1) The study aimed to understand the relationship between knowledge and attitudes of mothers with toddlers who had pneumonia in the Liang Anggang Health Center area of Banjarbaru City in 2012.
2) The analytic survey with a cross-sectional approach found that of 92 respondent toddlers, 10 (10.9%) had pneumonia. 41 mothers (44.6%) had quite good knowledge, while 54 (58.7%) had a positive attitude.
3) A chi-square test found a relationship between mother's knowledge and toddler's pneumonia (p = 0.025), but no relationship between mother's attitude and toddler's pneumonia (p = 0.73).
This session on safety was presented to the International Council of Nurses audience in Durban, South Africa. This is just a sample of the entire session; for more information on safety in the workplace, contact sharonw@corelimited.com
Perceived Competence and Transition Experience of New Graduate NursesRyan Michael Oducado
Recruitment and hiring of new graduate nurses is seen as a potential strategy to mitigate the problem of nurse shortage. However, previous studies disclosed that new graduate nurses are inadequately prepared to enter practice and experience transition difficulties. This study aimed to determine the perceived competence and transition experience of new graduate Filipino nurses. Seventy-nine conveniently chosen new graduate nurses were surveyed in this descriptive cross-sectional research. Self-administered instruments were used to gather data. Descriptive statistics, Mann–Whitney U test, and Kruskal–Wallis test were the statistical tools employed. Results indicated that new graduate nurses had a high level of self-reported fundamental nursing skills (M= 7.99) and core competence (M= 8.16), although areas needing improvement were identified. There were no significant differences in the perceived competence based on the length of experience, year graduated, area of assignment, sex, type of school graduated, CPD participation, and hospital bed capacity (p> .05). The major difficulty experienced by new graduates during their transition was related to changes in role expectations (72.2%). Majority expressed the need for increased support during their transition (83.5%). The most satisfying aspects of their working environment were ongoing learning (81%) and peer support (74.7%), while the least satisfying was the negative nursing work environment (55.7%). New graduate nurses are equipped with the necessary nursing skills and core competencies. However, there are still gaps and areas needing improvement that should be addressed and supported to assist them in their transition to the world of professional nursing practice. Follow up, feedback, mentoring, and preceptorship are beneficial to enhance the competencies of new graduate nurses and facilitate their successful transition into the nursing workforce.
This session on safety was presented to the International Council of Nurses audience in Durban, South Africa. This is just a sample of the entire session; for more information on safety in the workplace, contact sharonw@corelimited.com
Perceived Competence and Transition Experience of New Graduate NursesRyan Michael Oducado
Recruitment and hiring of new graduate nurses is seen as a potential strategy to mitigate the problem of nurse shortage. However, previous studies disclosed that new graduate nurses are inadequately prepared to enter practice and experience transition difficulties. This study aimed to determine the perceived competence and transition experience of new graduate Filipino nurses. Seventy-nine conveniently chosen new graduate nurses were surveyed in this descriptive cross-sectional research. Self-administered instruments were used to gather data. Descriptive statistics, Mann–Whitney U test, and Kruskal–Wallis test were the statistical tools employed. Results indicated that new graduate nurses had a high level of self-reported fundamental nursing skills (M= 7.99) and core competence (M= 8.16), although areas needing improvement were identified. There were no significant differences in the perceived competence based on the length of experience, year graduated, area of assignment, sex, type of school graduated, CPD participation, and hospital bed capacity (p> .05). The major difficulty experienced by new graduates during their transition was related to changes in role expectations (72.2%). Majority expressed the need for increased support during their transition (83.5%). The most satisfying aspects of their working environment were ongoing learning (81%) and peer support (74.7%), while the least satisfying was the negative nursing work environment (55.7%). New graduate nurses are equipped with the necessary nursing skills and core competencies. However, there are still gaps and areas needing improvement that should be addressed and supported to assist them in their transition to the world of professional nursing practice. Follow up, feedback, mentoring, and preceptorship are beneficial to enhance the competencies of new graduate nurses and facilitate their successful transition into the nursing workforce.
