50 research outputs found
Life satisfaction and self-efficacy in patients affected by a first stroke living in Kuwait: A two-phase study
This is the author's accepted manuscript. The final published article is available from the link below. Copyright @ 2012 Informa Healthcare USA, Inc.Life satisfaction and self-efficacy are important aspects of stroke rehabilitation. Previous research focuses on Western stroke survivors, neglecting the stroke experience in the Middle East. This research was conducted in Kuwait and entailed both quantitative and qualitative phases to obtain a more comprehensive, clinically relevant understanding of self-efficacy and life satisfaction during stroke rehabilitation in this culture. The aims were to: 1) investigate the relationships between self-efficacy and life satisfaction in female patients affected by stroke (Phase 1); and 2) explore health professionals' views regarding the importance of self-efficacy and possible strategies for enhancing self-efficacy during rehabilitation, through semi-structured interviews (Phase 2). Significant correlations were found between patients' general self-efficacy, and psychosocial adaptation self-efficacy following stroke. Self-efficacy (both general and psychosocial adaptation) showed significant correlations with life satisfaction post-stroke. Health professionals (more than half of whom were physiotherapists) recognised the importance of self-efficacy within stroke rehabilitation and identified five main ways to increase self-efficacy during stroke rehabilitation. These were to: 1) motivate and encourage patients; 2) provide more education about stroke and rehabilitation; 3) identify change; 4) offer a high-quality environment and therapy; and 5) set goals. In conclusion, psychosocial self-efficacy was identified as having a stronger relationship to life satisfaction compared with general self-efficacy within this sample of Kuwaiti female patients. Health professionals suggested various strategies for enhancing self-efficacy and thereby life satisfaction post-stroke during the rehabilitation process in Kuwait. Despite the collectivist culture of Kuwait, the findings indicate that the patient's own confidence and sense of responsibility for progress may be relevant to rehabilitation
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Keloids: Does patientsâ sex influence the presentation and recurrence post-excision?
Seasonal influenza vaccination in Kenya: an economic evaluation using dynamic transmission modelling.
BACKGROUND: There is substantial burden of seasonal influenza in Kenya, which led the government to consider introducing a national influenza vaccination programme. Given the cost implications of a nationwide programme, local economic evaluation data are needed to inform policy on the design and benefits of influenza vaccination. We set out to estimate the cost-effectiveness of seasonal influenza vaccination in Kenya. METHODS: We fitted an age-stratified dynamic transmission model to active surveillance data from patients with influenza from 2010 to 2018. Using a societal perspective, we developed a decision tree cost-effectiveness model and estimated the incremental cost-effectiveness ratio (ICER) per disability-adjusted life year (DALY) averted for three vaccine target groups: children 6-23âmonths (strategy I), 2-5âyears (strategy II) and 6-14âyears (strategy III) with either the Southern Hemisphere influenza vaccine (Strategy A) or Northern Hemisphere vaccine (Strategy B) or both (Strategy C: twice yearly vaccination campaigns, or Strategy D: year-round vaccination campaigns). We assessed cost-effectiveness by calculating incremental net monetary benefits (INMB) using a willingness-to-pay (WTP) threshold of 1-51% of the annual gross domestic product per capita (872). RESULTS: The mean number of infections across all ages was 2-15 million per year. When vaccination was well timed to influenza activity, the annual mean ICER per DALY averted for vaccinating children 6-23âmonths ranged between 1385 for strategy IA, 1877 for strategy IB, 4106 for strategy IC and 7933 for strategy ID. For children 2-5âyears, it ranged between 1573 for strategy IIA, 1869 for strategy IIB, 4085 for strategy IIC, and 7897 for strategy IID. For children 6-14âyears, it ranged between 3116 for strategy IIIA, 2223 for strategy IIIB, 4727 for strategy IIIC and 6813 for strategy IIID. Overall, no vaccination strategy was cost-effective at the minimum (445) WTP thresholds. Vaccinating children 6-23âmonths once a year had the highest mean INMB value at $872 (WTP threshold upper limit); however, this strategy had very low probability of the highest net benefit. CONCLUSION: Vaccinating children 6-23âmonths once a year was the most favourable vaccination option; however, the strategy is unlikely to be cost-effective given the current WTP thresholds
Genomic surveillance of SARS-COV-2 reveals diverse circulating variant lineages in Nairobi and Kiambu Counties, Kenya
