scholarly journals The microbiological quality of food in hospitals kitchen in Khartoum State, Sudan

2021 ◽  
pp. 049-057
Author(s):  
Hilwa Hamid Bajin Salam ◽  
Ekram Adam Eldoom ◽  
Fatima Fadul Ali ◽  
Abeer Magthop Mohammed
Keyword(s):  
Raw Materials ◽  
Microbiological Quality ◽  
Microbial Quality ◽  
Chi Square ◽  
State Hospitals ◽  
Paired Samples ◽  
Before And After ◽  
Chi Square Test ◽  
The Impact

An interventional research was conducted in the kitchens of Khartoum state hospitals 2021 on the impact of microbial quality in (12) hospital. Samples taken from meals, hands, environment, surfaces, equipment, and utensils before and after interventions and measuring results. Questionnaires were filled out with interview with nutrition supervisor about kitchens. The data was statistically analyzed by using the Statistic Package for Social Sciences (SPSS) program version 25; the Paired Samples T Test and Chi-Square Test was used and there is an improvement at the level of indication 0.000 at the level (0.05). The results showed that the lack of quality of kitchens in buildings, equipment, utensils, hand facilities and no periodic inspection for raw materials. The study concluded that taken samples has an effective impact on microbial quality. The study recommended that the ministry of health and hospitals to commitment to take samples periodically.

The effect of training of food handlers in hospitals kitchen in Khartoum State, Sudan

2021 ◽  
Vol 3 (1) ◽  
pp. 001-012
Author(s):  
Hilwa Hamid Bajin Salam
Keyword(s):  
Raw Materials ◽  
Food Handlers ◽  
Food Services ◽  
Chi Square ◽  
State Hospitals ◽  
Periodic Inspection ◽  
Paired Samples ◽  
Chi Square Test ◽  
The Impact

An interventional research was conducted in the kitchens of Khartoum state hospitals 2021 on the impact of training of food handlers in (12) hospitals with (56) food handlers to identify food hygiene requirement. Training was done before and interventions training after. Questionnaires were filled out with food handlers and interview with nutrition supervisor about kitchens. The data was statistically analyzed by using the Statistic Package for Social Sciences (SPSS) program version 25; the Paired Samples T Test and Chi-Square Test was used and there is an improvement at the level of indication 0.000 at the level (0.05). The results showed that the majority of food handlers were females (75%), the lack of quality of kitchens in buildings, equipment, utensils, hand facilities, no periodic inspection for raw materials and no any training about food safety and hygiene for all food services staff. The study concluded that training has an effective impact on kitchen quality. The study recommended that the ministry of health and hospitals to design kitchens with standardization and provide training to all workers periodically.

Impact of Raw Materials and Processing Techniques on The Microbiological Quality of Egyptian Domiati Cheese

2020 ◽  
Keyword(s):  
Raw Materials ◽  
Microbiological Quality ◽  
Raw Milk ◽  
Plate Count ◽  
E Coli ◽  
Fresh Cheese ◽  
Processing Techniques ◽  
The Impact ◽  
Total Yeast

Domiati cheese is the most popular brand of cheese ripened in brine in the Middle East in terms of consumed quantities. This study was performed to investigate the impact of the microbiological quality of the used raw materials, the applied traditional processing techniques and ripening period on the quality and safety of the produced cheese. Three hundred random composite samples were collected from three factories at Fayoum Governorate, Egypt. Collected samples represent twenty-five each of: raw milk, table salt, calf rennet, microbial rennet, water, environmental air, whey, fresh cheese, ripened cheese & swabs from: worker hands; cheese molds and utensils; tanks. All samples were examined microbiologically for Standard Plate Count (SPC), coliforms count, Staphylococcus aureus (S. aureus) count, total yeast & mould count, presence of E. coli, Salmonellae and Listeria monocytogenes (L. monocytogenes). The mean value of SPC, coliforms, S. aureus and total yeast & mould counts ranged from (79×102 CFU/m3 for air to 13×108 CFU/g for fresh cheese), (7×102 MPN/ cm2 for tank swabs to 80×106 MPN/ml for raw milk), (9×102 CFU/g for salt to 69×106 CFU/g for fresh cheese) and (2×102 CFU/cm2 for hand swabs to 60×104 CFU/g for fresh cheese), respectively. Whereas, E. coli, Salmonella and L. monocytogenes failed to be detected in all examined samples. There were significant differences in all determined microbiological parameters (p ≤0.05) between fresh and ripened cheese which may be attributed to different adverse conditions such as water activity, pH, salt content and temperature carried out to improve the quality of the product.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN DIARE PADA ANAK USIA 4-6 TAHUN

