Research Article
The Demographic Characteristics of Pulmonary Tuberculosis Patients in Western Sudan During the Conflict of 2023-2024
Amal Khalil Yousif Mohammed,
Eldisugi Hassan Mohammed Humida,
Ahmed Mirghani Osman Ali,
Hussain Gadelkarim Ahmed*
Issue:
Volume 12, Issue 6, December 2024
Pages:
132-137
Received:
8 October 2024
Accepted:
30 October 2024
Published:
26 November 2024
DOI:
10.11648/j.ejpm.20241206.11
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Abstract: Background: Pulmonary tuberculosis (PTB) was a global health burden in low-income and fragile developing countries with poor health systems districted by war, such as Sudan. The purpose of this study was to look at the demographic characteristics of patients with pulmonary tuberculosis, such as gender, age, material status, education, occupation, and treatment delays. Methodology: We conducted a retrospective descriptive. The study included about 533 patients with pulmonary tuberculosis. The data gathering was done in August 2024. A data collection sheet was produced, and all pertinent information was acquired. Results: The results showed that 76% of 533 pulmonary tuberculosis patients were males and 24% were females, with the primary age groups being 26-35 years old (27.5%) and 18-25 years old (22%). More than 51% were from metropolitan regions, with a primary education, and 29% worked as gold miners, followed by free workers. Conclusion: PTB represents the Sudan's biggest health problem, impacted the productive and working-age population, as well as the destitute community, causing significant financial, security, and environmental issues. Direct support for the TB control program has raised community awareness regarding early detection and treatment of PTB.
Abstract: Background: Pulmonary tuberculosis (PTB) was a global health burden in low-income and fragile developing countries with poor health systems districted by war, such as Sudan. The purpose of this study was to look at the demographic characteristics of patients with pulmonary tuberculosis, such as gender, age, material status, education, occupation, a...
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Research Article
Clinical and Paraclinical Profiles of Children Living with Epilepsy Admitted to Neuro-Psychopathological Center of Kinshasa
Issue:
Volume 12, Issue 6, December 2024
Pages:
138-145
Received:
15 October 2024
Accepted:
4 November 2024
Published:
26 November 2024
DOI:
10.11648/j.ejpm.20241206.12
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Abstract: Background: children in Africa are mainly affected by epilepsy. This study describes the clinical and paraclinical profiles of epileptic children followed at the Neuro-Psychopathological Center of the University of Kinshasa (CNPP/Unikin). Method: a descriptive cross-sectional study analyzed the files of patients aged ≤ 15 years old admitted to the pediatric neurology unit of the CNPP/Unikin, from December 2015 to December 2020. The variables of interest were sociodemographic, clinical, and evolutionary. Excel 2010 and SPSS version 20.0 were used to manage the data. Results: 118 files of children (70 boys and 48 girls) were collected; 40.7% were between 11 and 15 years old. The mean (SD) age was 8.2 (4.1) years. Sixty percent of admissions were due to epilepsy. Forty-seven (39.8%) patients had idiopathic epilepsy. The majority (83.1%) of seizures is generalized and tonic-clonic seizure is predominant (64.4%). Comorbidities were dominated by neurodevelopmental disorders (8%). Nutritionally, hypocalcaemia (51.7%), hypomagnesaemia (16%) and hypokalemia (1.7%) were observed. Abnormalities during pregnancy and childbirth (23.7%) were the most common etiological factors. The seizures outcome under treatment was characterized, in general, by regression (64.4%). Conclusion: epilepsy is the leading cause of admission in CNPP/Unikin neuropediatric unit, with increasing rates. Nutritional disorders, abnormalities during pregnancy, and childbirth are the dominant etiological factors in these children living with epilepsy. Therefore, health policies must be deeply reassessed, Sub-Saharan Africa, to improve the management and prevention of both epilepsy and identified etiological factors.
Abstract: Background: children in Africa are mainly affected by epilepsy. This study describes the clinical and paraclinical profiles of epileptic children followed at the Neuro-Psychopathological Center of the University of Kinshasa (CNPP/Unikin). Method: a descriptive cross-sectional study analyzed the files of patients aged ≤ 15 years old admitted to the ...
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Research Article
Abnormal Menstrual Chart Patterns, Their Treatment and Fertility Outcome Among Women with Hormonal Infertility at Bugando Medical Centre, Mwanza, Tanzania
Issue:
Volume 12, Issue 6, December 2024
Pages:
146-153
Received:
15 October 2024
Accepted:
7 November 2024
Published:
28 November 2024
DOI:
10.11648/j.ejpm.20241206.13
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Abstract: Background: Infertility is a global public health issue, affecting one in six individuals at some point in their lives. Menstrual cycle patterns serve as indicators of reproductive health, and tracking these patterns is a simple, noninvasive, and cost-effective method that all women should consider. This study aimed to analyze menstrual chart patterns, associated clinical profiles, interventions and fertility changes among women with hormone-related infertility at Bugando Medical Centre. Methods: A prospective longitudinal study that involved 230 women with hormonal infertility aged 18-44 years, was carried out at Bugando Medical Centre from March 2023 to March 2024. A pretested data collection tool was used. Mothers were instructed to chart their menstrual cycle biomarkers. Basic hormonal profiles were investigated. Data analysis was done according to the objectives using STATA version 15 and Pearson’s Chi2 test or Fisher’s Exact test was used to measure the association between menstrual patterns and clinical profiles. The significance level was determined at p-value <0.05. Results: The mean age of the participants was 32.2 ± 5.7 years. The years of infertility ranged from 1 to 20 with a median age of 4 [IQR=2–7] years. Participants with normal HbA1c conceived more than those with abnormal HbA1c; 34.7 % (41/118) versus 22.3 % (25/112), (p-value 0.037), while those with normal thyroid function 31.1% (61/196) conceived more compared to those with thyroid dysfunction 14.7% (5/34) (p-value 0.035). At the end of three months, most of them were ovulating. Among those who ovulated 28.7% conceived within three months. Conclusion: Answers to infertility are hidden within the menstrual cycle patterns. Menstrual cycle charting and lifestyle changes should be incorporated as tools in managing women with infertility.
Abstract: Background: Infertility is a global public health issue, affecting one in six individuals at some point in their lives. Menstrual cycle patterns serve as indicators of reproductive health, and tracking these patterns is a simple, noninvasive, and cost-effective method that all women should consider. This study aimed to analyze menstrual chart patte...
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