Archive

Health Reform through Financing Control of Epidemic Diseases in Uganda: A New Direction in Policy and Practice

Emmanuel Otieno*

    On August 14, 2024, World Health Organization (WHO) de-clared the increasing spread of Mpox in Africa as a Public Health Emergency of international importance with over 17,000 cases reported globally since the beginning of 2024 [1]. In response, World Health Organization (WHO) appealed for US$135 million to support member states over a 6-month period, as they began implementing priority public health measures [2].


Characteristics of Sweetened Beverage Consumption -The Case 0f Umm Al-Fahm

Samira Obeid; Michal Mashiach-Eizenberg; Najah Jabareen; Ronit Endevelt; Ofra Halperin*

    To examine personal and social predictors of Sugar-Sweetened Beverage (SSB) intake among adults in a low socioeconomic population in Israel, and to assess the association between knowledge, attitudes, and SSB consumption behaviors. A cross-sectional telephone survey was conducted with 628 randomly selected adults from the population registry of Umm Al-Fahm, an Arab city in Israel.


Exposure to Faecal Contaminated Tap Water in Early Pregnancy: Incidence of Gestational Diabetes Mellitus and Subsequent Type 2 Diabetes

Ritva Kannisto*; Maarit K Leinonen; Jaana I Halonen; Kati Tihtonen; Mika Gissler

    In Finland a water supply accident exposed over 9000 inhabitants to a wide spectrum of human faecal microbes through contaminated tap water for two days in 2007. We hypothesized that the exposure equated with faecal microbiota transplantation. Since gut microbiome dysbiosis has been associated with metabolic disorders such as obesity and diabetes


Long Covid and Disability

Daniel Suárez Herández*; Elena Pascual Roquet Jalmar; Carlos Diego Coll

    Long Covid is a condition caused by Covid-19 infection that can have disabling symptoms and affect a person's ability to work. A survey found that almost 1 in 5 adults with prior Covid-19 infection reported long Covid symptoms lasting four weeks or longer.


Challenging Social Norms and Strengthening Gender Parity: The Ambition of Inclusive India

Vandana Dabla*; Satabdi Kashyap; Shikha Sharma

    To assess the recent trends in changing Sex Ratio at Birth (SRB) in India and the policies to address gender imbalances. The challenge of gender disparity at birth through a skewed sex ratio is not uncommon in low-and-middle income countries.


A Low Middle-Income Community's Perceptions About PCMH: An Exploratory Study from Urban Pakistan

Sabeen Shah; Asra Qureshi; Rabia Jaffar; Shirin J Reshamwala; Yasmeen Noornabi; Rashida Ferrand; Judith Wylie-Rosett; Unab I Khan*

    In Pakistan, there is an urgent need to overhaul primary healthcare to improve access to affordable, high-quality services while balancing preventive care and treating episodic infections and chronic diseases. Patient-centered medical home model has been used to engage communities and provide context-relevant services.


"The AGE-RAGE Axis and its Crucial Role in Coronary Artery Disease- A New Era of Personalised Medicine"

Pradeep Kumar Dabla*

    Coronary Artery Disease (CAD) is a leading cause of morbidity and mortality worldwide, posing significant challenges to healthcare systems and societies at large. The disease manifests as a result of atherosclerosis, a condition characterized by the formation of atherosclerotic plaques within the coronary arteries, impeding blood flow to the heart muscle which can lead to angina, myocardial infarction, and potentially life-threatening arrhythmias.


Virtual Reality: Medical Students' Thoughts & Perspectives on The Pandemic & Chaos: A Twin City Pakistani Survey

Sana Nadeem*; Shazia Inam; Uzma Hayat; Shazia Imran; Zarmina Saga

    The COVID-19 pandemic brought about drastic changes in the way we teach medical students. As the universities shut down to contain the pandemic, teachers and educationists were forced to contemplate upon ways and means to continue teaching our vast medical curriculum, while the students stayed at home, having their world turned entirely virtual.


Double Sequential Synchronised Cardioversion for Refractory Unstable Ventricular Tachycardia: A Case Report

Muhammad Khidir Mohd Kamil*; Nurul Najwa Othman; Mohd Anizan Aziz; Samsu Ambia Ismail

    Nowadays, Treatment for refractory unstable Ventricular tachycardia (VT) with a pulse remained a challenge. Antiarrhythmic are recommended, although there is a risk of exacerbating hypotension in a patient who is already hemodynamically unstable. Herein, we described the double sequential synchronised cardioversion (DSSC) technique for treating a patient with refractory unstable VT with a pulse.


KAPs on Milk Quality and Associated Factors for Milk Contamination in Selected Districts of East Hararghe Zone, Oromia County, Ethiopia: A Thesis Proposal

Bekiyad Shasho Daro

    Nowadays, zoonotic pathogens are major contributors to human food borne diseases in both developed and developing countries, and still a major challenge to human informed as being associated with the persistence of health worldwide [1]. It was reported by [2] that contribution and liability of veterinary medicine promotes a well-being of human health.


The Importance of Measuring Heart Rate Recovery Alongside Aerobic Capacity; A Role For HRV?

Daniel Donnelly*; Emmanouil Georgiadis

    The article outlines the interplay between both branches of the ANS and explains why HRR should be utilised alongside conventional aerobic tests which are underpinned by sympathetic dominance. The article proposes HRVB as a practical solution to improve PNS efficiency and discusses why this should form an essential part of any cardiac health programme, and how research in this area can improve to facilitate better guidelines and field-based outcomes


Pectinase Production by Acinetobacter. oleivorans DR1 Using Date Fruit Wastes (Phoenix Dactylifera L.) as Substrate

Vibha Bhardwaj*

    Date (Phoenix dactylifera L.) is an important crop in desert regions of the Middle East and contributes significantly to human nutrition. It has been reported that the date palm trees produced million tons wastes across the world.


Covid-19 Vaccines and Public Health Efforts: A Brief Summary

Ianni Andrea; Orsini Massimiliano; Virgili Roberto; Marchetti Anna; Piredda Michela; De Marinis Maria Grazia; Petitti Tommasangelo*

    The road to Covid-19 vaccines has been a real challenge. The genetic sequence of SARS-CoV-2 was obtained in January, 2020: Earlier vaccinal studies began on Spring 2020 and in less than 12 months (December, 2020) the European Medicines Agency (EMA) could recommend the first conditional authorisation for a Covid-19 vaccine [1].


Knowledge, Attitudes and Practices Related To Brucellosis Among Community In Selected Districts Of West Shewa Zone, Oromia, Ethiopia

Milsan Getu Banu*; Amanuel Balemi Lemecha; Yismashewa Wogayehu

    Brucellosis is a bacterial disease caused by various Brucella species, which mainly infect cattle, swine, goats, sheep and dogs. Humans generally acquire the disease through direct contact with infected animals, by eating or drinking contaminated animal products or by inhaling airborne agents. The aim of this study is to assess the livestock farming communities` knowledge, attitude, and practices related to brucellosis in Ada`a Barga, Dandi and Gindeberet districts of Oromia, Ethiopia.


