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  • ISSN: 2379-0547
    Volume 5, Issue 4
    Research Article
    Baba J, Mohammed SB*, and Ya'aba Y and Umaru FI
    This study investigated the bacterial activity of the juice and peel extracts of Citrus sinensis against Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa isolated from wound infections. The three bacterial wound isolates were identified after subjecting them to different biochemical tests. The dried and powdered plant materials were extracted using standard qualitative procedure and agarwell diffusion method was used for antibacterial assay. The MIC and MBC of the juice and peel extracts of C. sinensis were determined with values ranging from 0.6% to 10% (w/v). The juice and the peel extracts showed a remarkable inhibition against the three isolated pathogenic bacteria of wound with the juice having highest activity against infection. The juice exhibited the highest antibacterial activity against S. aureus (28.0 mm), whereas ethanol extract exhibited highest antibacterial activity against E. coli (22.0 mm) and the least affect was recorded with aqueous extract against P. aeruginosa (10.0mm). The results of the phytochemical screening of the juice and the peel revealed the presence of alkaloids, terpenoids, flavonoids, tannins, saponins, reducing sugar and amino acids. The result of this study suggests that the juice and peel extracts of C. sinensis can be beneficial in the treatment of wound infection.
    Maaz Ahmad, Malik Qistas Ahmad*, Chaudhry Saad Sohail, Muhammad Abdullah, Allahyar, Tamoor Sohail, Anum Jamal, Nida Jamil, and Muhammad Arsalan Arshad*
    Objective: The aim of our study is to identify the various social and demographic factors influencing the decision made by women about their mode of delivery.
    Material and Methods: We conducted a cross sectional study in the Gynecology department of Jinnah Hospital Lahore which is a 1200 bedded tertiary care hospital in Lahore, Pakistan. Duration of study is 1 month.
    Results: 78.7% preferred spontaneous vaginal delivery (SVD) because of fear, pain, limited activity associated with Cesarean section and also because SVD is a natural and conventional method. 15.5% preferred Cesarean section and 5.8% had no idea about choice.
    Conclusions: The main findings of the study are the strong correlation between age, income per capita, number of previous SVD and C-section and the choice of mode of delivery. Other factors that influence the choice of mode of delivery include education, social trends, and mal-presentation. Fear of episiotomy and family suggestion has no significant effect on the choice of mode of delivery.
    SamuelOlufemi Bolarinde*, Temi Josephine Olagunju, and Jesupelumi Praise Olley
    Objectives: This study assessed the knowledge and perception of female health care professionals on the importance of physiotherapy in ante-natal and post-natal care in a government tertiary health institution.
    Methods: The cross-sectional study recruited 80 female health care professionals from a government tertiary institution in South-west, Nigeria. Data were obtained on demographic and maternal characteristics, knowledge and perception of female health care professionals on importance of physiotherapy in ante-natal and post-natal care.
    Results: 86.57% of participants engaged in physical activities during pregnancy with 77.59% of them participating in walking form of exercises. Low back pain (74.20%), muscle cramps (48.39%), swelling and oedema of the foot (37.10%) were the most common musculoskeletal symptoms experienced by the pregnant women. 95% of respondents had adequate knowledge of physiotherapy, 82.5% perceived physiotherapy to be about exercises, while 12.5% perceived physiotherapy to be about hot packs. 90% agreed that low back pain and waist pain are the most common musculoskeletal conditions associated with pregnancy that are treated by physiotherapist, while 80% of respondent agreed to the relevance of physiotherapy in both antenatal and postnatal care, 83.8% agreed that physiotherapy should be incorporated into ante natal care education.
    Conclusion: A majority of the female health care professionals in Nigerian tertiary health institutions demonstrated adequate knowledge about physiotherapy and proper perception about the roles and relevance of physiotherapy services during antenatal and postnatal periods of pregnancy.
    Hyder Mirghani*
    Objectives: The study aimed to assess the clinical inertia and patients attitude towards insulin among patients with type 2 diabetes.
    Methods: This cross-sectional study conducted at a diabetes clinic in Omdurman, Sudan during the period from June to December 2017. One hundred and two patients with the diagnosis of type 2 diabetes were interviewed using a structured questionnaire to collect: Demographic data, the medication used, and attitude towards insulin injection. The clinical inertia was then estimated. The Statistical Package for Social Sciences (SPSS) was used for data analysis, and the ethical committee of Omdurman Teaching Hospital approved the research.
    Results: Participants (70.6% females), their age was (59.62±9.91) years, the glycated hemoglobin (HbA1c) was (10.16±3.14), clinical inertia to insulin was reported in 42.1%, the commonest negative attitude towards insulin was keeping insulin as a last resort for treatment. A highly significant statistical difference was evident between patients with clinical inertia and those without (P-value<0.001) regarding HbA1c, no significant differences were found regarding age, sex, diabetes duration, neck circumference, neuropathy, and retinopathy.
    Conclusion: Clinical inertia to insulin was found in nearly half of Sudanese patients with type 2 diabetes. Patients with clinical inertia had higher HbA1c compared to their counterparts, but no differences were evident regarding other patient characteristics. The commonest negative attitude towards insulin was keeping insulin as a last resort.
    Pilot Study
    Lindsay Newton, Sarah Whittaker, Christiana Johnson, Laura McCulloch, Jocelyn Powelson, Simone Wien, Madellena Thornton, Robert Santulli, and Catherine Florio Pipas*
    Introduction: In 2014, Dartmouth College implemented its first undergraduate public health course, taught in an experiential service learning model by a local family medicine physician. Interdisciplinary professionals collaborated to advance the vision “Healthy Students Contributing to Healthy Communities” and delivered a course covering relevant personal and public health content.
    Materials and methods: The course included experiential, service, and team-based learning aimed at achieving measurable improvement in community health challenges and focused public health education in an undergraduate setting. A comprehensive assessment was designed to understand the impact of the course, both on individual students and local communities.
    Results: Results of student assessment and course evaluation demonstrated success and feasibility of an experiential public health course in undergraduate curriculum taught by a family physician. All students reported ability to meet objectives and ranked the overall quality of the course as excellent. Results also demonstrated student effectiveness in designing and implementing community health interventions. All students completed personal health improvement projects and students collaborated in teams to complete community health improvement projects. All community partners reported a “very high” degree of satisfaction with interventions and deliverables. Students’ pre and post course survey results demonstrated enhanced knowledge in public health and leadership skills. By the end of the course, all students indicated that they were very or extremely likely to enter a health-related career, with many intending to pursue public health or primary care specifically.
    Conclusion: The course’s success in providing experiential exposure and mentoring to undergraduates on public health within the context of family medicine prompts us to offer this course as a model to promote knowledge, skills and career interests in primary care and public health.
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