EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063) 2018-05-02T11:46:48+00:00 Naeem Akhtar Open Journal Systems <p><strong><span id="cell-4-name" class="gridCellContainer"><span class="label">EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063) </span></span></strong> publishes a wide range of high quality research articles in the field (but not limited to) given below: Psychiatric and mental health nursing, Learning disability nursing, Pediatric nursing, Geriatric nursing, Nursing of people in acute care and long term care institutional settings, Home health nursing, Community and Home care, Critical and emergency care etc. <br><span style="font-size: 1.5em;"><strong> <span style="text-shadow: #ff6600 0px 0px 3px;">Current Impact Factor: 2.475</span></strong></span></p> Newborn’s respiratory distress : the experience of the Neonatalogy and Neonatal intensive care ward of the University Hospital of Libreville – Gabon 2018-05-02T11:46:48+00:00 Julienne Isabelle MINKO Eliane KUISSI Steeve MINTO'O <p>Introduction: Few studies on respiratory distress in neonates (RDN) have been conducted in Gabon. In order to improve the management of this condition, we propose to carry out this work.</p> <p>Objectives: To determine the prevalence of DRNN, highlight the risk factors and evaluate the quality of the management of this pathology.</p> <p>Material and methods: A retrospective and descriptive including all newborns with respiratory distress and admitted to the ward during a 3 years period.</p> <p>Results: Of the 661 hospitalized patients, 201 were admitted for respiratory distress, ie a prevalence of 30.4%. Respiratory distress was severe in 22.1% of cases. The most common functional sign was polypnea (38.4%). The associated signs were hyperthermia (34.2%), jaundice (18.4%) and hypotonia (12.1%). Peri-natal asphyxia was diagnosed in 12.1% of cases. Treatment was dominated by oxygen therapy with goggles or Hood (95.3%); CPAP was used once and artificial ventilation 8 times (4.2%). The hospitalization delay was less than 12 hours (45.3%). The mortality rate was 41.6%. Factors related to death in case of respiratory distress were: prematurity, low birth weight, and severity of respiratory distress.</p> <p>Conclusion: Neonatal respiratory distress remains a frequent pathology of the perinatal period, its high mortality requires an appropriate antenatal and postnatal care urgent to improve the vital prognosis of the newborns.</p> 2018-04-29T12:23:35+00:00 ##submission.copyrightStatement## SERUM LEVELS OF SELECT MICRONUTRIENTS IN PRIMIGRAVIDA WITH PREECLAMPSIA VERSUS THEIR NORMOTENSIVE COUNTERPARTS: A CASE CONTROL STUDY AT A TERTIARY TEACHING HOSPITAL IN KENYA. 2018-04-30T11:07:00+00:00 Pulei AN <p><strong>Background:</strong> Preeclampsia (PE) is a one of the leading causes of maternal mortality as well as morbidity and long-term disability to mothers and newborns in sub-Saharan Africa. Various micronutrients have been implicated in its pathophysiology. Supplementation of some of these micronutrients, like calcium being recommended as part of the preventive strategies of PE in resource-poor countries. The status of these micronutrients and their relationship with PE vary from population to population.</p> <p><strong>Objective:</strong> To investigate the serum levels of select micronutrients (Vitamin D, calcium, zinc, and selenium) in preeclamptic and normotensive primigravid women in a tertiary teaching hospital in Kenya. &nbsp;</p> <p><strong>Methods:</strong> This was a case-control study. Primigravid controls matched for age and gestation with those with preeclampsia were included in the study. Data on their demographic and obstetric, nutritional were obtained. They were interviewed on frequency of consumption of specific nutrient rich foods. Blood samples were obtained for serum analysis of Vitamin D, Calcium, Selenium and Zinc levels.</p> <p><strong>Results:</strong> 108 participants were included. There were no significant differences in age, educational level and income level between the two study groups. Mean serum calcium and Vitamin D levels were significantly lower among the participants with preeclampsia. The mean serum vitamin D level amongst cases and controls was 20.8±10.2 ng/ml and 28.6±7.9 ng/ml respectively (p&lt;0.001) while the serum calcium levels were 2.2±0.3mmol/l for the cases and 2.3±0.09mmol/l for the controls (p=0.024). There was no statistically significant association between serum levels of Selenium and Zinc with preeclampsia. Most of the controls consumed diets rich in calcium in comparison to the cases. The controls were more likely to consume fish, one of the dietary sources of Vitamin D, compared to the cases. There were no differences in consumption of foods rich in zinc and selenium.&nbsp;</p> <p><strong>Conclusion:</strong> Pregnant women with preeclampsia have lower serum levels of calcium and vitamin D compared to their normotensive counterparts.</p> 2018-04-30T00:00:00+00:00 ##submission.copyrightStatement##