scholarly journals Knowledge of General Practitioner Doctors and Midwives Who Has and Has Not Attended Neonatal Resuscitation Course Has No Significant Difference

2020 ◽  
Vol 1 (2) ◽  
pp. 38
Author(s):  
Vincent Geraldus Enoch Lusida ◽  
Bambang Puijo Semedi ◽  
Bambang Herwanto
Keyword(s):  
General Practitioners ◽  
Life Support ◽  
Health Workers ◽  
Neonatal Resuscitation ◽  
Newborn Care ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Resuscitation Training ◽  
Significant Difference ◽  
Neonatal Resuscitation Program

Introduction: Infant death is most prominent in the neonatal period. The success of neonatal resuscitation practice has many contributing factors. One of which is the health workers’ knowledge of the Neonatal Resuscitation Program (NRP) algorithm. Therefore, it is necessary to conduct studies to evaluate the health workers’ knowledge of the Neonatal Resuscitation Program who are educated in neonatal resuscitation course and has taken part in Neonatal Life Support practice in primary health care (PHC)  Objective: This study aims to analyze the knowledge of general practitioners and midwives who has or has not attended in neonatal resuscitation course in Surabaya PHC Methods and Materials: this research is descriptive, cross-sectional research. All Basic Emergency Obstetric and Newborn Care (BEmONC) PHC in Surabaya which are Jagir PHC, Banyu Urip PHC, Medokan Ayu PHC, Tanah kali Kedinding PHC, Tanjungsari PHC, Balongsari PHC, Sememi PHC, Simomulyo PHC is included in this research from 2018 to 2019. A nine-item questionnaire referenced from The Textbook of Neonatal Resuscitation 7th Edition is given to ten respondents in each BEmONC PHC. Results and Discussion: from the total sample of 78 respondents, 32 (41,0%) receive a high score, 20 (25,7%) receive a middle score, and 26 (33,3%) receive a low score. The data shows that there is no significant score difference between respondents who has or has not participate in the NRP course (p=0,419). Conclusion:  There is no correlation between difference knowledge midwives and general practitioners who had and had not attended neonatal resuscitation training at basic emergency obstetric and newborn care in public health center Surabaya.

Code Blue Events in the Neonatal and Pediatric Intensive Care Units at a Tertiary Care Children's Hospital

2020 ◽  
Author(s):  
Catherine M. Groden ◽  
Erwin T. Cabacungan ◽  
Ruby Gupta
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Life Support ◽  
Univariate Analysis ◽  
Tertiary Care ◽  
Neonatal Resuscitation ◽  
Advanced Life Support ◽  
Pediatric Intensive Care ◽  
Code Blue ◽  
Neonatal Resuscitation Program

Objective The authors aim to compare all code blue events, regardless of the need for chest compressions, in the neonatal intensive care unit (NICU) versus the pediatric intensive care unit (PICU). We hypothesize that code events in the two units differ, reflecting different disease processes. Study Design This is a retrospective analysis of 107 code events using the code narrator, which is an electronic medical record of real-time code documentation, from April 2018 to March 2019. Events were divided into two groups, NICU and PICU. Neonatal resuscitation program algorithm was used for NICU events and a pediatric advanced life-support algorithm was used for PICU events. Events and outcomes were compared using univariate analysis. The Mann–Whitney test and linear regressions were done to compare the total code duration, time from the start of code to airway insertion, and time from airway insertion to end of code event. Results In the PICU, there were almost four times more code blue events per month and more likely to involve patients with seizures and no chronic condition. NICU events more often involved ventilated patients and those under 2 months of age. The median code duration for NICU events was 2.5 times shorter than for PICU events (11.5 vs. 29 minutes), even when adjusted for patient characteristics. Survival to discharge was not different in the two groups. Conclusion Our study suggests that NICU code events as compared with PICU code events are more likely to be driven by airway problems, involve patients <2 months of age, and resolve quickly once airway is taken care of. This supports the use of a ventilation-focused neonatal resuscitation program for patients in the NICU. Key Points

scholarly journals Conflict styles observed in doctors and nurses in health care organization

2011 ◽  
Vol 64 (5-6) ◽  
pp. 262-266 ◽  
Author(s):  
Branislava Brestovacki ◽  
Dragana Milutinovic ◽  
Tomislav Cigic ◽  
Vera Grujic ◽  
Dragana Simin
Keyword(s):  
Health Care ◽  
Health Workers ◽  
Health Care Organization ◽  
Cross Sectional Study ◽  
Care Organization ◽  
Cross Sectional ◽  
Conflict Styles ◽  
Five Dimensions ◽  
Significant Difference ◽  
Doctors And Nurses

