scholarly journals Management of Otological Foreign Bodies Impaction in Tertiary Health Care Center

2019 ◽  
Vol 4 (02) ◽  
Author(s):  
Waheed Atilade Adegbiji ◽  
Shuaib Kayode Aremu ◽  
AbdulAkeem A. Aluko ◽  
Olawale Olubi
Keyword(s):  
Health Care ◽  
Foreign Body ◽  
Health Workers ◽  
Care Center ◽  
Predisposing Factors ◽  
Female Ratio ◽  
Health Care Center ◽  
External Canal ◽  
Foreign Body Impaction ◽  
Male To Female

Background: Otologic foreign body impaction are common ear disorder with an associated challenge due to high levels with of pre-hospital unskilled attempted removal. Aim: This study aimed at determining the prevalence, socio-demographic features, etiology, clinical presentation, management and outcome in a tertiary health care center in Nigeria. Materials and Methods: This is a prospective hospital-based study of all patients with an impacted otologic foreign body. Consented patients were studied between October 2015 and September 2017. The interviewer-assisted questionnaire was used to collect data. Analysis of obtained data was done SPSS version 16.0. Results: Prevalence of otologic foreign body impaction was 4.5%. There were 58.5% males with a male to female ratio of 1.5:1. The main type of ear foreign body impaction was 85.2% organic (living or dead) and 14.8% inorganic. Commonest otologic foreign body were a cotton bud, insects and seeds in 38.5%, 17.0% and 11.9% respectively. The foreign body was unilateral in 97.0% and bilateral in 3.0%. Left ear in 42.2% and right ear in 54.8%. The foreign body was in the external canal in 97.8% and middle ear cleft in 2.2%. Main sources of referral were self-reporting in 30.4% and general practitioners in 22.2%. Commonest predisposing factors were 31.1% allergy, 23.7% otitis externa, 15.6% earwax and 3.0% mental disorders. Conclusion: There are the different type of otology foreign body in all age group and associated predisposing factors. Pre-hospital attempt removal by unskilled sympathizers and untrained health workers leads to avoidable complications.

scholarly journals Diagnosis and Management of Hoarseness in Developing Country

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Shuaib Kayode Aremu ◽  
Waheed Atilade Adegbiji ◽  
Clement Nwawolo ◽  
Oyebanji Anthony Olajuyin ◽  
Fatai Olatoke
Keyword(s):  
Laryngopharyngeal Reflux ◽  
Care Center ◽  
Predisposing Factors ◽  
Common Symptom ◽  
Upper Respiratory Tract ◽  
Specialist Care ◽  
Tertiary Institution ◽  
Female Ratio ◽  
Health Care Center ◽  
Tract Infections

Background: Hoarseness/dysphonia of voice is the most common symptom of laryngeal disorder regardless of its pathology.This study aimed at determining the sociodemographic profile, aetiology, predisposing factors, clinical profile and management of hoarseness.Materials and Methods: This study was a prospective study carried out on all patients who presented hoarseness of voice via the Ear, Nose, and the Throat at the department of a tertiary institution in Nigeria.The study was carried out between October 2015 to September 2017. Data were obtained from patients who gave consent by using pre tested interviewer assisted questionnaire. All the data obtained were analyzed using SPSS version 16.0.Results: Prevalence of hoarseness was 2.4%. There were 58.4% males with male to female ratio being 1.5:1. Housewives were involved 27.6%, Singers 21.5%, Teachers 17.3%, and Clergy 13.1%.  Main causes were 96.3% organic causes and 2.8% neurological causes. Common organic causes were 36.4% acute laryngitis, 30.8% chronic laryngitis, and 15.0% vocal nodules.Main predisposing factors were Upper respiratory tract infections 50.5%, Voice abuse 33.6%, and Laryngopharyngeal reflux 29.4%. Commonest duration of the hoarseness prior to presentation were >12 months in 29.4% and 6–9 months in 27.1%.  Main clinical features were hoarseness 78.5%, catarrh/cold 73.4%, sensation of lump in the throat 62.6%, and cough 55.6%. Prior medications before presentation to otorhinolaryngologist were local herb 84.6%, over the counter medication 48.6%, and health care center 38.3%. Specialist care was conservative/medical treatment 77.6%, surgical intervention 20.1%, and referral 2.3%.Conclusion: Prevalence of hoarseness of voice was high with associated presentation to the specialist. Organic causes are the commonest with predominant inflammatory origin. Laryngeal neoplasm with associated malignancy was significant in a numbers of patients.

scholarly journals The Effectiveness of IMCI (Integrated Management of Childhood Illness) Mini Training in Improving Health Workers’ Skills in Primary Health Centers in Bantul

2018 ◽  
Vol 1 (3) ◽  
pp. 129
Author(s):  
RR Anugrah Wiendyasari ◽  
Hari Kusnanto ◽  
Tunjung Wibowo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Treatment Group ◽  
Health Workers ◽  
Integrated Management ◽  
Care Center ◽  
Control Group ◽  
Health Care Center ◽  
Primary Health ◽  
Significant Difference

