FACTORS ASSOCIATED WITH THE OUTCOMES IN THE TREATMENT OF TUBERCULOSIS IN PEOPLE MONITORED BY PRIMARY HEALTH CARE

2021 ◽  
Vol 7 ◽  
pp. 1-10
Author(s):  
Jamylle Souza Rodrigues ◽  
Marco Aurélio De Oliveira Góes
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Infected Individual ◽  
Factors Associated ◽  
Male Age ◽  
Primary Health ◽  
History Of ◽  
Treatment Abandonment ◽  
Age Range

Introduction: Tuberculosis (TB) represents a challenge that go through the history of mankind. The monitoring in the Primary Health Care (PHC) consists in an important mechanism of accomplishment of the policies on TB, since it provides greater longitudinal care relationship (longitudinality) and closeness to the infected individual. Objective: To analyze TB cases attended by the PHC in Sergipe. Outline: It was performed a retrospective cohort of the TB cases attended by the PHC in Sergipe between 2014 and 2018. Results: 2,172 TB cases attended by the PHC in Sergipe were included, of which 283 (13.0%) abandoned the treatment, 1813 (83.5%) progressed to cure and 76 (3.5%) to death. The factors associated with treatment abandonment were: male, age range of 20 to 29 years, alcoholics, people with diabetes mellitus and persons deprived of liberty. In relation to the mortality, higher rates were found in: male, age range of 70 years and above, illiterate and people with diabetes mellitus. Implications: Conditions of social vulnerability and comorbidities impacted mortality, as well as abandonment of TB treatment.

scholarly journals Factors Associated with Postpartum Glucose Testing Following Gestational Diabetes Mellitus

2021 ◽  
Vol 36 (4) ◽  
pp. e282-e282
Author(s):  
Fatin Aina Abu Bakar ◽  
Tengku Alina Tengku Ismail
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Factors Associated ◽  
Glucose Testing ◽  
Health Care Clinics ◽  
Primary Health ◽  
The World

Objectives: Glucose testing at six weeks after delivery has been recommended by the World Health Organization as the earliest period to detect abnormal glucose tolerance among women with gestational diabetes mellitus (GDM). However, the rate of postpartum glucose testing in many parts of the world is low, between 30–60%. Therefore, we sought to determine the proportion of women with GDM who underwent glucose testing at six weeks postpartum and the factors associated with the compliance to the test. Methods: We conducted a cross-sectional study between January and April 2017 in 13 governmental primary health care clinics in the southern part of Peninsular Malaysia. All eligible postpartum women registered from January to June 2016 who had GDM during their most recent pregnancy were included. Descriptive and multiple logistic regression analyses were performed. Results: Out of 341 women, 35.8% attended primary health care clinics for glucose testing six weeks postpartum. The factors significantly associated with the compliance to postpartum glucose testing were GDM diagnosis in previous pregnancy (adjusted odds ratio (AOR) = 1.76; 95% confidence interval (CI): 1.04–2.99; p =0.036) and normal level of glycated hemoglobin during the most recent pregnancy (AOR = 2.49; 95% CI: 1.06–5.86; p =0.036). Conclusions: The proportion of women with GDM who underwent postpartum glucose testing remained low. Hence, strategies should be reinforced to encourage all women with GDM to undergo postpartum glucose testing.

Quality of life and adherence to mediterranean diet among type 2 diabetes mellitus patients of a primary health care clinic in Hebron city, Palestine

2021 ◽  
pp. 1-10
Author(s):  
Manal Badrasawi ◽  
May Hamdan ◽  
Mohammad Al Tamimi
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Mediterranean Diet ◽  
Well Being ◽  
Care Clinic ◽  
Primary Health Care Clinic ◽  
Primary Health