Effectiveness of educational poster on knowledge of emergency management of d...Cecilia Young 楊幽幽
Effectiveness of Educational Poster on Knowledge of Emergency Management of Dental Trauma - Part 2: Cluster Randomised Controlled Trial for Secondary School Students
Cecilia Young1*, Kin Yau Wong2, Lim K. Cheung3
1 Private Practice, Hong Kong, 2 Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America, 3 The University of Hong Kong, Hong Kong
Abstract
Objective: To investigate the effectiveness of educational poster on improving secondary school students’ knowledge of emergency management of dental trauma.
Methods: A cluster randomised controlled trial was conducted. 16 schools with total 671 secondary students who can read Chinese or English were randomised into intervention (poster, 8 schools, 364 students) and control groups (8 schools, 305 students) at the school level. Baseline knowledge of dental trauma was obtained by a questionnaire. Poster containing information of dental trauma management was displayed in a classroom for 2 weeks in each school in the intervention group whereas in the control group there was no display of such posters. Students of both groups completed the same questionnarie after 2 weeks.
Results: Two-week display of posters improved the knowledge score by 1.25 (p-value = 0.0407) on average.
Conclusion: Educational poster on dental trauma management significantly improved the level of knowledge of secondary school students in Hong Kong.
Trial Registration: HKClinicalTrial.com HKCTR-1343 ClinicalTrials.gov NCT01809457
Citation: Young C, Wong KY, Cheung LK (2014) Effectiveness of Educational Poster on Knowledge of Emergency Management of Dental Trauma - Part 2: Cluster
Randomised Controlled Trial for Secondary School Students. PLoS ONE 9(8): e101972. doi:10.1371/journal.pone.0101972
Editor: Michael Glogauer, University of Toronto, Canada
Received May 19, 2013; Accepted June 10, 2014; Published August 5, 2014
Copyright: 2014 Young et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Data Availability: The authors confirm that all data underlying the findings are fully available without restriction. All relevant data are within the paper and its Supporting Information files.
Funding: The study is self-funded by the principal investigator.
Competing Interests: The authors have declared that no competing interests exist.
* Email: ceciliatyp@yahoo.com.hk
Explains about daily rounds knowledge solution, pharma analytics & market research, the methods doctors use to treat chronic migraine in Banglore, how do doctors learn from books and practice for clinical cases and sharing of clinical cases by doctors using mobiles. For more information visit: http://www.transformhealth-it.org/
Co-design, Co-produce, Co-deliver: Collaboration is the only viable path to s...Simon R. Stones
In this presentation, delivered to the Translate external advisory board at their bi-annual meeting, the importance of patient and public involvement in research is highlighted, as well as simple strategies that researchers, healthcare professionals and private organisations can take to involve people in all aspects of research, from the bench to the bedside.
Health Literacy: Knowledge and Experience of Senior Nursing Students in a St...Ryan Michael Oducado
Abstract: Training and education on health literacy must start in the undergraduate nursing program. While nursing schools include health education courses and provide opportunities for nursing students to give healthcare information to individuals in various healthcare settings, there is a dearth of sufficient local empirical evidence to support how nursing schools are preparing nursing students with the required competencies to aid individuals with low health literacy skills. The purpose of this study was to examine the level of health literacy knowledge and experience among senior nursing students in a state university in Iloilo City. This study utilized a descriptive research design among 160 senior nursing students and data were gathered using Cormier’s (2006) Health Literacy Knowledge and Experience Survey (HL-KES) questionnaire. Descriptive and inferential statistical tools were used to analyze data. Results revealed that majority of nursing students had low level of health literacy knowledge specifically on guidelines for presenting written healthcare information and use of formal tools to assess health literacy. Responses to the Health Literacy Experience scale suggest that nursing students almost never use health literacy screening tools to assess health literacy, almost never utilize audiotapes, videotapes and computer software to provide health care information, and almost never can provide a quiet and private place to give health teachings to individuals. Rather, nursing students use informal assessment techniques to assess health literacy. No significant difference was found in the knowledge and experience of male and female nursing students. There was no significant relationship between nursing students’ grade in Health Education Course and their Health Literacy Knowledge. Nursing students’ knowledge on health literacy was not significantly related to their health literacy experience. It is strongly recommended that health literacy must be given greater emphasis in the undergraduate nursing curriculum.
Using #teledermatology effectively in rural #primarycare settingsJosep Vidal-Alaball
20th Wonca Europe Conference 2015. Wonca 2015 Istanbul.
New Ways for Dealing with Medical Conditions.
