scholarly journals Cross-Sectional and Medico-Legal Investigations of Covid-19 Response, Ghana

Author(s):  
Ishmael D. Norman ◽  
Emmanuel D. Kpeglo ◽  
Raymond Agalga

From the 12th of March 2020, Ghana took bold steps against Covid-19, aimed at controlling the spread among the population, protecting against community infections, treating those with the disease and ensuring public trust in the healthcare delivery system. This cross-sectional survey, assessed the effectiveness of Ghana’s risk communication, legal framework and response approaches to the Covid-19 Pandemic. The first part was a Cross-Sectional approach. The authors used data collected on-line via a self-reported questionnaire between 16th March and 16th April from [127] participants. Differences in mean scores and other factors associated with awareness; as a function of risk communication; to Covid-19, knowledge of safety protocols, and practices towards the disease, were conducted using univariate and multivariate data analytical methods. The second approach was a literature review of Ghana’s legal framework existing prior to the outbreak of Covid-19 and those enacted by Parliament during the emergency period towards the management of the pandemic. A content analyses of the legal framework, to assess official compliance with the framework in relation to the aim of this study was conducted. The majority of the study participants were knowledgeable about how Covid-19 was transmitted. An independent samples t-test was performed to determine if a difference existed between the mean scores of COVID-19 knowledges for males and females. The outcome variable was found to be normally distributed and equal variances are assumed based upon results of Levene’s test (F (125) = 0.097, p-value = 0.756). There was no significant difference in knowledge scores (with minimum = 1, and maximum = 3) for males (mean = 1.61, standard deviation = 0.665) and females (mean = 1.56, standard deviation = 0.698; t- value t (125) =0.374, p-value = 0.709, two-tailed). The magnitude of the difference in the means (mean difference = 0.054, 95% confidence interval: -0.234, 0.343) and the effect size was very small (Cohen d = 0.08). The independent samples t-test was also performed to test the hypothesis that males and females were associated with statistically significant different COVID-19 awareness mean scores. The test showed no significant difference in the awareness scores for males and females. The results from the content analyses of the legal framework show there was lax adherence of government to the legal framework for Pandemic response on these dimensions: Planning and Coordination; Surveillance, Situation monitoring and Assessment; Prevention, Containment and Management; Communications; and Social Mitigation. It further shows that neither the existing legislation nor the Executive Instruments, E. I. 63 - 66, and 164 directed at Covid-19 administrative and epidemiologic controls, have helped to stop the spread of Covid-19, considering the uptick of new infections of Covid-19. Covid-19 has exposed the lack of effective risk communication modalities in Ghana and the government’s lack of adherence to the legal framework on disasters and emergencies in general, a vacuum which is filled by social media.

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Fariha Ambreen Ch ◽  
Muhammad Naveed Babur ◽  
Sajid Rashid ◽  
Maria Liaqat

Objective: To find out inter-professional collaboration among speech-language pathologists and nurses in acute care in Pakistan. Methods: This was a cross sectional study which was conducted in all government and private hospitals of Islamabad and Rawalpindi having facility of ICUs after taking consent from authorities. The duration of study was six months from October 2018 to February 2019. A total number of 350 participants (200 nurses, 150 speech language pathologists) working in ICU of different private and government hospitals of Pakistan were included in the study. Standardized questionnaire of “assessment of inter-professioal collaboration scale” (AITCS) was circulated to nurses and speech language pathologists (SLPS) working in ICU with its subscale’s partnership, coordination, cooperation and shared decision making on a 5-point likert scale. Data was analyzed using SPSS version 21. Measure of mean was obtained by independent sample t-test. P-Value less than 0.05 was considered as significant. Results: Statistical analysis showed measures of mean differences obtained by t-test revealed significant differences at p<0.001 level between partnership scores of SLPS and nurses. This reveals good partnership between two disciplines. Measures of mean differences obtained by t-test revealed significant differences at p<0.001 level between partnership scores of SLPS and nurses. Both do not value each other in cooperation. Measures of mean differences obtained by t-test showed significant differences at p<0.001 level amongst coordination scores of SLPS and nurses. Both have good coordination. Measures of mean differences obtained by t-test revealed significant differences at p<0.001 level amongst shared decision-making scores of SLPS and nurses. Both are involved in shared decision making. Conclusion: Results show significant difference in partnership, coordination, and shared decision making. There is no significant difference in cooperation. doi: https://doi.org/10.12669/pjms.37.2.3545 How to cite this:Ch FA, Babur MN, Rashid S, Liaqat M. Interprofessioal collaboration among Speech Language Pathologists and Nurses in Acute Care in Pakistan. Pak J Med Sci. 2021;37(2):---------. doi: https://doi.org/10.12669/pjms.37.2.3545 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2020 ◽  
Vol 2 (1) ◽  
pp. 27-38
Author(s):  
Supriyono Supriyono

