scholarly journals Assessment of knowledge, attitude and practice on first aid management of choking and associated factors among kindergarten teachers in Addis Ababa governmental schools, Addis Ababa, Ethiopia. A cross-sectional institution-based study

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0255331
Author(s):  
Ali Maalim Issack ◽  
Tilahun Jiru ◽  
Andualem Wubetie Aniley

Background Choking refers to a blockage of upper airways by food or other objects resulting in interruption of breathing. It is a medical emergency that needs immediate action by anyone near by the victim to save life. Chocking is a major cause of illness and death in the pediatric population under the age of 5 years. Children at this age spent more time in their school and are at high risk during their feeding and playing. Immediate provision of first aid in response to choking by a preschool teacher will help to decrease the risk of developing life-threatening complications, length of hospital stays, the cost of treatment, and death. Methods Institutional-based cross-sectional study design was applied to the study area using pretested, structured, and self-administered questionnaires. The collected data were analyzed using SPSS version 25. Multiple logistic regression analysis was used to identify factors associated with Knowledge, attitude, and practice of kindergarten teachers towards first aid management of choking. Results A total of 224 Kindergarten teachers were involved in the study with a response rate of 95%. Only eighty-three (37%) of them were knowledgeable and 97 (43.3%) have faced a choked child in the school compound. Of these, only 42 (43.2%) had provided first aid to the victim. Most of the respondents 95.1% had a positive attitude towards choking first aid and 57.1% of them agreed that choking needs immediate management. Multiple logistic regression analysis showed that Kindergarten teachers with the previous first aid training were 2.9 times more knowledgeable than those kindergarten teachers without previous first aid training (AOR: 2.902, 95% CI: 1.612, 5.227) Conclusions The level of knowledge and skills for providing first aid for choking children among kindergarten teachers is low. There is a need for urgent intervention to train teachers regarding the provision of first aid for choking children.

Author(s):  
Amsalu Birara Melese ◽  
Alemtsehay Alemu Tesema ◽  
Amare Simegn

Abstract Background: Injuries are very common now a day and can occur at any point of time in a day to day life. Among them, injuries in school children rank a major part. The objective of this research to evaluate knowledge, attitude and practice towards first aid and factors associated among kindergarten teachers. Methods: Institutions based cross-sectional quantitative study design was employed. The study was conducted in Bahir dar town, Amhara region, Ethiopia from March to May 2017. A Pre-tested and structured questionnaire was used to collect data. Binary and multivariate logistic regression analysis was used to determine the separate and confounding effect for variables. Result: A total of 173 respondents were interviewed with a response rate of 93%. From the total respondents 97 (56.1%) scored above mean for knowledge question, In particular, subjects lacked knowledge regarding first aid for Human/animal bite (60.1%) was not answered correctly. Regarding practice out of all respondents, 128(74%) had faced the child in need of first aid. About attitude, all respondents (100%) felt good attitude towards giving and learning first aid. Service year (AOR=8.6, 95%CI0.035-0.399) and previous first aid training (AOR=2.5, 95%CI 1.138-5.570) were found to have a significant association with knowledge of first aid. Conclusion: The knowledge of kindergarten teachers towards first aid were found to be low while they have the good attitude towards giving first aid and receiving training on first aid. It remains necessary to increase their actual first aid knowledge and skills.  


2020 ◽  
Vol 16 (2) ◽  
Author(s):  
Karimah Hanim AA ◽  
Razman MR ◽  
Jamalludin AR ◽  
Nasreen EH ◽  
Htike Myat Phyu ◽  
...  

Background: With increasing number of dengue cases in Malaysia, it’s of utmost importance that immediate action be taken to limit the epidemic. Since dengue control is a behavioral problem, the knowledge, attitude and practice in population needs to be studied in order to control the disease. Hence, the aim of this study is to assess knowledge, attitude and practice regarding dengue and its associated factors among adult residents of Felda Sungai Panching Timur (SPT), Kuantan, Pahang, 2014. Method: A cross sectional study was carried out involving 265 adult respondents. A face to face  interview questionnaire which was divided into 2 parts (Part A: Sociodemoghraphic; Part B: Knowledge, Attitude and Practice) was used. Data was analyzed using descriptive statistics, simple and multiple logistic regression. Results: 53.2% of the respondents had good knowledge about dengue and it was found that the main source of information from mass media (76.6%). However, only 43.4% were found to have good attitude towards dengue. Multiple Logistic Regression analysis showed there was no association between sociodemographic characteristics with the level of knowledge and attitude towards dengue. There was also no association found between knowledge of dengue and the attitude of the respondents towards dengue. Descriptive analysis on the practice of dengue showed majority of the respondents who had possible breeding site for Aedes mosquitos (water container, drains/gutter roof/flower pots/tires) in their compound practiced good habit in preventing the Aedes mosquitoes from breed. Conclusion: Although knowledge and practice towards dengue is good, their attitude require improvement.


