scholarly journals Evaluation of retention of knowledge, skill and competency of health workers one year after completion of the Helping Babies Breathe training program in South Sudan

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 167 ◽  
Author(s):  
Christopher Vunni Draiko ◽  
Khemika Yamarat ◽  
Alessio Panza ◽  
Judith Draleru
Keyword(s):  
Health Workers ◽  
Neonatal Resuscitation ◽  
Post Intervention ◽  
Chi Square ◽  
Helping Babies Breathe ◽  
Chi Squared ◽  
Chi Square Test ◽  
Mean Differences ◽  
One Year ◽  
Retention Of Knowledge

Introduction: The aim of the study is to evaluate the long-term retention of knowledge, skill and competency of health workers who completed Helping Babies Breathe (HBB) training and effect on newborn mortality. Methods: The study employed pre-post-interventions study and participants were selected based on their previous training on HBB protocols. Health workers were assessed for knowledge, skill and competency pre, post training in March, and 3 months in June 2017 and 1-year post implementation in September 2018.  Health workers were scored on knowledge, skill and competency. The mean score was obtained and repeated ANOVA, chi-squared test and Pearson’s test was used to compare pre- and post-intervention and one-year implementation. Retention of health worker’s knowledge, skill and competency was assessed using the HBB questionnaires, checklist, practical skill and drills, and were scored on knowledge, skill and competency. The scores were computed into percentages, mean scores and mean differences, and compared against scores at 3 months and 1 year. Impact on management of newborn asphyxia was conducted using a review of delivery registry at maternity and children ward scores were group into percentages, averages means, computed using the Chi-square test. Results: Helping Babies Breathe has shown a significant increase in knowledge, skill and competency post-test and three months. Despite the improvement in knowledge, skills and competency of the health within the three months of training, there was marked decline over 1-year period. Conclusions: Immediate evaluation of the health workers after Helping Babies Breathe training resulted into significant increase in knowledge, skills and competency in neonatal resuscitation although this declined over period of one year. The training also resulted into decrease in neonatal mortality.

scholarly journals Evaluation of retention of knowledge, skill and competency of health workers one year after completion of the Helping Babies Breathe training program in South Sudan

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 167
Author(s):  
Christopher Vunni Draiko ◽  
Khemika Yamarat ◽  
Alessio Panza ◽  
Judith Draleru
Keyword(s):  
Health Workers ◽  
Post Intervention ◽  
Chi Square ◽  
Helping Babies Breathe ◽  
Newborn Mortality ◽  
Control Hospital ◽  
Chi Squared ◽  
Mean Differences ◽  
One Year ◽  
Retention Of Knowledge

Introduction: The aim of the study is to evaluate the long-term retention of knowledge, skill and competency of health workers who completed Helping Babies Breathe (HBB) training and effect on newborn mortality  Methods: The study employed pre-post-interventions study and participants were selected based on their previous training on HBB protocols. Health workers were assessed for knowledge, skill and competency pre, post training in March, and 3months in June 2017 and 1-year post implementation in September 2018.  Health workers were scored on knowledge, skill and competency. The mean score was obtained and repeated ANOVA, chi-squared test and Pearson’s test was used to compare pre- and post-intervention and one-year implementation. Retention of health worker’s knowledge, skill and competency was assessed using the HBB questionnaires, checklist, practical skill and drills, and were scored on knowledge, skill and competency. The scores were computed into percentages, mean scores and mean differences, and compared against scores at 3 months and 1 year. Impact on management of newborn asphyxia was conducted using a review of delivery registry at maternity and children ward scores were group into percentages, averages means, computed using the Chi-square test. Results: There were 53 health workers evaluated; 29 were in the intervention and 24 in the control hospital.  There was marked decline in the knowledge (84% to 69.4% p=0.001), skills, (94.6% to 77%, p=0.001), competency for simple resuscitation (88.5% to 76.4%, p=0.36) and complex resuscitation (83.3% to 76.9%, p=0.001) in intervention hospitals. Health workers in the control had good retention and improvement of knowledge (50.6% to 61.2%, p= 0.004), skills (40.3% to 56.5% p=0.004), competency for simple resuscitation (38.0% to 53.1% p=0.001) and complex resuscitation (33.1% to 53.4% p=0.001). Conclusions: Health workers in the control hospital had improvement in retention of their knowledge, skill and competency. Newborn mortality decreased in both hospitals.