This study aims to evaluate the results of pre-test and post-test scores as well as the level of error in participants in education training and nutrition counseling in non-communicable diseases at the Batam health training center in 2016. This study was observational with a cross sectional approach. The population in this study used a saturated sample, where the sample used was the pre-test and post-test scores of all participants who attended the training, which were 30 respondents. To determine the relationship between variables using the Wilcoxon Signed Ranks Test. The results of the analysis using the Wilcoxon Signed Ranks Test between the pre-test and post-test values, obtained a Z value of -4.582 with a p value of .000 <0.05, so there is a significant difference between the pre-test and post-test values. The average pre-test with 30 questions given to participants was 53.56 with a standard deviation of 11.04. While the post-test average of 30 questions given to participants was 67.33 with a standard deviation of 9.45. There was a change of 13.78% of the participant's knowledge score before and after the training. From 30 questions, from pre-test to post-test there was a change in error rate as follows, 70% had an increase, 6.67% remained and 23.33% had a decrease.


2021 ◽  
Vol 12 (01) ◽  
pp. 8-12
Author(s):  
Saira Ibrahim ◽  
Moiza Ijaz ◽  
Ammara Sharafat ◽  
Samina Younis ◽  
Nida Mukhtar ◽  
...  

Objective: To compare oral stereognostic proficiency scores between new and previous complete denture wearers. Study design and study settings: This cross-sectional study design was conducted at Armed Forces Institute of Dentistry, Rawalpindi. Methodology: Total 60 patients belonging to age group of 45–75 years were selected from the study setting. Oral stereognostic proficiency was recorded by using different oral stereognostic intra oral testing tools and scores were noted. Data analysis was done using SPSS (version 20) software. Independent sample t-test was used to compare the scores of new and old previous complete denture wearers. Effect modifier like gender was rectified by method of stratification. Post stratification independent sample t-test was applied and p value of 0.05 or less was considered to be significant. Results: The mean age of patients was 59.8+7.85 years. Previous complete denture wearers were found to have a higher value as compared to the new complete denture wearers. Significant difference between both groups according to age was found with older individuals having a lower stereognostic value than younger individuals. Conclusions: Oral stereognostic test is a dependable test to measure patients’ oral stereognostic perception which can help the dentist in better educating the patient in terms of his/her expectations regarding the prosthesis and in better understanding the limitations of the prosthesis


2015 ◽  
Vol 8 (1) ◽  
pp. 269-279 ◽  
Author(s):  
Nagalaxmi V ◽  
Sridevi Ugrappa ◽  
Naga Jyothi M ◽  
Lalitha Ch ◽  
Kotya Naik Maloth ◽  
...  

