scholarly journals 'I Thought It Was Just a Pimple': A Study Examining the Parents of Pacific Children's Understanding and Management of Skin Infections in the Home

2021 ◽  
Author(s):  
◽  
Elaine Ete-Rasch
Keyword(s):  
Hospital Admissions ◽  
Qualitative Content Analysis ◽  
Wound Care ◽  
Signs And Symptoms ◽  
Relevant Information ◽  
Structure Interview ◽  
Skin Infections ◽  
Preventative Measures ◽  
Semi Structure Interview ◽  
At Home

<p>Hospital admissions of young children due to serious skin infections have increased throughout the Greater Wellington Region over the years. Pacific children make up a high proportion of these hospital admissions. While the literature suggests that these admissions are highly preventable through proper care and management of skin sores at home, little is known about parents' knowledge and practices at home when a child is known to have a skin sore. This descriptive exploratory study explored the management of skin sores and wound care in the homes of 11 Pacific children from the Greater Wellington region prior to being admitted with skin infections. Mothers of 11 children who were aged between three months and 15 years were interviewed using a semi-structure interview schedule that was designed to understand parents' knowledge, understanding and perceptions of wound care, how the early signs of infections were recognised and where and when to seek medical help. The availability of first aid kits and their utilisation by families in their homes as simple preventative measures were also explored. The interviews were transcribed and a descriptive qualitative content analysis process undertaken. Overall the study found that parents engaged in active roles in an effort to maintain and sustain the wellbeing of their children once the signs and symptoms of skin infections were identified. The key findings are categorised under four main themes, 1) Parents in action; 2) The search for healing and cure; 3) Household activities; and 4) Health information for parents. Implications and recommendations for health professionals centre on the need for improved information for parents and for a review of practice surrounding skin infections in primary health care settings. Relevant information on skin infections on children to be addressed in the Well Child Tamariki Ora booklet is also recommended.</p>

scholarly journals 'I Thought It Was Just a Pimple': A Study Examining the Parents of Pacific Children's Understanding and Management of Skin Infections in the Home

2021 ◽  
Author(s):  
◽  
Elaine Ete-Rasch
Keyword(s):  
Hospital Admissions ◽  
Qualitative Content Analysis ◽  
Wound Care ◽  
Signs And Symptoms ◽  
Relevant Information ◽  
Structure Interview ◽  
Skin Infections ◽  
Preventative Measures ◽  
Semi Structure Interview ◽  
At Home

<p>Hospital admissions of young children due to serious skin infections have increased throughout the Greater Wellington Region over the years. Pacific children make up a high proportion of these hospital admissions. While the literature suggests that these admissions are highly preventable through proper care and management of skin sores at home, little is known about parents' knowledge and practices at home when a child is known to have a skin sore. This descriptive exploratory study explored the management of skin sores and wound care in the homes of 11 Pacific children from the Greater Wellington region prior to being admitted with skin infections. Mothers of 11 children who were aged between three months and 15 years were interviewed using a semi-structure interview schedule that was designed to understand parents' knowledge, understanding and perceptions of wound care, how the early signs of infections were recognised and where and when to seek medical help. The availability of first aid kits and their utilisation by families in their homes as simple preventative measures were also explored. The interviews were transcribed and a descriptive qualitative content analysis process undertaken. Overall the study found that parents engaged in active roles in an effort to maintain and sustain the wellbeing of their children once the signs and symptoms of skin infections were identified. The key findings are categorised under four main themes, 1) Parents in action; 2) The search for healing and cure; 3) Household activities; and 4) Health information for parents. Implications and recommendations for health professionals centre on the need for improved information for parents and for a review of practice surrounding skin infections in primary health care settings. Relevant information on skin infections on children to be addressed in the Well Child Tamariki Ora booklet is also recommended.</p>

scholarly journals Prevention and therapy of acute and chronic wounds using NPWT devices during the COVID-19 pandemic, recommendation from The NPWT Working Group

2020 ◽  
Vol 7 (2) ◽  
Author(s):  
Tomasz Banasiewicz ◽  
Rolf Becker ◽  
Adam Bobkiewicz ◽  
Marco Fraccalvieri ◽  
Wojciech Francuzik ◽  
...  
Keyword(s):  
Wound Healing ◽  
Chronic Wounds ◽  
Hospital Admissions ◽  
Wound Care ◽  
Care Center ◽  
Management Strategies ◽  
Hospital Staff ◽  
Wound Management ◽  
Health Care Center ◽  
Single Use

