Ergonomic risk factors and physical fatigue among ambulance workers in Bulgaria

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Samuneva-Zhelyabova ◽  
K Lyubomirova ◽  
T Kundurjiev
Keyword(s):  
Health Care Services ◽  
Negative Impact ◽  
Poor Sleep ◽  
Physical Fatigue ◽  
Mental Strain ◽  
Chi Square ◽  
Care Services ◽  
Stress Coping Strategies ◽  
Chi Square Test ◽  
Risk Reduction Measures

Abstract Background Ambulance workers' job is characterized by extended shifts, inconsistent shift patterns, poor sleep, non-ergonomic work places and work postures, high levels of physical and mental strain. Fatigue in the Emergency Medical Services (EMS) workplace may be related to high patient care loads, demanding work schedules, physical overload and associated stress. The impaired health of those workers can result in pressure on health and insurance systems for treating them as well as bad health care services for emergency patients. Methods The study was conducted among 468 workers in emergency healthcare centers in Bulgaria in the period from December 2017 to April 2018. A sociological method was used - a questionniare. The results of the study are presented using descriptive statistics and Chi-square test. Results The biggest part of participants complained from ergonomic hazards such as lifting, carrying weights have negative impact on their health: 71.1% of the ambulance drivers, 61.4% of the doctors, 53% of paramedics, followed by nurses with 52.4% and sanitarians with 51.9%. The distribution by positions show that high levels of physical fatigue are among paramedics 59.1%, followed by doctors - 58.3%, nurses 47.6%, medical orderly 33.3% and ambulance drivers 31.9%. The highest levels of the physical fatigue are among respondents at age up to 35 years. Risk reduction measures were developed and distributed among ambulance workers and their employers. Special stress coping strategies were implemented. Conclusions Work among ambulance workers is associated with a number of risks as among the main once are ergonomics and related high levels of physical fatigue at the end of the working day. Key messages The levels of ergonomic hazards are high among ambulance workers. Ergonomic hazards have negative impact on ambulance workers’ health and the prevalence of musculoskeletal disorders is very high.

scholarly journals Knowledge, Attitudes and Practices Regarding Dengue Fever in a Cohort of Nursing Students

2019 ◽  
pp. 1-9
Author(s):  
Mansoor Shueai Al Awfi ◽  
Bushra Anaam AL Sharabi ◽  
Abdullah Al Alimi ◽  
Mohammed Abdo Abkar
Keyword(s):  
Nursing Students ◽  
Dengue Fever ◽  
Health Care Services ◽  
Dengue Infection ◽  
Chi Square ◽  
Attitudes And Practices ◽  
Care Services ◽  
Chi Square Test ◽  
Questionnaire Method ◽  
Knowledge Attitudes And Practices

Background: Good knowledge, attitudes and practices (KAP) on dengue fever will result a significant effect on prevention and control. Conversely, poor KAP help spread of dengue vectors and virus resulting in dengue epidemics. Objective: This study aimed to evaluate the knowledge, attitudes and practices regarding dengue fever among a cohort of nursing students in faculty of medicine and health sciences, Hodiedah University, Hodiedah, Yemen. Methods: Data was collected from 80 students using questionnaire method consists of a set of questions during 2016–2017educational year. KAP were assessed as satisfactory or unsatisfactory using a scoring system. Data was analyzed by using the Statistical Package for Social Sciences (SPSS®). Chi-square test was used for testing associations.  Results: According to KAP scores, 12.5%, 97.5% and 25% of respondents had satisfactory knowledge, attitudes and practices respectively. While 87.5%, 2.5% and 75% of them had unsatisfactory knowledge, attitudes and practices about dengue fever. There is significant association between knowledge and practices (p= 0.001). However, there is no significant association between knowledge and attitudes (p= 0.588) about dengue fever. Conclusion: Present study concluded that 87.5 % and 75% of participants nursing students have unsatisfactory knowledge and practices regarding dengue infection. Therefore, it is importance to enhance their knowledge and practices before graduation and employing them for health care services in the community.

Parental Custody Negotiations and Health Insurance Access for Children

2003 ◽  
Vol 84 (2) ◽  
pp. 223-228
Author(s):  
Walter L. Ellis
Keyword(s):  
Access To Health Care ◽  
Health Care Services ◽  
Insurance Coverage ◽  
Chi Square ◽  
Healthy Development ◽  
Care Services ◽  
Access To Health ◽  
Sole Custody ◽  
Chi Square Test ◽  
Logical Regression

Family practitioners who provide divorce education programs should be aware that a child in a sole-custody household (especially one headed by the father) is highly likely to lack insurance coverage for access to health care services for healthy development. Examining 543 divorce records in New Hampshire, the author analyzed coverage across divergent family types following custody negotiations and found that a child in a sole-custody household was at higher risk for lacking coverage than was one in a shared-custody household. These results were confirmed by a chi-square test and logical regression statistical analysis. In a multivariate analysis, the author found that teenagers, children whose parents earned high incomes, and those with working mothers were likely to be covered, although the likelihood was lower in the case of daughters.