SEMA3G is a Key IRGPI and Correlates with Immune Infiltrates in Head and Neck Squamous Carcinoma

Jintao Yu; Xia Sun; Yichen Zhao; Chang Zheng; Baosen Zhou*

    Head and neck cancer is the seventh most common type of cancer worldwide, and the development of immunotherapy is conducive to the preservation of function and the improvement of prognosis. We intersected the immune gene database ImmPort and InnateDB databases and selected specific modules by WGCNA. We performed uni-/multi-variate Cox regression analyses to screen their prognostic roles in HNSCC patients from TCGA. GO and KEGG were used to define the functional enrichment of specific immune gene modules.


Malaria Prevalence and Associated Factors in Children Under Five Years in Dokolo District, Northern Uganda: A Community-Based Cross-Sectional Study

Emmanuel Adooli; Hellen Driciru; Maria Nakiyingi; Patrick M Onencan; Mariam Teeka; Rogers Kalyetsi; EnochMuwanguzi; Edirisa J Nsubuga; Richard Migisha; Aggrey Byaruhanga*

    Malaria remains a major public health problem affecting children <5 years because of the weak immune system. Uganda set targets to control and eliminate malaria with interventions of most at-risk groups; however, infection rates remain high in Northern Uganda, especially Lango region. This study determined the prevalence and risk factors of malaria and identified among children <5 years in Agwata Sub-county, Dokolo District, Northern Uganda.


The Inadvertent Violation of the Civil and Constitutional Rights of Physicians by the Federal Government

Farid Gharagozloo; Robert Poston; Rainer Gruessner*

    In 1986, the US Congress passed the Health Care Quality Improvement Act of 1986 (HCQIA).(1) HCQIA was designed to protect the health and safety of the public by 1) enhancing the Peer Review process through protection for peer review members from lawsuits, and 2) providing a national repository for reported information regarding medical malpractice payments and adverse actions involving physicians.


Characteristics of Urinary Tract Infections Caused by Escherichia Coli Isolated from Community Patients in Londrina, Paraná, Brazil, From June 2016 to May 2019

Zuleica Naomi Tano; Renato Rubia Garcia Junior; Julia da Silva Pimenta; Juliana Buck Dias; Maria Julia Onça Moreira; Sofia Rodrigues da Silva; Ariane Tiemy Tizura; Vanessa Koga; João Gabriel Material Soncini; Eliana Carolina Vespero*

    Uropathogenic E. coli (UPEC) group, classified as Extraintestinal pathogenic E. coli (ExPEC), causes around 90% of community-acquired Urinary Tract Infections (UTIs). These strains have increased its level of antimicrobial resistance to frontline antibiotics due to the indiscriminate use of antimicrobials


Low Health Literacy (LHL) Facts

Abdul Kader Mohiuddin

    In order to access, comprehend, and use information to make decisions about their health, people must possess certain personal traits and social resources, which are referred to as health literacy. Patients’ ability to engage in complex disease management and self-care is strongly related to their level of health literacy.


Immune Response to Tuberculosis among Diabetes Patients-A Natural Disaster in Human Defense Mechanism

S Kalpana

    Focus on the potential connections between DM and TB is growing as the Diabetic Mellitus (DM) pandemic spreads in nations where TB is also widespread. Diabetes is a complicated condition that includes multiple types of dyslipidemia in addition to hyperglycemia. However, it is unclear how much these underlying metabolic variables contribute to a higher vulnerability to TB.


Causes of Discontinuity and Becoming Inactive of Blood Donation among Donors in the National Blood Bank Service, Addis Ababa, Ethiopia: A Retrospective Cohort Study

Seid Ali Tareke

    The demand for blood and blood products is increasing all over the world. Despite the fact that many people are eligible to donate, the number of people who donate on a regular basis within the recommended time frame is also very small. This study aimed to assess the determinant factors of time to return of voluntary blood donors at the National Blood Bank Service, Addis Ababa, Ethiopia.


Pesticide Occurrence in Food, Water, and Human Biomonitoring in Lebanon-A Health Repercussion

Akkouch Nisreen*; Halwani Jalal

    The regular use of plant protection products in modern agriculture improved the quality and quantity of yield products. Exposure to pesticides through water, food, or breathing polluted air has become a significant public health burden. In Lebanon, agriculture activities are not tightly controlled.


HIV Counseling and Testing Uptake, Knowledge, Attitude and Influencing Factors among Student Nurses and Midwives in the Gambia: An Institutional -Based Cross-Sectional Study

Sang Mendy; Ousman Bajinka; Amadou Barrow; Sun Mei

    The key intervention in prevention and controlling the spread of HIV, counseling and testing (HCT) is pertinent across the globe. Despite this pandemic, However, HCT intervention is still undertaken and more especially, in sub-Saharan Africa. Student nurses formed the largest group undergoing health care training in the country compared to doctors and other health cadres. Also, student nurses are usually in their youthful age and according to WHO, they are part of the most vulnerable group to HIV infection.


Effectiveness Evaluation of a Mental Health Intervention Aimed at Healthcare Networks Personnel during Covid-19 Pandemic: Qualitative Analysis from Gender Perspective

Julia Martin*; Julieta L De Battista

    The objective of this research was to evaluate effectiveness of psychological intervention performed with the use of Information and Communication Technologies (ICTs) for health personnel from first-level care networks in Berazategui, part of the metropolitan area in Buenos Aires, Argentina.


Informative Statistical Analysis on COVID Pandemic and Population as a Whole

Christian Osagie; Chukwuemeka Ezeliora Daniel; Chinenye Adaobi Igwegbe; Soumya Ghosh; Shabnam Ahmadi*

    COVID-19 is the latest pandemic that has triggered respiratory diseases worldwide at an alarmingly fast pace. The symptoms of this disease are acute respiratory illness, hyperthermia, cough, sore throat, breathlessness and diarrhea. The present study through a statistical analysis relates the COVID-19 incidence and mortality dynamics. The required data (i.e., total number of confirmed deaths reported globally in the year 2020, by 23rd July, the population in millions, and number of deaths per million) was collected.


Low Health Literacy: Treacherous Foe of Patient Compliance in Developed Countries

Abdul Kader Mohiuddin

    Health literacy enhances a population’s self-care capacity and helps to reduce health inequalities. Low health literacy (LHL) is associated mostly with mature patients with chronic health conditions, who have limited education, not necessarily from a lower income group, and those who cherish superstitions and stigma inside their preset narrow mind that prevents them from gathering some relevant information about health or health system access, diseases, and drugs from their surroundings, with a few exceptional cases.


Skin Cancer’s Presentation and Management at a Tertiary Referral Center before and after Covid-19 Pandemic, A Study Protocol

Simone Benedetti; Andrea Frosolini*; Paolo Gennaro; Gabriele Guido

    Basal Cell Carcinoma (BCC) and Cutaneous Squamous Cell Carcinoma (CSCC) represent very common types of cancer, whose incidence is rapidly rising. During the COVID-19 pandemic, several studies reported a significant decrease in skin tumours operated compared with the previous years, with a concomitant increased proportion of treatment of large skin tumours.


Evaluation of Four Enzyme-Immunoassay Diagnostic Kits Available in the Market of Uzbekistan for Detection of Anti-Hcv Antibodies as a Part of the Quality Assurance Program for the Hepatitis C Elimination Campaign in Uzbekistan

Erkin Musabaev*; Nataliya Kan; Renata Ganieva; Tonya Hayden; Saleem Kamili; Elizaveta Joldasova; Malika Khodjaeva; Aybek Khodiev

    When diagnosing viral hepatitis, the leading directions of laboratory service work are the determination of the most informative methods of detecting infection markers, determination of criteria for objective evaluation of the results obtained, development of optimal algorithms of laboratory tests, and implementation of quality improvement systems for detecting infection markers. Therefore, affordable and high-quality ELISA test kits play an important role in the primary diagnosis of HBV and HCV infection...


