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Search Results: 1 - 10 of 401941 matches for " M. Ansari "
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Status of General Practice and Challenges to Healthcare System of Pakistan  [PDF]
Rashid M. Ansari, Yusra Ansari, Saiqaa Y. Ansari
Open Journal of Preventive Medicine (OJPM) , 2015, DOI: 10.4236/ojpm.2015.512052
Abstract: This article provides insight into the status of general practice in Pakistan and challenges to its health care system. The country ranked 122nd on the overall health system attainment and ranked 7th in the world on diabetes prevalence. The public sector health care system in Pakistan is encountered with many problems such as structural fragmentation, resource scarcity, inefficiency and lack of functional specificity, gender insensitivity and inaccessibility. The general practice status in Pakistan requires immediate attention to face the challenges created by chronic diseases in the country. Of particular mention are the patient-doctor interaction, healthcare system delivery, access to the doctors and better utilization of primary health care services.
Primary Healthcare System of Pakistan: Challenges to Self-Management of Type 2 Diabetes  [PDF]
Rashid M. Ansari, Hassan Hosseinzadeh, Nicholas Zwar
Open Journal of Endocrine and Metabolic Diseases (OJEMD) , 2016, DOI: 10.4236/ojemd.2016.67023
Abstract: This review article is aimed at describing the primary healthcare system of Pakistan and its challenges in the face of epidemic of type 2 diabetes, focusing particularly on the middle-aged population of rural area of Pakistan. The main concern in Pakistan is that its middle-aged population is facing the onslaught of obesity and overweight due to lack of physical activity. In addition unhealthy eating habits making it more difficult for this population to control their weight. All these factors are contributing to a high risk of type 2 diabetes for the population of Pakistan. This article provides insight into the primary health care system of Pakistan and highlights its deficiencies by identifying that its primary healthcare system has a poor utilization of health care services, the poor accessibility to health system and poor management of diabetes by the healthcare system, gender disparity and inequity in the health care system. The primary objective of this study is to provide an overview of self-management of diabetes among the middle-aged population of Pakistan and to identify the overall deficiencies in the primary healthcare system, its delivery and access to the system, barriers to self-management of diabetes and quality of life in that region.
Parasites of Some Freshwater Fish from Armand River, Chaharmahal va Bakhtyari Province, Iran
M Raissy,M Ansari
Iranian Journal of Parasitology , 2012,
Abstract: Background: The aim of this study was to detect the occurrence of parasites in fish in Armand River, Chaharmahal va Bakhtyari Province regarding the importance of native fish population in the river. Methods: The occurrence of parasites was investigated in 6 native fish (Capoeta capoeta, C. damascina, C. aculeta, Barbus barbulus, B. grypus and Glyptothorax silviae) collected from the current main channel of the river from autumn 2009 to summer 2010. Results: 63.7 % of the studied fishes were infected with 19 parasite species including Ichthyophthirius multifiliis, Myxobolus musayevi, Dactylogyrus lenkorani, D. gracilis, D. pulcher, D. chramuli, D. akaraicus, D. skrjabiensis, two species of Gyrodactylus, Paradiplozoon sp., Lamproglena compacta, Copepodid of Lernaea cyprinacea, Ergasilus sp., Allocreadium isoporum, Allocreadium pseudaspii, Kawia sp., Bothriocephalus gowkongensis and Rhabdochona denudata. The infection rate was significantly higher (P<0.05) in C.aculeata while the maximum parasite diversity was found in C.damascina. The infection rate was also significantly different in four seasons (P<0.05) but no significant differences were found among fishes with different weight and length.conclusion: High prevalence of Ichthyophthirius multifiliis and Rhabdochona denudata may affect native fish population. Monogenean parasites Dactylogyrus akaraicus and D. skrjabiensis collected from B. barbulus and C. capoeta are reported for the first time in Iran. B. barbulus is also reported as a new host for aforementioned parasites.
