scholarly journals Long-term neurocognitive and educational outcomes of neonatal insults in Kilifi, Kenya

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Dorcas N. Magai ◽  
Hans M. Koot ◽  
Paul Mwangi ◽  
Esther Chongwo ◽  
Charles R. Newton ◽  
...  
Keyword(s):  
Family Environment ◽  
Educational Outcomes ◽  
Comparison Group ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Word Finding ◽  
Reading Abilities ◽  
Rehabilitative Services ◽  
Almost All

Abstract Background There is little data on the long-term neurocognitive and educational outcomes among school-aged survivors of neonatal jaundice (NNJ) and hypoxic-ischemic encephalopathy (HIE) in Africa. This study investigates the long-term neurocognitive and educational outcomes and the correlates of these outcomes in school-aged survivors of NNJ or HIE in Kilifi, Kenya. Methods We conducted a cross-sectional study on neurocognitive and educational outcomes among school-aged survivors (6–12 years) of NNJ (n = 134) and HIE (n = 107) and compared them to a community comparison group (n = 134). We assessed nonverbal intelligence, planning, working memory, attention, syntax, pragmatics, word-finding, memory, perceptual-motor, mathematical, and reading abilities. We also collected information on medical history, caregivers’ mental health, and family environment. Results The survivors of NNJ had lower mean total scores in word-finding [F (1, 250) = 3.89, p = 0.050] and memory [F (1, 248) = 6.74, p = 0.010] than the comparison group. The survivors of HIE had lower mean scores in pragmatics [F (1, 230) = 6.61, p = 0.011] and higher scores higher scores in non-verbal reasoning [F (1, 225) =4.10, p = 0.044] than the comparison group. Stunted growth was associated with almost all the outcomes in HIE. Conclusion Survivors of NNJ and HIE present with impairment in the multiple domains, which need to be taken into consideration in the planning of educational and rehabilitative services.

scholarly journals Faktor Yang Mempengaruhi Kelelahan Kerja Pada Petugas Kebersihan Di Rumah Sakit Dr. Tadjuddin Chalid Kota Makassar

2019 ◽  
pp. 256-265
Author(s):  
St. Aisyah ◽  
Suharni A. Fachrin ◽  
Haeruddin Haeruddin ◽  
Irfandi Rahman
Keyword(s):  
Statistical Tests ◽  
Cross Sectional Study ◽  
International Labor Organization ◽  
Cross Sectional ◽  
International Labor ◽  
Workplace Accidents ◽  
Mental Abilities ◽  
Physical Abilities ◽  
Almost All

International Labor Organization (ILO) that every year as many as two million workers die from workplace accidents caused by fatigue. Fatigue is a reduction in physical and mental abilities as a result of excessive physical, mental or emotional use that can reduce almost all physical abilities including strength, speed, reaction speed, coordination, and decision making or balance. This study aims to analyze the factors that affect the work fatigue of janitors at Dr. Hospital. Tadjuddin Chalid Makassar. This research is an analytic observational study with a cross sectional study design equipped with quantitative method approach, the respondents of this study were 57 people, the sampling method used in this study was saturated samples, with analysis The statistical tests used were univariate and bivariate with the Statistical Product Program and Service Solution (SPSS). Research results on janitors at Dr. Hospital. Tadjuddin Chalid Makassar, namely: there is no influence of age on work fatigue on janitors, there is no influence of sex on work fatigue on janitors, there is no effect on nutritional status of work fatigue on janitors, there is no influence of Hb levels on work fatigue on officers cleanliness, there is no long-term influence on work fatigue on janitors, there is an effect of workload on work fatigue on janitors. The conclusion is that the workload has an effect on work fatigue for janitors at Dr. Hospital. Tadjuddin Chalid Makassar, was advised by janitors to optimize the resting time given so as to reduce fatigue during work.

