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Biomedical subjects

M Kabir

Publications and source records attributed to M Kabir.

62 records · Page 4Linked to original sources
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Factors influencing child mortality levels in rural Bangladesh: evidence from a micro study.

"This paper examines the factors that affect child mortality [in rural Bangladesh] by using a multivariate technique. The results suggest that mother's access to education and health care facilities are important determinants of child mortality. The access to maternal and child health programs and visit by the health workers were also related to low childhood mortality...." (SUMMARY IN FRE AND ITA)

Asia↗
PubMedDate not supplied

Adolescent self reported reproductive morbidity and health care seeking behaviour.

BACKGROUND: Addressing reproductive health issues of women is now on the global social agenda in the new millennium. Maternal mortality has long been the only indicator of women's health even though reproductive morbidity occurs far more frequently and seriously affects women's lives. In this paper, an attempt was made to assess the magnitude of self reported gynaecological morbidity unrelated to childbearing among the adolescents irrespective of their marital status. The paper also explored the determinants of health care seeking behaviour of the adolescents for their reproductive ailments. METHODS: Both quantitative and qualitative data were collected for this study. Cross sectional study was conducted both in rural and urban areas using a multistage cluster sampling technique. A nationally representative data on 2883 adolescents irrespective of their marital status were analysed. RESULTS: Analysis revealed that a large proportion of the adolescents (64.5%) reportedly has been suffering from gynaecological morbidity. The most frequent form of morbidity was menstrual disorders (63.9%) followed by lower abdominal pain (58.6%), burning sensation during urination (46.1%), genital itching (15.5%), vaginal discharge (3.4%) etc. Multivariate logistic regression analysis revealed that older adolescents aged 15-19 years, family income, type of family, type of residence and hygienic practice during menstruation appeared to be influencing factors for adolescents reproductive morbidity. The results also revealed that about one fifth (18.0%) sought health care for their gynaecological ailments indicating that adolescents were unaware about their reproductive morbidity (p<0.05). For assessing the factors influencing their health care seeking for reproductive morbidity, multivariate logistic regression analysis found significant positive association with adolescents aged 15-19 years, having autonomy in treatment, working status, adolescents of joint or extended family (p<0.05). DISCUSSION: Adolescent reproductive health in Bangladesh indicates high incidence of maternal morbidity. The incidence of these health problems varied by socio-economic and demographic characteristics of the adolescents. Recommendations to address these problems include encouragement of female education, introduction of family life education in school curricula, creating community awareness for seeking health care and empowerment of women in household decision making process.

Adolescent↗
PubMedDate not supplied

Knowledge, attitude and practice of female genital cutting among antenatal patients in Aminu Kano Teaching Hospital, Kano.

BACKGROUND: Despite the widespread practice of FGC, not much attention had been given to it until recently. The attitude of expectant mothers towards it is crucial in sustaining it. OBJECTIVE: To assess knowledge, attitude and practice of female genital cutting among antenatal patients in Aminu Kano Teaching hospital in northern Nigeria METHODS: A cross-sectional study was conducted on 210 antenatal patients seen at Aminu Kano Teaching Hospital from February to March 2003. A structured interviewer-administered questionnaire was used to collect information about socio-demographic characteristics, knowledge, attitude and practice of female genital cutting. RESULTS: Majority (91.4%) of the respondents have heard about FGC. Clitoridectomy and infibulation were known by 36.2% and 5.2% of the respondents respectively. Sixty and 5.2% of respondents knew that HIV/AIDS and Hepatitis could be transmitted by methods used in FGC. Other complications mentioned include sexual dissatisfaction (25.7%) and difficult delivery (8.6%). Furthermore, 16% of respondents wished FGC would continue mainly due to cultural or religious reasons, this opinion was associated with low (20.5%) level of education. Opponents of FGC gave medical complications as their main reason. Prevalence of circumcision was 23.3% and the most common type (36.7%) was clitoridectomy. CONCLUSION: Though awareness about FGC has improved, and attitude towards it appears generally negative, the practice still persists in the north, though at a lower level than the Southeast and Southwest. It was therefore recommended that intensive campaign and health education among mothers and the general public, as well as enforcement of legislation are needed.

Adolescent↗
PubMedDate not supplied

Computing knowledge, attitude and skills among healthcare professionals in Aminu Kano Teaching Hospital, Nigeria.