Background and Objectives: Human identification is the forensic odontologist’s primary duty in the fields like violent crime, child abuse, elder abuse, missing persons and mass disaster scenarios. In each context, dental traits may produce compelling evidence to aid victim identity, suspect identity and narrow down the outcome of investigative casework. Sometimes it becomes necessary to apply some least known and less popular techniques in identification procedure where lip prints, rugae patterns and canine odontometrics can give us comparatively valid conclusions pertaining to person’s identification. This study elucidates the significance of cheiloscopy, palatoscopy and canine odontometry in sex prediction and discrimination. Materials and Methods: A cross- sectional study involving a total of 60 subjects, 30 males and 30 females were selected from the outpatient department of oral medicine and radiology. Lip prints were recorded using lipstick, palatal impressions were taken with alginate and odontometric measurements were taken with digital vernier calipers from every subject. All the obtained records were analyzed by two observers. Results: Reliability of lip prints was assessed using Kappa coefficient. Comparison of rugae patterns was done using Chi-square test. Mean canine and inter canine width was compared using t test. A p-value of <0.05 was considered significant. Statistically significant difference was found with the different lip print patterns analyzed in males and females, while no significant difference was observed in the rugae patterns but a significant difference in the mesio-distal width of mandibular canines in males and females was found with right mandibular canine(3.73%) showing greater sexual dimorphism compared to left mandibular canine(3.06%). Conclusion: This study shows the uniqueness of the lip prints and rugae patterns with the lip prints showing sensitivity of 81.7% giving reliable prediction of sex over palatoscopy. Hence, cheiloscopy along with the canine odontometrics aid in sex determination and can be considered as an ancilliary forensic tool in identification.


2021 ◽  
Vol 9 (T5) ◽  
pp. 1-5
Author(s):  
Dora Irene Purimahua ◽  
Marisa Manik ◽  
Evanny Indah Manurung

BACKGROUND OF THE STUDY:. Nurses inevitably witness death in their professional practice. These experiences can trigger fear of a patient’s death, fear of their own death or fear of the dying process. A review of literature revealed the absence of studies on dying and feelings towards the dying process particularly fear of death among students in the Indonesian context. AIM OF THE STUDY: This study explored the levels of fear of death and the differences between students enrolled sophomore academic program and those in the professional program. METHODOLOGY: This was a quantitative comparative study that utilized a cross-sectional design. Collett-Lester Fear of Death Scale was adapted to measure the fear of death among the respondents by using univariate analysis. Bivariate analysis was also utilized by applying the independent T-test to determine the significance of the difference in the data results. All 50 professional students were included in the study while simple random sampling was done to select 50 students enrolled in the academic program.   RESULTS: The level of fear of death among the sophomore students was moderate to high, while those in the professional program was moderate. Furthermore, the T-test revealed a p-value of 0.010 indicating a significant difference in the level of fear of death among sophomore academic program students compared to students in the professional program. CONCLUSION: There is a significant difference in the level of fear of death between sophomore nursing students in the academic program compared to those in the professional nursing program.


2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Helen Evelina Siringoringo ◽  
Yusrawati Yusrawati ◽  
Eva Chundrayetti