Adherence to growth hormone therapy in children and its potential barriers

2018 ◽  
Vol 31 (1) ◽  
pp. 13-20 ◽  
Author(s):  
Shahrzad Mohseni ◽  
Zahra Heydari ◽  
Mostafa Qorbani ◽  
Mania Radfar
Keyword(s):  
Growth Hormone ◽  
Parent Education ◽  
Cross Sectional Study ◽  
Drug Shortage ◽  
Gh Therapy ◽  
Cross Sectional ◽  
Children And Adolescent ◽  
Potential Barriers ◽  
Almost All

AbstractBackground:One of the main concerns in chronic diseases such as growth hormone (GH) deficiency is adherence to the treatment, which significantly affects treatment outcomes.Methods:This cross-sectional study was conducted among 169 GH recipient children (2–12 years) and teens (13–19 years) referred to a GH distributing teaching pharmacy. The eight-item Morisky Medication Adherence Scale (MMAS) and auto-compliance method were used for the assessment of patients’ adherence to GH. The potential barriers to GH therapy adherence and medication persistence were also explored.Results:Based on the MMAS method, 56.7% of the children and 57.9% of the adolescent groups were adherent to GH therapy. Conversely, according to the auto-compliance method almost all the patients were adherent in the children (95.2%) and adolescent (95.5%) groups. Forgetting to take the injection or refill the prescription, being away from home, exhaustion from long-term injection, drug shortage and inaccessibility to the pharmacy were barriers found to be significantly associated with a low adherence in the children group. While in the adolescent group, forgetting to take the injection, painful injection, concern about long-term complications and exhaustion from long-term injection revealed a significant association with low adherence. Persistence with GH therapy was reported in 75.3% and 67% of children and adolescent patients, respectively.Conclusions:The current study revealed that overall adherence of the study population is low. Considering the barriers with significant association with adherence, different strategies can be incorporated to enhance adherence to GH therapy, i.e. providing early patient and parent education and support, medication reminder systems and longer duration of GH prescriptions.

scholarly journals Survey-Based Analysis of Current Trends for Prescribing Gastrointestinal Protectants among Small-Animal General Practitioners in Portugal

2021 ◽  
Vol 8 (5) ◽  
pp. 70
Author(s):  
Rita Baptista ◽  
Ryane Englar ◽  
Berta São Braz ◽  
Rodolfo Oliveira Leal
Keyword(s):  
General Practitioners ◽  
Healthcare Providers ◽  
Small Animal ◽  
Cross Sectional Study ◽  
Online Forums ◽  
Educational Strategies ◽  
Cross Sectional ◽  
Current Trends ◽  
Therapeutic Value

In both human and veterinary healthcare, gastrointestinal protectants (GIPs) are considered a staple of clinical practice in that they are prescribed by general practitioners (GPs) and specialists alike. Concerning GIP use, overprescription of proton pump inhibitors (PPIs) has become a growing concern among human healthcare providers. This trend has also been documented within veterinary practice, prompting the American College of Veterinary Internal Medicine (ACVIM) to publish a consensus statement in 2018 concerning evidence-based indications for GIP use. This observational cross-sectional study evaluated self-reported prescribing protocols among Portuguese GPs to determine whether there is adherence to the consensus guidelines. Respondents were Portuguese GPs recruited by social media posts in veterinarian online forums. Data were collected from 124 respondents concerning their GIPs of choice and their rationales for prescribing them. Data were mined for prescription patterns and protocols. Among GIPs, PPIs were prescribed more often. Rationales for use included gastrointestinal ulceration and erosion (GUE), prophylactic management of nonerosive gastritis, pancreatitis, reflux esophagitis, and steroid-induced ulceration. Once-daily administration of PPIs was the most frequent dosing regime among respondents. Ninety-six percent of PPI prescribers advocated that the drug be administered either shortly before or at mealtime. Forty-nine percent of respondents supported long-term use of PPIs. Fifty-nine percent of respondents acknowledged discontinuing PPIs abruptly. This study supports that Portuguese GPs commonly prescribe GIPs in accordance with ACVIM recommendations to medically manage GUE. However, misuse of GIPs does occur, and they have been prescribed where their therapeutic value is debatable. Educational strategies should target GPs in an effort to reduce GIP misuse.

