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Sample records for albanian maternity hospital

  1. Care during the third stage of labour: obstetricians views and practice in an Albanian maternity hospital

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    Dokle Anika

    2010-01-01

    Full Text Available Abstract Background Relatively little is known about current practice during the third stage of labour in low and middle income countries. We conducted a survey of attitudes and an audit of practice in a large maternity hospital in Albania. Methods Survey of 35 obstetricians and audit of practice during the third stage was conducted in July 2008 at a tertiary referral hospital in Tirana. The survey questionnaire was self completed. Responses were anonymous. For the audit, information collected included time of administration of the uterotonic drug, gestation at birth, position of the baby before cord clamping, cord traction, and need for resuscitation. Results 77% (27/35 of obstetricians completed the questionnaire, of whom 78% (21/27 reported always or usually using active management, and 22% (6/27 always or usually using physiological care. When using active management: 56% (15/27 gave the uterotonic after cord clamping; intravenous oxytocin was almost always the drug used; and 71% (19/27 clamped the cord within one minute. For physiological care: 42% (8/19 clamped the cord within 20 seconds, and 96% (18/19 within one minute. 93% would randomise women to a trial of early versus late cord clamping. Practice was observed for 156 consecutive births, of which 26% (42/156 were by caesarean section. A prophylactic uterotonic was used for 87% (137/156: this was given after cord clamping for 55% (75/137, although timing of administration was not recorded for 21% (29/137. For 85% of births (132/156 cord clamping was within 20 seconds, and for all babies it was within 50 seconds. Controlled cord traction was used for 49% (76/156 of births. Conclusions Most obstetricians reported always or usually using active management for the third stage of labour. For timing and choice of the uterotonic drug, reported practice was similar to actual practice. Although some obstetricians reported they waited longer than one minute before clamping the cord, this was not

  2. An exceptional Albanian family with seven children presenting with dysmorphic features and mental retardation: maternal phenylketonuria

    OpenAIRE

    Weigel Corina; Topf Hans G; Schellmoser Stefan; Zschocke Johannes; Knerr Ina; Dötsch Jörg; Rascher Wolfgang

    2005-01-01

    Abstract Background Phenylketonuria is an inborn error of amino acid metabolism which can cause severe damage to the patient or, in the case of maternal phenylketonuria, to the foetus. The maternal phenylketonuria syndrome is caused by high blood phenylalanine concentrations during pregnancy and presents with serious foetal anomalies, especially congenital heart disease, microcephaly and mental retardation. Case presentation We report on an affected Albanian woman and her seven children. The ...

  3. Reported maternal styles and substance use: a cross-sectional study among educated Albanian young adults.

    Science.gov (United States)

    Kalyva, Efrosini; Melonashi, Erika

    2014-05-01

    The study explored a predictive model of substance use including perceived maternal parenting style, age and gender. Participants were 347 Albanian young adults (144 males and 203 females) aged 18 to 28 years. They completed the Parental Authority Questionnaire and the Adolescent Alcohol and Drug Involvement Scale. Gender, perceived authoritative maternal style, and age predicted a proportion of substance use involvement. Gender and perceived authoritative maternal style also predicted the proportion of young people at risk for substance use or abuse. Implications of the findings and limitations of the study are discussed. PMID:24245766

  4. An exceptional Albanian family with seven children presenting with dysmorphic features and mental retardation: maternal phenylketonuria

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    Weigel Corina

    2005-04-01

    Full Text Available Abstract Background Phenylketonuria is an inborn error of amino acid metabolism which can cause severe damage to the patient or, in the case of maternal phenylketonuria, to the foetus. The maternal phenylketonuria syndrome is caused by high blood phenylalanine concentrations during pregnancy and presents with serious foetal anomalies, especially congenital heart disease, microcephaly and mental retardation. Case presentation We report on an affected Albanian woman and her seven children. The mother is affected by phenylketonuria and is a compound heterozygote for two pathogenetic mutations, L48S and P281L. The diagnosis was only made in the context of her children, all of whom have at least one severe organic malformation. The first child, 17 years old, has a double-chambered right ventricle, vertebral malformations and epilepsy. She is also mentally retarded, microcephalic, exhibits facial dysmorphies and small stature. The second child, a girl 15 years of age, has severe mental retardation with microcephaly, small stature and various dysmorphic features. The next sibling, a boy, died of tetralogy of Fallot at the age of three months. He also had multiple vertebral and rib malformations. The subsequent girl, now eleven years old, has mental retardation, microcephaly and epilepsy along with facial dysmorphy, partial deafness and short stature. The eight-year-old child is slightly mentally retarded and microcephalic. A five-year-old boy was a premature, dystrophic baby and exhibits mental retardation, dysmorphic facial features, brachydactyly and clinodactyly of the fifth finger on both hands. Following a miscarriage, our index case, the youngest child at two years of age, is microcephalic and mentally retarded and shows minor facial anomalies. All children exhibit features of phenylalanine embryopathy caused by maternal phenylketonuria because the mother had not been diagnosed earlier and, therefore, never received any diet. Conclusion This is

  5. Obstetric near-miss and maternal mortality in maternity university hospital, Damascus, Syria: a retrospective study

    OpenAIRE

    Al Chamat Ahmad; Shahrour Yasser; Matar Hosam E; Almerie Muhammad Q; Almerie Yara; Abdulsalam Asmaa

    2010-01-01

    Abstract Background Investigating severe maternal morbidity (near-miss) is a newly recognised tool that identifies women at highest risk of maternal death and helps allocate resources especially in low income countries. This study aims to i. document the frequency and nature of maternal near-miss at hospital level in Damascus, Capital of Syria, ii. evaluate the level of care at maternal life-saving emergency services by comparatively analysing near-misses and maternal mortalities. Methods Ret...

  6. STUDY OF MATERNAL MORTALITY IN A TERTIARY CARE HOSPITAL

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    Sandhya Devi

    2015-05-01

    Full Text Available BACKGROUND: A woman dies from complications of child birth every minute . The major causes for maternal mortality in India are uncontrolled fertility , inaccessibility or inadequate utilization of health care facilities , illiteracy , ignorance and gender discrimination . OBJECTIV ES: (1 To identify various causes of maternal deaths in a teaching hospital . (2 To study the profile of population attending the tertiary hospital . Methodology : A retrospective study was conducted in a tertiary hospital over a period of 2 years (January 2013 - December 2014 and data was analysed manually using case sheets and maternal death audit forms . RESULTS: In the study period , there were 11636 deliveries and 97 maternal deaths . The direct causes accounted for 77 maternal deaths with haemorrhage , hype rtension and sepsis as leading causes of maternal mortality . Conclusion : Emphasis on health education , need for regular antenatal checkups and proper training of health personnel is required to reduce maternal mortality .

  7. Maternal mortality: a tertiary care hospital experience in Upper Egypt

    OpenAIRE

    Abbas, Ahmed M.; Mariam T. Amin; Shymaa S. Ali; Neima Z. Salem

    2016-01-01

    Background: Maternal mortality is one of the major challenges which face the developing countries throughout the world. The aim of the study is to assess the causes of maternal mortality at Women Health Hospital, Assiut University, Egypt, and to identify the avoidable ones. Methods: Data were collected from records of patients who presented to and/or delivered at Women Health Hospital between 2009 and 2014. Only cases of maternal mortality were included in this study. In our study, we foun...

  8. STUDY OF MATERNAL MORTALITY IN A TERTIARY CARE HOSPITAL

    OpenAIRE

    Sandhya Devi; Madhuri; Sarada Bai; Srividya

    2015-01-01

    BACKGROUND: A woman dies from complications of child birth every minute . The major causes for maternal mortality in India are uncontrolled fertility , inaccessibility or inadequate utilization of health care facilities , illiteracy , ignorance and gender discrimination . OBJECTIV ES: (1 ) To identify various causes of maternal deaths in a teaching hospital . (2 ) To study the profile of population attending the tertiary hos...

  9. Influence of the support offered to breastfeeding by maternity hospitals

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    Adriana Passanha

    2015-01-01

    Full Text Available ABSTRACT OBJECTIVE To evaluate whether the support offered by maternity hospitals is associated with higher prevalences of exclusive and predominant breastfeeding. METHODS This is a cross-sectional study including a representative sample of 916 infants less than six months who were born in maternity hospitals, in Ribeirao Preto, Sao Paulo, Southeastern Brazil, 2011. The maternity hospitals were evaluated in relation to their fulfillment of the Ten Steps to Successful Breastfeeding. Data were collected regarding breastfeeding patterns, the birth hospital and other characteristics. The individualized effect of the study factor on exclusive and predominant breastfeeding was analyzed using Poisson multiple regression with robust variance. RESULTS Predominant breastfeeding tended to be more prevalent when the number of fulfilled steps was higher (p of linear trend = 0.057. The step related to not offering artificial teats or pacifiers to breastfed infants and that related to encouraging the establishment of breastfeeding support groups were associated, respectively, to a higher prevalence of exclusive (PR = 1.26; 95%CI 1.04;1.54 and predominant breastfeeding (PR = 1.55; 95%CI 1.01;2.39, after an adjustment was performed for confounding variables. CONCLUSIONS We observed a positive association between support offered by maternity hospitals and prevalences of exclusive and predominant breastfeeding. These results can be useful to other locations with similar characteristics (cities with hospitals that fulfill the Ten Steps to Successful Breastfeeding to provide incentive to breastfeeding, by means of promoting, protecting and supporting breastfeeding in maternity hospitals.

  10. Reading Difficulties in Albanian

    Science.gov (United States)

    Avdyli, Rrezarta; Cuetos, Fernando

    2012-01-01

    Albanian is an Indo-European language with a shallow orthography, in which there is an absolute correspondence between graphemes and phonemes. We aimed to know reading strategies used by Albanian disabled children during word and pseudoword reading. A pool of 114 Kosovar reading disabled children matched with 150 normal readers aged 6 to 11 years…

  11. Severe maternal morbidity for 2004-2005 in the three Dublin maternity hospitals.

    LENUS (Irish Health Repository)

    Murphy, Cliona M

    2012-02-01

    OBJECTIVE: To assess the prevalence and causes of severe maternal morbidity in Dublin over a two year period from 2004 to 2005. STUDY DESIGN: A prospective cohort study from January 2004 to December 2005 was undertaken in the three large maternity hospitals in Dublin, which serve a population of 1.5 million people. All are tertiary referral centres for obstetrics and neonatology and have an annual combined delivery rate of circa 23,000 births. Cases of severe maternal morbidity were identified. A systems based classification was used. The primary cause of maternal morbidity and the number of events experienced per patient was recorded. RESULTS: We identified 158 women who fulfilled the definition for severe maternal morbidity, giving a rate of 3.2 per 1000 maternities. There were two maternal deaths during the time period giving mortality to morbidity ratio of 1:79. The commonest cause of severe morbidity was vascular dysfunction related to obstetric haemorrhage. Eclampsia comprised 15.4% of cases. Intensive care or coronary care admission occurred in 12% of cases. CONCLUSION: The prevalence of severe maternal morbidity in this population is 3.2\\/1000 maternities. Obstetric haemorrhage was the main cause of severe maternal morbidity.

  12. Severe maternal morbidity and near misses in tertiary hospitals, Kelantan, Malaysia: a cross-sectional study

    OpenAIRE

    Norhayati, Mohd Noor; Nik Hazlina, Nik Hussain; Sulaiman, Zaharah; Azman, Mohd Yacob

    2016-01-01

    Background Severe maternal conditions have increasingly been used as alternative measurements of the quality of maternal care and as alternative strategies to reduce maternal mortality. We aimed to study severe maternal morbidity and maternal near miss among women in two tertiary hospitals in Kota Bharu, Kelantan, Malaysia. Methods A cross-sectional study with record review was conducted in 2014. Severe maternal morbidity and maternal near miss were classified using the new World Health Organ...

  13. Birthing Centers and Hospital Maternity Services

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    ... and baby. If you give birth in a teaching hospital, medical students or residents might be present during the birth. ... Privacy Policy & Terms of Use Visit the Nemours Web ... For specific medical advice, diagnoses, and treatment, consult your doctor. © 1995- ...

  14. Obstetric near-miss and maternal mortality in maternity university hospital, Damascus, Syria: a retrospective study

    Directory of Open Access Journals (Sweden)

    Al Chamat Ahmad

    2010-10-01

    Full Text Available Abstract Background Investigating severe maternal morbidity (near-miss is a newly recognised tool that identifies women at highest risk of maternal death and helps allocate resources especially in low income countries. This study aims to i. document the frequency and nature of maternal near-miss at hospital level in Damascus, Capital of Syria, ii. evaluate the level of care at maternal life-saving emergency services by comparatively analysing near-misses and maternal mortalities. Methods Retrospective facility-based review of cases of near-miss and maternal mortality that took place in the years 2006-2007 at Damascus Maternity University Hospital, Syria. Near-miss cases were defined based on disease-specific criteria (Filippi 2005 including: haemorrhage, hypertensive disorders in pregnancy, dystocia, infection and anaemia. Main outcomes included maternal mortality ratio (MMR, maternal near miss ratio (MNMR, mortality indices and proportion of near-miss cases and mortality cases to hospital admissions. Results There were 28 025 deliveries, 15 maternal deaths and 901 near-miss cases. The study showed a MNMR of 32.9/1000 live births, a MMR of 54.8/100 000 live births and a relatively low mortality index of 1.7%. Hypertensive disorders (52% and haemorrhage (34% were the top causes of near-misses. Late pregnancy haemorrhage was the leading cause of maternal mortality (60% while sepsis had the highest mortality index (7.4%. Most cases (93% were referred in critical conditions from other facilities; namely traditional birth attendants homes (67%, primary (5% and secondary (10% healthcare unites and private practices (11%. 26% of near-miss cases were admitted to Intensive Care Unit (ICU. Conclusion Near-miss analyses provide valuable information on obstetric care. The study highlights the need to improve antenatal care which would help early identification of high risk pregnancies. It also emphasises the importance of both: developing protocols to

  15. The unbooked maternity patient in an academic hospital in Durban

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    R. Gcaba

    1992-09-01

    Full Text Available This paper examines the unbooked maternity patient in an academic hospital in Durban, Natal; This hospital is the biggest hospital serving the underprivileged population of this area. Of the 16000 annual deliveries in this hospital, about 12% are unbooked patients. The health belief model of Rosenstock, as interpreted by Mikhail and Cox’s interaction model of client health behaviour were used as a theoretical framework for this research. A qualitative case study methodology was undertaken and semi-structured interviews were conducted with unbooked mothers who had utilized appropriate health services in a previous pregnancy. The aim of such interviews was to explore reasons given by mothers for non-use of facilities in the current pregnancy. The basic trends reflected in the findings regarding non-utilization of health services were client instability, health service failure and socio-cultural constraints, The study is innovative and addresses the problem from a social-cultural and midwifery perspective.

  16. Albanian: Basic Radio Communications.

    Science.gov (United States)

    Defense Language Inst., Washington, DC.

    This volume has been designed as a supplement to a course in Albanian developed by the Defense Language Institute. The emphasis in this text is placed on radio communications instruction. The volume is divided into five exercises, each of which contains a vocabulary, dictation, and an air-to-ground communications procedure conducted in Albanian…

  17. Maternal near miss and mortality in a tertiary care hospital in Rwanda

    OpenAIRE

    Rulisa, Stephen; Umuziranenge, Immaculee; Small, Maria; van Roosmalen, Jos

    2015-01-01

    Background To determine the prevalence and factors associated with severe (‘near miss’) maternal morbidity and mortality in the University Teaching Hospital of Kigali – Rwanda. Methods We performed a cross sectional study of all women admitted to the tertiary care University Hospital in Kigali with severe “near miss” maternal morbidity and mortality during a one year period using the WHO criteria for ‘near miss’ maternal mortality. We assessed maternal demographic characteristics and disease ...

  18. “Near Miss” Obstetric Events and Maternal Deaths in a Tertiary Care Hospital: An Audit

    OpenAIRE

    PS, Roopa; Shailja Verma; Lavanya Rai; Pratap Kumar; Pai, Murlidhar V.; Jyothi Shetty

    2013-01-01

    Objectives. (1) To determine the frequency of maternal near miss, maternal near miss incidence ratio (MNMR), maternal near miss to mortality ratio and mortality index. (2) To compare the nature of near miss events with that of maternal mortality. (3) To see the trend of near miss events. Design. Audit. Setting. Kasturba Hospital, Manipal University, Manipal, India. Population. Near miss cases & maternal deaths. Methods. Cases were defined based on WHO criteria 2009. Main Outcome Measures. Sev...

  19. Risk factors for maternal mortality in a Tertiary Hospital in Kenya : a case control study

    OpenAIRE

    Yego, Faith; D'Este, Catherine; Byles, Julie; Williams, Jennifer Stewart; Nyongesa, Paul

    2014-01-01

    Background: Maternal mortality is high in Africa, especially in Kenya where there is evidence of insufficient progress towards Millennium Development Goal (MDG) Five, which is to reduce the global maternal mortality rate by three quarters and provide universal access to reproductive health by 2015. This study aims to identify risk factors associated with maternal mortality in a tertiary level hospital in Kenya. Methods: A manual review of records for 150 maternal deaths (cases) and 300 contro...

  20. Trends in maternal mortality at the University of Calabar Teaching Hospital, Nigeria, 1999–2009

    OpenAIRE

    Agan, TU; Archibong, EI; Ekabua, JE; Ekanem, EI; Abeshi, S E; Edentekhe, TA; Bassey, EE

    2010-01-01

    Background Maternal mortality remains a major public health challenge, not only at the University of Calabar Teaching Hospital, but in the developing world in general. Objective The objective of this study was to assess trends in maternal mortality in a tertiary health facility, the maternal mortality ratio, the impact of sociodemographic factors in the deaths, and common medical and social causes of these deaths at the hospital. Methodology This was a retrospective review of obstetric servic...

  1. Quality of Care: A Review of Maternal Deaths in a Regional Hospital in Ghana.

    Science.gov (United States)

    Adusi-Poku, Yaw; Antwil, Edward; Osei-Kwakye, Kingsley; Tetteh, Chris; Detoh, Eric Kwame; Antwi, Phyllis

    2015-09-01

    The government of Ghana and key stakeholders have put into place several interventions aimed at reducing maternal deaths. At the institutional level, the conduct of maternal deaths audit has been instituted. This also contributes to reducing maternal deaths as shortcomings that may have contributed to such deaths could be identified to inform best practice and forestall such occurrences in the future. The objective of this study was to review the quality of maternal care in a regional hospital. A review of maternal deaths using Quality of Care Evaluation Form adapted from the Komfo Anokye Teaching Hospital (KATH) Maternal Death Audit Evaluation Committee was used. About fifty-five percent, 18 (55%) of cases were deemed to have received adequate documentation, senior clinicians were involved in 26(85%) of cases. Poor documentation, non-involvement of senior clinicians in the management of cases, laboratory related issues particularly in relation to blood and blood products as well as promptness of care and adequacy of intensive care facilities and specialists in the hospital were contributory factors to maternal deaths . These are common themes contributing to maternal deaths in developing countries which need to be urgently tackled. Maternal death review with emphasis on quality of care, coupled with facility gap assessment, is a useful tool to address the adequacy of emergency obstetric care services to prevent further maternal deaths. PMID:26897915

  2. “Near Miss” Obstetric Events and Maternal Deaths in a Tertiary Care Hospital: An Audit

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    Roopa PS

    2013-01-01

    Full Text Available Objectives. (1 To determine the frequency of maternal near miss, maternal near miss incidence ratio (MNMR, maternal near miss to mortality ratio and mortality index. (2 To compare the nature of near miss events with that of maternal mortality. (3 To see the trend of near miss events. Design. Audit. Setting. Kasturba Hospital, Manipal University, Manipal, India. Population. Near miss cases & maternal deaths. Methods. Cases were defined based on WHO criteria 2009. Main Outcome Measures. Severe acute maternal morbidity and maternal deaths. Results. There were 7390 deliveries and 131 “near miss” cases during the study period. The Maternal near miss incidence ratio was 17.8/1000 live births, maternal near miss to mortality ratio was 5.6 : 1, and mortality index was 14.9%. A total of 126 cases were referred, while 5 cases were booked at our hospital. Hemorrhage was the leading cause (44.2%, followed by hypertensive disorders (23.6% and sepsis (16.3%. Maternal mortality ratio (MMR was 313/100000 live births. Conclusion. Hemorrhage and hypertensive disorders are the leading causes of near miss events. New-onset viral infections have emerged as the leading cause of maternal mortality. As near miss analysis indicates the quality of health care, it is worth presenting in national indices.

  3. Insight into maternal mortality of tertiary referral hospital of Madhya Pradesh: destination far ahead

    OpenAIRE

    Bharti Sahu; Padma Shukla; Shama Khan; Parwati Sharma

    2015-01-01

    Background: Demise of mother wreaks havoc in family, society and ultimately nation. Amongst so many countries, India alone contributes one quarter of total world maternal deaths. Millennium Development Goal targeted to cut down maternal mortality up to or less than 109 per lakh of total live births is far away from present level prevailing especially in our institution of Madhya Pradesh in centre of India. Methods: A retrospective analysis of maternal deaths from hospital records and death...

  4. Analysis of maternal mortality in a tertiary care hospital of a metropolitan city

    OpenAIRE

    Shakila Mulla; Pankaj Kumar Gupta; Shakeel Ansari

    2015-01-01

    Introduction: In developing countries like India, maternal mortality ratio is still very high. Current study is an attempt to analyze maternal mortality and its determinants in a tertiary care hospital where highest quality of medical care is provided. Methods: It was a retrospective study. Five years data from January 2004 to December 2008 was reviewed from medical record department of tertiary care hospital in Mumbai. Fisher’s exact test was applied; Odds ratio and 95% confidence interval w...

  5. Substandard emergency obstetric care - a confidential enquiry into maternal deaths at a regional hospital in Tanzania

    DEFF Research Database (Denmark)

    Sorensen, Bjarke Lund; Elsass, Peter; Nielsen, Brigitte Bruun;

    2010-01-01

    OBJECTIVE: (i) To identify clinical causes of maternal deaths at a regional hospital in Tanzania and through confidential enquiry (CE) assess major substandard care and make a comparison to the findings of the internal maternal deaths audits (MDAs); (ii) to describe hospital staff reflections on ......, and staff dedication to the process was questioned. CONCLUSION: Quality assurance of emergency obstetric care might be strengthened by supplementing internal MDA with external CE....

  6. Maternal mortality in Cameroon: a university teaching hospital report.

    Science.gov (United States)

    Tebeu, Pierre-Marie; Pierre-Marie, Tebeu; Halle-Ekane, Gregory; Gregory, Halle-Ekane; Da Itambi, Maxwell; Maxwell, Da Itambi; Enow Mbu, Robinson; Robinson, Enow Mbu; Mawamba, Yvette; Yvette, Mawamba; Fomulu, Joseph Nelson; Nelson, Fomulu Joseph

    2015-01-01

    More than 550,000 women die yearly from pregnancy-related causes. Fifty percent (50%) of the world estimate of maternal deaths occur in sub-Saharan Africa alone. There is insufficient information on the risk factors of maternal mortality in Cameroon. This study aimed at establishing causes and risk factors of maternal mortality. This was a case-control study from 1st January, 2006 to 31st December, 2010 after National Ethical Committee Approval. Cases were maternal deaths; controls were women who delivered normally. Maternal deaths were obtained from the delivery room registers and in-patient registers. Controls for each case were two normal deliveries following identified maternal deaths on the same day. Variables considered were socio-demographic and reproductive health characteristics. Epi Info 3.5.1 was used for analysis. The mean MMR was 287.5/100,000 live births. Causes of deaths were: postpartum hemorrhage (229.2%), unsafe abortion (25%), ectopic pregnancy (12.5%), hypertension in pregnancy (8.3%), malaria (8.3%), anemia (8.3%), heart disease (4.2%), and pneumonia (4.2%), and placenta praevia (4.2%). Ages ranged from 18 to 41 years, with a mean of 27.7 ± 5.14 years. Lack of antenatal care was a risk factor for maternal death (OR=78.33; CI: (8.66- 1802.51)). The mean MMR from 2006 to 2010 was 287.5/100,000 live births. Most of the causes of maternal deaths were preventable. Lack of antenatal care was a risk factor for maternal mortality. Key words: Maternal mortality, causes, risk factors, Cameroon. PMID:26401210

  7. Maternal mortality in a teaching hospital in southern India. A 13-year study.

    Science.gov (United States)

    Rao, K B

    1975-10-01

    During the 13 years 1960-1972, in a teaching hospital that serves a predominantly rural and semiurban population in southern India, there were 74,384 deliveries and 1245 maternal deaths, a maternal mortality rate of 16.7 per 1000 births. Direct obstetric factors caused 854 (65.5%) of these deaths. The leading indirect or associated causes of maternal deaths were anemia, cerebrovascular accidents, and infectious hepatitis. During the past 13 years, monthly maternal mortality meetings have helped to reduce the incidence of avoidable factors in maternal deaths among patients from the city but not among those brought from the surrounding countryside. The important causes of maternal deaths in this developing country, and their prevention, are individually discussed. PMID:1080844

  8. Establishing a national maternal morbidity outcome indicator in England: a population-based study using routine hospital data

    OpenAIRE

    Kurinczuk, JJ; M. Nair; Knight, M.

    2016-01-01

    Introduction: As maternal deaths become rarer, monitoring near-miss or severe maternal morbidity becomes important as a tool to measure changes in care quality. Many calls have been made to use routinely available hospital administration data to monitor the quality of maternity care. We investigated 1) the feasibility of developing an English Maternal Morbidity Outcome Indicator (EMMOI) by reproducing an Australian indicator using routinely available hospital data, 2) the impact of modificati...

  9. Factors Affecting The Adoption Of Mhealth In Maternal Health Care In Nakuru Provincial General Hospital

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    Simon Munyua

    2015-08-01

    Full Text Available Abstract Access to timely and quality maternal health care remains to be a major development challenge in many developing economies particularly in Kenya. The countrys system of providing maternal health care also continue to be anchored on conventional methods of physical presence of the patient and the doctor in a hospital setup. The countrys ICT and health policies also place very little emphasis on the use of these platforms. This study therefore sought to establish the factors affecting the adoption of mHealth by focusing on maternal health in Nakuru Provincial General Hospital. Objectives of the study were to determine the extent to knowledge and awareness affects the adoption of mHealth in maternal health care at Nakuru PGH to identify the government policies affecting the adoption of mHealth in maternal health care at Nakuru PGH to assess how access to technology affects the adoption of mHealth in maternal healthcare to establish the effects of ICT infrastructure on the adoption of mHealth in maternal health care and to identify the cost aspects affecting the adoption of mHealth in maternal health care at Nakuru Provincial General Hospital. It is envisaged that the study could provide useful information on the adoption of mHealth in managing maternal health care in Nakuru Provincial General Hospital. Descriptive survey research design will be used where all the medical staff and patients of Nakuru Provincial General Hospital was surveyed. The study population therefore was made up of 24 medical staff and 3460 mothers visiting the antenatal clinic selected using clustered random sampling technique. The main instrument for primary data collection was the questionnaire. Data analysis was then done using both descriptive and inferential statistics. Descriptive statistics to be used include frequency counts percentages and measures of central tendency. Inferential statistics on the other hand include t-test analysis and spearman correlation

  10. Study Of Maternal And Fetal Outcome In Twin Gestation At Tertiary Care Teaching Hospital

    OpenAIRE

    Bangal, Vidyadhar B; Patel, Shrutiben M; Khairnar, Devendra N

    2012-01-01

    Twin gestation is considered as high risk pregnancy due to associated high maternal morbidity and perinatal mortality in comparison with singleton pregnancies .Overall, the rate of twin gestation is on rise due to inadvertent use of ovulation induction drugs in assisted reproductive techniques. This observational study was carried out to find the maternal and perinatal outcome in 100 cases of twin gestation delivered at tertiary care referral hospital over a period of fifteen months. It was o...

  11. Assessments of maternal psychosocial adaptation for pre-labor hospitalized pregnant women in Japan

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    Yasuka Nakamura

    2011-11-01

    Full Text Available Maternal psychosocial adaptation to pregnancy is significant task for women during pregnancy. Antepartum hospitalization is often characterized by maternal anxiety, boredom, feelings of imprisonment, and loneliness. The purpose of this study was to explore maternal psychosocial adaptation during pregnancy for hospitalized pregnant women compared with such adaptation in low-risk pregnant women from a reference population. This was a cross-sectional study with convenience samples of high-risk hospitalized and low-risk mothers. This study was carried out in five hospitals and two clinics between March and December 2009 in several areas of Japan. Subjects were 189 hospitalized women diagnosed with premature labor who had received continuous 24-h treatment with intravenous ritodrine hydrochloride for more than 1 week. The Japanese version of Prenatal Self-Evaluation Questionnaire was administered to measure maternal psychosocial adaptation during pregnancy. Women in hospitalized group had significantly lower adaptation in acceptance of pregnancy and preparation for labor (P<.05-.001 and showed significantly higher adaptation in identification of a motherhood role and relationship with her husband. Moreover, in hospitalized group, relationship with her husband showed significantly higher adaptation (P<.05 in primipara, acceptance of pregnancy and preparation for labor were significantly lower adaptation score (P<.01-.001 in multipara. Hospitalized pre-term pregnant women should be assessed maternal psychosocial adaptation especially the domains of acceptance of pregnancy, preparation for labor, relationship with her husband, and identification of a motherhood role. Health care provider should know the character and background of those women as well as the character of primipara and multipara.

  12. Maternal Infection Requiring Hospitalization during Pregnancy and Autism Spectrum Disorders

    Science.gov (United States)

    Atladottir, Hjordis O.; Thorsen, Poul; Ostergaard, Lars; Schendel, Diana E.; Lemcke, Sanne; Abdallah, Morsi; Parner, Erik T.

    2010-01-01

    Exposure to prenatal infection has been suggested to cause deficiencies in fetal neurodevelopment. In this study we included all children born in Denmark from 1980, through 2005. Diagnoses of autism spectrum disorders (ASDs) and maternal infection were obtained through nationwide registers. Data was analyzed using Cox proportional hazards…

  13. Trends in maternal mortality at the University of Calabar Teaching Hospital, Nigeria, 1999–2009

    OpenAIRE

    TU Agan; EI Archibong; JE Ekabua; et al

    2010-01-01

    TU Agan1, EI Archibong1, JE Ekabua1, EI Ekanem1, S E Abeshi1, TA Edentekhe2, EE Bassey21Department of Obstetrics and Gynecology and 2Department of Anesthesia, College of Medical Sciences, University of Calabar Teaching Hospital, NigeriaBackground: Maternal mortality remains a major public health challenge, not only at the University of Calabar Teaching Hospital, but in the developing world in general.Objective: The objective of this study was to assess trends in maternal mortality in a tertia...

  14. Trends in maternal mortality at the University of Calabar Teaching Hospital, Nigeria, 1999–2009

    Directory of Open Access Journals (Sweden)

    TU Agan

    2010-08-01

    Full Text Available TU Agan1, EI Archibong1, JE Ekabua1, EI Ekanem1, S E Abeshi1, TA Edentekhe2, EE Bassey21Department of Obstetrics and Gynecology and 2Department of Anesthesia, College of Medical Sciences, University of Calabar Teaching Hospital, NigeriaBackground: Maternal mortality remains a major public health challenge, not only at the University of Calabar Teaching Hospital, but in the developing world in general.Objective: The objective of this study was to assess trends in maternal mortality in a tertiary health facility, the maternal mortality ratio, the impact of sociodemographic factors in the deaths, and common medical and social causes of these deaths at the hospital.Methodology: This was a retrospective review of obstetric service delivery records of all maternal deaths over an 11-year period (01 January 1999 to 31 December 2009. All pregnancy-related deaths of patients managed at the hospital were included in the study.Results: A total of 15,264 live births and 231 maternal deaths were recorded during the period under review, giving a maternal mortality ratio of 1513.4 per 100,000 live births. In the last two years, there was a downward trend in maternal deaths of about 69.0% from the 1999 value. Most (63.3% of the deaths were in women aged 20–34 years, 33.33% had completed at least primary education, and about 55.41% were unemployed. Eight had tertiary education. Two-thirds of the women were married. Obstetric hemorrhage was the leading cause of death (32.23%, followed by hypertensive disorders of pregnancy. Type III delay accounted for 48.48% of the deaths, followed by Type I delay (35.5%. About 69.26% of these women had no antenatal care. The majority (61.04% died within the first 48 hours of admission.Conclusion: Although there was a downward trend in maternal mortality over the study period, the extent of the reduction is deemed inadequate. The medical and social causes of maternal deaths identified in this study are preventable, especially

  15. Maternal near misses from two referral hospitals in Uganda: a prospective cohort study on incidence, determinants and prognostic factors

    OpenAIRE

    Nakimuli, Annettee; Nakubulwa, Sarah; Kakaire, Othman; Osinde, Michael O; Mbalinda, Scovia N; Nabirye, Rose C; Kakande, Nelson; Kaye, Dan K

    2016-01-01

    Background Maternal near misses occur more often than maternal deaths and could enable more comprehensive analysis of risk factors, short-term outcomes and prognostic factors of complications during pregnancy and childbirth. The study determined the incidence, determinants and prognostic factors of severe maternal outcomes (near miss or maternal death) in two referral hospitals in Uganda. Methods A prospective cohort study was conducted between March 1, 2013 and February 28, 2014, where cases...

  16. Maternal Tetanus at the University College Hospital in Ibadan Nigeria: A 15-Year Retrospective Analysis

    Institute of Scientific and Technical Information of China (English)

    OA Roberts; IO Morhason-Bello; BO Adedokun; AO Adekunle

    2008-01-01

    Objective To determine the characteristics of women with maternal tetanus, pattern of presentation and outcome of management.Methods A total of 19 women were managed with maternal tetanus between 1990 and 2005 from the University College Hospital in Ibadan Nigeria. A retrospective study was performed. The medical records of all women managed as a case of maternal tetanus were retrieved from the central record department of the hospital The pattern of presentation, characteristics of women, the duration of hospital admission, tetanus toxoid immunization, and outcome of care were measured.Results The records of 18 women managed were analyzed. The mean age at presentation was 25.2±5.3 years. The patients were mostly single, nulliparous and had primary school education. The maternal tetanus cases seen mainly complicated induced abortion while 5 and 2 other cases were due to childbirth complication and leg wound respectively. The portal of entry of the remaining 3 cases could not be ascertained.None of the patient managed had complete immunization schedule. The average duration of admission was 11.2±6. 7 d. Five women had intensive care with 3 of them requiring ventilatory support. The case fatality rate was 66. 7%. The only factor that significantly improved survival was presence of generalized spasm at presentation (P=0. 006) Conclusion The occurrence of maternal tetanus is a reflection of low quality of health care delivery and lack or inefficient routine immunization coverage in any community.

  17. Maternal mortality: a tertiary care hospital experience in Upper Egypt

    Directory of Open Access Journals (Sweden)

    Ahmed M. Abbas

    2016-05-01

    Conclusions: Preeclampsia and PPH, as well as their complications are the leading causes of death in one of the biggest tertiary care university hospitals in Egypt. However, there are other important avoidable predisposing factors that should be dealt with including lack of patient education, delayed transfer from other hospitals, and substandard practice. [Int J Reprod Contracept Obstet Gynecol 2016; 5(5.000: 1466-1471

  18. Association between Short Maternal Height and Low Birth Weight: a Hospital-based Study in Japan

    Science.gov (United States)

    2016-01-01

    Anthropometry measurements, such as height and weight, have recently been used to predict poorer birth outcomes. However, the relationship between maternal height and birth outcomes remains unclear. We examined the effect of shorter maternal height on low birth weight (LBW) among 17,150 pairs of Japanese mothers and newborns. Data for this analysis were collected from newborns who were delivered at a large hospital in Japan. Maternal height was the exposure variable, and LBW and admission to the neonatal intensive care unit were the outcome variables. Logistic regression models were used to estimate the associations. The shortest maternal height quartile (131.0–151.9 cm) was related to LBW (OR 1.91 [95% CI 1.64, 2.22]). The groups with the second (152.0–157.9 cm) and the third shortest maternal height quartiles (158.0–160.9 cm) were also related to LBW. A P trend with one quartile change also showed a significant relationship. The relationship between maternal height and NICU admission disappeared when the statistical model was adjusted for LBW. A newborn’s small size was one factor in the relationship between shorter maternal height and NICU admission. In developed countries, shorter mothers provide a useful prenatal target to anticipate and plan for LBW newborns and NICU admission. PMID:26955234

  19. Albanian thikë 'knife'

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    Eric P. Hamp

    2015-09-01

    Full Text Available In the volume of essays Languages and Areas: Studies presented to George V. Bobrinskoy (Chicago 1967 66--9, I struggled to find cognates and an Inda-European background for the obviously inherited Albanian thike, which is the ordinary word for a knife. I was exploring, without finding anything anything conclusive, the possibili­ ties of Indo-Iranian. It seemed to me then, and it still does, that lndo-Iranian assures us of an etymon *kika. 'sand, ravel'; I preferred then, in consideration of śitá- = Lat. catus etc., to trace this to *kǝ-kā., a zero-grade of*kō- (= *k'eH -, rather than to *ki-kā. I further discussed the problems and limitations of the Albanian vocalism and of a suffix in -k-.

  20. Free does not mean affordable: maternity patient expenditures in a public hospital in Bangladesh

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    Khan Suhaila H

    2005-01-01

    Full Text Available Abstract Objective This study investigated a the amount and types of out-of-pocket expenditures by patients for nominally free services in a large public hospital in Bangladesh, b the factors influencing these expenses, and c the impact of these expenses on household income. Methods Eighty-one maternity patients were interviewed during their hospitalization in the Dhaka Medical College Hospital. Patients were selected by quota sample to match the distribution of maternity patient categories in the hospital. Patients were interviewed with a semi-structured, in-depth questionnaire. Results All interviewees incurred substantial out-of-pocket expenditures for travel, hospital admission fees, medicine, tests, food, and tips. Only two of the expenditures, travel expenses and admission fees, were not supposed to be provided free of charge by the hospital. The median total per-patient expenditure was $65 (range $2–$350, equivalent to 7% (range 0.04%–225% of annual household income. Half of all patients reported that their families had to borrow to pay for care at interest rates of 5%–30% per month. A third of these families reported selling jewelry, land or household items to moneylenders. The rural patients reported more difficulty in paying for care than the urban patients. Factors increasing the expenditures were duration of hospitalization, rural residence, and necessary (e.g. C-section, hysterectomy and unnecessary (e.g. episiotomy medical procedures. Conclusion Free maternity services in Bangladesh impose large out-of-pocket expenditures on patients. Authorities could reduce the burden by reducing the duration of hospital stays, limiting use of medical procedures, eliminating tips, and moving routine services closer to potential users. Fee for service could reduce unofficial expenditures if the fee were lower than and replaced typical unofficial expenditures, otherwise adding service fees without reform of current hospital practices would

  1. Maternal mortality at government maternity hospital. Hyderabad, Andhra Pradesh (a review of 431 cases).

    Science.gov (United States)

    Durgamba, K K; Qureshi, S

    1970-01-01

    This reviews 431 maternal deaths over 3 periods of 3-4 years each from January 1958 to December 1968. Trends in mortality are noted. A steady decline was noted. Associated diseases increased maternal mortality but age and parity had no significant influence. 47% of the deaths were intrapartum, 35% postpartum, and 18% antenatal. Major causes were hemorrhage, preeclampsia, eclampsia, sepsis, and anemia, in that order. Deaths due to infection diminished markedly during the period. 58.2% of the deaths were considered avoidable. Delay by patient or doctor and lack of facilities in rural areas were principle avoidable factors. Extension of obstetrical service to villages, emergency mobile squads, and periodic review of mortality statistics are recommended. PMID:12304876

  2. A review of governance of maternity services at South Tipperary general hospital

    LENUS (Irish Health Repository)

    Flory, David

    2015-09-01

    This review of the governance of maternity services at South Tipperary General Hospital has focussed on the systems and processes for assurance of service quality, risk management and patient safety primarily inside the hospital but also in the Hospital Group structure within which it operates. The effectiveness of the governance arrangements is largely determined by the quality of the leadership and management – both clinical and general – which designs, implements, and oversees those systems and processes and is ultimately responsible and accountable.\\r\

  3. Standard Albanian. A Reference Grammar for Students.

    Science.gov (United States)

    Newmark, Leonard; And Others

    This book is intended as a reference grammar for English-speaking students of present-day Albanian. The introductory chapter provides information on the country and its people, the Albanian language and dialects, phonology, and morphology. The other chapters contain grammatical explanations in English and examples. (AMH)

  4. Prepare and prevent rather than repair and repent: Study of maternal mortality in tertiary care hospital

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    Anjali Mundkur

    2013-07-01

    Full Text Available Context: Maternal death signifies the quality of healthcare provided in the population. It is the young, relatively healthy women who die of various reasons. Audit of such mortality would prevent the recurrence by taking appropriate measures. Aims: To find the causes of maternal mortality. Settings and Design: Retrospective observational study. Materials and Methods : All maternal deaths in a tertiary care referral center from January 2007 to September 2012 were studied for their demographic profile and causes of death. Results: All 62 women were referred from other healthcare units. Twenty-nine patients died within 24 h of admission and 33 women died after 24 h of admission. Death of 34 patients was due to direct obstetric causes and of 26 patients due to indirect obstetric causes. There were 2 maternal deaths due to accidental causes. Conclusions: The corrective action to prevent the recurrence of such deaths should be taken. Sepsis was found to be the commonest cause for maternal mortality followed by hemorrhage. It important to note that, in the present study, all mothers received antenatal care, had hospital delivery (none had home delivery, no teenage pregnancy or grand multigravidas, and no obstructed labor or rupture uterus, and yet they died. There is a change in the trend of causes of maternal mortality. Strengthening of the first referral units with equipment, blood bank, and adequately competent staff should be of prime importance. Continued medical education of the medial personnel at the periphery is required. Maternal deaths occur in inspite of atenatal care and hospital delivery which is alarming. Contributing factors may be delay in referral or the travel which should be looked in to inorder to minimize such death of young women.

  5. Language Shift in Second Generation Albanian Immigrants in Greece

    OpenAIRE

    Gogonas, Nikolaos

    2009-01-01

    Albanian immigration to Greece started in the beginning of the 1990s and the second generation of Albanian immigrants is a recent phenomenon. This paper presents the findings of research investigating language maintenance/shift among second generation Albanian immigrants in Athens using as main informants adolescents of Albanian origin. Quantitative and qualitative data on children’s language competence and on patterns of language use within Albanian households indicate that...

  6. Maternal mortality -- aetiological factors: analytic study from a teaching hospital of Punjab.

    Science.gov (United States)

    Sarin, A R; Singla, P; Kaur, H

    1992-01-01

    A review of maternal deaths at Rajendra Hospital, Punjab, from January 1978 to December 1991 yielded important data for the planning of maternal health services in this area of India, During the 14 year study period, there were 33,160 births and 339 deaths, for a maternal mortality rate of 1002/100,000 live births. Women who had received no prenatal care accounted for 47.4% of deliveries but 92.8% of maternal deaths. In addition, a disproportionate number of deaths involved rural women (74.6%) and poor women (76.4%). 57.8% of maternal deaths involved women 21-30 years of age; 37.1% occurred among primigravidas. Direct obstetrical causes were considered the etiologic factor in 83.1% of these deaths. Primary among these causes were sepsis (37.1%), obstetric hemorrhage (26.2%), hypertensive disorders of pregnancy (21.4%), and obstructed labor (15.3%). 30.6% of deaths occurred during pregnancy, 50.3% during labor, and 19.1% in the postpartum period. Indirect obstetrical causes, notably severe anemia and anesthesia complications, were implicated in 15.3% of the maternal deaths. Critical analysis of the maternal deaths in this series suggested that 89.6% were totally preventable, 9.6% were probably preventable, and only 0.8% were not avoidable. Factors that would reduce the high rate of maternal mortality in this region include more widespread use of prenatal care, training of traditional birth attendants in asepsis, referral of high-risk pregnancies, and improved transportation in rural areas. PMID:12288813

  7. Maternal near miss and mortality in a rural referral hospital in northern Tanzania: a cross-sectional study

    OpenAIRE

    Nelissen, Ellen J T; Mduma, Estomih; Ersdal, Hege; Evjen-Olsen, Bjørg; van Roosmalen, Jos JM; Stekelenburg, Jelle

    2013-01-01

    Background: Maternal morbidity and mortality in sub-Saharan Africa remains high despite global efforts to reduce it. In order to lower maternal morbidity and mortality in the immediate term, reduction of delay in the provision of quality obstetric care is of prime importance. The aim of this study is to assess the occurrence of severe maternal morbidity and mortality in a rural referral hospital in Tanzania as proposed by the WHO near miss approach and to assess implementation lev...

  8. Postnatal depression among women availing maternal health services in a rural hospital in South India

    OpenAIRE

    Johnson, Avita Rose; Edwin, Serin; Joachim, Nayanthara; Mathew, Geethu; Ajay, Shwetha; Joseph, Bobby

    2015-01-01

    Background and Objective: Postnatal depression, with an estimated prevalence of 13-19%, causes significant impairment of mental health among women worldwide and has long term consequences. However, more than half of all cases are not detected by healthcare providers. Screening for postnatal depression has not been given importance in maternal health programs in India. Our objective was to screen for postnatal depression among women attending a rural hospital in India, immediately postpartum a...

  9. Maternal mortality at a government teaching hospital: a six year duration study

    Directory of Open Access Journals (Sweden)

    Pushpanjali Malipatil

    2016-03-01

    Conclusions: The maternal mortality rate is much more than the national MMR. Haemorrhage was the leading cause of death followed by septicemia, both of them being preventable by adequate transfusion of blood and its components, delivery in a well-equipped hospital, early identification and prompt action, good antibiotic coverage, and early transportation. [Int J Reprod Contracept Obstet Gynecol 2016; 5(3.000: 890-893

  10. Low Birth Weight in Relation to Maternal Age and Multiple Pregnancies at Muhimbili National Hospital

    OpenAIRE

    Harold, Adamson

    2007-01-01

    To determine the relationship between Low Birth Weight (LBW), maternal age and multiple pregnancies A retrospective cross-sectional study was done where by data were obtained from labor ward register books and computer database of the MNH labour ward and analyzed by using EPI-INFO version 6 computer program. Muhimbili National Hospital (MNH) A total of 6931 infants were studied. Prevalence of LBW and multiple births were 26.4% and 2.9% respectively. There was no significant association betwee...

  11. Postnatal Depression among Women Attending A Rural Maternity Hospital in South India

    OpenAIRE

    Suguna A, Naveen R, Surekha A

    2015-01-01

    "Introduction: The Diagnostic and Statistical Manual of Mental Disorders (DSM) V defines Postpartum Depression (PND) as depression with onset within 4 weeks of delivery, symptoms lasting for a minimum of two weeks, causing clinically significant impairment of functioning. PND has important implications for the welfare of the family and the development of the child. Objectives were to determine the prevalence of postnatal depression among women attending a rural maternity hospital in Sout...

  12. COMPLICATIONS OF PREGNANCY IN ADOLESCENT AND YOUNG ADULT MOTHERS IN A MATERNITY HOSPITAL IN TEHRAN

    OpenAIRE

    Z.Pouransary; K. Mohammad; S. Azary; A. Javadzadeh Ahmadi

    1993-01-01

    This one year retrospective study was conducted in Mirza Kuchak Khan Maternity Hospital, Tehran, 1989-1990, to compare complications of pregnancy in adolescent (below 20 years old ) and young adult (20-24 years old) mothers. The results were as follows: 14.4% of all the deliveries during the period of study were adolescent mothers. The proportions of the following complications were higher in the adolescent group than in the adult group: prematurity(8 times) cephalo-pelvic disproportion (CPD)...

  13. Maternal country of birth differences in breastfeeding at hospital discharge in Ireland

    OpenAIRE

    Aoife Brick; Anne Nolan

    2014-01-01

    Article in press In 2010, 46 per cent of Irish-born mothers were breastfeeding at hospital discharge, in comparison with 84 per cent of non-Irish-born mothers. Using data from the Irish National Perinatal Reporting System, we find that maternal country of birth is a large and highly significant predictor of breastfeeding at hospital discharge in Ireland over the period 2004-2010. Furthermore, we find that most of the difference in breastfeeding rates between Irish-born and non-Irish-born m...

  14. Postpartum maternal morbidity requiring hospital admission in Lusaka, Zambia – a descriptive study

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    Murray Susan F

    2005-02-01

    Full Text Available Abstract Background Information on the extent of postpartum maternal morbidity in developing countries is extremely limited. In many settings, data from hospital-based studies is hard to interpret because of the small proportion of women that have access to medical care. However, in those areas with good uptake of health care, the measurement of the type and incidence of complications severe enough to require hospitalisation may provide useful baseline information on the acute and severe morbidity that women experience in the early weeks following childbirth. An analysis of health services data from Lusaka, Zambia, is presented. Methods Six-month retrospective review of hospital registers and 4-week cross-sectional study with prospective identification of postpartum admissions. Results Both parts of the study identified puerperal sepsis and malaria as, respectively, the leading direct and indirect causes of postpartum morbidity requiring hospital admission. Puerperal sepsis accounted for 34.8% of 365 postpartum admissions in the 6-month period. Malaria and pneumonia together accounted for one-fifth of all postpartum admissions (14.5% & 6% respectively. At least 1.7% of the postpartum population in Lusaka will require hospital-level care for a maternal morbidity. Conclusions In developing country urban settings with high public health care usage, meticulous review of hospital registers can provide baseline information on the burden of moderate-to-severe postpartum morbidity.

  15. RETROSPECTIVE EVALUATION OF CAUSES AND SOCIAL CORRELATES OF MATERNAL DEATHS AT ASSAM MEDICAL COLLEGE AND HOSPITAL, DIBRUGARH, ASSAM, INDIA

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    Milan Kumar

    2016-01-01

    Full Text Available Reduction of maternal death to achieve MDG – 5 Target - 6 is a challenge for most of the developing countries of the world in spite of steady decline in maternal death. There is a great difference in MMR of developing and developed countries as well as within the countries, states, districts depending upon the socioeconomic and educational status. This study was conducted to estimate the MMR, evaluate the causes of maternal death and to formulate strategies for reduction of maternal death at Assam Medical College and Hospital, Dibrugarh, Assam. MATERIAL AND METHODS A retrospective study of causes of maternal deaths from 1st January 2012 to 31st August 2015 at Obstetrics and Gynaecology Department of Assam Medical College and Hospital, Dibrugarh, Assam, India. The records were collected from Maternal Death Register and analysis were made to find out the MMR, causes of maternal deaths and its contributing factors. OBSERVATIONS There were 279 maternal deaths out of 33833 live births giving MMR of 824.64. Hypertensive disorder of pregnancy (37.63% was the leading direct cause followed by infections (14.69% and hemorrhage (12.90% and the anaemia (24.73% was the commonest indirect cause of maternal death. Contributory factors like age, locality, booking visit play a major rule in maternal death in our study.

  16. Understanding Afghan healthcare providers: a qualitative study of the culture of care in a Kabul maternity hospital

    OpenAIRE

    Arnold, R.; van Teijlingen, E.; Ryan, K.; Holloway, I

    2014-01-01

    Objective To analyse the culture of a Kabul maternity hospital to understand the perspectives of healthcare providers on their roles, experiences, values and motivations and the impact of these determinants on the care of perinatal women and their babies. Design Qualitative ethnographic study. Setting A maternity hospital, Afghanistan. Population Doctors, midwives and care assistants. Methods Six weeks of observation followed by 22 semi-structured interviews and four informal group discussion...

  17. Factors influencing caries status and treatment needs among pregnant women attending a maternity hospital in Udaipur city, India

    OpenAIRE

    Kumar, Santhosh; Tadakamadla, Jyothi; Tibdewal, Harish; Duraiswamy, Prabu; Kulkarni, Suhas

    2013-01-01

    Objectives: To estimate the prevalence and severity of dental caries along with the treatment needs; to determine the factors that influence dental caries status among pregnant women attending a district maternity hospital in Udaipur, India. Study design: Study sample comprised of 206 pregnant women attending a district maternity hospital in Udaipur, India. Clinical data were collected on dental caries by DMFT and treatment needs as described in World Health Organization Dentition status and ...

  18. Retrospective Comparative Study of Obstetric complications and Maternal Mortality in Registered and Unregistered women at Tertiary Care Hospital.

    OpenAIRE

    Kruti Deliwala; Rajal Thaker; M M Jadav

    2013-01-01

    Background: At tertiary care hospital, many women with obstetric complications are referred not only from private clinics/hospitals, but also from nearby primary health centers and urban health centers. There are women who come for delivery, who have not taken any ante natal care (ANC). Complication can arise at any time during pregnancy, childbirth and postnatal period and in absence of intervention, there is a high feto-maternal morbidity and mortality. With every maternal death there are m...

  19. Adaptation and implementation of local maternity dashboards in a Zimbabwean hospital to drive clinical improvement

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    J Crofts

    2014-02-01

    Full Text Available Problem The Commission on Information and Accountability for Women's and Children's Health of the World Health Organization (WHO reported that national health outcome data were often of questionable quality and “not timely enough for practical use by health planners and administrators”. Delayed reporting of poor-quality data limits the ability of front-line staff to identify problems rapidly and make improvements. Approach Clinical “dashboards” based on locally available data offer a way of providing accurate and timely information. A dashboard is a simple computerized tool that presents a health facility's clinical data graphically using a traffic-light coding system to alert front-line staff about changes in the frequency of clinical outcomes. It provides rapid feedback on local outcomes in an accessible form and enables problems to be detected early. Until now, dashboards have been used only in high-resource settings. Local setting An overview maternity dashboard and a maternal mortality dashboard were designed for, and introduced at, a public hospital in Zimbabwe. A midwife at the hospital was trained to collect and input data monthly. Relevant changes Implementation of the maternity dashboards was feasible and 28 months of clinical outcome data were summarized using common computer software. Presentation of these data to staff led to the rapid identification of adverse trends in outcomes and to suggestions for actions to improve health-care quality. Lessons learnt Implementation of maternity dashboards was feasible in a low-resource setting and resulted in actions that improved health-care quality locally. Active participation of hospital management and midwifery staff was crucial to their success.

  20. Maternal morbidity and mortality due to primary PPH-experience at ayub teaching hospital abbottabad

    International Nuclear Information System (INIS)

    Postpartum Haemorrhage (PPH) remains a significant cause of maternal mortality and morbidity like hypovolemic shock, anaemia, multi organ failure, consumptive coagulopathy, disseminated intra vascular coagulation (DIC), blood transfusion related complications and hysterectomy leading to loss of childbearing potential. The present study was conducted to determine the frequency of PPH and the associated maternal morbidity at the Department of Gynaecology Unit B, Ayub Teaching Hospital Abbottabad. The study was carried out in the Department of Obstetrics and Gynaecology Unit B of the Ayub teaching Hospital Abbottabad from 18th April 2006 to 17 July 2006. The study population included all cases admitted with primary PPH during the study period. For calculation of frequencies, the total number of deliveries in the setting during the study period was used. All subjects underwent a complete obstetrical clinical workup comprising of history, general physical examination, abdominal and pelvic examination, relevant laboratory investigations. The maternal condition was assessed and managed according to established hospital protocols which included both pharmacological and surgical intervention. All maternal complications were noted and recorded on pre-designed proformas. Data was entered and analyzed by computer. A total of 50 cases of primary PPH were recorded during the study period. The frequency of PPH was calculated as 7.1%. The major cause of PPH was uterine atony found in 29 (58%) cases, followed by cervical, vaginal and perineal tears in 12 (24%) cases. Initially all patients were managed pharmacologically followed by surgical intervention. Subtotal (haemostatic) hysterectomy was performed in 10 (20%) cases. Maternal morbidity was detected in 31 (62%) of cases; the major morbidities were DIC in 3 (6%) cases. Acute renal failure in 3 (6%) patients and shock in 2 (9.9%) cases and anaemia in 20 (90.1%) cases. The study concludes that the frequency of primary PPH in this

  1. Maternal and Fetal Outcomes of Triplet Gestation in a Tertiary Hospital in Oman

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    Maryam Al-Shukri

    2014-05-01

    Full Text Available Objectives: The aim of this study was to describe the fetal and maternal outcomes of triplet gestation and to report on the maternal characteristics of those pregnancies in a tertiary care centre in Oman. Methods: A retrospective study was undertaken of all triplet pregnancies delivered at Sultan Qaboos University Hospital, Muscat, Oman, between January 2009 and December 2011. Results: Over the three-year study period, there were 9,140 deliveries. Of these, there were 18 triplet pregnancies, giving a frequency of 0.2%. The mean gestational age at delivery was 31.0 ± 3.0 weeks, and the mean birth weight was 1,594 ± 460 g. The most common maternal complications were preterm labour in 13 pregnancies (72.2%, gestational diabetes in 7 (39% and gestational hypertension in 5 (28%. Of the total deliveries, there were 54 neonates. Neonatal complications among these included hyaline membrane disease in 25 neonates (46%, hyperbilirubinaemia in 24 (43%, sepsis in 18 (33% and anaemia in 8 (15%. The perinatal mortality rate was 55 per 1,000 births. Conclusion: The maternal and neonatal outcomes of triplet pregnancies were similar to those reported in other studies.

  2. Public versus private hospital maternity length of stay: a gamma mixture modelling approach.

    Science.gov (United States)

    Lee, A H; Xiao, J; Codde, J P; Ng, A S K

    2002-02-01

    Application of a gamma mixture model to obstetrical diagnosis-related groups (DRGs) revealed heterogeneity of maternity length of stay (LOS). The proportion of long-stay subgroups identified, which can account for 30% of admissions, varied between DRGs. The burden of long-stay patients borne was estimated to be much higher in private hospitals than public hospitals for normal delivery, but vice versa for Caesarean section. Such differences highlights the impact of DRG-based casemix funding on inpatient LOS and have significant implications for health insurance companies to integrate casemix funding across the public and private sectors. The analysis also benefits hospital administrators and managers to budget expenditures accordingly. PMID:11854995

  3. A cross sectional study to assess the pattern of maternal mortality in a tertiary level government hospital of a city in north India

    OpenAIRE

    Akanksha Lamba; Sakshi Agarwal; Apurba Kumar Dutta

    2016-01-01

    Background: The index of the quality of health care delivery system of a country is reflected by its maternal mortality rate (MMR). Epidemiological data pertaining to maternal mortality is valuable in each set up to design interventional programs to favourably reduce the same. The objective of our study was to evaluate the maternal mortality rate in a tertiary care hospital, to assess the epidemiological aspects and causes of maternal mortality. Methods: A retrospective study of hospital r...

  4. Ten years trend in maternal mortality at Kilimanjaro Christian Medical Center Tanzania, 2003–2012: A descriptive retrospective tertiary hospital based study

    OpenAIRE

    Eusebious W. Maro; Neema R. Mosha; Michael Johnson Mahande; Joseph Obure; Gileard Masenga

    2016-01-01

    Objective: To determine the trend, causes and characteristics of maternal deaths in a tertiary hospital in Northern Tanzania. Methods: A descriptive retrospective review of hospital based maternal death data that occurred at Kilimanjaro Christian Medical Center (KCMC) between the years 2003–2012. Descriptive statistics were used to summarize the socio-demographic characteristics, causes and risk factors for maternal deaths using STATA version 12. Yearly maternal mortality ratio (MMR) was c...

  5. Situation analysis of quality of abortion care in the main maternity hospital in Hai Phòng, Viet Nam

    DEFF Research Database (Denmark)

    Nguyen, My H Ng; Gammeltoft, Tine; Rasch, Vibeke

    2007-01-01

    Six months after a Comprehensive Abortion Care project was implemented in Phu-San Hospital, the main maternity hospital in Hai Phòng, northern Viet Nam, a study of quality of abortion services was carried out. The study explored the interaction between providers and women seeking abortion and how...

  6. A Cross-Sectional Study on Post-Partum Severe Acute Maternal Morbidity And Maternal Deaths in A Tertiary Level Teaching Hospital of Eastern India

    Directory of Open Access Journals (Sweden)

    Indrani Das

    2014-02-01

    Full Text Available Objectives: Identification of severe acute maternal morbidity (SAMM has gained importance in recent years in view of falling maternal death rates and thrust on improving quality of maternal health care. Although most of these events occur in developing countries, reporting system for SAMM is poorly developed in these regions. Aim of this study was to determine the incidence and direct causes of postpartum SAMM along with measuring of relevant new indicators on maternal health in an apex institute of India Materials and Methods: Hospital based cross sectional study conducted in India on 109 women with severe post partum complications. Outcome measures were SAMM or death. Results: 99 women had SAMM and there were 10 maternal deaths. Eclampsia was the most common cause of SAMM, but case fatality ratio was higher for PPH. SAMM ratio was 16.22/1000 live births and mortality index was 9.17%. Conclusion: 1 out of every 10 women with SAMM dies in developing countries. Improving facility based care and prompt referral can be a short term measure to quickly reduce the number of maternal deaths. Facility based monitoring and reporting of severe maternal outcome is an important step for scaling up such efforts.

  7. Is baby-friendly breastfeeding support in maternity hospitals associated with breastfeeding satisfaction among Japanese mothers?

    Science.gov (United States)

    Hongo, Hiroko; Nanishi, Keiko; Shibanuma, Akira; Jimba, Masamine

    2015-06-01

    While the World Health Organization's Baby-Friendly Hospital Initiative has increased breastfeeding duration and exclusivity, a survey found that only 8.5 % of maternity hospitals in 31 developed countries could be designated baby-friendly. Baby-friendly breastfeeding support is sometimes criticized as mother unfriendly. This study examined whether baby-friendly breastfeeding support was associated with breastfeeding satisfaction, duration, and exclusivity among Japanese mothers. In this cross-sectional study, 601 breastfeeding Japanese mothers completed questionnaires at their infants' 4-month health checkups at two wards in Yokohama, Japan; 363 were included in the analysis. Baby-friendly breastfeeding support was measured based on the WHO's "Ten Steps to Successful Breastfeeding." We measured satisfaction using two subscales of the Japanese version of the Maternal Breastfeeding Evaluation Scale. The association of baby-friendly support with maternal satisfaction was assessed using multiple linear regression, while the prevalence ratios (PRs) for breastfeeding were estimated using Poisson regression. Mothers were stratified by prepartum exclusive breastfeeding intention (yes, n = 256; no, n = 107). Mothers who experienced early skin-to-skin contact with their infants were more likely to report breastfeeding satisfaction than those who did not. Among mothers without exclusive breastfeeding intention, those who were encouraged to feed on demand were more likely to be breastfeeding without formula at 1 month (PR 2.66 [95 % CI 1.32, 5.36]) and to perceive breastfeeding as beneficial for their baby (regression coefficient = 3.14 [95 % CI 0.11, 6.17]) than those who were not so encouraged. Breastfeeding satisfaction was a useful measure of breastfeeding outcome. Early skin-to-skin contact and encouragement to feed on demand in the hospital facilitate breastfeeding satisfaction. PMID:25366103

  8. A study of maternal mortality at the teaching hospital, Hubli, Karnataka

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    Sahaja Kittur

    2013-02-01

    (2.5% due to hepatic failure. Conclusions: Reviewing the maternal deaths that occurred in our hospital, there is an urgent need to address the issue of obstetric haemorrhages and early intervention in PIH. Much needs to be done for maternal health care in rural areas as most of the deaths reported from urban institutions are referrals from peripheral centres. Rapid transport facilities should be made available to all remote rural areas with easy accessibility. It is necessary even in urban areas to channel the working of emergency obstetric care. This prevents early intervention and adequate emergency obstetric care. The essential obstetric care for all and early detection of complications and management of emergency obstetric care services need to be seriously looked into. Most maternal deaths are preventable by health education of masses, adequate health care in the community and transport facilities. [Int J Reprod Contracept Obstet Gynecol 2013; 2(1.000: 74-79

  9. [Microflora formation in the newborn in maternity hospitals and neonatal abnormality units].

    Science.gov (United States)

    Shilova, V P; Rozanova, S M; Kyrf, M V; Beĭkin, Ia B; Kuznetsova, L S; Turintseva, E G; Usova, O P; Chernykh, N G; Iagafarova, I S

    2007-10-01

    The basic sources of pyoseptic infection pathogens are infected and colonized neonatal infants in maternity hospitals. Microbiological monitoring revealed the specific features of biocenosis formation in the newborn in the "Mother and Baby" units, resuscitative departments (RD), intensive care units, and neonatal abnormality departments (NAD). Irrespective of the conditions of hospital stay, methicillin-resistant S. epidermis (MRSE) and Enterococcus faecium were prevalent in the neonatal microbial landscape. Colonization with the normal flora in the newborn actively treated with antibiotics is difficult in RD, at the same time there is a significant infection with the mycotic flora. Broad-spectrum beta-lactamase producing Klebsiela pneumonia strains have received wide acceptance in NAD. PMID:18154133

  10. Association between Hospital Birth Volume and Maternal Morbidity among Low-Risk Pregnancies in Rural, Urban, and Teaching Hospitals in the United States.

    Science.gov (United States)

    Kozhimannil, Katy B; Thao, Viengneesee; Hung, Peiyin; Tilden, Ellen; Caughey, Aaron B; Snowden, Jonathan M

    2016-05-01

    Objectives This study aims to examine the relationship between hospital birth volume and multiple maternal morbidities among low-risk pregnancies in rural hospitals, urban non-teaching hospitals, and urban teaching hospitals, using a representative sample of U.S. hospitals. Study Design Using the 2011 Nationwide Inpatient Sample from 607 hospitals, we identified 508,146 obstetric deliveries meeting low-risk criteria and compared outcomes across hospital volume categories. Outcomes include postpartum hemorrhage (PPH), chorioamnionitis, endometritis, blood transfusion, severe perineal laceration, and wound infection. Results Hospital birth volume was more consistently related to PPH than to other maternal outcomes. Lowest-volume rural (< 200 births) and non-teaching (< 650 births) hospitals had 80% higher odds (adjusted odds ratio [AOR] = 1.80; 95% CI = 1.56-2.08) and 39% higher odds (AOR = 1.39; 95% CI = 1.26-1.53) of PPH respectively, than those in corresponding high-volume hospitals. However, in urban teaching hospitals, delivering in a lower-volume hospital was associated with 14% lower odds of PPH (AOR = 0.86; 95% CI = 0.80-0.93). Deliveries in rural hospitals had 31% higher odds of PPH than urban teaching hospitals (AOR = 1.31; 95% CI = 1.13-1.53). Conclusions Low birth volume was a risk factor for PPH in both rural and urban non-teaching hospitals, but not in urban teaching hospitals, where higher volume was associated with greater odds of PPH. PMID:26731180

  11. Incidence and determinants of severe maternal morbidity: a transversal study in a referral hospital in Teresina, Piaui, Brazil

    OpenAIRE

    Madeiro, Alberto Pereira; Rufino, Andréa Cronemberger; Lacerda, Érica Zânia Gonçalves; Brasil, Laís Gonçalves

    2015-01-01

    Background Maternal near miss (MNM) investigation is a useful tool for monitoring standards for obstetric care. This study evaluated the prevalence and the determinants of severe maternal morbidity (SMM) and MNM in a tertiary referral hospital in Teresina, Piauí, Brazil. Methods A transversal and prospective study was conducted between September 2012 and February 2013. The cases were included according to criteria established by the WHO. Odds ratio, their respective confidence intervals, and ...