AbstrakPreeklampsia-eklampsia sampai saat ini masih merupakan disease of theory. Kelainan yang terjadi pada penyakit ini adalah disfungsi endotel yang dapat disebabkan oleh perubahan kadar profil lipid. Tujuan penelitian ini adalah mengetahui perbedaan rerata kadar profil lipid pada preeklampsia dengan kehamilan normal pada etnik Minangkabau. Penelitian observasional dengan rancangan cross sectional ini dilakukan di RSUP dr. M. Djamil Padang, RS Reksodiwiryo Padang dan UPTD Laboratorium Kesehatan Daerah Sumatera Barat. Subjek terdiri dari 2 kelompok yang diambil secara consecutive sampling dengan jumlah masing-masing 27 orang. Pemeriksaan profil lipid dilakukan dengan metode kalorimetri. Analisis data dilakukan secara uji statistik independent t-test. Hasil penelitian diperoleh rerata kadar total kolesterol pada kelompok preeklampsia dan kehamilan normal adalah 270,19+68,955 mg/dL dan 247,56+44,415 mg/dL dengan nilai p=0,158, rerata kadar trigliserida pada kelompok preeklampsia dan kehamilan normal adalah 296,07±157,993 mg/dL dan 272,89±84,608 mg/dL dengan nilai p=0,504, rerata kadar HDL pada kelompok preeklampsia dan kehamilan normal adalah 51,93±19,882 mg/dL dan 63,33±11,222 mg/dL dengan nilai p=0,012, rerata kadar LDL pada kelompok preeklampsia dan kehamilan normal adalah 159±52,038 mg/dL dan 129,67±38,692 mg/dL dengan nilai p=0,023, rasio perbandingan LDL/HDL pada kelompok preeklampsia dan kehamilan normal adalah 3,86 dan 2,04. Dari hasil penelitian dapat disimpulkan pada kedua kelompok tidak ada perbedaan kadar kolesterol total dan trigliserida, tetapi ada perbedaan kadar HDL dan LDL , rasio perbandingan LDL/HDL lebih tinggi pada preeklampsia daripada kehamilan normal.Kata kunci: preeklampsia, total kolesterol, trigliserida, HDL, LDL, etnik Minangkabau AbstractPreeclampsia-eklampsia still being a disease of theory. One of abnormality accured in preeclampsia is endothelial disfunction that is caused by changes in lipid profile. The objective of this study was to find out the difference of lipid profile mean level in preeclampsia and normal pregnancy at Minangkabau Ethnic. This was an observational study with cross-sectional design at  dr. M.djamil Padang Hospital, dr Reksodiwiryo Hospital and UPTD regional health laboratory of West Sumatera. The subjects consist of two groups, choosen by consecutiteve sampling. Each group consist of 27 subjects. Lipid profile was examined by using independent calorimetric methode. The data analyzed statistically by independent t-test. The result of this study showed mean level of total cholesterol in preeclamsia and normal pregnancy were 270.19±68.955 mg/dL and 247.56±44.415 mg/dL with p-value 0.158. The mean levels of triglyceride in preeclampsia and normal pregnancy were 296.07±157.993 and 272.89±44.415 mg/dL with p-value 0.504. The mean level of HDL in preeclampsia and normal pregnancy were 51.93±19.882 mg/dL and 63.33 mg/dL p-value 0.012. The mean level of LDL in two groups were 159±52.038 mg/dL and 129.67±38.692 mg/dL with p-value 0.023 and the mean levels of LDL/HDL ratio were 3.86±3,09 mg/dLin  preeclampsia and 2,08±0,64 in normal pregnancy. It can be concluded that there is no significant difference in total cholesterol and triglyseride between preeclampsia and normal in HDL and LDL and there is significant difference in LDL/HDL ratio between preeclampsia and normal pregnancy at Minangkabau Ethnic.Keywords: preeclampsia, total cholesterol, triglyceride, HDL, LDL, Minangkabau Ethnic