Author(s):  
Rizaldy Taslim Pinzon ◽  
Rosa De Lima Renita Sanyasi

Background<br />Stroke is the main cause of disability and death in many countries. The high incidence of disability in stroke survivors requires special attention to determine various predictive factors of disability. This study aimed to identify the various predictive factors of disability in ischemic stroke.<br /><br />Methods<br />This study was a cross sectional study on 4510 ischemic stroke patients. Each patient’s data had been recorded in the electronic stroke registry of Bethesda Hospital. Ischemic stroke diagnosis was confirmed by brain CT scan, which was interpreted by a neurologist and a radiologist. Disability was assessed using the modified Rankin scale. Predictors of disability were assessed. Multiple logistic regression analysis was used to analyse the data. <br /><br />Results<br />The subjects were predominantly males, &gt;60 years of age, and suffered stroke for the first time. The incidence of disability was 31.5% (1420/4510). Multiple logistic regression analysis showed that the presence of complications (OR: 6.43; 95% CI: 4.74-8.73; p&lt;0.001), decreased level of consciousness (OR: 4.82; 95% CI: 3.95-5.90; p &lt;0.001), onset ³3 hours (OR: 1.93; 95% CI: 1.52-2.45; p&lt;0.001), recurrent stroke (OR: 1.63; 95% CI: 1.39-1.90; p&lt;0.001), and age &gt;60 years (OR: 1.55; 95% CI: 1.35-1.79; p&lt;0.001) were independent predictive factors of disability.<br /><br />Conclusion<br />We demonstrated that a substantial proportion of patients with ischemic stroke become disabled. And the presence of complications was the most predictive factor of disability in ischemic stroke.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Guangming Dai ◽  
Yajuan Ran ◽  
Jiajia Wang ◽  
Xingru Chen ◽  
Junnan Peng ◽  
...  

Rationale. Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is highly heterogeneous with a plethora of different etiologic factors and inflammatory presentations. COPD with higher blood eosinophil count is associated with increased readmission rates and better corticosteroid responses. However, the clinical features of eosinophilic AECOPD are not well explored. Thus, this study was aimed at exploring the clinical differences between eosinophilic and noneosinophilic AECOPD. Methods. A total of 643 AECOPD patients were enrolled in this multicenter cross-sectional study. Finally, 455 were included, 214 in the normal-eosinophil AECOPD (NEOS-AECOPD) group, 63 in the mild increased-eosinophil AECOPD (MEOS-AECOPD) group, and 138 in the severe increased-eosinophil AECOPD (SEOS-AECOPD) group. Demographic data, underlying diseases, symptoms, and laboratory findings were collected. Multiple logistic regression analysis was performed to identify the independent factors associated with blood eosinophils (EOS). Correlations between blood EOS and its associated independent factors were evaluated. Results. The significant differences in 19 factors, including underlying diseases, clinical symptoms, and laboratory parameters, were identified by univariate analysis. Subsequently, multiple logistic regression analysis revealed that lymphocyte%, neutrophil% (NS%), procalcitonin (PCT), and anion gap (AG) were independently associated with blood EOS in AECOPD. Both blood EOS counts and EOS% were significantly correlated with lymphocyte%, NS%, PCT, and AG. Conclusions. Collectively, blood EOS was independently associated with lymphocyte%, NS%, PCT, and AG in AECOPD patients. Lymphocyte% was lower, and NS%, PCT, and AG were higher in eosinophilic AECOPD. Our results indicate that viral-dominant infections are the probable major etiologies of eosinophilic AECOPD. Noneosinophilic AECOPD is more likely associated with bacterial-dominant infections. The systemic inflammation in noneosinophilic AECOPD was more severe.


2019 ◽  
Vol 3 (1) ◽  
pp. 51-63
Author(s):  
Linda Amelia ◽  
Chairil Anwar ◽  
Wardiansah Wardiansah

Introduction : Pediculosis capitis is an infection of scalp and hair in humans caused by infestation of Pediculus humanus capitis and usually extends rapidly in a dense environment such as boarding schools. Aim of study : The aim of this study was to determine the association of students’ sociodemographic, knowledge, attitude and practice with pediculosis capitis in Pondok Pesantren Tahfidzil Qur'an Yayasan Tijarotal Lan Tabur Palembang. Methods : This research was an analytical observational study with a cross sectional design conducted on November 2018. There were 117 samples that had the inclusion criteria and hadn’t exclusion criteria. Data collected from anamnesis, questionnaires and hair examinations of respondents. The results were analyzed using Chi-Square and Logistic Regression. Results : Out of 117 students, 57 students (48.7%) has been found positive pediculosis capitis. Statistical test showed that  age (p<0.001), gender (p<0.001), education level (p<0.001), knowledge (p=0.035), attitude (p=0.003) and practice (p =0.043) have significant association to the prevalence of pediculosis capitis. However, there was no significant association between father's education (p=1.000), mother's education (p=0.743), father's job (p=0.314), mother's job (p=1.000) and parents' income (p=1.000) to the prevalence of pediculosis capitis. The results of Multiple Logistic Regression analysis showed that gender, knowledge and practice were the most influential factors to the prevalence of pediculosis capitis (p<0.05) with the probability of 96.7%. Conclusion : There was a significant association between age, gender, education level, knowledge, attitude and practice to the prevalence of pediculosis capitis, and the most dominant variables were gender, knowledge and practice.


