scholarly journals Awareness of vaccine cold chain handlers about vaccine cold chain in district Etawah

2020 ◽  
Vol 7 (2) ◽  
pp. 550
Author(s):  
Shishir Kumar ◽  
Naresh Pal Singh ◽  
Pankaj Kumar Jain ◽  
Sandip Kumar
Keyword(s):  
Cross Sectional Study ◽  
Cold Chain ◽  
Immunization Program ◽  
Cross Sectional ◽  
Immunization Programme ◽  
Vaccine Potency ◽  
Attention Skills ◽  
Health Institutions ◽  
Great Focus

Background: Vaccine potency can be lost when exposed to non-recommended temperatures. Hence for the proper running of the universal immunization programme (UIP) factors like vaccine cold chain and vaccine management wants great focus and attention skills and knowledge of the vaccine cold chain handlers so for good implementation of UIP vaccine cold chain handlers are important.Methods: This was an observational cross-sectional study. Study duration was carried out from October 2017 to March 2018. All the 16 cold chain handlers of district Etawah were interviewed.Results: All 16 (100.0%) were male and 1 (6.3%), 2 (12.5%), 8 (50.0%) and 5 (31.3%) of the respondents were high schools, intermediate, graduate, and post-graduate respectively. It had been observed that the hundred percent of the cold chain handlers with the knowledge of vaccine cold chain. It has been observed from the study that 15 (93.7%) cold chain handlers had knowledge of temperature range for vaccine storage.Conclusions: Quality of immunization program depends upon cold chain management at peripheral health institutions. In our study, we have found that most of the vaccine handlers were reported to have appropriate knowledge regarding the cold chain.

scholarly journals A cross sectional study to assess the functioning of cold chain in a tribal district of central India

2018 ◽  
Vol 5 (11) ◽  
pp. 4826
Author(s):  
Sanjay K. Chourasiya ◽  
Anil S. Baghel ◽  
Arpit Verma ◽  
Saket Kale
Keyword(s):  
Central India ◽  
Cross Sectional Study ◽  
Cold Chain ◽  
Voltage Stabilizer ◽  
Sectional Study ◽  
Cross Sectional ◽  
Vaccine Preventable Diseases ◽  
Immunization Programme ◽  
Handling Practices ◽  
Definition Of

Background: Immunization is one of the best efforts that India is putting forward currently to fight against various vaccine preventable diseases. Cold chain maintenance is always an issue. Therefore, cold chain maintenance is a pre-requisite in the correct delivery of immunization services.Methods: A cross sectional study was conducted among 18 cold chain points (CCPs) of Jhabua district using standard Government of India (GOI) structured questionnaires.Results: Out of 18 cold chain points only 5.55% had dry room for the storage of needle, syringes and other clerical material. A separate voltage stabilizer was attached each to deep freezer and ILR at only 22% of the health centers. Only 55.55% CCPs waste disposal pit constructed as per guideline. 94.45% cold chain handlers (CCHs) knew the definition of cold chain and correct temperature range at which vaccines to be stored, whereas only 33.33% CCHs knew about Shake test. 72.23% CCHs knew how to read vaccine vial monitor (VVM) and stages of VVM correctly. Knowledge of the CCHs regarding open vial policy was poor, with only 33.33% knowing exactly, the details of open vial policy.Conclusions: The quality of immunization programme can be increased by proper maintenance of cold chain and management of vaccine logistics at every designated cold chain point. There is need to improve the knowledge level of CCHs regarding cold chain maintenances and handling practices.

scholarly journals Evaluation of cold chain and logistics management practice in Durg district of Chhattisgarh: pointer from Central India