2018 ◽  
Vol 1 (2) ◽  
pp. 114
Author(s):  
Wahdaniah Wahdaniah ◽  
Sri Tumpuk

Abstract: Routine blood examination is the earliest blood test or screening test to determine the diagnosis of an abnormality. Blood easily froze if it is outside the body and can be prevented by the addition of anticoagulants, one of which Ethylene Diamine Tetra Acetate (EDTA). Currently available vacuum tubes containing EDTA anticoagulants in the form of K2EDTA and K3EDTA. K3EDTA is usually a salt that has better stability than other EDTA salts because it shows a pH approaching a blood pH of about 6.4. The purpose of this research is to know the difference of erythrocyte index results include MCH, MCV and MCHC using K3EDTA anticoagulant with K2EDTA. This research is a cross sectional design. This study used venous blood samples mixed with K2EDTA anticoagulant and venous blood mixed with K3EDTA anticoagulants, each of 30 samples. Data were collected and analyzed using paired different test. Based on data analysis that has been done on MCH examination, p value <0,05 then there is a significant difference between samples with K3EDTA anticoagulant with K2EDTA to erythrocyte index value. Then on the examination of MCV and MCHC obtained p value <0.05 then there is no significant difference between samples with K3EDTA anticoagulant with K2EDTA to erythrocyte index value.Abstrak: Pemeriksaan darah rutin merupakan pemeriksaan darah yang paling awal atau screening test untuk mengetahui diagnosis suatu kelainan. Darah mudah membeku jika berada diluar tubuh dan bisa dicegah dengan penambahan antikoagulan, salah satunya Ethylene Diamine Tetra Acetate (EDTA). Dewasa ini telah tersedia tabung vakum yang sudah berisi antikoagulan EDTA dalam bentuk  K2EDTA dan  K3EDTA. K3EDTA  biasanya berupa garam yang mempunyai stabilitas yang lebih baik dari garam EDTA yang lain karena menunjukkan pH yang mendekati pH darah yaitu sekitar 6,4. Tujuan dari penelitian ini adalah untuk mengetahui perbedaan hasil indeks eritrosit meliputi MCH, MCV dan MCHC menggunakan antikoagulan K3EDTA dengan K2EDTA. Penelitian ini merupakan penelitian dengan desain cross sectional. Penelitian ini menggunakan sampel darah vena yang dicampur dengan antikoagulan K2EDTA dan darah vena yang dicampur dengan antikoagulan K3EDTA, masing-masing sebanyak 30 sampel. Data dikumpulkan dan dianalisis menggunakan uji beda berpasangan. Berdasarkan analisis data yang telah dilakukan pada pemeriksaan MCH didapatkan nilai p < 0,05 maka ada perbedaan yang signifikan antara sampel dengan antikoagulan K3EDTA dengan K2EDTA terhadap nilai indeks eritrosit. Kemudian pada pemeriksaan MCV dan MCHC didapatkan nilai p < 0,05 maka tidak ada perbedaan yang signifikan antara sampel dengan antikoagulan K3EDTA dengan K2EDTA terhadap nilai indeks eritrosit.


BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Salma S. Al Sharhan ◽  
Mohammed H. Al Bar ◽  
Shahad Y. Assiri ◽  
Assayl R. AlOtiabi ◽  
Deemah M. Bin-Nooh ◽  
...  

Abstract Background Chronic rhinosinusitis (CRS) is a common inflammation of the nose and the paranasal sinuses. Intractable CRS cases are generally treated with endoscopic sinus surgery (ESS). Although the effect of ESS on CRS symptoms has been studied, the pattern of symptom improvement after ESS for CRS is yet to be investigated. The aim of this study was to determine the magnitude and sequence of symptom improvement after ESS for CRS, and to assess the possible preoperative factors that predict surgical outcomes in CRS patients. Methods This was a longitudinal prospective study of 68 patients who had CRS (with or without nasal polyps). The patients underwent ESS at King Fahd Hospital of the University, Al Khobar, Saudi Arabia. The Sino-nasal Outcome Test-22 (SNOT-22) questionnaire was used for assessment at four time points during the study: pre-ESS, 1-week post-ESS, 4 weeks post-ESS, and 6 months post-ESS. Results The difference between the mean scores recorded for the five SNOT-22 domains pre-ESS and 6 months post-ESS were as follows: rhinologic symptoms (t-test = 7.22, p-value =  < 0.001); extra-nasal rhinologic symptoms (t-test = 4.87, p-value =  < 0.001); ear/facial symptoms (t-test = 6.34, p-value =  < 0.001); psychological dysfunction (t-test = 1.99, p-value = 0.049); and sleep dysfunction (t-test = 5.58, p-value =  < 0.001). There was a significant difference between the mean scores recorded for the five domains pre-ESS and 6 months post-ESS. Rhinologic symptoms had the largest effect size (d = 1.12), whereas psychological dysfunction had the least effect size (d = 0.24). The only statistically significant difference in the SNOT-22 mean scores recorded 4 weeks post-ESS was observed between allergic and non-allergic patients (t = − 2.16, df = 66, p = 0.035). Conclusion Understanding the pattern of symptom improvement following ESS for CRS will facilitate patient counselling and aid the optimization of the current treatment protocols to maximize surgical outcomes and quality of life. Level of evidence Prospective observational.


