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Relative Prevalence of Various Types of Strabismus in Patients Attending NGO's Medical Centers in Gaza Strip
Issue:
Volume 3, Issue 1-1, January 2015
Pages:
1-5
Received:
30 March 2014
Accepted:
14 April 2014
Published:
14 June 2014
Abstract: Research question : what is the relative prevalence of various types of strabismus in Gaza strip ? Objective: to determine the most common types of strabismus in people who live in Gaza strip. Study design : a population-based sample of people with strabismus living in Gaza strip. Setting: NGO's medical centers of Gaza Strip – Palestine namely "Eye specialty hospital of the Public Aid Society" located in Gaza city, "ophthalmology clinic of Yaffa hospital " located in Deir Elbalah city and ophthalmology clinic of "Abu Madkour Medical center" located in Rafah city . Participants : patients with any type of strabismus attending those centers. Study period : 4th November 2012 to 4th May 2013 .Sample size : 226 cases which included 122 females and 104 males. Study variables : type of strabismus by gender, refractive error and degree of consanguinity between parents of those patients. Statistical analysis : SPSS was used for all statistical analyses . Results : esotropia is the most prevalent type of strabismus in Gaza Strip reaching 55.3% of all strabismus patients , exotropia comes second reaching 29.7% , followed by paralytic and restrictive strabismus ( 7.9% and 6.2% respectively ). The most common association with those types of strabismus was inferior oblique overaction reaching 16.8% of all cases. Conclusions: esotropia and exotropia respectively are the most common types of strabismus in Gaza strip. These data support the assumption that strabismus screening of children in developing countries could be useful in early detection of strabismus, appropriate management of it and prevention of strabismic amblyopia .
Abstract: Research question : what is the relative prevalence of various types of strabismus in Gaza strip ? Objective: to determine the most common types of strabismus in people who live in Gaza strip. Study design : a population-based sample of people with strabismus living in Gaza strip. Setting: NGO's medical centers of Gaza Strip – Palestine namely "Eye...
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Assessment of the Quality of Directly Observed Treatment Short-Course of Tuberculosis in Bahir Dar City Administration, North West Ethiopia
Mulatu Kassie,
Amanu Aragaw,
Alemayehu Belay
Issue:
Volume 3, Issue 1-1, January 2015
Pages:
6-13
Received:
5 April 2014
Accepted:
16 May 2014
Published:
14 June 2014
Abstract: The impacts of tuberculosis is not reduced globally, even though WHO recommends on the growing adherence, the use of DOTS and other interventions in many countries. Providing quality of care for tuberculosis patients is crucial in prevention and control of the disease. The aim of this study is to assess the quality of directly observed Treatment Short Course (DOTS) of Tuberculosis at Government health institutions in Bahir Dar city. Institution based cross-sectional study was conducted from June 30 to August 30/2013 in seven public health institutions in Bahir Dar City Administration. Multistage sampling technique was employed to select health institutions and patients; primary data were collected by interviewing Tuberculosis cases and reviewing their records. The data were coded and entered into Epi Info 3.5.1 and exported in to SPSS version 16 for analysis, and findings at 95%CI and p value of less than 0.05 were reported as statistically significant. Result: The results of this study showed that Input, process and output quality parameters were 50.2%, 40.2%, and 53.8% respectively, with the overall quality of 47.8%. Variables such as location of health institution, patient privacy, and marital status of patients were significantly associate with quality of DOTS. [AOR=2.14, (95%CI, 1.10-4.15)], [AOR=3.57(95% CI 1.80-7.07)], ([AOR =0.24 (95% CI 0.08-0.77)] respectively. Conclusion and recommendation: Input, process and output qualities of a program were poor in relative to the 100% WHO requirement and these would have inevitably decreased the total quality of DOTS. Success of tuberculosis therapy could be ensured through strict adherence to all the elements of DOTS strategy Thus, Bahir Dar City Administrative health office should train laboratory Professionals on AFB, construct waiting room, and to have regular supervision which may improve those problems seen at each level.
Abstract: The impacts of tuberculosis is not reduced globally, even though WHO recommends on the growing adherence, the use of DOTS and other interventions in many countries. Providing quality of care for tuberculosis patients is crucial in prevention and control of the disease. The aim of this study is to assess the quality of directly observed Treatment Sh...
