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  • ISSN: 2379-0547
    Volume 1, Issue 3
    Research Article
    Om Maharjan1* and Ashok Pandey2#
    Abstract:
    Background: Re-canalisation is the process of restoring flow to or reuniting an interrupted channel of a bodily tube (as a blood vessel or vas deferens) In Nepal in 2012–2013 surgeons performed 20,588 vasectomies with an incidence of 1.64 new acceptors per 100 women of reproductive age. Divorce rate is getting high as women are empowered (education, job), they can depend on themselves.
    Purpose: The purpose of the study was two-fold. Firstly it was to assess the suitability for male recanalization and factors predicting for recanalization. Secondly, it was to analyze the reasons following vasectomies recanalization.
    Materials and methods: Both qualitative and quantitative methods was used with 18 Key in-depth Interview, 111 men at a FPAN central clinic lalitpur and Valley branch Koteshwor seeking vasectomy sterilization reversal between May 2011 and May 2014.
    Results: Individual excised the Re-canalisation ranged from 27 to 54 years with median age of 38. On the address of the respondents for the recanalization 66.7 percent were from outside valley followed by 33.3 percent from inside valley. On the cause of recanalization, 51.7% of the respondents were second marriage followed by 27.6%. The association between Children and cause of recanalization is stati stically significant (P=0.046) with Cramer's strength of association of 56.4%. Labor migrant are main restaurant due to divorce, change of life style and the income.
    Conclusion: The commonest cause of the recanalization is second marriage. The risk of recanalization and its implications should be explained to the patient.
    Moufag Mohammed Saeed Tayeb*
    Abstract:
    Allergy to inhalant allergens (IA) in the region of Makkah is not known. Our article, a retrospective assessment of a specific IgE (sIgE) results to IA of 199 people with an assumed IA was shown. The article collection was nominated from all age groups referred for allergies with the doubt of IA to AL BORG in the region of Makkah in the period of October 2005 to July 2007. The top five IA in Makkah were American cockroach, dermatophagoides pteronyssinus, cat epithelia/hair, and dessert palm pollens and dermatophagoides farina respectively. We conclude that the sensitization to common IA in the region of Makkah was well-matched with universal fiction except for American cockroach and the desert palm pollens, which are a surprising result that requests an additional assessment.
    Adrian Shephard*
    Abstract:
    Introduction: Antibiotics are inappropriate for most sore throats and unnecessary use is a major cause of antibiotic resistance. This study aimed to understand the factors that drive patients with sore throat to seek antibiotics.
    Materials and methods: Consumers from 12 countries (Australia, Brazil, China, France, Germany, India, Mexico, Russia, South Africa, South Korea, UK, USA), who had sore throat in the previous 12 months, completed a questionnaire on general attitudes to health and well-being and treatments used for sore throat and cold or flu.
    Results: A total of 5,440 consumers completed the questionnaire (mean age 37 years, 54% female, average of four episodes of sore throat in the previous 12 months). Nineteen percent had used antibiotics to treat their last sore throat, although there was variation between countries. Antibiotic use was higher (23%) among respondents with more severe sore throat symptoms than less severe symptoms (15%). Antibiotic use was also higher (22%) among respondents who had cold/flu symptoms at the same time as their sore throat compared with those without cold/flu symptoms (11%). Efficacy was selected as a driver of treatment choice by 79% of those who took antibiotics and healthcare professional (HCP) recommendation was a strong driver of prescription medications in general.
    Conclusions: The key drivers of antibiotic-seeking behavior are severe sore throat symptoms, perceived efficacy of antibiotics and HCP recommendation. These findings highlight the need for improved patient education and HCP–patient communication to provide effective symptom relief and dispel common misconceptions on the efficacy of antibiotics.
    Ahmet Akcay1, Zeynep Tamay2, Fatma Duksal3*, Coskun Celtik4, Ahmet Ergin5 and Nermin Guler6
    Abstract: Background: We aimed to evaluate the knowledge level of daycare center Teachers regarding allergic rhinitis (AR), and the factors associated with it.
    Methods: 297 Teachers from 20 randomly selected child daycare centers in Istanbul, Turkey were assessed using a questionnaire scored according to the Likert Scale.
    Results: 297 Teachers (mean age, 26.4 ± 8.1 years) completed the questionnaire. This questionnaire had a maximum score of 80. The mean of Teachers' response score rate for the 16 questions was 59.76 ± 7.6 or 74.3. The Teachers' response score rate for each question and their "completely true response" rate for each question ranged from 44% to 82% and 2.7% to 39.7% respectively. We found that Teacher's understanding of AR was related to their age, salary, and the type of center they worked in.
    Conclusions: Teachers generally have satisfactory knowledge about Allergic Rhinitis. Childhood daycare center based educational programs for Teachers would further improve their level of understanding and promote awareness regarding AR.
    Review Article
    Blas Gil-Extremera*, Teresa Valverde-Higueras, and Cristina Patricia Ulloa- Jerez
    Abstract: Hypertension causes 62% of strokes and 49% of coronary diseases in Western countries. These pathological findings are usually related to the late initiation of antihypertensive treatment, when organs such as brain, heart, or kidney are already damaged; hence, the importance of the early initiation of treatment making more effective hypertensive agents in order to avoid this circumstance. Clinical trials are also an important factor in this matter. The experience in our Hypertension and Lipid Unit is based on large clinical trials, such as SYST-EUR, HYVET, VALUE, CONVINCE, ONTARGET, TRANSCEND, and many others, as well as thousands of hypertensive patients treated to improve that clinical situation. We must remind that hypertension is usually asymptomatic and that these patients are not usually treated, leading to serious health complications. Nowadays, target blood pressure should be ≤ 130/80 mmHg to decrease or avoid cardiovascular events, to improve the quality of life, particularly in elderly patients, and to keep up the functional capacity of these patients.
    Editorial
    Delia Chiaramonte*
    Painful conditions of the musculoskeletal system are some of the most important, and frustrating, chronic problems encountered in a clinical practice. One in two adults reported a chronic musculoskeletal condition, according to a recent national survey [1], twice the rate of reported cardiovascular or respiratory conditions. Yet despite the prevalence of chronic musculoskeletal pain, physicians often feel less confident in their treatment planning for pain patients than they do for others in their practice.
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