Avaliação da prevalência da perda precoce de molares decíduos na dentição mista

2020 ◽  
Vol 13 (52) ◽  
pp. 102-106
Author(s):  
Ana de Lourdes Sá de Lira ◽  
Cassius Wander Coelho Martins ◽  
Luis Paulo da Silva Dias ◽  
Tito Cacau Sousa Santos
Keyword(s):  
Mixed Dentition ◽  
Deciduous Teeth ◽  
Chi Square ◽  
Space Maintainer ◽  
Chi Square Test ◽  
Fixed Space ◽  
Deciduous Molar ◽  
One Year ◽  
Deciduous Molars ◽  
Lower Arch

Objective: To assess primary molars early loss in mixed dentition prevalence. Method: A study was carried out in children aged 6 to 12 years. Deciduous molar loss was considered early when it occurred before Nolla stage 6 (full formed crown) of the permanent successor or one year before its physiological exfoliation. Periapical radiographs were obtained to verify the presence of the permanent successor and the level of root formation, as well as the need for placement of fixed space maintainer lingual arch or Nance button. For the study of frequency distribution of early dental loss in relation to gender and dentition, we used the Chi-square test of 5% probability level and the non-parametric Mann-Whitney test for adequate statistical analysis. Results: Of the 315 children examined, 159 (50.47%) were male and 156 (49.52%) were female. Only 25 (7.9%) presented multiple dental losses in the posterior region, 19 in the lower arch and 6 in the upper arch. In the inferior one there was predominance of first and second deciduous molars loss. There was no difference in the association between genders and the occurrence of multiple dental losses (χ² (1) = 0.03, p>0.05). Conclusion: The prevalence of deciduous teeth premature loss was of 7.9% and the most affected teeth were the first and second molars in the lower arch. Lingual arch space holders were installed in 6 children, who will remain with it until the permanent successors erupt into the oral cavity.

Evaluation of Mandibular Arch Width Changes following Fixed Retention in Post Orthodontic Patients - a Randomized Clinical Trial

2020 ◽  
Author(s):  
Nasreen Iqbal Nagani
Keyword(s):  
Stainless Steel ◽  
Steel Wire ◽  
P Value ◽  
Chi Square ◽  
Mandibular Arch ◽  
Arch Width ◽  
Orthodontic Patients ◽  
Mean Differences ◽  
One Year ◽  
The Stability

Background: Retention is an integral phase in which teeth are maintained in their newly adapted position for which retainers are inserted. Retainers are generally of two types: removable and fixed. Fixed retainers are indicated in the mandibular arch for an indefinite period specifically in the non-extraction cases. Changes in intercanine and intermolar widths are valuable parameters to evaluate the stability. The objectives of this study were to assess and compare the mandibular intercanine and intermolar width changes following orthodontic treatment after insertion of two types of fixed lingual retainers for one year. Methods: Total 54 subjects were recruited in which two types of fixed lingual retainers were inserted in the mandibular arch randomly. Intercanine and intermolar arch widths were measured by digital caliper of 0.01 mm accuracy. Data was analyzed by using Statistical Package of Social Sciences (SPSS V-21). Chi-square and independent t tests were used to compare baseline characteristics. Intercanine and intermolar widths were assessed and compared using independent t test, p-value ≤ 0.05 is considered as statistically significant. Results: Intercanine width increased from baseline to T4 in both retainers. When mean differences of intercanine width were compared between two retainers significant differences were observed at T1, T2, T3 and T4 with significant p-values (< 0.05) and increased intercanine width with multistranded stainless steel wire (MSW) retainers. Conclusion: Mandibular intercanine width increases significantly in post retention phase with multistranded stainless steel retainers. Thus, fiber reinforced composite retainers are more effective in preserving the arch width changes.