Introduction. Health care workers often come into conflict situations while performing their daily activities. People behave differently when they come into conflicts and they are usually not aware of their own reactions. The aim of this paper was to establish the presence of conflict styles among health workers and the differences in relation to demographic characteristics (education, working experience, managerial position). Material and Methods. The research was done as a cross-sectional study and through surveys. The conflict handling questionnaire was used as the research instrument. The questionnaire contained 30 statements arranged in five dimensions of conflict styles. The sample included one hundred nurses and fifty-five doctors. Results. The research showed that accommodating was the most often used conflict style. There was no significant difference in styles of managerial and non-managerial staff, but there was a significant difference in the styles adopted by doctors and nurses. It should be noted that nurses used avoiding and accommodating conflict styles much more often. Conclusion. It is important to increase the awareness of conflict existence and the possibility of solving the problem constructively in order to achieve more efficient duty performance.

Awareness of basic life support among undergraduate medical students in Syria, Iraq and Jordan: a cross sectional study

2021 ◽  
Author(s):  
Mohammad Nour Shashaa ◽  
Mohamad Shadi Alkarrash ◽  
Mohammad Nour Kitaz ◽  
Roaa Rhayim ◽  
Mohammed Ismail ◽  
...  
Keyword(s):  
Medical Students ◽  
Basic Life Support ◽  
Life Support ◽  
Clinical Stage ◽  
Sudden Cardiac Arrest ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Significant Difference

Abstract Background Sudden cardiac arrest considers one of the most leading cause for death in all over the world. It is important for all medical students to train basic life support. This study evaluated the awareness of basic life support among medical students. Methods An electronic questionnaire based cross sectional study was conducted in November 2020 among 2114 medical student in Syria, Iraq and Jordan. We evaluated BLS skills according to mean score. A chi-squared test was used to determine if there were differences between those who attended a basic life support course and those who did not. Results 1656 of the participants (78.3%) stated that they did not attend a basic life support course. There was a significant difference between the participants from different countries where the mean score in Syria, Jordan and Iraq was 18.3, 24.3 and 18.8 respectively (p < 0.05). The participants were divided into 3 level according to total score; low (0–12), moderate (13–24) and high (25–37). In total, 18.3%, 72.8% and 8.9% of participants had high, intermediate and low level respectively. Conclusions The overall knowledge of basic life support among medical students is not adequate and need significant improvements. This study showed that an attendance a basic life support course previously had an effect on knowledge level. Hence, there is an urgent need to apply basic life support courses into the pre-clinical stage at universities.

scholarly journals Do our newly graduated medical doctors have adequate knowledge about neonatal resuscitation?

2007 ◽  
Vol 125 (3) ◽  
pp. 180-185
Author(s):  
Ana Paula de Carvalho Panzeri Carlotti ◽  
Maria Lúcia Silveira Ferlin ◽  
Francisco Eulógio Martinez
Keyword(s):  
Medical School ◽  
Neonatal Resuscitation ◽  
Medical Schools ◽  
Sao Paulo ◽  
The State ◽  
Basic Knowledge ◽  
São Paulo ◽  
Cross Sectional ◽  
Resuscitation Training ◽  
Practical Exam

CONTEXT AND OBJECTIVE: Neonatal resuscitation should be part of medical school curriculums. We aimed to evaluate medical school graduates' knowledge of neonatal resuscitation. DESIGN AND SETTING: Cross-sectional study on the performance of candidates sitting a medical residency exam at Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, in 2004. METHODS: There were two questions on neonatal resuscitation. One question in the theory test aimed at evaluating basic knowledge on the initial approach towards newly born infants. The question in the practical exam was designed to evaluate the candidate's ability to perform the initial steps of resuscitation and to establish bag-mask ventilation. RESULTS: Out of 642 candidates from 74 medical schools, 151 (23.5%) answered the theory question correctly. Significantly more physicians from public medical schools in the State of São Paulo answered correctly than did those from other schools in Brazil (52.5% versus 9.2%; p < 0.05). A total of 436 candidates did the practical exam. The grades among graduates from medical schools belonging to the State of São Paulo were significantly higher than among those from other schools (5.9 ± 2.6 versus 4.1 ± 2.1; p < 0.001). The grades for the practical question among candidates who had answered the theory question correctly were significantly higher than those obtained by candidates who had given wrong answers (p < 0.05). CONCLUSION: Medical school graduates' knowledge of neonate resuscitation in the delivery room is quite precarious. Emphasis on neonatal resuscitation training is urgently needed in medical schools.