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Developments in Financing and Reforming the Health Care System in Albania, the Road Ahead
Alba Robert Dumi,
Zamira Sinaj
Issue:
Volume 3, Issue 1-1, January 2015
Pages:
14-19
Received:
18 April 2014
Accepted:
16 May 2014
Published:
14 June 2014
Abstract: The Albanian Health sector is in the continuing transformation in the function of the realization of the proper standards. To realize the reform in this sector and to help the decision makers in their decision is necessary to have the right information on the source of the financing of health sector, on the destination of the expenditure in this sector and their control. “The establishment of the National Health Service is an integral part of the new Albanian Government program and it is also the fairest intervention intended to upgrade the system of service financing at the levels required by providers and recipients of health services. In this paper research we are try to present the current situation concerning our insurance scheme, developments in financing the primary health care and hospital sectors, our future projects to improve the way of financing hospital services, etc. were displayed in this presentation. We are in focus of Albanian reforms, improvement of the services and we are studying the health costs for health services.Our learning and evaluation team reviewed every incoming evaluation to ensure that it met the quality standards in our policy. When evaluations failed to meet the standard, the three most common concerns, wich are analyze in this paper: (1) evaluation teams received too many questions—especially questions that are too general and ill-defined—relative to the resources available for the evaluation, (2) the data collection and analysis methods were not appropriate to answer the evaluation questions, or (3) evaluation reports.
Abstract: The Albanian Health sector is in the continuing transformation in the function of the realization of the proper standards. To realize the reform in this sector and to help the decision makers in their decision is necessary to have the right information on the source of the financing of health sector, on the destination of the expenditure in this se...
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The Contribution of Indigenous Health Care Providers to Health Care Delivery in Rural Ghana: An Exploratory Study of Bongo District
Issue:
Volume 3, Issue 1-1, January 2015
Pages:
20-28
Received:
14 May 2014
Accepted:
3 June 2014
Published:
14 June 2014
Abstract: Ghanaians have been using indigenous medicine since time immemorial where 80% have reported its utilization. It is claimed to be easily accessible, affordable, available and acceptable; but the contributions of indigenous heal care providers have not been documented. Most of the studies conducted so far are focused on perceptions of people on traditional medicine. The study presents descriptive data from fieldwork carried out on fifteen indigenous healers and 100 patients in the Bongo District of Ghana to ascertain the health seeking behavior of patients and the reasons for visiting indigenous healers. The study shows that indigenous/traditional healers contribute significantly to public health care in Ghana. Fifty four percent (54%) of patients interviewed resorted to traditional medicine as their first choice when they face health problems. The reasons for preferring traditional medicine were efficacy, dissatisfaction with modern medicine, and cost. Traditional healers complained of lack of cooperation with modern health professionals. Community members need to be sensitized on the proper treatment for diseases and on the dangers of taking traditional medicine. This study suggests further exploration of key reasons behind high levels of satisfaction and utilization of traditional medicine.
Abstract: Ghanaians have been using indigenous medicine since time immemorial where 80% have reported its utilization. It is claimed to be easily accessible, affordable, available and acceptable; but the contributions of indigenous heal care providers have not been documented. Most of the studies conducted so far are focused on perceptions of people on tradi...
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Midface – Cushion for Head Injuries
Mohammad Akheel,
Suryapratap Singh Tomar
Issue:
Volume 3, Issue 1-1, January 2015
Pages:
29-32
Received:
21 May 2014
Accepted:
9 June 2014
Published:
14 June 2014
Abstract: Recent technological advances have led to improvements in social well being of man’s life in all aspects. This improving and advanced lifestyle is the major cause for some debilitating problems like road traffic accidents. Statistical analysis in literature shows that head and maxillofacial injuries are the most common of these injuries. Recent studies show that fractures of midface are strongly associated with a high mortality rate. The exact relationship between different types of facial fractures and brain injuries is still controversial. Purpose: To evaluate the individuals with fractures of midface from different etiologies and determine if there is any relationship between various fractures of midface acting as a buffer mechanism for head injuries. Materials and Methods: Retrospective study was done to assess all the patients with midface fractures at the trauma center in a rural area in India. The etiologic and demographic data, the type of midface fracture and brain injury, and Glasgow coma scale were assessed. Results: Of 59 patients, 33 patients had head injury. The important correlations were as follows: Le Fort III with brain contusion, nasal orbital ethmoid fractures with subdural hematoma, frontal fracture with subdural hematoma, zygomatic complex fracture with brain contusion. Nasal fracture correlated with brain contusion. The zygomatic complex fracture was the most prevalent fracture. Conclusion: Different midface fracture patterns have the risk of different types of simultaneous brain injuries. So midface fractures absorb the forces of impact to a great extent and prevent the severity of head injuries and high mortality rate.
Abstract: Recent technological advances have led to improvements in social well being of man’s life in all aspects. This improving and advanced lifestyle is the major cause for some debilitating problems like road traffic accidents. Statistical analysis in literature shows that head and maxillofacial injuries are the most common of these injuries. Recent stu...
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