Change in perception of sclerotherapy results after exposure to pre–post intervention photographs

2017 ◽  
Vol 33 (4) ◽  
pp. 282-287 ◽  
Author(s):  
Fabricio R Santiago ◽  
Mario Piscoya ◽  
Yung-Wei Chi
Keyword(s):  
Varicose Veins ◽  
Statistical Significance ◽  
Wilcoxon Test ◽  
Clinical Severity ◽  
Post Intervention ◽  
Chi Square ◽  
Severity Scores ◽  
Venous Clinical Severity Score ◽  
Before And After ◽  
Chi Square Test

Objective To evaluate patients’ self-perception of cosmetic improvement before and after they were presented with pre- and postprocedure photographs after sclerotherapy with 75% dextrose. Methods Treatments included sclerotherapy of reticular and varicose veins using 75% dextrose. All treated limbs were photographed and classified according to Clinical, Etiology, Anatomy, and Pathology classification and Venous Clinical Severity Score pre- and posttreatment. The patients were queried before and after viewing the photos during these visits and indicated if they were very unsatisfied, dissatisfied, satisfied, or very satisfied. Nonparametric kappa correlation coefficient and a Chi square test were used to measure associations among agreement (p < 0.05 indicated statistical significance). The paired Wilcoxon test was used to compare statistical differences in mean Venous Clinical Severity Scores measured at different times (p < 0.05 indicated statistical significance). Data were analyzed using STATA software (version 12). Results Individuals were more satisfied with the results of sclerotherapy after exposure to images portraying their limbs two months after the procedure (p = 0.0028). This effect was maintained six months after sclerotherapy (p = 0.0027). Conclusion Patient exposure to pre- and postsurgical photographs is a simple intervention with the potential of improving patient satisfaction up to six months after treatment with sclerotherapy.

scholarly journals 19 LOW-DOSE DEEP INTRAUTERINE INSEMINATION IN SOWS UNDER CONDITIONS: INCIDENCE OF UNILATERAL FERTILIZATIONS

2005 ◽  
Vol 17 (2) ◽  
pp. 159 ◽  
Author(s):  
E.A. Martinez ◽  
J.M. Vazquez ◽  
I. Parrilla ◽  
C. Cuello ◽  
M.A. Gil ◽  
...  
Keyword(s):  
Artificial Insemination ◽  
Rate Ratio ◽  
Low Dose ◽  
Intrauterine Insemination ◽  
Fertilization Rate ◽  
Chi Square ◽  
Fold Reduction ◽  
Significant Difference ◽  
Chi Squared ◽  
Chi Square Test