scholarly journals The Effect of Side Effects Tuberculosis Treatment in the Early Stage Towards Compliance with Tuberculosis Patients

2021 ◽  
Vol 5 (01) ◽  
pp. 29-32
Author(s):  
Joko Sapto Pramono ◽  
Nilam Noorma ◽  
Andi Lis Arming Gandini ◽  
Sopia Fitriani
Keyword(s):  
Side Effects ◽  
Pulmonary Tuberculosis ◽  
Health Workers ◽  
Early Stage ◽  
Treatment Compliance ◽  
Tuberculosis Treatment ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
Early Stages ◽  
Significant Difference

Pulmonary tuberculosis treatment causes various side effects including nausea and vomiting, itching, vision problems, and anemia. Drug side effects in the early stages are one of the causes of non-adherence to complete treatment. The purpose of this study was to analyze the effect of the side effects Tuberculosis treatment in the early stages on treatment compliance for tuberculosis patients. This study used a cross sectional design. Samples were taken as many as 71 respondents, the instruments used were side effects of early-stage tuberculosis treatment and compliance with tuberculosis treatment in tuberculosis patients from the Morisky Medication Adherence Scale (MMAS). The results of the study found 97.7% adherent and 2.3% non-adherent, 39.5% mild side effects and 60.5% severe side effects. Chi-square test showed that no significant difference between the side effects of TB treatment in the early stages of tuberculosis treatment compliance in patients p = 0.669 at significant level of 95% (α = 0.05). There was no effect between the side effects of Tuberculosis treatment in the early stages of treatment compliance for Tuberculosis patients. It was recommended that health workers continue to monitor the side effects of tuberculosis treatment and provide motivation to carry out treatment completely. Keywords: side effects; early stage; treatment; pulmonary tuberculosis; compliance

scholarly journals USING CHEST COMPRESSIONS WITH ASYNCHRONOUS VENTILATION AT VARIOUS CHEST COMPRESSION RATES (90, 100, 120/MIN) – A RANDOMIZED CONTROLLED ANIMAL TRIAL

2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e27-e28
Author(s):  
Sparsh Patel ◽  
Po-Yin Cheung ◽  
Tze-Fun Lee ◽  
Matteo Pasquin ◽  
Megan O’Reilly ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Chest Compression ◽  
Porcine Model ◽  
Life Support ◽  
Neonatal Resuscitation ◽  
Chest Compressions ◽  
Neonatal Asphyxia ◽  
Significant Difference ◽  
Post Test ◽  
The Mean

Abstract BACKGROUND The current Pediatric Advanced Life Support guidelines recommends that newborns who require cardiopulmonary resuscitation (CPR) in settings (e.g., prehospital, Emergency department, or paediatric intensive care unit, etc.) should receive continuous chest compressions with asynchronous ventilations (CCaV) if an advanced airway is in place. However, this has never been examined in a newborn model of neonatal asphyxia. OBJECTIVES To determine if CCaV at rates of 90/min or 120/min compared to current standard of 100/min will reduce the time to return of spontaneous circulation (ROSC) in a porcine model of neonatal resuscitation. DESIGN/METHODS Term newborn piglets were anesthetized, intubated, instrumented, and exposed to 40-min normocapnic hypoxia followed by asphyxia, which was achieved by clamping the endotracheal tube until asystole. Piglets were randomized into 3 CCaV groups: chest compression (CC) at a rate of 90/min (CCaV 90,n=7), of 100/min (CCaV 100,n=7), of 120/min (CCaV 120,n=7), or sham-operated group. A two-step randomization process with sequentially numbered, sealed brown envelope was used to reduce selection bias. After surgical instrumentation and stabilization an envelope containing the allocation “sham” or “intervention” was opened (step one). The sham-operated group had the same surgical protocol, stabilization, and equivalent experimental periods without hypoxia and asphyxia. Only piglets randomized to “intervention” underwent hypoxia and asphyxia. Once the criteria for CPR were met, a second envelope containing the group allocations was opened (step two). Cardiac function, carotid blood flow, cerebral oxygenation, and respiratory parameters were continuously recorded throughout the experiment. RESULTS The mean (±SD) duration of asphyxia was similar between the groups with 260 (±133)sec, 336 (±217)sec, and 231 (±174)sec for CCav 90, CCaV 100, and CCaV 120, respectively (p=1.000; oneway ANOVA with Bonferroni post-test). The mean (SD) time to ROSC was also similar between groups 342 (±345)sec, 312 (±316)sec, and 309 (±287)sec for CCav 90, CCaV 100, and CCaV 120, respectively (p=1.000; oneway ANOVA with Bonferroni post-test). Overall, 5/7 in the CCaV 90, 5/7 in CCaV 100, and 5/7 in the CCaV 120 survived. CONCLUSION There was no significant difference in time to ROSC for either chest compression technique during cardiopulmonary resuscitation in a porcine model of neonatal asphyxia.