Screening for Incidental Sars-Cov-2 Infection in a Neurocritical Care Unit: A Longitudinal Diagnostic Prediction Model

Jens Boss; Jan Willms*; Philipp Karl Bühler; Christoph Ganter; Sascha David; Peter Steiger; Giovanna Brandi; Marko Seric; Daniel Baumann; Emanuela Keller

    Background: Rapid diagnosis of SARS-CoV-2 infection in patients not primarily assigned with the diagnosis of COVID-19 is highly relevant to effectively rule out virus transmission among patients and medical staff.
    The purpose is to develop a model for the prediction of the actual presence of a SARS-CoV-2 infection before a valid test result is available and to avoid unnecessary testing in Critical Care Units.


Lumpy Disease A Developing Trans-Boundary Viral Skin Disease

Chanchal Chandak*; Kiran Gaikwad; Jaya Ambhore; Priyanka lande; Nidhi Zanwar; Leena Joge; Vaibhav Adhao; Raju Thenge

    A novel neethling virus disease or similarly known as Lumpy skin disease, is an evolving bovine viral infection. This is widespread in most African countries as well as in some Middle East zone, Asian and European countries. The virus that causes lumpy skin disease (LSD) is called the Lumpy Skin Disease Virus (LSDV), and it belongs to the Capripoxvirus genus of the Poxviridae family. It is a transnational illness with serious economic implications that affects cattle and water buffaloes...


Protective Behavior and Factor Associated with Inappropriate Personal Protective Equipment (PPE) Use among Frontline Disease Control Personnel during the Early Phase of Pandemic

Ranida Techasuwanna*; Panithee Thammawijaya; Bhurinud Salakij; Sopon Iamsirithaworn; Hirunwut Praekunatham; Hatairat Lerdsamran; Jarunee Prasertsopon; Thanit Rattanathumsakul; Pilaipan Puthavathana

    Background: Disease control personnel have an important role in preventing spreading of COVID-19, such as case screening, outbreak investigation, and contact tracing. This study aims to find out their protective behaviors and other associated factors with inappropriate PPE use, as well as the percentage of seropositivity by natural SARS-CoV2 infection in September 2020 during the period without any COVID-19 vaccine...


Seroprevalence of Helicobacter Pylori Infection at SIKASSO Hospital

Traore M*; O Traoré; D Samaké; BS Kéita; H Traoré; M Mariko; M Mariko; D Goita; DS Coulibaly; IKonaté; A Diarra; S Dao

    Introduction/purpose of the study: Helicobacter Pylori infection is probably the most common bacterial infection world wide. About 40% of the world’s population is affected. The aim of this study was toto assess the seroprevalence of H. Pylori infection at Sikasso hospital.
Method: Thisis a cross-sectional study that took place from April 01, 2019 to March 30, 2020 in the Laboratory/Blood Bank department of SIKASSO Hospital which receives patients over 15 years of age, of both sexes...


Potential Implications of the Phytohormone Abscisic Acid in Human Health Improvement at the Central Nervous System

Gastón Alfredo Pizzio*

    The plant hormone Abscisic Acid (ABA) has applications not only in agriculture, but also in human health. ABA is established as the key hormonal regulator of plant stress physiology, and it is also involved in plant growth and development under normal conditions. This phytohormone is present in the human body from dietary sources as well as from endogenous production through the carotenoid biogenesis pathway...


Prevalence Rate and Individual Factors of Physical Inactivity and Sufficiently Physical Activity in China-the 2017 Chinese General Social Survey

ZHANG Rui; CHEN Yijun; CHAO Wang-On; ZHAO Xiangfeng; PU Guanwen; ZHANG Heng; CHAN See-Ching; CHAN Kin-Sun

    Background: Under the influence of COVID-19, sedentary and home life has become a constant state of life, which affects people’s health and needs to do more perfect research on physical activity.
Methods: This paper adopts the national data of Chinese General Social Survey (CGSS). This paper adopts multinomial logistic regression model with insufficient active as baseline, moreover, it divides the change of the degree of physical activity into two stages, i.e. the stage from “inactive” to “insufficiently active”, and the stage from “insufficiently active” to “sufficiently active”.


Reptiles Extinction: A Perspective on the Current Heat Wave

Daniya Ualiyeva,#,*; Zafran Khan#

    World climate change is no longer far in the future, and its consequence has just begun. With growing temperature, it is becoming evident that the effect of heat stress on organisms trying to survive out of the temperature zones is increasing. Scientists report from different places of the planet the breaking records of the temperature that is directly impacting the biodiversity across the entire ecosystem. However, it has been neglected by human being at all levels of the society. For example, the current rise in temperature is unlikely ever observed...


First Case of Mucormycosis Death at a Tertiary Hospital in Sudurpashchim Province of Nepal

Yogendra Shah; Jagadish Joshi; Ramesh Shahi; Chet Raj Joshi; Govind Prasad Gupta; Deepak Pokharel; Kamal SinghKhadka; Dhan Kumar Pant; Kishor Pandey; Shyam Prakash Dumre; Basu Dev Pandey; Sher Bahadur Pun; BikkyShrestha; Sushil Dhakal

    Fungal infection is mucormycosis, commonly known as black fungus, caused by severe fungal infection developing an epidemic within a global pandemic of COVID-19. Nepal has reported the first cases of black fungus that mostly reported thousands of COVID-19 patients in neighboring countries of India. Therefore, the government of Nepal should be developed for an identification protocol to ensure effective early screening, diagnosis, treatment, and management in the current scenario of Nepal population to tackle against the fungal infection on going global pandemic COVID-19...


COVID-19 Vaccination-Induced Rhabdomyolysis and Hyponatremia Complicated with Acute Kidney Injury

Muhammad Khidir Mohd Kamil*; Aliyah Zambri; Rishya Manikam; Tan Guo Jeng

    COVID-19 vaccine-induced rhabdomyolysis is rare. The concurrent presentation of rhabdomyolysis and hyponatremia secondary to COVID-19 vaccine has never been reported. A 54-year-old gentleman had developed rhabdomyolysis two days after receiving his first dose of the AstraZeneca (ChAdOx1 nCoV-19) vaccine. His initial Creatine Kinase (CK) and sodium level were 12,588 U/L and 113mmol/L, respectively. He was treated with two-steps fluid management strategy...


Salt Consumption and Hypertension and in Young Adult Girls

Rita Patil*; Supriya Khedkar

    The prevalence of hypertension is increasing in Indian adolescents and young adults. The increase in prevalence is attributed to factors like changed dietary habits (consumption of processed food) and a sedentary lifestyle. Hypertension which develops in childhood/ adolescence persists in adulthood. This study was conducted to determine salt consumption and hypertension in girls between 18-20 years of age. The study included 120 girls from different colleges in Mumbai...


What is known about the SARS-CoV-2 Omicron BA.2 Sub-Variant?