It has been known for the last 2 decades that telemedicine provides better access to users in addition to reducing the waiting time between diagnosis in primary care and hospital.
In the Catalonian central region, two counties, Bages and Berguedà, have developed a teledermatology programme, which have had considerable success in reducing waiting lists while having wide acceptance among patients. This service is especially useful in rural areas where has been able to attend thousands avoiding unnecessary trips.
I would like to share my experience first as a manager implementing the teledermatology programme in 2010 and now working as a rural GP and actively using this service in my day-to-day work.
A Survey on Hong Kong Secondary School Students’ Knowledge of Emergency Manag...Cecilia Young 楊幽幽
A Survey on Hong Kong Secondary School Students’ Knowledge of Emergency Management of Dental Trauma
Cecilia Young1*, Kin Yau Wong2, Lim K. Cheung3,4
1 Private Practice, Hong Kong, 2 Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America, 3 BDS (Glasgow), FFDRCS (Ireland), FDSRCPS (Glasgow), FRACDS (Australia), FRACDS (OMS) (Australia), PhD (HK), Hon FDSRCS (Edin), FHKAM (Dental Surgery), FCDSHK (Oral and Maxillofacial Surgery), 4 Chair Professor, Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Hong Kong
Assess the Knowledge Regarding Hand Foot Mouth Disease among Mothers of under...ijtsrd
The present study aims to assess the knowledge regarding hand foot mouth disease among mothers of under five children in selected community. METHODS AND MATERIALS Quantitative approach with descriptive research design was adopted for the present study. A total 60 mothers were recruited as samples by using purposive sampling technique. The current study was conducted in Chinnavalarpuram community area. The level of knowledge on hand foot mouth disease among mothers was assessed by using structured knowledge questionnaire. RESULTS The present study revealed that 34 56.7 of the mothers had inadequate knowledge, 07 11.6 had moderate knowledge and 19 31.7 had adequate knowledge. The demographic variable education showed significant association with the level of knowledge on hand foot mouth disease at p 0.01 CONCLUSION The present study assessed the level of knowledge on hand foot mouth disease among mothers of under five children and though education showed significant association, other demographic variables had no significant association and the majority of mothers had inadequate knowledge. Logambal. K | S. Soundariya | S. Yogalakshmi "Assess the Knowledge Regarding Hand Foot Mouth Disease among Mothers of under-five Children in Selected Community" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-6 , October 2022, URL: https://www.ijtsrd.com/papers/ijtsrd52002.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/52002/assess-the-knowledge-regarding-hand-foot-mouth-disease-among-mothers-of-underfive-children-in-selected-community/logambal-k
Ijsrp p8825 Caregiver factors influencing seeking of Early Infant Diagnosis (...Elizabeth kiilu
Caregiver factors influencing seeking of Early Infant Diagnosis (EID) of HIV services in selected hospitals in Nairobi County, Kenya:A qualitative Study
Effectiveness of educational poster on knowledge of emergency management of d...Cecilia Young 楊幽幽
Effectiveness of Educational Poster on Knowledge of Emergency Management of Dental Trauma - Part 2: Cluster Randomised Controlled Trial for Secondary School Students
Cecilia Young1*, Kin Yau Wong2, Lim K. Cheung3
1 Private Practice, Hong Kong, 2 Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America, 3 The University of Hong Kong, Hong Kong
Abstract
Objective: To investigate the effectiveness of educational poster on improving secondary school students’ knowledge of emergency management of dental trauma.
Methods: A cluster randomised controlled trial was conducted. 16 schools with total 671 secondary students who can read Chinese or English were randomised into intervention (poster, 8 schools, 364 students) and control groups (8 schools, 305 students) at the school level. Baseline knowledge of dental trauma was obtained by a questionnaire. Poster containing information of dental trauma management was displayed in a classroom for 2 weeks in each school in the intervention group whereas in the control group there was no display of such posters. Students of both groups completed the same questionnarie after 2 weeks.
Results: Two-week display of posters improved the knowledge score by 1.25 (p-value = 0.0407) on average.
Conclusion: Educational poster on dental trauma management significantly improved the level of knowledge of secondary school students in Hong Kong.