scholarly journals A Cross-Sectional Study on the Impacts of Perceived Job Value, Job Maintenance, and Social Support on Burnout among Long-Term Care Staff in Hawaii

2021 ◽  
Vol 18 (2) ◽  
pp. 476
Author(s):  
Bum Jung Kim ◽  
Sun-young Lee
Keyword(s):  
Social Support ◽  
Long Term Care ◽  
Cross Sectional Study ◽  
Care Staff ◽  
Hierarchical Regression ◽  
Sectional Study ◽  
Cross Sectional ◽  
Term Care ◽  
The Impact

Extensive research has demonstrated the factors that influence burnout among social service employees, yet few studies have explored burnout among long-term care staff in Hawaii. This study aimed to examine the impact of job value, job maintenance, and social support on burnout of staff in long-term care settings in Hawaii, USA. This cross-sectional study included 170 long-term care staff, aged 20 to 75 years, in Hawaii. Hierarchical regression was employed to explore the relationships between the key independent variables and burnout. The results indicate that staff with a higher level of perceived job value, those who expressed a willingness to continue working in the same job, and those with strong social support from supervisors or peers are less likely to experience burnout. Interventions aimed at decreasing the level of burnout among long-term care staff in Hawaii may be more effective through culturally tailored programs aimed to increase the levels of job value, job maintenance, and social support.

Grazing Behavior Hinders Weight Loss in Long-Term Post Bariatric Surgery: a Cross-Sectional Study

2021 ◽  
Author(s):  
Larissa Cristina Lins Berber ◽  
Mariana Silva Melendez-Araújo ◽  
Eduardo Yoshio Nakano ◽  
Kênia Mara Baiocchi de Carvalho ◽  
Eliane Said Dutra
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Grazing Behavior ◽  
Post Bariatric Surgery

scholarly journals Current understanding and implementation of ‘care navigation’ across England: a cross-sectional study of NHS clinical commissioning groups

2019 ◽  
Vol 69 (687) ◽  
pp. e675-e681 ◽  
Author(s):  
Stephanie Tierney ◽  
Geoff Wong ◽  
Kamal R Mahtani
Keyword(s):  
Cross Sectional Study ◽  
Descriptive Statistics ◽  
Sectional Study ◽  
Cross Sectional ◽  
Long Term Conditions ◽  
Health And Wellbeing ◽  
Medical Needs ◽  
Social Prescribing ◽  
Evaluation Of Care

BackgroundCare navigation is an avenue to link patients to activities or organisations that can help address non-medical needs affecting health and wellbeing. An understanding of how care navigation is being implemented across primary care is lacking.AimTo determine how ‘care navigation’ is interpreted and currently implemented by clinical commissioning groups (CCGs).Design and settingA cross-sectional study involving CCGs in England.MethodA questionnaire was sent to all CCGs inviting them to comment on who provided care navigation, the type of patients for whom care navigation was provided, how individuals were referred, and whether services were being evaluated. Responses were summarised using descriptive statistics.ResultsThe authors received usable responses from 83% of CCGs (n = 162), and of these >90% (n = 147) had some form of care navigation running in their area. A total of 75 different titles were used to describe the role. Most services were open to all adult patients, though particular groups may have been targeted; for example, people who are older and those with long-term conditions. Referrals tended to be made by a professional, or people were identified by a receptionist when they presented to a surgery. Evaluation of care navigation services was limited.ConclusionThere is a policy steer to engaging patients in social prescribing, using some form of care navigator to help with this. Results from this study highlight that, although this type of role is being provided, its implementation is heterogeneous. This could make comparison and the pooling of data on care navigation difficult. It may also leave patients unsure about what care navigation is about and how it could help them.

scholarly journals Periodontal status in long-term orthodontic retention patients up to 10 years after treatment – a cross-sectional study

2021 ◽  
pp. 1-7
Author(s):  
Barbro Fostad Salvesen ◽  
Jostein Grytten ◽  
Gunnar Rongen ◽  
Odd Carsten Koldsland ◽  
Vaska Vandevska-Radunovic
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Periodontal Status ◽  
Orthodontic Retention
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