Healthcare workers’ knowledge of evidence-based guidelines for prevention of ventilator-associated pneumonia in Hodeida, Yemen

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Sameer A. Alkubati ◽  
Sultan A. M. Saghir ◽  
Khaled M. Al-Sayaghi ◽  
Abdullah Alhariri ◽  
Mahmoud Al-Areefi
Keyword(s):  
Healthcare Workers ◽  
Knowledge Score ◽  
Ventilator Associated Pneumonia ◽  
Cross Sectional ◽  
Public And Private ◽  
Significant Difference ◽  
Cross Sectional Design ◽  
Public And Private Hospitals ◽  
And Gender ◽  
Prolonged Hospital

Abstract Objectives Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in patients requiring mechanical ventilation in intensive care units (ICUs). VAP is associated with delayed extubation, prolonged hospital stays, increased healthcare costs and mortality rates. The aims of this study to evaluate the level of knowledge for the prevention of VAP among healthcare workers (HCWs) in ICUs and to assess their knowledge in relation to their socio-demographic characteristics. Methods A descriptive, cross-sectional design was conducted to assess HCWs’ knowledge of the guidelines for prevention of VAP in the ICUs of public and private hospitals in Hodeida city, Yemen. Around 140 self-administered multiple-choice questionnaires were distributed between April and July 2017. Results A total of 120 (85.6%) HCWs completed questionnaire were obtained (20 physicians, 20 anesthesia technicians and 80 nurses) in this study. The total mean score of the HCWs’ knowledge was low (41 ± 18). A statistically significant difference was found in the HCWs’ knowledge scores according to their specialties and gender. Anesthesia technicians had the highest knowledge score followed by physicians and nurses (52.2 ± 16.2, 45.6 ± 21.2 and 37.1 ± 16.9, respectively, p=0.002). Males had higher scores than females (Median [IQR] 4 [3–5] vs. 3 [2–4], p<0.001). Participants who received information about the prevention of VAP had better knowledge than those who did not (46.2 ± 17.7 vs. 36.8 ± 17.3, p=0.006). Conclusions HCWs had a low knowledge level of the guidelines for the prevention of VAP, which may affect their practice. HCWs’ knowledge was affected by their previous received information that increases the necessity to provide them with regular in-service education and training programs.

scholarly journals Perbedaan kadar hemoglobin pada remaja gizi baik yang tinggal di pegunungan dengan yang tinggal di tepi pantai

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Marianne C. Jacobus ◽  
Max F.J Mantik ◽  
Adrian . Umboh
Keyword(s):  
Analytical Study ◽  
Nutrition Status ◽  
P Value ◽  
Cross Sectional ◽  
Significant Difference ◽  
Good Nutrition ◽  
The Difference ◽  
Cross Sectional Design ◽  
And Gender ◽  
Main Component

Abstract: Haemoglobin is the main component of red blood cells that serves as a transporter of oxygen and carbon dioxide in the blood. The normal range of haemoglobin values can be used to determine the degree of anemia according to age and gender. Geographical condition such as altitude influences the haemoglobin value. This study aimed to obtain the difference of haemoglobin levels between teenagers with good nutrition status who live at the highland and those at the seaside. This was an observational analytical study with a cross sectional design. Samples were students with good nutrition status of SMPN 3 Tomohon (living at the highland) and those of SMP Kristen Nazaret Tuminting (living at the seaside). There were 60 students who met the inclusion criteria as follows: adolescent, good nutrition status, healthy, aged 13-15 years, lived at the highland or at the seaside ≥ 6 month, and willing to be performed blood examinations, and had been approved by their parents. The Mann-Whitney test for the difference between haemoglobin levels of the two groups showed a p value < 0,001. Conclusion: There was a very significant difference between haemoglobin levels of good nutrition teenagers who lived at the highland and at the seaside. Keywords: haemoglobin levels, good nutrition, teenagers, highland, seaside  Abstrak: Hemoglobin merupakan komponen utama sel darah merah dan berfungsi sebagai transporter oksigen dan karbon dioksida dalam darah. Batas normal nilai hemoglobin dapat digunakan untuk menetapkan derajat anemia, dengan distribusi usia dan jenis kelamin spesifik didasarkan pada sampel referensi sehat. Kondisi geografis, seperti ketinggian tempat dari permukaan laut menjadi faktor pertimbangan dalam distribusi nilai normal hemoglobin. Penelitian ini bertujuan untuk mendapatkan perbedaan kadar hemoglobin antara remaja gizi baik yang tinggal di pegunungan dengan yang tinggal di tepi pantai. Jenis penelitian ini analitik-observasional dengan desain potong lintang. Sampel penelitian yaitu remaja gizi baik yang tinggal di pegunungan yaitu siswa SMPN 3 Tomohon dan yang di tepi pantai yaitu siswa SMP Kristen Nazaret Tuminting. Subjek penelitian berjumlah 60 remaja yang memenuhi kriteria inklusi yaitu gizi baik, sehat, berumur 13-15 tahun, berdomisili di pegunungan atau tepi pantai ≥6 bulan, bersedia dilakukan pemeriksaan darah, dan telah disetujui oleh orang tua. Data yang diperoleh dianalisis menggunakan uji Mann-Whitney dengan bantuan program SPSS. Hasil uji Mann-Whitney mengenai perbedaan kadar hemoglobin antara kedua kelompok menunjukkan nila p <0,001. Simpulan: Terdapat perbedaan yang sangat bermakna kadar hemoglobin remaja gizi baik yang tinggal di pegunungan dengan di tepi pantai.Kata kunci: kadar hemoglobin, remaja gizi baik, pegunungan, tepi pantai