Work ◽  
2021 ◽  
pp. 1-8
Author(s):  
Javad vatani ◽  
Zahra Khanikosarkhizi ◽  
Mohammad Ali Shahabi Rabori ◽  
mohammad khandan ◽  
Mohsen aminizadeh ◽  
...  

BACKGROUND: Safety climate is a common insight of staff that indicates individuals’ attitudes toward safety and priority of safety at work. OBJECTIVES: Nursing is a risky job where paying attention to safety is crucial. The assessment of the safety climate is one of the methods to measure the safety conditions in this occupation. The aim of this study was to assess the safety climate of rehabilitation nurses working in hospitals in Tehran. METHODS: This is a cross-sectional study which was carried out on 140 rehabilitation nurses selected from all hospitals and clinics in Tehran in 2019. To collect the required data, a two-section questionnaire was used. The first section was related to demographic factors and the second part (22 statements) was to measure the safety climate using nurses’ safety climate assessment questionnaire. The collected data were analyzed by SPSS V16 using independent t-test, ANOVA, Kruskal-Wallis and Mann-Whitney U test at the 5% level. RESULTS: Findings showed that the total mean of safety climate was 3.06±0.56. According to the results, a significant difference was found between the positive and negative satisfaction of nurses with safety climates (P-value = 0.03), communication with nurses (P-value = 0.01) and supervisors’ attitude (P-value = 0.02). Furthermore, a significant difference in safety climate between the individual with the second job and the individual without second could be observed (P-value = 0.01). CONCLUSIONS: The results indicated that the safety climate was not at an acceptable level. Thus, it is essential to introduce safety training courses (e.g. safety, work-rest balance, and so on) and to improve the safety performance at work.


2021 ◽  
Vol 11 (02) ◽  
pp. 65-69
Author(s):  
Maria Shakoor Abbasi ◽  
Naseer Ahmed ◽  
Azad Ali Azad ◽  
Fatima Fouad ◽  
Humza Daudpota ◽  
...  

Objectives: To assess the concepts of complete denture occlusion among dental fraternity. Study Design And Setting: Cross-sectional study conducted at various dental hospitals and institutes of Karachi, for a period of six months, from 1st June’2019 to 30th November’2019 Methodology: Total 849 dental practitioners who are currently practising were included. A well-structured and validated questionnaire was used for data collection. SPSS version 25 was used. Results: Bilateral balanced occlusion was an ideal occlusion by majority subjects i.e, 530(62.4%) in patients with wellformed ridges, followed by 464(54.7%) candidates with skeletal class 1, total 376(44.3%) chose it with uncontrolled diabetes mellitus, 365(43%) in single complete denture cases, 339(39.9%) with increased inter-arch space, 298(35.1%) with parafunction habits, 296(34.9%) in patients with history of neuromuscular disorder and 271(31.9%) where a complete denture opposes a removable partial denture. Furthermore, Lingualized occlusion was preferred by 341(40.25%) participants for patients with skeletal class 3. Total 316(37.2%) candidates chose it for patients with displaceable supporting tissue followed by 264(31.1%) who chose it for skeletal 2 and 260(30.6%) for cases of highly resorbed ridges. Lastly, 311(36.6%) chose canine guided occlusion with highly resorbed ridges accompanied by high aesthetic demand A significant difference between education level and knowledge of occlusal schemes was also found. Chi-square (73.87), df 6, p-value =0.000. Conclusion: Dental practitioners lack adequate knowledge of occlusal schemes in terms of prescription in complete denture patients. A significant difference between the education level and knowledge of occlusal schemes was found. Therefore, awareness of various occlusal schemes should be increased at undergraduate level.


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