scholarly journals Maternal risk factors for neonatal jaundice: a hospital-based cross-sectional study in Tehran

2018 ◽  
Vol 28 (3) ◽  
Author(s):  
Reza Tavakolizadeh ◽  
Anahita Izadi ◽  
Golnar Seirafi ◽  
Leila Khedmat ◽  
Sayed Yousef Mojtahedi
Keyword(s):  
Risk Factors ◽  
Health Care Services ◽  
Neonatal Jaundice ◽  
Cross Sectional Study ◽  
Maternal Risk Factors ◽  
Chi Square ◽  
Cross Sectional ◽  
Maternal Risk ◽  
Care Services ◽  
Chi Square Test

Diagnosis and timely treatment of neonatal jaundice is critical to preventing its dangerous side effects. Knowing the predisposing factors of neonatal jaundice is still a serious debate, which can be effective in controlling jaundice and the primary problem. The aim of this study was to evaluate maternal risk factors that contribute to the Hyperbilirubinemia among newborns admitted to Imam Khomeini and Ziaeean hospitals during 2015. We collected random samplings for the current study. Medical records for all newborns with jaundice were examined for risk factors associated with Hyperbilirubinemia. All variables were analyzed by SPSS software, version 19. Chi-square test and T-test were applied to evaluate qualitative and quantitative data, respectively. Our findings revealed that maternal age, weight, BMI, WBC, Hb, PLT, birth in the first pregnancy, numbers of pregnancies and prolonged delivery were significantly associated with bilirubin levels. Preventing the risk correlated with maternal factors or identifying neonates with these risk factors is important in effective management of infants. Therefore, the evaluation of neonatal jaundice in health care services should always be considered as a fundamental policy.

scholarly journals Attitude of Staff Working in Primary Health Centres with Special Reference to Thoothukudi District

2019 ◽  
Vol 8 (4S3) ◽  
pp. 130-133
Keyword(s):  
Health Care Services ◽  
Secondary Data ◽  
Primary Data ◽  
Occupational Performance ◽  
Chi Square ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Centres ◽  
Health Centres ◽  
Chi Square Test

Most health care, services are meant for delivering health services at a rural base within prescribed location of the villages vis-a-vis the health centres. The beneficiaries', opinion on services, an attempt has been made to analyse the data related to the staff at various levels in primary health centres on occupational performance oriented tasks. The study examines the attitude of staff working in most health centres in Thoothukudi District. Both the primary data and secondary data used. Most data collected through interview schedules and secondary data collected through published articles, journals, magazines, books, newspapers, and websites. The data collected from about 300 respondents selected using a random sampling methods covering the villages Alwarthirunagari, Anandhapuram, Arumuganeri, Authur, Boothalapuram, Eppothumvendran, Erachi, Eral, Kadambur, Kalugumalai, Kayathar, Karungulam, Katcherithalavaypuram, Kayamozhi, Keelachekkarakudi, Keelairal, Kulaseharapattinam, Kulathur, Mappilaiyurani, Megnanapuram, Mookkuperi, Mudalur, Mudivaithanendal, Mullakadu, Nagalapuram, Ottanattham, Padukkapathu, Paramankuruchi, Pasuvanthanai, Perilovanpatti, Petmanagar, Pitchivilai, Pudukkottai, Puthiamputhur, Puthur, S. Kailasapuram, Salaiputhur, Sebathiyapuram, Sivakalai, Thenthiruperai, Udaiyarkulam, Vallanadu, Vellalankottai, Veppalodai, Vembar and Villiseri. Statistical Package for Social Science (SPSS) was used to analyze the data. The collected data was analyzed by using appropriate statistical tools like percentage and chi-square test for arriving at conclusions. Finding the study is the hectic pace of life in the world today is taking a great toll on people’s body and mind. The villagers', both body and mind feel more at ease only when treated well at centres where they go for treatment..

scholarly journals Examination of Patient Profiles Admitted to the Paediatric Emergency According to Various Variables

2021 ◽  
Author(s):  
Ayfer YUKSEL
Keyword(s):  
Health Care Services ◽  
Emergency Service ◽  
Emergency Services ◽  
Unknown Origin ◽  
University Hospital ◽  
Age Group ◽  
Chi Square ◽  
Paediatric Emergency ◽  
Care Services ◽  
Chi Square Test

