Asthma in a Primary Health Care Center Serving a Poor Population

Background: Annually in the world 1,200,000 cases of envenomation and 3,250 deaths by scorpion stings ensue. Alarming statistics are also seen for snake bites globally i.e. 421,000 envenoming and 20,000 deaths. India is the country with the highest annual number of envenoming (81,000) and deaths (nearly 11,000).Methods: A retrospective cross-sectional study based on hospital record to assess the trend of diverse cases of scorpion sting and snake bite reporting to a rural primary health care center from January 2017 to December 2017. A pre-designed case record proforma was utilized to estimate the percentages of diverse cases of scorpion and snake bites attending the center and assess the demographic profile of the bite cases along with the evaluation of management protocol of these bite cases.Results: 190 cases of envenomation visited the health care center in a year where 165 were scorpion stings and 25 were snake bites. Referral to higher centres for management was established to be more in children and adolescent age groups but the mean age of envenomation was evaluated to be 33.8 years. Remarkable seasonal variation in the envenomation cases was spotted. Anti-snake venom was used for treatment of snake bites but anti-venom was not utilized for scorpion bites.Conclusions: Envenomation cases were common in adults but complications were higher in children and adolescents. We observed gender based risk and a seasonal incidence of envenomation. Most patients of envenomation were successfully managed in rural hospital with limited facilities.

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"Scoping Review Nurse’s Knowledge and Practices Regarding Wound Dressing at Primary Health Care Center"

Open Access Journal of Biomedical Science ◽

10.38125/oajbs.000246 ◽

2021 ◽

Vol 3 (3) ◽

Author(s):

Nourah Yousef Aldousari

Keyword(s):

Health Care ◽

Primary Health Care ◽

Scoping Review ◽

Wound Dressing ◽

Care Center ◽

Primary Health Care Center ◽

Health Care Center ◽

Primary Health

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The effect of pillbox use and education by pharmacist toward medication adherence in diabetes mellitus patients in a Primary Health Care Center in Mataram

Journal of Basic and Clinical Physiology and Pharmacology ◽

10.1515/jbcpp-2020-0500 ◽

2021 ◽

Vol 32 (4) ◽

pp. 577-582

Author(s):

Mahacita Andanalusia ◽

Yunita Nita ◽

Umi Athiyah

Keyword(s):

Diabetes Mellitus ◽

Health Care ◽

Primary Health Care ◽

Medication Adherence ◽

Care Center ◽

Intervention Group ◽

Primary Health Care Center ◽

Control Group ◽

Health Care Center ◽

Primary Health

Abstract Objectives Nonadherence to a long-term therapy, including diabetes mellitus, is one of the global problems that need to be overcome. This study aims to determine the effect of pillbox use and education by pharmacists toward medication adherence in patients with diabetes mellitus in a Primary Health Care Center in Mataram. Methods This research was an experimental research design with pretest-posttest with control group design. The study was conducted from October to December 2019 at Tanjung Karang Primary Health Care Center, Mataram. Measurement of adherence was done using the Adherence to Refill and Medication Scale questionnaire. The higher the score, the more nonadherence the patients. Patients were divided into three groups, which were the control group, educational intervention group, and pillbox and educational intervention group. Each group consisted of 11 patients. Results Patients’ medication adherence increased from 19.54 (SD 4.37) to 15.18 (SD 2.64) in the education and pillbox intervention group (p=0.004). Whereas, in the education and control group, the adherence did not provide a significant change (p>0.05). Based on the difference in adherence scores, it was known that what contributed to changes in compliance was refilling medicine and intentional nonadherence in taking medicine subscale (p=0.024). Conclusions Providing education and pillbox done by pharmacists at the Primary Health Care Center can increase adherence to the therapy of diabetes mellitus patients. Pharmacists at the Primary Health Care Center can use the intervention model to improve the level of adherence of patients with chronic illness.

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