The assessment of parents’ knowledge, attitudes and concerns about febrile seizures in children at tertiary hospitals in Rwanda—a descriptive study

2021 ◽  
Vol 67 (1) ◽  
Author(s):  
Onesphore Hakizimana, MBBS, MMed ◽  
Edgar Kalimba, MBBS, MMed ◽  
Linda Arnold, MD ◽  
Peter Cartledge, MBChB
Keyword(s):  
Parental Knowledge ◽  
Febrile Seizures ◽  
Teaching Hospitals ◽  
Educational Materials ◽  
Validated Questionnaire ◽  
Tertiary Teaching ◽  
Tertiary Hospitals ◽  
Secondary Objective ◽  
Definition Of ◽  
Quality Tool

Abstract Background Febrile seizures (FSs) are the most common seizure disorder in childhood. No previous research has been performed to assess caregiver attitudes, knowledge and concerns of FSs in Rwanda or East Africa. Objectives This study sought to assess knowledge, attitudes and concerns regarding FS among caregivers of children presenting to tertiary hospitals in Rwanda using a previously validated questionnaire. The secondary objective was to assess the reliability of a translated version of the Huang Febrile Seizures Questionnaire (HFSQ). Methods A multi-centre observational study was conducted at four tertiary teaching hospitals in Rwanda. The admitting doctor determined that children met the definition of FSs. A translated version, of a validated questionnaire, the HFSQ, employing yes/no and five-point Likert questions, was used for this study, after minor adjustments. Results Eighty-six caregivers were recruited. Caregivers had low levels of pre-existing knowledge regarding FSs. The most significant caregiver concern was that ‘siblings will have FSs too’(mean = 3.62 ± 0.7). Caregivers felt that children with FSs do not need more attention and care and that FSs can be outgrown (mean = 3.4 ± 1.0). Discussion The findings support the need for locally relevant educational materials to be shared with caregivers after a FS event. The HFSQ is a good quality tool for assessing parental knowledge and concerns and has the potential to be used in clinical practice as a benchmarking tool for education.

Assessment of parental knowledge, attitude and practice towards antibiotic use in children

2020 ◽  
Vol 10 (2) ◽  
pp. 25-41
Author(s):  
Thejaswini Karanth ◽  
Someswar Deb ◽  
Lal Ruatpuii Zadeng ◽  
Rajeswari Ramasamy ◽  
Teena Nazeem ◽  
...  
Keyword(s):  
Parental Knowledge ◽  
Antibiotic Use ◽  
Case Report Form ◽  
Standard Case ◽  
Attitude And Practice ◽  
Validated Questionnaire ◽  
Antibiotics Use ◽  
The Impact ◽  
Knowledge Attitude And Practice

Objective to assess the impact of pharmacist assisted counselling in improving Parental Knowledge, Attitude and Practice [KAP] towards antibiotic use in children. A Prospective, Educational Interventional Study was conducted in 200 subjects, from the randomly chosen communities in Bangalore. The investigators did door to door visit. The primary demographics data of parents and their children were collected using standard Case Report Form (CRF), and the baseline towards antibiotic use in Children was obtained from parents using validated Questionnaire. In the presence of both parents, only one was supposed to answer the Questionnaire. Pharmacist assisted parent centred interventional counselling was provided with the help of Patient Information Leaflet1s (PIL). Follow-up and post interventional KAP assessment were done after two months from the baseline measurement. The changes in parental KAP towards antibiotics use in children were being assessed by comparing the Pretest and Posttest responses using statistical analysis. The knowledge of parents towards antibiotic use in children was medium to good in the baseline KAP assessment; however, in the majority of the participating parents it was not satisfactory in attitude and practice domains. A statistically significant improvement was seen in the KAP of parents towards antibiotic use in children after the pharmacist assisted interventional counselling. Thus, Investigators could bring excellent changes in the knowledge part; whereas the result for changes in the Attitude and Practice was good to medium respectively.

scholarly journals Pattern of childhood malignant tumours in two tertiary teaching hospitals in Nigeria: Comparative study

2013 ◽  
Vol 40 (2) ◽  
pp. 175-178
Author(s):  
UA Shehu ◽  
SA Adegoke ◽  
U Abdulsalam ◽  
M Ibrahim ◽  
OA Oyelami ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Public Health Problem ◽  
Bone Tumours ◽  
Teaching Hospitals ◽  
Malignant Tumours ◽  
Acute Leukemias ◽  
Female Ratio ◽  
Hospital Unit ◽  
Tertiary Teaching ◽  
Male To Female

