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EN
This study aimed to assess family planning and the associated risk factors among women attending maternity centers in Akure metropolis. Four maternity centers (Basic Health Center Familusi (Zone 5), Basic Health Centre Oke-Aro, Basic Health Centre Orita Obele and Comprehensive Health Centre Arakale) were randomly selected to participate in the study. Quantitative methods, which include the use of questionnaires were utilized to collect data for the study. The data was coded, entered and analyzed using the SPSS software program. The results showed that majority of the participants are between the ages 31-35 years of age. It was further observed that religion played a vital role in determining the child spacing in marriages. Higher side effect of family planning was noted among people practicing different family planning methods. The side effects include excessive weight gain as complained by 43 participants, 24 participants complained of vomiting whenever they take the drug and 42 complained of excessive heavy flow during their mensuration. These showed that most of the respondent believed that child control methods have side effects and this might be an important reason why most people in the community avoid the methods. To further increase awareness and improve mother to child care in the study area, government and religious leaders should be encouraged to educate the people on child spacing and family planning.
EN
Municipal refuse may increase heavy metal concentration in soil, even at low levels, and their resulting long-term cumulative health effects are among the leading health concerns all over the world. In this study, we investigated the concentration of heavy metals in soils and edible plant leaves grown in an abandoned dumpsite along Akachi road in Owerri municipality. The soil samples were collected at each plot using a soil auger at the depth of 0-10 cm. Leaves of dominant edible plant species were selected and collected from each sample plot. The samples were dried in an oven with forced air at 40 °C, milled to fine powder then digested with 10 ml concentrated HNO3 and 5 ml concentrated HClO4 and were analyzed for Cr, Cu, Fe, Mn, Al, and Zn, using an H183200 MultiParameter Bench Photometer. Result showed that metals in in the sampled soils included (in order of quantity) Cr: 150-280 >Fe: 116.50-203 >Cu: 12.4-18.8 >Mn: 0-20 >Al: 0.08-0.16 >Zn: 0-1.4 mg kg-1 Dw. Moreover, levels of metals in the edible plant leaves are in the order of: Zn>Fe>Cu>Al>Mn>Cr. Zn, in particular, was higher than FAO/WHO recommended limits. Still, application of Pollution Load Index and Ecological risk models showed that the area is unpolluted and safe for use. Daily Metal Intake estimates indicated that zinc is mostly consumed from the plant species. The trends in Transfer Factor for the heavy metal in vegetable samples studied were in order: Zn>Al>Cu>Mn>Fe>Cr. Therefore, abandoned solid waste dumpsites contained significant concentrations of heavy metals which are later absorbed and accumulated by plants growing it.
3
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Predictions of cancer incidence in Poland in 2019

88%
EN
Despite recording the worst heavy metal disaster involving children, there is still scarcity of information on risk assessment of playground soils in Nigeria. In this study, thirty-six soil samples at 0-5 cm depth were collected from nine playgrounds in Owerri metropolis during the dry and rainy seasons. Five heavy metals were fractionated into six chemical fractions using a modified sequential extraction scheme and mean concentrations quantified by AAnalyst 400 Perkin Elmer AAS. Predictive risk models were used to obtain information about the risk of metals contamination to children using these playgrounds for longer periods. These reveal that there were no significant differences in the mean values of bioconcentration factors of all five metals in the various playgrounds for the two years of data. Even though risk values for both dry and rainy season followed the same trend, it was observed that the Zinc showed highest bioconcentration factors (1.6), average daily dose (230.08 mg/kg/day) and risk (5095593 mg/kg/6years). Over all, playgrounds UPS, TSO and SCP had highest mean risk values, respectively. Though with no clear trend, mobility factors showed a weak and positive correlation with risk. Children in playgrounds of public schools within Owerri metropolis could, therefore, be at risk of Mn, Cu and Zn toxicity problems as projected risk values were high for all studied playgrounds. This assessment could help identify playgrounds with urgent need for heavy metals reduction goals, consequently contributing to preserving children’s health.
EN
The authors presented the birth course, in a primiparous woman with complicated, refractory, high shoulder dystocia, of a macrosomic term-born malformed child (4400/54) with complete occipital meningoencephalomyelocele and microcephaly. After head delivery, high shoulder dystocia occurred that could not be resolved with neither the McRoberts or Resnik maneuver nor with the Woods and Barnum maneuvers, despite recurred tries. Only on third attempt with the Barnum maneuver was the posterior arm released with hand traction, followed by the whole body of the macrosomic baby. The child was transferred to the Neurosurgery department where operative correction was performed, and after the intervention the child died because of respiratory insufficiency. Due to the strict parental decision on pregnancy continuation and prohibition of any obstetric interventions during delivery, unborn child and parturient, as well as the obstetric team, were put into high professional, forensic and ethical risk.
6
Content available remote

Predictions of cancer mortality in Poland in 2020

88%
EN
The aim of this clinical case study is evaluation of possible intrapartal complication of the uncritical Kristeller’s expression. In this retrospective clinical study, data on seven parturients with significant maternal or fetal intrapartum complications during the second labor stage and Kristeller expression, associated with the maneuver, were analyzed. Data was obtained from patient files: history of delivery delivery room protocol and neonatal reports from two tertiary maternal wards. There were five uterine ruptures that were treated by laparotomy and uterine sutures. Atypical rupture location on the uterine fundus occurred in one case, isthmus rupture in three cases, and rupture of the scar left after a previous cesarean section as a potential risk factor for uterine rupture in one case. Complex uterine cervicoisthmic rupture with incomplete colporrhexis occurred during the delivery of a macrosomic child at an outpatient ward. In one case, unilateral fracture of the tenth and eleventh ribs resolved spontaneously without complications. One case of peripartum trauma, possibly associated with extensive expression was observed in one neonates: cutaneous and subcutaneous hematoma on the back with traumatic unilateral adrenal hemorrhage. Both newborns were monitored, successfully treated, and discharged from the hospital free from complications. In conclusion, in the obstetrics as a high risk profession, a very critical approach should be exercised on choosing this maneuver, which should be reserved for the rare and strictly indicated cases, thereby strictly following the professional rules to avoid generally unnecessary and unpleasant litigation and forensic expertise.
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