2017 ◽  
Vol 3 (1) ◽  
pp. 28
Author(s):  
Selviana Selviana ◽  
Elly Trisnawati ◽  
Sitti Munawarah
Keyword(s):  
Drinking Water ◽  
Random Sampling ◽  
Water Storage ◽  
Sampling Technique ◽  
Microbial Quality ◽  
Community Based ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

Abstract: Factors Related To Occurrence Of Diarrhea In 4-6 Year Children. Diarrhea cases in 4-6-year-old children in Desa Kalimas raised annually, from 10% in 2013 to 33% in 2014, and 35% in 2015. This study aimed at factors related to diarrhea cases in 4-6-year-old children in Desa Kalimas Kecamatan Sungai Kakap. Cross Sectional approach was used forty one sample participated in this study. They were selected by using proportional random sampling technique. The data analysis using chi-square test with a 95% confidence level. The study revealed significant correlation of hand washing (p = 0,043 ; PR = 2,175), microbial quality of drinking water storage (p = 0,016 ; PR = 1,462), availability of family latrine (p = 0,003 ; PR = 3,242), and diarrhea cases. There was no significant correlation between diarrhea cases are the habit of boiling water with the microbial quality of drinking water, the source of water for washing cutlery, and microbial of drinking water, (p > 0,05). It is hoped health authorized staffs in Desa Kalimas apply community- based total sanitation, enhance clean and healthy behaviour, and socialize healthy drinking water storage based on Regulation of Minister of Healthy No. 3/2014.Abstrak: Faktor-Faktor Yang Berhubungan Dengan Kejadian Diare Pada Anak Usia 4-6 Tahun. Angka kejadian diare pada anak usia 4-6 tahun di Desa Kalimas mengalami peningkatan setiap tahunnya. Tahun 2013 kejadian diare sebesar 10%, tahun 2014 sebesar 33% dan 35% pada tahun 2015. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian diare pada anak usia 4-6 tahun di Desa Kalimas Kecamatan Sungai Kakap. Penelitian ini menggunakan desain cross sectional dengan jumlah sampel  45 orang yang diambil menggunakan teknik proportional random sampling. Uji statistik yang digunakan uji chi-square dengan tingkat kepercayaan 95%. Hasil penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara kebiasaan mencuci tangan dengan diare (p = 0,043; PR = 2,175), penyimpanan air minum dengan kualitas mikrobiologi air minum (p = 0,016; PR = 1,462), ketersediaan jamban keluarga dengan diare (p = 0,003; PR = 3,242). Variabel yang tidak berhubungan yaitu kebiasaan memasak air dengan kualitas mikrobiologi air minum, sumber air untuk mencuci alat makan/minum dan kualitas mikrobiologi air minum dengan diare (p ≥ 0,005). Disarankan agar di Desa Kalimas bisa diterapkan program STBM dan peningkatan penerapan PHBS pada masyarakat Desa Kalimas serta mensosialisasikan cara penyimpanan air minum yang baik sesuai dengan Permenkes No 3 tahun 2014.

Malocclusion: Social, Functional and Emotional Influence on Children

2012 ◽  
Vol 37 (1) ◽  
pp. 103-108 ◽  
Author(s):  
PA Martins-Júnior ◽  
LS Marques ◽  
ML Ramos-Jorge ML
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Negative Influence ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Chi Square ◽  
Exact Test ◽  
Chi Square Test ◽  
The Impact