scholarly journals Tinnitus perception mediates the relationship between physiological and psychological problems among patients

2019 ◽  
Vol 10 (3) ◽  
pp. 204380871985855 ◽  
Author(s):  
Jaffar Abbas ◽  
Muhammad Aqeel ◽  
A. Jaffar ◽  
Mohammad Nurunnabi ◽  
Shaher Bano
Keyword(s):  
Psychological Symptoms ◽  
Simple Random Sampling ◽  
Psychological Problems ◽  
Cross Sectional ◽  
Public And Private ◽  
Mediation Analyses ◽  
Cross Sectional Design ◽  
Public And Private Hospitals ◽  
Indirect Relationship ◽  
The Relationship

The current study is the first substantial investigation to determine whether tinnitus perception mediates the relationship between physiological and psychological problems (PP). Simple random sampling, with a cross-sectional design, was used to collect data from 100 adult patients (males = 60; females = 40) diagnosed with chronic tinnitus. Subjects were approached through various public and private hospitals, at their respective Audiology and Ear, Nose, and Throat departments in Rawalpindi and Lahore, Pakistan. Participants underwent complete physiological and psychological tinnitus evaluations, such as tinnitus matching and audiometry, as well as assessments using standardized tinnitus instruments. The mediation analyses revealed an indirect relationship with hearing loss (HL) and PP (e.g., anxiety, stress, depression, mood swings) in tinnitus patients. These findings suggest that physiological problems such as tinnitus and HL might contribute to the development of psychological symptoms.

scholarly journals An analysis of the risks of COVID-19 exposure to hospital employees at a private hospital in Yogyakarta, Indonesia

2021 ◽  
Vol 9 (8) ◽  
pp. 2183
Author(s):  
Qanita Khairunnisa ◽  
Elsye Maria Rosa ◽  
Firman Pribadi ◽  
Maria Ulfa
Keyword(s):  
Healthcare Workers ◽  
Private Hospital ◽  
Health Workers ◽  
Risk Exposure ◽  
Anova Analysis ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Hospital Employees ◽  
Significant Difference ◽  
Cross Sectional Design

Background: The healthcare workers provide the services to reduce morbidity and mortality rates. However, they are also exposed directly to the patients. WHO reports that 88% of health workers were infected with COVID-19 while working in hospitals, and 17% got exposure from communities. This study analyzes the overview of risk exposure to COVID-19 and risk factors of COVID-19 exposure to hospital employees at a private hospital in Yogyakarta during the COVID-19 pandemic.Methods: This study employs a quantitative approach with a cross-sectional design study. The data collecting is using an online questionnaire to assess the risk of COVID-19 exposure toward healthcare workers. Results: From 101 employees who participated to be the respondent, 13 employees had been diagnosed with COVID-19 during work in the COVID-19 pandemic. There was a significant difference between IPC compliance with the incidence of COVID-19 (p=0.046). Meanwhile, there were no significant differences between comorbidity (p=0.205) and duration of work (p=0.125) with the incidence number of COVID-19. Based on the ANOVA analysis, there was no significant difference between; IPC compliance, comorbidity, and duration of work with the incidence number of COVID-19 (p=0.092). Conclusion: The risk of healthcare workers exposed to COVID-19 could be through various factors within and outside the hospital. Compliance with IPC, comorbidities, and duration of work only affect as much as 6.4% of the incidence of COVID-19 among hospital employees.

