Transmission (Food, Finger, Fluid, Fomite, Faces) among Children at Selected Setting, Chennai" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd63422.pdf Paper Url: https://www.ijtsrd.com/medicine/other/63422/effectiveness-of-video-teaching-program-on-knowledge-regarding-5fs-of-disease-transmission-food-finger-fluid-fomite-faces-among-children-at-selected-setting-chennai/mrs-p-umalakshmi
Integrating severe acute malnutrition into the management of childhood diseas...Malaria Consortium
Since December 2010, Malaria Consortium has been implementing an innovative approach to community management of severe acute malnutrition, together with an existing integrated community case management (ICCM) programme in South Sudan. This learning paper considers Malaria Consortium’s experience of this combined approach in a highly complex context and shows whether the management of severe acute malnutrition is an effective, acceptable and feasible component of ICCM programming.
IDOSR JSR 8(2) 40-57.Evaluation of the Awareness and Practice of HIV Positive...PUBLISHERJOURNAL
Evaluation of the Awareness and Practice of HIV Positive Mothers towards Infant Feeding Options at Serere Health Center IV, Serere District
Omoding, Basil
School of Nursing, Kampala International University, Uganda
________________________________________ABSTRACT
This study was carried out to evaluate the knowledge and practice of HIV positive mothers towards infant feeding options at Serere Health Center IV, Serere District. The study design was a cross sectional and descriptive research. The research used both quantitative and qualitative data collection methods. The study involved a total of 30 respondents. HIV positive mothers were not fully knowledgeable about infant feeding options as only half of the respondents 15 (50%) had heard of infant feeding options for HIV positive mothers and obtained information about infant feeding options from health workers. However, most of the respondents 17 (56.7%) were not knowledgeable about the available mixed feeding options and 16 (53.3%) respondents were not aware of the importance of infant feeding options which was perhaps not surprising as most 17 (57%) had never been sensitized by health workers about infant feeding options. Respondents also had poor practices towards the use of infant feeding options and most of them 13 (43.3%) selected their current feeding option because it was cheap, 11 (36.7%) said it was readily accessible while 6 (20%) said it was culturally appropriate. However, majority of respondents 25 (83.3%) were laughed at or criticized for using infant feeding options by 12 (48%) friends, 7 (28%) community members and 6 (24%) relatives yet 25 (83.3%) reported that fear of being laughed at prevented use of using infant feeding options. Furthermore, all respondents 30 (100%) reported facing challenges in using infant feeding options including 14 (46.7%) lack of support by family members and friends, 10 (33.3%) baby not feeding well and 6 (20%) unnaturalness of some methods. We therefore, recommend national sensitization programs about MTCT of HIV as well as how this could be reduced and prevented through adequate and effective use of replacement infant feeding options, supporting health facilities offering EMTCT programs with subsidized infant feeding options such as formula in an effort to improve uptake and utilization of this safe replacement infant feeding option.
Keywords: Infant feeding, Serere District, feeding options, infant formula.
Similar to KNOWLEDGE GAPS IN MALARIA MANAGMENT IN CAMEROON.pptx (20)
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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KNOWLEDGE GAPS IN MALARIA MANAGMENT IN CAMEROON.pptx
1. TOPIC:
ASSESSING THE KNOWLEDGE GAPS IN MALARIA
MANGEMENT IN CHILDREN BELOW 5 YEARS: A CASE
STUDY OF THE BAFOUSSAM BAPTIST HOSPITAL
PRESENTED BY:
SEGHA ELKANA ACHOOH
MATRICULE:
KIU/HIHMATech/002/21/SHEC
SURPERVISOR
DR. SHEI CLAUDE NFOR (MD)
DEPARTMENT OF MEDICAL LABORATORY SCIENCES
2. PLAN OF WORK
Introduction
Objectives
Methodology
Result/Discussion
Conclusion
Recommendation/Limitation
References
3. INTRODUCTION 1/4
Malaria is a vector borne infectious disease caused by
protozoan parasites of the genus Plasmodium and is
transmitted by an infected female Anopheles mosquito.
Until the late 19th Century, the contributory agent for
malaria was largely unknown.
Malaria is one of the commonest infections,
disproportionately affecting children and pregnant women.