Objectives: To determine the association between types of malocclusion and quality of life in children between 8-10 years of age and establish correlations between the severity of the malocclusion and particular bio-psychosocial variables. Study design: The sample was made up of 102 schoolchildren aged 8-10 years. Clinical exams were performed using the criteria of the Dental Aesthetic Index (DAI) to determine the presence and severity of malocclusions. The impact on quality of life was assessed using the Child Perceptions Questionnaire (CPQ8-10). Statistical analysis involved the chi-square test, Fisher's exact test and Spearman's correlation analysis. Results: Malocclusions affected 61% of the children examined. There was a positive correlation between total CPQ8-10 and DAI scores (P = 0.034). The following types of malocclusion had a significant effect on the quality of life of the children: upper anterior irregularity ≥ 2 mm, anterior open bite ≥ 2mm and diastema ≥ 2mm. Children with malocclusion experienced a greater negative impact on quality of life in comparison to those without malocclusion. Conclusions: Malocclusions had a negative influence over the quality of life of children between 8-10 years of age. More severe malocclusions had a greater impact with regard to social, emotional and functional aspects.

scholarly journals During the COVID-19 Epidemic: Recommendations for the Admission and Treatment of Patients With Ovarian Cancer

2021 ◽  
Vol 8 ◽  
Author(s):  
Yu Ling ◽  
Ye Mingxia ◽  
Zhang Xiaoyan ◽  
Fan Yifan ◽  
Liu Peipei ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Health Care ◽  
Nucleic Acid ◽  
Uv Light ◽  
Chi Square ◽  
Number Of Patients ◽  
Before And After ◽  
Chi Square Test ◽  
Acid Test ◽  
The Impact

Background: The coronavirus disease 2019 (COVID-19) had become a health care event endangering humans globally. It takes up a large number of healthcare resources. We studied the impact of COVID-19 on patients with ovarian cancer by comprehensively analyzing their admissions before and after the epidemic, and made reasonable suggestions to improve their current situation.Methods: We randomly divided the enrolled patients into three groups, PreCOVID-19 Group (PCG) (2019.8.20–2020.1.20), COVID-19 Group (CG) (2020.1.21–2020.6.14), and Secondary Outbreak COVID-19 Group (SOCG) (2020.6.15–2020.10.10). One-way ANOVA and chi-square test were used for analysis.Results: The number of patients from other provinces decreased significantly (p < 0.05). The total hospital stay during the epidemic was substantially more extended (p < 0.05). Before the epidemic, our department performed more open surgery while during the epidemic outbreak, we tended to choose laparoscopy (p < 0.01). We took a longer surgery time (P < 0.05). Patients had significantly less post-operative fever during the epidemic (p < 0.001).Conclusion: During the COVID-19 epidemic, no patient was infected with COVID-19, and no patient experienced severe post-operative complications. We recommend maintaining the admissions of patients with ovarian cancer during the epidemic following the rules: 1. The outpatients must complete a nucleic acid test and chest CT in the outpatient clinic; 2. Maintain full daily disinfection of the ward and insist that health care workers disinfect their hands after contact with patients; 3. Increase the use of minimally invasive procedures, including laparoscopy and robotics; 4. Disinfect the ward twice a day with UV light and sodium hypochlorite disinfectant; 5. Patients need to undergo at least three nucleic acid tests before entering the operating room.

scholarly journals Educational intervention improves measurement of blood pressure skills in Iranian medical students

2019 ◽  
Vol 8 (2) ◽  
pp. 80-84
Author(s):  
Mohammad Zakaria Pezeshki ◽  
Fatemeh Moghaddas ◽  
Samad Ghaffari
Keyword(s):  
Blood Pressure ◽  
Medical Students ◽  
Educational Intervention ◽  
Sampling Technique ◽  
Chi Square ◽  
Equal Importance ◽  
Training Class ◽  
Before And After ◽  
Chi Square Test ◽  
The Impact

Background: The routine method of measuring blood pressure (BP) is subject to numerous pitfalls. We evaluated the impact of a guidelines-based educational intervention on improvement of BP determination by fourth-year Iranian medical students. Methods: Using a consecutive sampling technique, 103 fourth-year medical students were recruited during their rotation in the Department of Community and Family Medicine at the Tabriz Medical School at the Tabriz University of Medical Sciences. All students attended a 3-hour training class covering accurate BP measurement. Using a valid checklist, sixteen elements of BP measurement skills were assessed among students before and after two weeks of training. McNemar’s test, paired-sample t tests and Pearson’s chi-square test were used to compare the data before and after training using SPSS version 23. Results: The study showed that before the training class most of the elements of BP measurement skills were not performed by most of the students, and 9 of 16 BP measurement skills were only performed by <20% of the students. Following the training class, however, 14 of 16 BP measurement skills were performed by >70% of the students. Before training, mean/SD of correctly-performed-skills out of 16 skills was 4.76/2.03. After training, the mean/SD was 13.99/5.19 (P < 0.001). Conclusion: This study showed a significant improvement in medical students’ BP measurement skills after a 3-hour course of training. Thus, it appears that periodic training sessions of accurate BP measurement for medical students may be of great benefit and equal importance in medical schools.