Zafran Khan*#; Daniya Ualiyeva2#

    In November 2021, for the first time, a new variant omicron (B.1.1.529) of SARS-CoV-2 was reported to World Health Organization (WHO). It quickly became evident that the four genetically distant variants (BA.1, BA.1.1, BA.2, and BA.3.1) of viral lineages existed. Each of them had a unique set of mutations. In the beginning, the BA.1 was the most circulating variant worldwide...


Reptiles in Decline: Eco-Toxicological Prospective

Daniya Ualiyeva*; Zafran Khan*

    Chemical fumes/sprays are one of the risk factors, which challenging the reptile population’s welfare. Worldwide the reptiles and amphibians are vanishing at an alarming rate. The causes are unclear in most cases, although they are believed to be caused by human-made contamination of the environment. According to recent studies, most herbicides/pesticides in the aquatic setting can destroy animal endocrine systems....


Heavy Metals in Slaughtered Cow Meat in Kaduna State, Nigeria

Suleiman Usman; Uthman Shehu Lawal; Adebayo A Oladimeji

    Background: Heavy metals are chemical substances mainly present in water and soil. They exist as natural and or synthetic element in water, soil and industry. This element often finds their way into human through inhalation, contact and ingestion. The exposure to animal could be through eating polluted grass/food, air and or water result in deposition in their organs.


Maternal Health Services as Determinant Factors for Low Birth Weight in Public Hospitals of Addis Ababa, Ethiopia: A Case - Control Study

Yonas Abebe*; Maedot Kebede; Tomas Getahun; Marekegn Habtamu; Behailu Tariku; Esubalew Tesfahun

    Background: The birth weight of a newborn has a substantial impact on infant mortality, morbidity, development, and long-term health. It is determined by the mother’s overall health status. More than 20 million babies are born with low birth weight across the world. In developing countries, almost 17% of all newborns are born with low birth weights, with no exception in Ethiopia. Alleviating this problem, needs a clear understanding of the determinants...


The Functional Outcome of Normal or High Blood Pressure in Patients with Chronic Glomerulonephritis and Nephrotic Syndrome is Dependent on Association with Functional, Histologic and, Proteinuric Parameters

Claudio Bazzi

    Background: Normal (BP0) or high Blood Pressure (BP1) are variably present in patients with chronic Glomerulonephritis (GN) and Nephrotic Syndrome (NS). At biopsy each BP0 or BP1 patient is associated with different values of renal function, urinary proteins excretion and renal lesions severity [GGS%, TID and AH score]. Thus, outcome of BP0 and BP1 may be dependent in every patient by the associations with these parameters and by eventual treatments with immunosuppressive agents.


Molecular Detection of Aflatoxin Producing Aspergillus Species Isolates in Some Chicken Meat Cuts in Gharbiya Governorate, Egypt

Shaltout FA; Heikal GI; Ghanem AM*

    Contamination with fungi and their toxins is considered one of the most dangerous hidden pollutants that threaten the health of the consumer. The presence of mycotoxins in various foods has been recorded, despite their apparent safety for human consumption. Therefore, the current study was conducted to evaluate the prevalence of Aspergillus species by culture method...


Pregnancy Outcome of Hemolysis Elevated Liver Enzymes and Low Platelet Count Syndrome at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia: A Retrospective Cross Sectional Study

Muhudin Arusi*; Wondimu Gudu; Knife Haile; Abdulfetah Abdulkadir; Abraham Fessehaye; Yasin Awol wabe

    Introduction: HELLP syndrome is a life-threating complication in pregnancy that occurs in 0.5 to 0.9% of all pregnancies and in 10-20% of cases with severe preeclampsia/eclampsia with increased rate of both maternal and perinatal morbidity and mortality. The aim of the study is to assess maternal and perinatal outcome of HELLP syndrome at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia...


Descriptives of Intellectual Capital in the COVID-19 Era

Eleazar Villegas Gonzalez; Gilberto Bermudez Ruiz; Cruuz Garcia Lirios*; Rosa Maria Rincon Ornelas; Arturo Sanchez Sanchez

    The objective of this study is to discuss the relationship between the features of the millennial generation and their intellectual formation based on consensus between the parties. A documentary study was carried out with a non-probabilistic selection of sources indexed to international repositories, considering the period from 2019 to 2021 and the keywords...


The Outcome of People Screened For Hepatitis B, in a Community-Based Setting in Ouagadougou, Burkina, 2018-2020

Pauline Kiswendsida Yanogo*; Estelle Nadine Sanou; Nicolas Meda

    Introduction: The fight against hepatitis B in Africa requires knowledge of the epidemiology of the disease in community setting and, above all, patient follow-up. Our objective was to study the outcome of patients after screening for hepatitis B in a community-based setting in Ouagadougou in July 2018.
Methods: We conducted a descriptive cohort study of 787 people screened, sensitized and followed up for 18 months to describe their outcome after screening. Proportions were calculated.


Atrial Septal Aneurysm and Persistence of the Oval Foramen in a Young Patient with Breast Cancer: Risks, Uncertainties and Therapeutic Opportunities

Valerio Massimo Magro

    Cryptogenetic stroke is not a rare entity but represents about 30-40% of ischemic strokes and the pathogenetic mechanism at the basis is the passage of microemboli through the patent foramen ovale. The probability of having a second cerebral ischemic event increases if the patency of the oval foramen is associated with the presence of an aneurysmal interatrial septum. We took care of a patient who was then diagnosed with breast cancer and potentially cardiotoxic chemotherapy started...


Factors Associated with Rift Valley Fever in the Health District of Tchintabaraden in the Tahoua Region, Niger, 2016: A Case-Control Study

Mariame Bonkano Laurent Comlan; Pauline Kiswendsida Yanogo*; Fadima Radhia Diallo; Nicolas Meda

    Background: Following the reporting of animal cases of Rift Valley Fever in Tchintabaraden, Niger, we conducted a study to identify disease risk factors.
Methods: An unpaired case-control study was conducted. A case of Rift Valley Fever was defined as anyone living in Tchintabaraden with a fever (temperature≥38.5°C), with a gastrointestinal, vaginal, mucuous or nose bleeding, between August 2 and October 31, 2016. A control was a person living in Tchintabaraden without any symptoms of Rift Valley Fever at the time of the study. Proportions and Odds ratios were calculated.


Investigating COVID-19 Cases in the Health District of Touba, Senegal, March 10 to May 10, 2020: Factors Associated with the Infection

Ibou Gueye; Pauline Kiswendsida Yanogo*; Jean Kabore; Fadima Diallo; Nicolas Meda

    Background: The coronavirus pandemic continues to spread around the world. In Senegal, the number of cases continues to increase. The objective of this study was to identify the factors associated with COVID-19 in the health district of Touba.
Methods: This was an analytical cross-sectional study. Data were collected using investigation sheets, by individual interviews with suspected cases and contacts who were tested for COVID-19 between March 10 and May 10, 2020. Logistic regression was used to identify associated factors.


Prevalence of Anemia and Associated Factors Among Pregnant Women Attending Antenatal Care Service in Worabe Comprehensive Specialized Hospital, Silte Zone, South Ethiopia

Behre Dari Mosa*; Beker Feto Gemeda; Neja Awol Mohammed; Yasin Awol Wabe

    Objective: The aim of this study was to determine the prevalence of anaemia and associated factor among pregnant women attending ANC service in Worabe Comprehensive Specialized Hospital from September to December 2016, Silte ZoneSouthern Ethiopia.
Result: Out of 295 pregnant women that participated in the study 107 (36.3%) were anemic. Among the 295 pregnant women examined for intestinal parasite and malaria all none of them were negative for intestinal parasite and malaria.


