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Biomedical subjects

A Gani

Publications and source records attributed to A Gani.

5 recordsLinked to original sources
PubMed1999

Ankle clonus and thiocyanate, linamarin, and inorganic sulphate excretion in school children in communities with Konzo, Mozambique.

We examined 397 school children for ankle clonus in five communities in three districts affected by konzo, spastic paraparesis associated with cassava consumption. From a subsample of 131 children, we analysed urine specimens for urinary thiocyanate, linamarin, and inorganic sulphate. The proportion of children with clonus varied between sites, ranging from 4 to 22 per cent. Geometric mean thiocyanate, linamarin, and inorganic sulphate concentrations were 163 and 60 mumol/l and 4.4 mmol/l, respectively. Children with ankle clonus had higher urinary thiocyanate concentrations. We recommend prevention to reduce cyanide exposure and further monitoring of cyanide exposure and neurological damage in these communities.

Adolescent↗
PubMed1989

The costs of public primary health care services in rural Indonesia.

Described are the results of a cost study of national rural health services carried out in Indonesia between November 1986 and March 1987. Detailed costings of government inputs to all public health services below the district hospital level were made for 41 subdistricts in five provinces that were representative of the different regions of the country. The total costs of services as well as the average costs for specific service functions were estimated for the whole country as well as for the different provinces. The results indicate a low overall level of government spending on rural primary health care. Regional differences in this respect were not significant, suggesting that the government policy of encouraging regional balance in allocations has been successful. The average costs for most services were much greater than the charges made to patients, and this provided information on the current level of government subsidies. There was a large variability in the average costs, indicating that the existing system is inefficient, that some districts were able to attain much higher levels of efficiency than others within the existing constraints, and that improvements in this respect are possible.

Community Health Services↗
PubMedDate not supplied

Improving quality in public sector hospitals in Indonesia.

Indonesia has successfully expanded its health system to improve access and quality of care for the population, promote equity, and expand primary health care. More recently, it has sought to undertake policy initiatives to promote involvement of the private sector and to introduce both incentives for efficiency and payment mechanisms which will increase sustainability. Certain public health sector facilities have been given financial autonomy to set prices, introduce and retain user fees, and promote prepayment mechanisms. The autonomous hospitals, Unit Swadana hospitals, have increased revenue sustainability while promoting quality assurance practices. The managers of these hospitals have become adept at introducing business practices into the hospital's operations to promote efficiency. These have attracted private investors to invest in public hospitals.

Developing Countries↗
PubMedDate not supplied

Clinical evaluation of encephalitis.

A series of 325 or 31.11% children out of 1045 inpatients of neurological cases diagnosed as encephalitis was reviewed in Pediatrics Neurology Subdivision Child Health Department, Medical School, University of North Sumatera/Dr. Pirngadi Hospital Medan since 1985 to 1988. Boys were more than girls with the ratio of 4:3. Most encephalitis cases (249 or 76.80%) of children occurred in the early age namely before 3 years. Associated diseases were respiratory disease in 61 (45.61%) cases, gastrointestinal disease in 48 (34.67%) cases and measles in 13 (9.35%) cases. There were three mayor clinical features of encephalitis i.e. sudden fever, convulsion and consciousness depression. The cerebrospinal fluid investigation might be normal. There was however mild to moderate lymphocitic pleiositosis with cell numbers varying from 20-200 per cubic mm. The protein content was slightly elevated. The mortality rate was 21.53% (70 cases). There was no significant difference (P greater than 0.05) found between mortality rate of boys and girls. There was no significant difference (P greater than 0.05) found between mortality rate below and above 3 years of age.

Adolescent↗