scholarly journals Effect of a staffing strategy based on voluntary increase in working hours on quality of patient care in a hospital in KwaZulu-Natal

Curationis ◽  
2009 ◽  
Vol 32 (2) ◽  
Author(s):  
J. McIntosh ◽  
E.L. Stellenberg
Keyword(s):  
Patient Care ◽  
Nursing Care ◽  
Working Hours ◽  
Chi Square ◽  
Quality Patient Care ◽  
Before And After ◽  
Staffing Strategy ◽  
Chi Square Test ◽  
Quality Of Nursing

Two of the issues facing the South African Health Care System are the shortage of nursing staff and a lack of adequate skills to provide quality patient care. The hospital under study experienced a critical shortage of applications from professional registered nurses, consequently a staffing strategy was implemented to overcome the shortage of nurses and to maintain quality patient care. The strategy introduced encouraged nurses to voluntarily work an additional ten hours per week with remuneration. A non-experimental, descriptive design with a quantitative approach was applied to investigate the effect of a staffing strategy aimed at improving the quality of care in a hospital in Kwa-Zulu Natal based on voluntarily increasing staff working hours. The investigation compared the quality of nursing care before and after the implementation of the staffing strategy through retrospective audits of randomly selected patient files 372 (11%) of the total population of 400 files were audited. A random sample of 4 boxes each containing a 100 patient files, of a total of 34 boxes, was selected from the hospital filing system. Descriptive statistical analyses were performed and correlations between various variables using the Chi-square test. No statistically significant differences (p<0.05) were found between the quality of nursing care before and after the implementation of the management strategy, even though deterioration of results after the implementation was observed. The study shows that the quality of nursing care in most wards deteriorated after implementation. The staffing strategy failed to improve or maintain the quality of nursing care.

scholarly journals Perception of producers, entrepreneurs and academics of the agricultural industry about the current situation of the Mexican countryside (Analysis of the Period 1982 - 2018)

2019 ◽  
pp. 1-9
Author(s):  
José Manuel Núñez-Olivera ◽  
Rodolfo Cabral-Parra ◽  
Miguel Ángel Noriega-García ◽  
Sonia Navarro-Pérez
Keyword(s):  
Negative Impact ◽  
Current Situation ◽  
Descriptive Statistics ◽  
Complex Phenomenon ◽  
Chi Square ◽  
Agricultural Industry ◽  
Analysis Group ◽  
Chi Square Test ◽  
The Impact

This study was conducted with the objective of determining the perception about the Mexican countryside, farmers, entrepreneurs and academics analyze the period 1982 to 2018. 30 producers, 20 businessmen and 10 academics, were selected in each region. Each of the groups were surveyed in their own workplaces, about their personal perception of the current situation of the Mexican countryside, 36 years after its implementation (1982). The collected data were analyzed by Chi-square test (x 2), 95% confidence, using descriptive statistics also by analysis group. The results show significant differences between the groups considered, according to its particular perception on the impact of globalization. Producers mostly considered that it did not serve and led to more poverty and problems in the field, while employers to a greater extent compared with this perception, since for them, globalization improved the productivity and the quality of life. Among academics there were discrepancies equal in terms of the positive or negative impact. It is no doubt that globalization is a complex phenomenon that had contrasting results, characterized by enormous economic inequality caused.

scholarly journals INNOVATION IN ENTREPRENEURSHIP EDUCATION THROUGH COMPETITION BASED LEARNING ROLE: STUDENTS’ PERSPECTIVE ON THE ENHANCEMENT OF SOFT SKILLS

