AWARENESS AND PRACTICE OF CARING FOR CHILDREN UNDER 5 YEARS OLD SUFFER FROM ACUTE DIARRHEA OF PRIMARY CAREGIVER AT THE VOLUNTARY TREATMENT C - NATIONAL HOSPITAL IN 2019

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Hoa Quach Thi
Keyword(s):  
Child Care ◽  
Acute Diarrhea ◽  
Primary Caregivers ◽  
Descriptive Study ◽  
Primary Caregiver ◽  
Care Practice ◽  
National Hospital ◽  
Related Factors ◽  
Cross Sectional ◽  
Children Under 5

Objectives: Describe awareness and practice of primary caregivers with children under 5 years old with acute diarrhea at Voluntary Treatment Department C-Children's Hospital in 2019 and identify some related factors Subjects and research methods: A cross-sectional descriptive study, convenient sampling of 382 primary caregivers with children under 5 years of age with acute diarrhea ≤ 2 times being treated at the Department of Voluntary Treatment C from 01 / 04/2019 to 12/31/2019. Results: The number of primary caregivers with correct awareness of acute diarrhea child care was 29.8%; The number of primary caregivers who practice right care for acute diarrhea children is 37.2%. There is a statistically significant relationship between Educational attainment and knowledge of primary caregiver and care for acute diarrhea children. Conclusion: Most primary caregivers do not have proper awareness and practice of caring for children with acute diarrhea. The careers' education and knowledge are the factors related to child care practice in acute diarrhea.

scholarly journals 1491. Active Norovirus Surveillance in Children Under 5 Years with Diarrhea after Rotavirus Vaccine Introduction in Argentina (2017–2019)

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S543-S543
Author(s):  
Angela Gentile ◽  
Juan Stupka ◽  
Juan I Degiuseppe ◽  
María del Valle Juárez ◽  
Maria Florencia Lucion ◽  
...  
Keyword(s):  
Acute Diarrhea ◽  
Epidemiological Data ◽  
Cross Sectional Study ◽  
Epidemiological Surveillance ◽  
Watery Diarrhea ◽  
Rotavirus Vaccine ◽  
Cross Sectional ◽  
Vaccine Introduction ◽  
Rotavirus Vaccination ◽  
Children Under 5

Abstract Background Acute diarrhea is one of the leading causes of infant morbidity and mortality. Argentina introduced massive rotavirus vaccination in 2015. In several countries, this introduction has changed the distribution of enteropathogens. The decrease in the prevalence of rotavirus has been described at the expense of an increase in Norovirus (NoV) activity worldwide. The aim of this study was to analyze the role of NoV in acute diarrhea cases in outpatient children under 5 years of age and their epidemiological profile. Methods A prospective and cross-sectional study in <5 years outpatients attended for acute diarrhea in Children’s Hospital “Dr. Ricardo Gutiérrez” in Buenos Aires, Argentina, between July 2017 and March 2019 was conducted. Active epidemiological surveillance was performed with a specific case reporting form. Stool samples were tested for NoV (RT-qPCR). Clinical and epidemiological data were recorded. Results A total of 252 patients were enrolled and 235 stools samples were tested. Median of age was 22.3 months (IQR: 11–30), 58.7% were male. The most frequent symptoms were fever and vomiting in 63.1% and 53%, respectively; 52% had watery diarrhea, 45.2% had moderate diarrhea according to Vesikari Scale, 95.6% were normohydrated and 22% had a household member with diarrhea. There were no immunocompromised children. A 72% had received rotavirus vaccine, 86% of them with full scheme. From samples tested, 27% (n = 63) were NoV positive. NoV was found throughout the year and the frequency of detection was higher in January and June (summer and winter in Argentina). Regarding genetic diversity the most frequent genogroup was GII (65%; 41/63) and genotype GII.P16-GII.4 Sydney (48%; 20/41). Bacterial co-infection was observed in 35%. Compared with negative cases, NoV were younger (18 vs. 20 months; P < 0.001) and were associated with higher prevalence of rotavirus vaccination (88% vs. 66%; P = 0.001). No statistically difference was found regarding to gender, clinical outcome and severity. Conclusion NoV was detected at high frequency (27%) in children presenting moderate acute diarrhea, mainly in those who received rotavirus vaccine. Regarding sporadic acute diarrhea cases in children, it is important to consider NoV as a frequent etiological agent. Disclosures All authors: No reported disclosures.