scholarly journals Factors influencing knowledge and practice on helping babies breathe among Skilled Birth Attendants in rural areas in Lake Zone in Tanzania

2018 ◽  
Author(s):  
Cecilia B Mzurikwao ◽  
Secilia K Ng’weshemi Kapalata ◽  
Alex Ibolinga Ernest
Keyword(s):  
Rural Areas ◽  
Neonatal Resuscitation ◽  
Birth Asphyxia ◽  
Simple Random Sampling ◽  
Cross Sectional ◽  
Helping Babies Breathe ◽  
Adequate Knowledge ◽  
Labor Ward ◽  
Resuscitation Training ◽  
Knowledge And Practice

ABSTRACTBackgroundIt is estimated that 1 million babies die each year due to birth asphyxia. Globally, it is approximated that 10 million babies cannot do it by themselves and need assistance. Helping babies breathe is a key component in reducing neonatal mortality due to birth asphyxia.MethodsA cross-sectional design was used, A total of 330 respondents included in the study. Simple random sampling by lottery was used to select the 2 regions and health facilities. The participants were selected through convenient. Data were collected using standard semi-structured questionnaire. Chi-square and Binary logistic regression were used to analyse the data.ResultsOut of 330 participants, Those who working in hospital and were more likely to have adequate knowledge (AOR= 3.227, P< 0.001) and practice (AOR= 43.807, P<0.001) than those working in Health Centers; Enlored nurses were more likely to have adequate knowledge (AOR= 3.118,P<0.05) than AMO/MD;Those with 1 year and above of experience in labor ward were more likely to have adequate practice(AOR=15.418,P<0.001) than those with less than 1 year of experience in labor ward; those who attended once on neonatal resuscitation training were adequate knowledge (AOR=1.778,P<0.05) than those who had never attended. Those with Enough equipment of neonatal resuscitation had adequate practice (AOR=4.355, P<0.001) than with no enough equipment.ConclusionRegarding the findings of the current study, it was revealed that working facility, Professional/ qualification, and training was significant predictor of knowledge while working facility, experience, and equipment was significant predictor of practice. There is a need to find effective measures on how to reduce those factors which affect knowledge and practice on helping babies breathe.

scholarly journals Analisis Profil dan Faktor-Faktor yang Memengaruhi Perilaku Kepatuhan Pengobatan untuk Pasien Diabetes Mellitus Lanjut Usia

2019 ◽  
pp. 114-125
Author(s):  
Andi Makkulawu ◽  
Adji Prayitno Setiadi ◽  
Tri Budi Wahyuni Rahardjo ◽  
Eko Setiawan
Keyword(s):  
Diabetes Mellitus ◽  
Support Groups ◽  
Health Workers ◽  
Profile Analysis ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Contributing Factors ◽  
Related Factors ◽  
Cross Sectional ◽  
Adherence Behaviour

