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(2017). Hypersensitivity to Natural Rubber Latex Gloves among Albanian Dental Students: The Role of Exposure Duration. International Journal of Medical and Health Sciences Research, 4(3): 45-49. DOI: 10.18488/journal.9.2017.43.45.49
Latex allergy is a common occupational disease among healthcare workers who use latex gloves. The aim of the present study was to determine the prevalence of allergy to latex gloves among dental students and the role of exposure duration in latex allergy. In this prospective study, a total of 240 students completed a self-administered questionnaire aiming at providing information about glove, working habits, signs and symptoms related to glove use, precautions taken to minimize it, etc. The challenge and patch tests were performed through latex gloves, and skin prick test with commercial extracts. The questionnaire items and diagnostic tests revealed that one-fourth of subjects were suspicious for latex gloves hypersensitivity. Their mean value for skin reactions like contact urticaria, irritant or allergic dermatitis was between 10% and 14%, while for non-cutaneous symptoms the mean value was under 5%. The average latex exposure (in hours) is estimated to be about 214±71 (SE), with a maximum of 11500 hours. The correlation between studied variables and the time exposure to latex gloves revealed weak to moderate relations with respect to reported latex allergy, eczematous reactions, hand erythema after glove wearing, irritant reactions during wash/washout procedures, concentration oscillations during usage of latex gloves, or dyspnea attack during latex exposure. Due to the relationship between allergic reactions to latex gloves and some medical histories during school practice, it seems to be necessary to undergo pre-matriculation evaluation and periodic health surveillance of dental students.
AB designed the questionnaire, assisted students to complete them, conducted diagnostic tests and collected the data; DK and SS coordinated and helped with the study design and conduction; DM assisted on students’ enrollment in the study and helped with the study design from the stomatological perspective; EP assisted on statistical analysis of the data; ÇM coordinated the students’ enrollment in the study; AR assisted on manuscript copyediting, EÇM drafted the manuscript.
Assessment of the Quality of Antenatal Care Rendered at a Northern Nigeria Primary Health Care Center, Zaria, Nigeria
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Background: Primary health care facilities are the closest to the community and are easily accessible to pregnant women and their children. Ensuring quality Antenatal care by skilled attendants at this level is pre-requisite to reducing pregnancy complications and over all maternal mortality Objective: This study was aimed at assessing the adequacy of antenatal care rendered at this level of care. Methods: A cross sectional study was conducted at Babban-dodo primary health center, Zaria. An exit Questionnaires was administered to 400 pregnant women. Information on their demographic status and information about the Antenatal care just received was obtained focusing standard protocol for antenatal care. Result: showed that the women were not rendered all the full component of ANC. History of feeling unwell was not asked in 88%, examination including blood pressure check was done in only 37%, Obstetrics examination was done in more 80% of the women however symphsio-fundal height was not measured with tape. The women were sent to do most of the routine investigations, as they pay for these investigations and the revenue collected is used to partially run the hospital. There was only one nurse midwife at the center; community health workers were the sole providers and no medical doctor visit the hospital. Ninety six percent of the respondents were satisfied with the services while 3.6% were dissatisfied. Conclusion: There is total disregard for standard of care for antenatal services expected at this level. There is the need for re-assessment of all primary health care centers that are the first point of contact with our pregnant women, if reducing maternal mortality rate is great concern to all of us.
This study further demonstrated that the quality of antenatal care in primary care facilities in Nigeria particularly in the Northern part of the country is poor and indirectly explains why maternal mortality and morbidity is very high.