A new procedure for nonsurgical deep intrauterine insemination (DUI) in non-sedated sows has recently been reported (Martinez et al. 2002 Reproduction 123, 163–170). In comparison to traditional artificial insemination (AI), using this procedure, a 20-fold reduction in the number of spermatozoa inseminated can be used without a decrease in fertility when hormonally treated post-weaning estrous sows are used. The aim of the present study was to evaluate the effectiveness of DUI under field conditions. In Experiment 1, crossbred sows (2–6 parity) were weaned at 20.75 ± 0.06 days. Estrous detection was performed once per day, beginning 3 days after weaning. Sows with a weaning to estrus interval of 4–5 days were selected to be inseminated. A total of 190 sows were inseminated at 12, 24, and 36 h after onset of estrus using one of the following two regimes: (1) DUI with 150 × 106 fresh spermatozoa in 5 mL of BTS (n = 95) and (2) Traditional AI with 3 × 109 fresh spermatozoa in 100 mL of BTS (n = 95) prepared from the same semen samples used for the DUI group. Farrowing rates (FR) and litter sizes (LTS; mean ± SEM) from both groups were compared using chi-squared test and ANOVA, respectively. There was no significant difference in the FR between groups (83.2 and 86.3% for DUI and AI groups, respectively). However, a decrease (P < 0.001) in the LTS was observed in sows inseminated by the DUI procedure (9.8 ± 0.29 and 10.9 ± 0.17, respectively). In Experiment 2, seventy one natural post-weaning estrus sows were used. Fifty-five sows were DUI inseminated three times with 150 (n = 17), 300 (n = 19), or 600 (n = 19) × 106 spermatozoa in 5, 10, or 20 mL of BTS, respectively. The remaining sows (n = 16) were traditionally inseminated. On Day 6 after estrus, sows were subjected to laparotomy and the tips of both uterine horns were flushed in order to evaluate pregnancy rate (PR: percentage of sows with at least 4 viable embryos) and fertilization rate (ratio of viable embryos to the total number of embryos and oocytes). PR was similar in all the groups, ranging from 84.2% (DUI 300 × 106 spermatozoa group) to 94.7% (DUI 600 × 106 spermatozoa group). Fertilization rate and the percentage of bilateral fertilization after DUI with 600 × 106 spermatozoa did not differ from those of the AI group (97.8 and 100% vs. 98.4 and 100%, respectively), but a significant decrease in both parameters (P < 0.05; chi-square test) was observed in sows inseminated with 300 (94.3 and 87.5%) or 150 (84.4 and 66.7%) × 106 spermatozoa. In conclusion, DUI with 150 × 106 spermatozoa offers similar FR but a lower LTS in sows with natural estrus in comparison with those parameters obtained when traditional AI is used. The lower litter size could be related to the low percentage of bilateral fertilization observed in that group. This work was supported by CDTI 020003.

scholarly journals The role of knowledge, attitudes, and health workers’ behavior in COVID19 pandemic preparedness at Aceh Pidie Jaya District, Indonesia

2021 ◽  
pp. 205343452110616
Author(s):  
Budi Yanti ◽  
Nurdarlila Armita ◽  
Iskandar Zakaria
Keyword(s):  
Health Workers ◽  
Cross Sectional Study ◽  
Good Knowledge ◽  
District Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Positive Attitudes ◽  
Chi Square Test ◽  
Level 3

Introduction Health workers are at high risk of contracting the disease because they are at the forefront of assisting COVID19 patients. Globally, Indonesia has the worst death toll of health workers. Many previous studies have shown the differences in knowledge, attitudes, and behavior of health workers in handling with the COVID19 pandemic. This study aims to asses the role of knowledge, attitudes, and health workers' preparedness during the COVID-19 pandemic in Aceh Pidie Jaya District. Methods A cross-sectional study and the data were collected by distributing online questionnaires about knowledge, attitudes, behavior, and preparedness related to the COVID-19 at 12 Pidie Jaya District health centers. The knowledge, behavior, and preparedness parameters used Guttman and Likert scales to measure the workers' attitudes. Chi-square test was used to evaluate the relationship between knowledge, attitudes, behavior, and preparedness. Results In this study, 377 health workers were selected, the majority of respondents' education level was diploma, level 3 (257, 76.3%), and one-third of the respondents did not attend training. There are 197 (58.5%) respondents who had good knowledge, 177 (52.5%) positive attitudes, 283 (84%) good behavior, and 173 (51, 3%) well prepared. Furthermore, good knowledge, positive attitude, and good behavior had a significant correlation statistically with well prepared during the pandemic (p < 0.05). Discussion Most of the health workers in Aceh Pidie Jaya have good knowledge, positive attitudes, and good behavior that create adequate preparedness. Even though training is still very limited, educational attainment would remain the cornerstone for preparedness to encounter COVID-19.