Trial Registration: HKClinicalTrial.com HKCTR-1343 ClinicalTrials.gov NCT01809457
Citation: Young C, Wong KY, Cheung LK (2014) Effectiveness of Educational Poster on Knowledge of Emergency Management of Dental Trauma - Part 2: Cluster
Randomised Controlled Trial for Secondary School Students. PLoS ONE 9(8): e101972. doi:10.1371/journal.pone.0101972
Editor: Michael Glogauer, University of Toronto, Canada
Received May 19, 2013; Accepted June 10, 2014; Published August 5, 2014
Copyright: 2014 Young et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Data Availability: The authors confirm that all data underlying the findings are fully available without restriction. All relevant data are within the paper and its Supporting Information files.
Funding: The study is self-funded by the principal investigator.
Competing Interests: The authors have declared that no competing interests exist.
* Email: ceciliatyp@yahoo.com.hk
Explains about daily rounds knowledge solution, pharma analytics & market research, the methods doctors use to treat chronic migraine in Banglore, how do doctors learn from books and practice for clinical cases and sharing of clinical cases by doctors using mobiles. For more information visit: http://www.transformhealth-it.org/
Co-design, Co-produce, Co-deliver: Collaboration is the only viable path to s...Simon R. Stones
In this presentation, delivered to the Translate external advisory board at their bi-annual meeting, the importance of patient and public involvement in research is highlighted, as well as simple strategies that researchers, healthcare professionals and private organisations can take to involve people in all aspects of research, from the bench to the bedside.
Health Literacy: Knowledge and Experience of Senior Nursing Students in a St...Ryan Michael Oducado
Abstract: Training and education on health literacy must start in the undergraduate nursing program. While nursing schools include health education courses and provide opportunities for nursing students to give healthcare information to individuals in various healthcare settings, there is a dearth of sufficient local empirical evidence to support how nursing schools are preparing nursing students with the required competencies to aid individuals with low health literacy skills. The purpose of this study was to examine the level of health literacy knowledge and experience among senior nursing students in a state university in Iloilo City. This study utilized a descriptive research design among 160 senior nursing students and data were gathered using Cormier’s (2006) Health Literacy Knowledge and Experience Survey (HL-KES) questionnaire. Descriptive and inferential statistical tools were used to analyze data. Results revealed that majority of nursing students had low level of health literacy knowledge specifically on guidelines for presenting written healthcare information and use of formal tools to assess health literacy. Responses to the Health Literacy Experience scale suggest that nursing students almost never use health literacy screening tools to assess health literacy, almost never utilize audiotapes, videotapes and computer software to provide health care information, and almost never can provide a quiet and private place to give health teachings to individuals. Rather, nursing students use informal assessment techniques to assess health literacy. No significant difference was found in the knowledge and experience of male and female nursing students. There was no significant relationship between nursing students’ grade in Health Education Course and their Health Literacy Knowledge. Nursing students’ knowledge on health literacy was not significantly related to their health literacy experience. It is strongly recommended that health literacy must be given greater emphasis in the undergraduate nursing curriculum.
Using #teledermatology effectively in rural #primarycare settingsJosep Vidal-Alaball
20th Wonca Europe Conference 2015. Wonca 2015 Istanbul.
New Ways for Dealing with Medical Conditions.
It has been known for the last 2 decades that telemedicine provides better access to users in addition to reducing the waiting time between diagnosis in primary care and hospital.
In the Catalonian central region, two counties, Bages and Berguedà, have developed a teledermatology programme, which have had considerable success in reducing waiting lists while having wide acceptance among patients. This service is especially useful in rural areas where has been able to attend thousands avoiding unnecessary trips.
I would like to share my experience first as a manager implementing the teledermatology programme in 2010 and now working as a rural GP and actively using this service in my day-to-day work.