Prevalence and Risk Factors of Occupational Brucellosis Among Veterinarians in the Kingdom of Saudi Arabia

Hussain Lulu Ghazi; Ahmed MS Alamain; Mubarak AM Mahmoud; Ibrahim Gasim; Elfadil Abdelhamid AM; Ali Alkarar; Ali A Alsahaf; Ali abdulal; Hussain Al Abdullah; Mohammed Babiker MH*

    Occupational brucellosis is one of the most important zoonotic diseases among veterinarians worldwide. Therefore, it is important to monitor the prevalence and risk factors associated with occupational brucellosis among veterinarian in Saudi Arabia.
The current study aimed to determine the prevalence of occupational brucellosis among veterinarians in different regions of KSA who work in MEWA, and identify the risk factors associated with the occurrence of disease in veterinarians.


Factors associated with multidrug-resistant tuberculosis in Guinea-Bissau from January 1, 2018 to December 31, 2019

Alberto Luis Papique\; Pauline Kiswendsida Yanogo*; Nicolas Meda

    Background: Drug resistance to anti-tuberculosis drugs is a major public health problem that undermines successes in TB control. In Guinea-Bissau there were 25 MDR-TB patients in 2017 for an estimated treatment success rate of 44%. It is imperative to act at the grassroots level to prevent the emergence of such resistance, but no similar study has been carried out in the country. The objective of the study was to determine the factors associated with multidrug-resistant tuberculosis in Guinea-Bissau...


Why do Patients Seem to be Older After COVID-19 Treatment?

Huang Wei Ling

    Introduction: The author decided to write this article after seeing the photo of one patient before the COVID-19 treatment and after her admittance in the hospital to treat this infection (that showed that she became 10 years older than before the infection treatment).
Purpose: To demonstrate why patients that was undergoing COVID-19 treatment seems to be older after this treatment...


Treatment of Ambulatory Care Sensitive Conditions in the Emergency Department: What do Patients Expect?

Steven H Saef*; Greg A Hall; Sarah A Katchen; Cameron J Weekley; Virginia B Shipes; Candace A Moorer; Mary Claire Lark; Warren C Harvey; Renee L Martin

    The idea for our study came from the experience of one of our authors (SHS) with a nurse practitioner-run Emergency Department Follow-up Office (EDFO) at an urban, academic Emergency Department (ED) in the 1980s [1]. The role of that EDFO in supporting patient care and addressing provider concerns seemed indispensible to the practice of Emergency Medicine (EM) in an academic, urban environment. Indeed, our author’s follow up office to this day continues to meet the needs and expectations...


Effectiveness of Mandatory Vaccination Programs in the United States

Wiley Abbott*; Satesh Bidaisee

    Vaccinations have been a widely debated topic in recent years due to many vehement accusations that they cause autism in children. The accuracy of these accusations has been repeatedly studied across the globe, and the unanimous consensus has been for years that vaccines do not cause autism. Despite these findings, the number of unvaccinated individuals in the United States continues to grow, which in turn has brought about the return of infectious diseases, which had an exceedingly low incidence rate in past years...


Prevalence of Lyme Disease Across the United States with a Focus on Pennsylvania

Nicole K Clark; Satesh Bidaisee*

    The focus of this study is on the prevalence of Lyme disease and the common factors that contribute to this prevalence. Borrelia burgdorferi, hereafter referred to as B. burgdorferi, is the bacterium that causes Lyme disease. B. burgdorferi is a zoonotic bacterium found in Ixodes scapularis, commonly referred to as the Blacklegged tick or the deer tick. The purpose of this literature review is to analyze peer-reviewed resources to determine the prevalence of Lyme disease across the United States of America...


The Rise of an Invisible Enemy (Salmonella) in the United States

Christian Small; Satesh Bidaisee*

    Background: 1945 marked the end of World War II; however, the United States was unaware of an upcoming battle with an invisible pathogen which would linger for decades to come. The war’s conclusion meant thousands of troops returning to the United States. It was quickly realized the need for urgency in shoring up food production. To keep pace with the increasing population, farms and slaughterhouses took sanitary shortcuts...


Cellular and Humoral Factors of Oxidative Burst in COVID-19 Patients with Malaria Parasiteamia

Ganiyu Olatunbosun Arinola*; Fabian Victory Edem; Olusegun Ayinla Fashina; Oyejide Afolabi Olaniyan; TemitopeOluwagbenga Alonge

    Background: Potential impact of malaria parasiteamia on SARS-CoV-2 susceptibility and severity remains unclear. We determined the cellular and humoral factors of oxidative burst (aspect of innate immunity) of COVID-19 patients having malaria parasiteamia as a mechanism to understand the pathogenicity of SARS-CoV-2 in malaria patients.


Analysis of Perception of Government Run Public Healthcare Set-Ups in a Southern State of India - A Cross - Sectional Questionnaire-Based analysis

Manoharan Gautaman*; Savariyappan Andrew Michael; Jayakumar Sylvia; Vedamuthu Francis Adaikalam; Vidyasagar Devaprasad Dedeepiya; Mani Sivasubramaniam; Chocanathan Vetrievel; Johnrose Austin Jayalal; Rajappa Senthilkumar; Senthilkumar Preethy; Samuel JK Abraham

    Background: Public healthcare set-ups in India face formidable challenges and is lagging far behind from private set-ups. However, in some states, there is a difference. Tamil Nadu, a southern state in India has been christened as the Medical capital of India as it has one of the best healthcare services in India and a very well-established public-health care system. Several studies have outlined the facilities of public-healthcare set-ups in Tamil Nadu as being superior to that found in other states in India but there is no study so far that has captured the perception of people in the state of Tamil Nadu on them...


Association of Socio-Demographic Factors with Smoking in the Cypriot Population: Results from a Population-Based Survey

Keke Chukwudi; Maria Karekla; Costas A Christophi*

    Background: Smoking remains one of the leading preventable causes of premature death, disease, and disability in the world. Previous studies have considered various factors that influence smoking prevalence in the Cypriot population, however, smoking behaviour remains highly prevalent in the population. The present study aims to use recent data to estimate the smoking prevalence and identify socio-demographic factors associated with an increased likelihood of smoking within the Cypriot population...


Global Concerns of Mutated SARS-CoV-2- An Overview

S Kalpana

    Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), the 2019 coronavirus disease (COVID-19) causative pathogen, is a member of the Coronaviridae family of single-stranded positive-sense RNA viruses with a genome size of approximately 30 kb. Researchers have sequenced nearly 4,10,000 genomes of SARS-CoV-2 since its emergence in China in December 2019 and shared the details on the Global Initiative on Sharing All Influenza Data (GISAID) database...


Detection Of Anti SARS-COV 2 Specific - IgG and - IgM Antibodies in Covid-19 Patients Using Rapid Screening Immunochromatographic Cassettes

Ganiyu O Arinola*; AbdulFattah A Onifade; Fabian V Edem; Surajudeen A Yaqub

    Background: SARS-COV 2 is a novel and rapidly spreading virus without specific drug treatment, thus the need to understand the dynamic of host antibody responses for possible plasma therapy.
Aim: To determine the prevalence of anti-SARS-COV 2 specific -IgG and -IgM antibodies in COVID-19 Nigerian patients.


