ABSTRACT
Background: Overweight in schools is a worrisome public health problem because they increase medium and long term risks of morbidity and mortality especially with an increased risk of persistence of obesity in adulthood
Aim: To estimate the prevalence of overweight among school children and to identify its associated risk factors
Methods: this is a descriptive cross-sectional study conducted among school students aged less than 18 years in the area of "Hazoua" [Tozeur]. The references of BMI used for overweight and obesity are those of IOTF. The French BMI references are used to establish the prevalence of underweight. Data entry and analysis was performed using SPSS 20
Results: Our sample included 445 students. The average BMI was 18.73 +/- 3.4 kg/m2. The prevalence of Underweight was 9.7%, while overweight and obesity have been reported among 6.7% of students. Overweight was significantly associated to gender and the practice of sport outside school
Conclusion: Obesity in schools in the community of Hazoua is now lower than that reported in other studies. In contrast, we detected a problem of underweight, which deserves as much attention. Intervention programs should be established and whose objectives are to improve students' skills in terms of eating behavior and physical activity, these actions require collaboration at all levels
ABSTRACT
Compliance with medical treatment is a public health problem. It denotes the patient's perception of the disease and the treatment prescribed by doctors. It concerns one out of two patients. It may happen to any patient at one or another. It is secondary for reasons that are numerous and modifiable in time. It results from problems related to the patient as much as to the doctor. It represents an obstacle to paying for chronic diseases such as chronic open-angle glaucoma, hence the importance given to it in the recent years. To evaluate the compliance of adult patients suffering from early open-angle glaucoma and to determine the influential factors. We conducted a survey at the ophthalmology department of Ibn El Jazzar Hospital among 132 adults being treated for early open-angle glaucoma. The evaluation was done on the basis of patient's medical files and a questionnaire from January 2007 to June of the same year. It ranges between good, average or bad depending on the frequency of the patient's visits to doctors, regularity of treatment and compliance with the doctor's prescription. 40.15% of the patients have positively complied with the prescriptions. This improvement has mainly been due to the following factors: The patient's good knowledge of the disease and its treatment; use of antiseptic eye lotion with the utmost effectiveness for the least instillation and side effects; patient's mastery of drop usage; doctor's intensive care required for some particular cases. Our results need to be confirmed by other studies. It's very important to consider all the determining factors in order to improve patient's compliance
Subject(s)
Humans , Male , Female , Patient ComplianceABSTRACT
It has been demonstrated that the prognosis of the end-stage renal diseases have been changed after the introduction of dialysis modalities [haemodialysis and peritoneal dialysis]. Technical progress, have increased life duration of these patients; however, some health cocerns persist to be frequent, such as physical alteration and psychological disturbances. This study aimed to evaluate the patients' quality of life of those who are treated by haemodialysis and peritoneal dialysis in Kairouan Gouvernorate. It is a descriptive study that included the whole 134 dialysed patients who are taken care of in the four dialysis unites using the KQQOL-SF questionnaire for quality of life assessment. Demographic characteristics showed that 71% of the study population were illetrate, and 50% were jobless. The mean distance of home-dialysis unit was 47 km and the mean duration of dialysis care was 27 months. Therefore, 36.2% of patients have been dialysed twice a week and 87.1% were aneamic. The mean quality of life score was 55.1. With reference to Lean standard value of 66.7 on the SF-36 scale, a deterioration of the quality of life was found in 75.2% of cases. Disorders were noted more deeply in the physical component [49.2 +/- 16.4] than on mental component [60.9 +/- 10.3]. The mean of renal component score was 62.7 +/- 12.9. Statistical analysis found that quality of life alteration was correlated to the following: female patients, elderly people, low socioeconomic status, presence of comorbidity, aneamia, and low rate of albuminemia. The results could be used as a needs assessment study in order to improve the quality of life of dialysed patients. This needs the implementation of a quality improvement programme that should include the biological and psychosocial aspects in dialysis care