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n a position perpendicular to ventricular epimyocardium.

Stammering is a dysfluency disorder that is common in children exposed to stressful conditions. Displacement from home is one such situation. There is a large internally displaced population in Pakistan.

To determine the prevalence of stammering among children of internally displaced persons (IDPs) in North Waziristan Agency, Pakistan.

This cross-sectional survey included 400 Pushto-speaking children of IDPs, aged 5-18 years enrolled from schools in North Waziristan Agency, from July 2017 to July 2018. The Fluency Rating Scale was used for speech assessment. Data were analysed by SPSS version 20.

The prevalence of stammering was 11%, with moderate stammering being more prevalent. Five (5.6%) girls and 39 (12.5%) boys were identified with stammering.

Stammering is highly prevalent among IDPs.

Stammering is highly prevalent among IDPs.

Detection of the cause of diarrhoeal diseases is important for the management of the outbreaks.

This study investigated the prevalence of Shiga toxin-producing bacteria in stool samples of patients with diarrhoea associated with outbreaks of foodborne illness in the Islamic Republic of Iran.

A total of 532 stool and rectal swab samples from 70 sporadic outbreaks during May 2014 to August 2015 were examined for infection with Shiga toxin-producing bacteria. LY3295668 The isolates were examined for carriage of the virulence genes stx

and stx

in all isolates and eae/ehxA in Escherichia coli.

E. coli, Shigella spp., Citrobacter spp., Enterobacter spp., Klebsiella spp. and other enteric bacteria were detected in 77.7% (376/484), 5.0% (24/484), 3.9% (19/484), 0.4% (2/484), 3.7% (18/484) and 9.3% (45/484) of the samples respectively. Of the 196 sorbitol-negative E. coli strains, 3 (1.5%) carried the stx

gene as did 2 of the 19 (10.5%) Citrobacter strains.

Shiga toxin-producing Citrobacter spp. strains should be considered as a newly emerging foodborne pathogen in outbreaks.

Shiga toxin-producing Citrobacter spp. strains should be considered as a newly emerging foodborne pathogen in outbreaks.

In Qatar, health media campaigns and applications (apps) have not been particularly successful among adolescents. Arab culture suggests personal communication as a promising alternative.

This study aimed to assess the importance of personal communication for health information among Qatari adolescents compared with other sources.

A secondary analysis of a representative sample of 1117 Qatari adolescents was done in 2017 of their sources of health information. Data were analysed according to age group and sex.

Personal communication was the most important source of health information (particularly parents and friends), together with a few selected Internet platforms for both sexes and age groups. Significantly more females used parents and Instagram as a source of health information than males (P ≤ 0.01). Males used traditional media channels, online forums and Facebook significantly more often than females (all P < 0.001). Siblings, doctors/nurses, Twitter and Wikipedia were significantly more important for older adolescents (P < 0.05). Younger respondents relied on YouTube and health classes significantly more than older adolescents (P < 0.05).

Providers of health information for adolescents should take advantage of personal communication and pay attention to which Internet channels are used. Parents and friends are particularly important sources of health information.

Providers of health information for adolescents should take advantage of personal communication and pay attention to which Internet channels are used. Parents and friends are particularly important sources of health information.

Hospital-acquired acute kidney injury is associated with increased mortality and has major public health implications. The incidence of in-hospital AKI in Eastern Saudi Arabia is not known.

To determine the incidence of in-hospital acute kidney injury in Eastern Saudi Arabia.

A single centre, retrospective cohort study at a major community hospital between July 2015 and July 2017.

A total of 26 383 patients were hospitalized and 293 (1.11%) were diagnosed with acute kidney injury. Drug-induced AKI was diagnosed in 38 (13%) patients, while 255 (87%) patients had acute kidney injury not attributed to drugs. Full recovery of renal function was observed in 39% and 44% in the drug induced and non-drug induced acute kidney injury groups, respectively.

acute kidney injury is a serious complication in hospitalized patients. Full recovery of renal function was observed in a minority of patients.

acute kidney injury is a serious complication in hospitalized patients. Full recovery of renal function was observed in a minority of patients.

In 2014, the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) introduced a new funding model. Following notice of their 2014-2016 allocation, Morocco took the bold decision to reallocate its entire allocated investment (US$ 8 029 632) for health systems strengthening (HSS) and submitted a comprehensive request for funding solely for interventions to strengthen the health system.

To explore the specific barriers and facilitators to Morocco's novel development and submission of a cross-cutting HSS funding request to the Global Fund and to document lessons learned and recommendations for policy and programme leaders interested in leveraging Global Fund investments for health systems.

A thorough desk review of key documents and 15 in-depth qualitative interviews were conducted with key stakeholders in Morocco in 2017.

In preparation for the funding request, Morocco carried out a comprehensive assessment of the health system, which included extensive dialogue with stakeholders and partnersthis novel experience and these are presented for shared learning. This opportunity for learning is timely as countries begin preparations for the upcoming funding cycle.

Child maltreatment occurs across all cultures and societies. Research in Kuwait is necessary to document its prevalence and related factors.

To determine the prevalence of childhood abuse reported by first year students of Kuwait University in 2010 and its association with depression.

A random sample of first year undergraduates completed the Arabic version of the ISPCAN Child Abuse Screening Tools for young adults and were assessed for depression using the Patient Health Questionnaire (PHQ-9).

Among 2508 respondents (70.9% female), 35.6%, 53.5% and 19.8% experienced at least one form of physical, emotional and sexual abuse, respectively. Physical abuse was more prevalent among boys (P < 0.001). For emotional and sexual abuse, sex differences were not statistically significant. Physical abuse was associated with living with the father, emotional abuse with living with the mother and sexual abuse with living with non-parents (P < 0.001). Most perpetrators were non-parents. Abuse was more prevalent among students whose parents were separated/divorced, whose fathers were polygamous and where monthly family income was < US$ 1800.

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