THE ROLE HEALTH OFFICERS AS A DETERMINING FACTOR FOR THE SUCCESSFUL MEASLES RUBELLA IMMUNIZATION IN THE WORK AREA OF THE RAWANG HEALTH CENTER, PADANG CITY

2022 ◽  
Vol 7 (2) ◽  
pp. 150-160
Author(s):  
Putri Rahmadani ◽  
Besral Besral ◽  
Masrizal Masrizal
Keyword(s):  
Health Center ◽  
Health Workers ◽  
Immunization Coverage ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Research Population ◽  
Chi Square Test ◽  
Cross Sectional Design

Background: The measles rubella (MR) immunization coverage rate in Padang City is only 30.82%, still far below Indonesia's national target of 95%. The coverage of measles rubella immunization at the Rawang Health Center is around 62.1%. This study aims to determine the role of health workers in the success of measles rubella immunization in the Rawang Public Health Center, Padang City. Methods: This study used a cross sectional design. The study was conducted in October 2018-July 2019. The research population is mothers who have children aged 12-59 months (toddlers) as many as 1807 respondents. The sampling method is proportional random sampling with a sample of 87 respondent. Data was collected by interview using a questionnaire. Results: The results showed that 37.9% of children under five had not been immunized against measles rubella and 44.8% of health workers had an unfavorable role. The results of the chi-square test showed a significant relationship  between  the role of officers in  the success of measles rubella immunization  (p-value=0.020). Recommendation: It is hoped that health workers can increase health promotion activities regarding the risks due to children not being immunized against measles rubella and intensify door-to-door programs in the implementation of measles rubella immunization

FACTORS AFFECTING NURSE ANXIETY IN ROLE AS A CAREGIVER DURING THE COVID-19 PANDEMIC

2021 ◽  
Vol 10 (1) ◽  
pp. 108-115
Author(s):  
Yurike Septianingrum ◽  
Andikawati Fitriasari ◽  
Erika Martining Wardani
Keyword(s):  
Logistic Regression ◽  
Personal Protective Equipment ◽  
Health Workers ◽  
Psychological Symptoms ◽  
Cross Sectional Study ◽  
Protective Equipment ◽  
Multivariate Logistic Regression ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

Background: During the Covid-19 outbreak, health workers, especially nurses, are vulnerable to potential psychological symptoms such as anxiety, which can prevent nurses from carrying out their role as caregivers in health services (Lai et al., 2020; Shanafelt et al., 2020). Objectives: The purpose of this study is to analyze the factors that can influence the anxiety of nurses in playing the role of caregiver during the Covid-19 pandemic. Methods: This is a cross-sectional study with a population of all nurses who met the inclusion criteria as much as 105 nurses. The research sample was selected through stratified random sampling and obtained 84 nurses. This research was conducted at RSI Jemursari Surabaya from June until September 2020. The research instruments used in this study were the demographic observation sheet, knowledge questionnaire, and the Hamilton Anxiety Rank Scale (HARS). Data analysis used Pearson chi-square test and multivariate logistic regression. Results: The results of the Pearson Chi-square test showed that of all the factors studied, only age (p = 0.004), availability of personal protective equipment (p = 0.002), and knowledge (p = 0.017) influenced nurses' anxiety. The results of the analysis using multivariate logistic regression test showed that the factor that most influenced nurses' anxiety was the availability of personal protective equipment (p = 0.001; OR = -3.062). Conclusion: Younger nurses, inadequate personal protective equipment, and less knowledgeable nurses were at high risk for more severe anxiety. Regular observation of the psychological condition of nurses and the fulfillment of the need for personal protective equipment is needed to prevent increased anxiety in nurses.   Keywords: Nurse, anxiety, Covid-19, caregiver.