Genomic surveillance and identification of COVID-19 outbreaks are important in understanding the genetic diversity, phylogeny, and lineages of SARS-CoV-2. Genomic surveillance provides insights into circulating infections, and the robustness and design of vaccines and other infection control approaches. We sequenced 57 SARS-CoV-2 isolates from a Kenyan clinical population, of which 55 passed quality checks using the Ultrafast Sample placement on the Existing tRee (UShER) workflow. Phylo-genome-temporal analyses across two regions in Kenya (Nairobi and Kiambu County) revealed that B.1.1.7 (Alpha; n =â32, 56.1%) and B.1 (n =â9, 15.8%) were the predominant lineages, exhibiting low Ct values (5-31) suggesting high infectivity, and variant mutations across the two regions. Lineages B.1.617.2, B.1.1, A.23.1, A.2.5.1, B.1.596, A, and B.1.405 were also detected across sampling sites within target populations. The lineages and genetic isolates were traced back to China (A), Costa Rica (A.2.5.1), Europe (B.1, B.1.1, A.23.1), the USA (B.1.405, B.1.596), South Africa (B.1.617.2), and the United Kingdom (B.1.1.7), indicating multiple introduction events. This study represents one of the genomic SARS-CoV-2 epidemiology studies in the Nairobi metropolitan area, and describes the importance of continued surveillance for pandemic control
Impact of seminal trace element and glutathione levels on semen quality of Tunisian infertile men
<p>Abstract</p> <p>Background</p> <p>Growing evidence indicates that oxidative stress can be a primary cause of male infertility. Non-enzymatic antioxidants play an important protective role against oxidative damages and lipid peroxidation. Human seminal plasma is a natural reservoir of antioxidants. The aim of this study was to determine glutathione (GSH) concentrations, trace element levels (zinc and selenium) and the lipid peroxidation end product, malondialdehyde (MDA), in the seminal plasma of men with different fertility potentials.</p> <p>Methods</p> <p>Semen samples from 60 fertile men (normozoospermics) and 190 infertile patients (74 asthenozoospermics, 56 oligozoospermics, and 60 teratozoospermics) were analyzed for physical and biochemical parameters. Zinc (Zn) and selenium (Se) levels were estimated by atomic absorption spectrophotometry. Total GSH (GSHt), oxidized GSH (GSSG), reduced GSH (GSHr) and MDA concentrations were measured spectrophotometrically.</p> <p>Results</p> <p>Zn and Se concentrations in seminal plasma of normozoospermics were more elevated than the three abnormal groups. Nevertheless, only the Zn showed significant differences. On the other hand, Zn showed positive and significant correlations with sperm motility (P = 0.03, r = 0.29) and count (P < 0.01, r = 0.49); however Se was significantly correlated only with sperm motility (P < 0.01, r = 0.36). GSHt, GSSG and GSHr were significantly higher in normozoospermics than in abnormal groups. We noted a significant association between seminal GSHt and sperm motility (P = 0.03). GSSG was highly correlated to sperm motility (P < 0.001) and negatively associated to abnormal morphology (P < 0.001). GSHr was significantly associated to total sperm motility (P < 0.001) and sperm count (P = 0.01). MDA levels were significantly higher in the three abnormal groups than in normozoospermics. Rates of seminal MDA were negatively associated to sperm motility (P < 0.01; r = -0.24) and sperm concentration (P = 0.003; r = -0.35) Meanwhile, there is a positive correlation between seminal lipid peroxidation and the percentage of abnormal morphology (P = 0.008).</p> <p>Conclusions</p> <p>This report revealed that decreased seminal GSH and trace element deficiencies are implicated in low sperm quality and may be an important indirect biomarker of idiopathic male infertility. Our results sustain that the evaluation of seminal antioxidant status in infertile men is necessary and can be helpful in fertility assessment from early stages.</p
Religious faith and self-efficacy among stroke patients in Kuwait: Health professionals' views
Purpose: This study explored health professionals' views about the influence of Muslim religious beliefs on Kuwaiti patients' self-efficacy within stroke rehabilitation. It also explored their confidence in discussing religious issues with patients during rehabilitation. Method: Qualitative semi-structured interviews were conducted with 10 expatriate health professionals of various religious faiths working in stroke rehabilitation (five nurses, four physiotherapists and one physician). Data were analysed thematically. Findings: Health professionals considered that self-efficacy in stroke rehabilitation was strengthened by patients' feelings of partnership with God, which evoked hope and strength by retaining continuity of the moral self, and by viewing disability as a test of resilience. Fatalistic beliefs and the belief that stroke is a punishment from God were thought to undermine self-efficacy. Health professionals sought to foster patients' experience of religious empowerment by using religious phrases during rehabilitation, and encouraging religious observance. Nurse participants considered that discussing religious issues with their patients was intrinsic to culturally competent care. Conclusions: It is known that patients' self-efficacy in rehabilitation can be strengthened through a number of strategies such as goal-setting and feedback. This study suggests that for Muslim patients in Kuwait, health professionals also need to be mindful of their need for religious empowerment
Features and perceptions of menopausal women in Benin City, Nigeria
Background/Objective: The features of menopause have always been
assumed to occur only to a minor degree of significance in Nigerian
women. Perceptions of menopausal symptoms are greatly influenced by
social, cultural and economic settings and may influence the mode of
treatment for menopausal symptoms. The aim of this study was to
determine the features and perceptions of natural menopause among
menopausal women in Benin-City, Edo State, Nigeria. Methods: A
descriptive cross-sectional study of 533 randomly selected Nigerian
women in Benin City, Edo State who had experienced at least 24
continuous months of amenorrhea using a structured questionnaire.