A Survey on Hong Kong Secondary School Students’ Knowledge of Emergency Manag...Cecilia Young 楊幽幽
A Survey on Hong Kong Secondary School Students’ Knowledge of Emergency Management of Dental Trauma
Cecilia Young1*, Kin Yau Wong2, Lim K. Cheung3,4
1 Private Practice, Hong Kong, 2 Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America, 3 BDS (Glasgow), FFDRCS (Ireland), FDSRCPS (Glasgow), FRACDS (Australia), FRACDS (OMS) (Australia), PhD (HK), Hon FDSRCS (Edin), FHKAM (Dental Surgery), FCDSHK (Oral and Maxillofacial Surgery), 4 Chair Professor, Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Hong Kong
Assess the Knowledge Regarding Hand Foot Mouth Disease among Mothers of under...ijtsrd
The present study aims to assess the knowledge regarding hand foot mouth disease among mothers of under five children in selected community. METHODS AND MATERIALS Quantitative approach with descriptive research design was adopted for the present study. A total 60 mothers were recruited as samples by using purposive sampling technique. The current study was conducted in Chinnavalarpuram community area. The level of knowledge on hand foot mouth disease among mothers was assessed by using structured knowledge questionnaire. RESULTS The present study revealed that 34 56.7 of the mothers had inadequate knowledge, 07 11.6 had moderate knowledge and 19 31.7 had adequate knowledge. The demographic variable education showed significant association with the level of knowledge on hand foot mouth disease at p 0.01 CONCLUSION The present study assessed the level of knowledge on hand foot mouth disease among mothers of under five children and though education showed significant association, other demographic variables had no significant association and the majority of mothers had inadequate knowledge. Logambal. K | S. Soundariya | S. Yogalakshmi "Assess the Knowledge Regarding Hand Foot Mouth Disease among Mothers of under-five Children in Selected Community" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-6 , October 2022, URL: https://www.ijtsrd.com/papers/ijtsrd52002.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/52002/assess-the-knowledge-regarding-hand-foot-mouth-disease-among-mothers-of-underfive-children-in-selected-community/logambal-k
Ijsrp p8825 Caregiver factors influencing seeking of Early Infant Diagnosis (...Elizabeth kiilu
Caregiver factors influencing seeking of Early Infant Diagnosis (EID) of HIV services in selected hospitals in Nairobi County, Kenya:A qualitative Study
Effectiveness of Structured Teaching Programme on the Level of Knowledge Rega...ijtsrd
A pre experimental study to assess the effectiveness of structured teaching programme on the level of knowledge regarding upper respiratory tract infection among mothers of under five children in Mothrowala, Dehradun. 30 mothers of under five children were selected through purposive sampling technique. Data was collected by structured questionnaire. The result showed that 80 of respondents had an adequate knowledge score 20 30 and 20 had moderate knowledge score 10 19 .The study concluded that level of knowledge score was less when assessed after conducting pretest, whereas the score had increased in posttest after the implementation Structured Teaching Programme Upper Respiratory Tract Infection. Harikant Sharma "Effectiveness of Structured Teaching Programme on the Level of Knowledge Regarding Upper Respiratory Tract Infection among Mothers of under Five Children" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-4 , June 2021, URL: https://www.ijtsrd.compapers/ijtsrd42446.pdf Paper URL: https://www.ijtsrd.commedicine/nursing/42446/effectiveness-of-structured-teaching-programme-on-the-level-of-knowledge-regarding-upper-respiratory-tract-infection-among-mothers-of-under-five-children/harikant-sharma
Factors Influencing Immunization Coverage among Children 12- 23 Months of Age...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
January-February 2018 • Vol. 27/No. 138
Hillary Jenson, BSN, RN, PCCN, is Registered Nurse, Providence Portland Medical Center,
Portland, OR; and DNP-FNP student, University of Portland, Portland, OR.
Sandra Maddux, DNP, APRN, CNS-BC, is Senior Regional Director, Providence Health and
Services, Oregon Region, Portland, OR.
Mary Waldo, PhD, RN, GCNS-BC, CPHQ, is Regional Director, Providence Health and
Services, Oregon Region, Portland, OR.
Improving Oral Care in Hospitalized
Non-Ventilated Patients:
Standardizing Products and Protocol
P
atients who develop ventila-
tor-acquired pneumonia have
estimated attributable mor-
tality rates of approximately 10%
(Klompas et al., 2014). To reduce
these rates, healthcare advocacy
groups have endorsed a prevention
bundle that includes routine oral
care (Centers for Medicare &
Medicaid Services, 2017). In a hall-
mark study, DeRiso, Ladowski,
Dillon, Justice, and Peterson (1996)
demonstrated use of the oral anti-
septic chlorhexidine reduced rates
of hospital-acquired pneumonia in
ventilated patients undergoing
coronary artery bypass surgery.
