African health sciences
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African health sciences · Jun 2017
Molecular screening of antibiotic-resistant determinants among multidrug-resistant clinical isolates of Proteus mirabilis from SouthWest Nigeria.
Globally, and particularly in developing countries, the menace of anti-microbial resistance is an accelerating problem. In Nigeria, increase in bacterial resistance has been phenotypically established but due to high cost, few molecular studies have been reported. ⋯ Transferable resistance genes in association with MGEs are present in Nigerian P. mirabilis thus their potential in disseminating resistance.
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African health sciences · Jun 2017
Dissemination and genetic support of broad-spectrum beta-lactam-resistant Escherichia coli strain isolated from two Tunisian hospitals during 2004-2012.
The dissemination of extended-spectrum β-lactamase (ESBL)-producing bacteria presented a great concern worldwide. Gram-negative organisms such as Escherichia coli and Klebsiella pneumoniae are the most frequently isolated pathogens responsible for nosocomial infections. ⋯ ESBL producing E. coli strains are a serious threat in the community in Tunisia and we should take into consideration any possible spread of such epidemiological resistance.
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African health sciences · Jun 2017
Assessment of hospital-based adult triage at emergency receiving areas in hospitals in Northern Uganda.
Limited health service resources must be used in a manner which does "the most for the most". This is partly achieved through the use of a triage system. Whereas efforts have been made to introduce paediatric triage in Uganda such as Emergency Triage Assessment and Treatment Plus (ETAT+), it is not clear if hospitals have local protocols for adult triage being used in each setting. ⋯ Formal adult hospital-based triage is widely lacking in Northern Uganda and staff do perform subjective "eyeball" judgments to make triage decisions.
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African health sciences · Jun 2017
Uptake of long-acting reversible contraceptive devices in Western region of The Gambia.
The contraceptive method has become an essential factor in the life of most women of reproductive age group; although it varies in different stages of their life course. The use of long acting reversible methods (LARC) is proposed as a strategy to reverse undesirable maternal health consequences in developing countries. ⋯ The uptake of long acting reversible contraceptive was high; with Depo Provera as the most commonly used contraceptive method in The Gambia. There seemed to be an increase in the uptake of implants; with intrauterine contraceptive device being the least commonly used method.
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African health sciences · Jun 2017
Allostatic load and heart rate variability as health risk indicators.
Uncertainty often exists about the comparability of results obtained by different health risk indicator systems. ⋯ HRV and allostatic load scores give comparable results as health risk indicators. Baseline total HRV and vagal, rather than sympathetic, measures of HRV should be introduced into allostatic load assessments. Results are in line with the concept of vagal tone as a regulator of allostatic systems. Inclusion of heart rate responses to orthostatic stress, into allostatic load assessments, warrants further investigation.