  12. Maternal correlates of birth weight of newborn: A hospital based study

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    Samarjeet Kaur

    2014-06-01

    Full Text Available Background: weight of the baby at birth is considered to be a major determinant of future health and survival of the child. It is one of the important factors which determine the readiness with which the newborn baby adjusts to its surrounding. Many maternal socio-biological factors influence birth weight. Objective: To determine maternal socio-biological factors influencing birth weight of newborn. Methodology: Hospital based cross- sectional study undertaken in Obstetrics and Gynaecology ward of Nehru hospital, Gorakhpur. The study period extended from July 2011 to August 2012. The study subject included recently delivered mothers and data was collected on semi-structured interview schedule to know various socio-biological variables such as mother’s age, parity, inter-pregnancy interval etc, influencing the low birth weight of newborn. Chi-Square test was applied to observe the significance of association.  Results: The overall proportion of low birth weight baby came out to be 32.06%. Out of various socio-biological factors taken the factors which came out to be statistically significant were age of mother, parity, inter-pregnancy interval, SLI, education. The factors which were not statistically significant were father’s education, religion. Conclusions:  It was concluded that teenage pregnancy, non-utilization of antenatal care practices, anaemia, illiteracy are unfavorable predictors of birth weight of newborn babies.

  13. Maternal post natal hospital readmission-trends and association with mode of delivery.

    LENUS (Irish Health Repository)

    Ade-Conde, J A

    2012-02-01

    The aim of this study is to examine the trend in maternal postnatal readmission within six weeks of discharge from childbirth hospitalisation. It is a retrospective review of the maternity computer records system, patient\\'s clinical notes and HIPE data base. All women who delivered babies weighing > 500 g and\\/ > or = 24 weeks gestational age at Our Lady of Lourdes Hospital, Drogheda, Ireland from 1st January 2005 to 31st December 2008 who were re-hospitalised within six weeks of discharge from hospital following child birth were included in the study. A total of 15782 women were delivered over the four year study period. Of these, 236 were readmitted. A series of chi-square analysis were conducted to assess the difference in readmission rates between the year 2008 86 (2.03%) and the years 2005-51(1.46%), 2006-39 (1.01%) and 2007-60 (1.42%). The readmission rate was found to be significantly higher in 2008 compared with the three preceding years. Complications of Caesarean section and secondary postpartum haemorrhage following spontaneous vaginal delivery constitute the major indications for readmission.

  14. Giving birth at a maternity hospital: the key strategic option to be adopted in order to combat maternal and neonatal mortality in Mali

    OpenAIRE

    Balique, Hubert

    2012-01-01

    The end result of the past 40 years of experience in combating maternal mortality in Mali suggests that the emphasis should be changed, and that giving birth at a maternity hospital should be the basic strategic option chosen. This means creating “compounds set aside for mothers-to-be”, where women approaching the end of their pregnancy will be invited to come and await the onset of labour, and at the same time enjoy the rest they need. However, the prerequisites for such an initiative will b...

  15. Complications of childbirth and maternal deaths in Kinshasa hospitals: testimonies from women and their families

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    Gourbin Catherine

    2011-04-01

    Full Text Available Abstract Background Maternal mortality in Kinshasa is high despite near universal availability of antenatal care and hospital delivery. Possible explanations are poor-quality care and by delays in the uptake of care. There is, however, little information on the circumstances surrounding maternal deaths. This study describes and compares the circumstances of survivors and non survivors of severe obstetric complications. Method Semi structured interviews with 208 women who survived their obstetric complication and with the families of 110 women who died were conducted at home by three experienced nurses under the supervision of EK. All the cases were identified from twelve referral hospitals in Kinshasa after admission for a serious acute obstetric complication. Transcriptions of interviews were analysed with N-Vivo 2.0 and some categories were exported to SPSS 14.0 for further quantitative analysis. Results Testimonies showed that despite attendance at antenatal care, some women were not aware of or minimized danger signs and did not seek appropriate care. Cost was a problem; 5 deceased and 4 surviving women tried to avoid an expensive caesarean section by delivering in a health centre, although they knew the risk. The majority of surviving mothers (for whom the length of stay was known had the caesarean section on the day of admission while only about a third of those who died did so. Ten women died before the required caesarean section or blood transfusion could take place because they did not bring the money in time. Negligence and lack of staff competence contributed to the poor quality of care. Interviews revealed that patients and their families were aware of the problem, but often powerless to do anything about it. Conclusion Our findings suggest that women with serious obstetric complications have a greater chance of survival in Kinshasa if they have cash, go directly to a functioning referral hospital and have some leverage when dealing

  16. Pennsylvania's early discharge legislation: effect on maternity and infant lengths of stay and hospital charges in Philadelphia.

    OpenAIRE

    Webb, D; Culhane, J F; Snyder, S.; Greenspan, J

    2001-01-01

    OBJECTIVE: To assess the effect of maternal length of stay (LOS) legislation on LOS and hospital charges associated with Philadelphia resident live births from 1994 through 1997. DATA SOURCE/STUDY SETTING: This was a descriptive epidemiological study involving secondary data analyses of linked birth record and hospital discharge data pertaining to all Philadelphia resident live births occurring between January 1, 1994 and December 31, 1997. STUDY DESIGN: Using these linked data, trends in med...

  17. Does Maternal HIV Status Affect Infant Growth?: A Hospital Based Follow Up Study

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    Sangeeta Trivedi

    2012-08-01

    Full Text Available Introduction: HIV infection is difficult to diagnose in infants, as most infected babies appear healthy and exhibit no signs and symptoms at birth. The present study was conducted to study the clinical profile & morbidity pattern of infants born to HIV positive mothers, their nutritional status and growth pattern and compare them with HIV non exposed infants. Methodology: This observational longitudinal study was conducted in Dec 2009 – Dec 2010 where all HIV exposed baby born in the hospital (n=44 were compared with suitable sample of HIV non exposed babies (n=140 in context of clinical profile & morbidity pattern. Results: In maternal weight <50 Kg category, mean weight, length and head circumference of HIV exposed infants is significantly lower than HIV non exposed infants. However, pattern of weight gain remain similar in both group. Grade 1 and grade 2 malnutrition was more in HIV exposed group at 3 month & 6 month. HIV exposed baby reported higher episodes of diarrhea (28.57% as compared to non exposed group (15.33% with statistically significant difference (p value<0.05. Conclusion: HIV exposure does not adversely affect growth potential of infants but because of their lower baseline values they seem to lag behind. Moreover maternal HIV status does not lead to severe degree of malnutrition if these babies were not themselves affected with HIV. [Natl J of Med Res 2012; 2(4.000: 512-517

  18. Becoming Baby-Friendly and Transforming Maternity Care in a Safety-Net Hospital on the Texas-Mexico Border.

    Science.gov (United States)

    Eganhouse, Deborah J; Gutierrez, Leticia; Cuellar, Lorena; Velasquez, Cecilia

    2016-01-01

    Nurse leaders used the Centers for Disease Control and Prevention's survey on Maternity Practices in Infant Nutrition and Care, as well as Baby-Friendly Hospital Initiative guidelines, to transform maternity care in a safety-net hospital with more than 3,500 births annually. Implementing evidence-based guidelines to support breastfeeding was essential for a vulnerable population characterized by minimal prenatal care and high rates of diabetes, hypertension, obesity, and poverty. Research showing the importance of breastfeeding in protecting against these factors guided extensive changes in our maternity care model. The nursing and medical teams changed long-held practices that separated women from their newborns and observed substantial improvements in breastfeeding initiation and exclusive breastfeeding rates at discharge. PMID:27520602

  19. Financing Efficiency and Equity in Albanian Education

    OpenAIRE

    Palomba, Geremia; Vodopivec, Milan

    2001-01-01

    This report compiles a rich set of previously unavailable data to define where the education sector in Albania has evolved, what key challenges remain, and the priority areas for action by the Albanian government. The report finds that four broad tasks must be tackled to improve education. The country must: 1) increase enrollment rates with the goal of achieving truly universal education i...

  20. Infant and maternal characteristics in neonatal abstinence syndrome--selected hospitals in Florida, 2010-2011.

    Science.gov (United States)

    Lind, Jennifer N; Petersen, Emily E; Lederer, Philip A; Phillips-Bell, Ghasi S; Perrine, Cria G; Li, Ruowei; Hudak, Mark; Correia, Jane A; Creanga, Andreea A; Sappenfield, William M; Curran, John; Blackmore, Carina; Watkins, Sharon M; Anjohrin, Suzanne

    2015-03-01

    Neonatal abstinence syndrome (NAS) is a constellation of physiologic and neurobehavioral signs exhibited by newborns exposed to addictive prescription or illicit drugs taken by a mother during pregnancy. The number of hospital discharges of newborns diagnosed with NAS has increased more than 10-fold (from 0.4 to 4.4 discharges per 1,000 live births) in Florida since 1995, far exceeding the three-fold increase observed nationally. In February 2014, the Florida Department of Health requested the assistance of CDC to 1) assess the accuracy and validity of using Florida's hospital inpatient discharge data, linked to birth and infant death certificates, as a means of NAS surveillance and 2) describe the characteristics of infants with NAS and their mothers. This report focuses only on objective two, describing maternal and infant characteristics in the 242 confirmed NAS cases identified in three Florida hospitals during a 2-year period (2010-2011). Infants with NAS experienced serious medical complications, with 97.1% being admitted to an intensive care unit, and had prolonged hospital stays, with a mean duration of 26.1 days. The findings of this investigation underscore the important public health problem of NAS and add to current knowledge on the characteristics of these mothers and infants. Effective June 2014, NAS is now a mandatory reportable condition in Florida. Interventions are also needed to 1) increase the number and use of community resources available to drug-abusing and drug-dependent women of reproductive age, 2) improve drug addiction counseling and rehabilitation referral and documentation policies, and 3) link women to these resources before or earlier in pregnancy. PMID:25742381

  1. Maternal mortality at Nnamdi Azikiwe University Teaching Hospital, Southeast Nigeria: a 10-year review (2003–2012

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    Obiechina NJ

    2013-07-01

    Full Text Available NJ Obiechina, VE Okolie, ZC Okechukwu, CF Oguejiofor, OI Udegbunam, LSA Nwajiaku, C Ogbuokiri, R Egeonu Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria Background: Maternal mortality is high the world over, especially in sub-Saharan Africa, including Nigeria. Nigeria has consistently demonstrated one of the most abysmally poor reproductive health indices in the world, maternal mortality inclusive. This is a sad reminder that, unless things are better organized, Southeast Nigeria, which Nnamdi Azikiwe University Teaching Hospital (NAUTH represents, may not join other parts of the world in attaining Millennium Development Goal 5 to improve maternal health in 2015. Objectives: This study was conducted to assess NAUTH'S progress in achieving a 75% reduction in the maternal mortality ratio (MMR and to identify the major causes of maternal mortality. Materials and methods: This was a 10-year retrospective study, conducted between January 1, 2003 and December 31, 2012 at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Southeast Nigeria. Results: During the study period, there were 8,022 live births and 103 maternal deaths, giving an MMR of 1,284/100,000 live births. The MMR was 1,709 in 2003, reducing to 1,115 in 2012. This is to say that there was a 24.86% reduction over 10 years, hence, in 15 years, the reduction should be 37%. This extrapolated reduction over 15 years is about 38% less than the target of 75% reduction. The major direct causes of maternal mortality in this study were: pre-eclampsia/eclampsia (27%, hemorrhage (22%, and sepsis (12%. The indirect causes were: anemia, anesthesia, and HIV encephalopathy. Most of the maternal deaths occurred in unbooked patients (98% and within the first 48 hours of admission (76%. Conclusion: MMRs in NAUTH are still very high and the rate of reduction is very slow. At this rate, it will take this health facility 30 years, instead of 15 years, to

  2. Maternal and perinatal guideline development in hospitals in South East Asia: results from the SEA-ORCHID project

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    Turner Tari

    2009-05-01

    Full Text Available Abstract Background Recognising the potential of clinical practice guidelines (CPGs to improve practice, one of the strategies of the SEA-ORCHID project was to facilitate the development of evidence-based CPGs, and to support clinical staff in each of the four countries to build their skills in development of CPGs in the nine participating hospitals in Thailand, Malaysia, Philippines and Indonesia. This study was undertaken to investigate the impact of the SEA-ORCHID project on development of evidence-based CPGs. Methods Data on the CPGs available to support maternal and perinatal healthcare were collected by SEA-ORCHID team members at each hospital before and after the intervention period of the project. Results There were only a few evidence-based CPGs available in the SEA-ORCHID hospitals before the intervention period. After the intervention period, in the SEA-ORCHID hospitals in Malaysia and Indonesia there was no change in evidence-based CPG development activity in maternal and perinatal care. In Thailand and The Philippines there was a small increase in evidence-based CPG development activity in maternal and perinatal care. Conclusion Despite the wide range of interventions to support evidence-based CPG development implemented in the hospitals participating in the SEA-ORCHID, very little change was seen in the development of evidence-based CPGs.

  3. Investigating Maternal Mortality in a Public Teaching Hospital, Abakaliki, Ebonyi State, Nigeria

    OpenAIRE

    Ezegwui, HU; Onoh, RC; Ikeako, LC; Onyebuchi, A; Umeora, OUJ; Ezeonu, P; Ibekwe, P

    2013-01-01

    Background: Maternal mortality in sub-Saharan Africa has remained high and this is a reflection of the poor quality of maternal services. Aim: To determine the causes, trends, and level of maternal mortality rate in Abakaliki, Ebonyi. Materials and Methods: This was a review of the records of all maternal deaths related to pregnancy over a ten-year period, that is, January 1999 to December 2008. Relevant information on number of deaths, booking status, age, parity, educational level of women,...

  4. Maternal Mortality at a Teaching Hospital of Rural India: A Retrospective Study

    OpenAIRE

    Das, Ratan; Biswas, Soumya; Mukherjee, Amitava

    2014-01-01

    Introduction: Pregnancy, although being considered a physiological state, carries risk of serious maternal morbidity and at times death. This is due to various complications that may occur during pregnancy, labour or thereafter. Maternal death has serious implications on the family, the society and the nation. Maternal Mortality Ratio (MMR) is a very sensitive index that reflects the quality of health care provided by the country to the women population.Objectives: To assess the maternal mort...

  5. Albanian Households Behavior towards the Investment Alternatives

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    Brikena Leka

    2009-12-01

    Full Text Available The article presents issues related to the investment alternatives for the households and the opportunities offers especially to Albanian families by the financial market. The main part of this study consists in developing empirical models, which can explain the behavior of Albanian individuals to invest in a particular portfolio. A survey was conducted consisting in 300 questionnaires. The research covered different cities in Albania, selected basically on their size and geographical location. The models are developed the Binar Models (models with discrete values, where the dependable variables are binary. Undependable variables are category. In the developed equations are reflected the main factors influencing the probability of undertaking by individuals investments with no risk or with risk.

  6. Considerations on Albanian Life Insurance Market

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    Gentiana Sharku

    2011-03-01

    Full Text Available The life insurance sector is an important sector of the economy all over the world. Life insurance provides the economy and the individuals as well, a variety of fundamental financial services.Regardless the importance it has all around the world, life insurance market in Albania is still underdeveloped comparing not only to the Western European countries, but to the region countries as well. The comparative analysis of insurance market is carried out by means of two indexes: insurance density and penetration index. The life insurance market in Albania is facing several problems which will be further explained in the paper, together with some recommendations to be taken in account by Albanian insurance companies and the Albanian government as well.

  7. Maternal mortality and morbidity of unsafe abortion in a university teaching hospital of Karachi, Pakistan

    International Nuclear Information System (INIS)

    Objective: To study the mortality and morbidity of unsafe abortion in a University Teaching Hospital. Methods: A cross-sectional, descriptive study was conducted in Department of Obstetrics and Gynaecology, Unit III, Dow Medical College and Civil Hospital Karachi from January 2005 to December 2009. Data regarding the socio demographic characteristics, reasons and methods of abortion, nature of provider, complications and treatment were collected for 43 women, who were admitted with complications of unsafe abortion, and an analysis was done. Results: The frequency of unsafe abortion was 1.35% and the case fatality rate was 34.9%. Most of the women belonged to a very poor socioeconomic group (22/43; 51.2%) and were illiterate (27/43; 62.8%). Unsafe abortion followed an induced abortion in 29 women and other miscarriages in 14 women. The majority of women who had an induced abortion were married (19/29, 65.5%). A completed family was the main reason for induced abortion (14/29; 48.2%) followed by being unmarried (8/29, 27.5%) and domestic violence in 5/29 cases (17.2%). Instruments were the commonest method used for unsafe abortion (26/43;68.4%).The most frequent complication was septicaemia (34; 79%) followed by uterine perforation with or without bowel perforation (13, 30.2%) and haemorrhage (9; 20.9%). Majority of induced abortions were performed by untrained providers (22/26; 84.6%) compared to only 3/14 cases (21.4%) of other miscarriages (p=0.0001). Conclusion: The high maternal mortality and morbidity of unsafe abortion in our study highlights the need for improving contraceptive and safe abortion services in Pakistan. (author)

  8. Maternal risk factors for low birth weight for term births in a developed region in China: a hospital-based study of 55,633 pregnancies

    OpenAIRE

    Bian, Yihua; Zhang, Zhan; Liu, Qiao; Wu, Di; Wang, Shoulin

    2012-01-01

    Low birth weight (LBW) is an important risk factor for neonatal and infant mortality and morbidity in adults.. However, no large scale study on the prevalence of LBW and related maternal risk factors in China has been published. To explore the effects of maternal factors on LBW for term birth in China, we conducted a hospital-based retrospective study of 55, 633 Chinese pregnancy cases between 2001 and 2008. Maternal sociodemographic data, history of infertility and contraceptive use were obt...

  9. Profile of Maternal and Foetal Complications during Labour and Delivery among Women Giving Birth in Hospitals in Matlab and Chandpur, Bangladesh

    OpenAIRE

    Huda, Fauzia Akhter; Ahmed, Anisuddin; Dasgupta, Sushil Kanta; Jahan, Musharrat; Ferdous, Jannatul; Koblinsky, Marge; Ronsmans, Carine; Chowdhury, Mahbub Elahi

    2012-01-01

    Worldwide, for an estimated 358,000 women, pregnancy and childbirth end in death and mourning, and beyond these maternal deaths, 9-10% of pregnant women or about 14 million women per year suffer from acute maternal complications. This paper documents the types and severity of maternal and foetal complications among women who gave birth in hospitals in Matlab and Chandpur, Bangladesh, during 2007-2008. The Community Health Research Workers (CHRWs) of the icddr,b service area in Matlab prospect...

  10. Domestic Violence as a Risk Factor for Maternal Depression and Neonatal Outcomes: A Hospital-Based Cohort Study

    OpenAIRE

    Rida Nongrum; Elsy Thomas; Jessie Lionel; Kuruthukulangara S Jacob

    2014-01-01

    Objectives: This study attempted to follow up a cohort of women who presented to a tertiary hospital to investigate the effect of domestic violence on maternal and neonatal outcomes. Materials and Methods: Women, between 26-34 weeks of gestation, attending the obstetrics outpatient department, were recruited and followed up until delivery. They were assessed at recruitment and after delivery using the Edinburgh Postnatal Depression Scale, the Abuse Assessment Screen, and a pro forma to assess...

  11. Mortalidade materna: 75 anos de observações em uma Maternidade Escola Maternal mortality: 75 years of observations in a teaching maternity hospital

    Directory of Open Access Journals (Sweden)

    Amaury Teixeira Leite Andrade

    2006-07-01

    Full Text Available OBJETIVO: avaliar as causas de todas as mortes maternas ocorridas no período de 1927 a 2001 entre 164.161 pacientes, internadas no Serviço de Obstetrícia da Universidade Federal de Juiz de Fora. MG. MÉTODOS: estudo retrospectivo das 144 mortes maternas que ocorreram na maternidade em 75 anos, com um total de 131.048 nascidos vivos, utilizando todos os prontuários de pacientes, avaliados pela história clínica e dados da certidão de óbito (não foram realizadas necropsias. Foram registrados a idade, paridade, tempo de gestação, complicações, momento e causas de morte, estabelecendo-se o índice de mortalidade materna (IMM hospitalar por cem mil nascidos vivos. Análise estatística pelo teste do chi2 e pela técnica de amortecimento exponencial (alfa =0,05. RESULTADOS: de 1927 a 1941 o IMM foi de 1544, entre 1942 e 1956 houve redução para 314 (pPURPOSE: to evaluate all maternal deaths that occurred between 1927 and 2001, among 164,161 patients admitted to the Maternidade Therezinha de Jesus, the obstetrical service of the "Universidade Federal de Juiz de Fora", Brazil. METHODS: a retrospective study of 144 maternal deaths that occurred in the maternity hospital in 75 years, with 131,048 live births in the same period of time, analyzing all patients's records regarding their clinical history and data from death certificates. Autopsies were not performed. Data obtained were age, parity, gestation length, complications, moment, and causes of death. The index of maternal mortality (IMM period 100 thousand live births was utilized. For statistical analysis the chi2 test and the exponential smoothing technique were used (alpha=0.05. RESULTS: IMM decreased from 1544 in the period 1927-1941 to 314 (p<0.001 between 1942 and 1956 and from 1957 to 1971 it was reduced to 76.4 per 100 thousand live births (p<0.001. Nevertheless, since 1972 there was no further significant improvement (IMM=46 in the last 15 years, p=0.139. Maternal mortality was

  12. Socioeconomic and physical distance to the maternity hospital as predictors for place of delivery: an observation study from Nepal

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    Nielsen Birgitte

    2004-05-01

    Full Text Available Abstract Background Although the debate on the safety and women's right of choice to a home delivery vs. hospital delivery continues in the developed countries, an undesirable outcome of home delivery, such as high maternal and perinatal mortality, is documented in developing countries. The objective was to study whether socio-economic factors, distance to maternity hospital, ethnicity, type and size of family, obstetric history and antenatal care received in present pregnancy affected the choice between home and hospital delivery in a developing country. Methods This cross-sectional study was done during June, 2001 to January 2002 in an administratively and geographically well-defined territory with a population of 88,547, stretching from urban to adjacent rural part of Kathmandu and Dhading Districts of Nepal with maximum of 5 hrs of distance from Maternity hospital. There were no intermediate level of private or government hospital or maternity homes in the study area. Interviews were carried out on 308 women who delivered within 45 days of the date of the interview with a pre-tested structured questionnaire. Results A distance of more than one hour to the maternity hospital (OR = 7.9, low amenity score status (OR = 4.4, low education (OR = 2.9, multi-parity (OR = 2.4, and not seeking antenatal care in the present pregnancy (OR = 4.6 were statistically significantly associated with an increased risk of home delivery. Ethnicity, obstetric history, age of mother, ritual observance of menarche, type and size of family and who is head of household were not statistically significantly associated with the place of delivery. Conclusions The socio-economic standing of the household was a stronger predictor of place of delivery compared to ethnicity, the internal family structure such as type and size of family, head of household, or observation of ritual days by the mother of an important event like menarche. The results suggested that mothers, who

  13. Trends in maternal mortality at University of Maiduguri teaching hospital, Maiduguri, Nigeria - A five year review

    Directory of Open Access Journals (Sweden)

    B M Audu

    2010-01-01

    Full Text Available Background: Maternal mortality is on the rise in Nigeria with the North- East having the highest ratio, and Borno state records one of the highest maternal mortality ratios in the country. Objective: To determine the trends in maternal mortality in UMTH, identify the background socio- cultural factors, establish the major causes of deaths and determine avoidable factors. Study design: Retrospective study of maternal deaths. Methods: The case records of all recorded cases of maternal deaths between January 2001 and December 2005 inclusive were retrieved and relevant data obtained and analysed. Results: The maternal mortality ratio (MMR for the period under review was 430 per 100,000 live births. There were annual fluctuations in MMR. However, there was a consistently rising trend in MMR from 2002-2004 with the highest ratio of 545 per 100,000 live births recorded in the year 2004, with a decline in 2005. Thirty (78.9% of these deaths occurred among the unbooked patients and more than 90% of this were referred as obstetric emergencies. Age range was 14-39 years with a mean of 26.5years. The highest maternal death occurred at the two extremes of reproductive age group (14-19 years and 35 years and above. Grandmultiparas suffered the highest maternal mortality of 36.8%, followed by teenage mothers. P1-4 contributed the least to maternal mortality. The direct causes of maternal death accounted for 92.1% of the deaths. The major causes of death were eclampsia 34.2%, sepsis 26.3% and prolonged obstructed labour/ruptured uterus 13.2%. Amongst the indirect causes of maternal death, HIV/Tuberculosis was the leading cause accounting for 5.3%. Basic but professional antenatal care, skilled attendance at birth, community mobilization and health education messages for a healthy pregnancy and safe birth will help to reduce the unacceptably high maternal mortality ratio in Borno state and the country at large.

  14. Insight into maternal mortality of tertiary referral hospital of Madhya Pradesh: destination far ahead

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    Bharti Sahu

    2015-10-01

    Conclusions: The burden of maternal mortality was found to be unacceptably high. Most women died of direct causes and experienced delays in care. Improvement in the quality of skilled maternity care, utmost need to avail good, proper and effective antenatal care, timely referral, prompt transportation, provision of family planning services, among other factors, can drastically curtail the maternal deaths. [Int J Reprod Contracept Obstet Gynecol 2015; 4(5.000: 1339-1343

  15. An IBCLC in the Maternity Ward of a Mother and Child Hospital: A Pre- and Post-Intervention Study

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    Antonella Chiurco

    2015-08-01

    Full Text Available Published evidence on the impact of the integration of International Board Certified Lactation Consultants (IBCLCs for breastfeeding promotion is growing, but still relatively limited. Our study aims at evaluating the effects of adding an IBCLC for breastfeeding support in a mother and child hospital environment. We conducted a prospective study in the maternity ward of our maternal and child health Institute, recruiting 402 mothers of healthy term newborns soon after birth. The 18-month intervention of the IBCLC (Phase II was preceded (Phase I by data collection on breastfeeding rates and factors related to breastfeeding, both at hospital discharge and two weeks later. Data collection was replicated just before the end of the intervention (Phase III. In Phase III, a significantly higher percentage of mothers: (a received help to breastfeed, and also received correct information on breastfeeding and community support, (b started breastfeeding within two hours from delivery, (c reported a good experience with the hospital staff. Moreover, the frequency of sore and/or cracked nipples was significantly lower in Phase III. However, no difference was found in exclusive breastfeeding rates at hospital discharge or at two weeks after birth.

  16. Nutritional anemia in pregnancy: a study at the maternity hospital, Kuala Lumpur.

    Science.gov (United States)

    Tee E Siong; Kandiah, M; Ali, J; Kandiah, V; Zahari, M R; Kuladevan, R; Hamzah, Z

    1984-06-01

    The study presents recent data on the prevalence and pattern of nutritional anemia in the Maternity Hospital, Kuala Lumpur. A total of 309 pregnant women in their 3rd trimester, of Malay, Chinese and Indian origin from the lower socio-economic strata were randomly selected for the study. Hematological indices (including Hb, PCV, MCHC, and TRBC), serum iron, transferrin saturation and ferritin, serum folate as well as protein and albumin were determined. Based on Hb and PCV values, 30-40% of the women could be considered anemic; approximately 50% of them presented with unsatisfactory serum iron, transferrin saturation and ferritin values; 60.9% had low serum folate levels; and about 30% may be considered to be of poor protein nutriture. Anemia in the study population was seen to be related mostly to iron and to a lesser extent, folate deficiency. Hematological, iron, folate and protein status was observed to be the poorest amongst the Indian women, better in the Malay group and generally the best amongst the Chinese women. Birth records of 169 of these women revealed that all of them had live births. Nearly all the infants were delivered by normal vaginal delivery (NVD). The mean gestational age was 38.6 weeks. One of the infants had a birth weight of 2.0 kg; incidence of low birth weight, 2.5 kg, was 8.3%. Although there was a trend of deteriorating hematological, iron and protein status of women from the 0, 1-3 and 4 parity groups, these differences were not statistically significant. PMID:12267519

  17. Prevalence of “unexpected antibodies” in the antenatal women attending the Government Maternity Hospital, Tirupati

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    Suresh B

    2015-01-01

    Full Text Available Background: All antibodies to red cell antigens, other than naturally occurring anti-A and anti-B are considered unexpected. They can be either alloantibodies or auto antibodies. In pregnant women, these antibodies may cross the placenta and cause haemolytic disease of the foetus and newborn (HDFN. Timely detection of such antibodies in antenatal women is essential for early management of HDFN. Methods: A prospective cross-sectional study was carried out on 2060 multiparous pregnant women attending the Government Maternity Hospital, Tirupati to detect prevalence of unexpected antibodies. The women were grouped and typed for ABO and rhesus (Rh D antigens by tube method and screened for alloantibodies by column agglutination technology. The medical and detailed obstetric history of these women were reviewed. Results: The overall prevalence of alloantibodies was 1.1%. There was a statistically significant difference between alloimmunization rates in the Rh D-antigen negative and D-antigen positive women (12.8% versus 0.3%. The antibodies detected in this study were, anti-D (63.8%, anti-D+C (13.7%, anti-C, anti-E, anti-M, anti-Le a , and anti-Leb (4.5% each. Anti-D contributed to 77.3% of total alloimmunization in this study. Conclusions: In spite of the introduction of prophylactic Rh- immunoglobulin, anti-D (77.3% is still a common antibody identified in the antenatal women of our region. In developing countries like India, universal antenatal antibody screening, though desirable may not be justified at present as the cost and infrastructure required would be immense. However, it is necessary to impose properly formulated protocols to screen at least the pregnant women with adverse obstetric history.

  18. Evaluation of factors influencing maternal and fetal outcome in eclampsia in a tertiary care hospital

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    Paresh Shyam

    2016-02-01

    Conclusions: Eclampsia is still a major cause of maternal death. Occurrence of eclampsia can be reduced by optimizing antenatal care of pregnant woman of low socioeconomic class. Improvement in capacity of intensive care unit and blood bank are essential prerequisite to reduce maternal death due to eclamptic mother. [Int J Reprod Contracept Obstet Gynecol 2016; 5(2.000: 280-284

  19. Addressing the Child and Maternal Mortality Crisis in Haiti through a Central Referral Hospital Providing Countrywide Care.

    Science.gov (United States)

    Jacobs, Lee D; Judd, Thomas M; Bhutta, Zulfiqar A

    2016-01-01

    The neonatal, infant, child, and maternal mortality rates in Haiti are the highest in the Western Hemisphere, with rates similar to those found in Afghanistan and several African countries. We identify several factors that have perpetuated this health care crisis and summarize the literature highlighting the most cost-effective, evidence-based interventions proved to decrease these mortality rates in low- and middle-income countries.To create a major change in Haiti's health care infrastructure, we are implementing two strategies that are unique for low-income countries: development of a countrywide network of geographic "community care grids" to facilitate implementation of frontline interventions, and the construction of a centrally located referral and teaching hospital to provide specialty care for communities throughout the country. This hospital strategy will leverage the proximity of Haiti to North America by mobilizing large numbers of North American medical volunteers to provide one-on-one mentoring for the Haitian medical staff. The first phase of this strategy will address the child and maternal health crisis.We have begun implementation of these evidence-based strategies that we believe will fast-track improvement in the child and maternal mortality rates throughout the country. We anticipate that, as we partner with private and public groups already working in Haiti, one day Haiti's health care system will be among the leaders in that region. PMID:26934625

  20. Retrospective Comparative Study of Obstetric complications and Maternal Mortality in Registered and Unregistered women at Tertiary Care Hospital.

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    Kruti Deliwala

    2013-01-01

    Full Text Available Background: At tertiary care hospital, many women with obstetric complications are referred not only from private clinics/hospitals, but also from nearby primary health centers and urban health centers. There are women who come for delivery, who have not taken any ante natal care (ANC. Complication can arise at any time during pregnancy, childbirth and postnatal period and in absence of intervention, there is a high feto-maternal morbidity and mortality. With every maternal death there are many life threatening complications known as ‘maternal near miss’.Objectives: 1.To analyze causes of referrals of unregistered patients coming to our institute.2.To analyze pregnancy outcomes, Obstetric complications and maternal mortality in registered and unregistered women coming to our institute. 3.To analyze near miss cases and to analyze causes of maternal mortality and reasons of delay. Methods:This retrospective comparative study was conducted after due permission from the Scientific Advisory Committee and Institutional Ethics Committee of Sheth V S Medical Research Foundation Trust and data was collected as per pre-tested structured proforma from December 2009 to February 2010. Analysis of 1171 patients was done. Results: Out of total 1171 women included in the study, 952 (81.2 % were registered and 219 (18.7% were unregistered women. Proportion of unregistered women who had less than 3 ante natal visits 109 (49.7% was significantly higher compared to registered women 95 (9.9% (x2 = 195.97; P<0.0001. Severe anaemia was found to be significantly higher in unregistered women 18 (8.2% as compared to registered women 1 (0.1% (x2 = 68.442; P<0.0001. Transfusion of blood or other blood product was significantly higher in unregistered women 44 (20% compared to registered women 31 (3.2% (x2 = 84.177; P<0.0001 . Because of multi-disciplinary team approach at our institute, many women with complications in unregistered group could be saved (maternal near

  1. Correlation of routine haematological parameters between normal maternal blood and the cord blood of healthy newborns in selected hospitals of karachi

    International Nuclear Information System (INIS)

    Objective: To determine any significant correlation between the routine haematological parameters of maternal blood and umbilical cord blood of their respective newborns. Study Design: Cross sectional study. Place and Duration of Study: The study was conducted at four public and private hospitals of Karachi including Sindh Government Qatar Hospital, Sindh Government Hospital, Liaquatabad, Ziauddin University Hospital and Chinniot Maternity and Child Hospital, respectively from July 2006 to April 2008. Methodology: Three milliliters venous blood was collected in EDTA containing tube for complete blood count of mothers before delivery. Five milliliters cord blood was collected from the umbilical cord of the babies immediately after delivery by clamping and cutting the babies' end of the cord. For haematological parameters a standard coultergram was done including haemoglobin, RBCs count, haematocrit (HCT), mean corpuscular volume (MCV), mean corpuscular haemoglobin (MCH), mean corpuscular haemoglobin concentration (MCHC), white blood cell count, differential leukocyte count and platelet count. Pearson's correlation co-efficient was used to determine an association between the maternal and cord blood parameters. Results: A total of 404 maternal and umbilical cord blood samples were analyzed. All the blood parameters including haemoglobin, RBCs count, HCT, MCV, MCH, white blood cell count, differential leukocyte count and platelet count were found to be high in cord blood as compared to the maternal blood, but they showed a very weak to negligible correlation. Mean Corpuscular Haemoglobin Concentration (MCHC), showed a moderate correlation. Conclusion: Routine haematological parameters of newborns are independent of maternal routine haematological parameters. (author)

  2. Albanian Book and Libraries in Kosovo

    OpenAIRE

    Berisha, Ibrahim; Bashota, Sali

    2015-01-01

    The paper deals with the development of the Albanian printed book and libraries in Kosovo from a cultural and sociological aspect. Publication of books and creation of the first libraries that began in Kosovo by the 14th century was followed with a long interruption due to socio-political circumstances. The linguistic structure of the book in libraries by the middle of the sixties of the 20th century was dominated by books in Serbo-Croatian. The strengthening of the political and cultural pos...

  3. Serbo-Albanian bank in Albania 1925-1927

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    Mišić Saša

    2006-01-01

    Full Text Available The Serbo-Albanian Bank was founded at Cetinje in 1922, at the time Yugoslav-Albanian diplomatic relations were established, with the purpose of opening its branch offices in Albania in order to contribute to closer economic relations between the two neighboring countries. The Bank was unable to achieve its goal in the first two years of operation, as it had not obtained the necessary licenses from the Albanian authorities. The branch office in Scutari was opened only in early 1925. Another topical issue at the time was the creation of the Albanian National Bank as the central monetary institution that would function as a regulator of the entire economic life of Albania. Supported by the Yugoslav state, the Serbo-Albanian Bank planned its transformation into an Albanian central bank, but without success. Namely, it was Italian capital that assumed a leading role in the Albanian National Bank founded in September 1925. In spite of this failure, the branch office of the Serbo-Albanian Bank commenced its operations in Albania. Under its roof, it set up the Privileged Trading Agency, and expressed interest in obtaining exploration and excavation concessions for the copper mine in the region of Puka in northern Albania. It was granted the concession by the Albanian government, but failed to set up a copper exploitation company. Facing numerous difficulties, the major of which was lack of the necessary cash for operation and significant business losses in Albania, the branch office was closed in 1927, pursuant to the decision of the Cetinje headquarters.

  4. Serbo-Albanian bank in Albania 1925-1927

    OpenAIRE

    Mišić Saša

    2006-01-01

    The Serbo-Albanian Bank was founded at Cetinje in 1922, at the time Yugoslav-Albanian diplomatic relations were established, with the purpose of opening its branch offices in Albania in order to contribute to closer economic relations between the two neighboring countries. The Bank was unable to achieve its goal in the first two years of operation, as it had not obtained the necessary licenses from the Albanian authorities. The branch office in Scutari was opened only in early 1925. Another t...

  5. [The Hospital Information System of the Brazilian Unified National Health System: a performance evaluation for auditing maternal near miss].

    Science.gov (United States)

    Nakamura-Pereira, Marcos; Mendes-Silva, Wallace; Dias, Marcos Augusto Bastos; Reichenheim, Michael E; Lobato, Gustavo

    2013-07-01

    This study aimed to investigate the performance of the Hospital Information System of the Brazilian Unified National Health System (SIH-SUS) in identifying cases of maternal near miss in a hospital in Rio de Janeiro, Brazil, in 2008. Cases were identified by reviewing medical records of pregnant and postpartum women admitted to the hospital. The search for potential near miss events in the SIH-SUS database relied on a list of procedures and codes from the International Classification of Diseases, 10th revision (ICD-10) that were consistent with this diagnosis. The patient chart review identified 27 cases, while 70 potential occurrences of near miss were detected in the SIH-SUS database. However, only 5 of 70 were "true cases" of near miss according to the chart review, which corresponds to a sensitivity of 18.5% (95%CI: 6.3-38.1), specificity of 94.3% (95%CI: 92.8-95.6), area under the ROC of 0.56 (95%CI: 0.48-0.63), and positive predictive value of 10.1% (IC95%: 4.7-20.3). These findings suggest that SIH-SUS does not appear appropriate for monitoring maternal near miss. PMID:23843001

  6. Postpartum posttraumatic stress disorder in a fetal high-risk maternity hospital in the city of Rio de Janeiro, Brazil.

    Science.gov (United States)

    Henriques, Tatiana; Moraes, Claudia Leite de; Reichenheim, Michael E; Azevedo, Gustavo Lobato de; Coutinho, Evandro Silva Freire; Figueira, Ivan Luiz de Vasconcellos

    2015-12-01

    The objectives of this study were to estimate the prevalence of postpartum posttraumatic stress disorder (PTSD) in a maternity hospital for fetal high-risk pregnancies and to identify vulnerable subgroups. This was a cross-sectional study at a fetal high-risk maternity hospital in Rio de Janeiro, Brazil, with a sample of 456 women who had given birth at this hospital. The Trauma History Questionnaire and Post-Traumatic Stress Disorder Checklist were used to screen for lifetime traumatic events and PTSD symptoms, respectively. Overall prevalence of PTSD was 9.4%. Higher PTSD prevalence was associated with three or more births, a newborn with a 1-minute Apgar score of seven or less, history of mental disorder prior to or during the index pregnancy, postpartum depression, physical or psychological intimate partner violence during the pregnancy, a history of unwanted sexual experience, and lifetime exposure to five or more traumas. Rapid diagnosis and treatment of PTSD are essential to improve the mother's quality of life and the infant's health. PMID:26872229

  7. Medico-social and socio-demographic factors associated with maternal mortality at Kenyatta National Hospital, Nairobi, Kenya.

    Science.gov (United States)

    Makokha, A E

    1991-01-01

    To identify the most significant determinants of maternal mortality in Kenya, a prospective study involving 49,335 deliveries occurring at Kenyatta National Hospital from January 1978-87 was conducted. There were 156 maternal deaths in this series, for a maternal mortality rate of 3.2/1000 deliveries. The 5 most frequent causes of death were abortion (24%), hypertensive disease of pregnancy (13%), sepsis (13%), anemia (10%), and cardiac disease (7%). 24% of women who died were age 19 years or under, 27% were 20-24 years, 23% were 25-29 years, and 11% were 30-34 years. The largest percentage (24%) of deaths involved nulliparous women; 16% were to women of parity 5 and above. 28% of the women who died were single, and single women contributed the majority of deaths from abortion. 66% of the women who died had received no prenatal care. The proportion of avoidable deaths was 19% among clinic attenders compared to 29% among non-attenders. Overall, age, parity, and marital status--traditionally regarded as the key factors associated with maternal mortality--vary in their impact, given the cause of death and medical services received. The assumption that high parity is associated with maternal mortality was not confirmed in this study due to the significant number of deaths from abortion that involved single, nulliparous women. In addition, many women who died were in the optimum age group for childbearing, but were more prone to suffer from anemia, hypertension, ectopic pregnancy, and cardiac disease than women over 30 years old. Overall, 126 deaths were considered avoidable. Contributory factors were slowness of surgical management of emergencies, prolonged confinement of women with cardiac disease, and a lack of emergency supplies of blood and drugs for complicated deliveries. PMID:12316813

  8. Maternal and fetal outcome in antepartum haemorrhage: a study at tertiary care hospital

    OpenAIRE

    Kshama Kedar; Prashant Uikey; Ashwini Pawar; Anuja Choudhary

    2016-01-01

    Background: Antepartum hemorrhage (APH) complicates about 2-5% of pregnancies. Maternal and perinatal morbidity and mortality associated with APH can be reduced significantly by aggressive expectant management. The objective was to study the maternal and fetal outcome in APH and to assess the importance of early diagnosis and treatment Methods: This prospective study was conducted in the department of OBGY in IGGMC Nagpur from Dec 2013 to Nov.15. 131 cases of APH with gestational age >28 w...

  9. A study to assess burnout among nurses of maternity department in Gauhati Medical College Hospital, Assam

    OpenAIRE

    Marami Baishya; Bivarani Goswami

    2016-01-01

    Background: Burnout in healthcare workers, especially among nurses, can have an impact on overall healthcare delivery system. For health in general and maternal health in particular, wellbeing of healthcare workers, including nurses, is of paramount importance. Material and methods: This study aimed to assess burnout among nurses working in the maternity department. One hundred nurses of a tertiary care centre, selected by non-purposive convenient sampling, were examined by a standardised...

  10. STRATEGIC MANAGEMENT ASPECTS IN ALBANIAN COMPANIES

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    Vasilika KUME

    2010-01-01

    Full Text Available In this study we have aimed at the assessment of the strategic management level in Albanian companies. The study focuses companies and industries selected in the Albanian environment. The purpose of the study is to analyze the business environment of the selected industries, how much do these industries know the environment in which they operate and how capable are they to get oriented in this environment. The study is conducted in the period May-December 2009. Object of study were 230 companies located in Tirana, from which 150 small and medium companies and 80 big companies. The survey data was collected from questionnaire forms filled in by these companies. Two classification criteria were used in selecting the companies: the size of the firm and the nature of the industry the firm belong to. The study is divided into three parts, where the strategic management level of these companies is studied based on each selection criteria. The first part of the survey examines and evaluates the strategic management level by considering the size of the firm. The second part analysis the strategic management level in a specific industry. The total number of 230 companies is divided into 5 industries: chemical industry, food, services, construction and engineering. The third and the final part studies the experience, knowledge, scale and intensity of competitors, predictability and diversity of business environment in selected industries, as well as attitudes or behavior of com-panies towards the future in this industry.

  11. The council of the employees in the Albanian Commercial Law

    OpenAIRE

    Diana Biba

    2016-01-01

    Law No. 9901/2008 on “Entrepreneurs and Commercial Companies”, marked a milestone in the reform of the commercial law in Albanian. Among other novelties, the Law introduced a new approach in regard to the employees and their participation in co determination. Actually, the involvement of the employees were not that unfamiliar in the former Albanian Commercial Legislation thought the social responsibility was. The Law brought in a new approach which was widely inspired from the EU Law, by esta...

  12. The consequence of financial crises in Albanian insurance market

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    Edmira Cakrani

    2010-06-01

    Full Text Available The Albanian insurance market is not influenced considerably from current financial crisis. Early yet phase of development with the very low penetration level explains steadiness of insurance market to exposure influence of global financial crisis. Another factor contributed to stability of insurance market is focusing insurance businesses more on the compulsory insurance segment which is not fully liberalized. Conservative investment policies of Albanian insurers also contributed to avoiding influence of market risks induced by world financial crisis.

  13. Trends of attempted suicide in Albanian children and adolescents

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    Kola, Vuksan

    2013-12-01

    Full Text Available Background. Attempted suicides and suicides are becoming pertinent social phenomena in Albania, with increasing trend in the last years, exceeding the road traffic accident numbers. Our objective was to examine suicide attempts trends among Albanian children and adolescents. Methods. We conducted a retrospective analysis of standardized suicide attempts rates in Statistic Department at University Hospital Center “Mother Theresa”; epidemiology data for the period spanning from 2006 to 2012. We analyzed the data by age, sex and by suicide attempts method over time for two age groups: 10–14 year old (children and 15–19 year old (adolescents. Results. We found an average annual increase of the suicide attempts rate for children and adolescents (p<0.001, but stratification by age and sex showed significant variation. By comparing the two age groups it came out that the suicidal phenomena is more present at adolescence age (p<0.001. According to the statistic data and by analyzing the cases on yearly bases it resulted that female gender is more attempt to commit suicide that male gender, with a significant statistical variation of (p<0.001. From the study it was noted that the suicidal attempt methods, in the most of cases, were drug overdose (97.6% and 2.4% hang themselves (suffocation or cut their vein. Conclusions. The increasing cases of suicidal tendency among children and adolescents necessitate further studies to identify the causes and risk factors, and to develop suitable preventive programs .

  14. An observational study to evaluate the maternal and neonatal outcome of forceps delivery in a tertiary care government hospital of a cosmopolitan city of India

    OpenAIRE

    Akanksha Lamba; Ramanjeet Kaur; Zulaihuma Muzafar

    2016-01-01

    Background: Operative vaginal delivery using obstetric forceps is a practice that dates back several centuries. Modern obstetrics practice has witnessed an increase in the caesarean section rates. The goal of forceps delivery is to mimic spontaneous vaginal birth, thereby expediting delivery with a minimum of maternal or neonatal morbidity. The main objective of study was to evaluate the maternal and neonatal outcome of forceps assisted deliveries in a tertiary care hospital over a period of ...

  15. An audit to review the characteristics and management of placenta praevia at Aberdeen Maternity Hospital, 2009-2011.

    Science.gov (United States)

    Pande, B; Shetty, A

    2014-07-01

    Placenta praevia (PP) is an important cause of maternal and fetal morbidity. We reviewed the characteristics and management of PP at the Aberdeen Maternity Hospital (AMH) to evaluate performance. In the years 2009-2011, a total of 60 cases with confirmed PP underwent caesarean section (CS) at the AMH. Two-fifths of cases had previous CS and two-thirds were posterior praevias. Four-fifths were major praevias. Diagnosis was mostly by trans-abdominal scanning (TAS). A little less than two-thirds underwent hospital admission (half of them for antepartum haemorrhage). Most received steroid and ferrous sulphate as appropriate. The majority were delivered at greater than 36 weeks' gestation. There was good support in theatre by senior obstetricians and anaesthetists. Cell salvage was used in theatre. Overall, the outcomes were good. Improvements could be made on documentation of counselling preoperatively and practice of trans-vaginal scans (TVS) to confirm low lying placentae even at the 20-week scan for better diagnosis, as per the RCOG guidelines. PMID:24702527

  16. Domestic violence as a risk factor for maternal depression and neonatal outcomes: A hospital-based cohort study

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    Rida Nongrum

    2014-01-01

    Full Text Available Objectives: This study attempted to follow up a cohort of women who presented to a tertiary hospital to investigate the effect of domestic violence on maternal and neonatal outcomes. Materials and Methods: Women, between 26-34 weeks of gestation, attending the obstetrics outpatient department, were recruited and followed up until delivery. They were assessed at recruitment and after delivery using the Edinburgh Postnatal Depression Scale, the Abuse Assessment Screen, and a pro forma to assess socio-demographic and clinical characteristics. Bivariate and multivariate statistics were employed to assess statistical significance. Results: One hundred and fifty women were recruited, 132 delivered in the hospital and were followed up. Domestic violence was associated with antenatal and postnatal depression, spouse′s insistence of a boy baby, medical complications during pregnancy, preterm delivery, and lower birth-weight. Conclusion: Domestic violence has a significant impact on maternal and neonatal outcomes. Screening for domestic violence and interventions should be part of all antenatal programs. India should also employ public health approaches to change its patriarchal culture.

  17. Warranties of Albanian criminal law for children protection from “indecency offences” and the Albanian judicial practice

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    Marilda Menkshi

    2016-07-01

    Full Text Available This paper will focus on criminal acts of child sexual abuse (sexual offenses. In particular, will be analyzed the category of obscenity as a crime (lat. luksuri. This work will be analyzed under the perspective of the Convention on the Rights of the Child, to reflect the alignment of Albanian criminal law with the Convention, as a minimum guarantee to be provided by the States. Special attention will be paid to the analysis of the criminal legislation, particularly to the offense luksuri, to see its adaptation in the Albanian transition period. There will be special attention to Albanian judicial practice in relation to sexual harassment/obscenity. These will be used to identify the needs of the Albanian legislation, because legislation must not only be written, but must above all be applied.

  18. Feto-maternal Outcomes in Cesarean Section Compared to Vaginal Delivery in Eclamptic Patients in a Tertiary Level Hospital

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    Arifa Akter Jahan

    2013-07-01

    Full Text Available Background: Over half-a-million women die each year from pregnancy-related causes, and 99 percent of these occur in developing countries. In Bangladesh though maternal mortality rate (MMR declined significantly around 40% in the past decade, still eclampsia accounts for 20% of maternal deaths. Eclampsia is uniquely a disease of pregnancy, and the only cure is delivery regardless of gestational age. A rational therapy for general management of hypertension and convulsion has been established in Bangladesh by the Eclampsia Working Group. But controversy still exists regarding obstetric management. Objective: To evaluate the feto-maternal outcome in cesarean section compared to vaginal delivery in eclamptic patients. Materials and Methods: This prospective cohort study was conducted in the department of Obstretics & Gynecology, Dhaka Medical College & Hospital (DMCH, from January to December 2011. A total 100 eclamptic women with term pregnancy and live fetus were purposively included in the study (Group I, 50 patients with vaginal delivery and Group II, 50 with cesarean section. Results: Out of these 100 patients 56% were aged ≤20 years, 71% were primigravida and 77% were from low socioeconomic status. Sixteen percent patients from vaginal delivery group and 18% from cesarean section group had no antenatal care. The mean gestational age was about 38 weeks in two groups. No significant difference was found between the two groups regarding blood pressure, proteinuria, consciousness level and convulsion. Recurrence of convulsion occurred in 30% patients of vaginal delivery group compared to 6% in cesarean section group. Maternal complications such as postpartum hemorrhage, cerebrovascular accident, renal failure, obstetric shock and abruptio placenta were higher among vaginal delivery group patients (46% than cesarean section patients (16%. Maternal mortality was 6% in the vaginal delivery group and none in the cesarean section group. Regarding

  19. A study on maternal and perinatal out comes in cases of eclampsia admitting to government medical college and general hospital, Anantapuramu, Andhra Pradesh, India

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    Shamshad Begum Shaikh

    2016-07-01

    Conclusions: Eclampsia continues to be an important etiological factor for maternal/perinatal morbidity and mortality. The contributory factors for this being lack of proper antenatal care, low socio economic status and lack of education. There is an urgent need for proper antenatal care, proper medication (magnesium sulfate, intensive monitoring of women with eclampsia and timely hospitalization to improve both the maternal and perinatal outcome. Early presentation and timely decision to terminate pregnancy will improve the maternal and perinatal outcome. [Int J Reprod Contracept Obstet Gynecol 2016; 5(7.000: 2146-2150

  20. Afraid of Delivering at the Hospital or Afraid of Delivering at Home: A Qualitative Study of Thai Hmong Families' Decision-Making About Maternity Services.

    Science.gov (United States)

    Culhane-Pera, Kathleen A; Sriphetcharawut, Sarinya; Thawsirichuchai, Rasamee; Yangyuenkun, Wirachon; Kunstadter, Peter

    2015-11-01

    Thailand has high rates of maternity services; both antenatal care (ANC) and hospital delivery are widely used by its citizens. A recent Northern Thailand survey showed that Hmong women used maternity services at lower rates. Our objectives were to identify Hmong families' socio-cultural reasons for using and not using maternity services, and suggest ways to improve Hmong women's use of maternity services. In one Hmong village, we classified all 98 pregnancies in the previous 5 years into four categories: no ANC/home birth, ANC/home, no ANC/hospital, ANC/hospital. We conducted life-history case studies of 4 women from each category plus their 12 husbands, and 17 elders. We used grounded theory to guide qualitative analysis. Families not using maternity services considered pregnancy a normal process that only needed traditional home support. In addition, they disliked institutional processes that interfered with cultural birth practices, distrusted discriminatory personnel, and detested invasive, involuntary hospital procedures. Families using services perceived physical needs or potential delivery risks that could benefit from obstetrical assistance not available at home. While they disliked aspects of hospital births, they tolerated these conditions for access to obstetrical care they might need. Families also considered cost, travel distance, and time as structural issues. The families ultimately balanced their fear of delivering at home with their fear of delivering at the hospital. Providing health education about pregnancy risks, and changing healthcare practices to accommodate Hmong people's desires for culturally-appropriate family-centered care, which are consistent with evidence-based obstetrics, might improve Hmong women's use of maternity services. PMID:26138321

  1. A study to assess burnout among nurses of maternity department in Gauhati Medical College Hospital, Assam

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    Marami Baishya

    2016-01-01

    Full Text Available Background: Burnout in healthcare workers, especially among nurses, can have an impact on overall healthcare delivery system. For health in general and maternal health in particular, wellbeing of healthcare workers, including nurses, is of paramount importance. Material and methods: This study aimed to assess burnout among nurses working in the maternity department. One hundred nurses of a tertiary care centre, selected by non-purposive convenient sampling, were examined by a standardised questionnaire. Data were analysed by descriptive statistics. Results: Burnout in depersonalisation was moderate while that in emotional exhaustion and personal achievement were of low-levels. Conclusion: Understanding the nature of the problem of burnout can guide in better management.

  2. Evaluation of Maternal Complications in Severe Preeclampsia in a University Hospital in Tirana

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    Eriseida Ndoni

    2016-02-01

    Full Text Available BACKGROUND: Preeclampsia is a hypertensive multisystem disorder of pregnancy that complicates up to 10% of pregnancies worldwide and is one of the leading causes of maternal and perinatal morbidity and mortality. AIM: To evaluate maternal complications associated with severe preeclampsia. METHODS: This is a retrospective cross-sectional study conducted in the UHOG “Koço Gliozheni”, in Tirana. Primary outcomes evaluated: maternal death, eclampsia, stroke, HELLP syndrome, and pulmonary edema. Secondary outcomes: renal failure, admission in ICU, caesarean section, placental abruption, and postpartum hemorrhage. Fisher’s exact test and Chi-squared test were used as statistical methods. RESULTS: In women with severe preeclampsia we found higher rates of complications comparing to the group with preeclampsia. Eclampsia (1.5% vs. 7.1%, P < 0.001, HELLP syndrome (2.4% vs. 11.0%; P < 0.001, stroke (0.5% vs 1.9%, P = 0.105 pulmonary edema (0.25% vs. 1.3%, P = 0.0035, renal failure (0.9% vs. 2.6%, P = 0.107, admission in ICU (19.5% vs. 71.4%, P = 0.007, caesarean section rates (55.5% vs. 77%, P = 0.508, placental abruption (4.3% vs. 7.8%, P = 0.103 and severe postpartum hemorrhage (3.2% vs. 3.9%, P = 0.628. CONCLUSION: Severe preeclampsia is associated with high rates of maternal severe morbidity and early diagnosis and timely intervention can prevent life treating complications.

  3. Mortalidad materna en Guatemala: diferencias entre muerte hospitalaria y no hospitalaria Maternal mortality in Guatemala: differences between hospital and non-hospital deaths

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    Ana Marina Tzul

    2006-06-01

    Full Text Available OBJETIVO: Estimar la asociación entre características obstétricas, sociodemográficas y factores de riesgo relacionados con la mortalidad materna hospitalaria y no hospitalaria en Guatemala durante el año 2000 MATERIAL Y MÉTODOS: Se realizó un estudio epidemiológico transversal con 649 casos de muertes maternas (MM ocurridas en la República de Guatemala durante el año 2000, en el que se compararon las características de las muertes maternas hospitalarias y no hospitalarias RESULTADOS: De 649 MM registradas, 270 (41.6% se clasificaron como MM hospitalarias y 379 (58.4% como MM no hospitalarias. La mayor proporción de muertes ocurrió en mujeres mayores de 35 años de edad (29.28%, indígenas (65.49%, casadas o unidas (87.83%, con ocupación no remunerada (94.78%, sin educación (66.56%. El riesgo de MM no hospitalaria fue mayor en mujeres del grupo indígena (RM= 3.4; IC95% 2.8-5.3, con ocupación no remunerada (RM= 8.95; IC95% 1.7-46.4, bajo nivel escolar (RM= 1.96; IC95% 1.0-3.8, y hemorragia como causa básica de muerte (RM= 4.28; IC95% 2.3-7.9 CONCLUSIONES: De los 679 casos de MM ocurridas en Guatemala en el año 2000, 58% correspondió a MM no hospitalarias, lo que puede estar relacionado con el hecho de que una alta proporción de la población habita en áreas rurales o de alta marginalidad, además de aspectos culturales (mayoría indígena que dificultan la accesibilidad a los servicios de salud. Los resultados presentados pueden servir de orientación para determinar estrategias de intervención que prevengan la mortalidad materna en los ámbitos hospitalario y extrahospitalario, en Guatemala.OBJECTIVE:To estimate the association between obstetric and socio-demographic characteristics and risk factors related to intra- and extra-hospital maternal mortality in Guatemala during the year 2000 MATERIALS AND METHODS: A cross-sectional epidemiologic study was carried out in 649 maternal mortality (MM cases that occurred in

  4. Maternal genital tract colonisation by group-b streptococcus: a hospital based study

    International Nuclear Information System (INIS)

    Objectives: To determine the prevalence of Group B Streptococcus genital tract infection in pregnant women and to determine the risk factors for its colonisation. Methods: The cross-sectional study was conducted at the Aga Khan University Hospital, Karachi and Sobhraj Hospital, Karachi, from May to August 2007. Pregnant women at 35-37 weeks gestation attending antenatal clinic at these hospitals constituted the study population. Based on stratified sampling, 405 patients were recruited. High vaginal swabs of these patients were taken in order to calculate the prevalence of infection at each hospital. Logistic regression was used to evaluate the risk factor association. SPSS 11.5 was used for statistical analysis. Results: The overall prevalence of colonisation was 17% (n=69) (95% CI: 13.4-20.7). Of the 155(38.27%) women at the Aga Khan Hospital, 35(22.6%) were positive, while among the 250 (61.72%) women at Sobhraj Hospital, the prevalence was 13.6% (n=34). The colonisation was found to be significantly associated inversely with the body mass index of the patient (OR 0.91; 95% CI: 0.08-1.0). Conclusion: Group B Streptococcus screening should be an integral part of antenatal care and should be offered to all pregnant women. (author)

  5. A RETROSPECTIVE AND PROSPECTIVE STUDY OF MATERNAL MORTALITY IN A RURAL TERTIARY CARE HOSPITAL OF CENTRAL INDIA

    OpenAIRE

    Kalpana Yadav; Arpita Namdeo; Meena Bhargava

    2013-01-01

    Objectives: The aim of present study was maternal death audit in rural tertiary care centre, GMH Rewa, to find out avoidable/unavoidable factors in each death and use information thus generated to reduce maternal mortality. Methods: Medical records of all maternal deaths occurring over a period of 4 years between Jan 2006 to Oct. 2009 were reviewed and from Nov. 2009 to Dec. 2010 all maternal deaths were followed and studied in details in respect to maternal age, parity, booking status, deliv...

  6. ALBANIAN IMMIGRANTS IN GREECE: FROM UNWANTED TO TOLERATED?

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    Artur Adamczyk

    2016-06-01

    Full Text Available The main objective of this article is to present the way attitudes towards Albanian people and the perception of them has changed in Greece. The Albanians came to Greece following the collapse of the Communist bloc at the beginning of the 1990s. Within time it transpired that it was a mass immigration of approximately 500,000 people. Greece was not prepared for such an enormous influx of foreigners and failed to initiate an effective migration policy. The initial reactions of the Greek politicians, media, and society were negative. Social feelings, however, began to turn in the first decade of the XX century. Albanians ceased to be stigmatised as a threat and started to be perceived in a positive way through the prism of the demands of the Greek economy. The economic and migration crisis, however, lead to the reappearance of a xenophobic mood among the Greeks.

  7. Anthropometric Study of Nasal Index of the Kosovo Albanian Population

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    Gloria Staka

    2012-12-01

    Full Text Available Human nose occurs in many shapes and sizes and ethnic influences my results in different appearances of the nose. Nasal index is an ethnic sensitive anthropometric index. It is an important athropometric parameter for classifying the race and sex of the individual whose identity is unknown. This study was undertaken to determine the nasal index of the Kosovo Albanian population. The study sample comprised 204 subjects (101 males and 103 females aged 18-25 years. Nasal height and nasal width were measured using an electronic digital caliper, with accuracy of 0.01 mm (Boss, Hamburg – Germany. Descriptive statistics showed that Kosovo Albanian males and females had mean nasal index of 67.07 ± 6.67 and 63.87 ± 5.56, respectively. The distribution of the nose types showed leptorrhine to be 76.96 % and dominant type among Kosovo – Albanian population.

  8. Isonymy and the genetic structure of Albanian populations.

    Science.gov (United States)

    Mikerezi, Ilia; Pizzetti, Paola; Lucchetti, Enzo; Ekonomi, Milva

    2003-12-01

    It is well known that in systems of surname transmission through the paternal line, surnames simulate neutral gene alleles belonging to the Y chromosome. This property of surnames was used to analyze the genetic structure of Albanian populations. Two large samples of surnames belonging to two different periods of time were analyzed. The analysis of indicators of population structure showed that geographical distance has an important effect on surname distribution. It seems that isolation by distance and genetic drift have been still important factors in the determination of the genetic structure of the Albanian population. PMID:14746137

  9. Abdominal computed tomography during pregnancy for suspected appendicitis: a 5-year experience at a maternity hospital.

    Science.gov (United States)

    Shetty, Mahesh K; Garrett, Nan M; Carpenter, Wendy S; Shah, Yogesh P; Roberts, Candace

    2010-02-01

    The objective of this article is to evaluate the role of computed tomography (CT) in a pregnant patient with right lower quadrant pain in whom there was a clinical suspicion of acute appendicitis. During a 5-year period the clinical records of all pregnant women who underwent imaging examination for clinically suspected appendicitis were reviewed. The imaging findings were correlated with patient management and final outcome. Thirty-nine pregnant patients were referred for imaging, of which 35 underwent initial evaluation with sonography, 23 of these women underwent a computed tomographic examination, and an additional 4 patients were directly imaged with CT without earlier sonographic assessment. Surgery confirmed appendicitis in all 5 patients who were operated on on the basis of findings of appendicitis on a CT scan. Two patients underwent surgery based on an alternate diagnosis suggested preoperatively (tubal torsion = 1, ovarian torsion = 1). All patients with negative findings at CT had an uneventful clinical course. In those patients who were evaluated only with ultrasound, a diagnosis of appendicitis was missed in 5 patients. The sensitivity of CT in the diagnosis of appendicitis in our study group was 100%, compared with a sensitivity of 46.1% for ultrasound. CT provides an accurate diagnosis in patients suspected to have acute appendicitis and is of value in avoiding false negative exploratory laparatomy with its consequent risk of maternal and fetal mortality and morbidity. Although sonography is the preferred initial imaging modality as its lack of ionizing radiation, CT is more accurate in providing a timely diagnosis and its use is justified to reduce maternal mortality and mortality in patients with appendicitis. PMID:20102691

  10. A retrospective study of maternal and perinatal outcome in patients of postpartum haemorrhage in a tertiary care hospital

    OpenAIRE

    Latika Duhan; Smiti Nanda; Daya Sirohiwal; Pushpa Dahiya; Savita Singhal; Vandana

    2016-01-01

    Background: Postpartum hemorrhage is one of the most important causes of maternal mortality and morbidity. Maternal Hemorrhage is the commonest cause of maternal mortality in India. Identification of risk factors, early diagnosis and timely intervention can help in reducing significant maternal morbidity and mortality due to post-partum hemorrhage. The aim and objectives of the study was to study socio-demographic profile of patients admitted with the diagnosis of post-partum Haemorrhage, to ...

  11. Evaluation of nitrates in albanian wines

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    Ariola Morina

    2013-05-01

    Full Text Available Nitrates are important compounds in nature but not desirable if they are present in wine at increased amount. The high level of nitrate is attributed to the use of nitrogen fertilizers in the vineyards. Method of the reactive Gries I and Gries II was used for the determination of nitrates in wine. There were analyzed 45 white wines and 55 red wines produced in 2008 – 2010, as well as wines produced from Albanian grape varieties Shesh i Bardhë and Shesh i Zi in 2009 and 2010, as an authentic wines evidence with denominated origin. From the results of analyses was observed that, in 51 % of white wines was found that the content of nitrates were less than 5 mg/l, in 46% of them the nitrates level goes up to 10 mg/l and only in 3 % of them the amount of nitrates is up to 12 mg/l. None of white wine samples have the content of nitrates over 20 mg/l. In this case there is no doubt for water addition during wine preparation. In regards of red wines, in 34% of them the amount of nitrates is up to 5 mg/l, in 30% of them up to 10 mg/l, while in 26% of them the amount of nitrates is 20 mg/l. Only 10 % of red wines have nitrates content over 20 mg/l which raise dubiety for falsified wines where water and sugar is added in the red marc. The level of nitrates in wines with denominated origin was under 20 mg/L.