Background: Cancer is a public health problem worldwide affecting all categories of persons. It is the second common cause of death in developed countries and among the three leading causes of death in developing countries.Objective: To compare the patterns of malignant childhood tumours intwo tertiary hospitals in the north- Western and South western Nigeria.Methods: Retrospective studies of childhood malignancies diagnosedat Aminu Kano Teaching Hospital (AKTH), Kano and Obafemi Awolowo University Teaching Hospital Complex (OAUTHC) (Ife Hospital Unit, Ile-Ife and Wesley Guild Hospital Unit, Ilesa, Osun state) were undertaken from January, 2001 to December, 2010. The patterns of childhood cancers inthese hospitals were compared.Results: Four hundred and ten children aged 7 months to 15 years were admitted at AKTH with malignancies of which 236 were males and 174 females with male to female ratio of 1.4:1. At OAUTHC, 568 children aged two months to 15 years were admitted with malignancies over the ten year period. There were 401 males and 167 females, with male to female ratio of 2.4:1. Lymphomas were the commonest type of malignancy in both centers, which accounted for 47.3% and 59.7% at AKTH and OAUTHCrespectively. Retinoblastoma was the second commonest tumour atAKTH constituting 14.9% of all malignancies followed by nephroblastomaand acute leukemias. In contrast, acute leukemias were the second commonest malignancy at OAUTHC accounting for 12.7% of all malignancies followed by retinoblastoma and nephroblastoma. Tumoursof central nervous system were observed to be commoner at AKTH, while bone tumours were commoner at OAUTHC.Conclusion: The pattern of childhood cancer varies rather little betweendifferent regions in Nigeria, with malignant lymphomas being the most common as is the case in most developing countries. However, the findings in this study suggest that there is variation in prevalence of leukemia, CNS and bone tumours in northern and southern Nigeria.Key words: Childhood, malignant tumours, pattern, teaching hospitals,Nigeria

scholarly journals Prediction of preeclampsia by a combination of maternal spot urinary protein-creatinine ratio and uterine artery doppler

2020 ◽  
Vol 9 (2) ◽  
pp. 635
Author(s):  
Rupali Modak ◽  
Amitrajit Pal ◽  
Amitava Pal ◽  
Mrinal K. Ghosh
Keyword(s):  
Area Under Curve ◽  
Uterine Artery ◽  
Urinary Protein ◽  
Teaching Hospitals ◽  
Doppler Velocimetry ◽  
Creatinine Ratio ◽  
Singleton Pregnancy ◽  
Chi Square ◽  
Uterine Artery Doppler ◽  
Tertiary Teaching

Background: Preeclampsia (PE) is heterogeneous disorder. The aim of the study was to observe the role of a spot urinary protein - creatinine ratio (UPCR) and uterine artery doppler velocimetry measured between 20-24 weeks of gestation in prediction of preeclampsia.Methods: Prospective observational study conducted on 120 pregnant mothers with singleton pregnancy between 20-24 weeks of gestational age in two tertiary teaching hospitals in eastern India. A spot urinary protein creatinine ratio (UPCR) was determined in a mid- stream urine sample and estimation of protein was done by immunoturbidimetric micro albumin method and creatinine by modified Jaffe’s method. Doppler velocimetry was also determined at 20-24 weeks of gestation. A notch in uterine artery, unilateral or bilateral; or RI > 0.7 and PI of > 1.45 were considered to have an abnormal result. Women were followed-up and relationship between variables was assessed by Chi- square test.Results: Women who subsequently developed preeclampsia had significantly higher UPCR (median 44.8 mg/mmol) when compared with women of unaffected groups (median 26.6 mg/mmol). The optimum spot urinary UPCR to predict preeclampsia was 35.5 mg/mmol and the cut-off value >35.5 mg/mmol had a test sensitivity (80%), specificity (94.06%), PPV (66.76%) and NPV (96.94%).The area under curve (AUC) of spot UPCR in ROC curve was  0.949 (95% CI,0.891 - 1.000). For predicting preeclampsia, the mean uterine artery RI had to be >0.7 having sensitivity (60%), specificity (97.03%), PPV (75%) and NPV (94.23%). The area under curve (AUC) was 0.856 (95% CI, 0.742 - 0.971).Conclusions: Second trimester UA doppler is a useful screening test for prediction of preeclampsia. This test works best when combined with a spot UPCR and accuracy of both the methods for prediction of preeclampsia was 92.24%.

scholarly journals Antimicrobial stewardship knowledge and perception among physicians and pharmacists at leading tertiary teaching hospitals in Zambia: implications for future policy and practice

2019 ◽  
Vol 31 (7-8) ◽  
pp. 378-387 ◽  
Author(s):  
Aubrey Chichonyi Kalungia ◽  
Haabingozi Mwambula ◽  
Derick Munkombwe ◽  
Sarah Marshall ◽  
Natalie Schellack ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Teaching Hospitals ◽  
Policy And Practice ◽  
Tertiary Teaching ◽  
Future Policy

scholarly journals Spectrum of central nervous system involvement in rheumatic diseases: pictorial essay

2018 ◽  
Vol 51 (4) ◽  
pp. 262-267
Author(s):  
Renata Mendes Vieira ◽  
Felipe Barjud Pereira do Nascimento ◽  
Alcino Alves Barbosa Júnior ◽  
Inês Carmelita Minniti Rodrigues Pereira ◽  
Zoraida Sachetto ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Rheumatic Disease ◽  
Rheumatic Diseases ◽  
Lupus Erythematosus ◽  
Clinical Presentation ◽  
Central Nervous System Involvement ◽  
Teaching Hospitals ◽  
Tertiary Teaching ◽  
Pictorial Essay