2017 ◽  
Vol 4 (2) ◽  
pp. 390 ◽  
Author(s):  
Ashish Kumar Sinha ◽  
A. R. Verma ◽  
Aditi Chandrakar ◽  
Shanta P. Khes ◽  
Prem Sagar Panda ◽  
...  
Keyword(s):  
Management Practice ◽  
Central India ◽  
Cross Sectional Study ◽  
Logistics Management ◽  
Cold Chain ◽  
Childhood Diseases ◽  
Cross Sectional ◽  
Immunization Programme ◽  
The Status ◽  
Handling Practices

Background: Immunization is the effective method of preventing childhood diseases. One of the important elements for improving the immunization is cold chain and vaccine logistics management which are the left and right hands of immunization programme. Keeping this in mind, the present study was done with the objectives a) to ascertain the status of cold chain equipment and logistics management using GOI monitoring format and b) to ascertain the awareness and practice of cold chain handlers about cold chain equipment and logistics management in Durg district of Chhattisgarh, India.Methods: A cross sectional study was conducted among randomly selected 20 cold chain points (CCPs) of Durg district using standard GOI structured questionnaires.Results: Out of 20 cold chain points (CCPs), 20% CCPs, vaccine were found in frozen state. Functional thermometer was available in 75% CCPs, out of which 65% had temperature in the recommended range. Twice daily recording of temperature was found only in 95 % CCPs. Record of power failures and defrosting was noted in temperature log books in 70% CCPs. The correct placement of ice packs inside Deep freezer was observed in only one CCPs. T-series vaccine vials were placed properly in ILR in 85% CCPs. With respect to knowledge on freeze sensitive vaccine and shake test, 74 % and 53% of cold chain handlers had correct knowledge.Conclusions: The quality of immunization programme can be increased by proper maintenance of cold chain and management of vaccine logistics at every designated cold chain points. There is need to improve the knowledge level of CCHs regarding cold chain maintenances and handling practices.

scholarly journals Systematic assessment of the drugs cold chain in Brazil by pharmaceutical professionals

2021 ◽  
Vol 10 (7) ◽  
pp. e5010716144
Author(s):  
Thiago Douberin da Silva ◽  
Daniel Charles dos Santos Macêdo ◽  
Joyce Nunes dos Santos Lucena ◽  
Rosali Maria Ferreira da Silva ◽  
Luís Alberto de Lira Soares ◽  
...  
Keyword(s):  
Total Sample ◽  
Cross Sectional Study ◽  
Cold Chain ◽  
Specific Training ◽  
Critical Stage ◽  
Cross Sectional ◽  
Technical Data ◽  
Systematic Assessment ◽  
Final Consumer

One of the challenges in pharmaceutical logistics is to ensure that thermolabile drugs reach the patient with quality. This prospective cross-sectional study aimed to analyze the current cold chain scenario in Brazil. A semi-structured electronic questionnaire was applied for data collection. The total sample was 1793 pharmacists (CI: 99.998%; ME: 5%; p: 0.00002). 74.1% of the pharmacists reported that transportation is the most critical stage; 97.2% stated that the chosen mode influences the quality of the products; 52.5% reported only having partial parameters (tools) for the assessment of quality and that thermolabile medications possibly arrive altered to the final consumer due to the cold chain (59.8%); 66.9% do not have specific training on thermolabile medicines and 50.9% did not receive the technical data sheets of the products through the registration holders; 20.7% reported not being able to analyze or perform any activity related to qualification and validation. The absence of markings in the manual records (50.6%), the non-validation of the equipment used for conservation (30.6%) and the incorrect storage of medicines at domestic refrigerators (45.5%), near food (35.8%), were also noted. The non-measurement of the temperature of the products received was affirmed by 56.7%, as well as the use of thermometers to measure parameters (45.3%); 58.7% of the establishments do not have thermal mapping and 55.3% of the professionals are unaware of the thermal durability of the packaging. Due potentially inadequate situation, there is urgency to implement tools that guarantee the quality of thermolabile drugs in all its logistical stages.

scholarly journals Musculoskeletal Pain and Non-Classroom Teaching in Times of the COVID-19 Pandemic: Analysis of the Impact on Students from Two Spanish Universities