BACKGROUND: Diabetes mellitus (DM) is a lifelong metabolic disease with a high rate of mortality and morbidity. Uncontrolled and untreated diabetes results in serious complications that subsequently cause patients’ quality of life (QoL) to deteriorate. Adherence to Mediterranean diet (MD) may relieve the complications of diabetes, thereby improving the quality of life for these patients. OBJECTIVE: The aim of this study was to assess the QoL of DM patients who adhered to MD. METHODS: In this cross-sectional study, we examined the QoL and MD data of 106 DM II patients being treated at a primary health care clinic in Hebron. We used the SF-36 questionnaire to measure the patients’ QoL and the MEDAS tool to assess their MD adherence. We also recorded their anthropometric measurements, abdominal obesity, lifestyle habits and blood biochemical results. RESULTS: The sample comprised male and female DM II patients between the ages of 35 and 72, with their mean age being 55.8±10.24. Patients’ QoL scores showed a significant relationship with three BMI categories, i.e., total QoL score, physical function, and pain domains (p <  0.05). In terms of diet, high adherence to MD had a positive impact on all domains and on patients’ total QoL with significant differences in physical functioning, emotional well-being, social functioning and pain domains. CONCLUSION: Patients’ QoL domains were relatively low and highly affected by DM II. Patients with greater MD adherence reported higher scores in all QoL domains. Significantly higher scores were noted for the physical, social and pain domains. Hence, MD is a recommended dietary pattern for DM II patients to achieve a better QoL.

scholarly journals Factors Associated with Psychiatric Comorbidity in Depression Patients in Primary Health Care in Chile

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Alfredo Cancino ◽  
Marcelo Leiva-Bianchi ◽  
Carlos Serrano ◽  
Soledad Ballesteros-Teuber ◽  
Cristian Cáceres ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Life Events ◽  
Psychiatric Comorbidity ◽  
Stressful Life Events ◽  
Clinical Severity ◽  
Stressful Life ◽  
Psychiatric Comorbidities ◽  
Factors Associated ◽  
Primary Health

Objective. To identify the clinical and psychosocial factors associated with psychiatric comorbidity in patients consulting for depression in Primary Health Care (PHC) in Chile. Methods. 394 patients with a diagnosis of major depression being treated in a Chilean PHC were evaluated using a sociodemographic and clinical interview, the mini-international neuropsychiatric interview (MINI), a childhood trauma events (CTEs) screening, the intimate partner violence (IPV) scale, the Life Experiences Survey (LES), and the Hamilton Depression Rating Scale (HDRS). Results. Positive correlations were established between higher number of psychiatric comorbidities and severity of depressive symptoms (r = 0.358), frequency of CTEs (r = 0.228), frequency of IPV events (r = 0.218), frequency of recent stressful life events (r = 0.188), number of previous depressive episodes (r = 0.340), and duration of these (r = 0.120). Inverse correlations were determined with age at the time of the first consultation (r = -0.168), age of onset of depression (r = -0.320), and number of medical comorbidities (r = -0.140). Of all associated factors, early age of the first depressive episode, CTEs antecedents, and recent stressful life events explain 13.6% of total variability in psychiatric comorbidities. Conclusions. A higher prevalence of psychiatric comorbidity among subjects seeking help for depression in Chilean PHCs is associated with early onset of depression, clinical severity, chronicity, and interpersonal adversity experienced since childhood.

scholarly journals Prevalence of postnatal depression and associated risk factors among South Asian mothers living in a newly developing country

2016 ◽  
Vol 9 (6) ◽  
pp. 57
Author(s):  
Hashim Mohamed
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Primary Health Care ◽  
South Asian ◽  
Postnatal Depression ◽  
Marital Problems ◽  
Primary Health ◽  
History Of ◽  
Associated Risk Factors ◽  
Asian Mothers