Recent SARS-CoV-2 pandemic leading to a rapidly increasing number of hospitalizations enforced reevaluation of wound management strategies. The optimal treatment strategy for patients with chronic wounds and those recovering from emergency and urgent oncological surgery should aim to minimize the number of hospital admissions, as well as the number of surgical procedures and decrease the length of stay to disburden the hospital staff and to minimize viral infection risk. One of the potential solutions that could help to achieve these goals may be the extensive and early use of NPWT devices in the prevention of wound healing complications. Single-use NPWT devices are helpful in outpatient wound treatment and SSI prevention (ciNPWT) allowing to minimize in-person visits to the health care center while still providing the best possible wound-care. Stationary NPWT should be used in deep SSI and perioperative wound healing disorders as soon as possible. Patient’s education and telemedical support with visual wound healing monitoring and video conversations have the potential to minimize the number of unnecessary in-person visits in patients with wounds and therefore substantially increase the level of care.

scholarly journals Primary school students’ poetic malaria messages from Jimma zone, Oromia, Ethiopia: a qualitative content analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yohannes Kebede ◽  
Abdu Hayder ◽  
Kasahun Girma ◽  
Fira Abamecha ◽  
Guda Alemayehu ◽  
...  
Keyword(s):  
Content Analysis ◽  
Drug Use ◽  
Primary School ◽  
Qualitative Content Analysis ◽  
Signs And Symptoms ◽  
Primary School Students ◽  
School Students ◽  
Jimma Zone ◽  
Itn Use ◽  
Prevention Methods

Abstract Background The engagement of schools in malaria control is an emerging strategy. Little is known about the involvement of students in the development of malaria messages. This study evaluated the message content of primary school students’ malaria poems. Methods A qualitative content analysis was conducted to explore malaria messages conveyed in poems produced by students. Twenty poems were purposively selected from twenty schools across rural villages in five districts of the Jimma Zone. Data were analyzed using Atlas.ti version 7.1.4 software. The message contents were quantified in terms of frequency, and including metaphors, presented using central themes, categories, and supportive quotations. Results A total of 602 malarial contents were generated, and organized into 21 categories under five central themes. 1) Malaria-related knowledge (causation and modes of transmission, mosquito breeding and biting behavior, signs and symptoms, care for insecticide-treated nets (ITNs), and prevention methods), 2) Perceived threats from malaria, 3)The effectiveness of prevention methods (i.e., related to the adaption of ITNs, environmental cleaning, indoor residual spray (IRS), treatment for fever, and drug adherence practices), 4) Misconceptions, beliefs, and malpractices regarding the cause of malaria and drug use) and 5) Direct calls to the adopt ITN, IRS, clean surroundings, treatment, and drug use. The most commonly conveyed message contents were about the severity of malaria, distinguishable signs and symptoms, calls for community participation for malaria elimination, knowledge of preventive methods, and effectiveness of ITN use. Metaphoric expressions (war and death) were used to convey messages about the severity and the need to manage the prognosis of malaria through the active ITN use, which itself was metaphorically represented as ‘a trap’ to mosquitoes. Conclusions The poetic analysis indicated that the students developed and disseminated rich malarial messages, especially on malarial knowledge, and perceptions, beliefs, norms and practices of the local community to prevent and control malaria. Therefore, primary school students can be a source of information and would effectively communicate knowledge, perceptions, and promote malaria related practices, particularly in rural settings.

scholarly journals Educational Needs of Mothers about using Oral Rehydration Salt (ORS) at Home During Acute Diarrhea in Children under 5 at Urmia Population Research Center

2020 ◽  
Vol 2 (3) ◽  
pp. 1-6
Author(s):  
Baratali Rezapour
Keyword(s):  
Acute Diarrhea ◽  
Hospital Admissions ◽  
Health Workers ◽  
Oral Rehydration Therapy ◽  
Educational Needs ◽  
Oral Rehydration Salt ◽  
Low Literacy ◽  
Oral Rehydration ◽  
Children Under 5 ◽  
At Home

