Abstract: Hemorrhoid is an anorectal disease and is a common diagnosis in most parts of the world. There are numerous causes, signs and symptoms of hemorrhoids. The objective of the study was to identify the awareness and prevalence level of hemorrhoids as well as the knowledge level among people of Sifawa community in Sokoto State. A descriptive cross sectional study was conducted and it involved the use of a self-administered questionnaire. The study was first introduced to the participants, consent was thereafter gotten and the questionnaires were then administered to the participants to give answers to the questions. Out of the participants, 202 (54.0%) of the respondents had heard about hemorrhoids. However, only 46 (12.3%) have been diagnosed of it. The knowledge level was graded. 24 (11.9%) of the respondents had poor knowledge level, 139 (68.8%) had fair knowledge level while the remaining 39 (19.3%) had good knowledge level. There was moderate awareness for hemorrhoids among the respondents as well as fair knowledge level. The points towards the need for public health education to enlighten the public more on hemorrhoids and ways to prevent it or manage it should it occur. This is also necessary due to the possibility of increasing morbidity and mortality from the disease.Abstract: Hemorrhoid is an anorectal disease and is a common diagnosis in most parts of the world. There are numerous causes, signs and symptoms of hemorrhoids. The objective of the study was to identify the awareness and prevalence level of hemorrhoids as well as the knowledge level among people of Sifawa community in Sokoto State. A descriptive cross secti...Show More
Abstract: Objectives: Risk factors associated with recurrent febrile convulsions in children in southwest China were the main objective of this study. To summarize the effect of telephone follow-up continuous nursing on preventing recurrence after hyperthermia in emergency children. To study the influencing factors and preventive measures of febrile convulsion recurrence in children. Methods: This study was carried out in the pediatrics department of the Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, which is prospective and longitudinal. Children aged 6 months to 6 years who had febrile convulsions for the first time and were seen between October 2016 and September 2019 were included in the study and followed up for recurrence. From The clinical data of 290 children with febrile convulsion were analyzed retrospectively, and the influencing factors of recurrence were analyzed by single factor analysis. Patients were randomly divided into control group and experimental group with 47 cases in each group. The control group was given routine discharge guidance, and the experimental group was given continuous telephone follow-up nursing. Results: Of the 1728 children, 605 (35.1%) had recurrences and 1123 (64.9%) had single febrile convulsions. The recurrence rate was higher in children <6 months of age (41.3%) than in children ≥6 months of age (24.1%). The recurrence rate was 52.5% in children with a temperature of 38°C at the time of the attack, compared to 17.2% in children with a temperature ≥105°F. There was a significant downward trend in the recurrence rate as the temperature increased. Children with a family history of febrile convulsions (45.5%) were more likely to have a relapse than those without a family history of febrile convulsions (27.8%). Multiple logistic regression analysis showed that younger age at onset, lower temperature at onset, shorter time between fever and onset, and family history of febrile convulsions were risk factors for recurrence of febrile convulsions in children. After nursing, the recurrence rate of children in the experimental group within 0.5 years was significantly lower than that in the control group (4.26% vs21.28%, P<0.05); Compared with the control group, the test group had the highest knowledge knowledge score, and the difference was significant (P<0.05). Conclusion: The main risk factors of recurrent febrile attacks in children are young age of onset, short febrile time before the first febrile attack, low body temperature at onset, and family history of febrile attacks. Age < 3 years old, family history of high fever convulsion, season of onset < 6 months, onset temperature ≥39°C, frequency ≥2, complex onset and duration ≥3 min are all risk factors for recurrence of high fever convulsion. Prevention should be conducted against the above risk factors to avoid recurrence of convulsion.Abstract: Objectives: Risk factors associated with recurrent febrile convulsions in children in southwest China were the main objective of this study. To summarize the effect of telephone follow-up continuous nursing on preventing recurrence after hyperthermia in emergency children. To study the influencing factors and preventive measures of febrile convulsi...Show More