2019 ◽  
Vol 7 (5) ◽  
pp. 862-869
Author(s):  
Ahmad Abushakra ◽  
M. Firdouse Rahman Khan ◽  
Rasha Abdul Wahhab ◽  
Hilal Al Maqbali
Keyword(s):  
Positive Impact ◽  
Soft Skills ◽  
Statistical Tests ◽  
Entrepreneurship Education ◽  
Chi Square ◽  
Before And After ◽  
Sample Test ◽  
Chi Square Test ◽  
Young Students ◽  
The Impact

Purpose: The objective of the study is to critically analyze the impact of entrepreneurial competitions on the soft skills of Omani students. Design/methodology/approach: Purposive sampling methodology was adopted to perform the study. A sample of 125 students was selected among the 450 students from various Higher Education Institutions (HEIs) who participated in the entrepreneurship competition. The questionnaire was distributed two times to the students before and after the competition and 110 fully completed questionnaires only were taken into the research study. Using SPSS, statistical tests like non-parametric chi-square test, t-paired sample test, and Kolmogorov-Smirnov test were carried out the results were interpreted. Findings: The findings of the empirical study suggest that competitions have a positive impact on the students’ soft skills and their mindset after participating in the competitions. The study also confirmed that competition is an encouraging affair that makes the students learn new skills and new developments in the business fields. Further, the study also confirmed that competition makes it easy to explore the labor market in the area of requirements. Research limitations/Implications: HEIs should motivate and encourage students to participate in various entrepreneurial competitions inducing a spirit of entrepreneurship among the young students to enhance their soft skills for self-sufficiency and to identify the potentialities vested within them. Social implications: The study suggests that to improve the entrepreneurial mindsets of young students, and universities. Originality/Value Only a very few have examined the role of entrepreneurship education in developing soft skills through competition-based learning in Oman. Our study includes selected students from HEIs of Oman the study can further be extended to all the HEIs across Oman.

A Comparative Study of Transfusion Reactions in the Thalassemia Patients before and after Implementation of the Hemovigilance System in Yazd Province, Iran

2020 ◽  
Author(s):  
Fatemeh Abbasinejad ◽  
Hayedeh Javadzadeh Shashshahani ◽  
Mahvash Akhavan Ghalibaf
Keyword(s):  
Blood Transfusion ◽  
Age Of Onset ◽  
Thalassemia Major ◽  
Blood Transfusions ◽  
Chi Square ◽  
Historical Cohort ◽  
Paired Samples ◽  
Before And After ◽  
Chi Square Test ◽  
Transfusion Reactions

Background: Patients with thalassemia major require frequent blood transfusions. Blood transfusion can lead to the adverse reactions. Reporting and evaluating the transfusion reactions are among the goals of implementing the hemovigilance system to improve blood recipients’ safety. This study aimed to compare the transfusion reactions in the thalassemia patients before and after implementation of the hemovigilance system in the Shahid Sadoughi Hospital in Yazd (Iran). Materials and Methods:  In this historical cohort study conducted in 2018, the data of 87 patients with thalassemia major including age, sex, the total number of blood transfusions before and after the implementation of hemovigilance system, information about the occurrence of blood transfusion reactions, type, and severity of each reaction were recorded in the questionnaire. Paired-Samples T-test and Chi-Square test were used for data analysis. Results: The mean age of the participants was equal to 19.69±8.41 years old and 52% of them were male. The age of onset of transfusion was 14.3±16.62 months with a range of 2 - 96 months. The relative frequency of transfusion reactions in the thalassemia patients was 0.74% and 0.81%, respectively before and after implementation of the hemovigilance system. Allergic (54%) and non-hemolytic febrile reactions (23%) were the most frequent transfusion reactions. Severe and life-threatening reactions were reported more frequently after implementation of the hemovigilance system compared to pre-implementation (p=0.007). Totally, 8% of the reactions were hemolytic reactions and 7.5% of the patients had unexpected alloantibodies identified after implementation of the hemovigilance system. Conclusion: Documentation and reporting of the transfusion reactions after implementation of the hemovigilance system have resulted in reporting of more severe reactions and determination of the clinically significant alloantibodies. Therefore, prevention of the subsequent reactions and increasing the safety of the blood transfusion for the thalassemia patients could be provided, emphasizing the continuation of the system.

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