Although routine oral care histori-
cally has been a part of daily patient
care, its significance in preventing
non-ventilator hospital-acquired
pneumonia (NV-HAP) has emerged
as an important preventive meas-
ure. Maeda and Akagi (2014) linked
poor oral health with an increased
risk for infection and thus NV-HAP.
Research also has demonstrated
that without regular oral hygiene,
bacteria remain in the oral cavity
and become more pathogenic over
time (Ikeda et al., 2014). Despite
these risks, research suggests imple-
mentation of regular, high-quality
oral care by nursing staff often is
neglected due to barriers in practice
(Letsos, Ryall-Henke, Beal, &
Tomaszewski, 2013). These barriers
include limited time, resource con-
straints, challenging patient behav-
iors, and staff knowledge gaps
regarding appropriate frequency in
oral care.
Although every patient benefits
from routine oral care, some groups
are at higher risk of developing NV-
HAP. These include recently extu-
bated persons, postoperative pa -
tients, and patients managed on
progressive care units (Scheel,
Pisegna, McNally, Noordzij, &
Langmore, 2016); and patients
strictly receiving nothing by mouth
or with dysphagia (Maeda & Akagi,
2014). These patients, who are seen
commonly in the medical-surgical
setting, require heightened aware-
ness and sensitivity to their oral
care needs.
NV-HAP develops when patients
micro-aspirate oropharyngeal path -
ogens into the lungs (Di Pasquale,
Aliberti, Mantero, Bainchini, &
Blasi, 2016). Organ isms responsible
for the development of NV-HAP
include Staphy lococcus aureus and
gram-negative bacteria, which are
increasingly antibiotic resistant
(Weiner et al., 2016). This knowl-
edge of escalating antibiotic resist-
ance in conjunction with previous-
ly discussed studies demonstrating
the relationship between oral care
and reduction of NV-HAP high-
lights the ur.
January-February 2018 • Vol. 27/No. 138
Hillary Jenson, BSN, RN, PCCN, is Registered Nurse, Providence Portland Medical Center,
Portland, OR; and DNP-FNP student, University of Portland, Portland, OR.
Sandra Maddux, DNP, APRN, CNS-BC, is Senior Regional Director, Providence Health and
Services, Oregon Region, Portland, OR.
Mary Waldo, PhD, RN, GCNS-BC, CPHQ, is Regional Director, Providence Health and
Services, Oregon Region, Portland, OR.
Improving Oral Care in Hospitalized
Non-Ventilated Patients:
Standardizing Products and Protocol
P
atients who develop ventila-
tor-acquired pneumonia have
estimated attributable mor-
tality rates of approximately 10%
(Klompas et al., 2014). To reduce
these rates, healthcare advocacy
groups have endorsed a prevention
bundle that includes routine oral
care (Centers for Medicare &
Medicaid Services, 2017). In a hall-
mark study, DeRiso, Ladowski,
Dillon, Justice, and Peterson (1996)
demonstrated use of the oral anti-
septic chlorhexidine reduced rates
of hospital-acquired pneumonia in
ventilated patients undergoing
coronary artery bypass surgery.
Although routine oral care histori-
cally has been a part of daily patient
care, its significance in preventing
non-ventilator hospital-acquired
pneumonia (NV-HAP) has emerged
as an important preventive meas-
ure. Maeda and Akagi (2014) linked
poor oral health with an increased
risk for infection and thus NV-HAP.
Research also has demonstrated
that without regular oral hygiene,
bacteria remain in the oral cavity
and become more pathogenic over
time (Ikeda et al., 2014). Despite
these risks, research suggests imple-
mentation of regular, high-quality
oral care by nursing staff often is
neglected due to barriers in practice
(Letsos, Ryall-Henke, Beal, &
Tomaszewski, 2013). These barriers
include limited time, resource con-
straints, challenging patient behav-
iors, and staff knowledge gaps
regarding appropriate frequency in
oral care.
Although every patient benefits
from routine oral care, some groups
are at higher risk of developing NV-
HAP. These include recently extu-
bated persons, postoperative pa -
tients, and patients managed on
progressive care units (Scheel,
Pisegna, McNally, Noordzij, &
Langmore, 2016); and patients
strictly receiving nothing by mouth
or with dysphagia (Maeda & Akagi,
2014). These patients, who are seen
commonly in the medical-surgical
setting, require heightened aware-
ness and sensitivity to their oral
care needs.