  12. Gastrointestinal Polypoid Lesions: The Albanian Reality

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    Gentiana Cekodhima

    2015-12-01

    Full Text Available Background: Gastrointestinal polypoid lesions are a well-known cause of possible future malignant lesions. Screening for these lesions, especially for colon polyps, has reduced morbidity and mortality from malignant tumors. To our best knowledge, no screening program on gastrointestinal polypoid lesions exists in Albania and no former study has been performed to check the distribution of these lesions. Therefore, our aim was to study the distribution of gastrointestinal polypoid lesions in a symptomatic outpatient population. Methods: This study included five hundred seventy five consecutive patients referred to perform an endoscopic examination, regardless of their specific complains and of their possible diagnosis, to one of the two Endoscopy Centers in Tirana in the period between January 1st 2008 and December 31st 2013. At least one polyp was resected and histologically examined in all included patients. Results: A total of 575 patients, of which 345 males (60.0%, aged 51.9 years (standard deviation 16.97 years, were examined and their data inserted in the statistical analysis. In total, 88 cases were identified with malignant pathologies of which 50 cases (56.8% were males. No case of malignancy was diagnosed among the nine esophageal specimens, but among the specimens resected from the stomach, small intestine and large intestine, were respectively diagnosed 21 (20.0%, 9 (40.9% and 58 (13.2% malignant lesions. Patients with malignant lesions were older (57.4 ± 16.8 years old in contrast to those with benign lesions (50.5 ± 17.0 years old (p = 0.004. Conclusion: Our study is the first one to offer figures on the polypoid lesions distribution and characteristics in the Albanian population. Large intestine is the main site where such lesions occur, but anyhow the small intestine presented a larger proportion of malignancy.

  13. Working Conditions, Work Style, and Job Satisfaction among Albanian Teachers.

    Science.gov (United States)

    Kloep, Marion; Tarifa, Fatos

    1994-01-01

    Describes a study investigating the working conditions of Albanian teachers and their influence on job satisfaction. Indicates that, although the economic and physical conditions were worse than in other countries, levels of job satisfaction and engagement in classroom practices were high. Suggests that work efficiency is predicted by social…

  14. "Maternal and neonatal outcome in teenage pregnancy in Tehran Valiasr Hospital "

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    "Nili F

    2002-05-01

    Full Text Available Among 2357 prenant women at Tehran Valiasr hospital, 99 women under 18 years with their 102 neonates were evaluated retrospectively during Aprill 1999 to April 2000. frequency of adolescent pregnancy was detected in 41.5 per 1000 live birth 7 (7.1% of mothers had preeclampisa, 7 thyroidal diseases, 3 valvular heart diseases, 2 urinary tract infections and 20.3% of women had prolonged rupture of membrane (more than 24 hrs. the route of delivery in 21.2% of women was cesarean section. 32% of neonates were low birth weight and the gestational age in 38.2% of neonates was lower than 37 weeks. Intrauterine growth retardiation was detected in 11.8% of patients 38.2% of babies were admitted into neonatal care unit. Perinatal resuscitation and ventilator care were needed in 9.8% and 3.9% of neonates respectively. Nonatal mortality occurred in 6.9% of patients. Compared with total deliveries the frequency of variables was higher than could be expected except for cesarean section. Our adolescent pregnancy rate is lower than worldwide range but rates for prematurity and low birth weight are the same as other reports from developed and developing countries. Frequency of cesarean section was lower than expected range in this group as in developed countries.With respect to higher rates for rheumatic heart disease, premature labor, prolonged rupture o membrane and low birth weight, it seems that lower socioeconomic factors may result in these adverse outcomes.Higher neonatal ICU admissions, artificial ventilation and resuscitation in adolescent pregnancies suggest that confinement in hospitals with level III nurseries is advisable in these high risk group

  15. [The prevalence of intestinal parasites in children brought to the Kars Maternal and Children's Hospital with complaints of gastrointestinal symptoms].

    Science.gov (United States)

    Arslan, Mükremin Ozkan; Sari, Bariş; Kulu, Bahar; Mor, Neriman

    2008-01-01

    This study was carried out to determine the prevalence of intestinal parasites in 2-6 year-old children who were brought to Kars Maternal and Children's Hospital with complaints of gastrointestinal symptoms during March-June 2007. Fecal samples were taken from children and brought to the parasitology laboratory of the Faculty of Veterinary Medicine to be examined for intestinal parasites. Fecal samples were examined by centrifugal formalin ether, zinc-sulphate floatation, and modified acid fast techniques. Lugol solution was used during microscopic examination and suspected samples were also examined by the Giemsa dye technique. The prevalence of intestinal parasites in children was found to be 36.2% (50/138). Protozoan and helminth parasites were found to be 34.1% (47/138) and 2.9% (4/138) in the fecal samples examined, respectively. Giardia intestinalis (10.9%), Entamoeba histolytica/dispar (10.1%), Entamoeba coli (8%), Blastocystis hominis (6.5%), Endolimax nana (4.3%), Chilomastix mesnili (1.4%), Ascaris lumbricoides (1.4%), Entamoeba hartmanni (0.7%), Cyclospora cayetanensis (0.7%), Enterobius vermicularis (0.7%) and Hymenolepis nana (0.7%) were identified from the feces of children of Kars and vicinity. No Cryptosporidium spp. was detected. PMID:18985583

  16. Sero-prevalence of Toxoplasma gondii infection among pregnant women attending antenatal clinics in Khartoum and Omdurman Maternity Hospitals, Sudan

    Institute of Scientific and Technical Information of China (English)

    Musa Abdel-Raouff; Mohamed Mobarak Elbasheir

    2014-01-01

    Objective:To determine the sero-prevalence of Toxoplasma gondii (T. gondii) infection among pregnant Sudanese women. Methods:One hundred and sixty three pregnant women attending antenatal care in Omdurman Maternity Hospitals, Khartoum, Sudan during June to August in 2013 were enrolled and screened for immunoglobulin G (IgG) and IgM antitoxoplasma antibodies using enzyme linked immunosorbent assay technique. Results:Among 163 pregnant women, 33 (20.2%) were positive for (IgG) antitoxoplasma antibodies, while 130 (79.8%) were seronegative. None of the examined women had IgM antitoxoplasma antibodies. The highest rate of infection (26.7%) was detected among women aged 21-29 years. No statistically significant relation was observed between T. gondii sero-prevalence and the other variable of risk factors studied. Conclusions: Over 79% Sudanese women screened for antitoxoplasma IgG antibodies were seronegative and they were at risk of seroconversion during pregnancy. Moreover, the study showed that screening of T. gondii infections during antenatal care should be considered in Khartoum state as the main strategy to minimize congenital toxoplasmosis.

  17. Mobility and maternal position during childbirth in Tanzania: an exploratory study at four government hospitals

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    Smith Helen

    2004-02-01

    Full Text Available Abstract Background Emerging research evidence suggests a potential benefit in being upright in the first stage of labour and a systematic review of trials suggests both benefits and harmful effects associated with being upright in the second stage of labour. Implementing evidence-based obstetric care in African countries with scarce resources is particularly challenging, and requires an understanding of the cumulative nature of science and commitment to applying the most up to date evidence to clinical decisions. In this study, we documented current practice rates, explored the barriers and opportunities to implementing these procedures from the provider perspective, and documented women's preferences and satisfaction with care. Methods This was an exploratory study using quantitative and qualitative methods. Practice rates were determined by exit interviews with a consecutive sample of postnatal women. Provider views were explored using semi-structured interviews (with doctors and traditional birth attendants and focus group discussions (with midwives. The study was conducted at four government hospitals, two in Dar es Salaam and two in the neighbouring Coast region, Tanzania. Main outcome measures Practice rates for mobility during labour and delivery position; women's experiences, preferences and views about the care provided; and provider views of current practice and barriers and opportunities to evidence-based obstetric practice. Results Across all study sites more women were mobile at home (15.0% than in the labour ward (2.9%, but movement was quite restricted at home before women were admitted to labour ward (51.6% chose to rest with little movement. Supine position for delivery was used routinely at all four hospitals; this was consistent with women's preferred choice of position, although very few women are aware of other positions. Qualitative findings suggest obstetricians and midwives favoured confining to bed during the first

  18. Recording of Neonatal Seizures in Birth Certificates, Maternal Interviews, and Hospital Discharge Abstracts in a Cerebral Palsy Case-Control Study in Michigan.

    Science.gov (United States)

    Li, Qing; Lenski, Madeleine; Copeland, Glenn; Kinsman, Stephen L; Francis, Matthew; Kirby, Russell S; Paneth, Nigel

    2016-06-01

    We evaluated the recording of neonatal seizures in birth certificates, hospital discharge abstracts, and maternal interviews in 372 children, 198 of them with cerebral palsy, born in Michigan hospitals from 1993 to 2010. In birth certificates, we examined checkbox items "seizures" or "seizure or serious neurologic dysfunction"; in hospital discharge abstracts ICD-9-CM codes 779.0, 345.X, and 780.3; and in maternal interviews a history of seizures or convulsions on day 1 of life recalled 2-16 years later. In 27 neonates, 38 neonatal seizures were recorded in 1 or more sources, 17 in discharge abstracts, 20 in maternal interviews, but just 1 on a birth certificate. The kappa coefficient (κ) between interviews and discharge abstracts was moderate (κ = 0.55), and substantial (κ = 0.63) if mothers noted use of antiepileptics. Agreement was higher (κ = 0.71 vs κ = 0.29) in term births than in preterm births. Birth certificates significantly underreported neonatal seizures. PMID:26668053

  19. From scapegoats to 'good' immigrants? : Albanians' supposedly 'successful' integration to Greece

    OpenAIRE

    Kokkali, Ifigeneia

    2011-01-01

    The massive concentration of the Albanian migration over a short period of time has marked this particular flow as a unique case. Greece has been the destination par excellence of Albanian out-migration, while 60 percent of the country's foreign immigrants come solely from Albania. Greek public opinion, Greek media and the state have viewed immigrants and Albanians in particular, first, with suspicion and resentment, then with a utilitarian and paternalist spirit, since the latter, post-2004,...

  20. Geopolitical dimension of thinking in the Albanian language supports the Euro-Atlantic integration

    OpenAIRE

    Bujar Abedinaj

    2015-01-01

    This work starts with the premise that the Albanian language is one of most ancient languages in the world and stands in the root of the common trunk of the Indo-European languages. The common pre-Indo-European origin is preserved in the present Albanian language almost in the same conditions that this language was spoken 2-3 thousand years ago. Further in the work arguments are set forth regarding Albanian language priorities as a synthetic-analytic type language and the role of the Albanian...

  1. Pre-hospital Barriers to Emergency Obstetric Care : Studies of Maternal Mortality and Near-miss in Bolivia and Guatemala

    OpenAIRE

    Rööst, Mattias

    2010-01-01

    Maternal mortality is a global health concern but inequalities in utilization of maternal health care are not clearly understood. Severe morbidity (near-miss) is receiving increased attention due to methodological difficulties in maternal mortality studies. The present thesis seeks to increase understanding of factors that impede utilization of emergency obstetric care (EmOC) in Bolivia and Guatemala. Studies I and IV employed qualitative interviews to explore the role of traditional birth at...

  2. Characteristics of pregnant Women admitted with 2009 H1N1 Influenza in a referral maternity hospital at Al-Madinah, Saudi Arabia

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    Inass Taha

    2013-07-01

    Full Text Available Background: To date there has been no study done in Saudi Arabia to identify the risk factors for poor outcome of H1N1 infection in pregnancy. Objectives: we aimed to evaluate the epidemiological data, clinical course, treatment modalities, and maternal and fetal outcomes of 33 pregnant women diagnosed with H1N1 Influenza A in a referral maternity and children hospital at Al- Madinah Saudi Arabia on the period from June 2009 till February 2010.Methods: This retrospective cohort study reported 33 pregnant women (9.1% primigravida aged 27.7±5.6 years who were laboratory-confirmed cases diagnosed with H1N1 Influenza A in a referral maternity and children hospital at Al- Madinah Saudi Arabia on the period from June 2009 till February 2010. Their mean gestation age was 23.5±10.9 weeks with history of bronchial asthma in 45.5%.Results: The mean duration between symptoms’ onset and hospital presentation was 5.0±2.2 days with late presentation in 10 cases (30,3%. Large number of cases presented with fever more than 39 (24 (72.7%, sore-throat (24 (72.7% and cough (29 (87.9% while 19 patients presented with dyspnea (57.6%. Pregnant patients with H1N1 received Tamiflu (oseltamivir from 2 to 7 days with a mean of 4.7±1.3 days. They stayed at hospital for variable periods from 2 to 28 days with a mean of 7.9±6.6 days (Table 4. Most patients (31(93.9% received antibiotics. Maternal poor outcome included hypoxia in 6 patients (18.2%, ICU admission for 2-3 days with mechanical ventilation in 4(12.1%. The main fetal poor outcome was intrauterine fetal death in 2 (6.1% babies .Conclusion:The main presentation of H1N1 among pregnant women was typical influenza-like illness. Considerable percentage of patients presented late (30.3%. The duration of hospital admission is variable up to 28 days. Bronchial asthma was prevalent (45.5% among pregnant women with H1N1 infection. The main poor outcomes were maternal respiratory failure (18.2% and intrauterine fetal

  3. Improving obstetric care in low-resource settings: implementation of facility-based maternal death reviews in five pilot hospitals in Senegal

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    Fournier Pierre

    2009-07-01

    Full Text Available Abstract Background In sub-Saharan Africa, maternal and perinatal mortality and morbidity are major problems. Service availability and quality of care in health facilities are heterogeneous and most often inadequate. In resource-poor settings, the facility-based maternal death review or audit is one of the most promising strategies to improve health service performance. We aim to explore and describe health workers' perceptions of facility-based maternal death reviews and to identify barriers to and facilitators of the implementation of this approach in pilot health facilities of Senegal. Methods This study was conducted in five reference hospitals in Senegal with different characteristics. Data were collected from focus group discussions, participant observations of audit meetings, audit documents and interviews with the staff of the maternity unit. Data were analysed by means of both quantitative and qualitative approaches. Results Health professionals and service administrators were receptive and adhered relatively well to the process and the results of the audits, although some considered the situation destabilizing or even threatening. The main barriers to the implementation of maternal deaths reviews were: (1 bad quality of information in medical files; (2 non-participation of the head of department in the audit meetings; (3 lack of feedback to the staff who did not attend the audit meetings. The main facilitators were: (1 high level of professional qualifications or experience of the data collector; (2 involvement of the head of the maternity unit, acting as a moderator during the audit meetings; (3 participation of managers in the audit session to plan appropriate and realistic actions to prevent other maternal deaths. Conclusion The identification of the barriers to and the facilitators of the implementation of maternal death reviews is an essential step for the future adaptation of this method in countries with few resources. We

  4. Comparing the odds of postpartum haemorrhage in planned home birth against planned hospital birth: results of an observational study of over 500,000 maternities in the UK

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    Nove Andrea

    2012-11-01

    Full Text Available Abstract Background The aim of this study is to compare the odds of postpartum haemorrhage among women who opt for home birth against the odds of postpartum haemorrhage for those who plan a hospital birth. It is an observational study involving secondary analysis of maternity records, using binary logistic regression modelling. The data relate to pregnancies that received maternity care from one of fifteen hospitals in the former North West Thames Regional Health Authority Area in England, and which resulted in a live or stillbirth in the years 1988–2000 inclusive, excluding ‘high-risk’ pregnancies, unplanned home births, pre-term births, elective Caesareans and medical inductions. Results Even after adjustment for known confounders such as parity, the odds of postpartum haemorrhage (≥1000ml of blood lost are significantly higher if a hospital birth is intended than if a home birth is intended (odds ratio 2.5, 95% confidence interval 1.7 to 3.8. The ‘home birth’ group included women who were transferred to hospital during labour or shortly after birth. Conclusions Women and their partners should be advised that the risk of PPH is higher among births planned to take place in hospital compared to births planned to take place at home, but that further research is needed to understand (a whether the same pattern applies to the more life-threatening categories of PPH, and (b why hospital birth is associated with increased odds of PPH. If it is due to the way in which labour is managed in hospital, changes should be made to practices which compromise the safety of labouring women.

  5. Frequency of Congenital Anomalies in Newborns and Its Relation to Maternal Health in a Tertiary Care Hospital in Peshawar, Pakistan

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    Adnan Khan

    2015-03-01

    Full Text Available Background: Congenital anomalies are a major cause of perinatal and neonatal deaths, both in low- and high-income countries. They are relatively common worldwide, affecting 3% to 5% of live births. Methods: A cross-sectional study was conducted from January 2014 to June 2014 at the Khyber teaching hospital in Peshawar. Specific patient information was obtained from patient records at the beginning of the study. Those individuals found to have at least one birth defect were approached and their attendants (mothers were interviewed. Information regarding various risk factors was collected. Descriptive analyses were carried out. Results: Out of 1062 deliveries, 2.9% (31 of newborns had various congenital anomalies. Hydrocephalus (22.6%, anencephaly (12.9%, and spina bifida (9.7% were major anomalies. The maternal age ranged from 18 years to 46 years (mean: 30 ± 8. Most of the anomalies (35.5% were present in the 26-30 years age group. Out of 31 babies, 6.4% had multiple anomalies. The preponderance of various congenital anomalies was seen in parity 1 (35.4%; parities 2 to 4 had lower incidences (35.4%. The consanguinity rate was 67.7%; only 32.3% of patients were using folic acid. History of passive smoking was positive in 16.1% of cases. Conclusion: Anencephaly and hydrocephalus were the most prominent anomaly detected; early prenatal diagnosis may be helpful in decreasing mortality by offering early termination. Low intake of folic acid and a high consanguinity rate were the most common associated risk factors for congenital anomalies. These risk factors may be reduced by creating awareness regarding the avoidance of consanguineous marriage and promoting the use of folic acid during pregnancy.

  6. Study of maternal mortality trends: 10 years retrospective and comparative analysis at a tertiary teaching hospital of Gwalior Chambal region

    Directory of Open Access Journals (Sweden)

    Jyoti Bindal

    2016-03-01

    Conclusions: Delay in seeking emergency obstetric care and not having regular antenatal checkups by pregnant females are the major contributors for maternal mortality. Dedicated obstetric intensive care units at referral centers for prompt and comprehensive care may help in reducing the maternal morbidity and mortality. [Int J Reprod Contracept Obstet Gynecol 2016; 5(3.000: 730-733

  7. Maternal vaginal microflora during pregnancy and the risk of asthma hospitalization and use of antiasthma medication in early childhood

    DEFF Research Database (Denmark)

    Benn, Christine Stabell; Thorsen, Poul; Jensen, Jørgen Skov;

    2002-01-01

    BACKGROUND: Infants with wheezing and allergic diseases have a microflora that differs from that of healthy infants. The fetus acquires microorganisms during birth when exposed to the maternal vaginal microflora. It is therefore conceivable that the maternal vaginal microflora might influence the...

  8. Maternal vaginal microflora during pregnancy and the risk of asthma hospitalization and use of antiasthma medication in early childhood

    DEFF Research Database (Denmark)

    Benn, Christine Stabell; Thorsen, Poul; Jensen, Jørgen Skov;

    2002-01-01

    BACKGROUND: Infants with wheezing and allergic diseases have a microflora that differs from that of healthy infants. The fetus acquires microorganisms during birth when exposed to the maternal vaginal microflora. It is therefore conceivable that the maternal vaginal microflora might influence...... the establishment of the infant flora and, as a consequence, the development of wheezing and allergic diseases. OBJECTIVE: We sought to study the associations between the composition of the maternal vaginal microflora and the development of wheezing and asthma in childhood. METHODS: We performed a population....... Maternal colonization with staphylococci (OR, 2.2; 95% CI, 1.4-3.4) and use of antibiotics in pregnancy (OR, 1.7; 95% CI, 1.1-2.6) were associated with asthma during the fifth year of life. CONCLUSION: The composition of the maternal vaginal micro-flora might be associated with wheezing and asthma...

  9. Dynamics and active processes : the albanian natural laboratory and analogues.

    OpenAIRE

    Roure, Francois; Scheck-Wenderoth, Magdalena; Matenco, Liviu; Muska, Kristaq; Nazai, Shaqir

    2013-01-01

    This special issue of the Italian Journal of Geosciences provides a selection of 7 papers which have been presented during the sixth workshop of the ILP Task Force on Sedimentary Basins, hosted at the Polytechnic University of Tirana on November 7-12, 2010. More than 100 Earth scientists, professionals and students participated to this workshop, including 70% of Albanian colleagues, mainly from the Polytechnic University, geological survey, academy and oil industry, and 30% of participants fr...

  10. DEVELOPMENT OF NONBANKING FINANCIAL MARKET THROUGH FISCAL INCENTIVES: ALBANIAN CASE

    OpenAIRE

    Flora Musta; Gentiana Sharku

    2011-01-01

    An efficient financial market in any economy stimulates the economic growth through mobilizing the savings and promoting the investments. The Albanian economy has passed through a long period of transition which means a transformation of all the financial market and institutions. But not all the financial institutions are uniformly developed. Actually more attention is given to the transformation and development of the banking industry and less to the non-banking markets i.e. insurance, pensi...

  11. Anthropometric Study of Nasal Index of the Kosovo Albanian Population

    OpenAIRE

    Gloria Staka; Fatmir Dragidella; Metush Disha

    2012-01-01

    Human nose occurs in many shapes and sizes and ethnic influences my results in different appearances of the nose. Nasal index is an ethnic sensitive anthropometric index. It is an important athropometric parameter for classifying the race and sex of the individual whose identity is unknown. This study was undertaken to determine the nasal index of the Kosovo Albanian population. The study sample comprised 204 subjects (101 males and 103 females) aged 18-25 years. Nasal height and nasal width ...

  12. Determinants of Sustainable Relationships in the Albanian Apple Production Sector

    OpenAIRE

    Blendi Gërdoçi; Engjell Skreli; Drini Imami

    2016-01-01

    This paper analyses the behaviour of Albanian apple growers and their relations with buyers based on a structured survey. We develop a model of relational governance that highlights the importance of sustainable (lasting) relationships and draws upon different theoretical frameworks such as transaction cost economics and social network theory and focuses on determinants of relational exchange. The findings support the social network argument that the presence of verbal agreements between busi...

  13. Tobacco Smoking Habits, Attitudes, and Beliefs among Albanian Nurse Students

    OpenAIRE

    Ylli Vakeffliu; Silvana Bala; Rudina Pirushi; Kujtime Vakeffliu; Jul Bushati; Melani, Andrea S

    2013-01-01

    Background. Available information about tobacco smoking habits, attitudes, and beliefs among Albanian nurse students shows some discrepancies and requires further investigation. Material and Methods. Cross-sectional school-based survey using a self-administered anonymous questionnaire in the Tirana Nurse University in December 2012 about tobacco smoking habits, attitudes, and beliefs. Results. Sixty hundred fifty one students (mean age 20.0 years; males 19%, females 81%) completed the questio...

  14. Albanian student among changes and challenges in learning esp courses

    OpenAIRE

    Vanina, Kanini

    2013-01-01

    Albania, a small country, situated in Southeastern Europe, has been isolated to the world for almost 50 years, because of the communism governing. After the 90s’, Albanian students began learning foreign languages, and they are really good at it. They love learning languages, and English language is among the most favorites. English language is taught since the third grade of elementary school, till the second year of Bachelor studies in the Universities.Till some years ago, English Language ...

  15. Reduction of maternal mortality. What really works? - A presentation of the Maternal and Neonatal Intervention Project at Chiradzulu District Hospital, Malawi

    OpenAIRE

    Kristensen, Charlotte

    2013-01-01

    Every year, around 300 000 women die from causes related to pregnancy and childbirth. 99% of these deaths occur in low and middle-income countries, and are highly preventable. This paper looks at what has been proven effective when trying to reduce maternal mortality, and the challenges the developing world faces when it comes to this matter. The effect of having a skilled provider at birth and access to emergency obstetric care has been proven effective, but the effect of antenatal care ...

  16. A RETROSPECTIVE AND PROSPECTIVE STUDY OF MATERNAL MORTALITY IN A RURAL TERTIARY CARE HOSPITAL OF CENTRAL INDIA

    Directory of Open Access Journals (Sweden)

    Kalpana Yadav

    2013-05-01

    Full Text Available Objectives: The aim of present study was maternal death audit in rural tertiary care centre, GMH Rewa, to find out avoidable/unavoidable factors in each death and use information thus generated to reduce maternal mortality. Methods: Medical records of all maternal deaths occurring over a period of 4 years between Jan 2006 to Oct. 2009 were reviewed and from Nov. 2009 to Dec. 2010 all maternal deaths were followed and studied in details in respect to maternal age, parity, booking status, delivery status, residence, referral, socioeconomic class, admission death interval and cause of death. Results: Maternal mortality ratio ranged between 426 to 641/1,00,000 births in the study period. The causes of death were haemorrhage (31.9%, toxaemia (24.4%, anemia (14.94%, sepsis (9.27%, embolism (7.2%, jaundice (5.72% and other indirect causes (6.15%. Maximum of deaths (77.6% occurred in women between 20-29 years of age, multigravida had Maternal mortality ratio of 56.71%. 72.16% cases were postnatal cases, 94.32% were unbooked, 50.0% were referred cases & 88.65% cases were from rural areas. Conclusion: Overall maternal mortality was 555.5/1,00,000 live births. Maternal deaths due to direct obstetric causes were 73.19% and indirect obstetrics deaths 26.81%. The causes of potentially preventable deaths includes death due to anemia, sepsis, Disseminated Intravascular Coagulation, anaesthesia complications and non-availability of ICU bed and accounted for 40% of all deaths.

  17. A Cross-Cultural Study of Differences in Romantic Attitudes between American and Albanian College Students

    Science.gov (United States)

    Hoxha, Eneda; Hatala, Mark N.

    2012-01-01

    Cross-cultural differences in romantic attitudes are often taken for granted and accepted. However, very little research has been conducted to clearly state how much and how different Albanian and American college students are in the way they love. Results indicate that Americans are more romantic than Albanians. In addition, Americans are more…

  18. Ethnolinguistic Vitality, Language Use and Social Integration Amongst Albanian Immigrants in Greece

    Science.gov (United States)

    Gogonas, Nikos; Michail, Domna

    2015-01-01

    The focus of this paper is on the relationship between Albanian speakers' ethnolinguistic vitality (EV) perceptions and their language maintenance, language use and choice patterns. A subjective EV questionnaire, and a language usage questionnaire capturing domain-specific language use was completed by 200 Albanian immigrants of first and…

  19. Serbia, the Serbo-Albanian conflict and the First Balkan War

    Directory of Open Access Journals (Sweden)

    Bataković Dušan T.

    2014-01-01

    Full Text Available After the restoration of Serbia in 1830, the areas of medieval Serbia left out of her borders were dubbed Old Serbia - Kosovo, Metohija, Rascia (the former sanjak of Novi Pazar and the neighbouring areas. Old Serbia (from 1877 onwards the vilayet of Kosovo was dominated by local Albanian pashas, whereas the Christian Orthodox Serbs and their villages were attacked and pillaged by Muslim Albanian brigands. The religious antagonism between Muslims and Christians expanded into national conflict after the 1878 Albanian League had claimed the entire “Old Serbia for Greater Albania”. The position of Christian Orthodox Serbs, who accounted for a half of the population at the end of the nineteenth century, was dramatically aggravated due to Muslim Albanians' tribal anarchy, Austria-Hungary's pro-Albanian agitation and, after 1908, frequent Albanian rebellions. All efforts of Serbia to reach a peaceful agreement with Muslim Albanian leaders in Old Serbia before the First Balkan War had ended in failure. The First Balkan War was the most popular war in Serbia’s history as it was seen as avenging the 1389 Battle of Kosovo which had sealed the Ottoman penetration into the Serbian lands. In October 1912, Serbia liberated most of Old Serbia, while Montenegro took possesion of half of the Rascia area and the whole of Metohija. While the decimated and discriminated Serb population greeted the Serbian and Montenegrin troops as liberators, most Albanians, who had sided with the Ottomans, saw the establishment of Serbian rule as occupation.

  20. An audit of obstetric admissions to intensive care unit in a medical college hospital of central India: lessons in preventing maternal morbidity and mortality

    Directory of Open Access Journals (Sweden)

    Manisha Jain

    2015-02-01

    Full Text Available Background: The spectrum of causes leading to maternal morbidity and mortality may be well reflected in the clinical profile of obstetric patients admitted to the Intensive Care Unit (ICU. An audit of these patients may help in devising intervention strategies and implementing preventive measures. This is expected to contribute to the ongoing concerted multipronged efforts towards reducing maternal mortality as a step towards the millennium development goals. The aim was to study the clinical and demographic profile of antenatal and postpartum women requiring admission to the ICU, the interventions required in these women and the final outcome. The overall goal is to identify the contributing factors towards maternal morbidity and mortality. Methods: A retrospective analysis of hospital records of all antenatal, post-abortal and postpartum women admitted to the ICU at People's hospital, Bhopal over a period of 3 years (June 2011 to May 2014. Results: A total of 157 records were identified and analyzed: 22 (14% antenatal, seven (4% post-abortion, 114 (73% postpartum, and 14(9% post-laparotomy women. The mean age was 25 years (Range 18-38 years; SD 4.49, two thirds being from rural areas. Majority (78% had no earlier visit. The gestational age at admission to ICU ranged from 6-43 weeks (Mean 31 weeks; SD 9.06. One third (24% of patients had severe anemia, 18 patients needed ventilation, 25 required inotropic support, 4 required dialysis and 17 underwent surgical intervention. Blood or blood component therapy was needed in 60% cases with total blood units transfused being 225. The average duration of stay in intensive care unit was 79 hours. Analyzing as organ-system dysfunctions: Cardiovascular dysfunction (22%, hematological (20%, hepatic (16%, neurological (11%, septicemia (11%, renal (9%. There were 19 maternal deaths. Conclusions: Maternal anemia and consequences still contribute significantly to maternal morbidity. Non-utilization of

  1. Hospitals

    Data.gov (United States)

    Department of Homeland Security — This database contains locations of Hospitals for 50 states and Washington D.C. , Puerto Rico and US territories. The dataset only includes hospital facilities and...

  2. A retrospective study of maternal and perinatal outcome in patients of postpartum haemorrhage in a tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Latika Duhan

    2016-06-01

    Conclusions: Postpartum hemorrhage is one of the biggest menace in today's times. It adds to significant maternal morbidity and mortality. [Int J Reprod Contracept Obstet Gynecol 2016; 5(6.000: 1897-1901

  3. Maternal and paternal lineages in Albania and the genetic structure of Indo-European populations.

    Science.gov (United States)

    Belledi, M; Poloni, E S; Casalotti, R; Conterio, F; Mikerezi, I; Tagliavini, J; Excoffier, L

    2000-07-01

    Mitochondrial DNA HV1 sequences and Y chromosome haplotypes (DYS19 STR and YAP) were characterised in an Albanian sample and compared with those of several other Indo-European populations from the European continent. No significant difference was observed between Albanians and most other Europeans, despite the fact that Albanians are clearly different from all other Indo-Europeans linguistically. We observe a general lack of genetic structure among Indo-European populations for both maternal and paternal polymorphisms, as well as low levels of correlation between linguistics and genetics, even though slightly more significant for the Y chromosome than for mtDNA. Altogether, our results show that the linguistic structure of continental Indo-European populations is not reflected in the variability of the mitochondrial and Y chromosome markers. This discrepancy could be due to very recent differentiation of Indo-European populations in Europe and/or substantial amounts of gene flow among these populations. PMID:10909846

  4. A STUDY ON BREAST FEEDING PRACTICES AMONG POST- NA TAL MOTHERS ATTENDING GOVT MATERNITY HOSPITAL AT HYDE RABAD, ANDHRA PRADESH

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    Bhavani

    2013-05-01

    Full Text Available ABSTRACT: BACKGROUND: Breast feeding plays an essential and sometimes underestimate role in the treatment and prevention of infant and chi ldhood illness. Improving breast feeding is a highly feasible and cost effective approach to redu cing the number of infant who die from infectious disease and malnutrition early in their lives. Cont inuing to breastfeed alone could save 1 to 1.5 million lives a year. Well over 40% of 10.9 million deaths annually occur due to inappropriate feeding practices , during the 1 st year of life. Lack of breast feeding and especia lly exclusive breast feeding during the 1 st year of life are important risk factors for infant and child hood morbidity and mortality that are only compounded by inappropriat e complementary feeding . Current evidence that Breast feeding is beneficial for infant and ch ild health is based on exclusive observational studies. The experimental intervention increased th e duration and degree of breast feeding. These results provide a solid scientific under planning f or future interventions to promote Breast feeding. Breast feeding practices appear to be ineffective e ven in institutions due to lack of knowledge of importance of breast milk , colostrums, and pre-lac teal feeds. In the present study an effort is made to assess the knowledge of breast feeding practices am ong post natal women and mothers attending immunization clinic . OBJECTIVES: To study the sociodemografic factors influence on breast feeding behavior of post natal mothers and to study the awa reness of benefits of colostrums, and effect of media on breast feeding practices. MATERIALS AND METHODS : The present study is a cross- sectional, Descriptive Hospital based ,conducted i n the post natal ward at Govt Maternity Hospital, sultan Bazar, Hyderabad, A.P., participants are the Mothers who have delivered within 3days of interview, and the Mothers attending immunization c linic , having children below 1 year of age . sample

  5. Determinants of Sustainable Relationships in the Albanian Apple Production Sector

    Directory of Open Access Journals (Sweden)

    Blendi Gërdoçi

    2016-02-01

    Full Text Available This paper analyses the behaviour of Albanian apple growers and their relations with buyers based on a structured survey. We develop a model of relational governance that highlights the importance of sustainable (lasting relationships and draws upon different theoretical frameworks such as transaction cost economics and social network theory and focuses on determinants of relational exchange. The findings support the social network argument that the presence of verbal agreements between business partners strongly and positively affects exchange relationships. Asset specificity and competition among buyers also affects such relationships. The results and their implications at the management and policy-making level are discussed in detail

  6. Medical ethnobotany of the Albanian Alps in Kosovo

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    Mustafa Behxhet

    2012-01-01

    Full Text Available Abstract Background Ethnobotanical studies are crucial in South-Eastern Europe for fostering local development and also for investigating the dynamics of Traditional Environmental Knowledge (TEK related to plants in one of the most crucial European hotspots for biocultural diversity. The current medico-ethnobotanical survey was conducted in rural alpine communities in Kosovo. The aims of the study were twofold: 1 to document the state of TEK of medicinal plants in these communities; 2 to compare these findings with that of similar field studies previously conducted among local populations inhabiting the Montenegrin and Albanian side of the same Alpine range. Methods Field research was conducted in 36 villages on the Kosovar side of the Albanian Alps. Snowball sampling techniques were used to recruit 91 elderly informants (≥ 50 years-old for participation in semi-structured interviews and structured surveys regarding the use of the local flora for medicinal and food purposes. Standard ethnobotanical methods were employed and prior informed consent was obtained for all study participants. Results and Conclusion The uses of 98 plants species belonging to 39 families were recorded; the most quoted botanical families were Rosaceae, Asteraceae, and Lamiaceae. Mainly decoctions and infusions were quoted as folk medicinal preparations and the most common uses referred to gastrointestinal and respiratory disorders, as well as illnesses of the uro-genital system. Among the most uncommon medicinal taxa quoted by the informants, Carduus nutans L., Echinops bannaticus Rochel ex Schrad., and Orlaya grandiflora Hoffm. may merit phytochemical and phytopharmacological investigations. Comparison of the data with other ethnobotanical field studies recently conducted on the Albanian and Montenegrin sides of the same Alps has shown a remarkable link between the medical ethnobotany of Montenegrin and Kosovar side of the Albanian Alps. Moreover, folk uses of the

  7. Medical ethnobotany of the Albanian Alps in Kosovo

    Science.gov (United States)

    2012-01-01

    Background Ethnobotanical studies are crucial in South-Eastern Europe for fostering local development and also for investigating the dynamics of Traditional Environmental Knowledge (TEK) related to plants in one of the most crucial European hotspots for biocultural diversity. The current medico-ethnobotanical survey was conducted in rural alpine communities in Kosovo. The aims of the study were twofold: 1) to document the state of TEK of medicinal plants in these communities; 2) to compare these findings with that of similar field studies previously conducted among local populations inhabiting the Montenegrin and Albanian side of the same Alpine range. Methods Field research was conducted in 36 villages on the Kosovar side of the Albanian Alps. Snowball sampling techniques were used to recruit 91 elderly informants (≥ 50 years-old) for participation in semi-structured interviews and structured surveys regarding the use of the local flora for medicinal and food purposes. Standard ethnobotanical methods were employed and prior informed consent was obtained for all study participants. Results and Conclusion The uses of 98 plants species belonging to 39 families were recorded; the most quoted botanical families were Rosaceae, Asteraceae, and Lamiaceae. Mainly decoctions and infusions were quoted as folk medicinal preparations and the most common uses referred to gastrointestinal and respiratory disorders, as well as illnesses of the uro-genital system. Among the most uncommon medicinal taxa quoted by the informants, Carduus nutans L., Echinops bannaticus Rochel ex Schrad., and Orlaya grandiflora Hoffm. may merit phytochemical and phytopharmacological investigations. Comparison of the data with other ethnobotanical field studies recently conducted on the Albanian and Montenegrin sides of the same Alps has shown a remarkable link between the medical ethnobotany of Montenegrin and Kosovar side of the Albanian Alps. Moreover, folk uses of the most quoted wild medicinal

  8. Spatial Changes and Population Movements on the Albanian Coastline

    Science.gov (United States)

    Kanjir, U.; Gregorič Bon, N.

    2016-06-01

    The last decade has seen a large increase in construction along the southern Albanian coastline, mainly in the rise of large tourist complexes comprising hotels, apartment houses, touristic villages, and so on. These constructions rarely follow urban planning and not only change its landscape but also often threaten the ecological value of the coastal zone. The uncontrolled and devastating construction along the coast has been accompanied by coastal erosion caused by the sea with the intensity up to 50 cm/year. This paper investigates the environmental change monitoring on the Albanian Riviera by analysing optical remote sensing data (Landsat 5 and 8) in the period between 1984 and 2015. The image analysis results grounded on the change vector analysis indicate coastal morphology changes and land cover changes in the coastal environment, which appear mostly due to erosion in river delta and urban growth. Apart from identifying both phenomena through time, the objective of this study is to show that these landscape changes in fact correlate with the population migration as well as to explain why and the extent to which Albania is one of the most migratory countries in Europe. Based on the multidisciplinary research, which combines anthropological method with spatial analysis, this presentation anticipates future changes in this area. It argues that movements of both people and in landscape formations strongly influence each other, constituting a closely corresponding relationship.

  9. The council of the employees in the Albanian Commercial Law

    Directory of Open Access Journals (Sweden)

    Diana Biba

    2016-01-01

    Full Text Available Law No. 9901/2008 on “Entrepreneurs and Commercial Companies”, marked a milestone in the reform of the commercial law in Albanian. Among other novelties, the Law introduced a new approach in regard to the employees and their participation in co determination. Actually, the involvement of the employees were not that unfamiliar in the former Albanian Commercial Legislation thought the social responsibility was. The Law brought in a new approach which was widely inspired from the EU Law, by establishing the Council of the Employees for any commercial company having more than 50 employees. It is true that unlike the trade unions, it is the company that bears the costs of the establishment and functioning of these councils, but besides the costs, it would mean to grant importance to the employees, as stakeholders of the corporate, by being part of the decision making process with regard to the use of special funds or actives of the company or to the allocation of the divided that the General Assembly resolves to allocate to the employees. This article will explore the legal provisions of the Law in regard to the Council of the Employees, its establishment, functioning and entitlement and how these provisions are enforced in practice from the companies in Albania.

  10. QUALITY IMPROVEMENT METHODS AND THEIR USAGE IN ALBANIAN PUBLIC UNIVERSITIES

    Directory of Open Access Journals (Sweden)

    Arjan QEFALIA

    2012-06-01

    Full Text Available Education and higher education in particular is one of strategic priorities for development, which guarantees progress. Its role is related to all characteristics of a society, and it undoubtedly constitutes one of the most important areas of life of a nation. It has stable and long-term impact on all aspects of activities related to people and their welfare. The challenge to be faced in the transition period requires that higher education in Albania to be developed, consolidated and follow the trend of higher education in developed countries. Quality itself and by using the continuous quality improvement methods by universities, it constitutes the basis for ensuring the success of the Albanian higher education institutions in the future.In this paper, through the use of literature, the questionnaires and interviews directed mainly to the professors / pedagogues working in Albanian public higher education institutions, the focus is to show the continuous quality improvement methods used by universities / faculties / departments, and to test the hypothesis: The use or not of the continuous improvement methods is dependent on the studies type (those higher education institutions that offer first cycle studies, first and second cycle studies, or first, second and third cycle studies that the higher education institution offers.

  11. Hormonal risk factors for ovarian cancer in the Albanian case-control study.

    Science.gov (United States)

    Pajenga, Edlira; Rexha, Tefta; Çeliku, Silva; Bejtja, Gazmend; Pisha, Mimoza

    2013-05-01

    The role of reproductive factors in the aetiology of ovarian cancer had been evaluated in hospital-based case-control study conducted in Albania, providing a total dataset of 283 cases and 1019 controls. Logistic regression models were used to obtain relative risk (OR) estimates. The present results showed that parity had protective effects which increased until the forth birth and the trend in risk was significant (p risk compared to those who had different number of births (OR=12.5, 95%, CI: 2.4-63.8). Evaluation of early age at menarche and late age at menopause, showed statistically significant increased risk. Furthermore, increased risk was observed between pre-menopausal women and never-married nulliparity women, respectively (OR=1.44 95%, CI: 0.88-2.36; OR=8.98, 95%, CI: 1.44 - 56.14), but ovarian cancer risk was reduced for hysterectomized women. These findings suggest that Albanian women have risk factors similar to women in western countries. PMID:23725504

  12. Analysis on related factors of maternal death in Shengjing hospital in recent five years%盛京医院近5年孕产妇死亡相关因素分析

    Institute of Scientific and Technical Information of China (English)

    李秋玲; 刘彩霞; 胥数; 崔红; 那全

    2011-01-01

    目的:分析及探讨盛京医院孕产妇死亡的原因及影响因素,提高盛京医院产科质量,进一步降低孕产妇死亡率.方法:收集2004年1月~2008年12月盛京医院46例死亡孕产妇的临床资料,分析孕产妇死亡原因,了解孕产妇死亡的影响因素.结果:在盛京医院,妊娠合并内外科疾病是造成孕产妇死亡最主要的因素,导致孕产妇死亡的最终原因的前3位顺位是MODS、DIC、艾森曼格综合征,造成孕产妇死亡的前3位疾病顺位是先天性心脏病、妊娠期高血压疾病、产科出血.结论:加强社区和乡村孕产妇保健管理,加强各阶层产科医务人员业务素质,保证绿色通道的通畅,加强盛京医院产科与其他学科的共同协作,可明显降低孕产妇死亡率.%Objective: To analyze and explore the causes and effect factors of maternal death in Shengjing hospital, improve the quality of obstetric department, further reduce the maternal mortality. Methods: The clinical data of 46 dead pregnant women in Shengjing hospital from January 2004 to December 2008 were collected, the causes of maternal death were analyzed, the effect factors of maternal death was understood. Results: In Shengjing hospital, pregnancy combined with internal and surgical diseases was the most important factor of maternal death, the first three final reasons of maternal death were MODS, DIC and Eisenmenger syndrome, the first three diseases of maternal death were congenital heart disease, hypertensive disorder complicating pregnancy and obstetric hemorrhage. Conclusion: Enhancing maternal health care and management in communities and villages, strengthening the professional qualities of obstetrician at all levels, ensuring the patency of emergent medical services, reinforcing the cooperation between obstetric department and other departments in Shengjing hospital can reduce the maternal mortality obviously.

  13. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

    is to minimize the negative effects of stress inducing environments based on research results. Which stress inducing factors? We can look around at some old hospitals and see they are noisy, confusing, ugly, monotonous, hard, cold, artificial, and dark; qualitative terms which can indicate what we shouldn...... in the navigation experience and wasted time of medical staff in providing directions. Space in hospitals: space can be divided into personal, social and outdoor space. Personal space: single rooms have been well documented in: admission length, mortality rates, comfort levels, sense of privacy, all users......’ satisfaction. Social space: attention to spatial qualities, volume and interior design in terms of encouraging physical contact between users in wards, waiting areas and semi-private rooms. Outdoor space: Landscape and gardens are not enough in themselves; they should be visible, centrally or strategically...

  14. Some Empirical Evidence of Loan Loss Provisions for Albanian Banks

    Directory of Open Access Journals (Sweden)

    Dushku Elona

    2016-05-01

    Full Text Available In this paper we used a panel of Albanian banks for the period 2004-2014 to examine the main determinants of loan loss provisions. In addition, we tested how the latest crisis has affected provisioning behaviour of the banks. We find that loan loss provisions of banks are driven by non-discretionary components and economic fluctuations. Furthermore, we find a positive and significant result between earnings before interest, taxes and provisions and loan loss provisions, thus confirming the income smoothing hypothesis. Our estimated results do not support the capital management and signalling hypotheses. We also find that the global crisis has contributed significantly to the procyclicality of loan loss provisioning in Albania and banks continued to do income smoothing during the crisis.

  15. Corruption and innovation in the Albanian public procurement system

    Directory of Open Access Journals (Sweden)

    Reida Kashta

    2014-07-01

    The question marks that this paper raises are: what are the means used in the war against corruption in the public procurement field in Albania? Did they had any real impact or they just reshaped the ways of doing corruption? The main finding of this paper is that introduction of e-procurement system was one of the most appropriate means to fight corruption in Albania, because this system fixed one of the biggest problems of the Albanian Public Procurement system; lack of transparency. The electronic system is transparent, since it provides the increasing of information passing through it, and the most important, it enhances the responsibility in relations between the contracting authorities and economic operators, enabling a more effective and efficient use of the tax payers’ money.

  16. ON THE DEVELOPMENT OF THE ALBANIAN INFORMAL ECONOMY

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    Majlinda BELLO

    2011-01-01

    Full Text Available The purpose of the paper is to analyze the informal economy in Albania. The measurement of informal economy may be realized through direct and indirect methods. The collection of data about informal economic activities, the frequency and the volume of the underground activities present a challenge, because of the data limitations. Therefore, to measure it used more indirect methods. Albanian governments have always adopted a philosophy that aims to formalize the economy through legal and institutional improvements, reducing taxes, fighting corruption and tax evasion; improvement in revenue collection from customs and taxes in general, improving governance and increasing efficiency of public institutions. Albania is on the way of the integration in the EU. The integration perspective should be supported by concrete politics on the improvement of government functioning and decrease of the informal sector, so that the people think that their country is on the right way toward modernization and prosperity.

  17. The hydrologic regionalisation of Albanian territory according to the annual specific yield

    International Nuclear Information System (INIS)

    Albanian territory is very reach in water resources. The long-term annual average of specific yield of water resources in Albania is around 30 I/s/KXm2. The spatial distribution of the water resources in Albanian territory is heterogeneous due to a high variability of climatic and land characteristics. The regionalisation of water resources in the area is a complicated phenomenon in general and especially in the case of Albanian territory becomes more difficult. The parameter chosen for this purpose is the specific yield as an integral parameter of the catchment area. The long-term average of specific yield has a spatial variability of 10 to 100 I/s/KXm2 in Albanian territory. The data used include the period 1951-1990 of 80 hydro metric stations distributed in whole, Albanian hydro graphic network. In the same time are evaluated the data of specific yield for the sectors between two hydro metric stations, in order to avoided the effects of a sub basin in the value of the whole basin. The lower limit of catchment area (basin) of 100 km2 is accepted due to high variability of the Albanian territory and its small size. As the result are established two maps. In the first one is presented the general regionalisation of water resources according to the concept of high and low water resources. As the criteria is accepted the value of 201/s/KXm2 of the specific yield. The area with 2 are considered as area with low water resources and respectively the area with >201/s/KXm2 as area with high water resources. The second one presents the more detailed regionalisation that includes 8 classes. This is the first attempt of the regionalisation of the water resources in Albanian territory and we hope to be useful for the water management system in Albania.(Author)

  18. Maternal adjustment and maternal attitudes in adolescent and adult pregnant women

    OpenAIRE

    Figueiredo, Bárbara; Tendais, Iva; Dias, Cláudia Castro

    2014-01-01

    Study Objective: This study analyzes differences between adolescent and adult pregnant women and the contribution of maternal age to maternal adjustment and maternal attitudes during pregnancy. Design, Setting, and Participants: A sample of 398 Portuguese pregnant women (111 younger than 19 years) was recruited in a Portuguese Maternity Hospital and completed the Maternal Adjustment and Maternal Attitudes Questionnaire between the 24th and 36th weeks of gestation. Main Outcome Measures: Mater...

  19. Frequency of Congenital Anomalies in Newborns and Its Relation to Maternal Health in a Tertiary Care Hospital in Peshawar, Pakistan

    OpenAIRE

    Adnan Khan; Muhammad Zuhaid; Maria Fayaz; Faryal Ali; Arsalan Khan; Raza Ullah; Javariya Zafar; Hakeem Ullah; Saiqa Baloch; Sanam Gandapur

    2015-01-01

    Background: Congenital anomalies are a major cause of perinatal and neonatal deaths, both in low- and high-income countries. They are relatively common worldwide, affecting 3% to 5% of live births. Methods: A cross-sectional study was conducted from January 2014 to June 2014 at the Khyber teaching hospital in Peshawar. Specific patient information was obtained from patient records at the beginning of the study. Those individuals found to have at least one birth defect were approached and ...

  20. Teaching Urban Politics at an Albanian University: How Do You Make an American Sub-Discipline Internationally Relevant?

    Science.gov (United States)

    Dilworth, Richardson

    2008-01-01

    This article compares American and Albanian college students' urban political experiences in order to understand the relevance of American models of urban politics to developing nations. Urban growth in Albania has created needs for teaching students about urban governance. The evidence presented here suggests that Albanians' conceptions of urban…

  1. Diversity of albanian plant genetic resources inventory assesed by eurisco passport descriptors

    Directory of Open Access Journals (Sweden)

    Belul Gixhari

    2013-12-01

    Full Text Available Assessment of diversity of Albanian National Inventory is carried out using import statistics by passport descriptors from Plant Genetic Resources database. Flora of Albania identified more than 3 250 species of plants, but only 2% of them are included in the National Inventory (NI of Albania in EURISCO catalogue. Albanian National Inventory of Plant Genetic Resources in EURISCO (2% of Albanian Flora includes 33 genera, 62 species and 2111 accession, where 54% of them are collected genetic materials. Detailed analysis shows that collected genetic material is the principal source of diversity of Albanian NI in EURISCO. Principal component analysis and comparisons of diversity indices show the descriptors as TAXON, CROPNAME, COLLGEM, GEODATA, NOGEODATA, COLLDATE > Y.2000, COLLDATA Y.2000, COLLCODE-GB, SAMPSTAT-100, COLLSRC-10, COLLSRC-20 and COLLSRC-40 present higher range of diversity and were the principal source of variation that contribute more than other on diversity degree of Albanian NI of PGR in EURISCO. Multivariate correlation analysis show very high positive correlation among COLLGEM and GEODATA, NO-GEODATA, COLLDATE, COLLCODE, SAMPSTAT-100, and COLLSRC-10 passport descriptors. There were higher relationships between collected genetic materials and GEODATA descriptors (latitude, longitude, elevation, COLLDATA, COLLCODE and COLLSRC.

  2. Maternal mortality in Sirur.

    Science.gov (United States)

    Shrotri, A; Pratinidhi, A; Shah, U

    1990-01-01

    The research aim was 1) to determine the incidence of maternal mortality in a rural health center area in Sirur, Maharashtra state, India; 2) to determine the relative risk; and 3) to make suggestions about reducing maternal mortality. The data on deliveries was obtained between 1981 and 1984. Medical care at the Rural Training Center was supervised by the Department of Preventive and Social Medicine, the B.J. Medical College in Pune. Deliveries numbered 5994 singleton births over the four years; 5919 births were live births. 15 mothers died: 14 after delivery and 1 predelivery. The maternal mortality rate was 2.5/1000 live births. The maternal causes of death included 9 direct obstetric causes, 3 from postpartum hemorrhage of anemic women, and 3 from puerperal sepsis of anemic women with prolonged labor. 2 deaths were due to eclampsia, and 1 death was unexplained. There were 5 (33.3%) maternal deaths due to indirect causes (3 from hepatitis and 2 from thrombosis). One woman died of undetermined causes. Maternal jaundice during pregnancy was associated with the highest relative risk of maternal death: 106.4. Other relative risk factors were edema, anemia, and prolonged labor. Attributable risk was highest for anemia, followed by jaundice, edema, and maternal age of over 30 years. Maternal mortality at 30 years and older was 3.9/1000 live births. Teenage maternal mortality was 3.3/1000. Maternal mortality among women 20-29 years old was lowest at 2.1/1000. Maternal mortality for women with a parity of 5 or higher was 3.6/1000. Prima gravida women had a maternal mortality rate of 2.9/1000. Parities between 1 and 4 had a maternal mortality rate of 2.3/1000. The lowest maternal mortality was at parity of 3. Only 1 woman who died had received more than 3 prenatal visits. 11 out of 13 women medically examined prenatally were identified with the following risk factors: jaundice, edema, anemia, young or old maternal age, parity, or poor obstetric history. The local

  3. Morte materna em hospital terciário do Rio Grande do Sul - Brasil: um estudo de 20 anos Maternal mortality at a tertiary hospital in Rio Grande do Sul - Brazil: a twenty-year study

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    José Geraldo Lopes Ramos

    2003-07-01

    Full Text Available OBJETIVO: analisar os casos de morte materna ocorridos no Hospital de Clínicas de Porto Alegre (HCPA, hospital universitário de referência para gestação de alto risco no Rio Grande do Sul. MÉTODOS: realizamos estudo retrospectivo analisando os prontuários médicos das mulheres entre 10 e 49 anos que morreram no HCPA no período de 1980 a 1999. Foram analisadas apenas as mortes relacionadas a gestação e puerpério (até 365 dias após o término da gestação, independente do tipo e duração da gestação. As causas foram separadas em causas obstétricas diretas, obstétricas indiretas e causas não obstétricas. RESULTADOS: entre as causas obstétricas diretas (61,7%, destacaram-se a hipertensão arterial (18,5%, a infecção pós-cesariana (16% e o aborto séptico (12,3%. Dentre as causas obstétricas indiretas (23,5%, as mais prevalentes foram a cardiopatia (8,6%, o fígado gorduroso agudo (3,5% e o lúpus eritematoso sistêmico (2,5%. Dentre as causas não obstétricas (15,0%, destacam-se as neoplasias malignas (7,4% e a AIDS (3,7%. CONCLUSÕES: a prevalência das principais causas de morte materna não sofreu modificação nas últimas duas décadas, sendo que a principal causa continua sendo a hipertensão arterial. Também, há número significativo de mortes relacionadas à cesariana (relacionadas ao procedimento e às infecções. Podemos concluir que a prevalência de causas obstétricas diretas aponta para a baixa capacidade de prevenção de morte materna no nosso sistema de saúde.PURPOSE: to analyze maternal death cases that occurred at the "Hospital de Clínicas de Porto Alegre", a reference university hospital for high-risk pregnancies in the state of Rio Grande do Sul, Brazil. METHODS: we carried out a retrospective study of medical records of 10- to 49-year-old women who died at the hospital between 1980 and 1999. Deaths related to pregnancy and puerperium were analyzed independently of the kind and duration of

  4. Study on morphometric traits of the Albanian bees

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    MANJOLA KULIÇI

    2014-06-01

    Full Text Available 19 morphological features, measured on 3600 worker bee samples collected from twenty different regions of Albania were used for the identification and characterization the Albanian bee. The measurement was done using Scan Photo technique (SPT and Photoshop program, in accordance with the standard method. The average values of the measured parameters were: Proboscis length (PL (6.55mm, Forewing length (FWL (9.32mm, Forewing width (FWW (3.195mm, Hind wing length (HWL (6.481mm, Hind wing width (HWW (1.847mm, Femur length (FL (2.575mm, Tibia length (TL (3.212mm, Basitarsus length (BL (2.094mm,Basitarsus width (BW (1.217mm, Number of hooks (HA (20.558, Sternite 3 longitudinal (LS3 (2.776mm, Wax mirror of sternite 3 longitudinal (WL (1.344mm, Wax mirror of sternite 3 transversal (WT (2.390mm, Distance between wax mirrors of sternite 3(WD (0.321mm, Tergitite 4 longitudinal (T4 (2.092mm, Tomentum (TOM A (0.782mm, Width of the dark stripe between tomentum and posterior rim of tergite 4 (TOM B (0.507mm, Length of hairs on tergite 5 (HLT5 (0.290mm and Cubital index (CI (2.779mm. Referring to the values of coefficient of variations, features can be classified into two groups: (i PL, FWL, FWW, HWL, HWW, TL, BL, BW, HA, LS3, WL, WT, T4 features with low level of variation (2.1% - 6.0%; (ii FL, WD, TOM A, TOM B, HLT5 features with a high level of variation (12.2% - 36.7%. CI is feature with moderate variation (15.3%. The observed values of the above parameters show that, although during the last twenty years the genes migration processes in the Albanian bee population have been uncontrolled, their classification into the group of Apis mellifera carnica, continues to be a significant hypothesis.

  5. Prevalence of caries and is relationship with the type of feeding in babies in the Cândida Vargas Maternity hospital

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    Débora de Araújo Milfont

    2009-10-01

    Full Text Available Objective: Verify the prevalence of dental caries and its relationship with the type of feeding, oral hygiene habits, and gender of children at the Cândida Vargas Maternity hospital in João Pessoa, Paraíba, Brazil. Methods: The study population included 50 mentally and physically healthy children ranging from 12 the 48 months of age. This was descriptive study using direct documentation (forms and the clinical examinations performed by one calibrated examiner (Kappa = 1. Dental caries diagnosis was according to World Health Organization criteria. Interviews were conducted with the parents for information about the children’s oral hygiene and dietary habits. Data was analysed by means of descriptive statistics (frequencies and percentages and statistical analyses, using the Pearson Chi – Square and Fisher tests. Results: the prevalence of dental caries was 28%; the majority of the parents cared for the children’s daytime oral hygiene (60%, and the prevalent type of feeding was with powdered milk. The average dmf-t was 0.28 and 16% of children had early childhood caries. There was no statistically significant association with any of the variables studied.Conclusion: the prevalence of caries–free children was high. However, the poor oral hygiene after nocturnal breast-feeding and the early introduction of artificial milk, especially with bottle feeding suggests the need to reinforce educational strategies for the parents.

  6. Seroprevalence of hepatitis B surface antigen and anti HCV antibody and its associated risk factors among pregnant women attending maternity ward of Felege Hiwot Referral Hospital, northwest Ethiopia: a cross-sectional study

    OpenAIRE

    Molla, Sefinew; Munshea, Abaineh; Nibret, Endalkachew

    2015-01-01

    Background Viral hepatitis is a life-threatening liver disease that has become important public health issue in developing countries including Ethiopia. This study was undertaken to determine the seroprevalence of HBsAgs and anti-HCV antibodies and what socio-demographic factors are associated with sero-positivity of Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) infections among pregnant women attending maternity ward of Felege Hiwot Referral Hospital, northwest, Ethiopia. Methods Hospi...

  7. A Study On Agroclimatic Characterization Of Albanian Territory

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    Albert Kopali

    2012-09-01

    Full Text Available The studies in agro-ecology, under the conditions of agricultural orientation of Albania make necessary the climate classification of agricultural areas, based on the suitability of agricultural plant groups, whose productivity level and sustainability depend on the performance and fluctuations of climatic elements. The introduction of new cultivation technologies of plants with low environmental impact requires the recognition of environmental features and in particular the climate one with the intention of satisfying the needs of each plant cultivated which is cultivated and spread in that area. To be more precise, the characterization and climatic zoning of the territory is considered to a valuable study in order to determine the most appropriate ecological zones in the country. For purposes of characterization of similar climate zones in the Albanian territory have been taken the historical series of climate data, which have been digitized and processed by applying the method "Cluster analysis" with the view to distinguishing their climate features, which will serve to distinguish the closely-related ecological areas and designing appropriate technologies for cultivation of plants based on such data.

  8. The Impact of Tourism Sector Development in the Albanian Economy

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    Alba KRUJA

    2012-06-01

    Full Text Available Today tourism is viewed as one of the largest and dynamically developing sectors of external economic activities in the world. The development of tourism sector is associated with considerable volumes of foreign currency inflows, new employment opportunities, infrastructure development, and new management experiences. All of these together positively contribute to the social and economic development of the countries. Beside these there are also other effects of tourism which will be considered in this paper. The aim of the research is to examine the impact of tourism sector development on the country economy. The methods of research are: analysis and synthesis of the scientific literature discussing the positive and negative impacts of tourism sector on the social and economic development of the countries; the systematic statistical data analysis of the direct contribution of the sector on the GDP and employment of Albania as a country in its infancy of development, compared to other European countries in maturity. The statistical data used in this research is provided by INSTAT (Albanian Institute of Statistics, AKT (National Tourism Agency and TSA (Tourism Satellite Account, a methodology quantified by the UN Statistics Division for the statistical data provided for the direct contribution of Travel & Tourism.

  9. The Albanian Brain Drain phenomena and the Brain Gain strategy

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    Arta Musaraj

    2011-06-01

    Full Text Available Qualitative human resources remain one of the main problem of Eastern Europe and in particular Western Balkan countries. After 20 years of deep economic, political and social transformation, those countries are facing the problem of the highly qualified human resources they lost in these two decades, while in most of cases there is no a real measurement of the weight and impact these phenomena of Brain Drain has in the quality of the work force. Most of them are trying to set up and apply Brain Gain strategies at a national level. The paper aims to analyze and evaluate the influence that the missing of a previous qualitative and quantitative evaluation of the Phenomena of Brain Drain in Albania, has in the successful application of the Brain Gain strategy. The research objective will be fulfilled by analyzing the evolution of the Brain Drain phenomena, by an introduction of the Albanian characteristic and shape of  Brain Drain from 1990, by analyzing the Brain Gain strategy applied in the country comparing it to a successful application. The paper analyzes factors and variables which may affect the successful application of Brain Gain in Albania while  evidences the importance of stakeholder approach in objectives and aims of Brain Gain program and strategy and the use of the  Balance Scorecard as a strategic management system in “brain gain” strategy set up and application in the case of Albania and those of other countries of the region as well.

  10. Supply Chain Collaboration under Uncertainty in the Albanian Beer Market

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    Denisa MAMILLO

    2015-03-01

    Full Text Available Today supply chain uncertainty is higher due to the global crisis, the fast changing technology and the increasing vulnerability of supply chains. Companies use different strategies to reduce uncertainty, like building agile supply chains, increasing resilience, postponement, etc. All these strategies require strong supply chain collaboration. Although research interest in supply chain collaboration is growing, no research has been done in Albania. This paper is one of the first to investigate supply chain management practices and the extent of supply chain collaboration in the Albanian beer industry. The aim of this research is twofold: first, to investigate how supply chain uncertainty influences the extent of collaboration with the supply chain members, and second, to analyze how organizational culture facilitates the collaboration process. Semi-structured interviews were conducted with the managers of the main beer companies. A guide questionnaire was prepared. It consisted of open and rate-scale questions about supply chain collaboration, supply chain uncertainty, supply chain management practices and organizational culture. The research will show that a high level of supply chain uncertainty does not always lead to a high degree of collaboration with the supply chain members. Organizational culture is the key driver of a successful collaboration. Not all types of culture can facilitate collaboration but only the ones with an external orientation.

  11. The Past, the Present and the Future of the Albanian Tourism

    OpenAIRE

    Kaduku, Ilir

    2012-01-01

    The issue of tourism is increasingly taking place in media debates during the recent years, due to the increased number of the visitors, our brothers from Kosovo and tourists from all over the world. Actually it is created the full concept that the tourism development should be seen as a goal to increase its influence in the Albanian economy. I have been trying to collect data over 10 years and to be in touch with every progress in the field of Albanian tourism. I agree when you say that tour...

  12. ALBANIAN CUSTOMARY LAW IN RELATION WITH BLOOD FEUD, IMPACT OF CANON AND LAW IN ITS PREVENTION.

    OpenAIRE

    NASER SOPJANI

    2014-01-01

    Albanians still occur assassinations and which in the opinion presented as blood feud murders committed by and on behalf of the canon, as murders committed due to the lack of force of law. Are such these murders, and as is acceptable to the people that they were carried out according to of customary law, canon, it is another thing!The Albanian customary law through the main canons summarized and codified, has clearly defined categories and ways of murder, who can be killed, when they can be k...

  13. Giving birth at a maternity hospital: the key strategic option to be adopted in order to combat maternal and neonatal mortality in Mali Faire de l’accouchement en maternité l’option stratégique essentielle pour lutter contre la mortalité maternelle et néonatale au Mali Dar a luz en un hospital maternal: la opción estratégica clave a adoptar para combatir la mortalidad materna y neonatal en Malí

    OpenAIRE

    Hubert Balique

    2012-01-01

    The end result of the past 40 years of experience in combating maternal mortality in Mali suggests that the emphasis should be changed, and that giving birth at a maternity hospital should be the basic strategic option chosen. This means creating “compounds set aside for mothers-to-be”, where women approaching the end of their pregnancy will be invited to come and await the onset of labour, and at the same time enjoy the rest they need. However, the prerequisites for such an initiative will b...