Evaluaion of Contammation of Upper Gi Endoscopes with Common Nosocomial Agents in a Hospital of Hamadan
M Ansari,M Hajilooi
Journal of Shahid Sadoughi University of Medical Sciences , 2005,
Abstract: Introduction: Fiberoptic techniques have been used for diagnosis and also for treatment of gastrointestinal disorders very largely. Infection is a complication of endoscopy and fiberoptic endoscopy may serve as vehicle for transmission of infection. Methods: Before doing gastroscopy, all parts of the endoscope were disinfected (as normally done in the ward). Then, samples for culture were taken from the device and at the end of the procedure, again samples from all parts of gastroscope (outer surface, internal canal, water – air pump) were taken and cultured in Blood agar and E.M.B media. Microbiology species and colony count as standard protocol were identified and reported. Results: 954 Samples were prepared before and after upper gastrointestinal endoscopy. In samples from outer surface of the device before procedure, culture was negative in 90.6% and positive in 9.4% (15 cases), while in samples from the same region after endoscopy, culture was negative in 32.7% and positive in 67.3%. Staphylococcus epidermis was the most common organism. Before endoscopy, sampling and culture from internal canal of device was reported as 88.7% negative culture and 11.3% positive culture with pseudomonas aeruginosa being the most common organism. After endoscopy, internal canal culture was 52.7% negative and 47.2% positive culture. Staphylococcus epidermidis was the most common organism. Air – water Canal samples before endoscopy were 51.6% negative and 48.4% positive. Non fermented gram negative bacilli were the most common organisms. After endoscopy, these samples were 22% negative and 78% positive. Non- fermented gram negative bacilli were the most common organisms. Conclusion: The microbial contamination of the air-water canal (78%) and outer surface of the device (67.3%) after endoscopy was due to inadequate cleaning and disinfection after completion of procedures.
Application of causal model to maternal smoking cessation intervention in pregnancy  [PDF]
Rashid M. Ansari, John B. Dixon, Colette Browning, Saiqaa Y. Ansari
Open Journal of Preventive Medicine (OJPM) , 2013, DOI: 10.4236/ojpm.2013.34047
Abstract: The adverse effects of maternal smoking during pregnancy on both the offspring and women are well known. The main objective of this research article is to provide health professional causal modelling approach to make a more comprehensive assessment of major determinants of smoking behaviour during and after pregnancy and consequently the outcomes of pregnant women smoking which are adversely affecting both the offspring and pregnant women. The causal model based on theory and evidence was modified and applied to material smoking cessation intervention to control the adverse effects of smoking on offspring obesity and neurodevelopment. In this approach a generic model links behavioural determinants, causally through behaviour, to physiological and biochemical variables, and health outcomes. It is tailored to context, target population, behaviours and health outcomes. The model provides a rational guide to appropriate measures, intervention points and intervention techniques, and can be tested quantitatively. The causal modelling approach showed promising results which can be used to help maternal smoking women to understand the risk of smoking and help them to quit smoking. The regression analysis of maternal smoking women BMI (n = 1000) on offspring BMI was statistically significant, p < 0.05, 95% CI (0.28 - 0.38) and so was the analysis of offspring SBP on maternal BMI for male offsprings, p < 0.05, 95% CI (0.06 - 0.43) but not for female offsprings (p > 0.05). This supported the hypothesis that maternal smoking women BMI during pregnancy is an important determinant of offspring obesity and consequently the risk factors of cardiovascular development. The causal modelling approach is unique as it provides an incentive to health professional to use these models to target any important and modifiable determinants of the maternal smoking behaviour and decrease the risk of adverse pregnancy outcomes for the offspring
Effect of Physical Activity and Obesity on Type 2 Diabetes in a Middle-Aged Population
Rashid M. Ansari
Journal of Environmental and Public Health , 2009, DOI: 10.1155/2009/195285
Abstract: Background. The physical activity has been associated with a reduced risk of type 2 diabetes. The aim of this study was to examine the effect of physical activities such as occupational, household and daily lifestyle activities and obesity on the prevalence of type 2 diabetes in middle-aged population. Methods. All people (n = 2053), aged 45–64 years were selected for this study from the large sample of population-based cross-sectional data collected in the 1990–1994 by National Health Survey of Pakistan. The participants completed in-person interviews at baseline; the overall response rate was 92.6%. The Cox proportional hazards model was used to estimate the risk of developing the type 2 diabetes. Results. Stair climbing was found to be inversely associated with the risk of diabetes and cycling was also associated with a reduced risk of type 2 diabetes (RR=0.82; 95% CI 0.68–1.00, =.048). The relationship between physical activity and reduced risk of diabetes adjusted for age and body mass index was statistically significant only in women (<.01). Conclusions. This study provides an incentive that physical activity in leisure-time exercise or daily activity reduces the risk of type 2 diabetes in a high-risk population.