NV-HAP develops when patients
micro-aspirate oropharyngeal path -
ogens into the lungs (Di Pasquale,
Aliberti, Mantero, Bainchini, &
Blasi, 2016). Organ isms responsible
for the development of NV-HAP
include Staphy lococcus aureus and
gram-negative bacteria, which are
increasingly antibiotic resistant
(Weiner et al., 2016). This knowl-
edge of escalating antibiotic resist-
ance in conjunction with previous-
ly discussed studies demonstrating
the relationship between oral care
and reduction of NV-HAP high-
lights the ur.
Evaluation factors contributing to the treatment default by tuberculosis pati...PUBLISHERJOURNAL
Tuberculosis (TB) is one of the biggest public health problem and now ranks alongside Human Immunodeficiency Virus (HIV) as the world’s leading infectious cause of death. Globally, patient compliance with anti-TB therapy estimated as low as 40% in developing countries, remains the principle cause of treatment failure. The aim of this study was to establish the factors contributing to treatment default by Tuberculosis patients at ART clinic in Ishaka Adventist Hospital, Bushenyi District. A cross-sectional and descriptive study which employed both qualitative and quantitative approach of data collection were used. The study was conducted in ART clinic at Ishaka Adventist Hospital, Bushenyi District and it took a period of four weeks. A purposive sampling technique was used to select the study participants. Results showed that out of 38 study participants, majority 26 (68%) were of age 30 years and above. A large proportion 24 (63%) of the participants were unemployed compared to the least 14 (37%) who were employed. Majority 21 (55%) travel at a distance of 10km and above to get TB treatment. Out of 38 participants, majority 26 (68%) did not informed the family or friends when they were on TB treatment. Of 26 participants 16 (61.5%) had fear of being isolated and 2 (7.7%) were other reason of no support. A large proportion of participants rated the attitude of staff who attended to them at the health facility to be unfriendly with 21 (55%) while very few 6 (16%) were rude. The ministry should ensure availability of and access to resources for strengthening systems for delivery of quality tuberculosis treatment, prevention and control.
Keywords: treatment, default, tuberculosis, ART, Uganda
Evaluation factors contributing to the treatment default by tuberculosis pati...PUBLISHERJOURNAL
Tuberculosis (TB) is one of the biggest public health problem and now ranks alongside Human Immunodeficiency Virus (HIV) as the world’s leading infectious cause of death. Globally, patient compliance with anti-TB therapy estimated as low as 40% in developing countries, remains the principle cause of treatment failure. The aim of this study was to establish the factors contributing to treatment default by Tuberculosis patients at ART clinic in Ishaka Adventist Hospital, Bushenyi District. A cross-sectional and descriptive study which employed both qualitative and quantitative approach of data collection were used. The study was conducted in ART clinic at Ishaka Adventist Hospital, Bushenyi District and it took a period of four weeks. A purposive sampling technique was used to select the study participants. Results showed that out of 38 study participants, majority 26 (68%) were of age 30 years and above. A large proportion 24 (63%) of the participants were unemployed compared to the least 14 (37%) who were employed. Majority 21 (55%) travel at a distance of 10km and above to get TB treatment. Out of 38 participants, majority 26 (68%) did not informed the family or friends when they were on TB treatment. Of 26 participants 16 (61.5%) had fear of being isolated and 2 (7.7%) were other reason of no support. A large proportion of participants rated the attitude of staff who attended to them at the health facility to be unfriendly with 21 (55%) while very few 6 (16%) were rude. The ministry should ensure availability of and access to resources for strengthening systems for delivery of quality tuberculosis treatment, prevention and control.
Keywords: treatment, default, tuberculosis, ART, Uganda
Practices of Primary Caregivers about Caring Children with Leukemia at Nation...AI Publications
This research was made to assess practices of primary caregivers about caring for children with acute leukemia at the Pediatric Blood Diseases Department, National Institute of Hematology and Blood Transfusion in 2020. Methods: This was analytical-observational research with the design of cross-sectional. Results: Study on 182 primary caregivers having children with acute leukemia treated at the Pediatric Blood Diseases Department, National Institute of Hematology and Blood Transfusion. The unsatisfactory practice of primary caregivers having children with acute leukemia accounting for 53.8%. There were 32.4% primary caregivers almost performed the wrong diet when their children had diarrhea. 38.5% primary caregivers sometimes clean their hands before and after preparing food and 33% primary caregivers sometimes clean their children’s teeth and gums properly. 28% primary caregivers sometimes encourage your children to participate in social activities. There were relationships between the educational level, the marital status, receiving health educational information and practices of primary caregivers, with p <0.05. Conclusions: The practices of primary caregivers having children with acute leukemia were low. There were relationships between educational level, marital status, receiving health educational information and practices of primary caregivers, with p <0.05.