Adherence with medication is one of the important factors in controlling blood glucose levels in patients with diabetes mellitus (DM), which in turn also determines the risk of diabetic complications. The profile and factors that influence adherence behaviour in the use of medication in elderly diabetic patients in Indonesia, especially in East Surabaya, are not yet known. The purpose of this study was to identify profiles and factors that influence the behavior of drug use adherence in elderly DM patients. A cross-sectional study was conducted in 32 Karang Werda or support groups for elderly in East Surabaya. Identification of the respondent’s level of adherence was carried out using the Adherence to Refill and Medication Scale (ARMS) questionnaire while the contributing factors towards adherence behaviour were identified using a published questionnaire. Both questionnaires have been validated in elderly people living in Surabaya. Result of adherence profile analysis was expressed in terms of percentage while determinant factors analysis was identified by using the highest mean among 14 sub-domains included in the questionnaire. In total, 281 elderly diabetic patients were recruited in this study. It was identified that 67.26% of the respondents were classified as non-adherence patients. The dominant factors that contribute to the behavior of medication adherence in elderly diabetic patients were social support, product-related factors, health workers, and emotional factors. Appropriate interventions to optimize the use of medications in elderly diabetic patients need to be identified and implemented according to the identified contributing factors.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KETERATURAN IBU HAMIL DALAM MENGKONSUMSI TABLET FE DI WILAYAH KERJA PUSKESMAS SULIT AIR KABUPATEN SOLOK

2021 ◽  
Vol 1 (3) ◽  
pp. 287-293
Author(s):  
Netty Herawati
Keyword(s):  
Family Support ◽  
Significant Relationship ◽  
Health Workers ◽  
Statistical Tests ◽  
Deficiency Anemia ◽  
P Value ◽  
Cross Sectional ◽  
Significant Difference ◽  
Water Based

Pregnancy is a condition in which the fetus is conceived in the mother's body, which begins with the fertilization process. Lack of iron during pregnancy will lead to iron deficiency anemia and can cause bleeding during delivery, facilitate infection and decrease the carrying capacity of acid. The need for pregnant women for Fe increases (for the formation of placenta and red blood cells) by 200-300%, about 300 mg of Fe is transferred to the fetus so that 50-75 mg for the formation of placenta, 450 mg for increasing the amount of red blood and 200 mg disappears when The type of research in this research is descriptive analytic using cross sectional design. In this study, the independent variables are motivation, the role of health workers and family support, the dependent variable is the regularity of consuming Fe tablets. Based on the statistical test, it was obtained p value 0.007 ˂ 0.05, which means that there is a significant relationship between poor motivation and irregularity in consuming Fe tablets in the working area of Puskesmas with difficult water. Based on statistical tests, p value is 0.001 0.05, which means there is a significant relationship There is a significant difference between the role of health workers and irregularity in consuming Fe tablets in the working area of Puskesmas with difficulty in water. Based on statistical tests, the p value is 0.000 ˂ 0.05, which means that there is a significant relationship between poor family support and irregularity in consuming Fe tablets in the region. The Work of Puskesmas is Hard to Water.

scholarly journals Determinants of Breastfeeding Practices among Lactating Mothers in a Rural Block ofHaryana, India

2021 ◽  
Vol 07 (02) ◽  
pp. 1-8
Author(s):  
Priyanka Choudhary ◽  
Keyword(s):  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Mode Of Delivery ◽  
Sampling Technique ◽  
Physical Growth ◽  
Human Breast Milk ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
Initiation Of Breastfeeding

Background: Human breast milk contributes to the physical growth of infants by meeting their nutritional needs and higher intelligence quotient by enhancing their brain development. Objective: To assess the prevalence of exclusive breastfeeding and to determine the contributing factors of exclusive breastfeeding practice in a rural area of Haryana. Methods: It was community-based cross-sectional study, conducted in a rural field practice area attached to the Department of Community Medicine of Pt BD Sharma, PGIMS, Rohtak. The study participants were infants aged 6-11 completed months and their mothers. Multistage sampling technique was used for enrolling 200 study subjects. SPSS was us for statistical analysis. Results: 119 (59.5%) infants were exclusively breastfed for 6 months. Homemakers were 1.37 times more likely to feed exclusively than working women. Women from joint families were 2.64 times more likely to feed exclusively than women from nuclear families. Exclusive breastfeeding had a statistically significant association with mode of delivery, breastfeeding counselling, motivation to feed till 2 years, receiving postnatal checkup, number of children, initiation of breastfeeding within 1 hour, and colostrum being given to infants. Infants given breastfeed within 1 hour had 1.12 times more chance of exclusive breastfeeding. Conclusion: Antenatal breastfeeding counselling and home-based postnatal visits by health workers increases the practice of colostrum administration, initiation of breastfeeding within 1 hour, and exclusive breastfeeding for 6 months. Capacity building in form of training and sensitisation of hospital staff, MPHW (F), and ASHA will help increaseexclusive breastfeeding among lactating mothers.

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