  14. Necessidade de cuidados intensivos em maternidade pública terciária Necessity of intensive care in a tertiary public maternity hospital

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    Marcello Braga Viggiano

    2004-05-01

    mortalidade materna e duração da internação (48 horas nas UTI's (p=0,08. A RMI encontrada foi de 18,8/1.000 partos. CONCLUSÕES: a necessidade de cuidados intensivos estimada pela RMI foi de 18,8/1.000 partos, sendo que as síndromes hipertensivas induzidas pela gestação foram responsáveis pela maioria das indicações para as transferências maternas.OBJECTIVE: to evaluate the epidemiological and parturitional aspects of obstetric patients admitted to intensive care units (ICU, and analyze the frequency of intensive support needed by them. METHODS: observational and descriptive study of all obstetric patients' transfers to ICU from the Hospital Materno Infantil of Goiânia-Go, from January 1999 to December 2001. The analysis has included variables as maternal age, parity, obstetric and non-obstetric indications for ICU admissions, moment of transfer, mode of delivery, maternal death, and the frequency of ICU utilization per 1,000 deliveries (IDR - imminent death ratio. The statistical analysis was performed by the chi2 test or the Fisher exact test and a significant difference was set at a level of 5%. RESULTS: over the 36-month period analyzed, 86 pregnancy-associated ICU admissions were identified (among 4,560 deliveries. Of the 86 patients, 52.33% (n=45 were nulliparae and 63 (73.26% were between 19 and 35 years old. Hypertensive disorders accounted for 41 (57.75% of the admissions and hemorrhage for 14 (19.72%. Eclampsia (n=23, HELLP syndrome (n=13 and premature abruptio placentae (n=5 were the most common obstetric indications for ICU admissions. Maternal cardiac disorders accounted for 4 cases of non-obstetric indications. There was a predominance of postpartum transfers (82.35%. Fifty-five (72.37% patients needed delivery by caesarian section. The average time spent in the UCI by those patients was 5.1 days. Maternal mortality found in this study was 24.29%, hypertensive disorders being responsible for 52.94% (9/17 of all obstetric-associated deaths. There were

  15. Incidence of stillbirth and perinatal mortality and their associated factors among women delivering at Harare Maternity Hospital, Zimbabwe: a cross-sectional retrospective analysis

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    Welch Kathy

    2005-05-01

    Full Text Available Abstract Background Death of an infant in utero or at birth has always been a devastating experience for the mother and of concern in clinical practice. Infant mortality remains a challenge in the care of pregnant women worldwide, but particularly for developing countries and the need to understand contributory factors is crucial for addressing appropriate perinatal health. Methods Using information available in obstetric records for all deliveries (17,072 births at Harare Maternity Hospital, Zimbabwe, we conducted a cross-sectional retrospective analysis of a one-year data, (1997–1998 to assess demographic and obstetric risk factors for stillbirth and early neonatal death. We estimated risk of stillbirth and early neonatal death for each potential risk factor. Results The annual frequency of stillbirth was 56 per 1,000 total births. Women delivering stillbirths and early neonatal deaths were less likely to receive prenatal care (adjusted relative risk [RR] = 2.54; 95% confidence intervals [CI] 2.19–2.94 and RR = 2.52; 95% CI 1.63–3.91, which for combined stillbirths and early neonatal deaths increased with increasing gestational age (Hazard Ratio [HR] = 3.98, HR = 7.49 at 28 and 40 weeks of gestation, respectively. Rural residence was associated with risk of infant dying in utero, (RR = 1.33; 95% CI 1.12–1.59, and the risk of death increased with increasing gestational age (HR = 1.04, HR = 1.69, at 28 and 40 weeks of gestation, respectively. Older maternal age was associated with risk of death (HR = 1.50; 95% CI 1.21–1.84. Stillbirths were less likely to be delivered by Cesarean section (RR = 0.64; 95% CI 0.51–0.79, but more likely to be delivered as breech (RR = 4.65; 95% CI 3.88–5.57, as were early neonatal deaths (RR = 3.38; 95% CI 1.64–6.96. Conclusion The frequency of stillbirth, especially macerated, is high, 27 per 1000 total births. Early prenatal care could help reduce perinatal death linking the woman to the health

  16. Evaluation of maternal and neonatal complications in diabetic pregnants at the Vali-e-Asr Hospital during 1370-75

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    Borna S

    2000-09-01

    Full Text Available Estimating fetal weight in utero, for better management of pregnancy and appropriate timing of delivery especially in high-risk pregnancies is necessary. Our purpose to evaluate a simple method in estimating fetal weight in Iranian pregnant patients and also to compare was with a previous western study. This study was carried out in Arash hospital, Tehran university of medical sciences in 1996-99. In a descriptive-analytic study that was done prospectively on 464 pregnant patients, ultrasonic measurement of biparietal diameter (BPD, mean abdominal diameter (MAD, and femur length (FL performed close to delivery was conducted. Birth weight also was identified. Statistical analysis was done using multiple linear regression on the data and also student's T-test for comparison. Mean birth weight was 2320 gr. The outcome of linear regression analysis was the following model: Weight (gr=95.8×FL (cm+25×MAD (cm-15.6×BPD (cm-4632.1. The effect of all parameters were statistically significant (P<0.02. A fetal weight estimating table was also developed. T-test analysis showed a significant difference (P<0.05 in some final ranks of table (Weight estimations>4000 gr in comparison with the Rose and Mc callum study. Our study showed that ultrasound using the sum of BPD, MAD and FL is a precise method in fetal weight estimation. Application of other biometric measurements may be needed for better elucidation especially in small and large for gestational age fetuses.

  17. 提高基层妇幼保健院药事管理水平的探讨%Exploration on the improvement of drug administration in maternal and child health care hospital at county level

    Institute of Scientific and Technical Information of China (English)

    张爱娟

    2013-01-01

    Objective: To explore how to further improve the drug administration in maternal and child health care hospital at county level. Methods: Based on the internal requirement and significance of drug administration in maternal and child health care hospital at county level. We analyzed the essence of drug administration, importance of strengthening drug administration in maternal and child health care hospital at county level under circumstance of health care reform and existing difficulty in the drug administration at present time. In the end, we developed our own points of view on how to improve drug administration in maternal and child health care hospital at county level. Results:Maternal and child health care hospital at county level should adapt the new challenge under circumstance of health care reform, improve the management. Conclusion:According to the new health care reform, it is vital to enhance self performance steadily and consistently as to achieve the improvement of drug administration and service quality gradually.%目的:探讨如何进一步提高基层妇幼保健院药事管理水平。方法:以县级妇幼保健院药事管理工作的内在要求和意义为基础,分析药事管理工作的内涵、医改背景下加强县级妇幼保健院药事管理的意义以及现阶段药事管理工作面临的困难和问题等诸多要素,并就如何提升县级妇幼保健院药事管理工作水平阐述自己的观点。结果:县级妇幼保健院围绕医改的新形势、新要求持续改进,做好药事管理工作。结论:医改的新形势要求县级妇幼保健院须不断的完善自身建设,促进医院药事管理水平和服务质量的不断提高。

  18. Albanian migration during the post communist transition and the European integration in global era - An intercultural reflection

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    Agim Leka

    2013-07-01

    Full Text Available Migration is a human experience, which has arisen and developed in relation to the human society itself. In our era, immigration is associated with the integration and the globalization. Immigration is a modern intercommunications between cultures in a world increasingly with more multicultural, or in a world with a hybrid culture. Western multiculturalism as a space wherein the Albanian cultural integration moves. After the collapse of the communist system and coincidental that occurred the great things happening in the xxi century, the immigration can be a field study by the Transitology At the time when the crisis of philosophical thought is present, this phenomenon can be studied by a reflective philosophical thought (philosophy reflective In this paper I am focused on Albanian emigration. Even and in the case of Albanians immigration is a similarity to the historical processes of Jewish people. Albanians have realized two tragic exodus mythical proportions: on xvi century to the Italy and on 90th years of xx century to the Greece The causes of this exodus were political reasons: In the first case (xvi cent., was the Ottoman occupation of Albania. In the case of the 90th years of xx century, was the Albanian idolatry, atheist, and socialist totalitarian regime. Nowadays Albanian emigration continues, and the main cause is the economic and social. Integration as a cultural movement of the identity: Albanian integrating movement. Identity is a process, a movement where function three vectors: identity, being time and space. Integration is analyzed as a category which functions in relationship with identity Europe was more than an old house for Albanian emigrants. It was a new relationship. It was the new unknown culture. This road passes between assimilation and isolation. The most useful and the most effective vehicle of integration is the adaptation of immigrants. The integration and returning in home in time of globalization are not divided

  19. Wine Traceability: A Data Model and Prototype in Albanian Context

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    Kreshnik Vukatana

    2016-02-01

    Full Text Available Vine traceability is a critical issue that has gained interest internationally. Quality control programs and schemes are mandatory in many countries including EU members and the USA. Albania has transformed most of the EU regulations on food into laws. Regarding the vine sector, the obligation of wine producers to keep traceability data is part of the legislation. The analysis on the interviews conducted with Albanian winemakers show that these data are actually recorded only in hard copy. Another fact that emerges from the interviews is that only two producers have implemented the ISO (International Organization for Standardization standards on food. The purpose of this paper is to develop an agile and automated traceability system based on these standards. We propose a data model and system prototype that are described in the second and third section of this work. The data model is an adaption along the lines of the GS1 (Global Standards One specifications for a wine supply chain. The proposed prototype has a key component that is mobile access to the information about wine through barcode technology. By using this mechanism the consumer obtains transparency on his expectations concerning the quality criteria. Another important component of the proposed system in this paper is a real-time notification module that works as an alert system when a risk is identified. This can help producers and authorities to have a rapid identification of a contaminated product. It is important in cases when recalling the product from the market or preventing it from reaching the consumer.

  20. Albanian consumer’s perception towards animal welfare

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    KASTRIOT BELEGU

    2014-06-01

    Full Text Available This study is the result of subsequent of previous survey conducted by the author regarding animal welfare during transportation and destined for meat consumption or to be breed for milk. The strategy of European Union for Animal Protection and Welfare 2012-2015 focusing on animal’s breed for economic purposes aims to increase or guarantee animal welfare during breeding, transportation and to the butchery. Thus, its purpose is to guarantee the welfare of agricultural and domestic animals, whose final destination is the consumption of their meat in all chains until they get to the ultimate consumer. The purpose of this study is to assess the level of knowledge that consumers have in relation to animal welfare as well as their perception on the current situation of animal welfare in Albania. At the same time, the results of this survey will also serve as indicators to give its contribution to the strategy for increasing consumer’s level of awareness on animal welfare and the impact of animal welfare on human life.The process of interviweing was realised with 166 occasional people belonging to different ages, different educational levels who are rezidents in different areas of Albania, so that the survey can be as representative as possible.Based on the analyses of the responses given by the interviewed results that the Albanian consumer is partially informed and the rest of them uninformed. What is worth mentioning here is the fact that mostly of the interviewed are really concerned about animal welfare during breeding, transportation and butchery’s conditions.

  1. Albanian veterinary legislation and its approximation with acquis communautaire.

    Directory of Open Access Journals (Sweden)

    Xhelil Koleci

    2013-12-01

    Full Text Available After the signing of the Stabilization and Association Agreement with the European Union and its ratification by all member states, Albania has made serious efforts towards the harmonization and approximation of its legislation, to align it more with the standards of the member countries. Setting of new game rules makes Albanian society walk safer in a process of integration, where the EU principles are inserted even better in domestic laws. Core legislation, food safety and veterinary fields, are some prerequisites that Albania should meet in its way towards full membership in the EU. For a long time now, Albania has been establishing new food and feed standards and all its actions are in full compliance with EU regulations and directives. In addition to adequate policies to enforce better the current legislation in respect with an effective consumer protection, it is worth mentioning full reforming and streamlining of functioning institutions in the framework of food safety.The veterinary legislation is a main discipline of veterinary medicine regulating veterinary service relations with food business operators. It establishes legal criteria and standards for animal health and welfare protection, public health, food safety and other related areas. ‘Acquis communautaire’ refers to the EU’s total body of legislation, i.e. everything from treaties to directives, the case-law of the Court of Justice, declarations and international agreements, etc. When a new member country is to be admitted to the EU, the point of departure is that it must satisfy the entire body of rules and regulations, i.e. the ‘acquis communautaire’ or the ‘acquis’ as it is also known, from the first day of membership. As a candidate country Albania should accept acquis communautaire before joining the European Union. Currently, Albania is undergoing the process of harmonization, approximation and transposition of acquis to the domestic legislation.

  2. The Relationship between Emotional Competence and Hostile/Prosocial Behavior in Albanian Preschoolers: An Exploratory Study

    Science.gov (United States)

    Farina, Eleonora; Belacchi, Carmen

    2014-01-01

    We explored the relationship between the ascribed tendency of Albanian preschoolers' to take on prosocial and/or hostile roles and their empathy and emotion comprehension. Participants were 63 preschoolers (3- to 6-years-old) and six teachers. Pupils' empathy and hostile/prosocial roles were assessed via teacher reports and their…

  3. The position and the status of Albanian in the Presheva Valley

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    Lindita Sejdiu-Rugova

    2015-09-01

    Full Text Available The position and the status of Albanian in the Presheva ValleyThe present paper aims at describing the position and the social status of the Albanian language in the two municipalities of south-western Serbia – Preshevo and Bujanovac, where the majority of the population is Albanian, and where the Albanian language, together with Serbian is the official language on the territory of these two municipalities. The status of Albanian is dealt with by giving evidence of legal sanctions and describing the practical situation, based on application of the laws in force.In order to reflect the status of Albanian in this region more precisely, other data, mainly deriving from a survey conducted with Albanian citizens from the two municipalities. In addition essays and anonymous questionnaires with high school students from these two municipalities have been used. The Albanian language in Preshevo Valley is sanctioned as an official language at the local level, with equal use, especially in the formal domains of life, but the practical need for using Serbian as a first language is obvious and results in intolerance towards Albanian. Regardless of the fact that it is sanctioned as an equal language to Serbian, in practice Albanian is a language of second rank. Sytuacja i status języka albańskiego w Dolinie PreszewaTematem artykułu są sytuacja i status społeczny języka albańskiego w dwóch powiatach południowo-zachodniej Serbii – Preszewo i Bujanovac, w których Albańczycy stanowią większość. W obu powiatach język albański jest obok języka serbskiego jednym z dwóch oficjalnych języków. Sytuację języka albańskiego pokazano na przykładzie konkretnych prawnych sytuacji i tych faktycznych, skonfrontowanych z obowiązującymi ustawami. Przytoczono także dane z badań innych autorów, dotyczące głównie społeczności albańskiej, jak również rezultaty anonimowych ankiet przeprowadzonych wśród uczniów szkół ponadpodstawowych w

  4. Transmedia Memory of Albanian Migration in Italy: Helidon Gjergji's, Adrian Paci's, and Anri Sala's Moving-Image Installations

    OpenAIRE

    Purpura, Marco

    2011-01-01

    In this essay I analyze how, within the space of the museum, recent media installations by Albanian artists Helidon Gjergji, Adrian Paci, and Anri Sala appropriate, and critically engage with, multiple narratives about migration in Italy produced and circulated over the past two decades across various media, with particular attention to the Albanian case. The imaginary and material sites the spectator traverses in Gjergji’s, Paci’s, and Sala’s installations open up space for a new audiovisual...

  5. Maternal mortality in the context of political free health care on pregnancy and birth to the treichville teaching hospital, Abidjan-Cote d'Ivoire

    OpenAIRE

    Ignace N'guessan Yao; Privat Y and eacute;ret Gui and eacute;; Jean-Marc Lamine Dia; Paul-Eric Kouam and eacute; Bohoussou; Edouard Konan N'guessan; Corneille T and eacute;a Saki; Simplice Danho Anongba

    2016-01-01

    Background: Maternal mortality continues to be a drama in the countries of Sub Saharan Africa. Despite the efforts of the world through the millennium development goals (MDGs) 5 and 6, the situation remains very worrying in this region. If in developed countries, maternal mortality is an indicator of the quality of obstetric care, for poor countries, it is an indicator of social and economic development. Methods: Our study was designed to assess the impact of free support of pregnancy and ...

  6. The WHO Maternal Near-Miss Approach and the Maternal Severity Index Model (MSI): Tools for Assessing the Management of Severe Maternal Morbidity

    OpenAIRE

    Souza, Joao Paulo; Cecatti, Jose Guilherme; Parpinelli, Mary Angela; Costa, Maria Laura; ,; Almeida, Elson J; Amaral, Eliana M; Amorim, Melania M; Andreucci, Carla B.; Aquino, Márcia M; Bahamondes, Maria V; Lima, Antonio C Barbosa; Barroso, Frederico; Bione, Adriana; Brum, Ione R.

    2012-01-01

    Objectives To validate the WHO maternal near-miss criteria and develop a benchmark tool for severe maternal morbidity assessments. Methods In a multicenter cross-sectional study implemented in 27 referral maternity hospitals in Brazil, a one-year prospective surveillance on severe maternal morbidity and data collection was carried out. Diagnostic accuracy tests were used to assess the validity of the WHO maternal near-miss criteria. Binary logistic regression was used to model the death proba...

  7. 新形势下地市级传染病医院产科发展的困境及对策考量%Difficulties and Countermeasures on the Maternity Ward of an Infectious Disease Hospital

    Institute of Scientific and Technical Information of China (English)

    潘玉红; 曹蓉

    2011-01-01

    Objectives From the angle of hospital management, this paper discussed the countermeasures of the maternity ward development of an Infectious Disease Hospital. Methods By interviewing with the medical staff, investigating the patients using questionnaires and reading medical records in an infectious disease hospital maternity ward, patient quantity correlation was analyzed. Results Doctor-patient relationship is harmonious, but the patient is fewer and medical resources are idle. Conclusions Hospital scientific management is the key to strengthen construct ion of public health and medical resources integration. It should be improved in eight aspects including financial support, office administration, cultural construction, clinical nursing, doctor training and etc.%目的 从医院管理视角探讨传染病医院产科发展的对策.方法 调研某地市级传染病医院产科临床工作,通过与医护人员座谈、对病人问卷、查阅病历档案、统计产科全年接诊量等关联分析.结果 传染病院产科医患关系和谐,但接诊病人少,产科医疗资源闲置严重,面临发展困境.结论 应加强公共卫生防控体系建设,整合现有医疗资源,医院科学管理是重点.应以科学发展观为指导,从财务支持、科室管理、文化建设、临床护理、医师培养、医疗规程、身心健康、医疗营销等方面改进工作,促进产科医疗发展,实现经济社会效益共赢.

  8. THE OPEN INNOVATION MODEL: EXPLAINING THE FACTORS THAT HINDER ITS IMPLEMENTATION IN THE ALBANIAN BANKING SYSTEM

    Directory of Open Access Journals (Sweden)

    Besarta Vladi

    2013-06-01

    Full Text Available The implementation of an open innovation model is considered by many researchers, to be a great opportunity to help profit-making organizations become more competitive and successful. But some sectors, such as the banking sector, are not able to apply this model. In the Albanian banking sector, the concept of an open innovation model is almost unknown to executive directors. The question is: Why does this happen? The implementation of an open innovation model is strongly affected by cost, short term focus, legislative problems, lack of information, and frequently by a lack of interest in cooperation. As a possible solution for this problem, especially during the financial crisis which has impacted Albanian as well as the rest of the world, raising a strong awareness of the importance of this model could be one route to improve the level of competitiveness in the banking sector. 

  9. Population aging in Albanian post-socialist society: Implications for care and family life

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    Meçe Merita

    2015-12-01

    Full Text Available Population aging is becoming an inevitable phenomenon in Albanian post-socialist society, posing multi-faceted challenges to its individuals, families and society as a whole. Since 1991, the Albanian population has been exposed to intensive demographic changes caused by unintended aspects of socio-economic transition from a planned socialist economy to a market-oriented capitalist one (Hoff, 2008. Ongoing processes of re-organization of social institutions increased its socio-economic insecurity leading to the application of various coping mechanisms. While adjusting themselves to other aspects of life, people changed their decisions of having children and leaving the country (Hoff, 2008. On the other hand, replacement of former traditional extended family forms with diverse living arrangements and family structures has been the outcome of the combination of three factors: falling fertility, increasing life expectancy and increasing migration (INSTAT, 2014.

  10. Morphological study of Albanian words, and processing with NooJ

    CERN Document Server

    Piton, Odile

    2010-01-01

    We are developing electronic dictionaries and transducers for the automatic processing of the Albanian Language. We will analyze the words inside a linear segment of text. We will also study the relationship between units of sense and units of form. The composition of words takes different forms in Albanian. We have found that morphemes are frequently concatenated or simply juxtaposed or contracted. The inflected grammar of NooJ allows constructing the dictionaries of flexed forms (declensions or conjugations). The diversity of word structures requires tools to identify words created by simple concatenation, or to treat contractions. The morphological tools of NooJ allow us to create grammatical tools to represent and treat these phenomena. But certain problems exceed the morphological analysis and must be represented by syntactical grammars.

  11. Maternal morbidity associated with in utero transfer.

    OpenAIRE

    Ryan, T. D.; Kidd, G M

    1989-01-01

    OBJECTIVE--To determine the extent of maternal morbidity associated with in utero transfer. DESIGN--Retrospective study of 190 consecutive cases over two years. SETTING--Liverpool Maternity Hospital. PATIENTS--190 Pregnant women were transferred to the hospital under the in utero transfer arrangements from district general hospitals both within and outside the Mersey region. The women admitted were divided into two categories: those in threatened or established uncomplicated preterm labour an...

  12. The principles of designing of algorithm for speech synthesis from texts written in Albanian language

    OpenAIRE

    Agni Dika; Adnan Maxhuni; Avni Rexhepi

    2012-01-01

    The speech synthesis is artificial generation of human speech from written texts. For this purpose, adequate algorithms are designed, which then through relevant programs make it possible to synthesize texts to speech. The process of converting text into speech is also known as Text-To-Speech (TTS) system [5]. In this paper are given basic principles to be used when designing a system to synthesize speech in Albanian language from written texts. Currently there are solutions that enable natur...

  13. The Effect of Organization Culture and Uncertainty in Supply Chain Management - The Albanian Beer Industry

    OpenAIRE

    Denisa Mamillo

    2014-01-01

    Although research interest in supply chain management is growing, no such research has been done in Albania. This paper is one of the first to investigate supply chain management practices in the Albanian beer industry and the effect of supply chain uncertainty and organizational culture on supply chain management. Semi-structured interviews were conducted with the managers of the main beer companies. The results show that a high level of supply chain uncertainty does not always bring high en...

  14. THE IMPACT OF THE CONSTITUTIONAL AND SUPRANATIONAL LIMITATIONS TO THE REFORMATION OF THE ALBANIAN COMMERCIAL LAW

    OpenAIRE

    Rezarta Tahiraj; Aida Gaçe Llozana

    2012-01-01

    In the 21 years, since the beginning of the systemic reforms supported by the international community, Albania, one of the post–socialist countries, has adopted a new legal framework in the field of the commercial law typical for the market economy, laws that are relatively modern which generally reflect modern European traditions and norms as well as compliance with WTO requirements. In fact, the Albanian legal order shows the lack of the Commercial Code the existence of which is more a pref...

  15. Sex trade, social and legal aspect of the phenomena and the Albanian criminal legislation provisions

    OpenAIRE

    Aurela Bozo

    2015-01-01

    The purpose of this paper is to analyse the effects of Article 113 of the Albanian Criminal Code on women. This article appears to be gender neutral, but it’s enforcement affects women disproportionately and face them with forms of indirect gender discrimination. Through monitoring of Tirana Judicial District Court’s decisions, with object article 113 of the ACC, “Prostitution”, for a four year period from 2010 through 2013 and interviews with women who have exercised prostitution, there are ...

  16. The Past, the Present and the Future of the Albanian Tourism

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    Ilir KADUKU

    2012-02-01

    Full Text Available The issue of tourism is increasingly taking place in media debates during the recent years, due to the increased number of the visitors, our brothers from Kosovo and tourists from all over the world. Actually it is created the full concept that the tourism development should be seen as a goal to increase its influence in the Albanian economy.I have been trying to collect data over 10 years and to be in touch with every progress in the field of Albanian tourism. I agree when you say that tourism is still in our infancy stages, but although it is talked of a "golden" baby, let me remind you that it’s a baby born many years ago ... Recently it is talked about the important role that tourism plays in the economy of the country. In fact, this problem is discussed by all governments that have come to power after the 90s. But if you see reality, you are convinced that in most cases it was only PROPAGANDA. For someone who is in contact with the Albanian tourism developments, the more difficult question to answer is: Why aren’t we developing our tourism with an accelerated and perspective system and to the pace of development why are we the lowest compared with all Eastern European countries? If I used the metaphor of the train entering in the proper rails, where the train symbolizes the Albanian tourism and the rails the proper ways of development, I would say that our current tourism has begun to join the rails. I say this more to relax myself with optimism and to show the civilized world that Albania has inexhaustible resources.

  17. THE ROLE OF THE ALBANIAN HIGH EDUCATION IN CREATING THE ENTREPRENEUR

    OpenAIRE

    Mimoza Kasimati (Skenderi); Andrea Koxhaj

    2011-01-01

    Following a history of planning and centralization, these last 20 years, with the close down and privatization in Albanian economy, brought about a surplus in the labour offer for some key specialties and professions. The unemployed professionals changed occupation, or emigrated. Now a shortage of different professionals is feeling in the practical everyday life. The new developments have at the same time created a remarked need for some new professions, which for the present, are performed b...

  18. The alternatives of imprisonment according to the Albanian Law and the ways of surveillances

    OpenAIRE

    Admir Belishta

    2015-01-01

    This paper considers different alternatives to Sentence to a Term of Imprisonment listed in a chapter with the same title, in the Articles 58-64 of the Albanian Criminal Code. This approach to such subject reflects not only the reality of how the judicial system in Albania operates, but, because of the purpose and the positive changes that the implementation of these alternatives to sentence to a term of imprisonment brings, it is also a permanent requirement of the international community. ...

  19. Albanian Industry Problems and Perspectives, in Front of the Crisis and International Labor Allocation

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    Ermonela Ruspi

    2014-10-01

    Full Text Available Recently the Albanian economy has continuously recorded a significant reduction of the GDP growth rate, from 7.5 % in 2008 to 1.3% in 2013. This decline is followed by the deficit and public debt increase, where the latter reached in 70.4% in March 2014,compared to 59.9% in 2009. The interesting fact to note is that, although the 2008 financial crisis first was initiated in USA, it has influenced the economic development of all the countries. While our country that was indirectly affected by the crisis hasexperienced a substantial decline of remittances, significant reduction of FDI, and shrunken labor market dynamics even in those activities that generated employment at a large extent although under the legal and vital minimum wage such as fasson or callcenter services, which has directly affected unemployment growth and domestic consumption reduction.This paper aims to provide an analysis of the Albanian economy from two main aspects, both macroeconomic and microeconomic. In the first part it will be discussed recently Albania's economic performance and the main factors affecting its growth in the longterm. While in the second part it will be discussed Albanian productive structure, analyzing the changes of export structure of Albania, its production specialization, speaking about labor intensive sectors and their impact on the domestic economy.Keywords: foreign trade, economic development, commercial specialization.

  20. There Is No Elevation of Immunoglobulin E Levels in Albanian Patients with Autoimmune Thyroid Diseases

    Science.gov (United States)

    Gacaferri-Lumezi, Besa; Lokaj-Berisha, Violeta

    2014-01-01

    Background. Studies in several ethnic groups reported high incidence of elevated levels of immunoglobulin E (IgE) in patients with autoimmune thyroid diseases (ATD), especially in patients with Graves' disease. Objective. To study association between serum levels of IgE and thyroid stimulating hormone receptor antibodies (TRAb) in Albanian patients with ATD. Material and Methods. Study was performed in 40 patients with Graves' disease, 15 patients with Hashimoto's thyroiditis, and 14 subjects in the control group. The IgE levels were measured by immunoradiometric assay, whereas the TRAb levels were measured by radioreceptor assay. Results. In all groups of subjects the IgE levels were within reference values (<200 kIU/L). Significant difference in mean concentration of IgE was found between two groups of Graves' disease patients, and those with normal and elevated TRAb levels (22.57 versus 45.03, P < 0.05). Positive correlation was found between TRAb and IgE only in Graves' disease patients (r = 0.43, P = 0.006). Conclusion. In Albanian patients with ATD there is no elevation of IgE levels. This could be the result of low prevalence of allergic diseases in Albanian population determined by genetic and environmental factors. PMID:24959371

  1. BOT Contract through the optics of Albanian legal provisions - Issues of the implementation and transfer framework

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    Entela Prifti

    2016-07-01

    Full Text Available The last years have resulted in an increase of concession contracts in Albania, followed by a revised modern legal framework. Beside the debate on whether the government should perform most of the activities itself instead of giving them to the private sector through a concession contract, the concession contracts are nowadays a reality and as such they should be studied and analysed carefully. The scope of this article is limited to the provisions of the Albanian legislation and its approach to the international provisions regarding BOT (build – operate - transfer concession contract. A detailed analyse will drive to the conclusionas to what extent the Albanian concession legislation does compile with the international accepted principles of Public Private Partnership concerning mainly implementation and transfer phase of a BOT contract. Albanian Public Private Partnershiplegislation has gone through many revisions and amendments during the last twenty years, resulting in a challenging situation for everybody that deals with any aspects of a concession. Having a detailed understanding of the legal provisions is indeed the core element toward a successful implementation process of any concession, resulting in the highest profitability for concession parties, the public entity and the private investor, and consequently culminating to the best interest of the population.

  2. American Hospital Association

    Science.gov (United States)

    ... 2017 (Members Only) Special Bulletin: CMS Releases Hospital Star Ratings (Members Only) Special Bulletin: CMS Proposes New ... Term Care & Rehabilitation Psychiatric & Substance Abuse Services Maternal & Child Health Key Relationships AHA-Related Organizations Partnerships & Strategic ...

  3. 'I Used to Fight with Them but Now I Have Stopped!': Conflict and Doctor-Nurse-Anaesthetists' Motivation in Maternal and Neonatal Care Provision in a Specialist Referral Hospital.

    Directory of Open Access Journals (Sweden)

    Matilda Aberese-Ako

    Full Text Available This paper analyses why and how conflicts occur and their influence on doctors and nurse-anaesthetists' motivation in the provision of maternal and neonatal health care in a specialist hospital.The study used ethnographic methods including participant observation, conversation and in-depth interviews over eleven months in a specialist referral hospital in Ghana. Qualitative analysis software Nvivo 8 was used for coding and analysis of data. Main themes identified in the analysis form the basis for interpreting and reporting study findings.Ethical clearance was obtained from the Ghana Health Service Ethics Review board (approval number GHS-ERC:06/01/12 and from the University of Wageningen. Written consent was obtained from interview participants, while verbal consent was obtained for conversations. To protect the identity of the hospital and research participants pseudonyms are used in the article and the part of Ghana in which the study was conducted is not mentioned.Individual characteristics, interpersonal and organisational factors contributed to conflicts. Unequal power relations and distrust relations among doctors and nurse-anaesthetists affected how they responded to conflicts. Responses to conflicts including forcing, avoiding, accommodating and compromising contributed to persistent conflicts, which frustrated and demotivated doctors and nurse-anaesthetists. Demotivated workers exhibited poor attitudes in collaborating with co-workers in the provision of maternal and neonatal care, which sometimes led to poor health worker response to client care, consequently compromising the hospital's goal of providing quality health care to clients.To improve health care delivery in health facilities in Ghana, health managers and supervisors need to identify conflicts as an important phenomenon that should be addressed whenever they occur. Effective mechanisms including training managers and health workers on conflict management should be put in

  4. MATERNAL MORTALITY IN A TERTIARY CARE CENTRE

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    Harpreet

    2013-06-01

    Full Text Available ABSTRACT: Maternal Mortality in A Tertiary Care Centre. OBJECTIVE: To study maternal mortality and the complications leading to maternal death. METHODS: A retrospective study of hospital record to study maternal mortality and its causes over 3 years from January 2010 to December 2012. RESULTS: There were a total of 58 maternal deaths out of 2823 live births giving a maternal mortality ratio of 2054.55 per one lakh live births. Unbooked and late referrals account for 77.58% of maternal deaths. The majority of deaths around 75.86% were in 20-30 years age group. Haemorrhage was the commonest causes of death (24.12% followed by sepsis (18.96% and pregnancy induced hypertension 15.51% Anemia contributed to the most common indirect cause of maternal morality. CONCLUSION: Haemorrhage, sepsis and pregnancy induced hypertension including eclampsia were the direct major causes of death. Anaemia and cardiac diseases were other indirect causes of death.

  5. An observational study to evaluate the maternal and neonatal outcome of forceps delivery in a tertiary care government hospital of a cosmopolitan city of India

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    Akanksha Lamba

    2016-02-01

    Conclusions: The second stage interventions are associated with increased maternal and neonatal morbidity. Judicial use forceps under close supervision and with proper expertise can reduce the caesarean section rates. [Int J Reprod Contracept Obstet Gynecol 2016; 5(2.000: 292-295

  6. Aspectos relacionados à escolha do tipo de parto: um estudo comparativo entre uma maternidade pública e outra privada, em São Luís, Maranhão, Brasil Aspects related to choice of type of delivery: a comparative study of two maternity hospitals in São Luís, State of Maranhão, Brazil

    Directory of Open Access Journals (Sweden)

    Natália Ribeiro Mandarino

    2009-07-01

    Full Text Available Esta pesquisa objetivou analisar aspectos relacionados à escolha do tipo de parto em uma maternidade do serviço público e outra do serviço privado, em São Luís, Maranhão, Brasil. Trata-se de um estudo transversal abordando comparativamente 163 primíparas de uma maternidade pública e 89 de maternidade privada, com médias de idade de 21,63 ± 5,24 e 28,8 ± 5,41 anos, respectivamente. Preferiam o parto vaginal 79,1% das gestantes da maternidade pública, e a cesariana 67,4% das da maternidade privada (p This study aimed to analyze aspects related to choice of type of delivery in two maternity hospitals, one public and the other private, in São Luís, Maranhão State, Brazil. This cross-sectional study compared 163 primiparous women in a public maternity hospital and 89 in a private hospital, with mean ages of 21.63 ± 5.24 and 28.8 ± 5.41 years, respectively. In the public hospital, 79.1% of the women reported preferring vaginal deliveries, while in the private hospital 67.4% of the women preferred cesareans (p < 0.0001. Cesareans were performed in 46% of the women in the public maternity hospital and 97.8% of those in the private hospital (p < 0.0001. Patient satisfaction was high for both modes of delivery, but the desire to repeat the same mode was reported more frequently by women with vaginal deliveries (71.6% vs. 41.3% in the public maternity hospital and 100% vs. 65.5% in the private. In the public maternity hospital, the cesarean subgroup included more white and higher-income women. The cesarean rate was thus high in both maternity hospitals and was significantly higher in the private hospital; the study also showed a preference for vaginal delivery in the public hospital and cesareans in the private.

  7. Incidencia de labio leporino y paladar hendido en la Maternidad del Hospital Clínico de la Universidad de Chile y en las maternidades chilenas participantes en el Estudio Colaborativo Latino Americano de Malformaciones Congénitas (ECLAMC período 1991-1999 Incidence of orofacial cleft in the University of Chile Maternity Hospital and other hospitals participating in the Latin American Collaborative Study of Congenital Malformations (ECLAMC

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    Julio Nazer H

    2001-03-01

    Full Text Available Background: ECLAMC is a registry, aimed to assess the incidence of congenital malformations, that started in 1967 and Chile incorporated to it in 1969. Aim: To report the incidence of cleft lip/palate, updated to 1999 in the University of Chile Maternity Hospital and other Chilean hospitals participating in the ECLAMC. Patients and methods: A review of the ECLAMC database that registers all births or stillbirths of more than 500 g. Results: The incidence of orofacial cleft, at the University of Chile Maternity Hospital, in the period 1991-1999 was 17.8 per 10000 (12.6 for cleft lip and 5.2 for cleft palate. The incidence in the rest of participating hospitals was 12.04 and 4.6 respectively. Males had a higher incidence of cleft lip and 80% of children with cleft palate, had other malformations, most of them as part of a syndrome (13 and 18 trisomy, holoproscencephalia, Pierre Robin, Apert en EE syndromes, anencephaly etc. In three of 12 children with cleft lip but without cleft palate, there was a relative with the same malformation. Conclusions: It is proposed that both entities, cleft lip with or without cleft palate and cleft palate without cleft lip, are two etiopathogenically different conditions (Rev Méd Chile 2001; 129: 285-93.

  8. Spatial data integration for analyzing the dynamics of Albanian Adriatic shoreline

    Science.gov (United States)

    Arapi, Luan; Nikolli, Pal; Kovaçi, Sander

    2016-04-01

    Shoreline mapping and shoreline change detection are critical subjects for coastal resource management, coastal environmental protection and sustainable coastal development and planning. Coastal changes are attracting more focus since they are important environmental indicators that directly impact coastal economic development and land management. Changes in the shape of shoreline may essentially affect the environment of the coastal zone. These may be caused by natural processes and human activities. The undertaken work focuses on analyzing the Adriatic shoreline dynamics, using spatial temporal data, by taking advantage of Geographic Informatin System (GIS) and Remote Sensing (RS). Shoreline mapping focuses on some specific issues such as mapping methods used to acquire shoreline data, models and database design used to represent shoreline in the spatial database and shoreline -change analysis methods. The study area extends from the mouth of Buna River in the north to Vlora Bay in the south covering a total length of about 220 km. Detection and future assessment of Albanian Adriatic shoreline spatial position is carried out through integration of multi scale resolution of spatial temporal data and different processing methods. We have combined topographic maps at different scales (1:75 000, 1918; 1:50 000, 1937; 1:25 000, 1960, 1986 and 1:10 000, 1995), digital aerial photographs of 2007 year, satellite images of Landsat TM, Landsat ETM+ and field observed GIS data. Generation of spatial data is carried out through vectorization process and image processing. Monitoring the dynamics of shoreline position change requires understanding the coastal processes as well as coastal mapping methods. The net rates of variations in the position of the shoreline are calculated according to transects disposed perpendicularly to the baseline and spaced equally along the coast. Analysis of the relative impact of the natural factors and human activities, it is fundamental

  9. First trimester maternal urinary metabolomic profile to predict macrosomia

    LENUS (Irish Health Repository)

    Walshe, J

    2011-02-01

    Institute of Obstetricians & Gynaecologists, RCPI Four Provinces Meeting, Junior Obstetrics & Gynaecology Society Annual Scientific Meeting, Royal Academy of Medicine in Ireland Dublin Maternity Hospitals Reports Meeting, Nov 2010

  10. Estudo da morbidade e da mortalidade perinatal em maternidades: II - mortalidade perinatal segundo peso ao nascer, idade materna, assistência pré-natal e hábito de fumar da mãe A study of perinatal morbidity and mortality in maternity hospitals: II - perinatal mortality according to birth weight, maternal age, prenatal care and maternal smoking

    Directory of Open Access Journals (Sweden)

    Ruy Laurenti

    1985-06-01

    Full Text Available Analisa-se a influência de variáveis como peso ao nascer, idade materna, assistência pré-natal e tabagismo materno. Do estudo dos 12.999 nascimentos (vivos e mortos ocorridos em nove maternidades no período de um ano, verificou-se que a mortalidade perinatal é muito maior para os recém-nascidos de baixo peso (665,3 ‰ para peso até 1.500 g, diminuindo à medida que aumenta o peso ao nascer. Também nos casos de mães jovens (menores de 15 anos ou mães com idade superior a 35 anos esse coeficiente foi mais elevado (45,5 ‰ para mães com menos de 15 anos e 47,0 ‰ para mães entre 35 a 39 anos. A faixa imediatamente superior - 40 a 44 anos - apresentou a mais alta mortalidade perinatal: 61,3 ‰ nascidos vivos e nascidos mortos. O número de consultas realizadas no pré-natal tem importância para a diminuição da gestação de alto risco. Mães que fizeram 7 ou mais consultas no pré-natal tiveram a menor mortalidade no período (17,7‰ nascidos vivos e nascidos mortos. Já o hábito materno de fumar influencia a mortalidade quando a quantidade é de mais de 10 cigarros por dia. A mortalidade perinatal dos produtos de mães que fumavam menos de 10 cigarros por dia não diferiu das taxas de mortalidade para as mães não-fumantes.The influence of birth weight, maternal age, prenatal care and smoking during pregnancy are analysed. Of 12,999 births (live and stillbirths ocurring in nine maternity hospitals during one year, the greatest perinatal mortality rate (PM was that of low birth weight babies (665.3 ‰ for those weighing less than 1,500 g. The PM decreases with increasing weight. Young mothers (less than 15 years of age and women aged 35 or more also had higher Perinatal Mortality rates - 45.5 ‰ for the former and 47.0 ‰ for the latter. Prenatal care is important for the decrease of high risk in pregnancy. Mothers who had made 7 or more consultations during pregnancy had the lowest PM (17.7 ‰ live and stillbirths

  11. Impact of change in maternal age composition on the incidence of Caesarean section and low birth weight: analysis of delivery records at a tertiary hospital in Tanzania, 1999–2005

    Directory of Open Access Journals (Sweden)

    Kidanto Hussein L

    2009-07-01

    Full Text Available Abstract Background Previous studies on change in maternal age composition in Tanzania do not indicate its impact on adverse pregnancy outcomes. We sought to establish temporal changes in maternal age composition and their impact on annual Caesarean section (CS and low birth weight deliveries (LBWT at Muhimbili National Hospital in Tanzania. Methods We conducted data analysis of 91,699 singleton deliveries that took place in the hospital between 1999 and 2005. The data were extracted from the obstetric data base. Annual proportions of individual age groups were calculated and their trends over the years studied. Multiple logistic analyses were conducted to ascertain trends in the risks of CS and LBWT. The impact of age composition changes on CS and LBWT was estimated by calculating annual numbers of these outcomes with and without the major changes in age composition, all others remaining equal. In all statistics, a p value Results The proportion of teenage mothers (12–19 years progressively decreased over time while that of 30–34 years age group increased. From 1999, the risk of Caesarean delivery increased steadily to a maximum in 2005 [adjusted OR = 1.7; 95%CI (1.6–1.8] whereas that of LBWT declined to a minimum in 2005 (adjusted OR = 0.76; 95% CI (0.71–0.82. The current major changes in age trend were responsible for shifts in the number of CS of up to206 cases per year. Likewise, the shift in LBWT was up to 158 cases per year, but the 30–34 years age group had no impact on this. Conclusion The population of mothers giving birth at MNH is progressively becoming older with substantial impact on the incidence of CS and LBWT. Further research is needed to estimate the health cost implications of this change.

  12. Maternal mortality in Riyadh, Saudi Arabia.

    Science.gov (United States)

    Chattopadhyay, S K; Sengupta, B S; Chattopadhyay, C; Zaidi, Z; Showail, H

    1983-09-01

    The maternal mortality in the Maternity and Children Hospital, Riyadh, during the years 1978-1980 was 52 per 100 000 births, when the total births were 55 428. This is higher than the rate reported from the hospitals in developed countries but lower than rates reported by the university hospitals of developing countries such as India, Thailand and Nigeria. Haemorrhage, associated disease, pulmonary embolism and infection, in that order, were the main causes of maternal deaths. The main avoidable factor was failure by the patient to seek the medical care. Much could be done in reducing deaths due to haemorrhage by improving blood transfusion facilities in the peripheral hospitals. Adequate health education, especially of rural women and their midwives, is a crucial factor in improving the maternal death rate for the country as a whole. PMID:6615737

  13. The principles of designing of algorithm for speech synthesis from texts written in Albanian language

    Directory of Open Access Journals (Sweden)

    Agni Dika

    2012-05-01

    Full Text Available The speech synthesis is artificial generation of human speech from written texts. For this purpose, adequate algorithms are designed, which then through relevant programs make it possible to synthesize texts to speech. The process of converting text into speech is also known as Text-To-Speech (TTS system [5]. In this paper are given basic principles to be used when designing a system to synthesize speech in Albanian language from written texts. Currently there are solutions that enable natural speech generation for various world languages. However, unfortunately these are not universal solutions to be used for other languages too, because the volume generated for other languages is incomprehensible and unnatural. For this reason, for every language one should seek solutions that address the specifics of it, always with the aim of generating voice to suit the nature of language. Generating systems that are currently used mainly rely on the use of the concatenation method [6], during which acoustic segments of text files are joined, which are previously digitized and stored as such in a database. For Albanian language, we consider that on the textual part of the database, as basic segments to be used are: the most frequent words, two-letters and letters [4]. However, in a particular part of the database are included various abbreviations, i.e. textual equivalents and their acoustics files, to be used also during the generation of appropriate speech. Whereas, with the aim of synthesizing the various numerical values written in the decimal system, in database were added values, respectively their corresponding sound files, whereby speech is generated for different numbers. The first part of the paper is a brief presentation of the Albanian language [1], respectively of the alphabet used in writing the language and its most frequent words.

  14. Comparative analysis of the EU criminal law for environmental protection and the Albanian one

    Directory of Open Access Journals (Sweden)

    Iris Petrela

    2016-03-01

    Full Text Available This paper consists of two main parts where the first one presents the path how the environmental issue was included in the primary legislation of the European Union (EU, starting this theoretical panorama from the first founding treaty – Treaty of Rome, in 1957. It shows that with the passing of years the environmental protection has become one of the most important fields of action of the European Community supported by the primary and secondary legislation of the EU and its several bodies with competencies in this field. The second part of the paper starts with the commitments on the environmental protection that the Albanian state has made upon signature and entrance into force of the Stabilisation and Association Agreement with the EU. In addition, this article presents a summary of the legislative activity in Albania regarding environmental protection in the last two decades with special focus on the time period after the approval of the current Constitution of 1998, which is the basis and origin of every legislative initiative. Furthermore, there are presented the key features of the Albanian environmental legislation, as well as the protection mechanism from the criminal legislation point of view. The presentation of the European and national reality with special focus on environmental protection serves to a comparative purpose between the two models. It also serves to draw conclusions and propose suggestions on how the Albanian legislation should be developed and improved in order to be in line with that of the European Union and effective in practice to serve the ultimate goal of environmental protection and prevention from further environmental degradation.

  15. 高校附属医院城市社区妇幼保健服务模式探讨%Investigation on maternal and child health care service mode in urban communities adjacent to affiliated hospitals of colleges and universities

    Institute of Scientific and Technical Information of China (English)

    任菲菲; 刘沫

    2013-01-01

    Objective: To explore maternal and child health care service mode in urban communities adjacent to affiliated hospitals of colleges and universities, and provide new thoughts and methods for public hospital reform.Methods: Convenience sampling method was used to conduct questionnaire investigation on 395 pregnant women from a community managed by a tertiary hospital in urban area of Jinzhou city in Liaoning province, the requirements of pregnant women for health care knowledge and hospital community medical service mode were analyzed.Results: The requirements of pregnant women with different social and demographic characteristics for health education knowledge and patterns varied.Conclusion: As a new maternal and child health care management work service mode, community maternal and child health care adjacent to affiliated hospitals of colleges and universities in urban areas can strengthen the supports from hospitals for maternal and child health care service, quicken personnel training of maternal and child health care, enhance the active service cognition of nursers to maternal and child health care nursing, and provide new thoughts and methods for a promoting more effective maternal and child health care management mode and public hospital reform.%目的:探索高校附属医院城市社区妇幼保健服务模式,为公立医院改革提供新思路、新方法.方法:采用便利抽样方法,对辽宁省锦州市区由三级医院管理的某社区395名孕产妇进行问卷调查,分析孕产妇对保健知识和医院社区医疗服务模式的需求.结果:不同社会人口学特征的孕产妇对健康教育知识及健康教育方式的需求均不同.结论:高校附属医院城市社区妇幼保健作为一种新的妇幼保健管理工作服务模式,能增强医院对妇幼保健服务的支持,加快妇幼保健专业人才的培养,强化护理人员对妇幼保健护理的主动服务意识,为促进更加有效的妇幼保健管理模式和公

  16. Albanian Industry Problems and Perspectives, in Front of the Crisis and International Labor Allocation

    OpenAIRE

    Ermonela Ruspi; Klodian Muco; Arjola Mitaj

    2014-01-01

    Recently the Albanian economy has continuously recorded a significant reduction of the GDP growth rate, from 7.5 % in 2008 to 1.3% in 2013. This decline is followed by the deficit and public debt increase, where the latter reached in 70.4% in March 2014,compared to 59.9% in 2009. The interesting fact to note is that, although the 2008 financial crisis first was initiated in USA, it has influenced the economic development of all the countries. While our country that was indirectly affected by ...

  17. Molecular Genetic Characterization of β-Thalassemia and Sickle Cell Syndrome in the Albanian Population

    OpenAIRE

    Babameto-Laku, A; Mitre, A; Berisha, S; Mokini, V; Roko, D

    2011-01-01

    β-Thalassemia (β-thal) is a major public health problem in Albania as it is in many Mediterranean countries. We determined the different β-thal alleles that are present in the Albanian population by using the temporal temperature gradient electrophoresis (TTGE) method because of its high throughput, cost-effectiveness, sensitivity and simplicity. DNA from blood of 68 patients with β-thal, 26 with sickle cell anemia or sickle cell β-thal, 54 parents of these patients and 14 heterozygotes relat...

  18. Gaucher’s Disease in Albanian Children: Casuistics and Treatment

    Directory of Open Access Journals (Sweden)

    Behar Shehi

    2011-03-01

    Full Text Available Objective:Gaucher's disease is a rare genetic disorder that results in the accumulation of cerebrosides in the liver, spleen, kidneys, lungs, brain and bone marrow. The deficiency of the specific lysosomal enzyme glucocerebrosidase is considered as causative factor. The first effective treatment for the disease, the drug Ceredase, approved in 1995, was replaced in 2001 by the drug Cerezyme®.Methods:During the period 2004-2009 in our service 11 children were hospitalized and treated for Gaucher's disease: 9 children with type 1, and 2 children with type 3 of the disease. The enzymatic examinations of the biomarker chitotriosidase were performed in Sahlgren's University Hospital, Mölndal Sweden; the DNA analysis was performed in the Children's Hospital & Regional Medical Center, Seattle, USA.Findings:We are presenting the biological and genetic molecular data of the children. In our case series, one year after the treatment started, the hemoglobin level was normalized; the platelet count was normalized in 7 patients after one year of treatment, and in 9 patients after two years of treatment. The hemorrhagic syndrome stopped after 6 months of treatment. Chitotriosidase values decreased 10-20 times the initial value, after one year of treatment and in one case the value reached the normal range. The treatment with Cerezyme® has also improved the visceral and biological signs. Anomalies of the oculomotricity were less sensitive to the treatment.Conclusion:According to our experience, Chitotriosidase is a sensitive and specific marker in diagnosing and monitoring Gaucher's disease. The enzyme replacement therapy through Cerezyme® is an effective and safe treatment of Gaucher's disease. Blood signs (anemia, platelet count; visceral signs (splenomegaly, hepatomegaly as well as bone involvement showed decisive improvement under the therapy.

  19. Gaucher’s Disease in Albanian Children: Casuistics and Treatment

    Directory of Open Access Journals (Sweden)

    Rezar Xhepa

    2011-03-01

    Full Text Available Objective:Gauchers disease is a rare genetic disorder that results in the accumulation of cerebrosides in the liver, spleen, kidneys, lungs, brain and bone marrow. The deficiency of the specific lysosomal enzyme glucocerebrosidase is considered as causative factor. The first effective treatment for the disease, the drug Ceredase, approved in 1995, was replaced in 2001 by the drug Cerezyme®. Methods:During the period 2004-2009 in our service 11 children were hospitalized and treated for Gaucher's disease: 9 children with type 1, and 2 children with type 3 of the disease. The enzymatic examinations of the biomarker chitotriosidase were performed in Sahlgrens University Hospital, Mölndal Sweden; the DNA analysis was performed in the Childrens Hospital & Regional Medical Center, Seattle, USA. Findings:We are presenting the biological and genetic molecular data of the children. In our case series, one year after the treatment started, the hemoglobin level was normalized; the platelet count was normalized in 7 patients after one year of treatment, and in 9 patients after two years of treatment. The hemorrhagic syndrome stopped after 6 months of treatment. Chitotriosidase values decreased 10-20 times the initial value, after one year of treatment and in one case the value reached the normal range. The treatment with Cerezyme® has also improved the visceral and biological signs. Anomalies of the oculomotricity were less sensitive to the treatment. Conclusion:According to our experience, Chitotriosidase is a sensitive and specific marker in diagnosing and monitoring Gauchers disease. The enzyme replacement therapy through Cerezyme® is an effective and safe treatment of Gauchers disease. Blood signs (anemia, platelet count; visceral signs (splenomegaly, hepatomegaly as well as bone involvement showed decisive improvement under the therapy.

  20. MATERNAL DEATHS REVIEW: AN APPROACH TOWARDS IMPROVING MATERNAL HEALTH

    Directory of Open Access Journals (Sweden)

    Neelam Anupama

    2014-10-01

    Full Text Available BACKGROUND: To achieve the Millennium Development Goals (MDG adopted at the 2000 Millennium Summit, there are two targets for assessing progress in improving maternal health (MDG 5: Reducing the maternal mortality ratio (MMR by three quarters between 1990 and 2015 and achieving universal access to reproductive health by 2015. Closer examination of maternal mortality level is needed to inform planning of reproductive health programs, to guide advocacy efforts and research at the national and international levels, and to inform decision-making. The audit for the reasons for maternal mortality in a resource poor country is extremely helpful in not only identifying the reasons but also in identifying the preventable causes of maternal mortality. AIMS & OBJECTIVE: 1. To determine the causes of maternal mortality in NSCB Medical College and Hospital of Jabalpur. 2. To study the various socio-demographic factors associated with maternal mortality. MATERIAL AND METHODS: This is a record based study conducted at Obs and Gynae Dept of NSCB medical College, Jabalpur. Mortality Data from January 2012 to December 2012 was analyzed including for all pregnancy-related deaths, their demographic profile, including age, parity, antenatal care record, type of delivery, status of patient i.e., booked or not booked, diagnosis during admission, duration of the hospital stay, and cause of death by reviewing case sheet records. Gynaecological deaths were excluded in this study. Data entry as well analysis was done in Microsoft Excel. RESULTS: Eighty nine maternal deaths were recorded during study period. Most of the deaths were 87(98% unbooked. Majority of the deaths were ANC primi i.e. 57(64%. The major direct cause for deaths were eclampsia 39(44% followed by pre eclampsia 10(11% and haemorrhage 7(8%. Severe anaemia 14(16% followed by hepatitis 5(6% were the most common indirect causes. Maternal mortality ratio was 2182/100,000 live births (89/4078. Antenatal care

  1. National and Post-National Discourses and the Construction of Linguistic Identities by Students of Albanian Origin in Greece

    Science.gov (United States)

    Archakis, Argiris

    2016-01-01

    Drawing on Critical Discourse Analysis and, more specifically, on the relationship between the macro-level of dominant discourses and the micro-level of individual positionings, we examine the way linguistic identities are constructed by immigrant students of Albanian origin in Greece. We elaborate on two "competitive" discourses: the…

  2. 浅谈社区医院对孕妇的日常护理及对护士的职业需求%The Daily Nursing to Maternity and Occupational Demand to Nurse in Community Hospitals

    Institute of Scientific and Technical Information of China (English)

    刘凤茹

    2013-01-01

      现代护理服务已有三个扩展,即服务场所已由大型医院扩展到社区医院、服务对象已由就诊患者扩展到健康人群、服务内容已由疾病护理扩展到预防保健,而社区护理则是随着社会的发展和生物-心理-社会医学模式的产生而建立的一门新兴学科。妇产科护理学是一门专业性、实践性很强的学科。随着社会的发展、医学模式的转变,人们对健康的需求和服务质量的要求越来越高,妇产护理进入社区日常护理范畴也是医学护理发展的必然趋势。本文就社区医院对孕妇的日常护理及护士职业需求等问题进行探讨,提出浅见以资参考。%The modern nursing service have had three expansions:Service places have expand-ed from large hospitals to community hospitals, the service objects have expanded from patients to health people, service items have expanded from disease care to prevention and healthcare. More-over, community care is a new branch of science which is established with the development of sci-ence and the occurrence of bio-psycho-social medical model, and obstetrics and gynecology nursing is a professional and strong practical subject. With the development of science and the transform of medical model, the need of health and the requirement of service quality are higher and higher;it is an irresistible trend of medical care development that maternity care enters into category of commu-nity daily nursing. This paper explored the problems of the daily nursing to maternity and occupa-tional demand to nurse in community hospitals, and put forward some views to be referenced.

  3. Reconfiguring Maternity Care?

    DEFF Research Database (Denmark)

    Johannsen, Nis

    at a hospital and a group of researchers which included me. Both initiatives involved numerous seemingly different interests that were held together and related to reconfiguring maternity care. None of the initiatives can unequivocally be labelled a success, as neither managed to change maternity...... care, at least not in the intended manner. It was, however, an achievement to relate the different interests for a period. In this dissertation I will elucidate the proposed changes in the initiatives as well as expound on the manner in which they were proposed. It is argued that the different...... interests involved in the initiatives were not obstacles which the proposed changes should overcome, but are on the contrary necessary, as it is the alliances between the particular interests and the proposed changes that motor the initiatives. The interests were not invented through the initiatives but are...

  4. Naim Frashëri - Founder and professor of Albanian literature for children

    Directory of Open Access Journals (Sweden)

    Rudina Alimerko

    2012-02-01

    Full Text Available Between the obligation of carrying out their mission to ensure the quality development of higher education and the right to function as important centers where knowledge is taken, developed and transmitted, this paper will examine the technological developments of university libraries as an important part of higher education. Digital and electronic experiences applied in Albanian universities libraries will be brought to the attention of the public. This paper is based on the questionnaire survey conducted at public university libraries in Albania. Opinions of librarians regarding ICT application were elicited using a structured questionnaire, followed up with interviews. In the case of non-response by libraries is consulted their official web sites to have a more complete information. In addition, secondary sources were consulted as domestic and foreign literature in this field. Results show that: 1 the level of application information technology in public university libraries in Albania is acceptable. The most important and serious problem is the lack of the unique University Library ICT Policy; 2 serious handicap is the lack of educated librarians in using information technology; 3 the proportion of university library activity goes more digital, so the digital collection becomes reality in the public university libraries. This paper brings conclusions that contribute to: a national information communication technology policy for university libraries and b the creation of an integrated system for management and transmission of knowledge at the national level for all Albanian university libraries.

  5. ASSESSMENT OF ISSUES AND OPPORTUNITIES FOR SUSTAINABLE SOCIAL ECONOMIC DEVELOPMENT IN ALBANIAN PART OF PRESPA PARK

    Directory of Open Access Journals (Sweden)

    Doriana Grazhdani

    2010-08-01

    Full Text Available The Albanian part of Prespa Lakes Basin includes part of Macro Prespa and Micro Prespa Lakes, and the surrounding forested mountainous slopes, covering a total area of 27750 ha. Despite the contribution of a range of services to human wellbeing, these ecosystems are facing numerous challenges, stemming for the existing practices in many areas that directly or indirectly affect the lakes. An important dilemma encountered in the present situation is the need to sustain growth while preventing damage to environment through the degradation of natural resource. Current resource management practices including water and land-use planning, agriculture, forestry, fisheries and tourism are failing to maintain and restore the health of ecosystems within the Albanian Prespa Lakes area. This paper is focused on issues and opportunities arising from linkages between social economic development and environment. First a summary information on trends and constrains of social economic indicators are provided. Then, associations of environmental issues with social economic activities are analyzed using SWOT analysis method. Finally, some remedies and possible ways for sustainable development are presented in the present paper.

  6. Lexicon of Albanian mythology: areal studies in the polylingual region of Azov Sea

    Directory of Open Access Journals (Sweden)

    Alexander Alexandrovich Novik

    2015-09-01

    Full Text Available Lexicon of Albanian mythology: areal studies in the polylingual region of Azov SeaFour villages with Albanian population are located in the Ukraine: Karakurt (Zhovtnevoe set up in 1811 (Odessa region, Tyushki (Georgievka, Dzhandran (Gammovka and Taz (Devninskoe set up in 1862 (Zaporizh’a region. The analysis of lexica of the Albanian subdialect of the Ukraine shows the continuation of the use of mythological terminology between the districts of the South-Eastern Albania (Korça, Devoll, Kolonja and the Albanian-speaking villages of the Azov Sea region.The Albanian subdialect of the Ukraine has no collective lexeme to designate all the representatives of the demonic world. The most common forms of denotation are these: nok janë të prastúrë (lit. ‘they are unclean’, shpírti nok i prastúrë (lit. ‘unclean spirit’.There are a large number of stories about the transformation of people into the animals – dogs, cats, goats, foxes, chickens etc. and even into things (the most common plot variant is about transformation of a man into a wheel.Also we observe the personification of the steppe wind among the Albanians of the Ukraine. Thus there is a special word for such a kind of wind in this subdialect – varalluzhg/ë, –a (‘varaluzhga’.The Balkan peoples believe that the fate of every individual is assigned by three mythological characters. Most of them, including the Albanians, consider that these three characters are female. They appear several hours after the child’s birth and assign its fate. The Albanians of the Ukraine keep these beliefs, but according to their system of mythological images, there are three men determining the child’s fate instead of three women. As the native consultants claim, these are three huge, tall and strong black men (tri burre qysh japin fatnë. Another variation on this theme comprises the stories about Christ’s disciples, the apostles and their followers, who can also determine the child

  7. Molecular Genetic Characterization of β-Thalassemia and Sickle Cell Syndrome in the Albanian Population.

    Science.gov (United States)

    Babameto-Laku, A; Mitre, A; Berisha, S; Mokini, V; Roko, D

    2011-06-01

    β-Thalassemia (β-thal) is a major public health problem in Albania as it is in many Mediterranean countries. We determined the different β-thal alleles that are present in the Albanian population by using the temporal temperature gradient electrophoresis (TTGE) method because of its high throughput, cost-effectiveness, sensitivity and simplicity. DNA from blood of 68 patients with β-thal, 26 with sickle cell anemia or sickle cell β-thal, 54 parents of these patients and 14 heterozygotes related to these families. We found the IVS-I-110 (G>A), codon 39 (C>T), IVS-I-6 (T>C), IVS-I-1 (G>A) and codon 44 (-C) mutations that accounted for nearly 90% of the β-thal alleles. Their frequencies were similar to those found in other studies in the Albanian population. This method has permitted the detection of heterozygotes for β-thal in this population and offers a prenatal diagnosis with a probability of 90% accuracy. PMID:24052702

  8. HAS THE BOLOGNA PROCESS IMPROVED MASTER’S EDUCATION STANDARDS? PERSPECTIVES OF ALBANIAN EMPLOYERS

    Directory of Open Access Journals (Sweden)

    Vasilika Kume

    2013-05-01

    Full Text Available In this research the professional innovation of the Master studies as per Bologna Process standards, observed from the possible buyers of such product, the Albanian Employers is studied.With the help of a survey, it has been tried to reflect the opinion of the employers about the quality of a Master degree according to the standarts of the Bologna Process. Around 53% of the employersthink that the Bologna system can qualitatively improve the employee’s qualification, but this should be observed in a long-term horizon. About 87% of employers would not pay more a prospective employee given the fact that he/she has earned a master degree according the Bologna Process standards. This individual, in the majority of Albanian companies, would not be considered as more qualified than other colleagues who are educated in another system. Moreover, 20% of employers with work experience 11-15 years believe that the Bologna Process worsens the quality of education in Albania.

  9. Albanian economy, sustainable development and comparative analysis of SME growth rates

    Directory of Open Access Journals (Sweden)

    Hava Mucollari

    2016-03-01

    Full Text Available Financial activity in Albania as well as in other countries of Eastern Europe during the past few years has seen significant important developments. One of the main features observed is that financial activity in Albania is dominated by banking activity, while non-banking activity remains extremely limited. The investment funds in Albania according to the Albanian legislation on “Investment Funds” could be any private entity that accumulates financial resources of natural or legal persons (Vouchers, cash etc. In this paper we will focus precisely on the definition of SME and their ability to build a business plan that will help them to be successful in terms of seeking funds. For this reason, SME and their financing opportunities in Albania is one of the issues that will be analyzed. Firstly we will treat the business plan in theory and its role in SME, and hot to draft a business plan for a Travel Agency. In this paper we study the literature on the concept of SME and the business plan. For this reason we have found valid date information on studies from various writers and publications. By giving a financial view on SME on Albania, we have analyzed information from bulletins of the Albanian Bank.

  10. THE SOCIO-POLITICAL LEXICON IN THE POETRY OF THE ALBANIAN WRITER DRITËRO AGOLLI

    Directory of Open Access Journals (Sweden)

    Sashenka Kamberi

    2014-06-01

    Full Text Available Dritëro Agolli is one of the best-known poets of contemporary Albanian literature. He is a prolific writer despite the fact that he began writing in early youth. His early verse collections in late 50s introduced him to the public as a gifted writer together with I. Kadare. In addition to being a writer, he has been one of the most active members in the socio-political life of the country, identifying himself as a writer affiliated with a political party who put his talent to good use when it came to ideological issues. He strongly believed in “the communist ideal” on which he had pinned his dreams about himself and his country.In this article we will talk about the lexicon he uses in his creations which feature party content. Since it is impossible to analyze his whole work we will concentrate on two such typical works written in different political periods, the poem “Mother Albania” (1974 and the volume “The Belated Pilgrim” (1993. Our aim is not merely to highlight the socio-political lexicon he uses, but also through analyses to show its function in his poetry and the mastery of the poet to transform it into a source of expression. Despite the penumbras that have accompanied the writer’s high standing and his poetry, he remains one of the poets who, despite his political commitments, elevated Albanian poetry to new heights.

  11. Arbitration proceedings under international regime - an overview on the Albanian legislation

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    Artan SPAHIU

    2012-12-01

    Full Text Available In recent years, globalization has brought the spirit of breaking down cultural and social barriers between people and particularly has accelerated communication and economic cooperation between states. In this context, legal issues regulating these relations can not remain within national frameworks but have received more and more an international prospective. A clear example of this context is the international commercial arbitration. The great increase of the international trade and companies investment in foreign countries is associated with the tendency to transform the international commercial arbitration into a mechanism used increasingly to settle disputes arising from these relationships. Through this paper, highlighting the main features of international commercial arbitration will be presented a comparative overview between international legal framework and domestic provisions of the Albanian legislation, governing the arbitration proceedings. In this way, will be presented the problematic issues which are addressed by the domestic legal framework in this area, as well as the necessity for eventual changes. Adoption and implementation of legal instruments, which provide contemporary improvements of arbitration institute, in accordance with the international legal framework, will be a good service to the integration process of the Albanian economy.