October 7, 2019
On October 7, 2019, the Harvard Global Health Institute will host a one-day symposium to explore what enabled this visionary program, and to showcase how it has transformed not just the worldwide HIV/AIDS response but global health delivery more broadly.
There are many lessons learned in PEPFAR’s story - from what it took to build a supply chain where there was none, to establishing the use of generic antiretroviral therapies (ARTs) and leveraging human capacity. This event convened the early architects of PEPFAR as well as experts and implementers currently leading the charge. We took a historically informed look at what it will take to stop global transmission, and shared tools useful for others hoping to move the needle on vexing problems in global health.
For more information, visit our website at https://petrieflom.law.harvard.edu/events/details/15-years-of-pepfar
This study examined the relationship between knowledge of HIV transmission and prevention and HIV counselling and testing uptake among young people in Nigeria. The study is a quantitative research guided by one research question and one hypothesis. The target population comprised young people in Nigeria ages 15 to 24 years because the focus of this study was to identify the factors affecting HCT uptake among young people in this age cohort. The representative sample was obtained from the updated master sample frame of rural and urban zones developed by the National Population Commission in Nigeria. This master sample frame was a national survey that comprises all 36 states in Nigeria [2]. Probability sampling technique was used to obtain a sample of 10091 respondents (ages 15 to 24 years) for the study. The multistage cluster sampling was used to select suitable young people with known probability. Data were collected throughout Nigeria between September and December 2012 from 32,543 households (rural = 22,192; urban = 10,351) using structured and semi-structured questionnaires. The individual questionnaires asked about household characteristics, background characteristics of the respondents. Data were analyzed by inputing them into SPSS v21.0 for analysis [4] and then coded them for each participant. The data were summed using descriptive statistics. Frequencies and percentages; measures of central tendencies were used to answer the research question while nonparametric test such as chi-square was used to analyze non-normally distributed data at 0.5 level of significance. Results of data analysis indicated that the cognitive factors of knowledge of HIV prevention and knowledge of HIV transmission were statistically significant predictors of the likelihood of having HCT uptake. It was among others recommended that stakeholders, authorities, and providers of health services in Nigeria should strive to increase the rate of HCT uptake among young people ages 15 to 24 years.
Knowledge attitude and practice about acute respiratory infection
Abstrac mahrita
1. ABSTRAC
RELITIONSHIP KNOWLEDGE AND ATTITUDE MOTHER CHILDREN
WITH PNEUMONIA IN THE AREA OF WORK
HEALTH CENTER LIANG ANGGANG
CITY BANJARBARU
YEAR 2012
Mahrita Mulia.¹ Nirwana per-angin²,Rafidah³
In Indonesia, pneumonia is one of the main causes of the problem 4 million under-five deaths.
Target achievement of pneumonia (10%) of total targeting toddlers, while the achievement of discovery
pneumonia Liang Anggang health center is still far from the target set.
The research objective was Knowing Knowledge and Attitudes Relations Mother Toddler with
Pneumonia in area of work Banjarbaru City Health Center Liang Anggang year 2012.
The study was conducted by the method of analytic survey with cross sectional approach, using
Chi Square statistical test with α = 0.05 the study population were all mothers with children under five
numbered 1028 people. Sampling technique with quota sampling as many as 92 respondents. How to
capture secondary data from registers report IMCI in 2012 and primary data through questionnaires
distributed to mothers toddler.
Results of the study 92 respondents toddler, toddler suffering from pneumonia by 10 people
(10.9%). Knowledge quite as many as 41 people (44.6%), a positive attitude 54 people (58.7%). Chi
Square test results obtained by the value of p = 0.025 (p <α): 0.05. stance obtained p value = 0.73 (p> α):
0.05
The conclusion of this study was the relationship of knowledge with pneumonia and no
association with pneumonia attitude.