scholarly journals Influence of contracting conditions on absenteeism

2020 ◽  
Vol 36 (3) ◽  
pp. 503-511
Author(s):  
Fermín Torrano Montalvo ◽  
Iván Fernández-Suárez ◽  
María Botey
Keyword(s):  
Risk Factor ◽  
Decision Trees ◽  
Disease Process ◽  
Important Risk Factor ◽  
Chi Square ◽  
Work Absenteeism ◽  
Interaction Detection ◽  
Chi Squared ◽  
Chi Square Test ◽  
The Relationship

El propósito de esta investigación es analizar las relaciones entre las condiciones de contratación y el absentismo laboral en una muestra de 5524 trabajadores, con el fin de identificar qué segmentos (por tipo de contrato y jornada, tiempo contratado, antigüedad en la empresa y bajas por enfermedad ocurridas en los tres últimos años) están más relacionados con la posibilidad de sufrir un proceso de enfermedad en el año 2017. Se realizaron análisis descriptivos, la prueba chi-cuadrado para tablas de contingencia con dos muestras independientes y los árboles de decisión, basados en el algoritmo CHAID (Chi-squared Automatic Interaction Detection), para detectar las variables más importantes en la identificación de perfiles con una mayor probabilidad de sufrir una incapacidad temporal. Los resultados ponen de manifiesto la existencia de diferencias entre las variables estudiadas. Se considera la modalidad de contratación un factor de riesgo importante del absentismo laboral. The purpose of this research is to analyze the relationship between hiring conditions and work absenteeism in a sample of 5.524 workers in order to identify which segments (by type of contract and workday, time hired, seniority in the company and sick leaves occurred in the last three years) are more related to the possibility of suffering a disease process in 2017. Descriptive analyzes, the chi-square test for contingency tables with two independent samples, and the decision trees based on the CHAID algorithm (Chi-squared Automatic Interaction Detection) were carried out to detect the most important variables in the identification of profiles with a greater probability of suffering a temporary disability. The results show the existence of differences between the variables studied. The hiring modality is considered an important risk factor for work absenteeism.

scholarly journals Impact of a financial incentive on the completion of educational metrics

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Andrew Pugh ◽  
Tabitha Ford ◽  
Troy Madsen ◽  
Christine Carlson ◽  
Gerard Doyle ◽  
...  
Keyword(s):  
Financial Incentive ◽  
Residency Training Program ◽  
Faculty Participation ◽  
Full Time ◽  
Post Intervention ◽  
Resident Evaluation ◽  
Chi Square ◽  
Before And After ◽  
Chi Square Test ◽  
Conference Attendance

Abstract Background The Accreditation Council for Graduate Medical Education (ACGME) requires all emergency medicine (EM) training programs to evaluate resident performance and also requires core faculty to attend didactic conference. Assuring faculty participation in these activities can be challenging. Previously, our institution did not have a formal tracking program nor financial incentive for participation in these activities. In 2017, we initiated an educational dashboard which tracked and published all full-time university faculty conference attendance and participation in resident evaluations and other educational activities. Objectives We sought to determine if the implementation of a financially-incentivized educational dashboard would lead to an increase in faculty conference attendance and the number of completed resident evaluations. Methods We conducted a pre- and post-intervention observational study at our EM residency training program between July 2017 and July 2019. Participants were 17 full-time EM attendings at one training site. We compared the number of completed online resident evaluations (MedHub) and number of conference days attended (call-in verification) before and after the introduction of our financial incentive in June 2018. The incentive required 100% completion of resident evaluations and at least 25% attendance at eligible didactic conference days. We calculated pre- and post-intervention averages, and comparisons were made using a chi-square test. Results Prior to implementation of the intervention, the 90-day resident evaluation completion rate was 71.8%. This increased to 100% after implementation (p < 0.001). Conference attendance prior to implementation was 43.8%, which remained unchanged at 41.3% after implementation of the financial incentive (p = 0.920). Conclusions Attaching a financial incentive to a tracked educational dashboard increased faculty participation in resident evaluations but did not change conference attendance. This difference likely reflects the minimum thresholds required to obtain the financial incentive.

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