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  • ISSN: 2379-0547
    Volume 2, Issue 2
    Research Article
    Ferid Krupic1*, Mirza Biscevic2, Sahmir Sadic3, Svemir Custovic3 and Nabi Fatahi4
    Abstract: We aimed to explore how elderly immigrants from Bosnia and Herzegovina living in Sweden described their daily lives from the moment they received a diagnosis of diabetes mellitus, as well as their mental health.
    Material and methods: Our study has a qualitative design. Data was collected between March and September 2013 through face-to-face interviews using open-ended questions. A qualitative content analysis method was used for analysis and interpretation of data in accordance with the Graneheim and Lundman method (2004). The participants were eight women and seven men, aged between 50 and 86 years (mean 71.4), emigrated from Bosnia and Herzegovina and diagnosed with diabetes mellitus type 2 in Sweden. They had lived in Sweden between 10 and 18 years.
    Results: The participants diagnosed with diabetes mellitus type 2 experienced a lot of problems and difficulties with the disease. They felt shock and fear because they were aware that they would never be free from the disease. Changing lifestyle, eating habits and activity level were described as difficulties by participants. The combination of the disease and language difficulties made the situation more difficult for the study group. More than 50 % of the participants had experienced some kind of depression.
    Conclusions: Health care professionals need to be aware of the various ethnic groups in Sweden. The health care system must adjust to the needs of ethnically diverse patients instead of the other way around. Effective and simple routines and facilities are also necessary when communicating with patients speaking a foreign language. Difficulties in daily life can result in more difficulties regarding their diseases. Health care professionals need to have more knowledge about social and cultural factors that may influence interaction with patients from other linguistic and ethnic backgrounds. Mutual understanding between professional and patient has a significant impact on health outcome.
    Nathalie S. Ranger1 and Michael A. Ward1,2*
    Abstract: Management of acute deep vein thrombosis (DVT) is within the scope of primary care physicians. When indicated, treatment is essential to prevent life-threatening pulmonary embolism (PE). Parenteral anticoagulation followed by warfarin has been considered the standard of care. Four pivotal trials have established a role for direct oral anticoagulants (DOACs) in acute treatment of DVT. Dabigatran, rivaroxaban, apixaban, and edoxaban have been shown to have similar efficacy compared to warfarin in the management of acute DVT. These new agents offer similar, or superior, bleeding risks and has distinctive properties that may affect clinicians' prescribing practices. Here we summarize the key findings of these four trials and offer some insights as to which agents may be better suited to specific clinical scenarios.
    M. Rezaul Islam1,2* and Cathleen Jo Faruque3
    Introduction: Health and development partners have failed to invest seriously in safe motherhood. The issue 'safe motherhood' is important because, they benefit not only the woman, but also the health of newborns and children and the well-being of entire households, societies, and nations. This paper presents the findings from an impact evaluation of the Safe Motherhood Project (SMP) conducted at the Hatibhanga Union of the Dewanganj Upazila in the Jamalpur District of Bangladesh. This project was implemented by Dhaka Ahsania Mission (DAM), a national non-governmental organization (NGO).
    Objectives: The study objective was to assess whether project interventions, in particular, community-based activities, had a favorable impact on women's access to and knowledge of maternal health care during pregnancy and childbirth.
    Methods: The project impact was estimated using a number of qualitative research tools e.g., in-depth case study, focus group discussions (FGDs), key informant interviews (KIIs), and documentation survey.
    Results: The results showed that the project successfully increased the utilization of interventions of monitoring and advocacy services, and enhanced women's knowledge on danger signs.
    Conclusion: Most of the targeted objectives were achieved within the time frame identified for the project. The project was considered comprehensive, sustainable and inclusive.
    Short Communication
    Kazumasa Isobe1*, Takanori Kawano2, Yuichi Ukawa2, Yuko M. Sagesaka2, Tomoko Ishizu1, Toru Nanmoku3, Yasushi Kawakami1 and Shinichiro Sasahara4
    Aim: The purpose of this study was to assess the effects of vegetable juice on depression and anxiety scores in slightly depressed individuals.
    Methods: Sixty-six research participants were randomized to 3 groups: group A, plain vegetable juice; group B, vitamin-fortified vegetable and fruit juice; group C, control. Vegetable juices were administered for 12 weeks. The Beck Depression Inventory (BDI) and State-Trait Anxiety Inventories (STAI) 1 and 2 were administered 4 times and a blood sample was also obtained from each participant for measurements of folic acid, magnesium, and beta-carotene.
    Results: A significant decrease in depression and anxiety was found in groups A and B at 12 weeks. In group A, 70% of the participants yielded a decrease of 3 or more points for the BDI and STAI-2 scores, and 80% of them did so for the STAI-1 score. In group B, 50% of the participants yielded a decrease of 3 or more points for the BDI and STAI-1 scores, and 70% of them did so for the STAI-2 score. Among the blood nutrients studied, an inverse linear correlation was found between the BDI score and blood beta-carotene level (Pearson r = -0.587; P < .01). The STAI-1 score and blood beta-carotene level were also inversely correlated (Pearson r = -0.560; P < .05).
    Conclusion: Our findings suggest that vegetable juice intake may be associated with improvement of depression and anxiety in slightly depressed individuals.
    Review Article
    Cırık V1* and Efe E2
    Abstract: The use of complementary alternative medicine in pediatric populations is considerably increased. There are various reasons for the growing use of complementary and alternative medicine. Many complementary health products and practices aren't tested for safety or effectiveness in children. It's important to note that children may react differently than adults do to these approaches. Therefore, all health professionals should take a detailed medical history, including complementary and alternative medicine methods. The health professionals are supposed to inform child patients and their parents about the potential risks, benefits of such treatments. The purpose of this review was to describe the use of complementary and alternative medicine by children.
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