scholarly journals Pengetahuan dan Sikap mengenai Infertilitas pada Mahasiswa Fakultas Kedokteran dan Fakultas Non Kedokteran Universitas YARSI

2019 ◽  
Vol 6 (2) ◽  
Author(s):  
Annisha Jehan Khaerunnisa ◽  
Mirfat Mirfat
Keyword(s):  
Bachelor's Degree ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Unprotected Sexual Intercourse ◽  
Significant Difference ◽  
Level Of Knowledge ◽  
Knowledge And Attitude ◽  
Cross Sectional Design ◽  
And Gender ◽  
Good Attitude

Infertility is a disease characterized by the failure to establish a pregnancy after 12 months of regular unprotected sexual intercourse. As the incidence of infertility increases, knowledge and attitude about infertility on students may decrease the incidence of infertility in the future. The aim of this study is to determine and compare the knowledge and attitude regarding infertility among YARSI University students based on their faculty and gender. This was an analytic study with cross-sectional design, which conducted on September until November 2016. The samples were using bachelor’s degree students from 2013 classes of YARSI University in total 86 respondents. Data were obtained by using questionnaire that has been validated. This study used univariate and bivariate analysis method.The results of this study showed that majority of students have moderate level of knowledge regarding infertility (46,5%) and good attitude towards infertility (97%). Significant difference was found in knowledge about infertility between faculties (p=0,000; ?0,05). While there was no significant difference in knowledge about infertility between genders with (p=0,471;0,05). Significant differences were also not found in attitudes regarding infertility between faculties with (p=0,399; 0.05) and genders with (p=0,083; 0.05). Based on the research results medical students have a better knowledge about infertility than non-medical student. Faculty affect the knowledge about infertility, but do not affect the attitude towards infertility. Meanwhile, genders do not affect both knowledge and attitude towards infertility. Thus, it is important to improve student’s knowledge and attitude regarding infertility.

Discriminatory Behavior in Nursing Persist Regardless Antidiscriminatory Legislation

2021 ◽  
pp. 152715442110119
Author(s):  
M. M. van der Heever ◽  
A. S. van der Merwe
Keyword(s):  
South Africa ◽  
Sexual Orientation ◽  
Hospital Environment ◽  
Western Cape ◽  
Cross Sectional ◽  
Public And Private ◽  
Discriminatory Behavior ◽  
Significant Difference ◽  
Public And Private Hospitals ◽  
Descriptive Survey

Discriminatory behavior seems to persist in nursing in South Africa despite the presence of antidiscriminatory legislation. Little is known on the views of nurses on discrimination related to their basic rights in the workplace. The objective of this article is to report findings of discriminatory behavior among nurses regarding race, gender, sexual orientation, age, disability, religion, and marital status. A cross-sectional descriptive survey (containing open- and close-ended questions) was conducted in public and private hospitals in the Western Cape and Gauteng provinces of South Africa and n = 573 (response rate 83%) registered nurses participated in the study. Most participants reported discrimination due to race ( n = 97, 17.4%) and age ( n = 58,10.4%). Statistically significant differences were found in that African nurses reported more discrimination in relation to religion than other races. A statistically significant difference was found in the responses to gender—more males than female nurses reported discriminatory behavior. Qualitative data reflected suggestions of hetero negativity among male nurses and that sexual orientation might enhance the promotion of those like oneself. Younger nurses are treated less respectful, while older nurses reported reduced developmental opportunities. African nurses described more discrimination due to race and are treated with disdain. Staff shortages, nurse staffing, and shift work seemingly enhance discriminatory practices with off duties. Nurses in the hospital environment seem to experience discrimination in relation to basic human rights resulting from an indifference among nurse management to uphold such rights.

Impacto de la comunicación de la responsabilidad social universitaria en la selección de universidad y efecto mediador de la reputación

2020 ◽  
Author(s):  
Lucy Erazo-Coronado ◽  
Sergio Llano-Arristizábal ◽  
Miguel Garcés-Prettel ◽  
Ana-María Erazo-Coronado
Keyword(s):  
Social Responsibility ◽  
Professional Training ◽  
Research Work ◽  
Community Support ◽  
Human Beings ◽  
Cross Sectional ◽  
Public And Private ◽  
University Selection ◽  
Cross Sectional Design ◽  
Institutional Websites