2021 ◽  
Author(s):  
Jasper Eberendu

Abstract One hundred commercial drivers were randomly selected from the Central Motor Park, Itam, Uyo, the capital city of Akwa Ibom State in Nigeria to assess the level of knowledge, attitude and practice of first aid among the commercial drivers in the park. A questionnaire made up of two parts was used. Part A sought the demographic information while Part B sought information on knowledge, attitude and practice of first aid among commercial drivers. Three hypotheses were formulated to guide the study. Data were analyzed using chi-square statistics. The results revealed positive attitudes among the drivers towards the practice of first aid. However, the results also revealed poor knowledge and practice of first aid among the drivers. Recommendations were made for commercial drivers to be involved in first aid training programme organized periodically by the state government and transport companies. Also recommended is the inclusion of first aid training in the driving school curriculum.


2021 ◽  
Vol 9 (02) ◽  
pp. 727-731
Author(s):  
Ghadah N. Alsdairi ◽  
Alreem M. Almarshadi ◽  
Raghad A. Alsdairi ◽  
Amal A. Alsadun ◽  
Mona M. Shahin

Background: Around the world, drowning is one of the top three causes of death from unintentional injury, and children at the highest risk. Aim: Our study aims to assess the parents knowledge, attitude and practice towards pediatric drowning risks, causes and first aid. Methodology: This is a cross-sectional study was conducted on males and females parents at any age in Hail, Saudi Arabia, Through a self-administrated online questionnaire which divided into two sections: demographic information (age, gender, marital state and education level) and information about pediatric drowning (risk factors, causes, the riskiest place that could cause drowning, previous drowning accidents, swimming supervision, Pediatric drowning First Aid steps) Result: Our study included 406 male and female parents. The majority were females (81.7%). The level of knowledge about drowning first aid among the participants was moderate (with a mean of 8.14±2.57). (76.1%) of participants chose lack of supervision as a risk factor of drowning. The majority of the participants (77.8%) chose children not knowing how to swim as the cause of drowning. (87.7%) of the participants agreed that the public swimming pool is the riskiest place that could cause drowning. Most of the participants (74.9%) havent had any previous drownings.


Children ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 6
Author(s):  
Jie Xu ◽  
Lingxiao Tong ◽  
Jianhua Mao

Background: Hyperuricemia is increasingly recognized as a risk factor for chronic kidney disease (CKD) just in adults. The purpose of this study was to investigate the clinical characteristics of hyperuricemia and its associated factors in Chinese children with CKD at a single center. Methods: A cross-sectional study of 170 CKD children collected from the Department of Nephrology, The Zhejiang University Children’s Hospital was conducted. The clinical data, including anthropometric data, blood pressure measurements, and biochemical parameters, were recorded and analyzed retrospectively. The factors associated with hyperuricemia in CKD children were evaluated by Pearson and Spearman correlation analysis and multiple logistic regression analysis. Results: The mean age was 9.79 ± 4.10 years, and 72 (42.35%) were girls. Higher blood urea nitrogen (BUN), serum creatinine, cystatin C, D-dimer, lower hemoglobin, albumin, and estimated glomerular filtration rate (eGFR) were significantly associated with higher serum uric acid (SUA). In multiple logistic regression analysis, anemia and higher BUN were both positively associated factors, whereas eGFR ≥ 90 mL/min/1.73 m2 was a negatively associated factor for subjects with SUA ≥ 390 µmol/L (6.5 mg/dL). Conclusions: SUA was significantly associated with kidney risk factors in CKD children. Monitoring and controlling SUA, Hb, BUN, and Scr levels in CKD children may help to prevent the progression of CKD.


2020 ◽  
Vol 6 (3) ◽  
pp. 72-77
Author(s):  
Arif Hussen Jamie

Introduction: Coronavirus (CoVs) belong to the subfamily Corona virinae in the family of Corona viridae of the order Nido virales, and this sub family includes four genera: Alpha corona virus, Beta corona virus, Gamma corona virus and Delta corona virus. The genome of CoVs is a single‐stranded positive‐sense RNA (+ssRNA) (~30 kb) with 5′‐cap structure and 3′‐poly‐A tail.Method:  Cross sectional quantitative study was conducted from February to March 2020 at Jugal Hospital, Harar, Ethiopia, which is found 525 km to East of Addis Ababa. Data were collected using a self-administered questionnaire. Data were analyzed using a descriptive statistic using SPSS version 20.Result: Majority of the staffs had a good knowledge about COVID-19, almost all 201(97.10%) answered they are not ready to give care for a patient who is positive for COVID-19 and only 7(3.38%) of the participants answered that there is enough soap and water to wash hand, hand sanitizers and personal protective equipment materials.Conclusion: The findings of this study showed that majority of the respondents have adequate knowledge, attitude and practice about COVID-19. Nevertheless, greater than 95% of respondents said that they are not ready to give care for a patient who is positive for COVID-19, there is no enough soap and water to wash hand, hand sanitizers and Personal Protective Equipment materials like mask, glove and they are afraid that one of their family members can get infection.


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