  12. Maternal and perinatal mortality.

    Science.gov (United States)

    Krishna Menon, M K

    1972-01-01

    A brief analysis of data from the records of the Government Hospital for Women and Children in Madras for a 36-year period (1929-1964) is presented. India with a population of over 550 million has only 1 doctor for each 6000 population. For the 80% of the population which is rural, the doctor ratio is only 88/1 million. There is also a shortage of paramedical personnel. During the earlier years of this study period, abortions, puerperal infections; hemorrhage, and toxemia accounted for nearly 75% of all meternal deaths, while in later years deaths from these causes were 40%. Among associated factors in maternal mortality, anemia was the most frequent, it still accounts for 20% and is a contributory factor in another 20%. The mortality from postpartum hemorrhage was 9.3% but has now decreased to 2.8%. Eclampsia is a preventable disease and a marked reduction in maternal and perinatal mortality from this cause has been achieved. Maternal deaths from puerperal infections have dropped from 25% of all maternal deaths to 7%. Uterine rupture has been reduced from 75% to 9.3% due to modern facilities. Operative deliveries still have an incidence of 2.1% and a mortality rate of 1.4% of all deliveries. These rates would be further reduced by more efficient antenatal and intranatal care. Reported perinatal mortality of infants has been reduced from 182/1000 births to an average of 78/1000 in all areas, but is 60.6/1000 in the city of Madras. Socioeconomic standards play an important role in perinatal mortality, 70% of such deaths occurring in the lowest economic groups. Improvement has been noted in the past 25 years but in rural areas little progress has been made. Prematurity and low birth weights are still larger factors in India than in other countries, with acute infectious diseases, anemia, and general malnutrition among mothers the frequent causes. Problems requiring further efforts to reduce maternal and infant mortality are correct vital statistics, improved

  13. Estimation of the incidence of bacterial vaginosis and other vaginal infections and its consequences on maternal/fetal outcome in pregnant women attending an antenatal clinic in a tertiary care hospital in North India

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    Lata Indu

    2010-01-01

    Full Text Available Aims: This study was undertaken to estimate the incidence of bacterial vaginosis (BV and other vaginal infections during pregnancy and its association with urinary tract infections (UTI and its consequences on pregnancy outcome, maternal and fetal morbidity and mortality. Settings and Design: Prospective cohort study. Materials and Methods: The present prospective cohort study was conducted on 200 women attending the antenatal clinic (ANC of a tertiary hospital. All pertinent obstetric and neonatal data covering antenatal events during the course of pregnancy, delivery, puerperium and condition of each newborn at the time of birth were collected. BV was detected by both Gram stain and gold standard clinical criteria (Amsel′s composite criteria. Statistical analysis used: Data were analyzed using SPSS version 9. Fischer′s exact test, chi square tests and Student′s′ test has been used for analysis. The probability of 5% was considered as significant for continuous variables such as age, period of gestation and birth weight. Odds ratio (OR and confidence interval (CI with 95% probability were determined. Results: The incidence of bacterial vaginosis was 41 in 200 patients. Adverse outcomes such as preterm labor, PROM and fetal complications were found more in pregnant women who had bacterial vaginosis (N=41, bacterial vaginosis with UTI (N=14 as compared to those without bacterial vaginosis (N=118. Conclusions: The incidence of poor pregnancy outcome was higher in bacterial vaginosis with UTI. Prevention of BV and UTI is cost effective to minimize the pregnancy-related complications and preterm labor to decrease in perinatal and maternal mortality and morbidity. We recommend all antenatal patients should be screened for the presence of bacterial vaginosis, other infections and UTI.

  14. Exercise during Pregnancy Department of Obstetrics,Shanghai First Maternity and Infant Hospital, Affliated to Tongji University,Shanghai 200040,China%妊娠期运动

    Institute of Scientific and Technical Information of China (English)

    宋蒙九; 李婷(审校)

    2014-01-01

    缺乏妊娠期运动会导致母儿不良事件(子痫前期、妊娠期糖尿病、早产等)的发生率上升,在妊娠期进行适当的运动可以起到控制体质量增加、调控血糖、缓解疼痛、预防抑郁以及改善睡眠等作用。尽管关于妊娠期运动安全性问题的一部分细节尚有争论,但许多国家已经发布了妊娠期运动指南,建议没有产科并发症及其他基础疾病的妊娠妇女进行适当的运动。总结妊娠期运动的益处、安全性以及介绍适宜的妊娠期运动,并主张应尽快开展有关中国妊娠妇女妊娠期运动状况的调查与研究,并在研究的基础上形成针对中国妊娠妇女特点的妊娠期运动指南。%Women are at low risk for adverse fetal or maternal events (preeclampsia,gestational diabetes mellitus, premature labor),if they participate in routine physical activity during pregnancy. Benefits from exercise during pregnancy include weight management,therapy for GDM,relief from low back pain,improved sense of well-being and enhanced sleep. Although there are still some arguments about the potential risk of exercise during pregnancy ,many countries have published guidelines for exercise during pregnancy and the postpartum period ,these guidelines are made for women who do not have any additional risk factors for adverse maternal or perinatal outcome. The benefits and potential risks of exercise during pregnancy and the suitable exercise during pregnancy are reviewed in this article ,and also we think an investigation on the exercise during pregnancy of Chinese women should be carried out,and on the basis of that a guideline should be developed as soon as possible.

  15. A görög-albán kapcsolatok története a 20. században - Greek-Albanian Relations in the 20th Century

    OpenAIRE

    BALOGH, Ádám

    2014-01-01

    The Greek and the Albanian nations have been living close to each other approximately in the same territory for almost three thousand years. An ethnically mixed population had lived in the contact zone of the two nations (Epirus, or Chameria in Albanian) without any territorial disputes. Neither religious, nor language differences caused any serious conflicts between the Greeks and the Albanians until the 19th century when nationalism changed the political situation completely. However, Pan-S...

  16. Testing the Fair Game Hypothesis for US Dollar/Albanian Lekë Exchange Rate Over the Period January 1994- December 2012

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    Llambrini Sota

    2013-04-01

    Full Text Available The purpose of the paperis to test the fair game hypothesis for exchange rate process USDollar / Albanian Lekë over theperiod January 1994 – December 2012.The results of this study include: The fairgame hypothesis is rejected for mean monthlyexchange rate US Dollar/Albanian Lekë over the period January 1994 – December 2012at 99.99% level of confidence. Day – to –dayfluctuations of the nominal exchange rateUS Dollar/ Albanian Lekë during the period 1 January 2008 – 31 December 2008 followan unfair game process at99.99% level of confidence.The fair game hypothesis isrejected for mean monthly exchange rateover the period January 2008 – December 2012at 95% level of confidence. Day – to-day fluctuations of nominalexchange rate USDollar/Albanian Lekë during the period1 January 2004 – 31 December 2012 follow anunfair game at 99.99% levelof confidence. A similar result holds for relative firstdifferences of the daily exchange rate USDollar/Albanian Lekëat 99.99% level ofconfidence. These findings are noteworthy because it has long been thought of that themovements in the US dollar / Albanian lekë nominal exchange rate must be a fair game.

  17. The WHO maternal near-miss approach and the maternal severity index model (MSI: tools for assessing the management of severe maternal morbidity.

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    Joao Paulo Souza

    Full Text Available OBJECTIVES: To validate the WHO maternal near-miss criteria and develop a benchmark tool for severe maternal morbidity assessments. METHODS: In a multicenter cross-sectional study implemented in 27 referral maternity hospitals in Brazil, a one-year prospective surveillance on severe maternal morbidity and data collection was carried out. Diagnostic accuracy tests were used to assess the validity of the WHO maternal near-miss criteria. Binary logistic regression was used to model the death probability among women with severe maternal complications and benchmark the management of severe maternal morbidity. RESULTS: Of the 82,388 women having deliveries in the participating health facilities, 9,555 women presented pregnancy-related complications, including 140 maternal deaths and 770 maternal near misses. The WHO maternal near-miss criteria were found to be accurate and highly associated with maternal deaths (Positive likelihood ratio 106.8 (95% CI 99.56-114.6. The maternal severity index (MSI model was developed and found to able to describe the relationship between life-threatening conditions and mortality (Area under the ROC curve: 0.951 (95% CI 0.909-0.993. CONCLUSION: The identification of maternal near-miss cases using the WHO list of pregnancy-related life-threatening conditions was validated. The MSI model can be used as a tool for benchmarking the performance of health services managing women with severe maternal complications and provide case-mix adjustment.

  18. The trend of national advanced maternal age woman proportion in hospital-based surveillance%基于医院的全国高龄产妇比率变化趋势

    Institute of Scientific and Technical Information of China (English)

    李月花; 王艳萍; 代礼; 周光宣; 梁娟; 李琪; 朱军

    2009-01-01

    Objective To investigate the secular trend of advanced maternal age woman ( ≥35 year-old) in our country. Methods Data on maternal woman at different age were collected at surveillance hospital in Chinese Birth Defects Monitoring Network from 1996 to 2007 and retrospective analysis of the trend of advanced maternal women were carried out. Trend analysis of the advanced maternal age in urban and rural areas of west, middle and east areas was also conducted. Chi-square test was applied to test the differences and the fitting model analysis was also applied. Results A total of 6 308 594 parturient woman were monitored, included 354 511 woman (5.62%) of advanced maternal age. In 1996 and 2007, the proportion of the advanced maternal woman were 2.96% (12 508/422 486) and 8.56% (66 351/775 333) , respectively. It showed an increasing trend for the national woman proportion of advanced maternal age from 1996 to 2007 (χ~2 =45 376. 16,P<0. 01). In city, the proportion of advanced maternal age woman were 2. 95% (8755/296 975) and 7. 69% (40 197/522 596) in 1996 and 2007, respectively. In rural region, the proportion of advanced maternal age woman were 2. 99% (3753/125 511) and 10. 35% (26 154/252 737)in 1996 and 2007, respectively. It showed increasing both in city and rural areas(χ_(city)~2=24 152.86,P<0.01;χ_(rural)~2=20809.79, P<0. 01). And the proportions in urban area and rural area were 5. 13% ( 221 655/4 317 533) and 6. 67% (132 856/1 991 061), the proportions difference was significant in statistics (χ~2 =1536. 260,P<0.01). An Exponential model was established, In ( Y)=ln(2.52)+(0.103×t). In east areas, the proportion were 3.90% and 8.81% in 1996 and 2007, respectively, in middle areas the respective proportions were 2. 49% and 8. 56% , in west areas were 2. 11 % and 8. 21 % . They all showed increasing trend in proportion of advanced maternal age from 1996 to 2007 year in east areas, middle areas and west areas(χ_(east)~2, = 11 746. 87 ,P<0.01;χ_(middle)~2

  19. [Psychiatry at the maternal clinic].

    Science.gov (United States)

    Ammälä, Antti-Jussi

    2015-01-01

    Various mental disorders are encountered at the maternal clinic. Pregnancy predisposes to some mental disorders, most commonly depressive and anxiety disorders. The recognition of substance use disorders during pregnancy is very important, but difficult owing to the associated disgrace. An eating disorder with an onset preceding the pregnancy may cause problems for growth and development of the fetus and should thus be identified early enough. The rare but severe postpartum psychosis may often break out only after discharge from the maternity hospital. Drug therapy during pregnancy requires careful consideration and clear-cut reasoning. PMID:26237899

  20. Gaps Analysis of Albanian and International Legislation on Easement: Legal Prospect

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    ALDA TAKA

    2015-06-01

    Full Text Available The private property in Albania was reduced for 50 years and became mainly public. The ownership rights were insignificant for individuals or private institutions that asked for land and other uses of space. Except excomunist states and England where the land belonged to the state (to the Crown in the case of England, the land was private since in the middle age, in all other countries. In this context, the ownership right on private property was not known in Albania until the 90’. This article aims to provide the legal framework of land use for private or public purposes in Albania and in the European Countries. The rules and the international financial corporation standards on the easement, included in the Performance Requirements, have been considered in preparing this article. The purpose of this paper is to highlight the existing differences between the Albanian and international legislation regarding the easement.

  1. Transcriptional activity of human endogenous retrovirus in Albanian children with autism spectrum disorders.

    Science.gov (United States)

    Balestrieri, Emanuela; Cipriani, Chiara; Matteucci, Claudia; Capodicasa, Natale; Pilika, Anita; Korca, Ina; Sorrentino, Roberta; Argaw-Denboba, Ayele; Bucci, Ilaria; Miele, Martino Tony; Coniglio, Antonella; Alessandrelli, Riccardo; Sinibaldi Vallebona, Paola

    2016-09-01

    Recent studies suggest that autism spectrum disorders (ASD) result from interactions between genetic and environmental factors, whose possible links could be represented by epigenetic mechanisms. Here, we investigated the transcriptional activity of three human endogenous retrovirus (HERV) families, in peripheral blood mononuclear cells (PBMCs) from Albanian ASD children, by quantitative real-time PCR. We aimed to confirm the different expression profile already found in Italian ASD children, and to highlight any social and family health condition emerging from information gathered through a questionnaire, to be included among environmental risk factors. The presence of increased HERV-H transcriptional activity in all autistic patients could be understood as a constant epigenetic imprinting of the disease, potentially useful for early diagnosis and for the development of effective novel therapeutic strategies. PMID:27602423

  2. Tracing lexical borrowings in the Balkans Albanian loan-words in the Serbian speech of Prizren

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    Petrović Snežana

    2003-01-01

    Full Text Available During the past centuries the city of Prizren has persisted as a unique multiethnic and multicultural environment atypical even for the Balkans, well-known for its ethnic, linguistic, cultural and religious diversity. Various nations used to live and pass through Prizren in the course of more than six centuries – the Serbs Turks, Albanians, Aromanians, Greeks and others – leaving their specific marks, visible on the city itself as well as the life and the mentality of its inhabitants. One of the most vivid testimonies to this long-term coexistence can be seen in vernaculars of the local population. This paper presents some Albanian loan-words from the Serbian speech of Prizren hitherto not registered (or not recognised as such in the respective etymological dictionaries and linguistic studies. The aim of this work is to offer their etymological analysis, through an investigation of the ways and mechanisms of lexical borrowing in the limited area of this town and to observe this phenomenon in a broader Balkan perspective. Analyzed are the following words: bajmak m., adj. indecl. "with bow legs (of man or horse", cub adj. indecl. "short; short-tailed", cub m., adj. indecl. "robber, outlaw", ćul adj. indecl. "soaking wet", điza f. "kind of crumbly cheese", glistra f. "worm", korse, korsem, krsem adv. "perhaps, as if", kulme n., kuljma f. "top of the roof", ljajka f. "lie", ljaper m. "idler", ljočka f. "darling, sweetheart", ljum adj. indecl. "dear", ljunga f. "boil; swelling", putarka f. "salted and dried caviar", ravš adv. "flat", roktar m. "servant, attendant", škret adj. "lonely, deserted, empty", škrum adj. indecl. "dry as ashes".

  3. Improving Hospital Breastfeeding Policies in New York State: Development of the Model Hospital Breastfeeding Policy

    OpenAIRE

    Hawke, Bethany A.; Dennison, Barbara A.; Hisgen, Stephanie

    2013-01-01

    The public health importance of breastfeeding, especially exclusive breastfeeding, is gaining increased recognition. Despite a strong evidence base that key hospital maternity practices (Ten Steps to Successful Breastfeeding) impact breastfeeding initiation and exclusivity in the hospital and breastfeeding duration post-discharge, they are not widely implemented. In 2009, written hospital breastfeeding policies were collected from all New York State (NYS) hospitals providing maternity care se...

  4. Maternal care

    OpenAIRE

    2001-01-01

    In June 2000 a distinguished group of obstetricians, midwives, general practitioners, and medical statisticians came together to discuss maternal care. Chaired by Professor James Drife from Leeds, discussion ranged over many topics, including: the changing role of the obstetrician, general practitioners, and the increasing status and responsibility of midwives. Other subjects include the induction of labour, obstetric analgesia and anaesthesia, and debates about the place and kind of delivery...

  5. Maternal Microchimerism

    OpenAIRE

    Kanold, Anna Maria

    2013-01-01

    Microchimerism refers to one individual harboring cells or DNA at a low level that derive from another individual. The most common source is pregnancy when cells from the fetus and the mother pass the placenta bidirectionally, and give rise to maternal microchimerism (cells from the mother in the fetus) and fetal microchimerism (cells from the fetus in the mother). The cells persist in the individual, at least until middleage. Several hypotheses have addressed the consequences ...

  6. Maternal phenylketonuria

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    Kristina Štuikienė

    2013-04-01

    Full Text Available Phenylketonuria is a hereditary metabolic disorder inherited in an autosomal recessive pattern. Elevated phenylalanine levels in a pregnant woman with phenylketonuria result in phenylalanine embryopathy. Failure to follow special diets during gestation results in neonatal dysplasia. More favorable outcomes are observed when phenylalanine levels remain within normal ranges prior to conception, or at least when they reach normal levels by the 4th-10th weeks of gestation. We report the case of a newborn with maternal phenylketonuria.

  7. [Influence of tobacco smoking on newborn's birth weight--analisys of dates concerning births from Maternity Hospital named. Dr S. Mossor's in Opole City].

    Science.gov (United States)

    Guzikowski, Wojciech; Pirogowicz, Iwona

    2008-01-01

    Despite wide education, tobacco smoking while being pregnant is very important issue in perinatology. It is important problem because of life style of polish society, including pregnant women. Clinical observation of this issue is pointing on risk of occurring pathology in pregnancy, unfavorable consequences for neonate also many distant pathological effects among children. Purpose of this was getting an answer for question: whether in current social and economic situation there is connection between low birth mass and smoking tobacco during pregnancy. Under analysis were found births between 38th and 40th one hundred successive births (according to book of birth-room from 2860 labors in hospital in Opol, 2007) of mothers are smoking up to 10 cigarettes a day (group I), mothers smoking 11-20 cigarettes a day (group II) and mothers that are not smoking. This works affirms that smoking has negative influence on child birth mass. It is also displayed that higher the number of smoked cigarettes the higher percent of newborns with low birth mass and higher number o fetus with intrauterine growth retardation. Among mothers that are smoking the biggest group were young women (mean. 24, years) and multipara female (58%). PMID:19189515

  8. Foreign Product Perception in Albanian Market; an Analysis of Country Origin Image, Ethnocentrism and the Position of Turkish Products

    OpenAIRE

    Yuksel KOKSAL; Albana TATAR

    2014-01-01

    The Country-Of-Origin (COO) effect is a reality of international marketing and multifaceted structure of COO makes it important in this field. Albania is a particular instance to examine this topic in order to observe current situation after the communism term. The main objective of this research is to examine the country-of-origin effect upon Albanian consumers to observe their product preferences, reactions, and willingness toward domestic and foreign products. Furthermore this research int...

  9. A cross-cultural comparison of folk plant uses among Albanians, Bosniaks, Gorani and Turks living in south Kosovo

    OpenAIRE

    Mustafa, Behxhet; Hajdari, Avni; Pieroni, Andrea; Pulaj, Bledar; Koro, Xhemajli; Quave, Cassandra L

    2015-01-01

    Background Kosovo represents a unique hotspot of biological and cultural diversity in Europe, which allows for interesting cross-cultural ethnobotanical studies. The aims of this study were twofold: 1) to document the state of traditional knowledge related to local (esp. wild) plant uses for food, medicine, and handicrafts in south Kosovo; and 2) to examine how communities of different ethnic groups in the region (Albanians, Bosniaks/Gorani, and Turks) relate to and value wild botanical taxa ...

  10. An Investigation of the Essential Factors on Customer Loyalty in Banking Sector: A Case of Albanian Retail Bank

    OpenAIRE

    KÖKSAL, Yüksel; Oneda DEMA

    2014-01-01

    The purpose of this research is to reveal essential factors that have influences on customer loyalty directly in Albanian retail banking context. In order to bring out essential factors, we have developed a questionnaire and 410 people participated in the survey. Five different factors have been described to analyze their directly impacts on customer loyalty such as Service, Security, Relationship, Reliability and Staff. The significant relations of each factor with customer loyalty have been...

  11. The Problems of the Albanian Agro-Industry through Analysis of Exports – Imports and Competitive Environment (Region of Korca)

    OpenAIRE

    Aida Gabeta; Eva Dhimitri

    2012-01-01

    The general picture of the Albanian Agribusiness discovers that it is still separated and with a productivity of a low scale compared with European equivalents. Apart from rapid progress, the total production doesn’t coincide with internal consumption, which is completed from considerable quantities of imported food products. For this reason, the production relatively small needs efficient consolidation processes and effective to the address of the value chain which is based on the capital ga...

  12. Topics, Presuppositions, and Theticity: An Empirical Study of Verb-Subject Clauses in Albanian, Greek, and Serbo-Croat

    OpenAIRE

    Matic, D.

    2003-01-01

    Verb-Subject order is often claimed to be the surface expression of thetic utterances, which are supposed to be ontologically different from the classical Aristotelian categoric type: thetic utterances are not divided in two parts (subject and predicate, topic and comment), but represent the information they convey as a cognitive whole. The purpose of the present study is to offer a detailed description of the clauses with this word order in Albanian, Greek, and Serbo-Croat, in which the verb...

  13. The Prevalence of Physical Activity Levels in Albanian Children and Adolescents in the Physical Education Class and Their Leisure Time

    OpenAIRE

    M. Shehu; B. Mema

    2015-01-01

    Many studies that show that all individuals (children, adolescents, adults) who participate in regular Physical Activity, namely "every day" their memory, concentration and communication, problem solving and leadership skills will be improved compared with individuals who are inactive. Moreover, these improvements can have a positive impact in their process of learning and many other subject areas. The purpose of this study is to present the prevalence of physical activity in Albanian childre...

  14. Midwives’ knowledge and attitudes when encountering Gender-Based Violence in their practice at a maternity-hospital in Kingston, Jamaica

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    Cynthia Pearl Pitter

    2016-02-01

    Full Text Available Introduction: Gender-based violence (GBV can have devastating consequences for pregnancy because both mother and child are at risk. Midwives are in a strategic position to identify and empower pregnant women experiencing GBV; however, currently midwives in Jamaica are not required to screen for GBV, neither are they prepared to do so. Aim: This study forms the baseline of a larger study designed to improve the capacity of midwives to identify and treat pregnant women experiencing GBV in Jamaica. This specific component assessed midwives’ knowledge and attitudes when encountering GBV in their practice in Kingston, Jamaica. Methods: A qualitative study design was used. Six practicing midwives were purposely selected to participate in a focus group discussion at the antenatal clinic of a hospital in Kingston, Jamaica. Results: All six respondents said it was very important to screen for GBV among pregnant women in their care. The findings from their report revolved around six themes, namely midwives have suboptimal knowledge, are exposed to women experiencing GBV in pregnancy, lack professional preparedness, report gaps in the institutional framework to guide their practice, are concerned for their safety and security, and are willing to intervene. Conclusion: This study confirmed that midwives are aware of the problem and are willing to intervene but are faced with lack of formal procedures to detect and treat pregnant women who are experiencing GBV. Findings could be used to inform a protocol which is being developed to guide midwives’ practice. Findings could also be incorporated in the national strategy to eliminate GBV.

  15. ASSESSMENT OF STOCK AND SPATIAL DISTRIBUTION OF SOLE (SOLEA SOLEA, L. IN ALBANIAN COAST USING RAPIDO TRAWL

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    Enton Spaho

    2012-06-01

    Full Text Available Common sole (Solea solea Linnaeus, 1758 is still not a specific target of fishery in Albania, but it represents an important target of the mixed-species catches of bottom trawlers and set netters operating in the coastal areas in the upper part of Albanian Adriatic Sea. Sole landings are low, amounting very few tonnes, but the demand will likely increase in the next future, because of the high quality of the fish fillet and the increase of consumers demand for wild sea fish. In order to identify the spawning areas and assess the spatial distribution and biomass of this species a rapido trawl survey was performed in year 2007. The smallest specimens were mostly concentrated in the shallowest stratum and the largest ones between 30 and 100 m depth. Solea Stock Biomass (SSB was 354 t, corresponding to 64% of the overall population recorded at sea at that time. In the context of fisheries, the Albanian fishing fleet involve a number of different fishing gears, while rapido trawl is introduced recently. The special technical and operating characteristics of rapido trawl makes it very effective in sole fishery and less harmful for the sea benthos and the species inhabiting it. This study aimed the estimation of spatial distribution of common sole and its biomass in the Albanian coast using rapido trawl gear.

  16. Supporting Maternal Transition: Continuity, Coaching, and Control

    OpenAIRE

    Rowe, Jennifer; Barnes, Margaret; Sutherns, Stephanie

    2013-01-01

    The transition from maternity services to community child health services on discharge from hospital occurs at a potentially vulnerable time for women in their transition through the childbearing/early parenting continuum. Their experiences contribute to their developing maternal efficacy and parenting skill. The ideal attributes of services that aim to support women and their families during this time include continuity of care, service integration, and birth in accessible, community-based c...

  17. Processo de implantação de Programa de Saúde Auditiva em duas maternidades públicas Implantation process of a Hearing Health Program in two public maternity hospitals

    Directory of Open Access Journals (Sweden)

    Carmen Barreira-Nielsen

    2007-06-01

    qualification, test environment (noise and subject, false-negative, evasion and evaluation time were assessed in a cross-sectional study which included the hearing screening of all newborns in two public maternity hospitals, through otoacoustic emissions. RESULTS: Out of 4951 newborns in the period from 2002 to 2005, 3364 (67.9% were assessed; 425 (12.61% had risk indicators for hearing impairment. Hearing loss was confirmed in seven newborns (0.3% through the Brainstem Auditory Evoked Potential. CONCLUSIONS: The need for protocols with well defined "pass and fail" criterion for each target population was verified. Hearing screening should be carried out within 30 days following birth and should not be limited to maternity hospitals. Team training and supervision is crucial, as well as electronic appointment and monitoring system, in order to decrease evasion and to detect late hearing loss, associating screening programs with the responsibility of diagnostic confirmation and intervention. This way, one will be able to measure hearing deficiency in Brazil and compare it with epidemiological profiles of countries where such programs have already outlined the hearing health of their population.

  18. Clinical correlation of maternal and fetal placental growth hormone in Type 1 diabetic pregnancy

    LENUS (Irish Health Repository)

    Higgins, M

    2011-02-01

    Institute of Obstetricians & Gynaecologists, RCPI Four Provinces Meeting, Junior Obstetrics & Gynaecology Society Annual Scientific Meeting, Royal Academy of Medicine in Ireland Dublin Maternity Hospitals Reports Meeting, Nov 2011

  19. Sexual orientation, gender identity and non-discrimination - The Albanian labor legislation and its effects on employment and vocational training potentials

    Directory of Open Access Journals (Sweden)

    Albana Shtylla

    2013-01-01

    Full Text Available Albania is undergoing an important moment in its integration process to European Union. In this context, the Albanian legislation should compare with the best international standards, in guaranteeing the implementation of the rule of law, democratic principals, the citizen’s equity and the observance of fundamental human rights and freedoms. The promotion, protection and the guaranteeing of the fundamental rights and freedoms of the individual, including the LGBT person’s rights, must have the same attention and consideration, irrespective of the fact that the individual is being part of a social minor group, or part of the majority of the society. The community of the Lesbians, Gays, Bisexuals and Transgender (LGBT in Albania, based on the legislation in force, should enjoy equal rights and freedoms like all other members of the society. The Constitution of the Republic of Albania, the Albanian labour legislation and the legislation generally, are inspired in accordance with the non-discrimination principles, objectives and definitions of international acts, promoting and expressing protection of human rights and freedoms in general, and in particular in the field of employment and vocational training. This paper will analyze, if the sexual orientation, is one of the causes of discrimination for employment and vocational training, in Albanian legislation, especially how it is expressed this issue on the Constitution of the Republic of Albania, the Albanian Labour Code, the Albanian law “On the protection against discrimination” ect.

  20. Maternal Obesity and Rectovaginal Group B Streptococcus Colonization at Term

    OpenAIRE

    Shelby M. Kleweis; CAHILL, Alison G.; Odibo, Anthony O.; TUULI, Methodius G.

    2015-01-01

    Objective. To test the hypothesis that maternal obesity is an independent risk factor for rectovaginal group B streptococcus (GBS) colonization at term. Study Design. Retrospective cohort study of consecutive women with singleton term pregnancies admitted in labor at Barnes-Jewish Hospital (2004–2008). Maternal BMI ≥ 30 Kg/m2 (obese) or

  1. Iraqi Nurses’ Perspectives on Safety Issues in Maternity Services

    OpenAIRE

    Jamil Piro; Ghiyasvandian; Salsali

    2015-01-01

    Background Studies introduce maternal and neonatal safety phenomena as important challenges to the public health, particularly in low-income countries. However, few researches are conducted on the identification of safety issues in maternity hospitals in Iraq. It was the first study on nurses’ perspectives on safety issues in Kurdistan, Iraq. Objectives The current study aimed to describe nurses’ perspectives on what constitutes a...

  2. Praying until Death: Apostolicism, Delays and Maternal Mortality in Zimbabwe.

    Science.gov (United States)

    Munyaradzi Kenneth, Dodzo; Marvellous, Mhloyi; Stanzia, Moyo; Memory, Dodzo-Masawi

    2016-01-01

    Religion affects people's daily lives by solving social problems, although it creates others. Female sexual and reproductive health are among the issues most affected by religion. Apostolic sect members in Zimbabwe have been associated with higher maternal mortality. We explored apostolic beliefs and practices on maternal health using 15 key informant interviews in 5 purposively selected districts of Zimbabwe. Results show that apostolicism promotes high fertility, early marriage, non-use of contraceptives and low or non-use of hospital care. It causes delays in recognizing danger signs, deciding to seek care, reaching and receiving appropriate health care. The existence of a customized spiritual maternal health system demonstrates a huge desire for positive maternal health outcomes among apostolics. We conclude that apostolic beliefs and practices exacerbate delays between onset of maternal complications and receiving help, thus increasing maternal risk. We recommend complementary and adaptive approaches that address the maternal health needs of apostolics in a religiously sensitive manner. PMID:27509018

  3. 妇幼保健院新生儿早发型血流感染分析%Analysis of neonatal early-onset blood stream infections in maternal and children's hospital

    Institute of Scientific and Technical Information of China (English)

    黄小艺; 刘志伟

    2012-01-01

    目的 探讨妇幼保健院新生儿早发型血流感染的病原菌、药敏率以及临床特点,为临床诊疗提供指导帮助.方法 回顾性分析1999年12月-2009年5月医院65例新生儿早发型血流感染病例血培养病原菌分布及药敏率;根据有无临床症状分为新生儿败血症组和菌血症组,比较两组新生儿胎龄、出生体重、性别、分娩方式、窒息史、母亲产前抗菌药物应用情况及预后.结果 医院新生儿早发型血流感染发病率为0.88%;新生儿早发型血流感染革兰阳性菌占73.85%,病原菌前5位依次为无乳链球菌、大肠埃希菌、李斯特菌属、肠球菌属及凝固酶阴性葡萄球菌,分别占26.15%、24.61%、16.93%、15.38%、9.23%;单核李斯特菌及大肠埃希菌是引起新生儿早发型败血症死亡的主要病原菌;青霉素G、万古霉素对革兰阳性菌耐药率为0;败血症组早产儿、低出生体重儿、窒息率及死亡率均高于菌血症组(P<0.05),母体宫内感染确诊率、新生儿生后抗菌药物预防性使用率低于菌血症组(P<0.05).结论 妇幼保健院新生儿早发型血流感染以革兰阳性菌为主,青霉素类抗菌药物可作为新生儿早发型感染预防及治疗首选经验性药物,各医院应根据该院菌群分布特点及耐药性合理选择抗菌药物;对母亲具有宫内感染高危因素的新生儿尤其是早产儿,低出生体重儿预防性应用抗菌药物可缓解新生儿早发型血流感染临床症状及降低其死亡率.%OBJECTIVE To investigate the distribution, antibiotic resistance of positive results and clinical characteristics of neonatal early-onset blood stream infections in maternal &. children's hospital so as to provide evidence for prophylactic and therapeutic use of antibiotics. METHODS A retrospective analysis was conducted on 65 neonates with neonatal early-onset blood stream infections, which were confirmed by hemoculture and

  4. Does prenatal care benefit maternal health? A study of post-partum maternal care use.

    Science.gov (United States)

    Liu, Tsai-Ching; Chen, Bradley; Chan, Yun-Shan; Chen, Chin-Shyan

    2015-10-01

    Most studies on prenatal care focus on its effects on infant health, while studying less about the effects on maternal health. Using the Longitudinal Health Insurance claims data in Taiwan in a recursive bivariate probit model, this study examines the impact of adequate prenatal care on the probability of post-partum maternal hospitalization during the first 6 months after birth. The results show that adequate prenatal care significantly reduces the probability of post-partum maternal hospitalization among women who have had vaginal delivery by 43.8%. This finding suggests that the benefits of prenatal care may have been underestimated among women with vaginal delivery. Timely and adequate prenatal care not only creates a positive impact on infant health, but also yields significant benefits for post-partum maternal health. However, we do not find similar benefits of prenatal care for women undergoing a cesarean section. PMID:26189913

  5. An Application of EVT, GPD and POT Methods in the Albanian Insurance Market

    Directory of Open Access Journals (Sweden)

    Enkeleda Shehi

    2015-03-01

    Full Text Available Despite its relatively fast development, the insurance sector in Albania suffers from laco of experience, and lack of a database with historical records to make risk assessments feasible and to enable risk calculation. Consequently the newly established companies that operate in the insurance market in Albania cope with difficulties to make accurate calculations of reinsurance premium, i.e. the premium paid by a ceding company to an reinsurer in exchange of the liability assumed by the reinsurer. Given the situation, this research paper aims to provide an alternative way to make pure premium estimations. We have taken in consideration a dataset of fire insurance and other perils' claims, which have taken place in the Albanian insurance market during 2007 t 2014 period. Prices have been inflated to take into account the inflation of the period. There are n=401 fire insurance and other peril losses, the largest of them is Euro 1.203.798, the average is 20.156 Euro and the standard deviation is s= 83.037 Euro. The skewness coefficient of 9,94, indicates that the right tail is heavy, with considerable scope for llarge losses.

  6. Payout phase in DC pension funds – policy option - Theoretical considerations and Albanian available options

    Directory of Open Access Journals (Sweden)

    Enkeleda Shehi

    2015-11-01

    Full Text Available The aim of this paper is to provide a brief overview of the third pillar of pensions in Albania and what are the different alternatives related to the payout. Referring to the actual development of this market in Albania, experience of the actors involved, I find it indispensable and necessary to provide some theoretical background and considerations, and then build up a simple model of projection of a pension scheme cost and a model for payout alternatives for the Albanian pension funds. A great deal of importance is shown towards posing the assumptions. Also, the paper gives an explanation about the differences among different payout options and suggests the best option for the existing pension funds in Albania. The best option represents my conclusion and recommendation for the actual third pillar of pensions and the others that might join latter. To sum up, the first conclusion of the paper is that the annuity option is the best alternative for the payout phase of the pensions. It has the advantage of providing the highest protection against the risk of longevity. The second conclusion is that based on other countries experiences, the annuity market have to be developed hand in hand with the pension system development. Therefore Albania should rely on and follow this experience.

  7. Sex trade, social and legal aspect of the phenomena and the Albanian criminal legislation provisions

    Directory of Open Access Journals (Sweden)

    Aurela Bozo

    2015-01-01

    Full Text Available The purpose of this paper is to analyse the effects of Article 113 of the Albanian Criminal Code on women. This article appears to be gender neutral, but it’s enforcement affects women disproportionately and face them with forms of indirect gender discrimination. Through monitoring of Tirana Judicial District Court’s decisions, with object article 113 of the ACC, “Prostitution”, for a four year period from 2010 through 2013 and interviews with women who have exercised prostitution, there are brought in attention the profiles of the individuals who exercise prostitution and also social aspects of this phenomena. The hypothesis raised in this paper is that the profile of an individual who exercises prostitution is a vulnerable woman, with low education, unemployed, with low income, who is faced with family and social problems. This paper analyses the relation between the social aspects and legal dynamics of article 113 of ACC. The changes of 2012 introduced in the article 113 of the ACC brought sanctions for persons who buy the service of prostitution reflecting the process of social changes and understanding of gender equality. The issue of the next steps to address this phenomenon is analysed in this article too.

  8. Evaluation of Irrigation Water Quality in the Central Albanian Regions of Kavaja and Kruja

    Directory of Open Access Journals (Sweden)

    Azem Bardhi

    2014-02-01

    Full Text Available The purpose of the study was the monitoring of water quality (water resources used for irrigation in the regions of Kavaja and Kruja. The study was carried out during 2009-2010. The samples were collected over a two-week period (1 June - 31 August and were analyzed according to USEPA methodology at Institute of Earth Studies, Tirana. The samples were analyzed in terms of parameters such as pH, t ºC, TDS, EC, chemical parameters Ca2+, Mg2+, K+ , Na+ , Cl- , CO3 2-, HCO3 - , SO4 2- , nutritional elements N-NO3, N-NH4, and PO4-P. The results have indicated a relatively high content of ions Na+ and Cl- in the water resources in the region of Kavaja (Qeret area that might lead to toxicity for the sensitive plants and contents within the limits as determined by Albanian Standard Catalogue and FAO, 1989 in the region of Kruja. Based on the findings obtained the water resources analyzed are classified under 2nd class [1]. The continuous monitoring of water resources is indispensable as a result of the proliferation of pollution from industrial and agricultural activities and the discharge of urban waste in these regions. Keywords:

  9. Impact Of Firm Specific Factors On Capital Structure Decision: An Empirical Study Of Albanian Firms.

    Directory of Open Access Journals (Sweden)

    Anila Çekrezi

    2013-04-01

    Full Text Available This paper attempts to explore the impact of firm specific factors on capital structuredecision for a sample of 65 non- listed firms, which operate in Albania, over the period2008-2011.In this paper are used three capital structure measures ; short –term debt tototal assets (STDA, long- term debt to total assets (LTDA and total debt to total assets(TDTA as dependent variables and four dependent variables: tangibility(TANG,liquidity (LIQ, profitability(ROA=return on assets and size (SIZE. The investigationuses panel data procedure and the data are taken from balance sheets and include onlyaccounting measures on the firm’s leverage. This study found that tangibility (the ratio offixed assets to total assets, liquidity (the ratio of current assets to current liabilitiesprofitability (the ratio of earnings after taxes to total assets and size (natural logarithm oftotal assets have a significant impact on leverage. Also empirical evidence reveals asignificant negative relation of ROA to leverage and a significant positive relation ofSIZE to leverage. And the second objective of this study is to identify the impact ofindustry classification on firm’s leverage, using a dummy variable for the trade sector. Soone of the hypothesis tested is if financial leverage is independent of industryclassification. Results reveal that long term debt to total assets and total debt to totalassets ratios are significantly different across Albanian industries.

  10. Analysis precipitation regime. Period dryness and climate risk determination for agriculture on albanian territory

    Directory of Open Access Journals (Sweden)

    ALBERT KOPALI

    2014-06-01

    Full Text Available Agriculture is one of the most interested sectors in climate studies, because the agriculture activity is very sensitive to meteorological yearly progress as temperature and rain falls. Studying the dryness effects present of yearly periods is with a special interest in agriculture, because many plants are autumn and spring sowing and they feels the stress conditions that it is due to lack of rainfall. Repeating long drought periods combined with other reasons can cause potentially serious damage to water resources [1]. Adding to this conditions of climatic changing situation which according to numerous studies conducted on climate change and its effects, have shown an increasing trend in the values of average temperatures and a decrease in amount of rainfall which is evident on Mediterranean region and in Albania too [2]. Evaluation of ecological factors particularly determining the climatic dryness periods of the year, becomes more difficult when these assessments are made for local spaces. For the territorial planning of agricultural systems purposes and their management on local conditions, especially in dry and semi-dried areas, takes a significant determination of dryness year periods with which it is closely related the crop production. This study aims at determining the periods of dryness of the year in Albanian conditions, studying it closely linked with the expected climate change in the agricultural interest areas.

  11. MEASURING CONSUMER-BASED BRAND EQUITY - EVIDENCE FROM ALBANIAN BANKING SECTOR

    Directory of Open Access Journals (Sweden)

    Shpëtim ÇERRI

    2012-01-01

    Full Text Available Today brands and branding have gained a lot of attention among academics and practitioners as well, since they are considered crucial for the success of a company. The branding literature, however, has been more focused on goods branding, relatively neglecting the services branding. Branding equity in services, as an important concept of services branding, also has not received the deserved attention from academics and services companies’ managers.The study aims to measure the brand equity in services sector, since brand equity is very important for monitoring of the health of services brands. It has been focused in the banking sector, a well-developed and consolidated sector which employs hundreds of individuals and has a very important role in Albanian economy. Nine banks, which make up more than 98 per cent of the domestic market in banking services (according to the official data of the Bank of Albania, were chosen to be included in the study. 250 bank customers were interviewed, using direct interviews. After an extensive literature review about the branding and services branding, seven measures were chosen and used to measure the services brand equity. The findings of the study gave interesting insights about services branding equity and services branding in general. It has important and useful implications for banks’ managers as well as for academics.

  12. Notions, Nuances And Connotations Of Idioms With Names Of Fruit And Vegetables In Albanian

    Directory of Open Access Journals (Sweden)

    Harallamb Miconi

    2012-10-01

    Full Text Available The purpose of this study is to show that the lexical field with names of fruit and vegetables in Albanian is of special interest for the field of phraseology as well. Thanks to fruit and vegetables and the names of this field, man can create a language of reason and express their attitude to reality. In this study we mainly focused on the nuances and connotations of these idioms as lexical content elements that make the meaning expressed by an idiom distinct from the meaning expressed by an one-word equivalent. Our conclusion is that the observed nuances are negative, such as the idea of futility, evil, rush, etc., while as far as connotations are concerned, most of them are negative, such as the connotation of disregard, irony, derision, etc., but there is also a positive connotation, such as the connotation of admiration. Regarding the nature of the properties and actions that idioms express, 85% of them characterize man, that is, they have an anthropocentric nature. 

  13. INFLUENCE OF TOURISM SECTOR IN ALBANIAN GDP: STIMATION USING MULTIPLE REGRESSION METHOD

    Directory of Open Access Journals (Sweden)

    Eglantina HYSA

    2012-06-01

    Full Text Available During last years, tourism sector has significantly increased in Albania, since after year 1990 Albania has passed from a centralized economy to a liberal one. Tourism sector plays an important role in economic and social development. The contributions of this sector reflect directly into the generation of national income. The two main components matching the tourism movements are the number of tourists and the number of overnights in hotels. Investments done in this sector could be expected to have high positive influence in the country's GDP. This study seeks to identify the influence of tourists, their overnights in hotels and capital investment spending by all sectors directly involved in tourism sector on tourism total contribution to gross domestic product of Albania during 1996-2009. A regression analysis has been performed taking as dependent variable GDP generated by tourism sector and as independent variables, capital investment, tourist number and overnights in hotels. Even if all the variables have been found to be positivlye related, the variable ‘overnights of foreigners and Albanians in hotels' have beenfound insignificant.

  14. In vitro antioxidant activity of non-cultivated vegetables of ethnic Albanians in southern Italy.

    Science.gov (United States)

    Pieroni, A; Janiak, V; Dürr, C M; Lüdeke, S; Trachsel, E; Heinrich, M

    2002-08-01

    A total of 27 extracts from non-cultivated and weedy vegetables traditionally consumed by ethnic Albanians (Arbëreshë) in the Vulture area (southern Italy) were tested for their free radical scavenging activity (FRSA) in the DPPH (1,1-diphenyl-2-picrylhydrazil radical) screening assay, for their in vitro non-enzymatic inhibition of bovine brain lipid peroxidation and for their inhibition of xanthine oxidase (XO). In both antioxidant assays strong activity was shown for Leopoldia comosa (bulbs, syn.: Muscari comosum) and Centaurea calcitrapa (young whorls). In the lipid peroxidation assay, extracts from leaves of Origanum heracleoticum, Urtica dioica and Tordylium apulum showed a remarkable inhibitory activity (> 50%), too. In the case of Leopoldia comosa and Origanum heracleoticum this activity was comparable to quercetin (at a concentration of 50 microM) and Rhodiola rosea extract. Extracts from non-cultivated Cichorium intybus, Chondrilla juncea and Stellaria media showed strong in vitro inhibition of xanthine oxidase, with an activity higher than that of a reference extract from Ledum groenlandicum. These findings suggest that weedy vegetables may be useful antioxidants of interest in the prevention of ageing related diseases, CNS disorders and as potential sources of phytomedicines against hyperuricaemia and gout. PMID:12203269

  15. Giving birth at a maternity hospital: the key strategic option to be adopted in order to combat maternal and neonatal mortality in Mali Faire de l’accouchement en maternité l’option stratégique essentielle pour lutter contre la mortalité maternelle et néonatale au Mali Dar a luz en un hospital maternal: la opción estratégica clave a adoptar para combatir la mortalidad materna y neonatal en Malí

    Directory of Open Access Journals (Sweden)

    Hubert Balique

    2012-04-01

    Full Text Available The end result of the past 40 years of experience in combating maternal mortality in Mali suggests that the emphasis should be changed, and that giving birth at a maternity hospital should be the basic strategic option chosen. This means creating “compounds set aside for mothers-to-be”, where women approaching the end of their pregnancy will be invited to come and await the onset of labour, and at the same time enjoy the rest they need. However, the prerequisites for such an initiative will be first to guarantee the necessary quality of care in maternity hospitals, by virtue of an accreditation system, and second to ensure that the system is fully operational in terms of referring obstetric emergencies. Giving birth in the woman’s home village will then no longer be regarded as a clearly expressed strategic choice, but as an unintended course of events. The introduction of a subsidised system of fixed-charge obstetric care will remove any financial obstacles, and is a necessary step to ensure the feasibility of such a programme.Le bilan des 40 ans d’expérience du Mali en matière de lutte contre la mortalité maternelle plaide pour un recentrage faisant de l’accouchement en maternité l’option stratégique fondamentale. Pour cela, doivent être créées des « concessions des mamans » où les femmes en fin de grossesse seront invitées à se rendre pour y attendre le début du travail en bénéficiant notamment du repos qui doit s’imposer à elles. Le préalable à cette initiative sera cependant de garantir d’une part la qualité des soins dans les maternités grâce à un mécanisme d’accréditation, d’autre part la pleine fonctionnalité du système de référence des urgences obstétricales. Ainsi, l’accouchement au village ne devra-t-il être plus considéré comme un choix stratégique affirmé, mais comme un incident de parcours. La mise en place d’un forfait obstétrical subventionné permettra de lever l

  16. Maternal health care in Masanga, Sierra Leone

    OpenAIRE

    Fugmann, Laura; Nielsen, Sofie Hede; Madsen, Nina Maria

    2013-01-01

    Sierra Leone has the statistic world record of being the country with the highest average child and maternal mortality. The Danish community based organization Masanga, has initiated a hospital in the village of Masanga, in order to contribute to rebuild the health sector after the civil war, to help prevent disease and death and promote health locally. By interviewing three Danish volunteers from the Masanga Organization who all have been at the hospital, and by examining relevant artic...

  17. 持续质量改进理论在妇幼保健院处方点评中的应用%Application of Continuous Quality Improvement Theory in Prescription Comments in Maternal and Children Health Care Hospital

    Institute of Scientific and Technical Information of China (English)

    李艳; 朱华威

    2012-01-01

    OBJECTIVE: To investigate the application of continuous quality improvement theory in prescription comments in outpatient department of maternal and child health care hospital. METHODS: Based on PDCA cycle method, the outpatient prescriptions were commented in respects of Plan, Do, Check and Action. We conducted continuous quality management, found out the specific performance of the unqualified prescription, analyzed the possible causes, made improvement plan and achieved goal, cleared and defined responsible person. We took a random sample of 1 800 outpatient prescriptions within 9 months after continuous quality improvement (200 prescriptions each month), and calculated the monthly qualified rate of prescription. RESULTS: The qualified rate of outpatient prescriptions had been improved from 55% before quality improvement to 60% , 65% , 85% , 86% , 88%, 90%, 95%, 99% and 99% from Jan. To Sept. After quality improvement (P<0.05). CONCLUSION: Application of continuous quality improvement in the comments of outpatient prescription can effectively improve the quality of outpatient prescription and rational drug use.%目的:探讨持续质量改进理论在妇幼保健院门诊处方点评中的应用.方法:基于PDCA循环法,对门诊处方点评工作采取计划、执行、检查和行动4个阶段的过程管理,通过找出不合格处方的表现、分析原因、制定改进措施及目标、明确责任人进行持续质量改进.随机抽取改进后9个月的门诊处方1800张(每月200张)统计每月处方合格率.结果:门诊处方合格率由改进前的55%提高到改进后1-9月的60%、65%、85%、86%、88%、90%、95%、99%、99%(P<0.05).结论:在门诊处方点评中引进持续质量改进管理方法,提高了门诊处方的质量,促进了合理用药.

  18. The perception of crime from Albanian families that come from rural areas (Case study in the city of Durres)

    OpenAIRE

    Marjeta Milloshi

    2015-01-01

    Crime in the family constitutes one of the major concerns of recent years in Albania. Violence in Albanian families remains unnoticed and is not declared by the majority of those affected. The worst is that there are deep rural areas where violence is accepted as normal within a family. Many studies have come to the conclusion that women who have higher education tend to be better prepared to cope with domestic disputes and solve the problems with communication, so are less likely to be victi...

  19. A Comparison of Medical Birth Register Outcomes between Maternity Health Clinics and Integrated Maternity and Child Health Clinics in Southwest Finland

    Directory of Open Access Journals (Sweden)

    Miia Tuominen

    2016-07-01

    Full Text Available Introduction: Primary maternity care services are globally provided according to various organisational models. Two models are common in Finland: a maternity health clinic and an integrated maternity and child health clinic. The aim of this study was to clarify whether there is a relation between the organisational model of the maternity health clinics and the utilisation of maternity care services, and certain maternal and perinatal health outcomes. Methods: A comparative, register-based cross-sectional design was used. The data of women (N = 2741 who had given birth in the Turku University Hospital area between 1 January 2009 and 31 December 2009 were collected from the Finnish Medical Birth Register. Comparisons were made between the women who were clients of the maternity health clinics and integrated maternity and child health clinics. Results: There were no clinically significant differences between the clients of maternity health clinics and integrated maternity and child health clinics regarding the utilisation of maternity care services or the explored health outcomes. Conclusions: The organisational model of the maternity health clinic does not impact the utilisation of maternity care services or maternal and perinatal health outcomes. Primary maternity care could be provided effectively when integrated with child health services.

  20. 妇幼保健院药学管理中品管圈的应用实践%Application and practice of the pharmacy management of maternal and Child Health Hospital of coil

    Institute of Scientific and Technical Information of China (English)

    李鑫

    2015-01-01

    Objective:the analysis of the application ef ect of quality control circle theory in the pharmacy management of maternal and child health hospital.Methods:according to the basic steps of quality control circle activity schedule activities,analyzes the existing problems in the pharmacy management in our hospital,work out solutions to the problems.Results:the im-plementation of QCC,the incidence of the problem of pharmacy management in pharmacy store was significantly decreased,the lack of communication and the bad project down the largest pro-portion,87.5%,in fact,prescription writing is not complete,80% pharmacists responsibility heart is not strong,the incidence rate of decline of 75%,ranked third;circle by means of quality control,work enthusiasm and the sense of responsibility of the members,communication and coordination,cohesion and the ability to solve problems and quality control methods have the capaci-ty to improve.Conclusion:the quality control circle activity can ef ectively improve the working enthusiasm of the pharmacy management,enhance the sense of responsibility,reduce the error rate in the pharmacy management,improve the quality of pharmaceutical care.%目的:分析品管圈理论在妇幼保健院药学管理中的应用效果。方法:按照品管圈活动的基本步骤安排各项活动,分析我院药学管理中存在的问题,针对问题制定对策。结果:实施品管圈活动后,药事管理中各项问题的发生率均有显著下降,其中与药库缺乏沟通这一不良项目的下降比例最大,为87.5%,其实为医师处方书写不完整,为80%,药师责任心不强发生率下降75%,位列第三;通过品管圈活动,各圈员的工作积极性、责任感、沟通配合、凝聚力、解决问题的能力、品管手法等能力均有所提高。结论:品管圈活动可有效提高药学管理人员的工作积极性,增强其责任心,降低药学管理中的差错率,提高药学服务质量。

  1. Maternal near miss and death among women with severe hypertensive disorders: a Brazilian multicenter surveillance study

    OpenAIRE

    Zanette, Elvira; Parpinelli, Mary Angela; Surita, Fernanda Garanhani; Costa, Maria Laura; Haddad, Samira Maerrawi; de Sousa, Maria Helena; e Silva, Joao Luiz Pinto; Souza, Joao Paulo; Cecatti, Jose Guilherme

    2014-01-01

    Background Hypertensive disorders represent the major cause of maternal morbidity in middle income countries. The main objective of this study was to identify the prevalence and factors associated with severe maternal outcomes in women with severe hypertensive disorders. Methods This was a cross-sectional, multicenter study, including 6706 women with severe hypertensive disorder from 27 maternity hospitals in Brazil. A prospective surveillance of severe maternal morbidity with data collected ...

  2. Evaluasi Determinan Kematian Maternal Di RSUP.H. Adam Malik Medan Tahun 2010-2012

    OpenAIRE

    Sembiring, Morel

    2016-01-01

    Background: Number of maternal death is one of the indicator to evaluate the degree of female health. According to data from WHO 99% of maternal death due to problems in labor or birth happens in developing countries. Objective: To determine causes of maternal death that happened in Adam Malik General Hospital according to factors that cover far determinant, inter determinants, result determinants as risk factors causing maternal death. Method: This is a retrospective analytical resea...

  3. Maternal death audit in Rwanda 2009–2013: a nationwide facility-based retrospective cohort study

    OpenAIRE

    Sayinzoga, Felix; Bijlmakers, Leon; van Dillen, Jeroen; Mivumbi, Victor; Ngabo, Fidèle; van der Velden, Koos

    2016-01-01

    Objective Presenting the results of 5 years of implementing health facility-based maternal death audits in Rwanda, showing maternal death classification, identification of substandard (care) factors that have contributed to death, and conclusive recommendations for quality improvements in maternal and obstetric care. Design Nationwide facility-based retrospective cohort study. Settings All cases of maternal death audited by district hospital-based audit teams between January 2009 and December...

  4. The Transition and Integration of the Albanian Economy in the EU

    Directory of Open Access Journals (Sweden)

    Leontiev Çuçi

    2014-05-01

    Full Text Available The transition and integration of the Albanian economy in the EU constitutes a special valuable experience that would be relevant for the present and future development processes of economic market in general. Albania's experience in this regard carries two salient features in the path of Euro-Atlantic integration. First of all, the transition and economic integration in the EU began from scratch without inheriting any element or experience of the market economy and democratic culture; secondly, it began as a radical process conceived as “shock therapy”, which excludes a graduated process; thirdly, it started out as a political process driven by upward and will continue as such until its completion. The created elements of market economy and democratic culture are going on in parallel with the process of EU integration But the lack of democratic culture has created more conflictual than consensual phenomenon that hinders and delays the time of wider economic integration. Not surprisingly, Albania as the most fanatical and dictatorial communist country in the past is the worst in the performance of the integration process. Despite the time and the problems we have “skipped” many stages of historical development of a democratic Western society and with optimism, we are having more and more realistic difficulties and efforts still need to be done to reach the standards of civilized Europe. Throughout this period precisely to achieve these standards we consider as a transition, which will end as an economic process but also as a socio-cultural one, when we become a member with full rights in the EU.

  5. Student Intelligence and Academic Achievement in Albanian Universities. Case of Vlora University

    Directory of Open Access Journals (Sweden)

    Ilirjan Lipi

    2014-06-01

    Full Text Available This study involves students of economic faculty that were attending bachelor in business administration and professional master degree in public administration at the University of Vlora “Ismail Qemali”. During this period several dimensions of students’ intelligence levels and their correlation to the final exams outcome in relevant subjects are measured and observed. The questionnaire was distributed to students of bachelor’s and master’s degree at the Faculty of Economy of Vlora University during the period October 2012 to February 2013. Promoting and improving students' intelligence and their critical thinking is still a novelty for universities and Albanian education system. Critical thinking and high intelligence bring positive results and create premises for well qualified employees in the private sector and public administration, too. The level of intelligence and critical thinking in classrooms and university courses in Albania is not at the appropriate levels or in the majority of cases it is non-existent, and this regardless the sounder made by the education development policy makers and managers of universities to the importance of human capital productivity and students’ academic results. In purpose to explore this issue, the empirical study included 60 out of 70 students from the International Business course at bachelor degree, and 43 out of 69 students of management of human resources course at master degree in Public Administration. The improvement of students’ intelligence could affect a positive impact on students’ academic results and on the productivity of organizations where they will be involved. The study aims to draw the attention that university education system in our country must face the idea of encouraging and stimulating the multiple dimensions of intelligence and strengthening critical thinking skills due to the effect that these dimensions have on a better absorption of knowledge and potential

  6. An Approach for Assessing Ecosystem Services with Application in Albanian Part of Prespa Park

    Directory of Open Access Journals (Sweden)

    DORINA GRAZHDANI

    2014-09-01

    Full Text Available Nature provides us with the very essentials of life. It gives us clean air and water; enables us to produce and gather food, fuel and raw materials from the land and sea; regulates our climate; stems flood waters and it filters pollution. It also gives us personal benefits from enjoying it that increases our health and happiness. Collectively, these benefits are known as ecosystem services. A study to obtain information concerning ecosystem services issues in the Albanian part of Prespa Park (AL-Prespa basin, south-eastern Albania, was conducted from 2010-2012. The main aim of the study was providing an assessment of services coming from a range of AL-Prespa ecosystems, and benefits of the services under different management scenarios. In this study, the problem of how to address and solve the complex issues of assessing ecosystem services is addressed, using a deliberative process based on citizens’ juries aided by multi-criteria evaluation method of analysis. The main elements of the approach presented in this paper are: an inventory process to focus on sets of ecosystem services in AL-Prespa, and a number of future management scenarios are developed in conjunction with an expert panel of stakeholder and scientific representatives. This approach presents an important tool in an analysis of ecosystem services and is essential for identifying and prioritizing the relative importance of the services produced by ecosystems in a protected area. The approach described in this study may be applied to larger ecosystems with a broader range of the ecosystem services to be valued.

  7. The use of patch testing for the diagnosis of contact dermatitis: an Albanian experience

    Directory of Open Access Journals (Sweden)

    Monika Fida

    2015-09-01

    Full Text Available Introduction: The daily increase of using chemical, aromatic and cosmetic products has been associated with significant increase in frequency of skin diseases such as eczemas and contact dermatitis (CD. The aim of this study was to evaluate the use of patch testing (PT for the diagnosis of CD and provide current data on the frequency of sensitization to various contact allergens among patients with CD in the Albanian population.Methods: We retrospectively analyzed all consecutive patients clinically suspected for CD during the period February 2010 – February 2011, in the outpatient setting. PT was done using Baseline European Series consisting of 31 allergens. Risk factors (age, gender, occupation and place of residence and sensitization to various contact allergens were evaluated.  Results: In total, 193 patients clinically suspected for CD were included in the study and underwent PT. The highest prevalence of CD was found in the age-group of 31-40 years (32.6%, with a statistically significant difference between other age-groups (X2 = 141.2, p<0.01. Positive PT results with at least one allergen were seen in 144 (74.6 % patients suspected for CD. The two most common allergens were nickel and potassium dichromate. Construction worker and hairdresser were the most affected professions. Females had a chance of 1.8 times higher for having a positive patch test result compare to males (OR = 1.8; 95% CI 0.91 – 3.39.Conclusion: Determination of allergens that cause contact dermatitis is a necessity not only to confirm the correct diagnosis, but also for the qualitative treatment and prevention of the disease. Patch testing, even though an old method, still remain a valuable and non-invasive approach to determine the causes of contact dermatitis.

  8. Implementation of e-commerce in developing countries: impact and its limitations-Albanian Case study

    Directory of Open Access Journals (Sweden)

    Genti Çela

    2016-07-01

    Full Text Available The implementation of Electronic Commerce (hereinafter referred to as "e-Commerce" in developed countries has been proven as an indisputable potential to ameliorate the efficiency and productivity in different areas, therefore, its implementation is attracting significant attention in developing countries. Despite its opportunities established in developed countries, there were many doubts about the e-commerce implementation in developing countries. That reluctance is heightened by the limited number of studies on e-commerce and the lack of legislation. This paper aims to contribute on filling the research gap by highlighting the e-commerce implementation in Albania as a developing country, its importance, the level of trust, its benefits, its positive or negative impacts and its limitations. This study will be continuously and accordingly updated with new evidence based on research results, along with future developments of Albania’s economic, political, social and demographic environment. This is because different areas represent different infrastructure and different social and economic characteristics, different levels of trust on transactions, different attitudes towards institutions. We have also take into consideration that different communities have different attitudes toward the acceptance and developments of e-Commerce system. In this paper, we present a comprehensive approach to e-commerce, concentrating specifically on Albanian case. Firstly we analyze the current situation of e-Commerce. Secondly we pay attention to the benefits and legal strategies for its implementation. The third step consists in presenting the relevant objectives. We believe and insist that the development of e-commerce in developing nations, - including Albania, has a positive perspective, if the government, companies and the public can better understand and implement e-Commerce.

  9. Ghrelin concentrations in maternal and cord blood of type 1 diabetic and non-diabetic pregnancies at term

    LENUS (Irish Health Repository)

    Heir, MP

    2011-02-01

    Institute of Obstetricians & Gynaecologists RCPI Four Provinces Meeting, Junior Obstetrics & Gynaecology Society Annual Scientific Meeting, Royal Academy of Medicine in Ireland Dublin Maternity Hospitals Reports Meeting Nov 2010

  10. Utilização de serviços de reabilitação pelas crianças e adolescentes dependentes de tecnologia de um hospital materno-infantil no Rio de Janeiro, Brasil Use of rehabilitation services by technology-dependent children and adolescents in a maternal and child hospital in Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    Cláudia Zornoff Gavazza

    2008-05-01

    Full Text Available O objetivo deste estudo é caracterizar descritivamente a dependência tecnológica e a utilização de serviços de reabilitação pela população de crianças e adolescentes de um hospital materno-infantil do Rio de Janeiro, Brasil. O estudo transversal descreveu as características demográficas da criança e sócio-econômicas do cuidador e família, como também o tipo de dependência tecnológica e a utilização de serviços de reabilitação. A população do estudo é composta de pré-escolares (56,3%, do sexo masculino (58,3%, residentes na região metropolitana do Estado do Rio de Janeiro (89,6%. São oriundos de famílias com rendimentos mensais até dois salários mínimos (70,9%, cuidados sobretudo por suas mãe (93,8%, que possuem escolaridade menor ou igual ao ensino fundamental (54,2% e não trabalham (89,6%. Dos entrevistados, um total de 22,9% depende de três tipos diferentes de tecnologias, sendo o suporte medicamentoso (87,5% a mais utilizada. O tratamento de reabilitação é financiado preponderantemente pelo Sistema Único de Saúde (SUS e instituições filantrópicas, sendo o fisioterapeuta motor (60,4% o profissional de maior demanda nesse tratamento. O hospital estudado concentra todos os atendimentos médicos especializados e a maior parte dos tratamentos em reabilitação.The objective of this study was to describe the dependence on technology and use of rehabilitation services by children and adolescents in a maternal and child hospital in Rio de Janeiro, Brazil. Using a cross-sectional design, the following variables were analyzed: gender and age of the children and adolescents, socioeconomic characteristics of the family, technology dependence, and use of rehabilitation services. The majority of the study population consisted of preschoolers (56.3%, boys (58.3%, residing in Greater Metropolitan Rio de Janeiro (89.3%, from low-income families (70.9%, and cared for mainly by their mothers (93.8%, who in turn have

  11. Serbs as threat the extreme negative portrayal of the Serb “minority” in Albanian-language newspapers in Kosovo

    Directory of Open Access Journals (Sweden)

    Zdravković-Zonta Helena

    2011-01-01

    Full Text Available Through perpetuating negative stereotypes and rigid dichotomous identities, the media play a significant part in sustaining conflict dynamics in Kosovo. Examining their discourse in terms of ideological production and representations is crucial in order to understand the power relations between the majority and the minority, the identity politics involved in sustaining them, and the intractability of the conflict. In an effort to provide a deeper understanding of the intractable conflict in Kosovo, and the role of the media in protracting it, this study uses critical discourse analysis to examine articles related to issues affecting the Serb community, published in Albanian language print media. The master narrative that comes out of the analysis is that of “threat” - the threat that Kosovo Albanians continue to face from Serbs and Serbia; a threat that is portrayed as historical and constant. The discourse further strengthens the conflict dynamics of opposition, polarization and even hatred. This master narrative implies that Serbs are enemies, to be feared, contested, fought against; conflict is thus the normal state of affairs. The study also looks at the implications of media discourse for reconciliation efforts and the prospects of the Serb minority in Kosovo society, arguing that when the Other is presented as dangerous and threatening, fear of the Other and a desire to eliminate the threat, physically and symbolically, become perceived as a “natural” response, and thus constitute a significant conflict-sustaining dynamic.

  12. The Problems of the Albanian Agro-Industry through Analysis of Exports – Imports and Competitive Environment (Region of Korca

    Directory of Open Access Journals (Sweden)

    Aida Gabeta

    2012-12-01

    Full Text Available The general picture of the Albanian Agribusiness discovers that it is still separated and with a productivity of a low scale compared with European equivalents. Apart from rapid progress, the total production doesn’t coincide with internal consumption, which is completed from considerable quantities of imported food products. For this reason, the production relatively small needs efficient consolidation processes and effective to the address of the value chain which is based on the capital gains. The development in the value chain and common exploitation of the sources results to the effects of synergy, which leads to the cost reduction, productivity increase, quality improvement and increase of sales through market diversification and sales’ expansion in local, regional and international markets.The paper gives a panorama of exports – imports of the Albanian Agribusiness concentrating at this sector in the region of Korca and analyzes some of the priority industries of the agribusiness sector in the region and further on the point of view of five competitive forces of Porter.

