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Background: Bacterial vaginosis (BV) is the most common cause of abnormal vaginal discharge among women of childbearing age which is associated with STI/HIV and adverse birth outcomes. The Main objective of this study was to determine the prevalence and correlates of BV among women of reproductive age in Thika. Methods: Between July 2010 and February 2011, 193 women of reproductive age (18 - 49 years) were enrolled from family planning and ante-natal clinics in Thika District Hospital, Kenya. The study was descriptive cross sectional in which organisms were identified from vaginal specimens using culture, biochemical testing and Nugent score method. Statistical analyses included conventional descriptive statistics and multivariable analysis using regression. Results: Of one hundred and ninety three specimens, 9.3% were Mobiluncus isolates, 23.0% Bacteriodes species and 67.7% Gardnerella vaginalis. Among the study participants, 77.7% had non-classical BV with a score of 7 - 8 while 22.3% classical BV with a score of 9 - 10 indicating complete depletion of Lactobacillus species. Whiff test was positive for 89.1% (74) of the 83 patients with BV. Though, 32.5% of women with BV had a vaginal pH of more than 4.5, only 66.0% of women fulfilling the criteria of BV had a characteristic discharge. Conclusions: In this population, the prevalence of BV was relatively high when compared with other community settings. BV was associated with condom use and multiple sexual partners. Further research is needed to understand their role in BV and the socioeconomic context surrounding the condition in Kenya.
The chronic viral hepatitis B is a public health problem
and remains a global challenge with 350 million carriers of HBs antigen
(HBsAg). The prevalence of HBsAg varies from one country or continent to another.
In France, it is estimated to be 0.5%. In Morocco, the data are rare but some
studies have estimated the prevalence to be 2.5%. Our aim is to estimate the
prevalence of HBsAg among women who have recently given birth at the maternity
CHU Hassan II of Morocco Fez, and to describe the epidemiological profile and
risk factors for infection. In pregnancy, infection with hepatitis B virus
(HBV) is dominated by the risk of mother to child transmission (vertical
transmission), which can be avoided by serovaccination of the newborn. The
search for HBsAg should be performed in all pregnant women.
December 26, 2004, Asian tsunami attacked the southern part of Thailand. The
tsunami induced catastrophic consequences. There was no study of long-term
mental health outcomes among adult survivors by natural disasters in
Thailand. Objective: The purposes of the present study were to determine
prevalence and longitudinal course of PTSD, depression, and anxiety among
tsunami affecting Thai people, and to identify factors associated with PTSD, depression,
and anxiety in this particular group. Material and Method: The present study
was a population-based longitudinal study. The third mental health assessment
was conducted among adult survivors older than 17 years at three years after tsunami.
PTSD, depression and anxiety were assessed by using the Harvard Trauma
Questionnaire (HTQ) and the Hopkins Checklist-25 (HSCL-25) respectively.
Results: 550 of 693 affected people in Phang Nga province were enrolled in the
follow-up survey at three years after tsunami. Prevalence of PTSD, anxiety, and
depression among affected people decreased from 9.5% (66/693), 33.6% (233/693)
and 25.7% (178/693), at two months after tsunami, to 2.6% (13/503), 18.7%
(94/503), and 14.1% (71/503) at three years after tsunami respectively. Risk
factors for mental health problems were post-traumatic life stress such as the
loss of livelihood for PTSD, depression and anxiety, and pre-traumatic
vulnerabilities such as sex (female), education, and previous mental illness
for depression and anxiety. Conclusion: PTSD, depression and anxiety among
tsunami affecting Thai people decreased over time. Pre-traumatic vulnerable
factors and post-traumatic life stress were associated with PTSD, depression
and anxiety. These results are acknowledgeable by two points: first, it is
important to provide both mental health intervention and psychosocial
intervention in rehabilitation phase for the affected people; second, duration
of intervention should be at least three years after severely impacted
highly prevalent in community dwelling older adults in many countries; however,
the prevalence of sarcopenia in nursing home older residents is
not well characterized. The aim of this study is
to assess the prevalence of sarcopenia in nursing home older residents in Cairo. Cross sectional
study was performed among 357 nursing home residents in Cairo. The European Working Group on Sarcopenia in Older
People (EWGSOP) recommendation was used for diagnosing sarcopenia. The study
showed that the prevalence of sarcopenia in nursing home older residents in Cairo was 17.7%, 22.2%
in elderly men and 14.4% in elderly women. Age, underweight and lack of physical activity were
found to be associated with sarcopenia among studied participants. The study concluded that sarcopenia is an emerging health problem in nursing home older residents in Cairo.