Preventable factors such as infectious diseases (pneumonia, diarrhea, and malaria), malnutrition and neonatal complications are still the leading cause of child mortality worldwide 1 In 2013, it is estimated that 6.3 million babies born worldwide died before the age of 5, and approximately 9.2% of these deaths were due to diarrheal diseases 2, 3 in simple, accessible ways, and effective treatment can reduce diarrhea-related mortality and make hospital admissions unnecessary, and the role of mothers is the most important 4. Since the presentation of Oral Rehydration Therapy (ORT) in 1979, mortality has reduced. Diarrhea has had a steady downward trend 5. If mothers who have children under 5 years of age, used correctly ORS, they could easily resolve the problem of dehydration in acute diarrhea 6. Mothers didn’t use correctly ORS because of their Low literacy and lack of knowledge and wrong attitude about ORT7. Some health care workers provide mothers’ required equipments, regardless of their educational needs, and mothers may not use ORS. In this study, health workers identified mothers' educational needs and subsequently they trained them about using ORS at home in acute diarrhea in children under 5 years of age

scholarly journals Effect of Seasonal Variation on Clinical Outcome in Patients with Chronic Conditions: Analysis of the Commonwealth Scientific and Industrial Research Organization (CSIRO) National Telehealth Trial (Preprint)

2017 ◽  
Author(s):  
Ahmadreza Argha ◽  
Andrey Savkin ◽  
Siaw-Teng Liaw ◽  
Branko George Celler
Keyword(s):  
Seasonal Variation ◽  
Length Of Stay ◽  
Clinical Outcome ◽  
Seasonal Variations ◽  
Chronic Conditions ◽  
Hospital Admissions ◽  
Australian Capital Territory ◽  
Home Telemonitoring ◽  
The Impact ◽  
At Home

BACKGROUND Seasonal variation has an impact on the hospitalization rate of patients with a range of cardiovascular diseases, including myocardial infarction and angina. This paper presents findings on the influence of seasonal variation on the results of a recently completed national trial of home telemonitoring of patients with chronic conditions, carried out at five locations along the east coast of Australia. OBJECTIVE The aim is to evaluate the effect of the seasonal timing of hospital admission and length of stay on clinical outcome of a home telemonitoring trial involving patients (age: mean 72.2, SD 9.4 years) with chronic conditions (chronic obstructive pulmonary disease coronary artery disease, hypertensive diseases, congestive heart failure, diabetes, or asthma) and to explore methods of minimizing the influence of seasonal variations in the analysis of the effect of at-home telemonitoring on the number of hospital admissions and length of stay (LOS). METHODS Patients were selected from a hospital list of eligible patients living with a range of chronic conditions. Each test patient was case matched with at least one control patient. A total of 114 test patients and 173 control patients were available in this trial. However, of the 287 patients, we only considered patients who had one or more admissions in the years from 2010 to 2012. Three different groups were analyzed separately because of substantially different climates: (1) Queensland, (2) Australian Capital Territory and Victoria, and (3) Tasmania. Time series data were analyzed using linear regression for a period of 3 years before the intervention to obtain an average seasonal variation pattern. A novel method that can reduce the impact of seasonal variation on the rate of hospitalization and LOS was used in the analysis of the outcome variables of the at-home telemonitoring trial. RESULTS Test patients were monitored for a mean 481 (SD 77) days with 87% (53/61) of patients monitored for more than 12 months. Trends in seasonal variations were obtained from 3 years’ of hospitalization data before intervention for the Queensland, Tasmania, and Australian Capital Territory and Victoria subgroups, respectively. The maximum deviation from baseline trends for LOS was 101.7% (SD 42.2%), 60.6% (SD 36.4%), and 158.3% (SD 68.1%). However, by synchronizing outcomes to the start date of intervention, the impact of seasonal variations was minimized to a maximum of 9.5% (SD 7.7%), thus improving the accuracy of the clinical outcomes reported. CONCLUSIONS Seasonal variations have a significant effect on the rate of hospital admission and LOS in patients with chronic conditions. However, the impact of seasonal variation on clinical outcomes (rate of admissions, number of hospital admissions, and LOS) of at-home telemonitoring can be attenuated by synchronizing the analysis of outcomes to the commencement dates for the telemonitoring of vital signs. CLINICALTRIAL Australian New Zealand Clinical Trial Registry ACTRN12613000635763; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=364030&isReview=true (Archived by WebCite at http://www.webcitation.org/ 6xLPv9QDb)

scholarly journals HOUSEHOLD GARDENING AS PREFERENCE ACTIVITIES TO SUPPORT COMMUNITY RESILIENCE DURING PANDEMIC COVID-19

2021 ◽  
Vol 1 (1) ◽  
pp. 64
Author(s):  
Irina Mildawani ◽  
Arief Rahman
Keyword(s):  
Qualitative Content Analysis ◽  
Ornamental Plants ◽  
Well Being ◽  
Future Research ◽  
Community Gardening ◽  
Landscape Architect ◽  
Urban Gardening ◽  
Physical Interactions ◽  
Professional Assistance ◽  
At Home