2020 ◽  
Vol 9 (12) ◽  
pp. 4053
Author(s):  
Raquel Leirós-Rodríguez ◽  
Óscar Rodríguez-Nogueira ◽  
Arrate Pinto-Carral ◽  
Mª José Álvarez-Álvarez ◽  
Miguel Á. Galán-Martín ◽  
...  
Keyword(s):  
Physical Activity ◽  
Musculoskeletal Pain ◽  
Perceived Stress ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Stress Scale ◽  
Health Institutions ◽  
Spanish Universities ◽  
The Impact

The lockdown, due to the coronavirus, has led to a change in lifestyle and physical activity in Spanish university students. The objective of this study was to analyze the prevalence of musculoskeletal pain and changes in physical activity and self-perceived stress in the student bodies of two Spanish Universities during the lockdown. A cross-sectional study was carried out in a sample of 1198 students (70.6% women). The main instruments used for measuring were the Standardized Kuorinka Modified Nordic Questionnaire and the Perceived stress scale (the questionnaire regarding the practice of physical activity). A reduction in the prevalence of musculoskeletal pain (p < 0.001) was identified in the sample of men and women, an increase (12.5%) in the frequency of carrying out physical activity from moderate to frequent, and the preference for strength training (15.1%), especially among women, was identified. All of this may be taken into account by health institutions when implementing measures to encourage physical activity in both suitable amounts and types, which improves the quality of life of the students.

scholarly journals Raziskava o pripravništvu

2016 ◽  
Vol 85 (3) ◽  
Author(s):  
Gaber Plavc
Keyword(s):  
Cross Sectional Study ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Frequency Distributions ◽  
Binary Responses ◽  
Quality Health ◽  
Medical Faculties ◽  
Health Institutions ◽  
Clinical Departments

Background: Well-educated and highly-trained physicians are an essential part of high-quality health care. Therefore, quality assurance in medical education must be one of the priorities of health systems. We researched and analysed responses from physicians after completion of internship (IS) and their mentors to questions regarding preparedness to IS and IS itself.Methods: In this cross-sectional study electronic surveys were sent to 298 physicians, having completed the IS between February 2014 and February 2015, and to their 200 mentors. Ordinal reponses of two independent groups were compared by Mann-Whitney-U test, while Kruskal-Wallis test was used for comparing more than two groups. Frequency distributions of practical procedures that were completed by interns in required quantities were compared between institutions by χ²-test. The same test was used for comparing frequency distributions of binary responses between clinical departments.Results: Statistically significant differences were found in the following: in reported preparedness for IS between graduates of the two Slovenian medical faculties; in realisation of practical procedures in quantities as prescribed in the IS program between different health institutions; in agreement with statements about satisfaction between different clinical departments and different institutions; and in reported active participation in patient care between different clinical departments.Conclusions: In this study we identified differences in phisicians' preparedness for IS between the graduates of the two Slovenian medical faculties, as well as differences in realization of IS program between health institutions and clinical departments. Alongside presented descriptive statistics these data allow evaluation of the current quality of IS in Slovenia. Furthermore, the results of this study will permit assessment of quality improvement after realisation of planned IS program renovation.

scholarly journals Quality of Work Life Among Nurses

2020 ◽  
Vol 20 (4) ◽  
pp. e304-311
Author(s):  
Mohammed A. Al-Maskari ◽  
Jonas U. Dupo ◽  
Nasser K. Al-Sulaimi
Keyword(s):  
Cross Sectional Study ◽  
Work Life ◽  
Quality Of Work Life ◽  
Occupational Burnout ◽  
Cross Sectional ◽  
Important Indicator ◽  
Factors Affecting ◽  
Quality Of Work ◽  
Health Institutions