The emerging concept of university social responsibility (USR) consists in the fulfillment of the mission of the university in terms of ethical standards, community support, respect for human beings, and respect for the environment. Thus, universities must not only provide professional training but also instill ethical principles in students to allow them to behave as good citizens and help solve community problems. On the other hand, competition for students requires efficient management of university reputation and communication with their stakeholders, to demonstrate the accomplishment of the university’s mission and attract potential students. The objective of this paper is thus to explain the causal relationship between communication about university social responsibility (USR) activities through institutional websites and university selection, as well as the role of reputation. Research work was carried out based on an explanatory cross-sectional design, with a sample of 356 subjects from a population of 11th-grade students from public and private schools in the City of Barranquilla (Colombia). The results revealed that USR communication through institutional websites has a significant influence on university selection, not only directly but also indirectly, through reputation as a mediating variable. These findings contribute at a theoretical level by providing empirical evidence to understand and explain the analyzed topic. Furthermore, the results provide useful information to evaluate USR disclosure and implement strategies to make progress on USR issues. Resumen El naciente concepto de responsabilidad social universitaria (RSU) consiste en el cumplimiento de la misión de la universidad dentro de unos estándares éticos, de apoyo a la comunidad, respeto al ser humano y al medio ambiente. Así, pues, la universidad no sólo debe impartir formación profesional, sino inculcar a sus estudiantes principios éticos que les permitan comportarse como buenos ciudadanos y contribuir a la solución de los problemas de la comunidad. Por otra parte, la competencia entre universidades exige una gestión eficiente de su reputación y de la comunicación con sus distintos stakeholders, para demostrar a la sociedad el cumplimiento de su misión social, y para atraer estudiantes potenciales hacia la institución. Por lo tanto, este artículo tiene como objetivo explicar la relación de causalidad entre la comunicación de las prácticas de RSU en los sitios web institucionales y la selección de universidad, y el papel mediador de la reputación en esta relación. Para lograrlo, se llevó a cabo una investigación cuantitativa de nivel explicativo experimental y diseño transversal, con una muestra conformada por 356 sujetos, de una población de estudiantes de grado 11º de colegios públicos y privados de la ciudad de Barranquilla (Colombia). Los resultados revelan que la comunicación de las prácticas de RSU en los sitios web institucionales ejerce una influencia significativa directa en la intención de selección de universidad, e indirecta, a través de la reputación como variable mediadora. La evidencia empírica aportada representa un avance teórico en la comprensión y explicación del fenómeno estudiado, e igualmente servirá para que las universidades evalúen si están comunicando adecuadamente su responsabilidad social y adopten estrategias para avanzar en este aspecto.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERNIKAHAN DINI DI DUSUN I DESA BARU KEC PANCUR BATU DELI SERDANG SUMATERA UTARA TAHUN 2017

2019 ◽  
Vol 4 (1) ◽  
pp. 41-49
Author(s):  
Meriati Bunga Arta Purba
Keyword(s):  
Divorce Rate ◽  
Drop Out ◽  
Early Marriage ◽  
P Value ◽  
Cross Sectional ◽  
Birth Complication ◽  
Sexuality And Gender ◽  
Analytical Research ◽  
Cross Sectional Design ◽  
And Gender

Based on the research by the Sexuality and Gender Study Center of University of Indonesia, the rate of early marriage in Indonesia is the second highest in Southeast Asian in which 2 million out of 7.3 million women below 15 years old are married and drop out from school. Early marriage hinders them from going to school, causes pregnancy and birth complication, impedes the achievement of KB (Family Planning) Program and increases divorce rate. Goals : The objective of the research was to discover the correlation of value of virginity, knowledge and trust with early marriage at Dusun I Desa Baru. Methods: This is an observational analytical research with cross sectional design. It was done at Dusun I Desa Baru, Pancur Batu Subdistrict from November, 2017 until February, 2018. The population covered the teenagers below 20 years old which was all taken as the research samples i.e. 139 people. The dependent variable was early marriage, while the independent variables were parent income, trust, knowledge and value of virginity. The data were collected through questionnaires. Multiple logistic regression testing was employed to analyze the data. Result : The research results demonstrated that the variable with the most dominant influence was parent income at p-value = 0.006 (p<0.05) and Exp. β value = 3.675, followed by the variable of trust at p-value = 0.027 (p<0.05) and Exp. β value = 2.368, the variable of knowledge at p-value = 0.003 (p<0.05) and Exp. β value 6.064, and the variable of virginity at p-value = 0.003 (p<0.05) and Exp. Β value = 6.064. Based on these results, it was concluded that f(y) was 97%. It indicated that the probability of the variables of parent income, trust, knowledge and virginity influenced early marriage of 97.7%. Conclusion: It is recommended that the local government cooperate with local Puskesmas, Religious Figures, and Parents to conduct counseling to improve people’s knowledge of the ideal age to get married, so that they can prevent from possible problems due to early marriage and provide their children parent income at early age the importance of protecting their virginity until they get married.