The COVID-19 pandemic in 2020 affected countries across the world and sudden disruptions to everyday life and impact well-being. The implementation of exceptional procedures of social distancing includes working places and schools’ closures urged people to stay at home to reduce the number of close physical interactions and decrease the spreading of pandemic. With the long hours of family members staying at home, people prefer to do some activities at home. Doing gardening is seen as one of the preferences of urban inhabitants. However, few studies have measured the preference of urban gardening, particularly during household gardening in Jabodetabek, Indonesia. This paper examines people preferences on household gardening during the pandemic of Covid-19, comparing it with their activities before and predict it with possibility after the pandemic. We explore how type of gardening varies between vegetable or ornamental plants, community or household garden type, and the persons involved during gardening. Using google form, 148 respondents in Jabodetabek were answering between July-Dec 2020. Our study examines the emotional well-being (EWB) using Qualitative Content Analysis (QCA), applying codes and categories. Gardening as one of the favorable activities considered to generate happy time with family and they would like to continue the activities after the pandemic. However, landscape architect was not yet chosen as the gardener when they need professional assistance.  This might rise a future research about the role of landscape architect in gardening movement in urban community gardening

2007 Laennec Clinician/Educator Lecture—Unraveling the Mysteries of Diastology

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Rick Nishimura
Keyword(s):  
Heart Failure ◽  
Diastolic Dysfunction ◽  
Patient Care ◽  
Hospital Admissions ◽  
Critical Role ◽  
Rapid Assessment ◽  
Radionuclide Angiography ◽  
Signs And Symptoms ◽  
Diastolic Filling ◽  
The Past

Diastolic dysfunction plays a critical role in the pathophysiology of producing signs and symptoms of heart failure. Heart failure with a normal ejection fraction (HFnlEF) is one of the leading causes of hospital admissions today and is associated with significant morbidity and mortality. It is thus important to understand the pathophysiology of diastolic dysfunction, which itself is a complex series of multiple interrelated events, including relaxation, suction, ventricular interaction, ventricular arterial coupling, pericardial restraint, and myocardial viscoelastic forces. It was difficult for the clinician to understand “diastology” in the past. Initial studies were limited to complex equations derived from animal models and were difficult to apply to patient care. The development of radionuclide angiography and Doppler echocardiography allowed noninvasive rapid assessment of volumetric filling and flow velocity curves, which began to provide insight into the complex process of diastolic filling for the clinician. As our understanding of diastology evolved over the past 2 decades, it has become clear that we now need to pursue new areas to understand this fascinating subject and apply it to patient care. These areas include the underlying mechanism HFnlEF (ventricular-vascular coupling versus true myocardial stiffness), relationship of rest versus exercise hemodynamics, and the complex ventricular fiber “twisting and shortening” of both contraction and relaxation.

Keperluan SOP Khusus untuk Tahanan dan Penyiasatan Individu Autisme

2020 ◽  
Vol 5 (1) ◽  
pp. 179-187
Author(s):  
Zuliza Mohd Kusrin ◽  
Wafaa’ Yusof ◽  
Zuraini Yaakub
Keyword(s):  
Content Analysis ◽  
Moral Reasoning ◽  
Communication Skills ◽  
Structure Interview ◽  
Legal Rights ◽  
Sexual Offences ◽  
Standard Operation ◽  
Operation Procedure ◽  
Semi Structure Interview ◽  
Gathering Data