  13. Maternal mortality in southern India.

    Science.gov (United States)

    Rao, P S; Amalraj, A

    1994-01-01

    In a 4 year prospective community survey of 20,000 women randomly selected in North Arcot District of Tamil Nadu State in South India, the maternal mortality rates per 1,000 liveborn were estimated to be 17.4 and 16.6 for rural and semi-urban areas, respectively. The rates based only on direct causes were 11.9 in rural and 14.4 in semi-urban areas. As expected, these figures are considerably higher than those based on official or hospital statistics. Factors associated with such high mortality and the implications for programme planning and implementation are discussed. PMID:7855917

  14. Care of adolescents sheltered in maternity hospitals from the perspective of health professionals Asistencia a las adolescentes albergadas en una maternidad bajo la óptica de profesionales de salud Assistência às adolescentes abrigadas em maternidade sob a ótica de profissionais de saúde

    Directory of Open Access Journals (Sweden)

    Lucia Helena Garcia Penna

    2012-01-01

    Full Text Available OBJECTIVE: Discuss determinant aspects of quality care of pregnant adolescents sheltered in a maternity hospital, according to the perspective of health professionals. METHODS: Study with a qualitative, exploratory approach, conducted in a maternity hospital in the Municipality of Rio de Janeiro - RJ, reference for sheltered youngsters. The subjects of the study were 14 health professionals. The data were treated according to the Content Analysis technique. RESULTS: Two categories of analysis emerged: Characteristics of care provided by health professionals at the maternity hospital directed towards the sheltered adolescent mother and her child; Characteristics of the organization/structure of the maternity hospital that affected the care of the sheltered pregnant adolescents. CONCLUSION: It is necessary to incorporate the guiding practices of integrality/interdisciplinarity into the service. The stigmatization of these youngsters is one of the greatest challenges to full assistance and care. The maternity hospital space is a rich environment for the nurse-adolescent dialogic process.OBJETIVO: Discutir aspectos determinantes de una asistencia de calidad a adolescentes embarazadas, albergadas en una maternidad, conforme la óptica de profesionales de salud. MÉTODOS: Estudio de abordaje cualitativo, exploratorio, realizado en una maternidad del Municipio de Rio de Janeiro - RJ, referencia para jóvenes albergadas. Los sujetos del estudio fueron 14 profesionales del equipo de salud. Los datos fueron tratados, conforme a la técnica del análisis de contenido. RESULTADOS: Emergieron del análisis dos categorías: Características de la atención de los profesionales de salud de la maternidad direccionadas a la madre adolescente albergada y su hijo; Características de la organización/estructura de la maternidad que afectan la atención a las adolescentes albergadas embarazadas. CONCLUSIÓN: Se hace necesario incorporar las prácticas norteadoras

  15. 某妇幼保健院医院感染现患率调查%Pevalence rate of healthcare-associated infection in a maternal and child health care hospital

    Institute of Scientific and Technical Information of China (English)

    李晖; 高晓玲; 钟巧; 刘珺; 林春燕; 沈嘉茵

    2015-01-01

    目的:了解某妇幼保健院2014年医院感染情况,为进一步目标性监控提供科学循征依据。方法采用床旁调查与在架运行病历调查相结合的方法,对该院住院患者进行医院感染横断面调查。结果实查住院患者768例,发现医院感染9例,医院感染现患率为1.18%;现患率排名居前3位的科室依次为产科重症监护室(ICU,9.09%)、新生儿 ICU(NICU,5.80%)、妇二区(2.22%);抗菌药物使用率为30.34%(233例),其中预防性使用抗菌药物134例,占57.51%;单一用药者165例,占70.82%。医院感染患者共检出病原菌5株,其中无乳链球菌2株,肺炎克雷伯菌、粪肠球菌、腐生葡萄球菌各1株,除无乳链球菌外,其余3株均为多重耐药菌。结论医院应高度重视多重耐药菌的感染监控,采取目标性监测与集束化干预的方法,以降低多重耐药菌医院感染的发生。%Objective To understand healthcare-associated infection(HAI)in a maternal and child health care hos-pital,so as to provide scientific evidences for further targeted surveillance.Methods A cross-sectional survey was performed by bedside visiting and medical record reviewing.Results Of 768 hospitalized patients,9(1 .18%)had HAI,the top 3 highest prevalence rates were found in obstetrical intensive care unit (9.09%),neonatal intensive care unit (5.80%)and gynecological department II(2.22%).Antimicrobial usage rate was 30.34%(n=233),134 of which (57.51 %)were prophylactic use,165 were mono-therapy(70.82%).A total of 5 pathogenic bacteria were isolated,the number of Streptococcus agalactiae ,Klebsiella pneumonia ,Enterococcus faecalis ,and Staphylococcus saprophyticus was 2,1 ,1 ,and 1 respectively,except Streptococcus agalactiae ,the other 3 strains were multidrug-resistant organisms(MDROs).Conclusion Surveillance on MDRO infection should be paid much attention,the oc-currence of MDRO infection

  16. Impacto das malformações congênitas na mortalidade perinatal e neonatal em uma maternidade-escola do Recife Impact of congenital malformations on perinatal and neonatal mortality in an university maternity hospital in Recife

    Directory of Open Access Journals (Sweden)

    Melania Maria Ramos de Amorim

    2006-05-01

    Full Text Available OBJETIVOS: determinar a incidência de malformações congênitas em recém-nascidos assistidos em uma maternidade-escola de Recife e avaliar o impacto destas malformações na mortalidade perinatal e neonatal. MÉTODOS: realizou-se um estudo longitudinal durante os meses de setembro de 2004 a maio de 2005, analisando-se todos os partos assistidos no Instituto Materno Infantil Prof. Fernando Figueira, IMIP. Determinou-se a freqüência e o tipo de malformações congênitas e foram calculados os coeficientes de mortalidade fetal, mortalidade perinatal, mortalidade neonatal precoce e tardia. RESULTADOS: a freqüência de malformações foi de 2,8% (em 4043 nascimentos. O percentual de malformações entre os nativivos foi de 2,7%, e entre os natimortos foi de 6,7%. Dentre as malformações, as mais freqüentes foram as do sistema nervoso central (principalmente hidrocefalia e meningomielocele, as do sistema osteomuscular e as cardiopatias. Não houve associação entre malformações e sexo, porém a freqüência de prematuridade e baixo peso foi maior entre os casos de malformações. Constatou-se, entre os malformados, mortalidade neonatal precoce de 32,7% e tardia de 10,6%. Os casos de malformações representaram 6,7% dos natimortos, 24,2% das mortes neonatais precoces e 25,8% do total de mortes neonatais. CONCLUSÕES: a freqüência de malformações correspondeu a 2,8% dos nascimentos. As malformações representaram a segunda causa mais freqüente de mortes neonatais, depois da prematuridade.OBJECTIVES: to determine the incidence of congenital malformations in newborns in a university maternity hospital in Recife and assess the impact of malformation in perinatal and neonatal mortality. METHODS: a longitudinal study was performed from September 2004 to May 2005 with all deliveries at the Instituto Materno Infantil Prof. Fernando Figueira, IMIP analyzed. The type and incidence of congenital malformations were determined, and fetal mortality

  17. The difficulties of conducting maternal death reviews in Malawi

    Directory of Open Access Journals (Sweden)

    van den Broek Nynke

    2008-09-01

    Full Text Available Abstract Background Maternal death reviews is a tool widely recommended to improve the quality of obstetric care and reduce maternal mortality. Our aim was to explore the challenges encountered in the process of facility-based maternal death review in Malawi, and to suggest sustainable and logically sound solutions to these challenges. Methods SWOT (strengths, weaknesses, opportunities and threats analysis of the process of maternal death review during a workshop in Malawi. Results Strengths: Availability of data from case notes, support from hospital management, and having maternal death review forms. Weaknesses: fear of blame, lack of knowledge and skills to properly conduct death reviews, inadequate resources and missing documentation. Opportunities: technical assistance from expatriates, support from the Ministry of Health, national protocols and high maternal mortality which serves as motivation factor. Threats: Cultural practices, potential lawsuit, demotivation due to the high maternal mortality and poor planning at the district level. Solutions: proper documentation, conducting maternal death review in a blame-free manner, good leadership, motivation of staff, using guidelines, proper stock inventory and community involvement. Conclusion Challenges encountered during facility-based maternal death review are provider-related, administrative, client related and community related. Countries with similar socioeconomic profiles to Malawi will have similar 'pull-and-push' factors on the process of facility-based maternal death reviews, and therefore we will expect these countries to have similar potential solutions.

  18. Clinical analysis of hospitalized pediatric patients in Guigang Maternal and Child Health-Care Hospital from 2012 to 2014%贵港市妇幼保健院2012~2014年儿科住院病例临床特点分析

    Institute of Scientific and Technical Information of China (English)

    段捷华; 余冬林; 张俊华; 覃睿

    2016-01-01

    目的:进一步了解贵港市妇幼保健院普通儿科住院病例临床情况,为做好该地区儿童疾病医疗和预防保健工作提供科学依据。方法对该院普通儿科2012-01-01~2014-12-31出院的7981例电子病案资料进行回顾性统计分析。结果7981例住院儿童中男5340例(66.90%),女2641例(33.10%),男∶女=2.02∶1,男性明显多于女性。0~12月患儿最多,共5531例,占全部病例的69.30%。疾病构成比前5位顺位是支气管肺炎、支气管炎、小儿肠炎、咽扁桃腺炎、地中海贫血。平均住院时间为4.01 d,84.28%的患儿住院时间不足7 d。按季节顺位是夏2772例(34.73%)、春2103例(26.35%)、冬1604例(20.10%)、秋1502例(18.82%)。按出院月份构成比前3位顺位是4月(12.10%)、5月(11.97%)、6月(10.27%)。治愈率为91.20%,病死率0.03%。结论三年间儿科住院病例临床特点:(1)男性明显多于女性;(2)12个月以内的婴儿为主;(3)呼吸、消化系统感染性疾病为主;(4)住院时间短;(5)夏季病例较多秋季病例较少,按月份顺位前3位分别是4月、5月及6月,应引起临床医师及医院管理者的高度重视。%Objective To explore the clinical situation of general pediatric inpatients in Guigang Maternal and Child Health-Care Hospital, and provide a scientific basis for the treatment and prevention of childhood diseases in the region.Methods The electronic medical records of 7 981 discharged pediatric inpatients from January 2012 to December 2014 were analyzed retrospectively.Results The male children were more than female children;The lar-gest number of children was at the age of 0~12 months, accounting for 69.30%in all cases.The most common five diseases in order were pneumonia, acute bronchitis, infantile enteritis, Pharynx tonsillitis and Mediterranean anemia. The average time of hospitalization was 4

  19. Maternal irradiation and Down Syndrome

    International Nuclear Information System (INIS)

    The role of preconception irradiation in the etiology of Down Syndrome was examined using the techniques of record linkage. Although 909 cases of Down Syndrome, born in B.C. between 1952-70, were ascertained through a system of linked vital and health registrations, interest was restricted to the 348 case/control pairs born in the greater Vancouver area. The maternal identifying information routinely recorded on birth and ill-health registrations was used to link 155 Down Syndrome mothers and 116 control mothers to patient files at the Vancouver General Hospital. Only 28 of the case and 25 of the control mothers were subjected to diagnostic irradiation at the Vancouver Ganeral Hospital. The difference was not significant at the 5% level

  20. FacilitiesHospitals_HOSPITAL

    Data.gov (United States)

    Vermont Center for Geographic Information — This datalayer contains point locations of all major community, regional, comprehensive health, and healthcare provider hospitals in the state of Vermont. The...

  1. Maternal obesity and preeclampsia

    Directory of Open Access Journals (Sweden)

    Azar Aghamohammadi

    2011-03-01

    Full Text Available Background: Obesity is a modern day epidemic. The incidence appears to be rapidly increasing in bothdeveloped and developing countries and has become much more obvious in the last decade.Aim& Objective: The present research was done with the aim of studying the effects of obesity definedas a first trimester maternal body mass index >30 on the preeclampsia.Methods: This study was a descriptive-comparative study two hundred fifty singleton pregnancies ofwomen with first trimester BMI >30 who delivered at Emam Hospital, Sari Iran during 2008–2009 werestudied A control group with two hundred fifty nine women of normal body mass index matched for ageand parity were selected and incidence of preeclampsia were compared between groups. χ2 and Oddsratioand 95% confidence were used to analyze the data. Statistical significance was defined as P < 0.05.Results: There was a significant relation between obesity and preeclampsia (20.8 vs. 5.8%, P<0.0001compared to non-obese women.Conclusion: Obesity in pregnant women appears to be a risk factor for adverse perinatal outcomes.

  2. Fetomaternal outcomes of hospitalized hypertensive gravida in Shaqra General Hospital: a retrospective study

    Directory of Open Access Journals (Sweden)

    Russel Abalos

    2015-01-01

    Full Text Available Background: Elevation of blood pressure during pregnancy can adversely affect both fetal and maternal outcomes. Other maternal and fetal complications may also arise which may result to maternal and fetal mortality. Objective: This study aimed to determine the fetal and maternal outcomes of hospitalized pregnant clients with hypertension. Methods: This 6-year retrospective research design was carried out in Shaqra General Hospital between January 2008 and November 2013. Following approval by the hospital research ethics committee and hospital administrators, hospital records were reviewed and examined using guide checklist. Universal sampling was applied totaling to 56 evaluable cases of pregnant women with hypertension. Results: Of 56 cases studied, year 2008 to 2013 had the most frequency of hypertensive mothers. Most women are in middle adulthood stage with age 25 years old and above, had more than one pregnancy (multigravida and more than one viable pregnancy (multipara. Fetal outcome resulted to high number of babies who were term, appropriate for gestational age, with good Apgar score, no birth defect but high frequency of neonatal intensive care unit (NICU admissions. Maternal outcome recorded no maternal deaths; however, 4% maternal complications (i.e., post-partum hemorrhage and HELLP syndrome and more caesarean section deliveries were observed. Conclusion: Good Apgar score and absence of birth defects is associated with higher frequency of roomed-in babies and less NICU admissions. There were lesser complications to mothers who had more than one pregnancy. There were more NICU admissions from caesarean section deliveries.

  3. Comparing ENQA, British, German & Albanian Standards of Quality in Higher Education

    Directory of Open Access Journals (Sweden)

    Jona Hoxhaj

    2015-06-01

    Full Text Available The development and enhancement of life conditions and standards of living, which are enabled by progress in technology, social life, cultural life, scientific researches and new inventions is very tightly and positively connected with higher education. The desire to have better life conditions has stimulated people toward new technological and social inventions which have made life easier. This desire have put people in an infinity road of continuously developing new standards of education to have a more qualitative education leading to those nowadays technological and social progresses making world a fast changing environment. This cycle is bringing us year by year a more qualitative education system based on the competition of universities, states and continents to be the first choice of the students around the world. Universities and Academics in collaboration with university accreditation agencies and universities quality control organizations are working so hard to maintain and increase standards of quality in higher education in their hometowns. Maintaining and assuring qualitative education is a basic point in order to have credibility in the educative institutions and national educative system. This study is covering the examination of the quality of standards in higher education in European countries which are part of ENQA having a harmonized higher system of education for more than 10 years. Also a detailed study of German higher education system, as an example of a country being part of ENQA, examining standards and criterion evaluation of the quality of higher education in this country.  The study except of examination will compare these standards in ENQA countries with British and Albanian quality standards in higher education. Britain’s organization which is covering the evaluation of the higher education system and controlling the fulfillment of the standards and criterion is QAA and it has slightly different standards when

  4. Neoliberalismo en salud: La tortura de trabajadoras y trabajadores del Instituto Materno Infantil de Bogotá Neoliberalism in health: the torture of the health care workers of the Bogota s Instituto Materno Infantil (child and maternity hospital

    Directory of Open Access Journals (Sweden)

    César Abadía B

    2012-06-01

    Full Text Available Objetivos Relacionar históricamente las transformaciones más significativas del Instituto Materno Infantil (IMI en su proceso de crisis, cierre y liquidación con las experiencias de sus trabajadores/as. Encontrar elementos vivenciales y teóricos que interconecten el proceso de privatización de la salud con las experiencias de resistencia y dolor/sufrimiento de trabajadores/as. Métodos Etnografía inscrita en corrientes críticas y apoyada en trabajo de campo constante y colectivo, investigación histórica (fuentes primarias y secundarias y entrevistas semiestructuradas con cinco mujeres que trabajaron por más de quince años en el IMI. Resultados Una línea del tiempo con cuatro periodos principales: Los años de gloria (hasta 1990, Llega el neoliberalismo (1990-2000, La crisis y las resistencias (2001-2005 y Liquidación (2006-. La narrativa de las mujeres entrevistadas devela múltiples agresiones que se intensificaron desde el 2006 generando dolor/ sufrimiento, relatos que ilustran violaciones a sus derechos humanos y laborales. Discusión Proponemos analizar las conexiones entre los diferentes tipos de violencia y el dolor/sufrimiento bajo la categoría tortura, entendida como acciones violentas que causan dolor físico-emocional, las cuales son ejecutadas por actores de poder sobre otros que desafían alterarlo. Enfatizamos en las burocracias, el confinamiento, los agentes torturadores y los resquebrajamientos a la unidad mente/cuerpo para argumentar que esta relación neoliberalismo y tortura pretende eliminar los últimos trabajadores/as de la salud del país con garantías laborales para avanzar en la acumulación de capital que genera la creciente sobreexplotación del trabajo y la mercantilización de la salud.Objectives To link, from a historical point of view, the most significant transformations of the Instituto Materno Infantil (IMI [the oldest child and maternity hospital of the country] during its process of crisis

  5. Representações e experiências sobre aborto legal e ilegal dos ginecologistas-obstetras trabalhando em dois hospitais maternidade de Salvador da Bahia Representations and experiences of obstetrician/gynecologists with legal and illegal abortion in two maternity-hospitals in Salvador da Bahia

    Directory of Open Access Journals (Sweden)

    Silvia De Zordo

    2012-07-01

    Full Text Available O objetivo deste estudo qualitativo, realizado em dois hospitais-maternidade de Salvador da Bahia, foi investigar a experiência e as representações do aborto legal, analisadas em contraste com as representações do aborto ilegal, dos profissionais de saúde, em particular dos ginecologistas-obstetras.Usou-se como instrumentos um questionário e entrevistas semi-estruturadas com 25 profissionais de saúde (dos quais 13 ginecologistas-obstetras num hospital que oferece um serviço de aborto legal (P, e 20 profissionais de saúde (dos quais 9 ginecologistas-obstetras em outro hospital, que não oferece este serviço (F. Os fatores que mais influenciam as representações dos ginecologistas-obstetras entrevistados acerca do aborto e que explicam a alta taxa de objeção de consciencia no hospital P foram: 1- a criminalização do aborto e o medo de serem denunciados; 2- a estigmatização do aborto por certos grupos religiosos e pelos proprios médicos; 3- o treinamento em obstetrícia e a falta de uma formação boa no campo da epidemiologia da morbi-mortalidade materna e do aborto; 4- as representações acerca das relações de gênero. Os fatores principais associados à atitudes liberais foram: a idade - abaixo de 30/acima de 45 anos - a experiência com altas taxas de mortalidade materna devidas ao aborto e a experiência com o aborto legal.The objective of this qualitative study, carried out in two maternity-hospitals in Salvador da Bahia, was to investigate the experience and representations of health professionals, and particularly obstetricians-gynecologists, regarding legal abortion in comparison with their representations and experience with illegal abortion. A questionnaire was distributed and semi-structured interviews were conducted with 25 health professionals (13 obstetricians-gynecologists in a hospital providing legal abortion (P and with 20 health professionals (9 obstetricians-gynecologists in another hospital that does not

  6. An Investigation of the Essential Factors on Customer Loyalty in Banking Sector: A Case of Albanian Retail Bank

    Directory of Open Access Journals (Sweden)

    Yüksel KÖKSAL

    2014-06-01

    Full Text Available The purpose of this research is to reveal essential factors that have influences on customer loyalty directly in Albanian retail banking context. In order to bring out essential factors, we have developed a questionnaire and 410 people participated in the survey. Five different factors have been described to analyze their directly impacts on customer loyalty such as Service, Security, Relationship, Reliability and Staff. The significant relations of each factor with customer loyalty have been analyzed by conducting confirmatory factor analysis. Obtained results indicate that only ‘relationship’ and ‘staff’ factors have a direct impact on customer loyalty. Determination of the essential factors on customer loyalty in banking sector will be helpful to bank managers to define priorities in order to enhance customer satisfaction and loyalty.

  7. Determination of trace metals in sea waters of the albanian coast by energy-dispersive x-ray fluorescence

    International Nuclear Information System (INIS)

    Preconcentration of trace transition and heavy metal ions by precipitation with APDC has been combined with energy-dispersive X-ray fluorescence for environmental sea water analysis. The preconcentration procedure implies adding of 500 μg Mo ion and 10 ml of 1 % water solution of APDC to a 500 ml water sample at pH 4, filtering off on a Millipore filter and analyzing after drying. Realistic detection limits are at 1 μg * l-1 level and precision varies between 10 - 25% at about 5 μg * l-1 level, depending on the element. Eleven sea water samples, covering Albanian Adriatic and Ionian coast, are analyzed for trace metal ions. (author) 8 refs.; 2 figs.; 5 tabs

  8. Auto-exame de mama: conhecimento de usuárias atendidas no ambulatório de uma maternidade escola Auto-examen de la mama: conocimiento de las usuarias atendidas en el ambulatorio de un hospital universitario Breast self-examination: the knowledge of users assisted in the outpatient unit of a university maternity hospital

    Directory of Open Access Journals (Sweden)

    Rejane Marie Barbosa Davim

    2003-02-01

    Full Text Available Estudo descritivo desenvolvido no ambulatório de uma Maternidade Escola em, Natal/RN. Objetivou-se identificar o conhecimento e as alterações encontradas no auto-exame de mama e descrever como as mulheres se auto-examinam. A população foi constituída por mulheres referenciadas de outros serviços de saúde, e a amostra constou de 109 mulheres que tinham entre 15 a 83 anos de idade. O instrumento para a coleta de dados foi um formulário de entrevista contendo dados de identificação e acerca do auto-exame de mama. A partir dos dados coletados, identificamos que, das 109 participantes do estudo, 36 (33% estavam entre 15 a 39 anos de idade; 58 (53% entre 40 a 58 anos, e 15 (14%, na faixa entre 60 a 83 anos. 75% referem se auto-examinarem e, ao detectarem alguma alteração nas mamas durante o auto-exame, procuraram o médico para o tratamento correto.Estudio descriptivo desarrollado en el Servicio de Consulta Externa de un Hospital Universitario de la ciudad de Natal/RN. Tuvo como objetivo identificar el conocimiento y las alteraciones encontradas en el auto-examen de mama y describir con esas mujeres si se autoexaminan. La población estuvo constituida por mujeres remitidas de otros servicios de salud y la muestra constó de 109 mujeres que tenían entre de 15 y 83 años de edad. El instrumento utilizado para la recolección de datos fue un formulario de entrevista contiendo datos de la identificación acerca de el auto-examen de mama. A partir de los datos recolectados identificamos que de las 109 participantes del estudio, 36 (33% estaban entre 15 y 39 años de la edad; 58 (53% entre 40 y 58 años y 15 (14% entre 60 y 83 años. 75% informaron que se autoexaminan y al detectar alguna alteración en las mamas durante el auto-examen, procuran el médico para el tratamiento correcto.This is a descriptive study developed in the outpatient unit of a university maternity hospital in the city of Natal/RN. It aimed at identifying the knowledge

  9. Análise dos resultados maternos e fetais dos procedimentos invasivos genéticos fetais: um estudo exploratório em Hospital Universitário Analysis of fetal and maternal results from fetal genetic invasive procedures: an exploratory study at a University Hospital

    Directory of Open Access Journals (Sweden)

    Mario Kohatsu

    2012-12-01

    Full Text Available OBJETIVO: Caracterizar as indicações das gestantes que procuraram o serviço de Medicina Fetal do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo para realização de procedimentos invasivos diagnósticos e avaliar os resultados dos cariótipos fetais e de suas gestações. MÉTODOS: Estudo observacional retrospectivo das gestantes que realizaram biópsia de vilo corial (BVC, amniocentese e cordocentese no período de fevereiro de 2005 a dezembro de 2009. Não foram incluídos outros procedimentos diagnósticos ou procedimentos terapêuticos. O resultado da gestação foi obtido através de consulta de prontuário eletrônico e/ou físico e/ou contato telefônico. RESULTADOS: Foram realizados 713 procedimentos (113 BVC, 340 amniocenteses e 260 cordocenteses. A principal indicação para a realização dos procedimentos invasivos foi a presença de alterações estruturais nos fetos, seguido por valores aumentados da translucência nucal e pela idade materna avançada. O cariótipo fetal esteve alterado em 186 casos (26,1%. A trissomia do cromossomo 18 foi a aneuploidia mais comum, seguida pela trissomia do 21, a monossomia do X e a trissomia do cromossomo 13. Ocorreram 4,9% de abortamento, 25,7% de natimortos e 13% de neomortos. Oito gestantes optaram pela interrupção judicial, e 99% das gestantes cujos fetos não apresentavam malformação e que apresentavam cariótipo fetal normal tiveram nativivos.OBJECTIVE: To characterize the indications of pregnant women who sought the Fetal Medicine Services of the Hospital das Clínicas, at the Medical School of the Universidade de São Paulo for performing invasive diagnostic procedures, and to evaluate the results of fetal karyotypes and their pregnancies. METHODS: A retrospective and observational study on pregnant women who underwent chorionic villus sampling (CVS, amniocentesis, and cordocentesis in the period from February, 2005 to December, 2009. Other diagnostic

  10. [New data on maternal mortality in India].

    Science.gov (United States)

    Bhatia, J C

    1990-01-01

    A survey was carried out in urban and rural areas of the district of Anantapur, Andhra Pradesh state, India, between July 1, 1984-June 30, 1985 by a team of 6 interviewers and 1 supervisor to identify investigate, and study the causative factors/characteristics of the causes of maternal deaths. They visited each of the 15 hospitals in the district collecting information about maternal deaths that occurred in the reproductive age range of 15-49 years. 22 health centers and 50% of subcenters were also visited, registers were examined, and staff and families were also interviewed. The hospitals and centers served 569,500 people. During the 1st phase in the rural area all main village centers, 181 village subcenters, and 1192 other villages in the district with a total population of 1,090,640 were covered. During the 2nd phase all towns in the urban zones, 10 primary centers, 65 subcenters, and 135 others were visited. The maternal mortality rate was 7.9/1000 live births, well above the national average. 36% of female mortality occurred in women in reproductive age, but fewer than 1/2 of these deaths were registered and only 1/3 figured in center and subcenter records. In rural areas maternal mortality was 8.3/1000, ahead of the urban rate of 5.4/1000. 63% of 284 deaths detailed were related to live births, 14% to stillbirths, 10% to abortions, and 13% to obstructed labor. 19% of total maternal deaths occurred before birth, 12% during labor, and 69% after delivery. Among clinical causes of death sepsis accounted for 36%, hemorrhage for 12%, eclampsia for 9%, retention of placenta for 7%, and infectious hepatitis for 10%. 80% of these deaths could have been avoided by timely antenatal care, treatment of previous complaints, and medical attention and hospitalization at the right time. PMID:12179349

  11. FacilitiesHospitals_HOSPITAL

    Data.gov (United States)

    Vermont Center for Geographic Information — This data layer contains point locations of all major community, regional, comprehensive health, and healthcare provider hospitals in the state of Vermont. The...

  12. Hospitals; hospitals13

    Data.gov (United States)

    University of Rhode Island Geospatial Extension Program — Hospital Facilities information was compiled from several various sources. Main source was the RI Department of Health Facilities Regulation database, License 2000....

  13. The Impact of Maternal Smoking on Fast Auditory Brainstem Responses

    OpenAIRE

    Kable, Julie A.; Coles, Claire D.; Lynch, Mary Ellen; Carroll, Julie

    2009-01-01

    Deficits in auditory processing have been posited as one of the underlying neurodevelopmental consequences of maternal smoking during pregnancy that leads to later language and reading deficits. Fast auditory brainstem responses were used to assess differences in the sensory processing of auditory stimuli among infants with varying degrees of prenatal cigarette exposure. Maternal report of consumption of cigarettes and blood samples were collected in the hospital to assess exposure levels and...

  14. Improving maternal confidence in neonatal care through a checklist intervention

    OpenAIRE

    Radenkovic, D.; KOTECHA, S.; Patel, S; Lakhani, A; Reimann-Dubbers, K.; Shah, S; Jafree, D.; Mitrasinovic, S.; Whitten, S. M.

    2016-01-01

    Previous qualitative studies suggest a lack of maternal confidence in care of their newborn child upon discharge into the community. This observation was supported by discussion with healthcare professionals and mothers at University College London Hospital (UCLH), highlighting specific areas of concern, in particular identifying and managing common neonatal presentations. The aim of this study was to design and introduce a checklist, addressing concerns, to increase maternal confidence in ca...

  15. Intimate Partner Violence During Pregnancy: Maternal and Neonatal Outcomes

    OpenAIRE

    Alhusen, Jeanne L.; Ray, Ellen; Sharps, Phyllis; Bullock, Linda

    2015-01-01

    The effects of intimate partner violence (IPV) on maternal and neonatal outcomes are multifaceted and largely preventable. During pregnancy, there are many opportunities within the current health care system for screening and early intervention during routine prenatal care or during episodic care in a hospital setting. This article describes the effects of IPV on maternal health (e.g., insufficient or inconsistent prenatal care, poor nutrition, inadequate weight gain, substance use, increased...

  16. Direct maternal deaths in Norway 1976-1995

    DEFF Research Database (Denmark)

    Andersgaard, Alice Beate; Langhoff-Roos, J.; Oian, P.

    2008-01-01

    AIMS: To report direct maternal mortality ratio (MMR) in Norway between 1976 and 1995 including a description of the underlying complications in pregnancy, the causes of death and assessment of standard of care. METHODS: The maternal deaths were identified through the Cause of Death Registry......, Statistics Norway, and Medical Birth Registry of Norway. We requested copies of the hospital case records and the maternal death autopsies. The direct maternal deaths were classified on the basis underlying causes and assessed for substandard care according to the guidelines at the time of death and...... preventability provided optimal conditions and up to date guidelines. RESULTS: In the period 1976-1995 we identified 61 direct maternal deaths in Norway. The direct MMR was 5.5/100,000 births. Sufficient information was available for analysis in 51 of these cases. Six deaths occurred in early pregnancy. Among...

  17. Maternal thyroid dysfunction and risk of seizure in the child

    DEFF Research Database (Denmark)

    Andersen, Stine Linding; Laurberg, Peter; Wu, Chun Sen;

    2013-01-01

    Thyroid hormones are essential for brain development, and maternal thyroid disease may affect child neurocognitive development. Some types of seizures may also depend upon early exposure of the developing central nervous system, and we hypothesized that maternal thyroid dysfunction could increase...... the risk of seizure in the child. In a Danish population-based study we included 1,699,693 liveborn singletons, and from the Danish National Hospital Register we obtained information on maternal diagnosis of hyper- or hypothyroidism and neonatal seizure, febrile seizure, and epilepsy in the child....... Maternal diagnosis of thyroid dysfunction before or after birth of the child was registered in two percent of the singleton births. In adjusted analyses, maternal hyperthyroidism and hypothyroidism first time diagnosed after birth of the child were associated with a significant increased risk of epilepsy...

  18. An autopsy study of maternal mortality: A tertiary healthcare perspective

    Directory of Open Access Journals (Sweden)

    Panchabhai T

    2009-01-01

    Full Text Available Background: An audit of autopsies of maternal deaths is important for the establishment of accurate cause of maternal deaths and to determine the contribution of various etiologies responsible in a given community. Aim: To study the causes of maternal deaths as determined by a pathological autopsy. Settings and Design: A retrospective study of all the cases of maternal deaths that underwent a pathological autopsy in a tertiary healthcare center from January 1998 to December 2006. Materials and Methods: The autopsy records with clinical notes were retrieved; gross and histopathology specimens and slides were studied to establish the accurate cause of maternal deaths. The variables like age (years, stay in the hospital, gravidity, trimester of pregnancy and method of delivery were used to classify and analyze the data from the autopsies. The causes of maternal deaths were divided in to direct and indirect; each being classified into subgroups based on the most evident pathology on autopsy. Results: The Maternal Mortality Rate (MMR over a nine-year period (1998-2006 was 827/100000 live births (471 maternal deaths against 56944 live births. An autopsy was performed in 277 cases (58.8%. In the autopsy group, the most common causes of maternal mortality were pre-ecclampsia/ecclampsia (40 of 277, 14.44% and hemorrhage (32 of 277; 11.55%; However, indirect causes like infectious diseases (27 of 277; 9.75% and cardiac (27 of 277; 9.75% disease also contributed to maternal deaths. Conclusion: Indirect causes like rheumatic heart disease and infections like tuberculosis, malaria or leptospirosis and nutritional anemia are still major causes of maternal mortality in developing countries like India. Intensive efforts need to be taken in these areas to reduce the maternal mortality in developing countries like India.

  19. Maternal knowledge of infant feeding guidelines and label reading behaviours in a population of new mothers in San Francisco, California

    OpenAIRE

    Wojcicki, Janet M.; Gugig, Roberto; Kathiravan, Suganya; Holbrook, Kate; Heyman, Melvin B.

    2009-01-01

    The objective of this study was to evaluate the relationship between maternal nutrition knowledge and maternal socio-demographics including participation in the Special Supplemental Women, Infants and Children’s (WIC) Program. A cross-sectional study of new mothers at two San Francisco hospitals was conducted using some of the American Academy of Pediatrics’ guidelines in a structured questionnaire to assess maternal nutritional knowledge. Maternal nutritional attitudes towards product nutrie...

  20. Maternal deaths in Denmark 2002-2006

    DEFF Research Database (Denmark)

    Bødker, Birgit; Hvidman, Lone; Weber, Tom;

    2009-01-01

    OBJECTIVE: To describe a method for identification, classification and assessment of maternal deaths in Denmark and to identify substandard care. DESIGN: Register study and case audit based on data from the Registers of the Danish Medical Health Board, death certificates and hospital records...... cardiac disease, thromboembolism, hypertensive disorders of pregnancy, Streptococcus A infections, suicide, amniotic fluid embolism, cerebrovascular hemorrhage, asthma and diabetes. CONCLUSION: Our method proved valid and can be used for future research. Causes of death could be identified and learning...

  1. Discussion: The Coalition for Improving Maternity Services:

    OpenAIRE

    Lothian, Judith A.

    2007-01-01

    The Ten Steps of Mother-Friendly Care developed by the Coalition for Improving Maternity Services (CIMS) provides guidelines for caregivers, hospitals, birth centers, and home birth services that are committed to ensuring their services are “mother-friendly.” The evidence basis compiled by the CIMS Expert Work Group for the Ten Steps of Mother-Friendly Care confirms that substantial support exists for the Ten Steps. Furthermore, the group's findings—along with the results from the Listening t...

  2. Maternal postnatal depression: causes and consequences

    OpenAIRE

    Hiltunen, Pauliina

    2003-01-01

    Abstract A longitudinal follow-up study of postnatal depression was performed in the years 1995-2000 in the University of Oulu. A volunteer, ramdomly selected group of 187 mothers from maternal wards of the University Hospital of Oulu were studied with different questionnaires in the first postpartum week. Depressive symptoms were re-assessed with Edinburgh Postnatal Depression Scale four months postpartum when paternal depression was evaluated with Beck Depression Inventory. 16.2% of the ...

  3. Current status of pregnancy-related maternal mortality in Japan: a report from the Maternal Death Exploratory Committee in Japan

    OpenAIRE

    Hasegawa, Junichi; Sekizawa, Akihiko; Tanaka, Hiroaki; Katsuragi, Shinji; Osato, Kazuhiro; Murakoshi, Takeshi; Nakata, Masahiko; Nakamura, Masamitsu; Yoshimatsu, Jun; Sadahiro, Tomohito; Kanayama, Naohiro; ISHIWATA, ISAMU; Kinoshita, Katsuyuki; Ikeda, Tomoaki

    2016-01-01

    Objective To clarify the problems related to maternal deaths in Japan, including the diseases themselves, causes, treatments and the hospital or regional systems. Design Descriptive study. Setting Maternal death registration system established by the Japan Association of Obstetricians and Gynecologists (JAOG). Participants Women who died during pregnancy or within a year after delivery, from 2010 to 2014, throughout Japan (N=213). Main outcome measures The preventability and problems in each ...

  4. An oceanic core complex (OCC) in the Mirdita ophiolite of the Albanian Dinarides?

    Science.gov (United States)

    Maffione, M.; Morris, A.; Anderson, M.

    2011-12-01

    The basic premise of seafloor spreading is that magmatic activity at mid-ocean ridges is responsible for creation of new crust; however only several years after the formulation of plate tectonic theory we have recognised the importance of tectonic, rather than magmatic, processes in accommodating the divergence of the lithospheric plates in slow-spreading oceans. In these settings, magma supply is spatially and temporally discontinuous and the crust freezes solid between delivery of magma batches from the underlying mantle. Large-scale extensional detachment faults develop during these periods of reduced magma supply, and play a fundamental role in accommodating plate separation. Extensional faulting occurs at the corner between ridge and transform fault and is responsible for the generation of the Oceanic Core Complexes (OCCs). OCCs are the uplifted footwalls of oceanic detachment faults forming dome-shaped massifs consisting of mantle and lower crustal lithologies exposed at the seafloor. Numerical modelling and results from the Integrate Ocean Drilling Program (IODP) has shown that the footwalls beneath oceanic detachment faults rotate during their evolution, proving that they initiate at a steep angle at depth and then "roll-over" to their present day low angle orientations as a result of flexural isostasy during unroofing. Accordingly, information from paleomagnetic analyses provided strong constraints to the detachment kinematics, since a difference of 45-65° in paleomagnetic inclination across the fault has been documented by previous studies, confirming the rolling-hinge model for OCCs formation. Here we present the results of an extensive paleomagnetic study of an OCC preserved in the Mirditata ophiolite of the Albanian Dinarides, first recognized by Trembley et al. (2009). Ophiolites are slices of oceanic lithosphere which have been emplaced onto continental margins during the closure of ocean basins, and provide opportunities for the study of oceanic

  5. Incidence and Correlates of Maternal Near Miss in Southeast Iran

    OpenAIRE

    Tayebeh Naderi; Shohreh Foroodnia; Samaneh Omidi; Faezeh Samadani; Nouzar Nakhaee

    2015-01-01

    This prospective study aimed to estimate the incidence and associated factors of severe maternal morbidity in southeast Iran. During a 9-month period in 2013, all women referring to eight hospitals for termination of pregnancy as well as women admitted during 42 days after the termination of pregnancy were enrolled into the study. Maternal near miss conditions were defined based on Say et al.’s recommendations. Five hundred and one cases of maternal near miss and 19,908 live births occurred ...

  6. [A Maternal Health Care System Based on Mobile Health Care].

    Science.gov (United States)

    Du, Xin; Zeng, Weijie; Li, Chengwei; Xue, Junwei; Wu, Xiuyong; Liu, Yinjia; Wan, Yuxin; Zhang, Yiru; Ji, Yurong; Wu, Lei; Yang, Yongzhe; Zhang, Yue; Zhu, Bin; Huang, Yueshan; Wu, Kai

    2016-02-01

    Wearable devices are used in the new design of the maternal health care system to detect electrocardiogram and oxygen saturation signal while smart terminals are used to achieve assessments and input maternal clinical information. All the results combined with biochemical analysis from hospital are uploaded to cloud server by mobile Internet. Machine learning algorithms are used for data mining of all information of subjects. This system can achieve the assessment and care of maternal physical health as well as mental health. Moreover, the system can send the results and health guidance to smart terminals. PMID:27382731

  7. An assessment of the perception of physical activity, eating habits, self-efficacy and the knowledge about healthy food in Albanian adolescents

    OpenAIRE

    Çitozi, Robert; Bozo, Dhurata; Pano, Genti

    2013-01-01

    Objective: The present study evaluates eating habits and behaviors, and nutritional and food safety knowledge of a group of Albanian adolescents. Design: A dietary questionnaire previously constructed and tested was self-administered during school time. Each section was evaluated using a separate score. Setting: The study was carried out as a part of a nutritional surveillance project in the capital of Albania, Tirana. Subjects: Three hundred and forty (340) adolescent subjects (180 males, 16...

  8. The evolution of administrative law in Albania and the impact of the decisions of the European Court of Justice in the Albanian legal reforms in administrative justice

    OpenAIRE

    Monika MEÇA

    2014-01-01

    The selection of the thesis was generally motivated by the lack of legal treatise focused in the arguments of Administrative Court importance in Albanian Judicial system as a new judicial structure, whose role would be to check the legality of decisions of the state administration with the aim to guarantee effective protection of human rights and legitimate interests of private persons through a regular, conform, fast and reasonable judicial process. The aim of this study is to describe th...

  9. One century later: the folk botanical knowledge of the last remaining Albanians of the upper Reka Valley, Mount Korab, Western Macedonia

    OpenAIRE

    Pieroni, Andrea; Rexhepi, Besnik; Nedelcheva, Anely; Hajdari, Avni; Mustafa, Behxhet; Kolosova, Valeria; Cianfaglione, Kevin; Quave, Cassandra L

    2013-01-01

    Background Ethnobotanical surveys of the Western Balkans are important for the cross-cultural study of local plant knowledge and also for obtaining baseline data, which is crucial for fostering future rural development and eco-tourism initiatives in the region. The current ethnobotanical field study was conducted among the last remaining Albanians inhabiting the upper Reka Valley at the base of Mount Korab in the Mavrovo National Park of the Republic of Macedonia. The aims of the study were t...

  10. The evolution of administrative law in Albania and the impact of the decisions of the European Court of Justice in the Albanian legal reforms in administrative justice

    OpenAIRE

    Monika MEÇA

    2014-01-01

    The selection of the thesis was generally motivated by the lack of legal treatise focused in the arguments of Administrative Court importance in Albanian Judicial system as a new judicial structure, whose role would be to check the legality of decisions of the state administration with the aim to guarantee effective protection of human rights and legitimate interests of private persons through a regular, conform, fast and reasonable judicial process. The aim of this study is to describe the i...

  11. Integration a few kilometres away from the motherland: Albanians' internal migration, settlement and voluntary return in Epirus and the Ionian Islands in Greece

    OpenAIRE

    Gerhard Hetfleisch

    2012-01-01

    This paper focuses on the interconnection between internal migration in Greece, integration and voluntary return prospects of Albanians currently living in Epirus and the Ionian Islands. It is based on field research conducted during 2008 among immigrants who live in Ioannina, Preveza, Arta and Kerkyra. The study highlights the different types of internal trajectories that migrants had follow before settling in the neighbouring areas of Greece, just a few kilometres away from their homeland. ...

  12. Sexual orientation, gender identity and non-discrimination - The Albanian labor legislation and its effects on employment and vocational training potentials

    OpenAIRE

    Albana Shtylla

    2013-01-01

    Albania is undergoing an important moment in its integration process to European Union. In this context, the Albanian legislation should compare with the best international standards, in guaranteeing the implementation of the rule of law, democratic principals, the citizen’s equity and the observance of fundamental human rights and freedoms. The promotion, protection and the guaranteeing of the fundamental rights and freedoms of the individual, including the LGBT person’s rights, must have th...

  13. The Albanian mechanism for guaranteeing the right to compensation for unjust imprisonment and wrongful conviction, in the light of obligations arising from international acts

    OpenAIRE

    Bojana Hajdini

    2014-01-01

    Punishment with imprisonment and the security measureof detention on remand, are among the most severe sanctions and convictions provided by the albanian criminal legislation. The unjust serving of such measures or punishments implies serious psychological and economic consequences for both the convicted person and his/her family members. Similar to the infringement of any right and freedom, the unjust infringement of the right to liberty, induces the obligation to return the person in the...

  14. Mortes perinatais e avaliação da assistência ao parto em maternidades do Sistema Único de Saúde em Belo Horizonte, Minas Gerais, Brasil, 1999 Perinatal deaths and childbirth healthcare evaluation in maternity hospitals of the Brazilian Unified Health System in Belo Horizonte, Minas Gerais, Brazil, 1999

    Directory of Open Access Journals (Sweden)

    Sônia Lansky

    2006-01-01

    Full Text Available Este trabalho analisa a associação entre a morte perinatal e o processo de assistência hospitalar ao parto, considerando-se que grande parte das mortes perinatais pode ser prevenível pela atenção qualificada de saúde e que a avaliação da qualidade da assistência perinatal ao parto é necessária para a redução da morbi-mortalidade perinatal. Realizou-se estudo caso-controle de base populacional dos óbitos perinatais (n = 118 e nascimentos (n = 492, ocorridos em maternidades do Sistema Único de Saúde (SUS de Belo Horizonte, Minas Gerais, Brasil. Sexo masculino, prematuridade, doenças na gravidez, baixo peso ao nascer, doenças do recém-nascido, não realização de pré-natal, não utilização de partograma e menos de uma avaliação fetal por hora durante o trabalho de parto apresentaram associação estatisticamente significativa com o óbito perinatal. No modelo de regressão logística múltipla, não utilização do partograma durante o trabalho de parto e tipo de maternidade apresentaram-se como fatores de risco independentes para a morte perinatal. O estudo indica que é deficiente a qualidade da assistência hospitalar ao parto e que aspectos da estrutura dos serviços e do processo de assistência relacionam-se com a mortalidade perinatal por causas evitáveis.This paper analyzes the association between perinatal mortality and factors related to hospital care during labor, considering that healthcare assessment is needed in order to reduce perinatal mortality. A population-based case-control study was conducted with 118 perinatal deaths (cases and 492 births (controls that took place in maternity hospitals of the Brazilian Unified Health System (SUS in Belo Horizonte, Minas Gerais, Brazil. Male sex, prematurity, diseases during pregnancy, low birth weight, newborn diseases, lack of prenatal care, lack of partograph use during labor, and less than one fetus assessment per hour during labor were significantly associated

  15. Costs of publicly provided maternity services in Rosario, Argentina

    Directory of Open Access Journals (Sweden)

    Borghi Josephine

    2003-01-01

    Full Text Available OBJECTIVE: This study estimates the costs of maternal health services in Rosario, Argentina. MATERIAL AND METHODS: The provider costs (US$ 1999 of antenatal care, a normal vaginal delivery and a caesarean section, were evaluated retrospectively in two municipal hospitals. The cost of an antenatal visit was evaluated in two health centres and the patient costs associated with the visit were evaluated in a hospital and a health centre. RESULTS: The average cost per hospital day is $114.62. The average cost of a caesarean section ($525.57 is five times greater than that of a normal vaginal delivery ($105.61. A normal delivery costs less at the general hospital and a c-section less at the maternity hospital. The average cost of an antenatal visit is $31.10. The provider cost is lower at the health centre than at the hospital. Personnel accounted for 72-94% of the total cost and drugs and medical supplies between 4-26%. On average, an antenatal visit costs women $4.70. Direct costs are minimal compared to indirect costs of travel and waiting time. CONCLUSIONS: These results suggest the potential for increasing the efficiency of resource use by promoting antenatal care visits at the primary level. Women could also benefit from reduced travel and waiting time. Similar benefits could accrue to the provider by encouraging normal delivery at general hospitals, and complicated deliveries at specialised maternity hospitals.

  16. Maternal near miss and quality of maternal health care in Baghdad, Iraq

    Directory of Open Access Journals (Sweden)

    Jabir Maysoon

    2013-01-01

    Full Text Available Abstract Background The maternal near-miss concept has been developed as an instrument for assisting health systems to evaluate and improve their quality of care. Our study aimed at studying the characteristics and quality of care provided to women with severe complications in Baghdad through the use of the World Health Organization (WHO near-miss approach for maternal health. Methods This is a facility-based, cross-sectional study conducted in 6 public hospitals in Baghdad between March 1, 2010 and the June 30, 2010. WHO near-miss approach was utilized to analyze the data in terms of indicators of maternal near miss and access to and quality of maternal care. Results The maternal near-miss rate was low at 5.06 per 1,000 live births, while the overall maternal near miss: mortality ratio was 9:1. One third of the near-miss cases were referred from other facilities and the mortality index was the same for referred women and for in-hospital women (11%. The intensive care unit (ICU admission rate was 37% for women with severe maternal outcomes (SMO, while the overall admission rate was 0.28%. Anemia (55% and previous cesarean section (45% were the most common associated conditions with severe maternal morbidity. The use of magnesium sulfate for treatment of eclampsia, oxytocin for prevention and treatment of postpartum hemorrhage, prophylactic antibiotics during caesarean section, and corticosteroids for inducing fetal lung maturation in preterm birth is suboptimum. Conclusions The WHO near-miss approach allowed systematic identification of the roadblocks to improve quality of care and then monitoring the progress. Critical evidence-based practices, relevant to the management of women experiencing life-threatening conditions, are underused. In addition, possible limitations in the referral system result in a very high proportion of women presenting at the hospital already in a severe health condition (i.e. with organ dysfunction. A shortage of ICU

  17. The evolution of administrative law in Albania and the impact of the decisions of the European Court of Justice in the Albanian legal reforms in administrative justice

    Directory of Open Access Journals (Sweden)

    Monika MEÇA

    2014-12-01

    Full Text Available The selection of the thesis was generally motivated by the lack of legal treatise focused in the arguments of Administrative Court importance in Albanian Judicial system as a new judicial structure, whose role would be to check the legality of decisions of the state administration with the aim to guarantee effective protection of human rights and legitimate interests of private persons through a regular, conform, fast and reasonable judicial process. The aim of this study is to describe the institutional steps taken from Albanian Government in administrative justice evolution, enormous differences between the administrative law before and after 1990, and the impact of European Court of Justice case law and EU law in the Albanian legal reforms in administrative justice. By analyzing the development of the administrative law in Albania is highlighted that the factors which influenced the transformation processes of this branch of law are the level of political culture, the heritage of the paste and the European Union , which has long been engaged in direct support for the modernization of public administration in Albania . In conclusion studying and analyzing the recent reform undertaken in the establishment of administrative court in Albania is necessary to make an evaluation of the impact of this reform in amending the legal framework for administrative procedures and adoption of a new Code of Administrative Procedure.

  18. Exploitation of Albanian wheat cultivars: characterization of the flours and lactic acid bacteria microbiota, and selection of starters for sourdough fermentation.

    Science.gov (United States)

    Nionelli, Luana; Curri, Nertila; Curiel, José Antonio; Di Cagno, Raffaella; Pontonio, Erica; Cavoski, Ivana; Gobbetti, Marco; Rizzello, Carlo Giuseppe

    2014-12-01

    Six Albanian soft and durum wheat cultivars were characterized based on chemical and technological features, showing different attitudes for bread making. Gliadin and glutenin fractions were selectively extracted from flours, and subjected to two-dimensional electrophoresis. Linja 7 and LVS flours showed the best characteristics, and abundance of high molecular weight (HMW)-glutenins. Type I sourdoughs were prepared through back slopping procedure, and the lactic acid bacteria were typed and identified. Lactobacillus plantarum and Leuconostoc mesenteroides were the predominant species. Thirty-eight representative isolates were singly used for sourdough fermentation of soft and durum wheat Albanian flours and their selection was carried out based on growth and acidification, quotient of fermentation, and proteolytic activity. Two different pools of lactic acid bacteria were designed to ferment soft or durum wheat flours. Sourdough fermentation with mixed and selected starters positively affected the quotient of fermentation, concentration of free amino acids, profile of phenolic acids, and antioxidant and phytase activities. This study provided the basis to exploit the potential of wheat Albanian flours based on an integrated approach, which considered the characterization of the flours and the processing conditions. PMID:25084651

  19. Cocaine and amphetamine-regulated transcript (CART) concentration in maternal and cord blood in type 1 diabetic and non diabetic pregnancies at term

    LENUS (Irish Health Repository)

    Hehir, MP

    2011-02-01

    Institute of Obstetricians & Gynaecologists, RCPI Four Provinces Meeting, Junior Obstetrics & Gynaecology Society Annual Scientific Meeting, Royal Academy of Medicine in Ireland Dublin Maternity Hospitals Reports Meeting Nov 2010

  20. Hospital Compare

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Compare has information about the quality of care at over 4,000 Medicare-certified hospitals across the country. You can use Hospital Compare to find...

  1. HCAHPS - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of hospital ratings for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS is a national, standardized survey of hospital...

  2. Maternal Thyroid Dysfunction and Risk of Seizure in the Child: A Danish Nationwide Cohort Study

    OpenAIRE

    Jørn Olsen; Chun Sen Wu; Peter Laurberg; Stine Linding Andersen

    2013-01-01

    Thyroid hormones are essential for brain development, and maternal thyroid disease may affect child neurocognitive development. Some types of seizures may also depend upon early exposure of the developing central nervous system, and we hypothesized that maternal thyroid dysfunction could increase the risk of seizure in the child. In a Danish population-based study we included 1,699,693 liveborn singletons, and from the Danish National Hospital Register we obtained information on maternal diag...

  3. Maternal and Neonatal Outcomes in Korean Women with Type 1 and Type 2 Diabetes

    OpenAIRE

    Hee-Sook Kim; Hye-Jung Jang; Jeong-Eun Park; Moon-Young Kim; Sun-Young Ko; Sung-Hoon Kim

    2015-01-01

    Background The purpose of this study was to evaluate maternal and neonatal outcomes in Korean women with type 1 diabetes and type 2 diabetes. Methods We performed a retrospective survey of 163 pregnancies in women with type 1 diabetes (n=13) and type 2 diabetes (n=150) treated from 2003 to 2010 at Cheil General Hospital & Women's Healthcare Center, Korea. We compared maternal characteristics as well as maternal and neonatal outcomes between groups. Results Differences in glycosylated hemoglob...

  4. The Impact of Cardiac Diseases during Pregnancy on Severe Maternal Morbidity and Mortality in Brazil

    OpenAIRE

    Campanharo, Felipe F.; Cecatti, Jose G.; Haddad, Samira M; Parpinelli, Mary A; Daniel Born; Costa, Maria L; Rosiane Mattar

    2015-01-01

    Background To evaluate maternal heart disease as a cause or complicating factor for severe morbidity in the setting of the Brazilian Network for Surveillance of Severe Maternal Morbidity. Methods and Findings Secondary data analysis of this multicenter cross-sectional study was implemented in 27 referral obstetric units in Brazil. From July 2009 to June 2010, a prospective surveillance was conducted among all delivery hospitalizations to identify cases of severe maternal morbidity (SMM), incl...

  5. Determinants of Maternal Near-Miss in Morocco: Too Late, Too Far, Too Sloppy?

    OpenAIRE

    Bouchra Assarag; Bruno Dujardin; Alexandre Delamou; Fatima-Zahra Meski; Vincent De Brouwere

    2015-01-01

    BACKGROUND: In Morocco, there is little information on the circumstances surrounding maternal near misses. This study aimed to determine the incidence, characteristics, and determinants of maternal near misses in Morocco. METHOD: A prospective case-control study was conducted at 3 referral maternity hospitals in the Marrakech region of Morocco between February and July 2012. Near-miss cases included severe hemorrhage, hypertensive disorders, and prolonged obstructed labor. Three unmatched con...

  6. A STUDY OF MATERNAL MORTALITY IN A TERTIARY HEALTH CARE CENTRE IN WEST BENGAL

    OpenAIRE

    Anita; Debjani; Mini

    2013-01-01

    ABSTRACT: BACKGROUND : An observation study was conducted at the Gynaeco logical and Obstetric Department ,Medical College and Hospital, Kolkata, of maternal deaths from 1 st July 2009 to 30 th June 2010. AIMS : To analyze from data of maternal mortality how va riables like sociodemographic factors, incidents surrounding mat ernal mortality, causes of it and time of death to admission interval affect maternal mortality. DESIGN: Observational ...

  7. Norovirus - hospital

    Science.gov (United States)

    Gastroenteritis - norovirus; Colitis - norovirus; Hospital acquired infection - norovirus ... fluids ( dehydration ). Anyone can become infected with norovirus. Hospital patients who are very old, very young, or ...

  8. Association of maternal risk factors with large for gestational age fetuses in Indian population

    OpenAIRE

    Shamim Khandaker; Shabana Munshi

    2015-01-01

    Objective: To estimate the risk of delivering large-for gestational age (LGA) fetuses associated with maternal obesity, excessive maternal weight gain, and gestational diabetes mellitus (GDM)- in Indian mothers. Design: Retrospective study. Settings: Fernandez Hospital Private Limited, Hyderabad, Andhra Pradesh, India; a tertiary perinatal centre. Populations: Pregnant singleton mothers with correct pregnancy dating. Methods: Estimated fetal weight (EFW) is determined using ultrasound variabl...

  9. Next steps to reduce maternal morbidity and mortality in the USA.

    Science.gov (United States)

    Kilpatrick, Sarah J

    2015-03-01

    Maternal mortality is rising in the USA. The pregnancy-related maternal mortality ratio increased from 10/100,000 to 17/100,000 live births from the 1990s to 2012. A large proportion of maternal deaths are preventable. This review highlights a national approach to reduce maternal death and morbidity and discusses multiple efforts to reduce maternal morbidity, death and improve obstetric safety. These efforts include communication and collaboration between all stake holders involved in perinatal health, creation of national bundles addressing key maternal care areas such as hemorrhage management, call for all obstetric hospitals to review and analyze all cases of severe maternal morbidity, and access to contraception. Implementation of interventions based on these efforts is a national imperative to improve obstetric safety. PMID:25776293

  10. Qualidade assistencial na Divisão de Enfermagem Materno-Infantil de um Hospital Universitário na ótica de enfermeiros Calidad asistencial en la División de Enfermería Materno Infantil de un Hospital Universitario, según la óptica de los enfermeros Quality of maternal-child health care at a University Hospital , according to the nurses' perspective

    Directory of Open Access Journals (Sweden)

    Natalia Eiro Yuri

    2010-06-01

    resultado, 72,7% indicó que las indicaciones de enfermería responden a las necesidades de los usuarios. La dimensión de la estructura obtuvo la peor puntuación, con un promedio de 38,5. Se cree que el estudio contribuya a trazar líneas de acción para el mejoramiento de calidad en las tres dimensiones estudiadas, particularmente en la estructura.The objective of the present study was to analyze the quality of health care at the Maternal-Child Division of a Hospital of University of São Paulo, based on the Donabedian model. Data collection was performed in August of the year 2006, using a questionnaire that was answered by 55 subjects. Data analysis was performed by means of percentage rates and specific tests. A Cronbach's Alpha of 0.71 was found for the instrument, thus showing reliability. As for structure, 98.2% of nurses considered the emergency car location appropriate, and 63.6% reported difficulties in participating in educational activities. As for process, 96.4% consider that the SAE is an instrument that improves quality, and 72.7% stated having communication difficulties with health care professionals. As for the results, 72.7% reported that the nursing prescription meets the users' needs. Structure was the aspect with the worst score, a mean of 38.5. This study supports actions to improve quality in the three domains, particularly structure.

  11. Maternal and congenital syphilis in Bolivia, 1996: prevalence and risk factors.

    OpenAIRE

    Southwick, K. L.; Blanco, S.; Santander, A.; Estenssoro, M.; Torrico, F; Seoane, G.; Brady, W; Fears, M.; Lewis, J; Pope, V.; Guarner, J.; Levine, W. C.

    2001-01-01

    OBJECTIVES: The present study was carried out in seven maternity hospitals to determine the prevalence of maternal syphilis at the time of delivery and the associated risk factors, to conduct a pilot project of rapid syphilis testing in hospital laboratories, to assure the quality of syphilis testing, and to determine the rate of congenital syphilis in infants born to women with syphilis at the time of delivery--all of which would provide baseline data for a national prevention programme in B...

  12. Iraqi Nurses’ Perspectives on Safety Issues in Maternity Services

    Science.gov (United States)

    Jamil Piro, Tiran; Ghiyasvandian, Shahrzad; Salsali, Mahvash

    2015-01-01

    Background: Studies introduce maternal and neonatal safety phenomena as important challenges to the public health, particularly in low-income countries. However, few researches are conducted on the identification of safety issues in maternity hospitals in Iraq. It was the first study on nurses’ perspectives on safety issues in Kurdistan, Iraq. Objectives: The current study aimed to describe nurses’ perspectives on what constitutes a safe maternity service in Kurdistan, Iraq. Patients and Methods: A qualitative design, based on a content analysis approach, was used. Ten Kurdish nurses who worked in the delivery room of Kurdistan, Iraq maternity hospital were recruited through purposive sampling. Semi-structured interviews were performed to collect data. All interviews were audiotaped and transcribed verbatim. Sampling continued to the level of data saturation. Data analysis was performed based on the steps suggested by Graneheim and Lundman. Results: Thematic analysis led to the identification of six main categories including stressful job, lack of schedule and job description, providing care with limited resources, professional unaccountability, regional sociopolitical factors, and inadequate training. Conclusions: Iraqi nurses identified factors such as limited health resources, lack of job description, and professional unaccountability as major safety issues in maternity services. These findings alarm the need to ensure the provision of females and neonates with appropriate care. This, however, would require coordination between Iraqi Kurdistan health authorities to provide midwifery care facilities, high-quality and relevant staff training, and an effective healthcare system in the maternity units. PMID:26576445

  13. Maternal Morbidity And Mortality Patterns in Uttar Pradesh

    Directory of Open Access Journals (Sweden)

    Nandan Deoke

    1997-01-01

    Full Text Available Research question: What is the extent of maternal morbidity and mortality in the community? Objectives: To know the extent and pattern of maternal mortality in the community. Study area: The districts of Uttar Pradesh namely Agra and Farrukhabad, covering 206 villages in 15 blocks. Sample Size: 51, 186 households and 292,496 population. Participants: Married women in reproductive age group. Setting: Rural community Development Blocks. Study variables: Menstrual problems, gynaecological problems, general morbidity and maternal deaths. Outcome variables: Maternal morbidity and mortality. Study Design: Community based cross- sectional study. Analysis: Simple proportions. Results: Over 47.5% of women reported excessive discharge, 15-16% complained of foul smelling discharge besides other problems like urinary infections, incontinence, prolapse, vesico-vaginal fistula etc. Around 22-27% of women suffered general morbidity, predominant being fever/cough/cold, malaria, diarrhoea and anemia’s. Overall, high level of (703 per 100,000 maternal mortality was reported in the area. Respective fingers for Agra and Farrukhabad being 582 and 992 per lakh live births. Over 50% of these deaths occurred at home, 22% in government hospitals, 12% in private hospitals and 15% in transit. Leading causes of maternal mortality were; haemorrhage, retained placenta, sepsis, anemia, jaundice and tetanus.

  14. Iraqi Nurses’ Perspectives on Safety Issues in Maternity Services

    Directory of Open Access Journals (Sweden)

    Jamil Piro

    2015-09-01

    Full Text Available Background Studies introduce maternal and neonatal safety phenomena as important challenges to the public health, particularly in low-income countries. However, few researches are conducted on the identification of safety issues in maternity hospitals in Iraq. It was the first study on nurses’ perspectives on safety issues in Kurdistan, Iraq. Objectives The current study aimed to describe nurses’ perspectives on what constitutes a safe maternity service in Kurdistan, Iraq. Patients and Methods A qualitative design, based on a content analysis approach, was used. Ten Kurdish nurses who worked in the delivery room of Kurdistan, Iraq maternity hospital were recruited through purposive sampling. Semi-structured interviews were performed to collect data. All interviews were audiotaped and transcribed verbatim. Sampling continued to the level of data saturation. Data analysis was performed based on the steps suggested by Graneheim and Lundman. Results Thematic analysis led to the identification of six main categories including stressful job, lack of schedule and job description, providing care with limited resources, professional unaccountability, regional sociopolitical factors, and inadequate training. Conclusions Iraqi nurses identified factors such as limited health resources, lack of job description, and professional unaccountability as major safety issues in maternity services. These findings alarm the need to ensure the provision of females and neonates with appropriate care. This, however, would require coordination between Iraqi Kurdistan health authorities to provide midwifery care facilities, high-quality and relevant staff training, and an effective healthcare system in the maternity units.

  15. Comparação da mortalidade neonatal em recém-nascidos de muito baixo peso ao nascimento, em maternidades do Município do Rio de Janeiro, Brasil Comparison of neonatal mortality in very low birth weight newborns at maternity hospitals in the city of Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    José Luiz Muniz Bandeira Duarte

    2005-10-01

    Full Text Available Foi realizada a comparação das taxas de mortalidade neonatal em quatro maternidades do Município do Rio de Janeiro, Brasil. A população estudada foi de recém-nascidos com peso inferior a 1.500g. O instrumento utilizado foi um questionário com dados informados pela mãe e o prontuário médico. Foram calculados, para cada instituição, as Razões Padronizadas de Mortalidade (RPM com o método direto e indireto, tendo como padrão a distribuição por peso do National Institute of Child Health and Human Development Neonatal Research. A amostra final apresentou 487 recém-nascidos. As padronizações pelo método direto e indireto mostraram elevadas taxas de mortalidade em todas as instituições; as que apresentaram a maior quantidade de recém-nascidos nas faixas com os menores pesos, foram aquelas que mostraram os menores valores de RPM. A menor razão de mortalidade por faixa de peso foi encontrada na faixa de peso entre 500 e 749g. Os resultados da RPM estão inversamente associados ao quantitativo populacional de recém-nascidos nas faixas com os menores pesos. Os coeficientes de mortalidade mostraram taxas altas, principalmente nas faixas de peso mais elevados. Os resultados apontam para uma qualidade deficiente na atenção perinatal.This study was a comparison of neonatal mortality rates in four maternity hospitals in the city of Rio de Janeiro, Brazil. The study population consisted of newborns with birth weight below 1,500g. The research instrument was a questionnaire with data reported by the mother and collected from the patient record. For each maternity hospital the standardized mortality ratio (SMR was calculated using the direct and indirect method, using the weight distribution of the National Institute of Child Health and Human Development Neonatal Research as the standard. The final sample consisted of 487 newborns. Standardizations by the direct and indirect method showed high mortality rates in all four institutions

  16. Respiratory syncytial virus neutralizing antibodies in cord blood, respiratory syncytial virus hospitalization, and recurrent wheeze

    DEFF Research Database (Denmark)

    Stensballe, Lone Graff; Ravn, Henrik; Kristensen, Kim;

    2008-01-01

    BACKGROUND: Respiratory syncytial virus (RSV) hospitalization is associated with wheeze. OBJECTIVE: To examine the influence of maternally derived RSV neutralizing antibodies in cord blood on RSV hospitalization and recurrent wheeze in infancy. METHODS: Among children from the Danish National Birth...... as predictors for (1) RSV hospitalization, (2) RSV hospitalization after recurrent wheeze, (3) recurrent wheeze, and (4) recurrent wheeze after RSV hospitalization. RESULTS: Neutralizing antibody levels were inversely associated with RSV hospitalization in infants below 6 months of age (adjusted incidence rate...

  17. Reduction of severe acute maternal morbidity and maternal mortality in Thyolo District, Malawi: the impact of obstetric audit.