A Two-Phase, Single Cohort Study of COVID-19 Antibody Sera-Surveillance

JO Williams; L Watkeys; J Nash; C Whelan; AJ Davies; J Evans; KM Morris; PE James*

    Objective: The infectious corona virus, COVID-19 has high case mortality in those whom suffer with severe symptoms requiring hospitalisation. A major problem associated with COVID-19 is the spread of infection by a-symptomatic carriers, or those with mild symptoms. We aim to determine the antibody prevalence in a professional Welsh cohort and begin to explore the longevity of COVID-19 antibodies.


The Use of Cost Effectiveness Analysis for Critical Limb Ischemia: Systematic Literature Review

Katarzyna Kolasa*; Sarah Maria Saragih; Bella Huasen

    Background: There is limited knowledge about the utilization of cost effectiveness analysis (CEA) for the value assessment of Medical Devices (MDs) in the field of Critical Limb Ischemia (CLI). The objective of this study was two-fold. First, it was to provide relevant insight into the state of the art with respect to the use of CEA in the field of CLI. Second, it was to critically appraise the quality of included studies.


Intubation Rate In COVID-19 Patients: A Brief Review

Mohammad Yavari; Hossein Esmaeili*; Saba Asgari

    Background: Tracheal intubation is the placement of a flexible plastic tube into the trachea to maintain or keep an open airway. COVID-19 includes a wide range of symptoms such as fever, cough, and tiredness. Also, some complications of COVID-19 like respiratory failure and respiratory distress are life-threatening, therefore; they need conservation and supportive treatment strategies..


Treatment of COVID-19 Patients with Remdesivir: A Systematic Review and Meta-Analysis

Yaw Nkrumah; Steven H Saef; Erick Yuen; Sarah A Imam; Terrence E Steyer; Shaun A Nguyen*; Cassandra D Salgado

    The ongoing Coronavirus Disease 2019 (COVID-19) pandemic has challenged the global health community in unprecedented ways. To date, the novel coronavirus has infected over 25.6 million people and caused more than 853,000 deaths globally [1]. Although 80% of cases manifest as mild disease, approximately 6% of individuals develop life-threatening pneumonia requiring intensive care .


Treatment of COVID-19 Patients with Chloroquine, Hydroxychloroquine, and/or Azithromycin: A Systematic Review and Meta-Analysis

Erick Yuen; Lara Lambert; Steven H Saef; Yaw Nkrumah; Terrence E Steyer; Sarah A Imam; Shaun A Nguyen*; Cassandra D Salgado

    Background: Early in the pandemic, Chloroquine (CQ), Hydroxychloroquine (HCQ), and Azithromycin (AZ) were considered viable options due to promising results from preliminary studies.
Objective: To investigate the therapeutic efficacy of HCQ, CQ, and/or AZ in COVID-19 patients.


Coronavirus (COVID-19) Infections and Vaccines

SA Abd EL-Latif

    The virus that causes COVID-19, is SARS-CoV-2, was confirmed a common virus on March 11th 2019. With over 50 million cases and 1.2 million deaths around the world, Thus, the race to develop a COVID-19 vaccine is an urgent global imperative. There are over 165 vaccine candidates being developed, with 33 in various stages of clinical testing. COVID-19 has brought unprecedented society level attention on a truly global scale into antibody and vaccine science and technology.


Ageing and Mental Health: A 3-Year Analysis on Elderly Psychopathology in Northwest Malaysia

Karniza Khalid*; Wei Chern Ang; Azrul Fitri Hashim; Siti Zulaiha Che Hat; Ruzita Jamaluddin

    Ageing population has increased rapidly over the recent decades, so as the prevalent of mental illness among the elderly population.
Objectives: Our study aimed to investigate the prevalence of mental health problems among the elderly in our setting, the common diagnoses of elderly (aged 60 years old and above) psychiatric referrals and their socio-demographic distribution.


Compliance of Dentists with Infection Control Practices in Primary Health Care Centers in Gaza Strip, Palestine

Amjad Elshanti*; Ali Aldirawi; Amira Al-Jamal; Sondos Jaser; Roaa Al-Astal; Heba Zaqout

    Background: Infection prevention and control of cross-contamination are essential in providing a secure environment for patients and healthcare workers within healthcare settings in general and more specifically in dental practices. The aim of the current study was to determine the level of compliance of dentists with infection control in primary health care centers in Gaza Strip (GS).


Incidence, Mortality, Socio-Demographic Profile and Prognostic Factors of Melioidosis in Northern Malaysia, 2014-2019

Siti Maisarah Md Ali*; Muhammad Radzi Abu Hassan; Chan Huan Keat; Mohd Azri Mohd Suan

    Melioidosis is a common endemic across Southeast Asia, Northern Australia, India and China. It is caused by a gram-negative bacterium named Burkholderia pseudomallei, which originates in muddy water and humid soil. The infection typically takes place following the direct contact with contaminated water or soil, mainly through an open wound, inhalation or ingestion [1,2]. Infected individuals are mostly asymptomatic, even though some may show symptoms ranging from fever, skin infection, pneumonia to multi-site abscesses.


Gastrointestinal Symptoms, Dietary Habits, and the Effect on Health-Related Quality of Life among Australian Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Patients: A Cross-Sectional Study

Breanna Weigel*; Natalie Eaton-Fitch; Rachel Passmore; Hélène Cabanas; Donald Staines; Sonya Marshall-Gradisnik

    Objective: Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a debilitating condition of unknown aetiology. Gastrointestinal symptoms and dietary sensitivities appear to be implicated in ME/CFS presentation; however, this has not yet been described in Australian patients. Therefore, this study aimed to describe the gastrointestinal symptoms, dietary habits, and food intolerances and the effect of health-related quality of life (HRQoL) among Australian ME/CFS patients.


Knowledge of Prevention of Dental Diseases among the Children Population of Armenia

Daniela Elena Costea*; Mikayel Ervand Manrikyan; Marina Mitush Markaryan; Izabella Frunze Vardanyan; Gayane Ervand Manrikyan; Anna Ashot Avetisyan

    Objective: One of the problems of improving dental care is the prevention of dental diseases. The aim of our work was to identify the awareness and the level of hygienic knowledge among school children to further increase the motivation of implementation and conduction of preventive measures.
Method: Analyzed 1465 questionnaires of the respondents of Armenia in 3 groups of ages.


How can Pareto’s Principle 80/20 Alleviate the Impact of COVID-19?

Feras Khalil Ibrahim Shakhatrah

    We always have the problem and the data which belong to it, and if we do not put this data in a simple, effective and proven template for analysis and to come up with appropriate recommendations to solve this problem, the situation may worsen in a very painful way, and our present problem is the Covid-19 pandemic with its many data and statistics, and we suggest to use the famous Pareto principle (One of the tools of quality and management) to combat this controversial epidemic According to an ethical law frame and safety culture and here present the integration among health, safety, quality environment.


What has Happened to the Implementation of Pictorial Warning Labels on U. S. Cigarette Packages?

Linda Pederson, PhD*; Evelyn Vingilis, PhD

   There is international consensus on inclusion of warning labels on tobacco products [1] (FCTC recommendations). The World Health Organization (WHO) has established guidelines in Article 11 of the Framework Convention on Tobacco Control (FCTC), including the size and location of the warnings [1]. In addition, WHO recommends that the warning include pictures [2-4]. As of June 2020, at least 125 countries have passed legislation to incorporate large pictorial health warnings on cigarette packages [4-7].