A SURVEY TO ASSESS KNOWLEDGE, ATTITUDE AND PRACTICES TOWARDS COVID-19 AMONGST NHS HEALTHCARE WORKERS AT A TERTIARY HEALTH BOARD IN THE UNITED KINGDOM

2021 ◽  
pp. 81-84
Author(s):  
Poorwa Roy ◽  
Praveen Davuluri ◽  
Nandini Roy
Keyword(s):  
United Kingdom ◽  
Healthcare Workers ◽  
Healthcare Professionals ◽  
Positive Association ◽  
Knowledge Score ◽  
Health Board ◽  
Attitude Score ◽  
Cross Sectional ◽  
The United Kingdom ◽  
High Knowledge

Background and aim: The world is currently facing a public health emergency in the form of COVID-19 pandemic. United Kingdom conrmed it's initial cases in February 2020 and since then the NHS (National Health Services) and its healthcare workers have been working diligently to ght this pandemic facing unprecedented challenges. Materials and methods: A cross-sectional knowledge, attitude and practices (KAP) survey was conducted using a questionnaire among healthcare professionals belonging to an NHS University Health Board in Wales, UK. The responses were assessed and relevant statistical analyses were performed using SPSS software. Results: Atotal of 208 frontline NHS Workers participated in the study. Mean knowledge score in the study was 87.83%. Majority (67.79%) of the participants had a high knowledge score. Knowledge scores were found to have a positive association with age. The general attitude among the participants was found to be optimistic with a mean attitude score of 69.87%. Practices varied amongst the participants with 77.5% reporting regular use of the mask at work. Conclusion: This study reects that majority of healthcare professionals had a sound knowledge and understanding about the pandemic with an optimistic attitude towards its control. Majority of them have been implementing safe practices at workplace.

Evaluation of the Fibromyalgia and Related Risk Factors in Patients with Advanced Kidney Failure Undergoing Hemodialysis

2021 ◽  
Vol 17 ◽  
Author(s):  
Seyed Mostafa Seyedmardani ◽  
Saeed Abkhiz ◽  
Azadeh Megrazi ◽  
Aarefeh Jafarzade ◽  
Golshan Kamali Zonouz
Keyword(s):  
Risk Factors ◽  
Kidney Failure ◽  
Fibromyalgia Syndrome ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Cross Sectional ◽  
Age And Gender ◽  
Significant Difference ◽  
Symptom Severity Score ◽  
And Gender

Background : Fibromyalgia syndrome (FMS) is defined as widespread and persistent pain in the musculoskeletal system. There are limited reports regarding the prevalence of fibromyalgia syndrome in patients with advanced kidney failure undergoing regular hemodialysis. Therefore, this study aimed to evaluate the prevalence of fibromyalgia syndrome and its risk factors in a large proportion of patients under the hemodialysis condition. Materials and Methods: In this cross-sectional study, 293 patients who were admitted to the hemodialysis ward were evaluated for fibromyalgia syndrome in an educational hospital. The questionnaire was designed according to symptom severity score (SS score) and widespread pain index (WPI) criteria. The correlation between FMS and various variables, including demographic, clinical, and biochemistry biomarkers, was also precisely calculated by logistic regression. Data were analyzed using SPSS v.17 statistics software. Results: The results showed that, of 293 hemodialysis patients, 130 patients (44.4%) had fibromyalgia, the mean age of patients with and without fibromyalgia was 61.09 ± 15.36 and 53.49 ± 15.38 years old, respectively (P = 0.001). Moreover, there was a significant difference in terms of gender among patients with fibromyalgia syndrome (P = 0.001). To note, there was no significant relationship between the kidney failure etiopathogenesis, duration of dialysis, body mass index (BMI), Kt/v index, history of peritoneal dialysis, and laboratory parameters with fibromyalgia in hemodialysis patients (P > 0.05). However, our findings revealed that both age and gender could be considered as the predictor variables associated with fibromyalgia in patients undergoing hemodialysis. Conclusion: Taken together, in this study, we found that age and gender would be the critical factors in terms of the fibromyalgia syndrome in patients undergoing hemodialysis.

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