    Directory of Open Access Journals (Sweden)

    Thomas van den Akker

    Full Text Available BACKGROUND: Critical incident audit and feedback are recommended interventions to improve the quality of obstetric care. To evaluate the effect of audit at district level in Thyolo, Malawi, we assessed the incidence of facility-based severe maternal complications (severe acute maternal morbidity (SAMM and maternal mortality during two years of audit and feedback. METHODOLOGY/PRINCIPAL FINDINGS: Between September 2007 and September 2009, we included all cases of maternal mortality and SAMM that occurred in Thyolo District Hospital, the main referral facility in the area, using validated disease-specific criteria. During two- to three-weekly audit sessions, health workers and managers identified substandard care factors. Resulting recommendations were implemented and followed up. Feedback was given during subsequent sessions. A linear regression analysis was performed on facility-based severe maternal complications. During the two-year study period, 386 women were included: 46 died and 340 sustained SAMM, giving a case fatality rate of 11.9%. Forty-five cases out of the 386 inclusions were audited in plenary with hospital staff. There was a reduction of 3.1 women with severe maternal complications per 1000 deliveries in the district health facilities, from 13.5 per 1000 deliveries in the beginning to 10.4 per 1000 deliveries at the end of the study period. The incidence of uterine rupture and major obstetric hemorrhage reduced considerably (from 3.5 to 0.2 and from 5.9 to 2.6 per 1000 facility deliveries respectively. CONCLUSIONS: Our findings indicate that audit and feedback have the potential to reduce serious maternal complications including maternal mortality. Complications like major hemorrhage and uterine rupture that require relatively straightforward intrapartum emergency management are easier to reduce than those which require uptake of improved antenatal care (eclampsia or timely intravenous medication or HIV-treatment (peripartum

  18. Maternal deaths in Tanzania -- a challenge.

    Science.gov (United States)

    1994-08-01

    A reproductive health approach to health care has many consequences for women in Tanzania. Conditions are currently such that in one hospital in Amana there were 30 to 40 deliveries daily, but only 2 beds. The consequence was patients were treated while lying on the floor. The main city hospital did not have a vacuum aspirator, resuscitation equipment for newborns, or a sterilizer. A Dar es Salaam study shows a hospital maternal mortality rate of 754/100,000 live births, which is much higher than the 200-400/100,000 live births estimated by the WHO. The barriers to women's health are low socioeconomic status, poor nutrition, lack of income, lack of employment opportunities, and limited access to basic sanitation. There is discrimination against women in food, education, and economic independence, and social custom that denies decision making about marriage and reproduction. Access to information is limited to mother and child clinics. Men tend not to be involved in family planning or in treatment for sexually transmitted diseases. Strategies have been narrowly focused on maternal mortality, rather than on reproductive health and the right to live. Pregnancy threatens the right to life. PMID:12222520

  19. Estudo da morbidade e da mortalidade perinatal em maternidades: III - Anomalias congênitas em nascidos vivos A study of perinatal morbidity and mortality in maternity hospitals: III - Congenital anomalies in live briths

    Directory of Open Access Journals (Sweden)

    José Maria Pacheco de Souza

    1987-02-01

    Full Text Available Realizou-se estudo das anomalias congênitas encontradas em recém-nascidos vivos, em nove maternidades, durante o ano de 1981-1982. O material é parte de uma pesquisa desenvolvida em sete maternidade do Estado de São Paulo, uma do Rio de Janeiro e uma de Florianópolis, Santa Catarina (Brasil, no período de agosto de 1981 a julho de 1982, quando foram coletados dados sobre todos os nascimentos ocorridos nesses nove serviços. As anomalias congênitas foram definidas como as descritas no XIV.° capítulo da Classificação Internacional de Doenças - 1975, 9ª Revisão, tendo sido utilizada essa classificação para codificá-las. Na análise estatística foram utilizados o X² (com um grau de liberdade, o teste de inclinação para proporções ("Trend test" e a técnica de Berkson para a verificação da hipótese de aderência à distribuição de Poisson. Em 12.782 recém-nascidos vivos, 286 (2,24% apresentavam algum tipo de anomalia congênita, tendo havido 26 (0,20% crianças com duas anomalias, 9 (0,07% com três e duas (0,02 apresentando quatro tipos de malformações congênitas. As deformidades osteomusculares congênitas (código 754 da CID foram as mais freqüentes (19%;segue-se as outras anomalias congênitas do coração (746 com uma freqüência de 14,1%. Ao se analisar a prevalência dessas malformações pela idade da mãe nota-se que há um aumento da prevalência à medida que a idade avança, apenas para Sindrome de Down (758.Congenital anomalies in live births in nine maternities in the period 1981-1982 were studied. This was one aspect of a research project carried out in seven maternities in the State of S.Paulo, one in Rio de Janeiro and another in Florianópolis (Brazil, from which data on all births occurring between August 1981 and July 1982 were obtained. Congenital anomalies were classified according to the XIVth chapter of the CID-1975 - 9thRevision. Chi square for associations and for trend and Berkson

  20. Users' and providers' perspectives on technological procedures for 'normal' childbirth in a public maternity hospital in Salvador, Brazil Perspectivas de usuarios y proveedores sobre procedimientos tecnológicos para el parto 'normal' en una maternidad pública de Salvador, Brasil

    Directory of Open Access Journals (Sweden)

    Cecilia McCallum

    2008-02-01

    Full Text Available OBJECTIVE: To reveal the effect of cultural practices on the way in which normal birth is conducted in a public hospital in Brazil. MATERIAL AND METHODS: This article about a public maternity hospital in Salvador, Brazil, compares the points of view of providers and users on four technological normal childbirth procedures: trichotomy, episiotomy, oxytocin infusion, and epidural analgesia. Fieldwork carried out from 2002 to 2003 combined qualitative and quantitative methods. RESULTS: Institutional practices make childbirth unnecessarily difficult for women. Nonetheless, most women accept the conditions because the medical procedures make sense according to their cultural understandings. Service providers support the use of such procedures, although doctors are aware that they contradict recommendations found in scientific medical literature. This article argues that from the perspective of both providers and users, the technological procedures are infused with a culturally specific set of meanings and values. CONCLUSIONS: Policymakers must address the cultural understandings of both users and health care professionals in order to improve maternal healthcare in public hospitals in Brazil.OBJETIVO: Revelar el efecto de las prácticas culturales en el parto normal en un hospital público en Brasil. MATERIAL Y MÉTODOS: Este artículo sobre el parto en una maternidad pública de Salvador, Brasil, compara el punto de vista de los proveedores de servicios de salud y los usuarios de dichos servicios con respecto a cuatro procedimientos para el parto normal: tricotomía, episiotomía, infusión de oxitocina y analgésico epidural. La investigación, realizada entre 2002 y 2003, utilizó métodos cualitativos y cuantitativos. RESULTADOS: La práctica institucional hace que el parto sea innecesariamente dificultoso para las mujeres, sin embargo, la mayoría de ellas aceptan las condiciones, porque los procedimientos médicos tienen sentido dentro de su

  1. Resultados maternos e neonatais em Centro de Parto Normal peri-hospitalar na cidade de São Paulo, Brasil Resultados maternos y neonatales en un Centro de Parto Normal perihospitalario en la ciudad de São Paulo, Brasil Maternal and perinatal outcomes of an alongside hospital Birth Center in the city of São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Sheila Fagundes Lobo

    2010-09-01

    describe the maternal and perinatal results of care in the alongside hospital birth center Casa de Maria (CPN-CM, located in the city of São Paulo. The random sample included 991 women and their newborns, attended between 2003 and 2006. The results showed that 92.2% of women had a companion of her choice during childbirth and the practices commonly used were shower or immersion bath (92.9%, amniotomy (62.6%, walking (47.6%, massage comfort (29.8% and episiotomy (25.7%. Regarding newborns, 99.9% of them had Apgar scores =7 in the fifth minute, 9.3% received aspiration of the upper airway, no one needed to be intubated and 1.4% were removed to the hospital. The model of care in the CPN-CM provides maternal and perinatal outcomes expected for low obstetric risk women, and means a safe option and less interventionist model in normal childbirth.

  2. Alarmingly High Maternal Mortality in 21st Century

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    Dilpreet Kaur, Vaneet Kaur, Veronica Irene Yuel

    2007-07-01

    Full Text Available The study was conducted to determine the maternal mortality rate (MMR, various factors affecting itand possible prevention of maternal deaths in Christian Medical College & Hospital, a tertiary careinstitute during the past five years (2001- 2005. The individual record of maternal deaths was studiedregarding their socio-demographic features, causes, modes of management and ultimate outcome. TheMaternal Mortality rate was 1470 per lac live births. The major obstetrical complications accounted formore than three fourth of maternal deaths with hemorrhage (33%, sepsis (21.7% and eclampsia (7.5%playing an important role. Anemia (44.3% and jaundice (16.0% were two important indirect causes ofmaternal deaths. Un-booked cases accounted for majority of maternal deaths. Only two maternal mortalitypatients were showing regularly in our institute, rest all of the patients either had no antenatal check-up orwere having ANC in private clinics and were referred as an emergency in critical condition. More than90% of maternal deaths hailed from rural and urban slum areas. 61 (57.8% cases received primary carefrom untrained birth attendants and 11 (10.4% did not receive primary care in any form. There wasdelayed referral by the untrained personnel, 49 (46.2% patients were referred after more than 48 hours ofacute emergency, 51 (48.1% died between 24 to 48 hours and 25 (23.6% died within 24 hours ofadmission in spite of all resuscitative measures. It is concluded that providing good antenatal care, findingappropriate ways of preventing and dealing with the consequences of unwanted pregnancies, and improvingthe way society looks after pregnant women are three most important ways to reduce maternal mortality.

  3. Hormonal risk factors for ovarian cancer in the Albanian case-control study

    OpenAIRE

    Pajenga, Edlira; Rexha, Tefta; Çeliku, Silva; Bejtja, Gazmend; Pisha, Mimoza

    2013-01-01

    The role of reproductive factors in the aetiology of ovarian cancer had been evaluated in hospital-based case-control study conducted in Albania, providing a total dataset of 283 cases and 1019 controls. Logistic regression models were used to obtain relative risk (OR) estimates. The present results showed that parity had protective effects which increased until the forth birth and the trend in risk was significant (p < 0.01). In each stratum and overall, nulliparous women appeared to be at h...

  4. Maternal Separation Anxiety and Child Care: Effects on Maternal Behavior.

    Science.gov (United States)

    Storm, Heidi A.; Ridley-Johnson, Robyn

    Maternal separation anxiety influences maternal behavior, attitudes about employment, and employment decisions made by mothers. This study examined the relationship between maternal separation anxiety and the number of hours a child was in substitute care. The sample consisted of 44 mothers and their children who ranged in age from 12 to 41 months…

  5. Second Trimester Maternal Serum Screening

    Science.gov (United States)

    ... Global Sites Search Help? Second Trimester Maternal Serum Screening Share this page: Was this page helpful? Also ... should know? How is it used? Maternal serum screening is used in the second trimester of pregnancy ...

  6. Expectativas sobre a assistência ao parto de mulheres usuárias de uma maternidade pública do Rio de Janeiro, Brasil: os desafios de uma política pública de humanização da assistência Patients' expectations concerning childbirth care at a public maternity hospital in Rio de Janeiro, Brazil: challenges for the humanization of obstetric care

    Directory of Open Access Journals (Sweden)

    Marcos Augusto Bastos Dias

    2006-12-01

    Full Text Available Analisamos as expectativas de gestantes, usuárias de uma maternidade pública no Município do Rio de Janeiro, Brasil, sobre a assistência que receberam no parto e a avaliação que fazem do atendimento recebido em partos anteriores. A metodologia pautou-se pela análise temática de entrevistas realizadas entre o oitavo e o nono mês de gravidez. Foram analisadas informações das mulheres sobre humanização da assistência ao parto, experiências relativas à assistência recebida em parto(s anterior(es, seu ideal de atendimento ao parto eminente e sobre a atenção da equipe de saúde. Os resultados mostram que as expectativas estão centradas em três elementos principais: admissão rápida na internação, garantia de vaga na maternidade e o atendimento por uma equipe atenciosa e competente que cuide de sua saúde e do seu bebê. As informações discordantes sobre a qualidade da assistência na maternidade trazem para essas mulheres uma tensão a mais nesse momento já que, a seu ver, a qualidade do cuidado dependerá mais de sorte do que da rotina institucional. A partir dessas expectativas, os autores avaliam os desafios da política de humanização da assistência ao parto em implantação nesse município.This study analyzes patients' expectations at a public maternity hospital in Rio de Janeiro, Brazil, concerning childbirth care. The methodology was based on a thematic analysis of interviews held during the eighth and ninth months of pregnancy. The study analyzed women's information on humanization of childbirth care, experience pertaining to care received during previous deliveries, their notions of ideal treatment during the current delivery, and attention received from the health care team. The results show that women's expectations focus on three main elements: speedy hospital admission, guaranteed admission to the maternity hospital, and treatment by an attentive and skilled team that cares for the patient's own health and

  7. The Impact of Cardiac Diseases during Pregnancy on Severe Maternal Morbidity and Mortality in Brazil.

    Directory of Open Access Journals (Sweden)

    Felipe F Campanharo

    Full Text Available To evaluate maternal heart disease as a cause or complicating factor for severe morbidity in the setting of the Brazilian Network for Surveillance of Severe Maternal Morbidity.Secondary data analysis of this multicenter cross-sectional study was implemented in 27 referral obstetric units in Brazil. From July 2009 to June 2010, a prospective surveillance was conducted among all delivery hospitalizations to identify cases of severe maternal morbidity (SMM, including Potentially Life-Threatening Conditions (PLTC and Maternal Near Miss (MNM, using the new criteria established by the WHO. The variables studied included: sociodemographic characteristics, clinical and obstetric history of the women; perinatal outcome and the occurrence of maternal outcomes (PLTC, MNM, MD between groups of cardiac and non-cardiac patients. Only heart conditions with hemodynamic impact characterizing severity of maternal morbidity were considered. 9555 women were included in the Network with severe pregnancy-related complications: 770 maternal near miss cases and 140 maternal death cases. A total of 293 (3.6% cases were related to heart disease and the condition was known before pregnancy in 82.6% of cases. Maternal near miss occurred in 15% of cardiac disease patients (most due to clinical-surgical causes, p<0.001 and 7.7% of non-cardiac patients (hemorrhagic and hypertensive causes, p<0.001. Maternal death occurred in 4.8% of cardiac patients and in 1.2% of non-cardiac patients, respectively.In this study, heart disease was significantly associated with a higher occurrence of severe maternal outcomes, including maternal death and maternal near miss, among women presenting with any severe maternal morbidity.

  8. The perception of crime from Albanian families that come from rural areas (Case study in the city of Durres

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    Marjeta Milloshi

    2015-07-01

    Full Text Available Crime in the family constitutes one of the major concerns of recent years in Albania. Violence in Albanian families remains unnoticed and is not declared by the majority of those affected. The worst is that there are deep rural areas where violence is accepted as normal within a family. Many studies have come to the conclusion that women who have higher education tend to be better prepared to cope with domestic disputes and solve the problems with communication, so are less likely to be victims of physical violence. The economic, cultural, emotional and social factors are sources that generate violence or crime within the family. The transition from a totalitarian to a democratic society brought not only functional changes, but also differences in their implementation. This was accompanied by misunderstandings of the individual crisis and human rights. This misunderstanding is often associated with deviant behavior or by criminal acts. Poverty, unemployment, jealousy, alcohol and drugs are some of the main reasons that cause domestic violence. Albania has long been considered a patriarchal society where men have more rights than women. This difference has led to a situation where husbands continue to see themselves as more superior, and tend to violate their women or children. In recent years poverty has even increased bringing domestic violence to alarming levels. But besides the major problem of growing violence within the family, the biggest problem is the failure of declaration, because of the mentality, shame, lack of trust in government bodies etc. This problem is even greater in rural areas, where there is a lack of police structures, while NGOs cannot cover the whole country. This study was concentrated in the city of Durres, where 600 surveys were undertaken to people of different ages. This paper is focused in the way of how domestic violence is seen by citizens of the city of Durres and those coming from rural areas.

  9. Effects on milk production in F1 crossbred of Alpine goat breed (♂ and Albanian goat breed (♀

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    Luan Hajno

    2012-07-01

    Full Text Available About 950,000 goats, farmed mostly in hilly and mountainous areas of Albania, contribute about 8% of the country’s total milk production. In order to increase milk production, farmers are currently using crosses of the local goat breed with exotic breeds, mainly the Alpine breed from France. This study examines milk production data of first lactation from 45 goats of the local breed, 82 goats of the Alpine breed and 58 F1 crosses (♂Alpine breed x ♀local breed. The goats were kept on small-scale farms according to the traditional Albanian system. Milking was carried out in the morning and evening. Kids were weaned at 65 days of age after which milking started. Milk yield was recorded twice with a 15-day interval between the two readings. Total milk yield was calculated using the Fleischmann method. The F1 goats produced 37.8 kg more milk than local breed goats although the lactation length (P<0.05 of F1 goats was six days shorter compared to that of local breed goats (P<0.05. Analysis of variance showed a highly significant effect (P<0.01 of the genotype factor on milk production. The average Cappio-Borlino curves of three genotypes indicated that the lactation curves of local breed and F1 crosses were similar. Although the F1 cross goats had 50% of their genomes from a genetically improved breed they were still able to deal with the difficult conditions that characterize the traditional extensive farming systems in Albania. Breeding pure Alpine breed or its crosses with the local goat breed improved milk production in an extensive traditional system.

  10. The Prevalence of Physical Activity Levels in Albanian Children and Adolescents in the Physical Education Class and Their Leisure Time

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    M. Shehu

    2015-12-01

    Full Text Available Many studies that show that all individuals (children, adolescents, adults who participate in regular Physical Activity, namely "every day" their memory, concentration and communication, problem solving and leadership skills will be improved compared with individuals who are inactive. Moreover, these improvements can have a positive impact in their process of learning and many other subject areas. The purpose of this study is to present the prevalence of physical activity in Albanian children's and adolescents during their leisure time and teaching process. The instrument used in this study is 'Physical Activity Questionnaire for Children's and Adolescents (PAQ-A and PAQ-C, by Kowalski et al. (1997, made up 8 questions. The sample of the study includes 400 pupils aged 9 - 19 (185 Male and 215 Female. The statistical data processing was performed by SPPS statistical program, version 20. Cronbach's Alpha .820 was used to assess the reliability of the instrument. Volleyball, athletics and football sports are among the most favored by pupils in their leisure time. 56.5% of them claim that they are always intensely involved in the class of PE and 48.3% of them claim that after lesson they prefer to stand around/walk. In extracurricular activities 36% of adolescent's claim that they are not included ever and 30.5% of them state that they are included 1 times at the week and during weekends 52.5% of them are involved 2 - 3 times. The subjects were engaged to get involved in PA at class and during schools day but they are more involved during Saturday and Sun-day, during their leisure time.

  11. Reducing maternal morbidity and mortality in the developing world: a simple, cost-effective example

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    Browning A

    2015-02-01

    Full Text Available Andrew Browning,1,2 Birhanu Menber21Maternity Africa, Arusha, Tanzania; 2Vision Maternity Care, Barhirdar, Ethiopia Objectives: To determine the impact of volunteer obstetricians and midwife teams on obstetric services in a rural hospital in Ethiopia.Methods: The intervention was undertaken in Mota district hospital, a rural hospital in the Amhara region of Ethiopia, which is the only hospital for 1.2 million people. Before the placement of volunteer teams it had a rudimentary basic obstetric service, no blood transfusion service, and no operative delivery. The study prospectively analyzed delivery data before, during, and after the placement of volunteer obstetrician and midwife teams. The volunteers established emergency obstetric care, and trained and supervised local staff over a 3-year period. Measurable outcomes consisted of the number of women delivering, the number of referrals of pregnant women, the number of maternal deaths, and the number of referrals of obstetric fistula patients.Results: With the establishment of the service the number of women attending hospital for delivery increased by 40%. In the hospital maternal mortality decreased from 7.1% to <0.5%, and morbidity, as measured by number of obstetric fistulae, decreased from 1.5% deliveries to 0.5% over the 3-year intervention period. The improvements were sustained after handing the project back to the government.Conclusion: The placement of volunteer teams was an effective method of decreasing maternal mortality and morbidity. Keywords: emergency obstetric care, volunteers, obstetric fistula, emergency obstetric care

  12. Evaluation of Maternal Mortality Cases in the Province of Elazig, Turkey, 2007-2013: A Retrospective Study

    OpenAIRE

    2014-01-01

    The aim of this study was to determine the causes and factors influencing maternal mortality. All maternal deaths occurring between January 2007 and November 2013 in the Elazıg Province of Turkey were retrospectively investigated. The maternal age, obstetric history, cause of death, encountered delay model of each case, as well as the overall number of annual live births in the Province were determined. The information of cases was obtained from Directorate of Public Health and hospital recor...

  13. Secondary postpartum haemorrhage - a underappreciated danger. A retrospective review of the incidence of hysterectomy for the 37 years at Holles St Hospital

    LENUS (Irish Health Repository)

    2011-02-01

    Institute of Obstetricians & Gynaecologists, RCPI Four Provinces Meeting, Junior Obstetrics & Gynaecology Society Annual Scientific Meeting, Royal Academy of Medicine in Ireland Dublin Maternity Hospitals Reports Meeting, Nov 2010

  14. Maternal Sexuality and Breastfeeding

    Science.gov (United States)

    Bartlett, Alison

    2005-01-01

    In this paper I consider the ways in which lactation has been discussed as a form of maternal sexuality, and the implications this carries for our understanding of breastfeeding practices and sexuality. Drawing on knowledge constructed in the western world during the last half of the twentieth century, the paper identifies a shift between the…

  15. Perfil das admissões em uma unidade de terapia intensiva obstétrica de uma maternidade brasileira Admission profile in an obstetrics intensive care unit in a maternity hospital of Brazil

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    Melania Maria Ramos de Amorim

    2006-05-01

    : hypertension (87%, obstetric hemorrhage (4.9% and obstetric infection (2.1% were the major cause of the admissions analyzed. Mean age was 25 years, 65% of the patients delivered by cesarean-section. Anemia was a very common finding (58.4%. Other diagnoses were renal insufficiency, thromboembolic disease, cardiac disease, acute pulmonary edema, sepsis, and hemorrhagic shock. Of the 814 patients with pregnancy-associated hypertension 65% had severe pre-ecclampsia, 16% mild pre-ecclampsia, and 11% ecclampsia. HELLP syndrome was found in 46%. Mechanical ventilation was necessary in 3.6% and hemotransfusion in 17% of the patients. Mean stay was five day (1 a 41 days. Death occurred in 2.4% of the patients. CONCLUSIONS: the rate of deaths was low. An obstetric ICU managed by obstetricians could be a feasible way of dealing with maternal mortality.

  16. Rural maternity care: can we learn from Wal-Mart?

    Science.gov (United States)

    van Teijlingen, E R; Pitchforth, E

    2010-03-01

    In many countries rural maternity care is under threat. Consequently rural pregnant women will have to travel further to attend larger maternity units to receive care and deliver their babies. This trend is not dissimilar from the disappearance of other rural services, such as village shops, banks, post offices and bus services. We use a comparative approach to draw an analogy with large-scale supermarkets, such as the Wal-Mart and Tesco and their effect on the viability of smaller rural shops, depersonalisation of service and the wider community. The closure of a community-maternity unit leads to women attending a different type of hospital with a different approach to maternity care. Thus small community-midwifery units are being replaced, not by a very similar unit that happens to be further away, but by a larger obstetric unit that operates on different models, philosophy and notions of risk. Comparative analysis allows a fresh perspective on the provision of rural maternity services. We argue that previous discussions focusing on medicalisation and change in maternity services can be enhanced by drawing on experience in other sectors and taking a wider societal lens. PMID:20004606

  17. Maternal mortality in Vietnam in 1994-95.

    Science.gov (United States)

    Hieu, D T; Hanenberg, R; Vach, T H; Vinh, D Q; Sokal, D

    1999-12-01

    This report presents the first population-based estimates of maternal mortality in Vietnam. All the deaths of women aged 15-49 in 1994-95 in three provinces of Vietnam were identified and classified by cause. Maternal mortality was the fifth most frequent cause of death. The maternal mortality ratio was 155 deaths per 100,000 live births. This ratio compares with the World Health Organization's estimates of 430 such deaths globally and 390 for Asia. The maternal mortality ratio in the delta regions of these provinces was half that of the mountainous and semimountainous regions. Because a larger proportion of the Vietnamese population live in delta regions than elsewhere, the maternal mortality ratio for Vietnam as a whole may be lower than that of the three provinces studied. Maternal mortality is low in Vietnam primarily because a relatively high proportion of deliveries take place in clinics and hospitals, where few women die in childbirth. Also, few women die of the consequences of induced abortion in Vietnam because the procedure is legal and easily available. PMID:10674328

  18. Fetal and maternal outcomes in pregnancies complicated with fetal macrosomia

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    Mohamed Alkhatim Alsammani

    2012-01-01

    Full Text Available Background: Fetal macrosomia remains a considerable challenge in current obstetrics due to the fetal and maternal complications associated with this condition. Aim: This study was designed to determine the prevalence of fetal macrosomia and associated fetal and maternal morbidity and mortality in the Al Qassim Region of Saudi Arabia. Materials and Methods: This register-based study was conducted from January 1, 2011 through December 30, 2011 at the Maternity and Child Hospital, Qassim, Saudi Arabia. Macrosomia was defined as birth weight of 4 kg or greater. Malformed babies and those born dead were excluded. Results: The total number of babies delivered was 9241; of these, 418 were macrosomic. Thus, the prevalence of fetal macrosomia was 4.5%. The most common maternal complications were postpartum hemorrhage (5 cases, 1.2%, perineal tear (7 cases, 1.7%, cervical lacerations (3 cases, 0.7%, and shoulder dystocia (40 cases, 9.6% that resulted in 4 cases of Erb′s palsy (0.96%, and 6 cases of bone fractures (1.4%. The rate of cesarean section among women delivering macrosomic babies was 47.6% (199, while 52.4% (219 delivered vaginally. Conclusion: Despite extensive efforts to reduce fetal and maternal complications associated with macrosomia, considerable fetal and maternal morbidity remain associated with this condition.

  19. Características de abortamentos atendidos em uma maternidade pública do Município da Serra - ES Characteristics of hospital abortions in a public maternity in the municipality of Serra - ES

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    Priscilla Rocha Araújo Nader

    2007-12-01

    Full Text Available O objetivo do estudo foi descrever as características do abortamento de mulheres admitidas em uma maternidade pública do Espírito Santo. É um estudo transversal. A amostra constituiu-se de 21 mulheres que induziram o abortamento e 62 que o declararam como espontâneo, internadas no período de agosto de 2005 a janeiro de 2006. Para a coleta de dados, foi utilizado um formulário. Os dados foram analisados pelo SPSS, versão 14.0. Em ambos os tipos de abortamento, a maioria das mulheres (85,5% não planejou a gestação e a idade gestacional predominante foi de dez semanas e menos. Um maior percentual de mulheres do grupo do abortamento induzido foi aconselhado a abortar (47,6%, apresentou hemorragia (28,6% e sinais de infecção (19,1% à admissão, e necessitou utilizar antibioticoterapia (19,1%. O método de escolha para a prática do abortamento foi o Misoprostol (76,2%. O pai do concepto teve maior participação na decisão do aborto do que a família. Os principais motivos que levaram à indução do abortamento foram falta de condições financeiras (29,4%, falta de apoio do pai do concepto (20,6%, e ter uma relação conjugal instável (17,7%. Conclui-se que é necessário aumentar as possibilidades de se planejar a gestação e valorizar o Planejamento Familiar como um componente indispensável para o processo global de desenvolvimento social e econômico do País.The study aimed to describe the characteristics of abortion of women in a public hospital in the state of Espírito Santo. It is a cross-sectional study. The sample consisted of 21 women who had induced abortion, and 62 who declared miscarriage, hospitalized in the period between August 2005 and January 2006. A form was used for data collection. Data were analyzed by SPSS, version 14.0. In both kinds of abortion, most women (85.5% had not planned to become pregnant and the predominant gestational age was 10 weeks and less. A greater percentage of women from the induced

  20. Autopsy-certified maternal mortality at Ile-Ife, Nigeria

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    Dinyain A

    2013-12-01

    Full Text Available Amatare Dinyain,1 G Olutoyin Omoniyi-Esan,2 Olaejirinde O Olaofe,3 Donatus Sabageh,3 Akinwumi O Komolafe,2 Olusegun S Ojo21Department of Anatomic Pathology, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa State, Nigeria; 2Department of Morbid Anatomy and Forensic Medicine, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria; 3Department of Morbid Anatomy and Histopathology, Ladoke Akintola University of Technology, Ogbomoso, Oyo State, NigeriaAim: Maternal mortality is a major health problem, especially in Nigeria, where accurate autopsy-based data on the prevalent causes are not readily available. The aim of this study was therefore to accurately determine the causes of maternal death as seen in a tertiary health facility in Nigeria.Materials and methods: This was a descriptive, retrospective review of the postmortem autopsy findings from cases of maternal death at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria over a 5-year period. Analyses were performed for differences in proportions using PEPI computer programs for epidemiologists (P is significant at <0.05.Results: A total of 84 cases of maternal deaths were used for the study. Approximately 71.4% of the maternal deaths were due to direct causes and 28.6% were due to indirect causes. The mean age at the time of death was 27.9±7.5 years. Overall, the three leading causes of death were obstetric hemorrhage (30.9%, complications of abortion (23.8%, and nongenital (nonobstetric infections (14.2%. Of the direct causes of maternal death, obstetric hemorrhage (43.3% was the leading cause, with postpartum hemorrhage accounting for most (65.0% of such deaths; other causes included complications of unsafe induced abortion (33.3% and of labor (11.7%. Of the indirect causes, nongenital infections (50.0%, anemia (25.0%, and preexisting hypertension (20.8% accounted for the majority of the maternal deaths. There was disparity between the clinical and

  1. Maternal mortality in India: current status and strategies for reduction.

    Science.gov (United States)

    Prakash, A; Swain, S; Seth, A

    1991-12-01

    The causes (medical, reproductive factors, health care delivery system, and socioeconomic factors) of maternal mortality in India and strategies for reducing maternal mortality are presented. Maternal mortality rates (MMR) are very high in Asia and Africa compared with Northern Europe's 4/100,000 live births. An Indian hospital study found the MMR to be 4.21/1000 live births. 50-98% of maternal deaths are caused by direct obstetric causes (hemorrhage, infection, and hypertensive disorders, ruptured uterus, hepatitis, and anemia). 50% of maternal deaths due to sepsis are related to illegal induced abortion. MMR in India has not declined significantly in the past 15 years. Age, primi and grande multiparity, unplanned pregnancy, and related illegal abortion are the reproductive causes. In 1985 WHO reported that 63-80% of maternal deaths due to direct obstetric causes and 88-98% of all maternal deaths could probably have been prevented with proper handling. In India, coordination between levels in the delivery system and fragmentation of care account for the poor quality of maternal health care. Mass illiteracy is another cause. Effective strategies for reducing the MMR are 1) to place a high priority on maternal and child health (MCH) services and integrate vertical programs (e.g., family planning) related to MCH; 2) to give attention to care during labor and delivery, which is the most critical period for complications; 3) to provide community-based delivery huts which can provide a clean and safe delivery place close to home, and maternity waiting rooms in hospitals for high risk mothers; 4) to improve the quality of MCH care at the rural community level (proper history taking, palpation, blood pressure and fetal heart screening, risk factor screening, and referral); 5) to improve quality of care at the primary health care level (emergency care and proper referral); 6) to include in the postpartum program MCH and family planning services; 7) to examine the

  2. The influence of maternal body composition on birth weight.

    LENUS (Irish Health Repository)

    Farah, Nadine

    2012-02-01

    OBJECTIVE: To identify the maternal body composition parameters that independently influence birth weight. STUDY DESIGN: A longitudinal prospective observational study in a large university teaching hospital. One hundred and eighty-four non-diabetic caucasian women with a singleton pregnancy were studied. In early pregnancy maternal weight and height were measured digitally in a standardised way and the body mass index (BMI) was calculated. At 28 and 37 weeks\\' gestation maternal body composition was assessed using segmental multifrequency bioelectrical impedance analysis. At delivery the baby was weighed and the clinical details were recorded. RESULTS: Of the women studied, 29.2% were overweight and 34.8% were obese. Birth weight did not correlate with maternal weight or BMI in early pregnancy. Birth weight correlated with gestational weight gain (GWG) before the third trimester (r=0.163, p=0.027), but not with GWG in the third trimester. Birth weight correlated with maternal fat-free mass, and not fat mass at 28 and 37 weeks gestation. Birth weight did not correlate with increases in maternal fat and fat-free masses between 28 and 37 weeks. CONCLUSIONS: Contrary to previous reports, we found that early pregnancy maternal BMI in a non-diabetic population does not influence birth weight. Interestingly, it was the GWG before the third trimester and not the GWG in the third trimester that influenced birth weight. Our findings have implications for the design of future intervention studies aimed at optimising gestational weight gain and birth weight. CONDENSATION: Maternal fat-free mass and gestational weight gain both influence birth weight.

  3. Study of Relationship between Hypernatremia in Neonates and Way of Maternal Breast Feeding

    OpenAIRE

    H Boskabadi; Godarzi, M; M Zakerihamidi; F. Bagheri

    2014-01-01

    Introduction: The extreme reduction in breast milk intake during the first days of life leads to weight loss, kidney failure and hypernatremia. The aim of this study was to examine the relationship between hypernatremia in neonates and way of maternal breastfeeding in hospitalized infants in Ghaem Hospital of Mashhad.   Materials and Methods: After obtaining parental consent, 687 infants referred to the neonatal ward and clinic of Ghaem hospital of Mashhad participated in this cross-sectional...

  4. Hospital Hints

    Science.gov (United States)

    ... and your family. They can help find homecare, rehabilitation, social services, long-term care, and support groups. Inside the Hospital Hospitals have many patient-care areas. For example, the intensive care unit (also called the ICU) has special equipment and staff to care for ...

  5. AN AUDIT OF MATERNAL DEATHS

    Directory of Open Access Journals (Sweden)

    Basavana Gowda

    2015-03-01

    Full Text Available OBJECTIVES: A study of maternal death conducted to evaluate various factors responsible for maternal deaths. To identify complications in pregnancy, a childbirth which result in maternal death, and to identify opportunities for preventive intervention and understand the events leading to death; so that improving maternal health and reducing maternal mortality rate significantly. To analyze the causes and epidemiological amounts maternal mortality e.g. age parity, socioeconomic status and literacy. In order to reduce maternal mortality and to implement safe motherhood program and complications of pregnancy and to find out safe motherhood program. METHODS: The data collected was a retrograde by a proforma containing particulars of the diseased, detailed history and relatives were interviewed for additional information. The data collected was analysed. RESULTS: Maternal mortality rate in our own institution is 200/ 100,000 live births. Among 30 maternal deaths, 56% deaths (17 were among low socio - economic status, groups 60% deaths among unbooked 53.5% deaths more along illiterates evidenced by direct and indirect deaths about 25% of deaths were preventable. CONCLUSION: Maternal death is a great tragedy in the family life. It is crusade to know not just the medical cause of the death but the circumstances what makes these continued tragic death even more unacceptable is that deaths are largely preventable

  6. Maternal mortality in Bijapur district

    Directory of Open Access Journals (Sweden)

    Vidya A. Thobbi

    2015-04-01

    Full Text Available Objectives: The objectives of this study is to evaluate the incidence of maternal deaths, causes responsible for maternal mortality, direct and indirect factors, and various preventable methods to reduce maternal mortality rate. Background: 95% of maternal deaths occur in Asia and Africa. The need for undertaking this study is to know the maternal mortality rate, analyze the causes and preventable factors of death occurring in the district of Bijapur, Karnataka, India. Methodology: It is a study of 2years from the Records of District Health Office and Institutions on maternal mortality from June 2011 to May 2013 in Bijapur. Results: In two years there were fifty eight maternal deaths and seventy nine thousand five hundred and sixty six live births, hence maternal mortality ratio was seventy three per lakh live births. Eighty two percent of maternal deaths occurred in families who belonged to Below Poverty Line. Prevalence of anemia in pregnancy was 79.3%. Severe anemia (Hemoglobin <7g% seen in 5.1% was the most common indirect cause of death. Forty three percent of the deaths occurred at private setups. Hemorrhage, Septicemia and Preeclampsia & Eclampsia were responsible for 44.82%, 15.51% and 6.89% respectively. Conclusion: Majority of the maternal deaths are preventable if these four delays are avoided: a Delay in identifying the problem. b Delay in seeking care. c Delay in reaching the referral institute. d Delay in getting treatment on reaching the referral institute.

  7. Embryo-maternal communication

    DEFF Research Database (Denmark)

    Østrup, Esben; Hyttel, Poul; Østrup, Olga

    2011-01-01

    Communication during early pregnancy is essential for successful reproduction. In this review we address the beginning of the communication between mother and developing embryo; including morphological and transcriptional changes in the endometrium as well as epigenetic regulation mechanisms...... directing the placentation. An increasing knowledge of the embryo-maternal communication might not only help to improve the fertility of our farm animals but also our understanding of human health and reproduction....

  8. Maternal-fetal conflict.

    Science.gov (United States)

    Fasouliotis, S J; Schenker, J G

    2000-03-01

    Advances in prenatal care have brought about a greater understanding as to the special status of the fetus to the point that it is considered a patient in its own regard. Pregnant women generally follow the medical recommendations of their physicians that are intended for the benefit of their baby. Any situation where maternal well-being or wishes contradict fetal benefit constitutes a maternal-fetal conflict. Such situations include a broad range of possible interventions, non-interventions, and coercive influences. In such cases, the attending physician is expected to attain an attitude that involves either the respect of the woman's autonomy and right to privacy, which precludes any approach other than to accept her decision, or to modify this absolute for the beneficence of the fetus. Current ethical viewpoints range from absolute respect for maternal autonomy with no persuasion allowed, to gentle persuasion and to others which permit intervention and overriding of the woman's autonomy. Court-ordered decisions enforcing the pregnant woman to undergo a procedure in order to improve fetal outcome have been criticized as an invasion of a woman's privacy, limitation of her autonomy, and taking away of her right to informed consent. PMID:10733034

  9. Representações e experiências das mulheres sobre a assistência ao parto vaginal e cesárea em maternidades pública e privada Women's representations and experiences with vaginal and cesarean delivery in public and private maternity hospitals

    Directory of Open Access Journals (Sweden)

    Andréa de Sousa Gama

    2009-11-01

    Full Text Available Este estudo analisa as diferentes representações e experiências quanto ao parto vaginal e cesárea de mulheres de diferentes estratos sócio-econômicos, bem como a natureza das relações profissionais de saúde/usuárias no contexto institucional em que estão inseridas. A pesquisa de natureza qualitativa foi desenvolvida em três maternidades do Município do Rio de Janeiro, Brasil, sendo uma pública, uma conveniada com o SUS e uma particular, com mulheres que tiveram os dois tipos de parto. Os resultados revelam que o modelo de organização dos serviços público e privado apresentam variações que produzem diferentes tipos de assistência e de relação entre os profissionais de saúde e as usuárias, dando forma a experiências distintas entre as mulheres pesquisadas. Todavia, ao empreendermos uma crítica assentada nas relações de gênero, podemos verificar que o modelo de assistência ao parto permanece submetendo quem deve ser sujeito e reproduzindo o projeto da medicalização - mesmo que este processo se manifeste de formas diferenciadas entre os grupos estudados -, o que reduz o campo da assistência e inviabiliza um lugar de poder diferenciado das usuárias.This study analyzes the different representations and experiences of women from different social classes, including issues related to their relations with hospital staff in different institutional settings. This qualitative study focused on women who had experienced both types of delivery, in three maternity hospitals in Rio de Janeiro, Brazil (one public, one fully private, and another private under an outsourcing agreement with the public health system. The study showed that variations in public and private service models result in different types of delivery care and different relations with staff, and are reflected in different birthing experiences for the women. However, a critical gender perspective shows that in both cases, the service models reproduce the

  10. Analysis on epidemic situation of notifiable infectious diseases in a maternal and child health hospital from 2006-2011%2006-2011年中山市妇幼保健医院法定传染病疫情分析

    Institute of Scientific and Technical Information of China (English)

    黄桑

    2013-01-01

    [Objective] To understand the incidence and distribution of notifiable infectious diseases in Maternal and Child Health Hospital of Zhongshan City in the recent 6 years,to discusses the distribution and the change tendency,and scientific basis for developing and improving control strategies and measures in the future.[Methods]The epidemic data of notifiable infectious disease reported in this hospital from 2006-2011 were collected and analyzed by Excel.[Results]A total of 30 588 cases of 22 kinds of notifiable infectious diseases were reported in our hospital during 2006-2011,None of Class A was reported.6307 cases of 15 kinds of infectious diseases of Class B were reported,and 24281 cases of 7 types were Class C.The main diseases reported were hand,foot and mouth disease (HFMD),infectious diarrhea,viral hepatitis and syphilis which accounted for more than 90.47% of total cases.During this period,diarrhea,viral hepatitis and syphilis were listed in the first 5 places in each year.[Conclusion] Diarrhea and HFMD are common infectious diseases reported in this hospital.The incidence rates of viral hepatitis and syphilis are relatively high in 6 years.Therefore,the preschool children 'hand hygiene work must be strengthened,as well as the health education and management of infectious disease of the surrounding restaurants and entertainment service industry.%目的 为了解中山市妇幼保健医院近6年传染病的发病状况和分布特征,探讨其分布规律和变化趋势,为今后制定和完善防治策略与措施提供科学依据.方法 收集该院2006-2011年报告的法定报告传染病疫情资料,采用Excel软件进行汇总分析.结果 2006-2011年该院共报告法定传染病22种30 588例,无甲类传染病报告,其中乙类传染病15种6 307例,丙类传染病7种24 281例.主要报告传染病病种是手足口病、感染性腹泻、病毒性肝炎和梅毒,占报告发病总数的90.47%.感染性腹泻、病毒性肝炎、

  11. Maternal and fetal outcomes in term premature rupture of membrane

    Science.gov (United States)

    Endale, Tigist; Fentahun, Netsanet; Gemada, Desta; Hussen, Mamusha Aman

    2016-01-01

    BACKGROUND: Premature rupture of membrane (PROM) is linked to significant maternal prenatal mortalities and morbidity. In Ethiopia, where maternal mortality is still high, the maternal and fetal outcomes in PROM is very important to decrease maternal and child mortality and for better management and prevention of complications. Thus, this study aimed to detect the maternal and fetal outcomes and associated factors in term PROM at Mizan-Aman General Hospital, south-west Ethiopia. METHODS: A retrospective cross sectional study was conducted using data available at Mizan-Aman General Hospital during a period of 3 years (January 2011 to December 2013). We examined records of 4 525 women who gave birth in the hospital; out of these women, 185 were diagnosed with term PROM and all of them were included in the study. The data of these women were collected using a checklist based on registration books. The data were analyzed using SPSS version 20.0 statistical package. The association between independent and dependent variables was assessed by bivariate and multiple logistic regression analyses. 95%CI and P value less than 0.05 were considered statistically significant. RESULTS: Of the 4 525 women who gave birth in the hospital, 202 were complicated by term PROM. About 22.2% of the women showed unfavorable maternal outcomes. The most common cause of maternal morbidity and mortality was puerperal sepsis. About 33.5% of neonates experienced unfavorable outcomes. The duration of PROM >12 hours (AOR=5.6, 95%CI 1.3–24.1) latency >24 hours (AOR=2.8, 95%CI 1.7–11.8), residing in rural areas (AOR=4.2, 95%CI 3.96–29.4) and birth weight less than 2 500 g were associated with unfavorable outcomes. CONCLUSION: Women residing in rural areas, long latency, and neonates with birth weight less 2 500 g may have unfavorable outcomes. Therefore, optimum obstetric and medical care is essential for the reduction of the devastating complications related to disorders. PMID:27313811

  12. Maternal weight and body composition in the first trimester of pregnancy.

    LENUS (Irish Health Repository)

    Fattah, Chro

    2012-02-01

    OBJECTIVE: Previous studies on weight gain in pregnancy suggested that maternal weight on average increased by 0.5-2.0 kg in the first trimester of pregnancy. This study examined whether mean maternal weight or body composition changes in the first trimester of pregnancy. DESIGN: Prospective observational study. POPULATION: We studied 1,000 Caucasian women booking for antenatal care in the first trimester of pregnancy. SETTING: Large university teaching hospital. METHODS: Maternal height and weight were measured digitally in a standardized way and Body Mass Index (BMI) was calculated. Maternal body composition was measured using segmental multifrequency Bioelectrical Impedance Analysis (BIA). Sonographic examination confirmed the gestational age and a normal ongoing singleton pregnancy in all subjects. MAIN OUTCOME MEASURES: Maternal weight, maternal body composition. RESULTS: The mean BMI was 25.7 kg\\/m(2) and 19.0% of the women were in the obese category (> or =30.0 kg\\/m(2)). Cross-sectional analysis by gestational age showed that there was no change in mean maternal weight, BMI, total body water, fat mass, fat-free mass or bone mass before 14 weeks gestation. CONCLUSIONS: Contrary to previous reports, mean maternal weight and mean body composition values remain unchanged in the first trimester of pregnancy. This has implications for guidelines on maternal weight gain during pregnancy. We also recommend that calculation of BMI in pregnancy and gestational weight gain should be based on accurate early pregnancy measurements, and not on self-reported or prepregnancy measurements.

  13. Hospital fundamentals.

    Science.gov (United States)

    Althausen, Peter L; Hill, Austin D; Mead, Lisa

    2014-07-01

    Under the current system, orthopaedic trauma surgeons must work in some form of hospital setting as our primary service involves treatment of the trauma patient. We must not forget that just as a trauma center cannot exist without our services, we cannot function without their support. As a result, a clear understanding of the balance between physicians and hospitals is paramount. Historical perspective enables physicians and hospital personnel alike to understand the evolution of hospital-physician relationship. This process should be understood upon completion of this chapter. The relationship between physicians and hospitals is becoming increasingly complex and multiple forms of integration exist such as joint ventures, gain sharing, and co-management agreements. For the surgeon to negotiate well, an understanding of hospital governance and the role of the orthopaedic traumatologist is vital to success. An understanding of the value provided by the traumatologist includes all aspects of care including efficiency, availability, cost effectiveness, and research activities. To create effective and sustainable healthcare institutions, physicians and hospitals must be aligned over a sustained period of time. Unfortunately, external forces have eroded the historical basis for the working relationship between physicians and hospitals. Increased competition and reimbursement cuts, coupled with the increasing demands for quality, efficiency, and coordination and the payment changes outlined in healthcare reform, have left many organizations wondering how to best rebuild the relationship. The principal goal for the physician when partnering with a hospital or healthcare entity is to establish a sustainable model of service line management that protects or advances the physician's ability to make impactful improvements in quality of patient care, decreases in healthcare costs, and improvements in process efficiency through evidence-based practices and protocols. PMID

  14. Severe maternal outcome: a review

    OpenAIRE

    Suparna Grover; Harbhajan Kaur Shergill; Ajay Chhabra

    2016-01-01

    Maternal mortality ratio (MMR) is considered an indicator of obstetric care available in a society and reduction in MMR has been one of the important millennium development goals defined by World Health Organization (WHO) but it has always been recognized that maternal mortality is just the tip of iceberg. WHO has now defined maternal near-miss cases thus broadening the focus on life threatening conditions encountered by pregnant women. A study was started at our obstetric unit based on near-...

  15. Female health and development : a case study regarding a maternal health scheme in Ghana

    OpenAIRE

    Aikins, Lydia

    2010-01-01

    A study of female health and development regarding maternal health scheme was carried out in Kumasi, Ghana from 2009 to 2010. The study conducted at Komfo Anokye Teaching Hospital (KATH) in Kumasi, Bantama revealed an unstable situation regarding maternal deaths even though pregnant women have free access to antenatal care. The study aimed at finding out whether the free antenatal and delivery care provided by the Ghanaian government is encouraging pregnant women to access the ...

  16. Prospective follow up study of maternal and foetal outcome in abruption placenta

    OpenAIRE

    Poovathi M.; Raji

    2016-01-01

    Background: Abruptio placentae (AP) which is a major cause of maternal morbidity, mortality and perinatal mortality. Abruptio placentae are one of the leading causes of perinatal deaths. Abruptio placentae increase the neonatal morbidity and mortality. It is one of the recognized causes of low birth weight. The purpose of this study was to examine the risk factors for abruptio placentae together with the maternal and fetal outcome in a tertiary care government medical college hospital. Me...

  17. "COMPARISON OF MATERNAL AND FETAL/NEONATAL COMPLICATIONS IN GESTATIONAL AND PRE-GESTATIONAL DIABETES MELLITUS "

    OpenAIRE

    F. Akhlaghi A. B. Hamedi

    2005-01-01

    Presence of maternal diabetes mellitus (DM) during pregnancy has important consequences for both mother and child. To determine maternal and fetal/neonatal complications of gestational DM and compare them with pre-gestational DM, a prospective study was performed in 100 diabetic women delivered in our hospital from January 2001 to April 2002. Pregnancy outcome in 27 women with gestational DM and 73 women with pre-gestational DM and their offspring were studied and analyzed. The mean age of wo...

  18. Emergency peripartum hysterectomy in a tertiary hospital in southern Nigeria

    OpenAIRE

    Abasiattai, Aniekan Monday; Umoiyoho, Aniefiok Jackson; Utuk, Ntiense Maurice; Inyang-Etoh, Emmanuel Columba; Asuquo, Otobong Peter

    2013-01-01

    Introduction Emergency peripartum hysterectomy, a maker of severe maternal morbidity and near miss mortality is an inevitable surgical intervention to save a woman's life when uncontrollable obstetric haemorrhage complicates delivery. This study was conducted in order to determine the incidence, types, indications and maternal complications of emergency peripartum hysterectomy at the University of Uyo Teaching Hospital, Uyo, Nigeria. Methods The case records of all women who underwent emergen...

  19. Placental morphology at different maternal hemoglobin levels: a histopathological study

    International Nuclear Information System (INIS)

    To evaluate the histopathological parameters of the placenta like weight, infarct and syncytial knots, at different maternal hemoglobin levels, in both qualitative and quantitative manner. Study design: Descriptive study Place and Duration of Study: Army Medical College, National University of Sciences and Technology in collaboration with Department of Obstetrics and Gynecology, Military Hospital, Rawalpindi, Pakistan, from December 2011 to November 2012. Patients and Methods: A total of 75 placentas were included, that were collected from full term mothers at the time of childbirth. Placental weight was taken without umbilical cord and gross placental infarcts were noted. Samples of placental tissue were taken and stained by haematoxylin and eosin (H and E). Microscopic study was done to evaluate placental infarcts and syncytial knots. Results: Mean placental weight at normal and low maternal hemoglobin was 581.67 ± 83.97g and 482.58 ± 104.74g respectively. Gross placental infarcts were found in all cases having low maternal hemoglobin concentration (60% cases). Syncytial knots were found in all placentas but they were considerably more at decreasing levels of maternal hemoglobin (19.79 ± 5.22). Conclusion: The present study showed decrease in placental weight, increase in placental infarcts and syncytial knot hyperplasia at low maternal hemoglobin concentration, displaying adaptive alterations. (author)

  20. Prenatal Maternal Smoking and Tourette Syndrome: A Nationwide Register Study.

    Science.gov (United States)

    Leivonen, Susanna; Chudal, Roshan; Joelsson, Petteri; Ekblad, Mikael; Suominen, Auli; Brown, Alan S; Gissler, Mika; Voutilainen, Arja; Sourander, Andre

    2016-02-01

    This is the first nationwide register-based study to examine the relationship between prenatal maternal smoking and Tourette syndrome. A total of 767 children diagnosed with Tourette syndrome were identified from the Finnish Hospital Discharge Register. Each case was matched to four controls. Information on maternal smoking during pregnancy was obtained from the Finnish Medical Birth Register. Conditional logistic regression models were used for statistical analyses. Prenatal maternal smoking was associated with Tourette syndrome when comorbid with ADHD (OR 4.0, 95 % CI 1.2-13.5, p = 0.027 for exposure during first trimester, OR 1.7, 95 % CI, 1.05-2.7, p = 0.031 for exposure for the whole pregnancy). There was no association between maternal smoking during pregnancy and Tourette syndrome without comorbid ADHD (OR 0.5, 95 % CI 0.2-1.3, p = 0.166, OR 0.9, 95 % CI 0.7-1.3, p = 0.567). Further research is needed to elucidate the mechanisms behind the association between prenatal maternal smoking and Tourette syndrome with comorbid ADHD. PMID:25796373

  1. Autopsy-certified maternal mortality at Ile-Ife, Nigeria

    OpenAIRE

    Dinyain A; Omoniyi-Esan GO; Olaofe OO; Sabageh D; Komolafe AO; Ojo OS

    2013-01-01

    Amatare Dinyain,1 G Olutoyin Omoniyi-Esan,2 Olaejirinde O Olaofe,3 Donatus Sabageh,3 Akinwumi O Komolafe,2 Olusegun S Ojo21Department of Anatomic Pathology, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa State, Nigeria; 2Department of Morbid Anatomy and Forensic Medicine, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria; 3Department of Morbid Anatomy and Histopathology, Ladoke Akintola University of Technology, Ogbomoso, Oyo State, NigeriaAim: Maternal mortality is a maj...

  2. Maternity and paternity: the view of the teenage couple

    OpenAIRE

    Marcela Medeiros de Almeida Costa; juliana cristina frare; Joseane Rodrigues da Silva Nobre; Keila Okuda Tavares

    2014-01-01

    Objective: To understand the experience of pregnancy in adolescence through the reports of teenage mothers and fathers. Methods: A descriptive exploratory study of qualitative nature in which interviews were conducted with 11 teenage couples, whose pregnant girls were admitted to a reference maternity hospital. Data collection was conducted in the period between June and August 2010 through a semi-structured interview based on guiding questions for teenage mothers and fathers. The speeches we...

  3. Study and possible middle-term developments of the Albanian legislation relevant to Access and Benefit Sharing Related to Animal Genetic Resources

    Directory of Open Access Journals (Sweden)

    Andon Kume

    2014-09-01

    Full Text Available The analysis of the Albanian legislation shows that when addressing issues relevant to Conservation, Sustainable Economic Development and use of Farm Animal Genetic Resources, no attention is paid for issues related to access and benefit sharing.By signing the Nagoya Protocol on February, 28, 2013, Albania is obliged to draft legislation in accordance and pursuant to the requirements of this Protocol.The middle term process of legislation development should treat with priority issues related to (iaccess to Animal Genetic Resources; (ii sharing of benefits arising from the utilization of such resources; (iii access to traditional knowledge associated with AnGR and (iv sharing of benefits arising from utilization of such knowledge.Through the comparative analysis of EU and other countries legislation, this paper seeks to elaborate ideas and explicate ways of addressing these issues.

  4. Hospital Inspections

    Data.gov (United States)

    U.S. Department of Health & Human Services — Welcome to hospitalinspections.org, a website run by the Association of Health Care Journalists (AHCJ) that aims to make federal hospital inspection reports easier...

  5. Maternal Depression, Maternal Expressed Emotion, and Youth Psychopathology

    Science.gov (United States)

    Tompson, Martha C.; Pierre, Claudette B.; Boger, Kathryn Dingman; McKowen, James W.; Chan, Priscilla T.; Freed, Rachel D.

    2010-01-01

    Across development, maternal depression has been found to be a risk factor for youth psychopathology generally and youth depression specifically. Maternal Expressed Emotion (EE) has been examined as a predictor of outcome among youth with depression. The present study explored the associations between youth psychopathology and two…

  6. A STUDY OF MATERNAL MORTALITY IN A TERTIARY HEALTH CARE CENTRE IN WEST BENGAL

    Directory of Open Access Journals (Sweden)

    Anita

    2013-05-01

    Full Text Available ABSTRACT: BACKGROUND : An observation study was conducted at the Gynaeco logical and Obstetric Department ,Medical College and Hospital, Kolkata, of maternal deaths from 1 st July 2009 to 30 th June 2010. AIMS : To analyze from data of maternal mortality how va riables like sociodemographic factors, incidents surrounding mat ernal mortality, causes of it and time of death to admission interval affect maternal mortality. DESIGN: Observational secondary data based study MATERIALS AND METHODS : Maternal deaths between 1 st July 2009 to 30 th June 2010 were studied at the department of Gynaecology and Obstetrics, Me dical College and Hospital, Kolkata. Data regarding detailed case history, routine antenatal investigations, time of detection of deteriorating patient status with treatment instituted along with referral card, if any, was collected. Data was collected and analysed using MS Excel and Stat cal. RESULTS : 48 maternal deaths were studied. Maternal deaths were notably more among rural ladie s. Deaths were more due to direct causes and more among vaginal deliveries than instrumental del iveries and caesarean sections. Maximum number of deaths was within 24 hours of admission. CONCLUSION : Early registration, immunization, regular antenatal visits, trained bir th attendants along with institutional deliveries, prompt referral and timely interventions go a long way in bringing down maternal mortality in a developing country like India.

  7. Maternal nutrition, health, and survival.

    Science.gov (United States)

    Christian, Parul

    2002-05-01

    The burden of maternal morbidity and mortality in developing countries is high. Each year, 600,000 women die from pregnancy-related causes and 62 million women suffer from morbidity and complications of pregnancy. The extent to which maternal nutrition can improve maternal health and survival is not well understood. Excluding deaths due to induced abortions, the other four main causes of maternal mortality (preeclampsia, hemorrhage, obstructed labor, and infection) may be amenable to nutrition interventions. The role of calcium in reducing the incidence of preeclampsia and hypertension is promising, but more research in deficient populations is urgently needed. Antenatal iron supplementation, although frequently recommended to prevent anemia during pregnancy, has had little program success. Severe anemia may be an important cause of maternal mortality, but convincing evidence is lacking on the health consequences of mild-to-moderate maternal anemia. Knowledge of the etiology of anemia is important in identifying effective strategies for combating it. Other vitamins such as folate, B12, and vitamin A may enhance the effect of iron supplementation in populations where multiple nutrition deficiencies exist. Maternal night blindness is widespread in South Asian women. In Nepal, this condition is associated with markedly increased risks of vitamin A deficiency, anemia, morbidity, and maternal and infant mortality. These findings need to be replicated elsewhere in South Asia. One study has shown vitamin A and beta carotene supplementation to reduce maternal mortality and morbidity. These findings need testing in different settings with emphasis on investigating the mechanisms of the effect. The area of prepregnancy nutrition and its influence on prolonged and obstructed labor is wide open for investigation. The scope for research in the area of maternal nutrition and health is large and the onus is on nutritionists to bring to the forefront the role of nutrition in

  8. Low Birth Weight Among Newborn Infants at Tehran Hospitals

    Directory of Open Access Journals (Sweden)

    Parichehr Tootoonchi

    Full Text Available Objective: This study was performed to determine the prevalence and risk factors of low birth weight (LBW among the live born neonates at the hospitals in Tehran from Sep 2005 till Sep 2006.Material & Methods: This study was a cross-sectional study. Ten hospitals in Tehran were chosen randomly. During the period of study several days in a month were chosen randomly and all newborns born on those days were assessed. The studied characteristics included sex, gestational age, birth order, the interval to previous birth, existence of congenital anomalies, multiple pregnancy, maternal age, gravidity and parity number, history of maternal fertility (including previous LBW infants, infertility, abortion, history of recent pregnancy (including smoking, drug consumption, x-ray exposure, weight gain, vaginal bleeding, gestational illness, folate and iron consumption, gestational infection, chronic illness of the mother, maternal education and maternal job.Findings: We studied 514 (56.5% females and 391 (43.5% males. The LBW prevalence was 8.6% (78 newborns. There was significant statistical relationship between LBW and gestational age, the interval to previous birth, existence of congenital anomalies, multiple pregnancy, maternal age, history of maternal fertility (including previous LBW infants, infertility, abortion, history of recent pregnancy (including smoking, drug consumption, weight gain, vaginal bleeding, gestational illness, iron consumption, gestational infection, chronic illness of the mother and maternal education.Conclusion: Although our results regarding LBW prevalence and risk factors confirm the results of other studies, we recommend perspective studies to reconfirm the LBW risk factors.

  9. Maternal morbid obesity and obstetric outcomes.

    LENUS (Irish Health Repository)

    Farah, Nadine

    2012-02-01

    OBJECTIVE: The purpose of this retrospective cohort study was to review pregnancy outcomes in morbidly obese women who delivered a baby weighing 500 g or more in a large tertiary referral university hospital in Europe. METHODS: Morbid obesity was defined as a BMI > or =40.0 kg\\/m2 (WHO). Only women whose BMI was calculated at their first antenatal visit were included. The obstetric out-comes were obtained from the hospital\\'s computerised database. RESULTS: The incidence of morbid obesity was 0.6% in 5,824 women. Morbidly obese women were older and were more likely to be multigravidas than women with a normal BMI. The pregnancy was complicated by hypertension in 35.8% and diabetes mellitus in 20.0% of women. Obstetric interventions were high, with an induction rate of 42.1% and a caesarean section rate of 45.3%. CONCLUSIONS: Our findings show that maternal morbid obesity is associated with an alarmingly high incidence of medical complications and an increased level of obstetric interventions. Consideration should be given to developing specialised antenatal services for morbidly obese women. The results also highlight the need to evaluate the effectiveness of prepregnancy interventions in morbidly obese women.

  10. Maternal filicide in Turkey.

    Science.gov (United States)

    Eke, Salih Murat; Basoglu, Saba; Bakar, Bulent; Oral, Gokhan

    2015-01-01

    Filicide occurs in every socioeconomic stratum around the world. This study was conducted to evaluate motives, psychopathological aspects, and socio-demographic factors of 74 filicide cases of women in Turkey. Mean age of mothers, most of whom committed infanticide, was 26 years, and breakdown of criminal offenses are as follows: "to get rid of unwanted babies" (24.3%), "acute psychotic-type filicide" (21.6%), "fatal child abuse and neglect" (17.6%), "to get revenge" (12.2%), "protect the lonely child from the harm and badness after suicide" (10.8%), and "pity" (9.5%) motives. Results showed that maternal filicide cannot be reduced to only mental instability or environmental factors and indicates deficiencies in the capacity of the mothers' role in connecting with their child and with parenting skills. Finally, with regard to defendants' motives, similar factors that contribute to committing maternal filicide should be considered while making an assessment of the data and determining employee risk groups. PMID:25066272

  11. From Home to Hospital: The Evolution of Childbirth in the United States, 1927-1940

    OpenAIRE

    Melissa A. Thomasson; Jaret Treber

    2004-01-01

    This paper examines the shift in childbirth from home to hospital that occurred in the United States in the early twentieth century. Using a panel of city-level data over the period 1927-1940, we examine the shift of childbirth from home to hospital and analyze the impact of medical care on maternal mortality. Results suggest that increased operative intervention on the part of physicians and a resultant greater risk of infection increased maternal mortality prior to the introduction of sulfa...

  12. Obstetric near miss and deaths in public and private hospitals in Indonesia

    OpenAIRE

    Stanton Cynthia; Nandiaty Fitri; Deviany Poppy E; Adisasmita Asri; Ronsmans Carine

    2008-01-01

    Abstract Background Falling numbers of maternal deaths have stimulated an interest in investigating cases of life threatening obstetric morbidity or near miss. The purpose of this study was to document the frequency and causes of near miss and maternal deaths in four hospitals in West Java, Indonesia. Methods Cross sectional study in four hospitals in two districts in Banten province, Indonesia. We reviewed registers and case notes to identify the numbers and causes of near miss and death bet...

  13. "Near-miss" obstetric events and maternal deaths in Sagamu, Nigeria: a retrospective study

    Directory of Open Access Journals (Sweden)

    Daniel Olusoji J

    2005-11-01

    Full Text Available Abstract Aim To determine the frequency of near-miss (severe acute maternal morbidity and the nature of near-miss events, and comparatively analysed near-miss morbidities and maternal deaths among pregnant women managed over a 3-year period in a Nigerian tertiary centre. Methods Retrospective facility-based review of cases of near-miss and maternal death which occurred between 1 January 2002 and 31 December 2004. Near-miss case definition was based on validated disease-specific criteria, comprising of five diagnostic categories: haemorrhage, hypertensive disorders in pregnancy, dystocia, infection and anaemia. The near-miss morbidities were compared with maternal deaths with respect to demographic features and disease profiles. Mortality indices were determined for various disease processes to appreciate the standard of care provided for life-threatening obstetric conditions. The maternal death to near-miss ratios for the three years were compared to assess the trend in the quality of obstetric care. Results There were 1501 deliveries, 211 near-miss cases and 44 maternal deaths. The total near-miss events were 242 with a decreasing trend from 2002 to 2004. Demographic features of cases of near-miss and maternal death were comparable. Besides infectious morbidity, the categories of complications responsible for near-misses and maternal deaths followed the same order of decreasing frequency. Hypertensive disorders in pregnancy and haemorrhage were responsible for 61.1% of near-miss cases and 50.0% of maternal deaths. More women died after developing severe morbidity due to uterine rupture and infection, with mortality indices of 37.5% and 28.6%, respectively. Early pregnancy complications and antepartum haemorrhage had the lowest mortality indices. Majority of the cases of near-miss (82.5% and maternal death (88.6% were unbooked for antenatal care and delivery in this hospital. Maternal mortality ratio for the period was 2931.4 per 100

  14. 妇产科患者医院感染金黄色葡萄球菌的基因分析及耐药分子机制研究%Analysis on genetic and molecular mechanism of drug resistance of Staphy lococcus aureus for hospital infections in maternity department

    Institute of Scientific and Technical Information of China (English)

    陈秀堂; 黄小芳; 郑飞云; 张博雯; 王丹; 刘雅琴

    2015-01-01

    目的:探讨妇产科医院感染金黄色葡萄球菌的基因分型及耐药机制,为合理用药提供依据。方法对2008年8月-2013年8月医院分离出的57株金黄色葡萄球菌进行药敏试验,采用随机引物聚合酶链式反应检测并计算 A ph(3′)‐Ⅲ、A ph(2″)、Ant(4′,4″)、qacA/B、erm、macA、tetM、TEM等基因携带率,并对金黄色葡萄球菌进行分型。结果57株金黄色葡萄球菌中共检出34株耐甲氧西林金黄色葡萄球菌,检出率59.6%;甲氧西林敏感金黄色葡萄球菌23株,检出率为40.4%;除万古霉素外,金黄色葡萄球菌对抗菌药物均有不同程度耐药,耐甲氧西林金黄色葡萄球也表现出不同程度的耐药,耐甲氧西林金黄色葡萄球菌耐药基因携带率普遍高于甲氧西林敏感金黄色葡萄球菌;57株金黄色葡萄球菌共分为3种亚型,Ⅰ型33株占57.9%、Ⅱ型6株占10.5%、其他18株占31.6%,Ⅰ型为主要流行株。结论妇产科医院感染的金黄色葡萄球菌主要是Ⅰ型,其对多数抗菌药物已经发生耐药,耐药机制可能与基因变异有关。%OBJECTIVE To explore the genetic and molecular mechanism of drug resistance of Staphylococcus au‐reus infection for hospital infections in the maternity department so as to provide reference for rational drug use . METHODS Totally 57 strains of S . aureus isolated from the hospital during Aug .2008 to Aug .2013 were analyzed by drug sensitive test , the random primers for the polymerase chain reaction were used to test and compute the carrying rates of Aph (3′)‐Ⅲ ,Aph (2″) ,Ant (4′,4″) ,qacA/B ,erm ,macA ,tetM ,TEM genes . And S .aureus strains were classified .RESULTS Totally 34 strains of methicillin‐resistant S .aureus were detected in the 57 strains of S .aureus ,with the detection rate of 59 .6% .There were 23 strains of methicillin‐sensitive S . aureus ,with the detection rate

  15. An oceanic core complex (OCC) in the Albanian Dinarides? Preliminary paleomagnetic and structural results from the Mirdita Ophiolite (northern Albania)

    Science.gov (United States)

    Maffione, M.; Morris, A.; Anderson, M.