Child Sexual Abuse in the African Context: The African Perception

Meten E*; Tchouamo AAS; Niba LL; Chiabi A

   Child sexual abuse is a public health issue because of the pervasive nature, the adverse effects upon the health and well-being of victims, their families and the broader community. Its prevalence is high in Africa due to wrong beliefs, misconceptions and taboos. This calls for effective sensitization and communication in all the communities to prevent, identify and manage potential cases and as such curb this detrimental societal ill.


The LDL Paradox: Higher LDL-Cholesterol is Associated with Greater Longevity

Ravnskov U*; de Lorgeril M; Diamond DM; Hama R; Hamazaki T; Hammarskjöld B; Harcombe Z; Kendrick M; Langsjoen P; McCully KS; Sultan S; Sundberg R

   Objective: In a previous review of 19 follow-up studies, we found that elderly people with high Low-Density-Lipoprotein Cholesterol (LDL-C) live just as long as or longer than people with low LDL-C. Since then, many similar follow-up studies including both patients and healthy people of all ages have been published.


Living with Coronavirus in Peace and No Panic

Showraki M*; Showraki J

   The new coronavirus that is now popular with the title of COVID-19 around the world and boasting in spreading at a pandemic level, causing more panic than killings, is the seventh in the line of the class of coronaviruses. This family of viruses headed by the common cold or flu virus has lived in symbiosis with humans for long.


A Pilot Study to Evaluate the Knowledge and Perceived Health Effects of Climate Change in Lagos State, Nigeria

Adeneye AK*; Jegede AS; Awolola TS; Mafe MA

   Climate change is one of the challenges impeding malaria elimination. Given that Lagos is vulnerable to climate change effects, where public awareness programme and other mitigating interventions on climate change exist, we conducted this study to assess the knowledge and perceived effects of climate change, cultural definition of climate change and vulnerability to increased risk of malaria in Lagos State, Nigeria.


Challenges in Reducing Sugar-Sweetened Beverage Consumption through the Promotion of Water Intake: The Drink Smart in Schools Non-Randomised Pilot Trial

Elisa J Vargas-Garcia; Janet E Cade; Charlotte EL Evans*

   Consumption of Sugar-Sweetened Beverages (SSB) in Mexican children remains high with soft drinks accounting for 10% of energy intake. Greater intakes of SSB are associated with higher risks of weight gain, type 2 diabetes and the Metabolic Syndrome (MS). A 12-week educational programme was developed to target environmental resources including school water fountains and determine its effectiveness on water and SSB consumption.


Prevalence of Prescribing Errors in Treating Children with Asthma in Major State Hospitals in a District of Sri Lanka: A Cross-Sectional Study

Niranjala Perera; Chrishantha Abeysena*

   Due to the complexity of medical management, errors are common in medical prescriptions. The objective of the study was to describe the prevalence of prescribing errors related to hospitalized children with asthma in major state hospitals in a district in Sri Lanka. This was a descriptive cross-sectional study carried out in paediatric units of state hospitals of a district in Sri Lanka. The study population comprised of 577, 2-12-year-old children receiving treatment for acute exacerbation of asthma.


How many People may have Contracted COVID-19 and Whether any City has Reached Herd Immunity?

Kamiar Alaei*; Atena Farkhondeh

   There is a high uncertainty regarding the prevalence of the COVID-19. We used a fast tracked straightforward method to estimate the prevalence of people contracted COVID-19 on a daily basis, which may rectify the official reports. We used the CDC's recent 'best estimate' regarding fatality ratios as a proxy to make the best estimate of the total number of symptomatic people based on the predicted number of probable deaths.


Knowledge, Perception and Practices of Malaria Prevention and Treatment in Communities of Lagos and Niger States, Nigeria

Adeneye AK*; Olukosi YA; Brai BIC; Oparaugo CT; Agomo CO; Okoh HI; Aina OO; Ajibaye O; Iwalokun BA; Orok AB; Akindele SK; Akinyele MO; Enya VNV; Aniedobe MN; Adeogun AO; Olakiigbe AK; Awolola TS

   Given that child survival and maternal health particularly as it relates to malaria-related targets in Nigeria has remained challenging, this study examined health-seeking behaviour of people suspected to have malaria on the disease prevention and treatment in Ikorodu and Borgu local government areas of Lagos and Niger States, Nigeria respectively. This was a descriptive cross-sectional study conducted using semi-structured questionnaires and focus group discussions among fathers and mothers of under-five children in the study communities.


Postponed Elective Surgeries, the Nightmare of Developing Nations' Health Care System During and After Covid-19 Pandemic

Esubalew T Mindaye

   The World Health Organization declared the novel Coronavirus disease 2019 (COVID-19) as a global pandemic with an international emergency on March 11, 2020. As of September 2020, COVID-19 has swept through 216 countries and infected over 27,887,806 people killing 904,644 around the globe. The rapidly spreading outbreak imposes an unprecedented burden on the effectiveness and sustainability of the healthcare system for poor nations like Ethiopia, which have broken system even to deliver regular services.


Relationship Between Adherence to Mediterranean Diet with, Nutritional and Physical Fitness Status Among Young Athletes from Football Sports Academy- Palestine

Nihal Natour*; Manal Badrasawi; Monjed H Samuh; Raed Khodour

   Lifestyle and dietary habits are related to better health and better physical function and fitness. Mediterranean diet is considered one of the healthy diet which is recommended for athletes. The aim of the study was to investigate the relationship between Mediterranean Diet Adherence (AMD) and other healthy lifestyle indicators of health among members of sport academy clubs from Hebron in Southern West Bank.


Preliminary Examination of the Confluence of Mental Health and Discrimination on Functional Impairment across Racial and Ethnic Groups within the United States

Kimberly Y Yu*; Marisol Perez; Michael C Edwards; Thao Ha

   Mental health disparities in the US. Among racial and ethnic minorities are a serious public health issue associated with substantial ethical, economic and health costs. Racial/ethnic minorities exhibit more severe mental disorder symptomatology; however, very little research exists on how this impacts functional outcomes and quality of life.


Stress, Burnout, Somatic Symptoms, and Working Conditions in Residents and Senior Doctors

Martha Edilia Palacios Nava*; Maria del Pilar Paz Roman

   Burnout frequently is associated with stressors present in the medical field. The objective of this study was to identify the association between working conditions, stress burnout and somatic symptoms of residents and senior doctors. A cross-sectional study was carried out with 724 physicians from hospitals in Mexico City.


Imaging Features of Covid-19: A Review Article

Daba Abdissa

    COVID-19 mainly causing inflammatory lesions in the lungs and can also cause injury to other major organs. Imaging methods have an important role in the diagnosis and evaluation of treatment strategies for COVID-19. Chest imaging is important for diagnosis predict prognosis. Computed tomography plays an important role in the diagnosis and evaluation of the severity in compliment with the RT-PCR test.


Lessons from America's Experience with the Influenza Pandemic of 1918-20

Richard M Grimes

    Harry Truman said, "the only thing new in the world is the history you don't know." However, I believe, while history may repeat itself, it does so imperfectly. With that caveat, I would like to examine what we might learn from my understandings of the 1918-20 influenza epidemic that can be applied to the current COVID-19 outbreak.