Results: The ages of the women studied ranged between 47 and 78 years;
mean 57.4 Âą 6.3 years. The mean menopausal and menercheal ages
were 49.8 Âą 2.6 and 15.2 Âą 2.0 years. Most (80.7%) were
currently married with 63.6% in monogamous relationships. Three hundred
and fifty-six women (66.8%) have heard of the word menopause and
correctly described it. Menopause was considered a normal event by
97.4%. Majority (407; 77.6%) adjusted very well to the events of
menopause with none revealing any serious maladjustment. Three hundred
and forty-six women (64.9%) were no longer sexually active. Joint pains
(287; 53.8%), hot flushes (272; 51%) and night sweats (22; 42%) were
the most common symptoms believed to be related to menopause. Three
hundred and two women (56.7%) actually suffered at least one of the
menopause symptoms. Joint pains (52.9%), hot flushes (43.3%) and night
sweats (29.8%) were the commonest symptoms experienced. Freedom from
monthly bleeding (50.7%) was the most commonly reported advantage of
menopause. Only thirty nine (7.3%) were aware of hormone replacement
therapy (HRT) and none were on /ever had HRT. Conclusion: Although
menopause is well-tolerated by women in our environment, it needs
further investigation. Research priorities include the influence of
socio-cultural beliefs on sexuality at menopause and evaluation of HRT
benefits
Features and perceptions of menopausal women in Benin City, Nigeria
Background/Objective: The features of menopause have always been
assumed to occur only to a minor degree of significance in Nigerian
women. Perceptions of menopausal symptoms are greatly influenced by
social, cultural and economic settings and may influence the mode of
treatment for menopausal symptoms. The aim of this study was to
determine the features and perceptions of natural menopause among
menopausal women in Benin-City, Edo State, Nigeria. Methods: A
descriptive cross-sectional study of 533 randomly selected Nigerian
women in Benin City, Edo State who had experienced at least 24
continuous months of amenorrhea using a structured questionnaire.
Results: The ages of the women studied ranged between 47 and 78 years;
mean 57.4 \ub1 6.3 years. The mean menopausal and menercheal ages
were 49.8 \ub1 2.6 and 15.2 \ub1 2.0 years. Most (80.7%) were
currently married with 63.6% in monogamous relationships. Three hundred
and fifty-six women (66.8%) have heard of the word menopause and
correctly described it. Menopause was considered a normal event by
97.4%. Majority (407; 77.6%) adjusted very well to the events of
menopause with none revealing any serious maladjustment. Three hundred
and forty-six women (64.9%) were no longer sexually active. Joint pains
(287; 53.8%), hot flushes (272; 51%) and night sweats (22; 42%) were
the most common symptoms believed to be related to menopause. Three
hundred and two women (56.7%) actually suffered at least one of the
menopause symptoms. Joint pains (52.9%), hot flushes (43.3%) and night
sweats (29.8%) were the commonest symptoms experienced. Freedom from
monthly bleeding (50.7%) was the most commonly reported advantage of
menopause. Only thirty nine (7.3%) were aware of hormone replacement
therapy (HRT) and none were on /ever had HRT. Conclusion: Although
menopause is well-tolerated by women in our environment, it needs
further investigation. Research priorities include the influence of
socio-cultural beliefs on sexuality at menopause and evaluation of HRT
benefits