Abstract Purpose: The aim is to examine the applications to the paediatric emergency service of Foundation University Hospital in Ankara according to variables: gender, age, season of application, diagnosis, number of consultations and hospitalizations, and triage codes. Materials and methods: The research is a retrospective descriptive study. The data of patients admitted to the paediatric emergency department of a hospital in Ankara between 01.08.2017-31.07.2018 were obtained (n=16383). Frequency, percentages, cross table, and chi-square test were used for comparison. Findings: 0% of patients: very urgent application, 19%: urgent and 81%: non-urgent. The most common first three diagnoses: “unknown origin fever”, “cough”, "nausea and vomiting”. The 0-28 days age group had the lowest number of applications with 5% and had the highest emergency triage status with 66.5%; and the 19 months-5 years age group had the highest number of applications with 49% and had the lowest emergency triage rate with 12.8%.Conclusion: The reasons for applying to PES may differ according to contextual variables and providing parents with information from reliable sources may reduce unnecessary anxiety and emergency service admissions. There should be strengthened primary health care services and referral system to maintain high-quality emergency services.

scholarly journals Impact of Yam Postharvest Activities on Standard of Living of Yam Farming Households in North-East Zone of Benue State, Nigeria

2019 ◽  
pp. 1-9
Author(s):  
Solomon Arumun Agba ◽  
Idu Ode ◽  
Comfort Ugbem ◽  
Solomon Chimela Nwafor
Keyword(s):  
Access To Health Care ◽  
Health Care Services ◽  
Negative Impact ◽  
Standard Of Living ◽  
Access To Education ◽  
Care Services ◽  
North East ◽  
Significant Negative Impact ◽  
Level Of Significance ◽  
Farming Households

Aims: The aim of the study was to identify postharvest activities of yam farming households in North-East Zone of Benue State, Nigeria and to assess the impact of losses from the yam postharvest activities on standard of living of yam farming households in North-East Zone of Benue State, Nigeria. Study Design: Survey research design was adopted for the study. Place and Duration of Study: North-East Zone of Benue State, Nigeria. Methodology: The study purposively selected three (3) local government areas (Ukum, Katsina-Ala and Logo) that are most prominent in yam production in North-East Zone of Benue State  from where a total  sample size of two hundred and four (204) yam farming households were drawn from three local government areas of North-East Zone of Benue state using multi-stage cluster sampling technique. Results: Almost all the farmers 99% (202) store their yams and majority of the farmers are also involved in yam marketing. Majority of the famers 84% (172) always need to transport their yams. This could be in order to access distant markets which make for more gain. The few who do not need to transport their produce could be those who sale at farm gates. This could also be the reason why only a few 64% (130) majority take time to sort, grade and clean their produce. With the computed f-statistic value of 512.110 which was significantly higher than the tabulated f-value of 16.26 at 1% level of significance and 5.05 at 5% level of significance, therefore, the null hypothesis was rejected. This implies that, yam loss from yam postharvest activities noted above has a significant negative impact on the standard of living of yam farming households in the study area by reducing their household income (99%), affecting their access to health care services (89%), access to education (64%), access to good housing (84%) and access to sufficient quality food (98%). Conclusion: The study thus concludes that, yam loss during postharvest activities such as: yam handling, yam storage, yam transportation, yam sorting / grading / cleaning and yam marketing has significant negative impact on the standard of living of yam farming households in the study area, by reducing their household income, affecting their access to health care services, access to education, access to good housing and access to sufficient quality food. The study recommends communication of knowledge on modern yam storage methods to yam farmers in the study area by agricultural extension agents and building of yam processing factories in the study area so as to add economic value to yam and consequently improve the standard of living of yam farming households in the study area.

scholarly journals Faktor yang Mempengaruhi Perilaku Konsumsi Alkohol Anak Jalanan di Kota Kediri

2018 ◽  
Vol 6 (1) ◽  
pp. 35
Author(s):  
Esta Ruri Solecha ◽  
Diah Indriani
Keyword(s):  
Alcohol Consumption ◽  
Research Method ◽  
Sampling Method ◽  
Negative Impact ◽  
Street Children ◽  
Chi Square ◽  
Consumption Behavior ◽  
The Family ◽  
Chi Square Test ◽  
Approach Method

The behavior of alcohol consumption among street children is a serious health problem, because the behavior can have a negative impact. This behavior occurs due to imperfect social interaction in the community and life within the family of street children. This study aims to determine the factors that influence the behavior of alcohol consumption in street children in Kediri. This research method using quantitative approach method. The population in this study is all street children in Kediri with the criteria of adolescents ie age 10-19 years. The sample used in this study were 30 respondents, using accidental sampling method. The variables used are alcohol consumption behavior, attitude, knowledge, affordability, and peers. Data were collected using questionnaire and data analysis using Chi-square test. The results showed that of 30 street children respondents 76.7% consumed alcohol. The result of Chi-square test shows that the level factor of knowledge, attitude, affordability and environment of peers who have many opportunities to perform alcohol consumption behavior is the affordability factor with OR = 15.8. This means that the easier a person to get an alcoholic drink the greater the chance to behave alcohol consumption.