Analysis of the Prevalence of and the Factors Influencing Springtime Childhood Respiratory Tract Diseases in Urban Chongqing, China

Wei Feng; Shunqing Luo; Yetao Luo; Xiaohua Liang*

    To investigate the prevalence rate and impact factors of springtime respiratory tract diseases in children in urban area of Chongqing. From March to May 2019, this study selected 2509 children in 5th and 6th graders from 4 elementary schools in an urban district of Chongqing City Proper. An epidemiological survey and pediatric pulmonologists inquiry were conducted to explore the prevalence rate of children respiratory diseases during one month.


People Living with Disability, The Ones Left Behind in the Pandemic

Tesfaye H Tufa

    Based on a joint report by world bank and World Health Organization, an estimated 15 million people in Ethiopia lives with some kind of disability. Over 95% of these people live in poverty and lack basic necessities, further adding to their daily challenges. There are multiple factors contributing to the existing disparities decreasing access to health care for disabled individuals.


Understanding, Acceptance, and Disclosure of Status Among Patients with Hepatitis C Virus Infection: A Qualitative Analysis

Siti Maisarah Md Ali*; Mohd Azri Mohd Suan; Mohamad Faiz Mustafa; Muhammad Radzi Abu Hassan

    Although the number of individuals contracted with hepatitis C virus infection is increasing, there is limited research locally on acceptance and disclosure of diagnosis among hepatitis C patient. This study aimed to explore views and experiences of patient following the diagnosis of hepatitis C infection at a tertiary centre in Kedah state, Malaysia.


Cell Mediated Immunity as a Weapon to Fight Against COVID19: A Brief Review

Kalpana S*; Raghul Ramachandran

    COVID-19 is not the first severe respiratory disease outbreak caused by the coronavirus. Just in the past two decades, coronaviruses have caused three epidemic diseases, namely, COVID-19, Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS). At present, the cases of COVID-19 have been found in many countries around the world.


Types of Face Mask and Control of Respiratory Pathogen COVID19: A Brief Review

Kalpana S*; Srinivas G

    Since the outbreak of Coronavirus Disease 2019 (COVID-19), the use of face masks has become common everywhere. All over the world, health authorities have enforced compulsory use of face mask policies in public places; however, World Health Organization (WHO) guidelines has adopted a risk-based approach in offering recommendations for using face masks among health-care workers and the public.


Brain Nutrients: Cerebral Metabolism and Micronutrients

Uwe Grober

   Optimal cognitive capacity is vital throughout all stages of life. Most notably a healthy nutrition in childhood and adolescence is crucial for brain development and cognitive performance. Micronutrients are an essential component of several general cellular functions as well as of functions to neurologic activity such as the synthesis of dopamine, serotonin, and myelin formation.


How to Avoid Coronavirus or Relief it is Symptoms by Natural Products

Amira Ragab El Barky*; Khloud Gamal Abd Elsalam; Tarek M Mohamed

   The spread of coronaviruses (COVID-19) globally resulted in numerous deaths and hospitalizations. It causes respiratory tract disease and fatal lung disease in humans. Vitamin C can manage a variety of viral infections. Honey was reported to be effective against the respiratory syncytial virus. Moreover, Ginger was effective in blocking viral attachment and internalization.


Mortality Analysis and Model Prediction of Children Under 5 years Old in a City of Northwest China

Weitao Liang; Fang Liang; Jin Bai; Yiping Hu; Rong Zheng; Li Pan; Zhilan Li*

   Background: The mortality rate of children under 5 years old is an important index to measure the quality of maternal and child health work of a region. We aimed to analyze the death status of children under 5 years old in a city of northwest China (Lanzhou) from 2012 to 2018 and establish a time series model to predict the death of children under 5 years old in 2019.


Analysis of Birth Defect Monitoring Data and Comparison of Prediction Models in Lanzhou, China

Guangzhuang Jing; Yanjun Yang; Li’ao Xie; Jun Zhang; Qingli Bai; Li Pan; Zhilan Li*

    Background: To analyze the distribution of birth defects in Lanzhou, China from 2012 to 2018, to forecast the prevalence in the future, and to provide evidence for prevention of birth defects. Materials and Methods: Monitoring datas for birth defects in Lanzhou from 2012 to 2018 were used to describe its epidemiological characteristics, such as the change of the prevalence and trend, urban-rural differences, the varieties and cis-position. Gray modeling, Curve estimation, Exponential smoothing, and ARIMA were used to predict the occurrence for the next year in the future.


Reliability and validity of the Myanmar version of the child oral health impact profile - short form 19

Zar Chi Kyaw Myint; Takashi Zaitsu*; Akiko Oshiro; Ko Ko Soe; Yoko Kawaguchi

    The original English version of Child Oral Health Impact Profile-Short Form 19 (COHIP-SF 19), used to evaluate the oral health-related quality of life, has been translated into Chinese, Arabic, and Portuguese. The aim of this study was to assess the psychometric properties of a Myanmar version of the COHIP-SF 19 (Myanmar COHIP-SF 19) and to identify the explanatory factors that impact the COHIP-SF 19.


Prevalence and Correlates of Electronic Cigarette Use Among U.S. Adult Survivors of Adolescent and Young Adult Cancer

Godfred O Antwi*; David K. Lohrmann; Wasantha Jayawardene; Cecilia S Obeng

    Use of e-cigarettes, which contain nicotine and other harmful substances, is trending upward and posing adverse health effects for users. A review of literate demonstrated a dearth of studies regarding e-cigarettes use and its associated factors in adult Cancer Survivors.


Analysis of mineral fibers used in the vintage speaker

Il Je Yu*; Bruce Kelman

    Risk of Exposure to asbestos from unknown consumer products always has been worrying to consumers. Especially, consumer products manufactured before the asbestos ban would contain asbestos in their products. Consumers worried about exposure to asbestos from the vintage speakers manufactured before the asbestos ban during use or repairing.


Common drugs as micronutrient disruptors: A selection for clinical practice

Gröber U

    Interactions between drugs and micronutrients have received only little or no attention in the medical and pharmaceutical world in the past. Since more and more pharmaceutics are used for the treatment of patients, this topic is increasingly relevant. As such interactions – depending on the duration of treatment and the status of micronutrients – impact the health of the patient and the action of the drugs, physicians and pharmacists should pay more attention to such interactions in the future...


A study on the mental health of Japanese university students by the University Personality Inventory

Yuko Furuhashi

    Objective: The University Personality Inventory (UPI) is a mental health instrument for university students, which is still popularly used in Japan. The UPI is a 60-item self-report inventory designed to assess physical and psychological symptoms. The aim of this study was to investigate the mental health of the first-year students...


Pesticides contamination and nervous disorders in an agricultural area in Akkar, Lebanon. A cross-sectional study

Chaza Chbib; Fouad Ziade; Moomen Baroudi; Sopheak Net; Baghdad Ouddane*

    Objective: Published studies in the second largest agricultural zone in Lebanon showed that the well’s water is highly contaminated by pesticides that can affect the human system, especially the nervous system. The aim of this study is to assess the human exposure to pesticides, and to estimate the prevalence of two chronic neurodegenerative diseases including Alzheimer (AD) and Parkinson Disease (PD) in this region...


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