4. INTRODUCTION 2/4
In 2019, an estimated 409,000 people died of malaria. Most
(274,000) were young children, and 94% of the infections and
deaths occurred in Africa. (WHO, 2019)
Children under five years are one of the most vulnerable groups
affected by malaria. Severe anaemia, hypoglycaemia and cerebral
malaria are features of severe malaria more commonly seen in
children than in adults.
According to the WHO 2016 report, the global prevalence of
malaria among under-five children was 16%. In the same year, the
prevalence in Ethiopia was 0.6%.
5. INTRODUCTION 3/4
Malaria is the most widespread endemic disease in
Cameroon, responsible for 2.7 million reported cases,
and absenteeism from school and work annually. It
continues to be a major public health problem and is
the first cause of infant-child morbidity and mortality
with a mortality rate in children under five, estimated
at 40%.
Much is being done to curb and eradicate malaria
infection by the government, USAID and more.
6. INTRODUCTION 4/4
The Government of Cameroon has made the fight
against malaria a priority, with a highlight in the
country’s Health Sector Strategy, and the adoption of
the High Burden High Impact stratification exercise in
the National Malaria Strategic Plan.
This plan covers the period 2019–2023 and is the fifth
iteration of a national strategy
In Bafoussam as well as other parts of Cameroon, it has
been observed that the prevalence of malaria in
children below 5 years still very high.
7. RESEARCH OBJECTIVES 1/2
General Objective: The main objective of the study
was to assess and understand the knowledge gaps in
the management of malaria in children below 5 years
of age in Bafoussam Baptist Hospital.
Specific Objectives:
Assess socio-demographic characteristics of
respondents
Assess prevalence of malaria in children under 5 years
old at Bafoussam Baptist Hospital
8. RESEARCH OBJECTIVES 2/2
Assess knowledge and practice of malaria prevention
strategies
Make recommendations
9. METHODOLOGY 1/3
Study design: It was a purposive or convenient
sampling of children under five and their guardians in
the first stage, and the second stage was a random
sampling of children and guardians by balloting to
avoid bias.
Study site: The study was conducted in Bafoussam,
Cameroon, specifically at Bafoussam Baptist Hospital.
This choice was due to the high prevalence of malaria
in children below 5 years.
Period of study: The study lasted for two months
from February to March 2023.
10. METHODOLOGY 2/3
Study population: The study population consisted of
children below 5 years old and their parents/guardians
who visited the hospital.
Inclusion Criteria: All children and guardians who
visited the hospital during the study period, were
prescribed malaria test and gave their consent.
Exclusion Criteria: children who were above the age
range and parents/guardians who didn’t give their
consent.
11. METHODOLOGY 2/3
Sample Size: The researcher determined the sample
size of 225 randomly selected children under five years
of age and their guardians based on various factors,
including statistical considerations, available
resources, and the desired level of precision needed for
this study.
Data Management: Questionnaires were
administered to the study participants, after the
responses from the questionnaires were assembled
and imputed into excel spread sheet. Analysis was
done using excel to obtain results in tables and
frequencies and percentages.
12. RESULTS AND DISCUSSION
Demographic Characteristics of the study population:
In terms of age of children, according to this study, majority of
respondents (31.11%) were aged 37-48 months.
Majority of respondents have completed secondary education (40%),
followed by tertiary education (38%).
80% of respondents live in urban areas, while 20% live in rural areas.
Overall, these percentages suggest that the study population is diverse
and representative of different backgrounds and experiences.
13. RESULTS AND DISCUSSION
Knowledge on causes of malaria:
90% of respondents have knowledge on the causes and modes of
transmission of malaria, while 10% had no knowledge about it.
Knowledge on modes of control and prevention:
27% of respondents know that LLINs prevent malaria, 22% are
aware that keeping their environments clean prevents malaria,
21% are aware that wearing protective clothing prevents
mosquito bites, 13% can place nets on their windows and doors
while 4% know about insecticide sprays.
14. RESULTS AND DISCUSSION
Prevalence of malaria amongst children below 5
years in Bafoussam:
225 children took part in the study, 98 (43.55%) males
and 127 (56.44%) females.
104 (46.22%) tested positive for malaria
of those who tested positive for malaria 44 (42.3%)
were males and 60 (57.7%) were females.
This study shows that the prevalence of malaria in
children under 5 years old in Bafoussam was high.