Objectives: Quality of work life (QWL) is an important indicator of job-related satisfaction among nurses; however, there is little information regarding the QWL of nurses in Oman. Therefore, this study aimed to explore factors affecting QWL among nurses working in governmental health institutions in Ad Dakhiliyah Governorate, Oman. Methods: This descriptive cross-sectional study was conducted between September and November 2018 at 29 governmental health institutions in Ad Dakhiliyah Governorate. A total of 374 nurses employed at these institutions were recruited via stratified random sampling. A demographic questionnaire incorporating Brooks’ Quality of Nursing Work scale was used to collect data. Results: A total of 345 nurses participated in the study (response rate: 92.2%). The mean age was 33.3 ± 5.1 years and the majority were female (90.7%), married (88.7%), of Omani nationality (70.1%) and had a diploma degree (70.7%). Overall, the nurses demonstrated moderate levels of QWL (mean total score: 179.99 ± 24.17). Both job designation and nationality were found to be significant predictors of QWL (P = 0.041 and <0.001, respectively). Conclusion: The findings of this study represent a baseline for further research on this important topic. As with all healthcare professionals, the QWL of nurses indirectly affects quality of patient care and associated health outcomes. As such, identifying areas of poor QWL among nurses can help in the development of initiatives to improve their professional satisfaction, thereby enhancing job performance and employee retention. Keywords: Nursing; Quality of Life; Work Satisfaction; Occupational Burnout; Workload; Motivation; Health Workforce; Oman.

Hearing Outcome of Stapes Surgery in NIENT, Bangladesh

2020 ◽  
Vol 26 (1) ◽  
pp. 31-36
Author(s):  
Md Zakaria Sarkar ◽  
AHM Ferdows Nur ◽  
Utpal Kumar Dutta ◽  
Muhammad Rafiqul Islam ◽  
Debabrota Roy ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cross Sectional Study ◽  
Surgical Trauma ◽  
Group 14 ◽  
Progressive Hearing Loss ◽  
Cross Sectional ◽  
Hearing Gain ◽  
Hearing Outcome

Objective: The aim of this study was to evaluate hearing outcome after stapedotomy in patients with Otosclerosis. Methods: This cross sectional study was carried out from July 2017 to January 2019 in National Institute of ENT, Unit V. About 22 patients with Otosclerosis were included in this study. Diagnosis of Otosclerosis was based on the history, medical status with Otoscopy, Tuning fork tests and Audiometric tests. We compiled data on the pre and post operative air-bone gap (ABG) at 0.5, 1, 2 KHZ. The ABG was Calculated using AC and BC thresholds on the same audiogram. Post operative hearing gain was then Calculated from the ABG before the operation minus the ABG of the last follow up examination Results: In this study most of the cases were age group 14-30 years (72.7%), female (54.5%). Most common symptoms was progressive hearing loss, tinnitus (77.8%).The average preoperative hearing loss in this study was (AC) was 48.31±7.68. The average post opt. hearing (AC) at follow up was 28.95±10.30 with an average hearing gain of 15.40±8.53 dB which was significant. The average pre-operative ABG was 28.99 dB ± 8.10. The average post opt. ABG was analyzed at 1 follow up showed ABG 13.18±8.09 dB which was found to be significant. Conclusion: Stapedotomy is an effective surgical procedure for the treatment of otosclerosis which leads to improvement in patient’s quality of life. A favorable hearing outcome can be obtained by the combination of experienced hands with minimal surgical trauma and appropriate surgical technique. Bangladesh J Otorhinolaryngol; April 2020; 26(1): 31-36

The impact of the use of a footrest on the quality of chest compressions. A prospective, randomized, cross-sectional study

2018 ◽  
Vol 31 (3) ◽  
Author(s):  
Jolanta Majer ◽  
Sandra Pyda ◽  
Jerzy Robert Ladny ◽  
Antonio Rodriguez-Nunez ◽  
Lukasz Szarpak
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Chest Compressions ◽  
Cross Sectional ◽  
The Impact
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