Abstract The rheumatic diseases, which include systemic lupus erythematosus, rheumatoid arthritis, Behçet's disease, scleroderma, and ankylosing spondylitis, are characterized by involvement of connective tissue, with multiple manifestations. In those diseases, there can be involvement of the peripheral or central nervous system, and that involvement can be primary, presenting as a major feature of the clinical presentation, or secondary, as an effect of the drugs used in order to control a given disease or its complications. Knowledge of the wide variety of imaging findings is crucial to the diagnosis of a rheumatic disease, especially in the early stages, enabling effective treatment and minimizing disability. This pictorial essay, presenting cases from the records of two tertiary teaching hospitals, encompasses cases of patients diagnosed with rheumatic disease and illustrates the neuroradiological findings on magnetic resonance imaging and computed tomography, in order to emphasize the importance of these methods for properly diagnosing rheumatic diseases.

scholarly journals Opinion of the junior doctors on the existing morale, support and autonomy at their workplace and the factors positively influencing them

2021 ◽  
Vol 12 (1) ◽  
pp. 30-35
Author(s):  
Khandakar Rezwanur Rahman ◽  
Nabila Tabassum ◽  
Md Abid Hossain Mollah
Keyword(s):  
Teaching Hospitals ◽  
Easy Access ◽  
Junior Doctors ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Ensure Patient Safety ◽  
Everyday Work ◽  
Tertiary Hospitals ◽  
Improve Patient

Background: Junior doctors form the majority of the workforce in patient care. Their job is perilous, highly critical, tedious and exhausting and it is imperative that they stay motivated while at work. Improving the morale of physicians has the potential to increase efficiency, ensure patient safety and improve patient outcomes. We aimed to identify the existing status and explore the factors affecting junior doctors’ morale, their sense of feeling supported and their levels of autonomy in 2 large teaching hospitals in Bangladesh. Methods: This cross-sectional observational study was done across 2 large tertiary hospitals- Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders(BIRDEM) General Hospital and Dhaka Shishu Hospital, over 4 months period from September- December 2020. The study was carried out on 120 junior doctors by an online questionnaire, distributed through emails and Facebook messenger, asking junior doctors to rate their morale, sense of feeling supported and autonomy and rank the top factors that positively affected them. Results: Data were finally collected from 117 junior doctors after 3 incomplete data were discarded. Most of the junior doctors felt ‘neither good nor bad’ in the domains of existing ‘morale’ (44.4%), ‘feeling supported’ (46.5%) and ‘autonomy’ (48.7%). Additionally, ‘good’ morale was seen in 39.3%, while around 34% rated their support system as ‘good’ and around 24% reported a ‘good’ autonomy. The most important factor positively affecting morale was recognition and reward for good performance (70.1%), factor influencing support was an easy access to senior clinicians (70.4%) and that defining autonomy was constant senior supervision of the everyday work (61.1%). Conclusion: The study aims to identify the existing level of morale, support and autonomy of the junior doctors at their workplace and explore the factors positively affecting them. It is concluded from this study that the junior doctors rated their existing morale, support and autonomy as ‘average’. According to the opinions of the doctors, this study also concludes that, to improve their morale, there is a need to recognize and reward their good work and provide positive feedback. Doctors identified an easy access to senior clinicians with a problem was the primary factor influencing support. Finally, junior doctors wanted constant senior supervision of their everyday work in the wards to improve output. BIRDEM Med J 2022; 12(1): 30-35

scholarly journals Serious Workplace Violence against healthcare providers in China in the past 15 years

2020 ◽  
Author(s):  
Jing Ma ◽  
Xi Chen ◽  
qiongjuan zheng ◽  
Yun Zhang ◽  
Zhi Ming ◽  
...  
Keyword(s):  
Workplace Violence ◽  
Healthcare Providers ◽  
Legal Protection ◽  
Severe Injury ◽  
Teaching Hospitals ◽  
Summary Statistics ◽  
Health Providers ◽  
The Past ◽  
Poor Patient ◽  
Tertiary Hospitals

Introduction: Workplace violence (WPV) against healthcare providers has severe consequences and underreported worldwide. The aim of this study was to present the features, causes, and outcomes of serious WPV against healthcare providers in China. Method: We searched serious WPV events reported online and collected information about time, location, people involved, methods used, motivations, and outcomes related to the incident, and analyzed their summary statistics. Result: Serious WPV reported online (n=379) in China were mainly physical (97%) and often involved the use of weapons (34.5%). Doctors were victims in most instances (81.1%). WPV mostly happened in cities (90.2%), teaching hospitals (87.4%), and tertiary hospitals (67.9%), frequently in ED, OB-GYN, and pediatrics, in the months of June, May, and February. WPV Rates increased dramatically in 2014 and decreased after 2015. Death (12.8%), severe injury (6%), and hospitalization (24.2%) were the major outcomes. Conclusion: Serious WPV in China may stem from poor patient-doctor relationships, overstressed health providers in the highly demanded hospitals, poorly educated/informed patients, insufficient legal protection and poor communications. A law protecting healthcare providers implemented in 2015 may have helped curb the violence.

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