BACKGROUND: Health care professionals can no longer ignore the application of information technology to health care. This study was carried out to assess computing knowledge, attitude and skills among health care professionals and identify associated factors. METHODS: A cross section of 200 health care professionals- consisting of 64 doctors, 90 nurses, 35 laboratory scientists and 11 pharmacists in Aminu Kano Teaching Hospital were interviewed using a pre-tested, structured, closed-ended self-administered questionnaire. RESULTS: Only 181 (90.5%) of the respondents returned the completed questionnaires. Twenty six percent of the respondents had formal computer training whereas 34.8% owned a personal computer. Overall, 84 (46.4%) of the respondents had good knowledge of computing. Specifically, 41(66.0%), 5 (50.0%), 14 (51.0%) and 24 (30.0%) of these were doctors, pharmacists, laboratory scientists and nurses respectively. Computing knowledge was highest among doctors and lowest among nurses. These differences were statistically significant (chi2 = 19.1 df = 3 P < 0.01). Age, gender, computer ownership and formal computer training significantly influenced computing knowledge. Most healthcare professionals 160 (88.4%) had positive attitude towards computing and this was significantly influenced by respondent's age and previous computer training. Only 41 (22.7%) of the health care professionals had good computing skills and this was significantly associated with computer ownership (P < 0.01) and formal computer training (P < 0.01). CONCLUSION: Half of the healthcare professionals had good computing knowledge, majority had a positive attitude while many were quite deficient in computer skills. Computer loans and in-house computing courses were recommended to prepare our healthcare professionals for the challenges of the information technology age.

Adult↗
PubMedDate not supplied

Compliance to antiretroviral therapy among AIDS patients in Aminu Kano Teaching Hospital, Kano, Nigeria.

BACKGROUND: Non-compliance with antiretroviral treatment has serious consequences for prognosis and may lead to the development of resistant strains of the virus. This study assessed the level of compliance to antiretroviral treatment, identified factors associated with compliance and reasons for non-compliance among AIDS patients in a Teaching Hospital in Northern Nigeria. METHODS: A pre-tested structured interview questionnaire was administered on a cross-section of 263 AIDS patients seen at Aminu Kano Teaching Hospital, Kano. Patient's reported consumption of antiretroviral drugs was compared with the Physician's prescription in the seven-day period preceding the interview. RESULTS: Only 142 (54.0%) of the 263 respondents took at least 80% of the antiretroviral drugs prescribed. Sixty-one (23.2%) did not miss any dose of the drugs. Univariate analysis showed that a significantly higher proportion (58.7%) of patients with formal education were compliant compared to 26.3% of those without formal education (chi2 = 13.7 df = 1 P < 0.01). The educated patient was four times more likely to be compliant [O.R = 3.97, 95% CI = 1.75-9.24]. In contrast, age and sex variables had no significant influence on compliance among these patients. Main reasons for non-adherence to medication include non-availability of drugs (40.6%), forgetfulness (23.9%) and lack of funds (15.8%). CONCLUSIONS: The average compliance observed in this study could be improved by ensuring a steady supply of affordable antiretroviral drugs, better patient-provider communication and enhanced social support for these patients.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Do adolescents support early marriage in Bangladesh? Evidence from study.

Adolescence is a critical period for female adolescents as they have to make decisions regarding their marriage, education and work which would influence and determine their future course of life. Although, early marriage has negative consequences, still a proportion of female adolescents favour early marriage because of prevailing cultural norms. This paper attempts to investigate the factors influencing the adolescents' attitude towards early marriage among the married and unmarried female adolescents. This is a quantitative and qualitative study. A multistage cluster sampling technique was used to select the sample. For quantitative results, data on 3362 female adolescents from rural and urban areas irrespective of their marital status were analyzed. To supplement the results found in quantitative analysis, a series of focus group discussions were conducted among the adolescents. Analysis revealed that one fourth (25.9%) of the adolescents were in favour of early marriage. A number of societal factors influenced them towards early marriage, despite the fact that adolescents are aware of the consequences of maternal and child health. Multivariate logistic regression analysis showed that current marital status, years of schooling, work status and parental marital decision are important predictors of early marriage (p < 0.05). The study concluded that female education would be an important determinant of adolescent marriage. Therefore, opportunities and scope of education beyond secondary would helps to bring change in the attitude towards early marriage.

Adolescent↗
PubMedDate not supplied

[Comparative study, using a placebo, of the frequency of micturition after repeated administration of piretanide SR 6 mg/day (Eurelix) to healthy volunteers].

Thirty healthy volunteers received piretanide SR 6 mg/day (n = 15) or placebo (n = 15) in a 10-day double-blind parallel-group comparative trial. 24-h urine output was significantly greater with piretanide than with placebo on D1 (1919 +/- 434 ml and 1160 +/- 335 ml respectively, p = 0.001 one-sided) as on D10 (1563 +/- 538 ml and 1236 +/- 435 ml respectively, p = 0.04 one-sided). Nevertheless the evolution of urinary output from D1 to D10 was significantly different (p = 0.008): it remained stable with placebo but diminished with piretanide. The diuretic effect of piretanide was apparent with a supplementary miction between 8 a.m. and 4 p.m. both on D1 and D10. Between 4 p.m. and 8 a.m., the number of mictions was the same in both groups. Thus piretanide SR 6 mg has a mild effect on the number of mictions; it should not alter patients' well-being.

Adult↗