    2010-12-01

    Oceanic core complexes (OCCs) are dome-shaped massifs commonly associated with the inside corners of the intersection of transform faults and slow (and ultra-slow) spreading centres. They represent the uplifted footwalls of large-slip oceanic detachment faults (e.g. Cann et al., 1997; Blackman et al., 1998) and are composed of mantle and lower crustal rocks exhumed during fault displacement (Smith et al., 2006, 2008). Recent paleomagnetic studies of core samples from OCCs in the Atlantic Ocean (Morris et al., 2009; MacLeod et al., in prep) have confirmed that footwall sections undergo substantial rotation around (sub-) horizontal axes. These studies, therefore, support “rolling hinge” models for the evolution of OCCs, whereby oceanic detachment faults initiate at a steep angle at depth and then “roll-over” to their present day low angle orientations during unroofing (Buck, 1988; Wernicke & Axen, 1988; Lavier et al., 1999). However, a fully integrated paleomagnetic and structural analysis of this process is hampered by the one-dimensional sampling provided by ocean drilling of OCC footwalls. Therefore, ancient analogues for OCCs in ophiolites are of great interest, as these potentially provide 3-D exposures of these important structures and hence a more complete understanding of footwall strain and kinematics (providing that emplacement-related phases of deformation can be accounted for). Recently, the relationship between outcropping crustal and upper mantle rocks led Tremblay et al. (2009) to propose that an OCC is preserved within the Mirdita ophiolite of the Albanian Dinarides (northern Albania). This is a slice of Jurassic oceanic lithosphere exposed along a N-S corridor which escaped the main late Cenozoic Alpine deformation (Robertson, 2002, 2004; Dilek et al., 2007). Though in the eastern portion of the Mirdita ophiolite a Penrose-type sequence is present, in the western portion mantle rocks are in tectonic contact with upper crustal lithologies

  16. A prospective study of maternal and fetal outcome in acute Lassa fever infection during pregnancy.

    OpenAIRE

    Price, M. E.; Fisher-Hoch, S P; Craven, R B; McCormick, J. B.

    1988-01-01

    Several viral infections have been reported to result in more severe disease in pregnant than non-pregnant women, but the relative risks have not been well characterised. This has now been done for Lassa fever in a prospective study of 68 pregnant and 79 non-pregnant women who were admitted to hospital in Sierra Leone with confirmed Lassa fever. Lassa fever was the main cause of maternal mortality in the hospital, accounting for 25% of maternal deaths. Twelve of 40 patients in the third trime...

  17. They will save us, or shouldn t they? An analysis of the role of the international community in the Albanian print media after the January 21st 2011 demonstrations

    OpenAIRE

    Danaj, Sonila

    2011-01-01

    This article investigates the political controversies related to the role the international community plays and should play in contemporary Albanian politics through an analysis of the media accounts of the January 21, 2011 demonstration. We analyse opinion articles in the mainstream media and find that there are two representations of the political reality that compete for legitimacy: one in favour of the government and the other against it. The picture that emerges from...

  18. The Relationship Between Maternal HCT Levels, Birth Weight and Risk of Low Birth Weight

    Directory of Open Access Journals (Sweden)

    A Beigi

    2006-08-01

    Full Text Available Background: Almost 7.7 percent of all newborns weigh less than 2500 g in different countries. One of the most important reasons that lead to low birth weight, is maternal anemia during pregnancy. On the other hand, if maternal hemoglobin is too high, the prenatal outcome is not good. In this research we studied the relationship between maternal hematocrit (Hct and birth weight, as well as the risk of low birth weight (LBW. Methods: This is a cohort study on all pregnant women who used to come to Arash hospital to receive prenatal care (April 2003 - March 2004 and they also delivered there. Findings: If pregnant women have abnormal (higher or lower than normal Hct level in the first or third trimester, the mean birth weight will be lower and the risk of LBW higher. Maternal Hct level, maternal height, maternal weight and gestational age at delivery have relation to the risk of LBW. Conclusions: It seems that an unfavorable level of maternal Hct is associated with a decrease in newborn's weight and LBW. So, special attention to the level of maternal Hct during pregnancy and control of it can decrease LBW incidence.

  19. Towards elimination of maternal deaths: maternal deaths surveillance and response

    Directory of Open Access Journals (Sweden)

    Hounton Sennen

    2013-01-01

    Full Text Available Abstract Current methods for estimating maternal mortality lack precision, and are not suitable for monitoring progress in the short run. In addition, national maternal mortality ratios (MMRs alone do not provide useful information on where the greatest burden of mortality is located, who is concerned, what are the causes, and more importantly what sub-national variations occur. This paper discusses a maternal death surveillance and response (MDSR system. MDSR systems are not yet established in most countries and have potential added value for policy making and accountability and can build on existing efforts to conduct maternal death reviews, verbal autopsies and confidential enquiries. Accountability at national and sub-national levels cannot rely on global, regional and national retrospective estimates periodically generated from academia or United Nations organizations but on routine counting, investigation, sub national data analysis, long term investments in vital registration and national health information systems. Establishing effective maternal death surveillance and response will help achieve MDG 5, improve quality of maternity care and eliminate maternal mortality (MMR ≤ 30 per 100,000 by 2030.

  20. A mixed methods evaluation of the maternal-newborn dashboard in Ontario: dashboard attributes, contextual factors, and facilitators and barriers to use: a study protocol

    OpenAIRE

    Dunn, Sandra; Sprague, Ann E; Grimshaw, Jeremy M; Graham, Ian D; Taljaard, Monica; Fell, Deshayne; Peterson, Wendy E; Darling, Elizabeth; Harrold, JoAnn; Smith, Graeme N; Reszel, Jessica; Lanes, Andrea; Truskoski, Carolyn; Wilding, Jodi; Weiss, Deborah

    2016-01-01

    Background There are wide variations in maternal-newborn care practices and outcomes across Ontario. To help institutions and care providers learn about their own performance, the Better Outcomes Registry & Network (BORN) Ontario has implemented an audit and feedback system, the Maternal-Newborn Dashboard (MND), for all hospitals providing maternal-newborn care. The dashboard provides (1) near real-time feedback, with site-specific and peer comparison data about six key performance indicators...

  1. Factors associated with severe maternal morbidity and near miss in the São Francisco Valley, Brazil: a retrospective, cohort study

    OpenAIRE

    Pacheco, Alvaro José Correia; Katz, Leila; Souza, Alex Sandro Rolland; Amorim, Melania Maria Ramos

    2014-01-01

    Background Maternal mortality remains a major public health issue worldwide, with persistent high rates prevailing principally in underdeveloped countries. The objective of this study was to determine the risk factors for severe maternal morbidity and near miss (SMM/NM) in pregnant and postpartum women at the maternity ward of the Dom Malan Hospital, Petrolina, in northeastern Brazil. Methods A retrospective, cohort study was conducted to evaluate the sociodemographic and obstetric characteri...

  2. Fatores associados à assistência pré-natal precária em uma amostra de puérperas adolescentes em maternidades do Município do Rio de Janeiro, 1999-2000 Factors associated with precarious prenatal care in a sample of post-partum adolescent mothers in maternity hospitals in Rio de Janeiro, Brazil, 1999-2000

    Directory of Open Access Journals (Sweden)

    Silvana Granado Nogueira da Gama

    2004-01-01

    Full Text Available Caracterizou-se o perfil das gestantes com pré-natal precário, segundo variáveis sócio-demográficas, história reprodutiva da mãe, apoio familiar, satisfação com a gestação e comportamentos de risco durante a gravidez. Foram entrevistadas 1.967 adolescentes no pós-parto imediato de maternidades públicas, conveniadas com o SUS e particulares no Município do Rio de Janeiro. A variável dependente foi o número de consultas de pré-natal (0-3; 4-6; 7 e mais. A análise estatística testou a hipótese de homogeneidade de proporções mediante análises bi e multivariada, com o uso de regressão logística multinomial, cuja categoria de referência da variável-resposta foi a realização de > 7 consultas. Foram encontradas maiores proporções de 0-3 consultas nos grupos de mães com grau de escolaridade This study characterizes the women receiving precarious prenatal care according to socio-demographic variables, mother's reproductive history, family support, satisfaction with pregnancy, and risk behavior during pregnancy. A total of 1,967 adolescents were interviewed in the immediate post-partum in public and outsourced maternity hospitals in the City of Rio de Janeiro. The dependent variable was the number of prenatal appointments (0-3; 4-6; 7 or more. The statistical analysis aimed to test the hypothesis of homogeneity of proportions, including bi- and multivariate analysis, using multinomial logistic regression, in which the reference category for the response variable was 7 or more prenatal visits. Higher (and statistically significant proportions of insufficient number of prenatal visits (0-3 were associated with: precarious sanitation conditions; not living with the child's father; attempted abortion; and smoking, drinking, and/or drug use during pregnancy. The results strongly indicate that mothers with worse living conditions and risk behavior during pregnancy were the same who lacked access to prenatal care.

  3. Avaliação da aplicação do protocolo de triagem pré-natal para toxoplasmose em Belo Horizonte, Minas Gerais, Brasil: estudo transversal em puérperas de duas maternidades Evaluation of prenatal screening for toxoplasmosis in Belo Horizonte, Minas Gerais State, Brazil: a cross-sectional study of postpartum women in two maternity hospitals

    Directory of Open Access Journals (Sweden)

    Ericka Viana Machado Carellos

    2008-02-01

    Full Text Available Foi realizado estudo transversal, em duas maternidades públicas de Belo Horizonte, Minas Gerais, Brasil, com entrevista de 420 puérperas, de agosto de 2004 a maio de 2005, para avaliar a aplicação do protocolo de triagem pré-natal para toxoplasmose implantado, e as orientações oferecidas às gestantes suscetíveis. A cobertura do pré-natal foi de 98%, e da primeira triagem sorológica de 97%. O início do pré-natal e a realização da primeira sorologia ocorreram em média com 16 semanas. Foram identificadas 163 gestantes suscetíveis à toxoplasmose: 44% não repetiram a sorologia, e 42% alegaram não ter recebido orientações para prevenção da toxoplasmose. O início precoce do pré-natal e um maior número de consultas foram associados à repetição da sorologia e ao recebimento de orientações. As informações oferecidas foram: evitar contato com gatos (95%, não ingerir ou manipular carne crua (70% e lavar cuidadosamente as hortaliças (53%. Concluiu-se que a adesão inadequada ao protocolo de triagem pré-natal de toxoplasmose encontrada no estudo pode gerar gastos financeiros sem melhoria na qualidade do cuidado perinatal.This cross-sectional study of 420 women in two public maternity hospitals from August 2004 to May 2005 evaluated the application of a prenatal toxoplasmosis serological screening protocol in Belo Horizonte, Minas Gerais State, Brazil, and the information provided to susceptible pregnant women. Ninety-eight percent of women received prenatal care and 97% underwent the initial serological screening test, at an average of 16 weeks gestational age. The initial testing identified 163 women as susceptible to toxoplasmosis: 44% of these did not undergo repeat serological testing, and 42% of them did not remember having received information on the prevention of toxoplasmosis infection. Early prenatal care and a high number of prenatal visits were associated with repeat serological testing and orientation regarding

  4. Lessons from history--maternal and infant mortality.

    Science.gov (United States)

    1989-07-15

    Historical analysis of trends in infant and maternal mortality rates reveal different patterns and factors that influence them. Recent international and urban-rural differences in trends, associations with population density and the influence of parental social class and income has led to questioning the long accepted interpretation of the sharp decline of infant mortality in Britain (at the turn of the century) as due to such measures as pure water supplies, sewage disposal and pasteurization of milk. Several authors now believe that direct control of fertility influenced parity and birth spacing, with all other factors contributing to the decline in infant mortality. While the drop in infant mortality rates can be attributable to social and environmental influence, trends in maternal mortality differ considerably. Even though high maternal mortality has often been associated with areas of poverty, such a link has been indirect; the determining factor is the place of delivery, and the skill and care of the birth attendant. The decline in maternal mortality rates began by the mid-1930's and have been halved every 10 years since. National concerns due to high rates of maternal mortality led to different organizational solutions. The US adopted a specialist obstetrician/hospital-based delivery system; the Netherlands combined midwives with home delivery; New Zealand trained midwives but with delivery in hospitals, and Britain included specialized obstetricians with better training of midwives and general practitioners. All of these variations had no effect on mortality rates. The decline is attributed to the use of sulphonamids followed by penicillin and improvements in medical management. In a recent publication entitled "Working for Patients", mortality rates continue to remain the outcome measures to be used universally while infant mortality rates are considered crude and not amenable to health interventions. PMID:2567902

  5. Neurocysticercosis in pregnancy: maternal and fetal outcomes.

    Science.gov (United States)

    D'Cruz, Rebecca F; Ng, Sher M; Dassan, Pooja

    2016-07-01

    Neurocysticercosis (NCC) is a parasitic infection with the larvae of Taenia solium from contaminated pork. It is a leading cause of seizures in the developing world. Symptoms may be secondary to live or degenerating cysts, or previous infection causing calcification or gliosis. Diagnosis is based on clinical presentation, radiological confirmation of intracranial lesions and immunological testing. Management involves symptom control with antiepileptics and antiparasitic agents. Few cases have been described of maternal NCC during pregnancy. We describe a 25-year-old female presenting to a London hospital with secondary generalized seizures. MRI of the brain confirmed a calcified lesion in the right parietal lobe, and she gave a corroborative history of NCC during her childhood in India. She was stabilized initially on antiepileptics, but during her pregnancy presented with breakthrough seizures and radiological evidence of NCC reactivation. She was managed symptomatically with antiepileptics and completed the pregnancy to term with no fetal complications. PMID:27471595

  6. Early maternal death due to acute encephalitis

    Directory of Open Access Journals (Sweden)

    M Vidanapathirana

    2014-03-01

    Full Text Available Maternal death in an unmarried woman poses a medico-legal challenge. A 24-year-old unmarried schoolteacher, residing at a boarding place, had been admitted to hospital in a state of cardiac arrest. At the autopsy, mild to moderate congestion of subarachnoid vessels and oedema of the brain was noted. An un-interfered foetus of 15 weeks with an intact sac and placental tissues were seen. Genital tract injuries were not present. Histopathological examination showed diffuse perivascular cuffing by mononuclear cells suggestive of viral encephalitis, considering the circumstances of death and the social stigma of pregnancy in this unmarried teacher, the possibility of attempted suicide by ingestion of a poison was considered. Abrus precatorius (olinda seeds commonly found in the area is known to produce acute encephalitis as well as haemorrhagic gastroenteritis and pulmonary congestion was also considered as a possible cause for this unusual presentation

  7. Maternal dental radiography during pregnancy is not associated with term low birth weight

    International Nuclear Information System (INIS)

    Complete text of publication follows. Objective: In a report published in JAMA in 2004, Hujoel and colleagues indicated that maternal dental radiography during pregnancy may be associated with term low birth weight. Interestingly, they concluded that dental radiographies cause measurable radiation doses to the hypothalamus-pituitary-thyroid axis and the radiation effects on this axis is the reason for term low birth weight. On the other hand, low birth weight is the second leading cause of infant death. In this paper the results obtained in a 2 year study conducted at a midwifery hospital in Rafsanjan, IR Iran are reported. Methods: Four hundred seventy-five singleton infants with gestational periods of 37-44 wk born between 2006 and 2007 at the Niknafs Teaching Hospital affiliated with Rafsanjan University of Medical Sciences and met the inclusion criteria were enrolled in the study. Demographic data and clinical findings at birth including gestation age, sex of infant, birth order, season of birth, maternal age, and maternal education were collected from maternal and newborn hospital records and by interviews with parents. Maternal history of exposure to common sources of man-made ionizing and non-ionizing (exposure to radiations emitted by mobile phones, CRTs, cordless phones) radiation before and during pregnancy were carefully recorded. Results: Among the 475 infants who were studied, there were only 15 cases with a history of maternal dental radiography during pregnancy. The average newborn infants' birth weight in non-exposed and exposed (maternal dental radiography during pregnancy) groups were 3166.69±481.31 g and 3118.67±341.42 g respectively. This difference was not statistically significant. Conclusions: In this study, low birth weight was not associated with maternal dental radiography during pregnancy. These results are generally inconsistent with those reported by Hujoel and colleagues.

  8. Radionuclides and maternal lactation

    International Nuclear Information System (INIS)

    The increase in the number of nuclear medicine centers, both official and private in the country, as well as the increase in the number of patients, due to the effectiveness of their diagnostic and therapeutic procedures, brings out new situations that must be studied from the point of view of radioprotection. This work makes a revision in the medical literature about procedures with radioisotopes during the maternal nursing period. In general, it is recommended to stop nursing for 24 hours for 99mtc test, and to resume it after the draining of the milky content. This can be done in spite of the sensitivity of the target organ of the baby, because the dosage will be below permissible limits accepted by international agencies with respect to diagnostic test and I-131 treatment, and if continuing nursing is desired, it is recommended to use other diagnostic or therapeutic procedures before discontinuing the most important nutritional resource at this age

  9. Academic Hospitality

    Science.gov (United States)

    Phipps, Alison; Barnett, Ronald

    2007-01-01

    Academic hospitality is a feature of academic life. It takes many forms. It takes material form in the hosting of academics giving papers. It takes epistemological form in the welcome of new ideas. It takes linguistic form in the translation of academic work into other languages, and it takes touristic form through the welcome and generosity with…

  10. Hospital Malnutrition

    OpenAIRE

    Asumadu-Sarkodie, Samuel

    2012-01-01

    Malnutrition seen in hospitals usually occurs as some form of protein-energy malnutrition (PEM). Primary PEM results from an acute or chronic deficiency of both protein and calories. Secondary PEM, or cachexia, results from a disease or medical condition such as cancer or gastrointestinal disease that alters requirements or impairs utilization of nutrients.

  11. Making Albanian Forestry Work

    OpenAIRE

    Naka, Kozma Jr.

    1998-01-01

    Recently, Albania has had major transition from a state-controlled to a market economy. The economic reformation has led to widespread liberalization of prices, external trade, and domestic marketing. These changes have been positive for some segments of the economy, but to date the forestry sector has been negatively affected by the transition. The decline of forest resources accelerated and continues. Inefficiencies, price distortions, government fiscal austerity, rapid expansion of liv...

  12. Albanian Higher Education Strategy

    OpenAIRE

    Enkeleda Olldashi; Enkelejda Koka

    2014-01-01

    Since its inception, the governments of 29 European countries (member states of the Bologna Declaration in 1999) had as their main target the creation of a common and coherent system of Higher Education Area in Europe (EHEA). The main intention for the creation of a ‘European Education Area’ was the fostering of student mobility and employability in order to strengthen competition and to make the European Higher Education more attractive. The main focus of this paper is the analysis of th...

  13. Albanian women in physics

    Science.gov (United States)

    Deda, Antoneta; Alushllari, Mirela; Mico, Silvana

    2015-12-01

    In this report, presented at the 5th IUPAP International Conference on Women in Physics, we describe the status of women physicists in Albania and offer some statistical data illustrating the present situation. Undergraduate physics enrollment by girls is high and stable, more women are receiving financial support for doctoral studies, women are well represented in recent academic promotions, and recently women scientists have been appointed to several leadership positions. However, both women and men are challenged by the overall low levels of funding for research and by issues of availability and affordability of child care.

  14. Hospitality and hostility in hospitals

    DEFF Research Database (Denmark)

    Jensen, Tina Blegind; Aanestad, Margunn

    2007-01-01

    The purpose of this paper is to discuss the adoption of healthcare information systems (HIS) from a user perspective. Our case study concerns how a group of orthopaedic surgeons experienced and reacted to the adoption and mandatory use of an Electronic Patient Record system in a Danish hospital. We...... propose to use the concepts of hospitality and hostility to turn our attention to the interaction between the host (the surgeons) and the guest (the information system) and consider how the boundaries between them evolved in the everyday work practices. As an alternative to previous studies on technology...

  15. Maternal deaths in Sagamu in the new millennium: a facility-based retrospective analysis

    Directory of Open Access Journals (Sweden)

    Fakoya Tuminu A

    2006-03-01

    Full Text Available Abstract Background Health institutions need to contribute their quota towards the achievement of the Millennium Development Goal (MDG with respect to maternal health. In order to do so, current data on maternal mortality is essential for careproviders and policy makers to appreciate the burden of the problem and understand how best to distribute resources. This study presents the magnitude and distribution of causes of maternal deaths at the beginning of the 21st century in a Nigerian referral hospital and derives recommendations to reduce its frequency. Methods A retrospective descriptive analysis of all cases of maternal deaths at Olabisi Onabanjo University Teaching Hospital, Sagamu, Southwest Nigeria between 1 January 2000 to 30 June 2005. Results There were 75 maternal deaths, 2509 live births and 2728 deliveries during the study period. Sixty-three (84.0% of the deaths were direct maternal deaths while 12 (16.0% were indirect maternal deaths. Major causes of deaths were hypertensive disorders in pregnancy (28.0%, haemorrhage (21.3% and sepsis (20.0%. Overall, eclampsia was the leading cause of deaths singly accounting for 24.0% of all maternal deaths. Abortion and HIV-related mortality accounted for 1.3% and 4.0% of maternal deaths, respectively. The maternal mortality ratio of 2989.2 per 100,000 live births was significantly higher than that reported for 1988–1997 in the same institution. Up to 67/794 (8.4% patients referred from other facilities died compared to 8/1934 (0.4% booked patients (OR: 22.1; 95% CI: 10.2–50.1. Maternal death was more likely to follow operative deliveries than non-operative deliveries (27/545 vs 22/2161; OR: 5.07; 95% CI: 2.77–9.31. Conclusion At the middle of the first decade of the new millennium, a large number of pregnant women receiving care in this centre continue to die from preventable causes of maternal death. Adoption of evidence-based protocol for the management of eclampsia and improvement in

  16. Maternal employment, breastfeeding, and health: Evidence from maternity leave mandates

    OpenAIRE

    Michael Baker; Kevin S. Milligan

    2007-01-01

    Public health agencies around the world have renewed efforts to increase the incidence and duration of breastfeeding. Maternity leave mandates present an economic policy that could help achieve these goals. We study their efficacy focusing on a significant increase in maternity leave mandates in Canada. We find very large increases in mothers' time away from work post-birth and in the attainment of critical breastfeeding duration thresholds. However, we find little impact on the self-reported...

  17. Social differentiation and embodied dispositions: a qualitative study of maternal care-seeking behaviour for near-miss morbidity in Bolivia

    OpenAIRE

    Liljestrand Jerker; Jonsson Cecilia; Rööst Mattias; Essén Birgitta

    2009-01-01

    Abstract Background Use of maternal health care in low-income countries has been associated with several socioeconomic and demographic factors, although contextual analyses of the latter have been few. A previous study showed that 75% of women with severe obstetric morbidity (near-miss) identified at hospitals in La Paz, Bolivia were in critical conditions upon arrival, underscoring the significance of pre-hospital barriers also in this setting with free and accessible maternal health care. T...

  18. Prevalence of maternal group B streptococcal colonization and related risk factors in a Brazilian population

    Directory of Open Access Journals (Sweden)

    Alexander S. Zusman

    2006-08-01

    Full Text Available The objective of this study was to determine the prevalence of maternal group B Streptococcal (GBS colonization and compare risk factor data related to GBS colonization. A prospective surveillance study of 598 pregnant women was conducted in two socioeconomically diverse maternity hospitals in Ribeirão Preto, Brazil between June and October 1999. Swabs from the lower vagina were obtained between 35 and 37 weeks gestation and cultured on selective media. Risk factor data were obtained by patient interview and chart review. The overall maternal GBS colonization prevalence rate was 17.9%. There was no association of GBS colonization with maternity hospital and no association of GBS colonization with previously identified risk factors, such as age, race, martial status, maternal education, parity, smoking, or alcohol use. There is a relatively high prevalence of maternal GBS colonization in this Brazilian population, although previously-identified-risk factors were not found to be important. This study provides baseline data for the creation of community-based GBS disease prevention protocols.

  19. Pattern of Maternal Complications and Low Birth Weight: Associated Risk Factors among Highly Endogamous Women.

    Science.gov (United States)

    Bener, Abdulbari; Salameh, Khalil M K; Yousafzai, Mohammad T; Saleh, Najah M

    2012-01-01

    Objective. The objective of the study was to examine the pattern of low birth weight LBW, maternal complications, and its related factors among Arab women in Qatar. Design. This is a prospective hospital-based study. Setting. The study was carried out in Women's Hospital, Doha. Subjects and Methods. Pregnant women in their third trimester were identified in the log book of Women's Hospital and recruited into the study during first week of January 2010 to July 2011. Only 1674 (out of 2238) Arab women (74.7%) consented to participate in this study. Data on clinical and biochemistry parameters were retrieved from medical records. Follow-up data on neonatal outcome was obtained from labor room register. Results. The incidence of LBW (rupture of membrane (PROM), maternal occupation, parity, sheesha smoking, and parental consanguinity were significantly different (P < 0.05) between mothers of LBW and normal birth weight NBW (≥2500 g) babies. Multivariable logistic regression analysis revealed that previous LBW, consanguinity, parity, smoking shesha, GDM, APH, anemia, PROM, maternal occupation, and housing condition were significantly associated with LBW adjusting for gestational age. Conclusion. Maternal complications such as GDM, APH, anemia, PROM, and smoking shesha during pregnancy are significantly increasing the risk of LBW outcome. Screening and prompt treatment for maternal complications and health education for smoking cessation during routine antenatal visits will help in substantial reduction of LBW outcome. PMID:22991672

  20. Costs of publicly provided maternity services in Rosario, Argentina Los costos de servicios maternos públicos en Rosario, Argentina

    OpenAIRE

    Josephine Borghi; Silvia Bastus; María Belizan; Guillermo Carroli; Guy Hutton; Julia Fox-Rushby

    2003-01-01

    OBJECTIVE: This study estimates the costs of maternal health services in Rosario, Argentina. MATERIAL AND METHODS: The provider costs (US$ 1999) of antenatal care, a normal vaginal delivery and a caesarean section, were evaluated retrospectively in two municipal hospitals. The cost of an antenatal visit was evaluated in two health centres and the patient costs associated with the visit were evaluated in a hospital and a health centre. RESULTS: The average cost per hospital day is $114.62. The...

  1. Fetal-maternal erythrocyte distribution

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/003407.htm Fetal-maternal erythrocyte distribution To use the sharing features ... unborn baby is leaking into the mother's blood circulation. The more of the baby's cells there are, ...

  2. Predicting Breastfeeding Duration Related to Maternal Attitudes in a Taiwanese Sample

    OpenAIRE

    Ho, Yen-Ju; McGrath, Jacqueline M.

    2011-01-01

    The purpose of this study was to examine maternal attitudes and sociodemographic variables associated with Taiwanese mothers’ continuation of breastfeeding at 6 weeks postpartum. A sample of 140 in-hospital breastfeeding mothers was recruited in Taiwan. Participants completed the Iowa Infant Feeding Attitude Scale (IIFAS) in the hospital prior to discharge. Postdischarge participants were contacted by telephone at 3 and 6 weeks postpartum to obtain information regarding their feeding method a...

  3. Evolution of maternal effect senescence

    OpenAIRE

    Moorad, Jacob A.; Nussey, Daniel H

    2015-01-01

    Evolutionary theory underpins our understanding of the aging process. The many aspects of reproduction that decline with maternal age in animals include number of offspring born, offspring size, and neonatal survival. Current theories of aging ignore potential differences in the evolutionary pressures on these traits. Here, we combine two important branches of evolutionary theory to allow consideration of age-dependent selection at both offspring and maternal levels. We show that we should ac...

  4. Maternal effects in the magpie

    OpenAIRE

    Pihlaja, Marjo

    2006-01-01

    Maternal effects are suggested to be an efficient way to adapt offspring to variable and changing environments with consequent effects on variation in offspring fitness. In birds, mothers are able to affect the quality of their offspring through egg quality and through their incubation and parental care behaviour. Maternal effects via egg quality and hatching asynchrony, caused by incubation behaviour, may incur costs for both the mother and her offspring. For my thesis, I investigated the ad...

  5. Factors influencing inpatients’ satisfaction with hospitalization service in public hospitals in Shanghai, People’s Republic of China

    OpenAIRE

    Chen H; Li M; Wang J; Xue C; Ding T; Nong X; Liu Y; Zhang L

    2016-01-01

    Haiping Chen,1 Meina Li,1 Jingrui Wang,1 Chen Xue,1 Tao Ding,1 Xin Nong,2 Yuan Liu,1 Lulu Zhang11Department of Military Health Management, College of Health Service, Second Military Medical University, Shanghai, 2Department of Medical Research, Rizhao Maternity and Infant Hospital, Shandong, People’s Republic of ChinaObjective: The aim of this study was to observe the current status of inpatient satisfaction and analyze the possible factors influencing patient satisfaction during hospit...

  6. An Important Opportunity for Family Planning Education: Mothers with Children Hospitalized in Children Governmental Hospital, Diyarbakir-2004.

    OpenAIRE

    Alpay Çakmak; Melikşah Ertem

    2005-01-01

    Family planning is an important tool to avoid maternal deaths. But unfortunately women have no chance to reach family planning services particularly in developing countries. All contacts with health professionals of women should be evaluate a opportunity for family planning education. In this study we aimed to show the fact that children hospital is also an important opportunity for family planning education. We interviewed 352 women with a child hospitalized in Children Governmental Hospita...

  7. What Is and What Should Be: Maternal Perceptions of Their Roles in the NICU.

    Science.gov (United States)

    Bruns, Deborah A.; McCollum, Jeanette A.; Cohen-Addad, Nicole

    1999-01-01

    This study examined the development of maternal roles in seven mothers of medically fragile, premature infants in the neonatal intensive care unit (NICU) of an urban, teaching hospital using data sources such as interviews, observations, and document review. Mothers gradually assumed caregiving roles of worrier, novice, learner and expert and…

  8. Reducing high maternal mortality rates in western China: a novel approach.

    Science.gov (United States)

    Gyaltsen Gongque Jianzan, Kunchok; Gyal Li Xianjia, Lhusham; Gipson, Jessica D; Kyi Cai Rangji, Tsering; Pebley, Anne R

    2014-11-01

    Among the Millennium Development Goals, maternal mortality reduction has proven especially difficult to achieve. Unlike many countries, China is on track to meeting these goals on a national level, through a programme of institutionalizing deliveries. Nonetheless, in rural, disadvantaged, and ethnically diverse areas of western China, maternal mortality rates remain high. To reduce maternal mortality in western China, we developed and implemented a three-level approach as part of a collaboration between a regional university, a non-profit organization, and local health authorities. Through formative research, we identified seven barriers to hospital delivery in a rural Tibetan county of Qinghai Province: (1) difficulty in travel to hospitals; (2) hospitals lack accommodation for accompanying families; (3) the cost of hospital delivery; (4) language and cultural barriers; (5) little confidence in western medicine; (6) discrepancy in views of childbirth; and (7) few trained community birth attendants. We implemented a three-level intervention: (a) an innovative Tibetan birth centre, (b) a community midwife programme, and (c) peer education of women. The programme appears to be reaching a broad cross-section of rural women. Multilevel, locally-tailored approaches may be essential to reduce maternal mortality in rural areas of western China and other countries with substantial regional, socioeconomic, and ethnic diversity. PMID:25555773

  9. Inter-Pregnancy Intervals and Maternal Morbidity: New Evidence from Rwanda

    NARCIS (Netherlands)

    Habimana-Kabano, Ignace; Broekhuis, E.J.A.; Hooimeijer, P.

    2015-01-01

    The effects of short and long pregnancy intervals on maternal morbidity have hardly been investigated. This research analyses these effects using logistic regression in two steps. First, data from the Rwanda Demographic and Health Survey 2010 are used to study delivery referrals to District hospital

  10. Tender Beginnings program: an educational continuum for the maternity patient.

    Science.gov (United States)

    Brown, Susan E H

    2006-01-01

    The Tender Beginnings program demonstrates a comprehensive educational plan for maternity patients that can be extended throughout pregnancy, the birth process, and into the postpartum period. In today's healthcare environment, where the maternity patient continues to experience a shortened stay structure, the hurried learning process that is absorbed over a 48-hour stay is often ineffectual. This program provides a strategy and framework for effective teaching that can be successfully implemented all through the peripartum period. Budgetary constraints have given way to an innovative approach and opportunity for the healthcare specialist to explore an entrepreneurial relationship within the structure of the program. The Tender Beginnings program has proven to be a true integration of community educational outreach, nurse entrepreneurship, hospital-based education, and postpartum/neonatal follow-up. PMID:16915052

  11. Maternal scaffolding behavior: links with parenting style and maternal education.

    Science.gov (United States)

    Carr, Amanda; Pike, Alison

    2012-03-01

    The purpose of this study was to specify the relationship between positive and harsh parenting and maternal scaffolding behavior. A 2nd aim was to disentangle the effects of maternal education and parenting quality, and a 3rd aim was to test whether parenting quality mediated the association between maternal education and scaffolding practices. We examined associations between positive and harsh parenting practices and contingent and noncontingent tutoring strategies. Ninety-six mother-child dyads (49 boys, 47 girls) from working- and middle-class English families participated. Mothers reported on parenting quality at Time 1 when children were 5 years old and again approximately 5 years later at Time 2. Mother-child pairs were observed working together on a block design task at Time 2, and interactions were coded for contingent (contingent shifting) and noncontingent (fixed failure feedback) dimensions of maternal scaffolding behavior. Positive and harsh parenting accounted for variance in contingent behavior over and above maternal education, whereas only harsh parenting accounted for unique variance in noncontingent scaffolding practices. Our findings provide new evidence for a more differentiated model of the relation between general parenting quality and specific scaffolding behaviors. PMID:22004338

  12. Conhecimento sobre aleitamento materno de puérperas atendidas em dois hospitais de Viçosa, Minas Gerais Knowledge about maternal nursing of mothers attended at two hospitals in the city of Viçosa, Minas Gerais, Brazil

    Directory of Open Access Journals (Sweden)

    Nathércia PERCEGONI

    2002-01-01

    Full Text Available Este estudo teve como objetivo investigar o conhecimento de puérperas sobre o aleitamento materno. Foram entrevistadas 266 puérperas atendidas em dois hospitais da cidade de Viçosa, MG. A amostra caracterizou-se por mulheres na faixa etária de 13 a 48 anos, das quais 58,3% residiam em Viçosa. A maioria delas tinha o 1º grau incompleto. Segundo a pesquisa, 32,7% das mães receberam informação sobre amamentação antes do parto e 14,3% delas foram orientadas no pré-natal. Apesar de 99,2% das entrevistadas manifestaram a necessidade de a criança ser amamentada, 54,8% não conheciam outra função do leite além da alimentar. A sucção foi lembrada por apenas 1,5% das puérperas como fator que aumenta a produção de leite, e 61,0% delas não conheciam a maneira correta de a criança abocanhar o mamilo. Quanto ao problema do ingurgitamento mamário, 57,0% não sabiam como resolvê-lo. Com relação às leis de proteção à nutriz trabalhadora, 84,6% as desconheciam. Concluiu-se que o baixo nível de conhecimento, por parte das puérperas, sobre questões fundamentais para o sucesso da amamentação reafirmam a importância do incentivo e da orientação para o aleitamento durante o pré-natal.This study had the objective of investigating the mothers knowledge about maternal nursing. Two hundred and sixty-six mothers attended at two hospitals in the city of Viçosa, state of Minas Gerais, where interviewed.The sample was characterized by women in the age group from 13 to 48 years old, and 58,3% of them lived in Viçosa. The majority of them had not finished elementary school. From the total of mothers interviewed, 32.7% had received information on breast-feeding before the childbirth, and 14.3% of them were oriented in the prenatal period. Although of 99.2% of the mothers considered that the child should be breastfed, 54.8% did not know another function of milk besides feeding. The suction was remembered by only 1.5% of the mothers as a

  13. Study of Maternal and Perinatal outcome in moderate to severe degree iron deficiency anaemia in rural community

    OpenAIRE

    Bangal, Vidyadhar B; Aher, Kunal; Bhosale, Ketki; Tuse, Harshad

    2016-01-01

    Background: Anaemia is the commonest medical disorder associated with pregnancy. It contributes to one fifth of the maternal deaths and large number of preterm deliveries and low birth weight babies in India.Objectives: To study maternal and perinatal outcome in pregnancies complicated by anaemia.Setting- Tertiary care teaching hospital in central India.Study Design: Prospective observational study.Material and Methods: Study was conducted for a period of two years from September 2012 to Augu...

  14. Using audit to enhance quality of maternity care in resource limited countries: lessons learnt from rural Tanzania

    OpenAIRE

    Nyamtema Angelo S; de Jong Alise; Urassa David P; van Roosmalen Jos

    2011-01-01

    Abstract Background Although clinical audit is an important instrument for quality care improvement, the concept has not yet been adequately taken on board in rural settings in most resource limited countries where the problem of maternal mortality is immense. Maternal mortality and morbidity audit was established at Saint Francis Designated District Hospital (SFDDH) in rural Tanzania in order to generate information upon which to base interventions. Methods Methods are informed by the princi...

  15. National data system on near miss and maternal death: shifting from maternal risk to public health impact in Nigeria

    Directory of Open Access Journals (Sweden)

    Oladapo Olufemi T

    2009-06-01

    potentially fatal maternal complications. For every woman enrolled, the health service events (care pathways within the facility will be evaluated to identify areas of substandard care/avoidable factors through clinical audit by the local research team. A summary estimate of the frequencies of MNM and maternal deaths will be determined at intervals and indicators of quality of care (case fatality rate, both total and cause-specific and mortality index will be evaluated at facility, regional and country levels. Management Overall project management will be from the Centre for Research in Reproductive Health (CRRH, Sagamu, Nigeria. There will be at least two meetings and site visits for efficient coordination of the project by regional coordinators and central coordinating staff. Data will be transferred electronically by hospital and regional coordinators and managed at the Data Management Unit of CRRH, Sagamu, Nigeria. Expected outcomes The outcome of the study would provide useful information to the health practitioners, policy-makers and international partners on the strengths and weaknesses of the infrastructures provided for comprehensive emergency obstetric care in Nigeria. The successful implementation of this project will pave way for the long-awaited Confidential Enquiries into Maternal Deaths that would guide the formulation and or revision of obstetric policies and practices in Nigeria. Lessons learnt from the establishment of this data system can also be used to set up similar structures at lower levels of healthcare delivery in Nigeria.

  16. Teacher’s Influence Scale from their Colleagues and Principals: Its Relation with School Performance in Public Schools of the Albanian Educational System

    Directory of Open Access Journals (Sweden)

    Valbona Nathanaili

    2016-03-01

    Full Text Available This article aims to evaluate the relation between school performance and the Teacher’s Influence Scale on certain issues from their colleagues and principals in the public educational system of Albania. For this purpose, a questionnaire was used. The sample consisted of 428 teachers, teaching at 20 public schools in the pre-university educational system in Albania who filled in self-report questionnaires with six items. The schools were chosen based on performance criteria, with higher and lower performance based on the Educational Directory of each city: Tirana, Kamëz, Elbasan and Shkodra. One of the conclusions is that teacher’s influence by their colleagues is very low, (M=2.5197, as is teacher’s influence by their principals (M=2.1789; but teachers are slightly more influenced by their colleagues. The school performance, in the case of Albanian public schools, is related very weak with the scale of teachers’ influence. However, this relation is slightly higher in schools with lower performance. Furthermore, the school performance is overall more than the collective efforts of teacher and principals and involves the background of the school community.

  17. Corporate Governance In Transition Economies- Comparative Analysis Of Contemporary Corporate Governance Issues In Selected Of This Economies In South-Eastern Europe. The Albanian Case.

    Directory of Open Access Journals (Sweden)

    Rezart Dibra

    2012-12-01

    Full Text Available This article aims at introducing the main corporate governance mechanism’ influence on governance in South Eastern Europe (Western Balkans transition economies: Albania, Bosnia and Herzegovina, Croatia, Serbia and Slovenia. The implementation of corporate governance in transition economies, where Albania is one of the countries that have implemented such corporate governance principles, require a suitable legal framework and relevant protection of minority shareholders. In 2008 the new law “On entrepreneurs and commercial companies”was enacted.The latter introduced new practices and concepts, some of them not familiar to the Albanian legal system. This paper discusses comparative insight on the most pressing issues of corporate governance in selected economies of South-East Europe (Western Balkans. It is widely accepted that both private sector and governments can benefit from identification of the most important determinants and implications of good corporate governance. Corporate governance systems have a common goal – protection of investor’s rights and transparency of the system in which transactions take place. However, it is also well recognized that systems of corporate governance in attempt to gain necessary level of harmonization and consistency rely heavily on contextual factors of specific economy. Specifically, the research covers corporate governance in Albania, Bosnia and Herzegovina, Croatia, Serbia and Slovenia. 

  18. Frequency of maternal and newborn birth outcomes, Lima, Peru, 2013.

    Directory of Open Access Journals (Sweden)

    Adriane Wynn

    Full Text Available This study describes the pregnancy and birth outcomes at two hospitals in Lima, Peru. The data collection and analysis is intended to inform patients, providers, and policy makers on Peru's progress toward achieving the Millennium Development Goals and to help set priorities for action and further research.Data were collected retrospectively from a sample of 237 women who delivered between December 2012 and September 2013 at the Instituto Nacional Materno Perinatal or the Hospital Nacional Arzobispo Loayza. The outcomes were recorded by a trained mid-wife through telephone interviews with patients and by review of hospital records. Associations between participant demographic characteristics and pregnancy outcomes were tested with Chi-squared, Fisher's exact, or Student's t-test.Over 37% of women experienced at least one maternal or perinatal complication, and the most frequent were hypertension/preeclampsia and macrosomia. The women in our sample had a cesarean section rate of 50.2%.Maternal and perinatal complications are not uncommon among women in the lower socioeconomic strata of Lima. Also, the high cesarean rate underpins the need for a more comprehensive understanding of the indications for cesarean section deliveries, which could help reduce the number of unnecessary procedures and preventable complications.

  19. Aspectos sociodemográficos e reprodutivos do abortamento induzido de mulheres internadas em uma maternidade do Município da Serra, ES Aspectos socio demográficos y reproductivos del aborto inducido en mujeres internadas en una maternidad del municipio de Sierra, ES Socio demographic and reproductive aspects of the induced miscarriage of women hospitalized in a maternity hospital of serra, state of Espírito Santo

    Directory of Open Access Journals (Sweden)

    Priscilla Rocha Araujo Nader

    2008-12-01

    embarazo [OR=0,168 (IC95% 0,042 0,669] se muestran asociados al hecho del aborto inducido como factores de protección. Conclusión: Para atenuar el problema del aborto inseguro, se debe invertir en la promoción de la salud reproductiva incentivando el acceso a la educación sexual y a la planificación familiar.Goal: Comparing socio demographic and reproductive aspects between women who had induced the interruption of pregnancy and women who had taken the pregnancy period in full hospitalized in a public maternity. Methods: Study case-control that 21 women who had an induced miscarriage and 83 who had the full pregnancy period were included in the period from August, 2005 to January, 2006. Results: There was no significant difference in the comparison between the frequency of groups related to age, skin color, study years, religion, monthly income, first-period age, first sexual-relation age, first pregnancy age, number of pregnancy, gap between last and the one before the last pregnancy and the number of live children. The marital status married/stable union [OR=0, 241 (IC95% 0, 06 0, 951] and the pregnancy will [OR=0, 168 (IC95% 0, 042 0, 669] are associated to the occurrence of induced miscarriage as a protection factor. Conclusions: To make evident the unsafe miscarriage problem, there must be an investment in the promotion of the reproductive health motivating the access to the sexual education and the family planning.

  20. A study of association of obesity with maternal complications

    International Nuclear Information System (INIS)

    To determine the association of obesity with maternal complications. Methodology: A prospective cohort study was conducted at Gynae Unit lll Jinnah Hospital Lahore, from 21st May 2011 to 20th Nov.2011 All women fulfilling the inclusion were included in this study. Two groups were made, Group l was allotted to obese pregnant women and Group ll was allotted to non-obese pregnant women. Demographic data included age, parity, duration of pregnancy and maternal complications i-e urinary tract infection , instrumental vaginal delivery and post-partum haemorrhage were recorded and analyzed by SPSS -version 13. Results: The results of this study revealed that demographics like age parity and duration of pregnancy were almost similar in both groups , common age was 25.21 +- 2.73 in group-A and 26.34 +- 3.56 years in group -B . Comparison of maternal complications revealed that 22.23 % in group-A and 10.70% in group -B had urinary tract infection, relative risk was 2.087, instrumental delivery in group -A was 14.42% and in group-B was 4.19% relative risk was 3.44 while post-partum haemorrhage was 9.77% in group -A and 3.26% in group -B , relative risk was 3.00. Conclusion: The frequency of maternal complications is higher among obese pregnant women so it is recommended that every pregnant woman who presents with increased BMI should be sort out for maternal complications. (author)

  1. Severe maternal outcome: a review

    Directory of Open Access Journals (Sweden)

    Suparna Grover

    2016-03-01

    Full Text Available Maternal mortality ratio (MMR is considered an indicator of obstetric care available in a society and reduction in MMR has been one of the important millennium development goals defined by World Health Organization (WHO but it has always been recognized that maternal mortality is just the tip of iceberg. WHO has now defined maternal near-miss cases thus broadening the focus on life threatening conditions encountered by pregnant women. A study was started at our obstetric unit based on near-miss maternal mortality concept in March 2015 and is currently underway. We analyzed the initial data of the first few months and recognized four of such special cases which find mention in this review. We decided to review the literature with special reference to these cases as every such case is a lesson in itself for the health care provider, highlighting the acts of omission or interventions that may make the difference between a high risk pregnancy terminating without complication or ending as a near-miss or mortality. We reviewed the literature about various causes of maternal mortality and morbidity. In addition to the sincere efforts done by the doctors from different specialities, a good blood bank facility, ICU care as well as government provided transport facility played important roles in these cases. A long term analysis of this data can certainly guide the policy makers about the areas that need more stress and financial support. [Int J Reprod Contracept Obstet Gynecol 2016; 5(3.000: 596-602

  2. Maternal death audit in Rwanda 2009–2013: a nationwide facility-based retrospective cohort study

    Science.gov (United States)

    Sayinzoga, Felix; Bijlmakers, Leon; van Dillen, Jeroen; Mivumbi, Victor; Ngabo, Fidèle; van der Velden, Koos

    2016-01-01

    Objective Presenting the results of 5 years of implementing health facility-based maternal death audits in Rwanda, showing maternal death classification, identification of substandard (care) factors that have contributed to death, and conclusive recommendations for quality improvements in maternal and obstetric care. Design Nationwide facility-based retrospective cohort study. Settings All cases of maternal death audited by district hospital-based audit teams between January 2009 and December 2013 were reviewed. Maternal deaths that were not subjected to a local audit are not part of the cohort. Population 987 audited cases of maternal death. Main outcome measures Characteristics of deceased women, timing of onset of complications, place of death, parity, gravida, antenatal clinic attendance, reported cause of death, service factors and individual factors identified by committees as having contributed to death, and recommendations made by audit teams. Results 987 cases were audited, representing 93.1% of all maternal deaths reported through the national health management information system over the 5-year period. Almost 3 quarters of the deaths (71.6%) occurred at district hospitals. In 44.9% of these cases, death occurred in the post-partum period. Seventy per cent were due to direct causes, with post-partum haemorrhage as the leading cause (22.7%), followed by obstructed labour (12.3%). Indirect causes accounted for 25.7% of maternal deaths, with malaria as the leading cause (7.5%). Health system failures were identified as the main responsible factor for the majority of cases (61.0%); in 30.3% of the cases, the main factor was patient or community related. Conclusions The facility-based maternal death audit approach has helped hospital teams to identify direct and indirect causes of death, and their contributing factors, and to make recommendations for actions that would reduce the risk of reoccurrence. Rwanda can complement maternal death audits with other

  3. ANALYSIS OF MATERNAL MORTALITY IN A TERTIARY CARE C ENTRE: A 5 YRS RETROSPECTIVE STUDY

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    Shabana

    2013-03-01

    Full Text Available ABSTRACT: AIMS : This study aimed to study the determinants, commo n causes and possible prevention of maternal mortality. MATERIALS AND METHODS: Maternal mortalities in Department of Obstetrics and gynecology, Gandhi medi cal college, Sultania Zanana Hospital, Bhopal during 5 year period from Jan 2007- Dec 2011 were studied. The individual records of all maternal deaths occurring during the study peri od of 5 years were extracted from patient’s case notes and hospital record registers. Total deli veries for the period were extracted from the delivery registers. RESULTS : In the year 2007-2011 total live births were 43,68 3 of which 338 mothers died giving cumulative maternal mortality r atio of 773.75 per 1,00,000 live births. Among 338 total maternal deaths, the maximum deaths were in the age group 20-30 years (88.16%.The death rate of mothers from rural areas was higher (65.68%.The highest number of maternal death occurred among multigravidae (46. 74% . A total of 91.72% of maternal death occurred in unbooked patients. Most were referred patients (74.55%. Most of them were illiterate (61.8%.76.62% patients died within 24 ho urs of admission.33.13% women died in antenatal period while 64.49% died in postnatal perio d. Direct obstetric causes of death accounted for 76.03% of all maternal deaths. Among the direct causes 39.64% died due to hypertensive disorder of pregnancy, 18.93% due to hem orrhage. Indirect causes accounted for 23.96% in which anemia (8.57%, malaria (3.55% hepa titis (2.66% were the leading causes . CONCLUSIONS : This study has shown higher maternal mortality du e to being a tertiary care hospital based study where more complicated and refe rred cases are admitted. Most maternal deaths can be prevented by providing care at grass r oot level, linkage between primary, secondary and tertiary care, strengthening of refer ral services and instituting emergency obstetric services.

  4. Maternal and fetal Outcome of pregnancies complicated by ovarian tumor

    International Nuclear Information System (INIS)

    Introduction: Ovarian tumors when occur, endanger two lives, mother and that of fetus. It becomes a therapeutic challenge to evaluate the necessity of immediate intervention for maternal indication versus delaying therapy for fetal indication. Majority of these cysts are benign and usually are functional cysts, dermoid or cyst adenomas. 2-5% of adnexal masses during pregnancy are true malignant neoplasms. Ovarian cancer being the second most frequent gynaecological cancer complicating pregnancy has an average estimated incidence of 1 in 2500 deliveries. Keeping in view all that, a study was conducted in Fatima Memorial Hospital to see maternal and fetal outcome of pregnancies complicated by ovarian tumors. Objective: To determine the maternal and fetal outcome of pregnancies complicated by ovarian tumors. Study Design: Case series descriptive study. Setting: The study was conducted in obstetrics and gynaecology department of Fatima Memorial Hospital, Lahore. Duration of Study: This study was conducted for one year. Subjects and Method: All 14500 pregnant ladies, who visited antenatal clinic and emergency of Fatima Memorial Hospital Lahore for one year, were considered to sort out pregnancies complicated by a co-existent ovarian mass of > 5 cm. Results: Of all 36 patients, included in current study, 24 had surgical and 12 had conservative management. Obstetric out-come revealed one preterm delivery after conservative management. Surgical intervention resulted in two abortions, two pre-term and twenty term deliveries. In both groups, the ratio of abdominal and vaginal delivery was 1:2 respectively. Fetal outcome revealed only one preterm and one IUGR infant in conservative group while surgically managed group revealed two preterm infants, two IUGR and one infant with septicemia. Conclusion: Surgical intervention is a reasonable approach to deal with cases of ovarian tumors with pregnancy, but conservative management may also have comparable obstetric outcome provided

  5. Socioeconomic factors contributing to exclusion of women from maternal health benefit in Abuja, Nigeria

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    Tajudeen O. Oyewale

    2015-02-01

    Full Text Available Background: An understanding of the predictive effect of socioeconomic characteristics (SECs of women on maternal healthcare service utilisation is essential in order to maximise maternal health benefits and outcomes for the newborn.Objectives: To describe how SECs of women contribute to their exclusion from maternal health benefits in Abuja Municipal Areas Council (AMAC in Abuja, Nigeria.Method: A non-experimental, facility-based cross-sectional survey was done. Data were collected from 384 respondents using a structured interviewer-administered questionnaire. The participants were sampled randomly at antenatal care (ANC clinics in the five district hospitals in AMAC. Data analysis included descriptive statistics, cross-tabulations and measures of inequality. Logistic regression analysis was used to test the relationship between SECs (predictors and maternal healthcare service utilisation.Results: There were differentials in the utilisation of maternal healthcare services (ANC, delivery care, post natal care [PNC] and contraceptive services amongst women withdifferent SECs; and the payment system for maternal healthcare services was regressive. There were inconsistencies in the predictive effect of the SECs of women included in this study (age,education, birth order, location of residence, income group and coverage by health insurance on maternal healthcare service utilisation when considered independently (bivariate analysis as opposed to when considered together (logistic regression, with the exception of birth order, which showed consistent effect.Conclusion: SECs of women were predictive factors of utilisation of maternal healthcare services. There is a need for targeted policy measures and programme actions toward multiple SECs of women in their natural co-existing state in order to optimise maternal health benefits.

  6. Maternal and neonatal risk factors for childhood type 1 diabetes: a matched case-control study

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    Harrild Kirsten

    2010-05-01

    Full Text Available Abstract Background An interaction between genetic susceptibility and environmental factors is thought to be involved in the aetiology of type 1 diabetes. The aim of this study was to investigate maternal and neonatal risk factors for type 1 diabetes in children under 15 years old in Grampian, Scotland. Methods A matched case-control study was conducted by record linkage. Cases (n = 361 were children born in Aberdeen Maternity Hospital from 1972 to 2002, inclusive, who developed type 1 diabetes, identified from the Scottish Study Group for the Care of Diabetes in the Young Register. Controls (n = 1083 were randomly selected from the Aberdeen Maternity Neonatal Databank, matched by year of birth. Exposure data were obtained from the Aberdeen Maternity Neonatal Databank. Conditional logistic regression was used to evaluate the association between various maternal and neonatal factors and the risk of type 1 diabetes. Results There was no evidence of statistically significant associations between type 1 diabetes and maternal age, maternal body mass index, previous abortions, pre-eclampsia, amniocentesis, maternal deprivation, use of syntocinon, mode of delivery, antepartum haemorrhage, baby's sex, gestational age at birth, birth order, birth weight, jaundice, phototherapy, breast feeding, admission to neonatal unit and Apgar score (P > 0.05. A significantly decreased risk of type 1 diabetes was observed in children whose mothers smoked at the booking appointment compared to those whose mothers did not, with an adjusted OR of 0.67, 95% CI (0.46, 0.99. Conclusions This case-control study found limited evidence of a reduced risk of the development of type 1 diabetes in children whose mothers smoked, compared to children whose mothers did not. No evidence was found of a significant association between other maternal and neonatal factors and childhood type 1 diabetes.

  7. Maternal Child Abuse and its Association with Maternal Anxiety in the Socio-Cultural Context of Iran

    Directory of Open Access Journals (Sweden)

    Zahra Esmaeili Douki

    2013-11-01

    Full Text Available Objectives: The prevalence of parental violence has been an area of major public concern. There are few available data detailing the ways parents and other caregivers discipline children, particularly in low and middle income countries. This study focuses on the prevalence of different types of maternal child abuse and its association with maternal anxiety in the socio-cultural context of Iran.Methods: Participants in this cross-sectional study consisted of 562 mothers with the last child aged from 1 month to 12 years old who attended the Amirkola Children’s Referral Hospital in Mazandaran Province, Iran, seeking healthcare services for their children. Demographic characteristics of the mothers, their children and reactions to conflicts with children were evaluated by a validated version of Conflict Tactics Scale for Parent and Child. Also, the relationship between maternal anxiety and child abuse was assessed using the Spielberger State-Trait Anxiety Inventory. The association between variables was examined by Pearson correlation coefficient, independent t-test, one-way ANOVA, and multivariate regression.Results: The prevalence of mother-to-child corporal punishment, severe physical abuse and very severe physical abuse were 436 (78%, 260 (46% and 180 (32%, respectively. Verbal emotional abuse was reported by 506 (90% participants and nonverbal emotional abuse was reported in 374 (67% cases. A correlation was observed between child abuse and mothers’ age (p=0.02, as well as with the number of children in the family (p=0.03, and the mothers’ trait anxiety (p<0.001.Conclusion: Overall, the assessment of maternal child abuse should be an important focus for evaluation in mothers with anxiety and vice versa, when child abuse is suspected, maternal psychological assessment should be essential.

  8. 2013年长沙市妇幼保健院病原菌监测及细菌耐药性分析%Surveillance of Pathogenic Bacterium and Analysis of Bacterial Resistance in Changsha Maternal and Child Health Hospital in 2013

    Institute of Scientific and Technical Information of China (English)

    陈娜; 谭秋荣; 邓倩; 李莉明; 喻南慧

    2014-01-01

    Objective] To understand the resistance of clinical isolates obtained from Changsha maternal and child health hospital in 2013 to commonly used antimicrobial agents .[Methods]Kirby‐Bauer(K‐B) method was used for anti‐bacterial drug susceptibility test of 1882 stains of bacteria isolated from our hospital in 2013 .According to 2013 national committee for clinical and laboratory standards institute(CLSI) ,the results were analyzed .[Results] A total of 1882 pathogenic strains were clinically isolated and included 557 Gram‐positive bacteria(29 .60% ) ,803 Gram‐negative bacteria (42 .67% ) and 522 fungi(27 .73% ) .Among Gram‐positive bacteria ,the detection rate of methicillin resistant staphylo‐coccus aureus(MASA) was 32 .94% ,and vancomycin and linezolid‐resistant staphylococcus aureus were not found ,and the sensitivity of staphylococcus epidermidis to oxacillin was high(90 .32% ) ,and the Enterococcus faecalis was sensitive to ampicillin and the resistant rate was 6 .25% ,and the sensitivity of Streptococcus agalactiae to ampicillin was 100% .A‐mong Gram‐negative bacteria ,Escherichia coli and Klebsiella pneumonia producing the extended spectrum beta‐lactamases (ESBLs) were not found ,and the sensitivity of Moraxelle catarrhalis to Ampicillin and Sulbactam was 100% ,and the re‐sistance rate of Haemophilus influenzae to Ampicillin and Sulbactam was 8 .51% .[Conclusion] Regular surveillance of bacterial drug resistance is helpful to understand the transition of bacterial drug resistance and can provide a theoretical ba‐sis for rational administration .%目的 了解2013年长沙市妇幼保健院临床分离菌株对常用抗菌药物的耐药性。方法 对本院2013年临床分离的1882株细菌采用K‐B法进行抗菌药物敏感试验,按美国临床实验室标准化协会(CLSI)2013年版判断结果。结果 临床分离菌株共1882株,其中革兰阳性菌557株(29.60%),革兰阴性菌803株(42.67

  9. Maternal Employment and Childhood Obesity

    DEFF Research Database (Denmark)

    Gwozdz, Wencke; Sousa-Poza, Alfonso; Reisch, Lucia;

    2013-01-01

    The substantial increase in female employment rates in Europe over the past two decades has often been linked in political and public rhetoric to negative effects on child development, including obesity. We analyse this association between maternal employment and childhood obesity using rich...... objective reports of various anthropometric and other measures of fatness from the IDEFICS study of children aged 2-9 in 16 regions of eight European countries. Based on such data as accelerometer measures and information from nutritional diaries, we also investigate the effects of maternal employment...... on obesity's main drivers: calorie intake and physical activity. Our analysis provides little evidence for any association between maternal employment and childhood obesity, diet or physical activity....

  10. Maternal Employment and Childhood Obesity

    DEFF Research Database (Denmark)

    Gwozdz, Wencke; Sousa-Poza, Alfonso; Reisch, Lucia;

    The substantial increase in female employment rates in Europe over the past two decades has often been linked in political and public rhetoric to negative effects on child development, including obesity. We analyse this association between maternal employment and childhood obesity using rich...... objective reports of various anthropometric and other measures of fatness from the IDEFICS study of children aged 2-9 in 16 regions of eight European countries. Based on such data as accelerometer measures and information from nutritional diaries, we also investigate the effects of maternal employment...... on obesity's main drivers: calorie intake and physical activity. Our analysis provides little evidence for any association between maternal employment and childhood obesity, diet or physical activity....

  11. Maternal postpartum distress and childhood overweight

    DEFF Research Database (Denmark)

    Ajslev, Teresa A; Andersen, Camilla S; Ingstrup, Katja G;

    2010-01-01

    We investigated associations between maternal postpartum distress covering anxiety, depression and stress and childhood overweight.......We investigated associations between maternal postpartum distress covering anxiety, depression and stress and childhood overweight....

  12. Maternal Transmission of Alzheimer Disease

    OpenAIRE

    Heggeli, Kristin; Crook, Julia; Thomas, Colleen; Graff-Radford, Neill

    2012-01-01

    Some propose maternal Alzheimer disease (1) inheritance. We compared dementia family histories in AD cases and cognitively normal controls. We expected more mothers to have AD in both groups. If maternal risk was not only due to female longevity more AD cases’ than controls’ mothers should be demented. We matched 196 AD cases to 200 controls by gender and age. We obtained parent dementia status and age of death for 348 AD and 319 control parents. 24 (12%) controls’ fathers, 26 (13%) AD patien...

  13. Maternity telehealth: ringing the changes.

    Science.gov (United States)

    Finlay, Dorothy; Brown, Sheona

    2013-12-01

    This article describes NHS Scotland's Maternity telehealth options project and the implementation of the recommendations made. This 17-month project resulted in the development of national documentation for recording telehealth calls; the development of a self-directed eLearning tool on maternity telehealth call structure which was made available to all health boards in Scotland; a comprehensive programme of training on telehealth for student midwives; a programme of 'Train-the-trainer' events for qualified midwives to enable the cascade of learning throughout the service. The project also involved collaboration with Health Scotland, signposting for women to contact the appropriate caregiver at the appropriate time. PMID:24386706

  14. Contribution of hospital effluents to the load of pharmaceuticals in urban wastewaters: Identification of ecologically relevant pharmaceuticals

    OpenAIRE

    Santos, Lúcia; Gros, Meritxell; Rodriguez-Mozaz, Sara; Delerue-Matos, Cristina; Pena, Angelina; Barceló, Damià; Montenegro, M. Conceição B. S. M.

    2013-01-01

    The impact of effluent wastewaters from four different hospitals: a university (1456 beds), a general (350 beds), a pediatric (110 beds) and a maternity hospital (96 beds), which are conveyed to the same wastewater treatment plant (WWTP), was evaluated in the receiving urban wastewaters. The occurrence of 78 pharmaceuticals belonging to several therapeutic classes was assessed in hospital effluents and WWTP wastewaters (influent and effluent) as well as the contribution of each hospital in WW...

  15. Hidden Costs of Hospital Based Delivery from Two Tertiary Hospitals in Western Nepal.

    Directory of Open Access Journals (Sweden)

    Jeevan Acharya

    Full Text Available Hospital based delivery has been an expensive experience for poor households because of hidden costs which are usually unaccounted in hospital costs. The main aim of this study was to estimate the hidden costs of hospital based delivery and determine the factors associated with the hidden costs.A hospital based cross-sectional study was conducted among 384 post-partum mothers with their husbands/house heads during the discharge time in Manipal Teaching Hospital and Western Regional Hospital, Pokhara, Nepal. A face to face interview with each respondent was conducted using a structured questionnaire. Hidden costs were calculated based on the price rate of the market during the time of the study.The total hidden costs for normal delivery and C-section delivery were 243.4 USD (US Dollar and 321.6 USD respectively. Of the total maternity care expenditures; higher mean expenditures were found for food & drinking (53.07%, clothes (9.8% and transport (7.3%. For postpartum women with their husband or house head, the total mean opportunity cost of "days of work loss" were 84.1 USD and 81.9 USD for normal delivery and C-section respectively. Factors such as literate mother (p = 0.007, employed house head (p = 0.011, monthly family income more than 25,000 NRs (Nepalese Rupees (p = 0.014, private hospital as a place of delivery (p = 0.0001, C-section as a mode of delivery (p = 0.0001, longer duration (>5days of stay in hospital (p = 0.0001, longer distance (>15km from house to hospital (p = 0.0001 and longer travel time (>240 minutes from house to hospital (p = 0.007 showed a significant association with the higher hidden costs (>25000 NRs.Experiences of hidden costs on hospital based delivery and opportunity costs of days of work loss were found high. Several socio-demographic factors, delivery related factors (place and mode of delivery, length of stay, distance from hospital and travel time were associated with hidden costs. Hidden costs can be a

  16. Problems of contemporary maternity: psychological aspect

    Directory of Open Access Journals (Sweden)

    I. V. Puz

    2013-08-01

    Full Text Available This article deals with the problems of modern motherhood and studies the phenomenon of deviant maternal behavior. Based on the literature, present study analyzes such forms of violation of maternal behavior as mother's refusal from a baby; mother's cruel treatment of a baby; frequent abortions; maternity in the early reproductive age; conscious maternity postponement for a later reproductive age. Also the factors that contribute to various manifestations of deviant motherhood are described.

  17. Framing maternal morbidity: WHO scoping exercise

    OpenAIRE

    Vanderkruik, Rachel C; Tunçalp, Özge; Chou, Doris; Say, Lale

    2013-01-01

    Background Maternal morbidity estimations are not based on well-documented methodologies and thus have limited validity for informing efforts to address the issue and improve maternal health. To fill this gap, maternal morbidity needs to be clearly defined, driving the development of tools and indicators to measure and monitor maternal health. This article describes the scoping exercise conducted by the World Health Organization’s Department of Reproductive of Health and Research (WHO/RHR), a...

  18. Prenatal Maternal Stress Programs Infant Stress Regulation

    OpenAIRE

    Davis, Elysia Poggi; Glynn, Laura M.; Waffarn, Feizal; Sandman, Curt A.

    2010-01-01

    Prenatal exposure to inappropriate levels of glucocorticoids (GCs) and maternal stress are putative mechanisms for the fetal programming of later health outcomes. The current investigation examined the influence of prenatal maternal cortisol and maternal psychosocial stress on infant physiological and behavioral responses to stress. The study sample comprised 116 women and their full term infants. Maternal plasma cortisol and report of stress, anxiety and depression were assessed at ...

  19. Early Maternal Employment and Family Wellbeing

    OpenAIRE

    Pinka Chatterji; Sara Markowitz; Jeanne Brooks-Gunn

    2011-01-01

    This study uses longitudinal data from the NICHD Study on Early Child Care (SECC) to examine the effects of maternal employment on family well-being, measured by maternal mental and overall health, parenting stress, and parenting quality. First, we estimate the effects of maternal employment on these outcomes measured when children are 6 months old. Next, we use dynamic panel data models to examine the effects of maternal employment on family outcomes during the first 4.5 years of children's ...

  20. The importance of maternal nutrition for health

    OpenAIRE

    Irene Cetin; Arianna Laoreti

    2015-01-01

    Nutrition plays a major role in maternal and child health and it is widely recognized that optimum nutrition in early life is the foundation for long-term health. A healthy maternal dietary pattern, along with adequate maternal body composition, metabolism and placental nutrient supply, reduces the risk of maternal, fetal and long-term effects in the offspring. While undernutrition is mainly an issue of low-income countries, malnutrition, due to poor quality diet, is becoming a global health ...