Nurses’ and Patients’ Perceptions on the Importance of Nurse-Caring Behaviors: A Study at the Surgical Wards of Kenyatta National Hospital, Nairobi

2015 ◽  
Vol 19 (2) ◽  
pp. 55-61
Author(s):  
Everlyne Ogugu, ◽  
Theresa Odero, ◽  
Antony Ong’any, ◽  
Miriam Wagoro,
Keyword(s):  
Descriptive Study ◽  
Adult Patients ◽  
National Hospital ◽  
Cross Sectional ◽  
Caring Behaviors ◽  
Know How ◽  
Kenyatta National Hospital ◽  
Nurse Caring

A cross-sectional descriptive study was done at surgical wards of Kenyatta National Hospital to compare nurses’ and patients’ perceptions on importance of nurse-caring behaviors. Data were collected from 182 adult patients and 127 nurses. The most important nurse-caring behaviors as ranked by patients were give me treatments and medications on time and help me with my care until am able to do it for myself. Nurses ranked treat the patient as an individual and know how to give injections as the 2 most important nurse-caring behaviors.

scholarly journals Evaluation of the intensity and discomfort of perioperative thirst

2018 ◽  
Vol 22 (3) ◽  
Author(s):  
Isadora Pierotti ◽  
Isabela Fernanda Larios Fracarolli ◽  
Lígia Fahl Fonseca ◽  
Patrícia Aroni
Keyword(s):  
Descriptive Study ◽  
P Value ◽  
Related Factors ◽  
Cross Sectional ◽  
Recovery Method ◽  
Mean Intensity ◽  
Numerical Scale ◽  
Study Results ◽  
Spearman Coefficient ◽  
The Mean

Abstract Objective: To evaluate the intensity and discomfort of perioperative thirst and related factors during anesthesia recovery. Method: This is a quantitative, cross-sectional, descriptive study. Results: Of the 203 participants, 182 (89.6%) reported they were thirsty. The mean intensity of thirst was 6.9 measured using a verbal numerical scale of 0 to 10 and discomfort was 7.3 on a scale of 0 to 14. All attributes evaluated by the scale were cited including dry mouth and desire to drink water (87.3%), dry lips (79.1%), thick tongue feeling (43.4%), thick saliva (56.5%), dry throat (75.2%) and bad taste in the mouth (63.1%). There was a positive correlation between the intensity of thirst and discomfort assessed by the scale (Spearman coefficient: 0.474; p-value: <0.05). No correlation was found between age, length of fasting and use of opioids with the intensity of thirst and discomfort. Conclusion and implication in the clinical practice: Discomfort arising from the attributes of thirst is evidenced as the intensity of thirst increases.

scholarly journals Contribution of the Activities Diary to the pediatric teaching

2013 ◽  
Vol 31 (3) ◽  
pp. 366-370 ◽  
Author(s):  
Vitor de Almeida Fernandes ◽  
Ana Cláudia B. Scucuglia ◽  
Ricardo Alessandro T.Gonsaga ◽  
Terezinha Soares Biscegli
Keyword(s):  
Child Care ◽  
Child Health ◽  
Critical Analysis ◽  
Descriptive Study ◽  
Outpatient Clinics ◽  
Pediatric Hospital ◽  
Self Assessment ◽  
Cross Sectional ◽  
Health Training ◽  
Self Evaluation

OBJECTIVE To describe the fifth-year medical students' self-evaluation based on the reflexive discourse of the Activities Diaries (portfolio) from the Pediatric Internship I and Child Care Rotations. METHODS Cross sectional, qualitative and descriptive study using the collective subject discourse of the diaries used during the internship of the Medical School, in Catanduva, São Paulo, from January to November, 2011. The registered students' testimonials in the portfolio sections called self-assessment and students' impression were assessed according to their central ideas (discipline organization, breastfeeding outpatient clinic, number of admissions in the pediatric hospital ward and satisfaction with the Child Health training ), related to the teaching of Pediatrics and Child Care. The portfolios with incomplete registers were excluded. RESULTS The testimonials of 47 interns (75% of the students) were analyzed, and 21.3% of them expressed satisfaction with the discipline organization and 27.7% praised the inclusion of the breastfeeding outpatient clinics in the course. For 25.5% of the academics, the number of admissions in the pediatric wards was insufficient for an ideal learning; however, 70.2% were satisfied with the Child Health training. CONCLUSIONS This critical analysis allowed a summary of the reflections, suggestions and critics registered by the interns and can be used as a tool for improvement of the professional cycle.

scholarly journals PATH-16. CORRELATION OF PATHOLOGICAL AND RADIOGRAPHICAL DIAGNOSES FOR CHILDREN WITH BRAIN TUMORS AT TWO MAJOR HOSPITAL IN KENYA

2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii427-iii427
Author(s):  
Dr Minda Okemwa ◽  
Dr Simon Omouk ◽  
Prof Nimrod Mwangombe ◽  
Dr Benson Macharia
Keyword(s):  
Brain Tumors ◽  
Descriptive Study ◽  
Radiological Diagnosis ◽  
Low Grade ◽  
Limited Data ◽  
Childhood Brain Tumors ◽  
National Hospital ◽  
Cross Sectional ◽  
Childhood Population ◽  
High Concordance