AbstractIntroductionPostnatal Depression (PND) is a major health problem affecting mother, her child and family.  Its prevalence and associated risk factors among South Asian mothers (SAM) living  in Qatar remain unknown. The objectives of this study were to estimate the prevalence of PND among (SEAM) in Qatar and to correlate risk factors contributing to the development of PND.Materials and methodsA total of (285 ) (SAM)females who were six months  postpartum were interviewed as  part of a prospective study conducted in primary health care centers in Qatar.  PND symptoms were defined as present when subjects had an Edinburgh Postnatal Depression Scale score of 10 or higher. Descriptive statistics were used for summarizing the study and outcome variables. The χ2 test and ORs with 95% confidence intervals (CIs) were used for observation and quantifying the association between different variables. Multivariate binary logistic regression was used to identify the independent associated factors of PPD. P≤0.05 was considered significant. Variables included were age , occupation, education level ,previous psychiatric history ,comorbidities , ,history of depression during current  pregnancy, history of anxiety during current pregnancy, number of previous pregnancies, strong social support, husband support, marital problem before pregnancy and ongoing marital problems during current pregnancy.Results The prevalence of postnatal depression among 285 respondents was 33.2% .several psychosocial risk factors were significantly associated with postnatal depression and, after multiple regression analysis, a history of depressive illness ,anxiety ,marital problems before delivery ,a history of diabetes and asthma ,history of congenital malformations ,and lack of mother support.Other variables, including age, parity, education, occupation, and delivery type, were not significantly correlated (P=0.15–0.95), but marginally indicative of the risk of depressive symptoms.ConclusionThis study showed a high rate of depressive symptoms among(SAM) six months Postpartum . Future screening protocols  must be employed at primary care level and hospital based clinics in Qatar to detect and treat post natal depression.Keywords: postnatal  depression,  South Asians, primary health care ,Doha, EPDS  

scholarly journals Factors associated with reporting of abuse against children and adolescents by nurses within Primary Health Care

2014 ◽  
Vol 22 (6) ◽  
pp. 1048-1055 ◽  
Author(s):  
Ana Carine Arruda Rolim ◽  
Gracyelle Alves Remigio Moreira ◽  
Sarah Maria Mendes Gondim ◽  
Soraya da Silva Paz ◽  
Luiza Jane Eyre de Souza Vieira
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Children And Adolescents ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Graduate Studies ◽  
Cross Sectional ◽  
Topic Identification ◽  
Factors Associated ◽  
Primary Health

OBJECTIVE: to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents.METHOD: cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used.RESULTS: female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting.CONCLUSION: the study's results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents.

scholarly journals Factors Influence Diabetes Mellitus Control at a Primary Health Care Facility in Durban, South Africa

2021 ◽  
pp. 1-8
Author(s):  
Akm Monjurul Hoque ◽  
Akm Monjurul Hoque ◽  
Somaya Buckus ◽  
Maariyah Hoque ◽  
ME Hoque
Keyword(s):  
Diabetes Mellitus ◽  
South Africa ◽  
Health Care ◽  
Logistic Regression ◽  
Primary Health Care ◽  
Glycaemic Control ◽  
Blood Sugar ◽  
Health Care Facilities ◽  
Diabetes Control ◽  
Primary Health

Background: Type-2 diabetes mellitus, a non-communicable disease contributes significantly to morbidity and mortality in South Africa. It is considered a silent epidemic in certain countries in the world with the incidence expected to rapidly escalate due to ageing of the population. Little is known about the treatment outcome from Primary Health Care facilities in SA. The study estimated control and determinants of diabetes control among rural black patients attended a PHC facility. Method: A cross-sectional prospective design was adopted. Chi-square test was carried out to find significant association between dependent and independent variables. Forward stepwise logistic regression was performed to determine the significant predictor for diabetes control. Two-sided statistical tests were performed at 0.05 level of significance. Result: A total of 240 DM patients were recruited and (68.7%) of them had HbA1c level measured) and only 49 (29.7%) were found with glycaemic control. Logistic regression analysis showed that patients those read newspaper daily or almost daily were almost three times (OR=2.6) more likely to have control. Patients those measured the blood sugar at home were 4.4 times more likely to have their diabetes controlled. It was found that knowing normal blood sugar had four times more chances of controlling their diabetes than those did not know. Duration of DM treatment (5-9 years) was 60% less likely to have DM control that those had 10 or more years of DM treatment (p<0.05). Conclusion: Glycaemic control of DM was poor and identified several factors towards diabetes control among DM patient. Training and education to healthcare workers and DM patients may lead to improve DM control.

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