15. RESULTS AND DISCUSSION
Knowledge gaps in the prevention, control and management of
malaria:
Factors such as
- Improper usage of LLINs,
- Not keeping environmental cleanliness,
- Staying outdoors late hours into the night,
- Misconceptions about malaria, IPT, LLINs, Poverty,
- The belief that malaria is part of life and is seen as normal and natural.
- The confidence some have in their ability to resist infections
- CHWs inadequate knowledge regarding the management of malaria.
- This suggests a great knowledge gap. These gaps provoke negative attitudes
towards the prevention, control and management of malaria.
16. RESULTS AND DISCUSSION
The findings are consistent with those carried out by Bamou et al, (2022), Talipouo et al, (2019)
and NN Chi et al, 2023 who saw that the reasons for the high prevalence of malaria
- despite good knowledge of malaria, high possession and utilization of control measures by
population, transmission of malaria still persists.
- CHWs’ level of education should be greatly considered when selecting CHWs since more
educated CHWs were likely to carry out better practices when managing childhood malaria.
- This study's findings can guide healthcare professionals on the need for more training on
malaria related attitudes and practices in order to better prevent the infection.
- More sensitization needs to be done to improve adherence to good practices concerning
malaria prevention and treatment.
17. CONCLUSION
The prevalence of malaria in children below 5 years in
Bafoussam Baptist Hospital was relatively high.
The study found that there is a need for changes in
people's beliefs, attitudes and behaviours towards
using LLINs and indoor spraying with residual
insecticides, as well as seeking early, effective
diagnosis, treatment, vector control and personal
protection.
There is need for education, public–private
partnerships, and community awareness.
18. RECOMMENDATIONS
A well-planned, strategic document on education, information and communication be
drafted to use in education and information of the population on ways to prevent and
control malaria.
It is hoped that this randomized study gives trends in Bafoussam that with further
studies/reviews could guide decision makers in issues surrounding knowledge gaps on
malaria. For further studies, larger-scale studies should be conducted to increase the
generalizability of the findings.
Future studies can be taken deeper to cover many communities and why not at national
level to enhance how knowledge, attitude and practice differs and contributes to the fight
against malaria.
Future studies may also be randomized prospective controlled trials and include many
more areas where trends of knowledge gaps in relation to malaria are compared with
those of the urban and rural areas.
20. Acknowledgement
I sincerely appreciate all the staff of Kesmonds
International University, particularly my supervisor, Dr.
Shei Claude Nfor.
Dr. Nfor Emmanuel of the CBCHS malaria control and
prevention program.
My HOD Mr Ngala Emmanuel for his continuous
encouragement.
My wife and children, for their push
Everyone who assisted me, I am so grateful.
Above all, I am grateful to God Almighty for life and health.
21. Some References
A Manual for An Effective Education, Information And Communication On Malaria: Malaria Communication
Strategy, 2022. CBCHS MALARIA CONTROL AND PREVENTION PROGRAM
http://cbchealthservices.org/malaria-control-and-prevention
Children and malaria: treating and protecting the most vulnerable: Medicines for Malaria Venture, January 2019
Knowledge, attitudes, and practices regarding malaria control among communities living in the south Cameroon
forest region Roland Bamou 1 2 $, Timoléon Tchuinkam 1, Edmond Kopya 2 3 #, Parfait Awono-Ambene 2,
Flobert Njiokou 3, Joseph Mwangangi 4 5, Christophe Antonio-Nkondjio 2 6
https://doi.org/10.1016/j.ijregi.2022.11.003
Malaria prevention in the city of Yaoundé: knowledge and practices of urban dwellers Abdou Talipouo, Carmene
S. Ngadjeu, Patricia Doumbe-Belisse, Landre Djamouko-Djonkam, Nadege Sonhafouo-Chiana, Edmond Kopya,
Roland Bamou, Parfait Awono-Ambene, Sylvain Woromogo, Sevilor Kekeunou, Charles S. Wondji & Christophe
Antonio-Nkondji May 2019
Malaria prevention knowledge, attitudes, and practices (KAP) among adolescents living in an area of persistent
transmission in Senegal: Results from a cross-sectional study Fassiatou Tairou 1, Saira Nawaz 2, Marc Christian
Tahita 3, Samantha Herrera 4, Babacar Faye 1, Roger C K Tine 1 2022 Dec 1;17(12):e0274656. doi:
10.1371/journal.pone.0274656.