A 13 Years Statistical Evaluation on Maxillofacial Malignant Tumors in Hamedan
M. H Ansari
Journal of Dental Medicine , 2003,
Abstract: Cancer is considered as one of human's complications, particularly in oral and maxillofacial region which leads to undesirable effects and sometimes endangers individual's life. The aim of this study was to investigate the frequency of maxillofacial malignant tumors, during 13 years, (1985- 1998), in Hamedan. Three hundred and eighty - six records of biopsies were selected from the private files of physicians, 7 private and governmental pathological centers and other educational and research organizations in Hamedan. After observing the samples by oral pathologist, they were presented as thestatistical population for this retrospective study. The highest rate of biopsies was observed in the sixth (42.7%), seventh (39.6%) and third (10.6%) decades. The average age was 43.5 years, for women and1.52 45.5 for men. The ratio of men to women was . The oldest patient was a 91- year - old man with malignant melanoma, while the youngest was a 3-year-old girl with Burkit lymphoma. The commonest site of involvement was nasal region (17.3%) and the anterior neck triangle showed the least common tumoral site (2.3%). The commonest tumor, observed in this study, was BBC (41.4%) and the least common was malignant fibrous histocytoma (0.2%). Baso cellular and epidermoid carcinomas have been the commonest cancers in this investigation, while lymphoma and salivary galnd cancers have been placed as the second ones. The results of this study showed that the lower lip and tongue are considered as the commonest sites for cancer.
Protective effect of aqueous extract of Embelia ribes Burm fruits in middle cerebral artery occlusion-induced focal cerebral ischemia in rats
Bhandari Uma,Ansari M
Indian Journal of Pharmacology , 2008,
Abstract: Objective: The present study was carried out to evaluate the neuroprotective effect of the aqueous extract of Embelia ribes , in focal ischemic brain. Materials and Methods: Adult male Wistar albino rats were fed with the aqueous extract of Embelia ribes (100 and 200 mg/kg, p.o.) for 30 days. After 30 days of feeding, all the animals were anaesthetized with chloral hydrate (400 mg/kg, i.p.). The right middle cerebral artery was occluded with a 4-0 suture for 2 h. The suture was removed after 2 h, to allow reperfusion injury. The animals were used for grip strength measurement, biochemical estimation in serum and brain tissue (hippocampus and frontal cortex) and cerebral infarct size measurement. Results: In the ischemic group, a significant (P < 0.01) alteration in the markers of oxidative damage (thiobarbituric acid reactive substances (TBARS); reduced glutathione (GSH); glutathione peroxidase (GPx); glutathione reductase (GR); and, glutathione-S-transferase (GST)) was observed in the hippocampus and frontal cortex, as compared to sham operated rats. We observed that the animals treated with the aqueous extract of Embelia ribes had a significant (P < 0.01) increase in the poststroke grip strength activity. Further, supplementation with aqueous extract of Embelia ribes reversed the levels/activities of the above mentioned biochemical parameters significantly (P< 0.01) and also resulted in decreased cerebral infarct area, as compared to the ischemic group. Conclusion: The results of our study, for the first time, provide clear evidence that aqueous extract of Embelia ribes pretreatment ameliorates cerebral ischemia/reperfusion injury and enhances the antioxidant defense against middle cerebral artery occlusion-induced cerebral infarction in rats; it exhibits neuroprotective property.
Dengue infection causing acute hypokalemic quadriparesis
Jha Sanjeev,Ansari M
Neurology India , 2010,
Abstract: Dengue infection is endemic to India and an important public health problem. We report three confirmed cases of dengue infection with acute, pure motor, reversible quadriparesis due to hypokalemia. Clinicians should be aware of such an association and consider the clinical possibility in the differential diagnosis while evaluating acute quadriparesis in patients with dengue fever, especially in endemic areas.
Application of Activated Carbon for Removal of Arsenic Ions from Aqueous Solutions
R. Ansari,M. Sadegh
Journal of Chemistry , 2007, DOI: 10.1155/2007/829187
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