Autism is one group of neurological disorder that affects one’s communication skills, social interaction and repetitive and stereotype behavior. Due to their behavior, they tend to have obsessive interest, no empathy and moral reasoning. Previous cases in Western countries show that some of them are also involved with serious criminal offences such as killing, arson, random shooting, cybercrime and sexual offences. In Malaysia, increasing amount of autism with the ratio of 1 to 68 of normal or mentally sound individual resulted in the necessity to address specific legal rights of autism who may involve in criminal. Meanwhile, the standard operation procedure (SOP) used during detention and interrogation procedure of mentally sound individual is also applied towards any suspect including individual with autism. The enforcement of the SOP eventually lead to arises of various problems, reaction and question from the aspect of the validity of the action and legal rights of autism. The objective of the study is to analyze the character of autism that tends to criminal’s behavior and the need to create specific SOP for detention and interrogation of individual with autism. The research framework is content analysis. The method of gathering data is semi-structure interview with police, senior counselor and psychiatrist in the field of autism as well as teachers of special education programmed. The implication of the discussion discovers the need to have specific SOP of detention and interrogation for individual with autism in order to guarantee criminal legal rights of individual with autism.  ABSTRAK  Autisme adalah satu kumpulan dalam kecelaruan neuorologi yang memberi kesan terhadap kemahiran berkomunikasi, interaksi sosial dan tingkah laku yang berulang-ulang. Tingkah laku mereka menyebabkan mereka obsesi terhadap sesuatu minat, kurangnya empati dan moral reasoning. Kes lalu di negara Barat membuktikan mereka terlibat dengan jenayah serius seperti membunuh, membakar bangunan, melepaskan tembakan secara rambang kesalahan siber dan kesalahan seksual. Di Malaysia, berlaku peningkatan bilangan autisme pada tahun 2018 dengan anggaran 1 nisbah 68 individu normal menyebabkan adanya keperluan khusus untuk mengkaji hak undang-undang mereka jika individu autisme juga mungkin terlibat dalam aktiviti salah laku jenayah. Prosedur operasi standard (SOP) dalam tangkapan, penahanan dan soal siasat individu tipikal setakat ini digunapakai terhadap golongan autisme yang terlibat dalam jenayah. Penguatkuasaan dan pelaksanaan SOP ini akhirnya menimbulkan pelbagai masalah, reaksi dan persoalan dari sudut kesahihan tindakan dan hak golongan autisme yang terlibat. Objektif kajian adalah mengkaji perilaku autisme yang cenderung kepada perlakuan jenayah dan keperluan mewujudkan SOP khusus untuk tahanan, penangkapan dan soal siasat individu autisme. Reka bentuk kajian adalah analisis kandungan. Kaedah pengumpulan data adalah temu bual separa berstruktur bersama pihak polis dan senior kaunselor dan psikiatri dalam bidang autism dan guru-guru pendidikan khas. Implikasi perbincangan mendapati perlu diwujudkan SOP tangkapan, penahanan dan soal siasat khusus untuk autisme bagi kegunaan pihak berkuasa seperti pegawai polis dan mahkamah untuk menjamin hak keadilan undang-undang jenayah individu autisme.  

Prognostic value of signs and symptoms in heart failure patients using remote telemonitoring

2021 ◽  
pp. 1357633X2110394
Author(s):  
Arno Joachim Gingele ◽  
Lloyd Brandts ◽  
Kjeld Vossen ◽  
Christian Knackstedt ◽  
Josiane Boyne ◽  
...  
Keyword(s):  
Heart Failure ◽  
At Risk ◽  
Adverse Events ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Hospital Admissions ◽  
Early Recognition ◽  
Signs And Symptoms ◽  
Clinical Deterioration ◽  
Heart Failure Patients

Introduction Heart failure is a serious burden on health care systems due to frequent hospital admissions. Early recognition of outpatients at risk for clinical deterioration could prevent hospitalization. Still, the role of signs and symptoms in monitoring heart failure patients is not clear. The heart failure coach is a web-based telemonitoring application consisting of a 9-item questionnaire assessment of heart failure signs and symptoms and developed to identify outpatients at risk for clinical deterioration. If deterioration was suspected, patients were contacted by a heart failure nurse for further evaluation. Methods Heart failure coach questionnaires completed between 2015 and 2018 were collected from 287 patients, completing 18,176 questionnaires. Adverse events were defined as all-cause mortality, heart failure- or cardiac-related hospital admission or emergency cardiac care visits within 30 days after completion of each questionnaire. Multilevel logistic regression analyses were performed to assess the association between the heart failure coach questionnaire items and the odds of an adverse event. Results No association between dyspnea and adverse events was observed (odds ratio 1.02, 95% confidence interval 0.79–1.30). Peripheral edema (odds ratio 2.21, 95% confidence interval 1.58–3.11), persistent chest pain (odds 2.06, 95% confidence interval 1.19–3.58), anxiety about heart failure (odds ratio 2.12, 95% confidence interval 1.44–3.13), and extensive struggle to perform daily activities (odds ratio 2.23, 95% confidence interval 1.38–3.62) were significantly associated with adverse outcome. Discussion Regular assessment of more than the classical signs and symptoms may be helpful to identify heart failure patients at risk for clinical deterioration and should be an integrated part of heart failure telemonitoring programs.

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