ABSTRACTBackground: At the Community and Primary Health Care Center in Bantul, the number of paramedics receiving Integrated Management of Childhood Illness (IMCI) training is very limited and not evenly distributed. With the low number of IMCI trained officers, this affects the skill of the officers in conducting the IMCI. Fewer skills affect the handling of sick children including the recognition of general danger signs, classification, designing appropriate action, as well as providing treatment and counseling.Objective: This study aimed to know the effectiveness of IMCI Mini Training intervention to improve health workers’ skills in handling sick children with IMCI.Methods: This research was a quasi-experimental study with a non-equivalent pre-post control group design. The sample of this study was a group of health workers who implement IMCI in daily work at 20 Community and Primary Health Care Centers in Bantul. Data were collected by observing 20 health workers in the control group and 20 health workers in IMCI treatment group before and after receiving IMCI Mini Training. Data results were analyzed using univariate, bivariate and multivariate statistical tests.Results: Using t-test analysis the mean value of health worker’s pretest and posttest skill scores in implementing IMCI in control group showed no significant difference (p=0.857) while in the treatment group, the mean value of pretest and posttest score showed a significant difference (p=0.000). In the treatment group, the improvement of sign recognition skills was significant (p=0.000) compared with the classification (p=0.148), treatment (p=0.009), communication and counseling (p=0.005). Multivariate analysis of linear regression showed that IMCI Mini Training was significant in improving the skill of health workers (p=0.000) compared with variables: age (p=0.970), duty (p=0.425), IMCI training history (p=0.686), category of Community and Primary Health Care Center (p=0.409) and education (p= 0.474). IMCI Mini Training improved significantly the sign recognition skills (p=0.000), classification (p=0.001) as well as communication and counseling (p=0.011) but was not significant in treatment skill (p=0.093). IMCI Mini Training can be done in a shorter time and more interactive method by using ICATT.Conclusion: This study showed that IMCI Mini Training increased health workers’ skills in IMCI implementation with the advantages of shorter course time, lower cost, and more interactive methods. The IMCI skills were enhanced by the provision of IMCI Mini Training which includes skills in the recognition of common signs, classifications as well as providing appropriate communication and counseling.

scholarly journals Job Satisfaction and Its Associated Factors among PHC Level Health Workers of Kaski District

2020 ◽  
Vol 10 (2) ◽  
pp. 88-93
Author(s):  
Narayan Tripathi ◽  
Bijaya Parajuli ◽  
Sudarshan Subedi
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Primary Health Care ◽  
Associated Factors ◽  
Health Workers ◽  
Care Center ◽  
Outcome Variable ◽  
Health Care Center ◽  
Primary Health ◽  
Overall Job Satisfaction

Introduction: Job satisfaction has been identified as key factor of health worker retention and turnover in Low and middle income countries. In Nepal, only 55% of the health workers were satisfied with their current jobs. There is limited amount of literature in the areas related to factors affecting job satisfaction. This study aimed to assess the level of   job satisfaction and its associated factors among PHC level health workers in Kaski district. Methodology: Health facility based cross sectional, quantitative study was conducted collecting quantitative data from all PHC level health facilities (3 Primary Health Care Center and 45 Health Posts) health workers of Kaski district, Nepal through face to face interview. The perceived 12 item job satisfaction scale was developed and used to identify job satisfaction. The association between the independent and outcome variable was analyzed by using chi square test. Results: The results showed two-third (66%) of PHC level health workers were satisfied with their current jobs in overall job satisfaction at Kaski district. The study showed that Health Assistant were more satisfied than Auxiliary Nurse Midwifery and Auxiliary Health Workers. Sex (OR=1.80, 95%CI=1.0-3.26), level of working post (OR= 2.62,95%CI=.1.44-4.77) salary (OR= 3.96,95%CI=2.07-7.57) ,pension (OR=3.96, 95%CI=2.07-7.57)  training (OR=5.01, 95%CI=2.66-9.39) , opportunity for promotion (OR=2.80, 95%CI=1.54-5.09) , reward provision (OR=3.63,95% CI=1.94-6.77) and role in decision making OR=5.08,95% CI=2.34-11.04) were found to be significantly associated with overall job satisfaction. Conclusion: Two- third of the PHC level health workers of Kaski district were found to be satisfied with their job. Responsible bodies need to make provisions to improve the job satisfaction level of health professional so as to improve the healthcare services of PHCCS and HPs. Key words: Job satisfaction, Health workers, Primary health care level

scholarly journals Upper Limb Non - Traumatic Affections in a Rural Tertiary Health Care Center

2019 ◽  
Vol 3 (2) ◽  
pp. 1-3
Author(s):  
NS Dhaniwala
Keyword(s):  
Health Care ◽  
Upper Limb ◽  
Tennis Elbow ◽  
Care Center ◽  
Care Facility ◽  
Health Care Facility ◽  
Etiologic Factor ◽  
Female Ratio ◽  
Health Care Center ◽  
Specific Disorders

Introduction : Non - traumatic upper limb disorders are not uncommon. These may range from non - specific myalgia & fibro - fasciitis to specific disorders of joints and bones of the upper limb bones. Frequent key board use is also becoming a new etiologic factor. Material & Methods : The present prospective study was done in rural tertiary health care facility on admitted cases having upper limb non - traumatic disorders. Their pre - treatment functional status was assessed using 20 items Upper Extremity Function Index (UEFI) developed by Stanford PW et al. The data was analyzed to find the frequency of various disord ers. Observations & Results: Out of total 41 cases, male female ratio was 2.7:1. The maximum patients 19 (46.34%) were in the age group 02 to 20 years and the least 02 (4.87%) > than 60 years. The maximum cases, 20 (48.78%) were of bone tumors, benign in 1 6 cases and malignant in 04 cases. Other pathologies noted were, rotator cuff injury, tuberculosis, peri - arthritis shoulder, tennis elbow, nerve involvement, avascular necrosis of Lunate, inflammatory arthritis and De Quervain’s disease. As per the Upper E xtremity Functional Index, the scores ranged from 0 to 80. The minimum scores were seen in patients having gross neurological deficit in upper limb.

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

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