scholarly journals Factors intended to brain drain among nurses working at private hospitals of Biratnagar, Nepal

BIBECHANA ◽  
2018 ◽  
Vol 16 ◽  
pp. 213-220 ◽  
Author(s):  
Mamata Kadel ◽  
Menuka Bhandari
Keyword(s):  
Brain Drain ◽  
Health Care Services ◽  
Negative Impact ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Push Factors ◽  
Care Services ◽  
Excellent Health

Introduction: The migration of health worker is a complex and multifaceted phenomena. Emigration of highly skilled and competent nurses to other countries seems to have negative impact on the delivery of excellent health care services. Objective: The objective of this study was to assess factors intend to brain drain among nurses working at private hospitals of Biratnagar. Methodology: A cross sectional study was conducted on staff nurses of selected hospitals of Biratnagar, Nepal from 2017 February to 2018 February; non-probability purposive sampling technique was used. Required information was collected using self-administered semi structured questionnaire related to demographic and factors intending to brain drain from 99 nurses. Results: Majority (78.8%) of nurses were below 25 years of age. Most (81.8%) of them had completed PCL nursing, more than half (55.6%) wanted to migrate abroad to pursue further work and study. Australia (56.4%) and USA (25.5%) emerged as the top destination of choice, while only (5.5%) of them wanted to migrate United Kingdom. Lack of career opportunities, low salary and poor working condition were main pull factors and push factors intending to brain drain among nurses. This study also found that majority (96%) of nurses were not satisfied with their salary. Conclusion: More than half of nurses working in private hospitals would like to migrate abroad. The major push factors for migration was lack of career development and low salary. BIBECHANA 16 (2019) xx -xx 

scholarly journals The Elderly’s Demand for Community-Based Care Services and Its Determinants: A Comparison of the Elderly in the Affordable Housing Community and Commercial Housing Community of China

2020 ◽  
Vol 2020 ◽  
pp. 1-13
Author(s):  
Tiantian Gu ◽  
Dezhi Li ◽  
Lingzhi Li
Keyword(s):  
Affordable Housing ◽  
The Elderly ◽  
Policy Implications ◽  
World Population ◽  
Community Based ◽  
Chi Square ◽  
Care Services ◽  
Nanjing City ◽  
Chi Square Test ◽  
Commercial Housing

With the rapid aging of the world population, great pressure has been placed on the provision of community-based care in China. This paper aimed to compare the demand and its determinants for various community-based care services among the elderly in the affordable housing community (AHC) and commercial housing community (CHC) of China. Two community-based surveys were conducted separately in the AHC and CHC of Nanjing City, China. In total, 408 valid questionnaires were returned from the Daishan AHC while 8422 valid questionnaires were received from the CHCs. The chi square test indicated that the respondents in the AHC had significantly higher demands for five types of services (the meal-aid service, the cleaning-aid service, the bath-aid service, the rehabilitation therapy service, and the first-aid service) than those in the CHCs of Nanjing. Further, the Cochran–Mantel–Haenszel test showed that factors influencing the elderly’s demands for these services varied across communities. Several policy implications could be obtained to improve the efficiency of community-based care provision.

Malocclusion: Social, Functional and Emotional Influence on Children

2012 ◽  
Vol 37 (1) ◽  
pp. 103-108 ◽  
Author(s):  
PA Martins-Júnior ◽  
LS Marques ◽  
ML Ramos-Jorge ML
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Negative Influence ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Chi Square ◽  
Exact Test ◽  
Chi Square Test ◽  
The Impact

Objectives: To determine the association between types of malocclusion and quality of life in children between 8-10 years of age and establish correlations between the severity of the malocclusion and particular bio-psychosocial variables. Study design: The sample was made up of 102 schoolchildren aged 8-10 years. Clinical exams were performed using the criteria of the Dental Aesthetic Index (DAI) to determine the presence and severity of malocclusions. The impact on quality of life was assessed using the Child Perceptions Questionnaire (CPQ8-10). Statistical analysis involved the chi-square test, Fisher's exact test and Spearman's correlation analysis. Results: Malocclusions affected 61% of the children examined. There was a positive correlation between total CPQ8-10 and DAI scores (P = 0.034). The following types of malocclusion had a significant effect on the quality of life of the children: upper anterior irregularity ≥ 2 mm, anterior open bite ≥ 2mm and diastema ≥ 2mm. Children with malocclusion experienced a greater negative impact on quality of life in comparison to those without malocclusion. Conclusions: Malocclusions had a negative influence over the quality of life of children between 8-10 years of age. More severe malocclusions had a greater impact with regard to social, emotional and functional aspects.

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