Abstract BACKGROUND Central nervous system (CNS) tumors are the leading solid tumors in the childhood population but vastly underreported in the African population. There’s limited data on childhood brain tumors as well as the histopathological distribution in Kenya. Our study aimed at assessing the spectrum as well as the level of correlation with imaging in diagnosis of brain tumors within two major hospital settings. DESIGN: This was a cross-sectional retrospective descriptive study conducted at the two major hospitals in Kenya: Kenyatta National Hospital (KNH) and Moi Teaching and Referral Hospital (MTRH). Children who underwent treatment for brain tumors between 2015 and 2017 and whose tissue biopsies were available at the laboratory archives were included. RESULTS 87 cases were available for review, and the majority of the affected population were of ages 5–9 years. The most affected site was infratentorial compartment (48.3%) with gliomas and medulloblastoma being equally distributed. Majority of the gliomas were low grade (69%) with pilocytic astrocytoma being the most common subtype (42.9%). The overall sensitivity for the diagnosis of brain tumors through radiology was 69.4%. The level of correlation of histopathological to radiological diagnosis was statistically insignificant with P and kappa values of 0.814 and -0.024 respectively. CONCLUSION Gliomas and medulloblastomas were the commonest tumors at both centers. Histopathological diagnoses have a high concordance of agreement among various morphologists. The level of correlation between histopathological and radiological diagnosis was high. Next steps include standardizing clinical, radiological and pathological details within Kenya.

scholarly journals Diagnósticos de enfermagem do domínio atividade/repouso em pessoas vivendo com aids: transversal

2018 ◽  
Vol 16 (3) ◽  
pp. 268
Author(s):  
Reno Ribeiro Barbosa Alves ◽  
Vinicius Lino de Souza Neto ◽  
Renan Ribeiro Barbosa Alves ◽  
Bárbara Coeli Oliveira da Silva ◽  
Sueleide Cristina Dantas ◽  
...  
Keyword(s):  
Physical Examination ◽  
Descriptive Study ◽  
Renal Perfusion ◽  
Nursing Interventions ◽  
Statistical Association ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Impaired Sleep ◽  
Nursing Diagnoses

Aim: To identify the nursing diagnoses of the activity/rest domain of NANDA-I Taxonomy II and to analyze the association between the most frequent diagnoses and their defining characteristics, related factors/risk in people living with AIDS. Method: This is a cross-sectional and descriptive study using a quantitative approach. It was performed with 113 patients from March to September 2014. Data were collected using two validated instruments for anamnesis and physical examination. For the elaboration of the diagnoses, the Risner model was followed. And, for purposes of statistical association, the Chi-Square and Fisher tests were used. Results: We identified 30 diagnoses, and only six had a statistically significant association with their components: impaired sleep pattern; fatigue; insomnia; risk of ineffective renal perfusion; impaired walking; deficit in self-care for the bath.  Conclusion: The diagnoses with their associated components provide guidance for the elaboration of nursing interventions as a priority.

scholarly journals Một số đặc điểm nhiễm khuẩn vết mổ tại Trung tâm Chấn thương chỉnh hình, Bệnh viện Trung ương Huế

2020 ◽  
Author(s):  
Như Phồn Đặng
Keyword(s):  
Laparoscopic Surgery ◽  
Trauma Center ◽  
Open Surgery ◽  
Surgical Site Infections ◽  
Descriptive Study ◽  
Surgical Patients ◽  
Orthopaedic Trauma ◽  
Central Hospital ◽  
Related Factors ◽  
Cross Sectional

A FEW CHARACTERISTICS OF SURGICAL SITE INFECTIONS IN ORTHOPAEDIC TRAUMA CENTER OF HUE CENTRAL HOSPITAL Background: Currently, in addition to the advancement of surgical and anesthesia techniques has relieved the risks of surgery, however, the surgical site infections remains a challenge for both patients and physicians. Surgical site infections is unwanted medical incident that increasing aggravate illness, prolonged hospitalization and increased mortality in surgical patients. Objectives: 1. Identify the rate of surgical site infections and a few of the characteristics of surgical site infections.; 2. Determines related factors and bacteria causing surgical site infections in Orthopaedic Trauma Center of Hue Central Hospital. Subjects and Methods: A cross-sectional descriptive study. Hospitalized patients, post- operative 48 hours, from 3- 7/2019. Results: The rate of surgical site infections was 5.4%. The rate of SSIs in contaminated surgery was highest (22.0%) compared with other types. The rate of SSIs in open surgery and laparoscopic surgery, surgery with drainage had the rate of SSIs higher that not set. Patients with emergency surgery or plan surgery, methods of anesthesia had not the rate of SSIs in difference. The characteristics of SSI are usually fluid stagnant 47.0%, pus stagnant 31.4%. The ways to deal with this problem is to change the dressing daily (52.9 and 84.0%), remove the fluid and pus 19.6%. Solutions used to wash the incision are 0.9% Sodium Chlorua and Iode / Betadine alcohol. In 51 cases of SSIs, there were 31 cases of positive bacteria by 60,8%. Bacteria identified most of S.aureus, accounted for 32,3%. Conclusions: We found that the rate of surgical site infections in Orthopaedic Trauma Center of Hue Central Hospital of this study was low and the leading bacteria causing ISS was S.aureus. Keywords: surgical site infections (SSIs), bacteria, surgery

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