scholarly journals Teething Beliefs, Misconceptions, and Practices Among Mothers Attending a Tertiary Hospital in Nigeria: Implications for Child Health and Clinical Practice

2020 ◽  
Vol 40 (3) ◽  
pp. 247-254
Author(s):  
Oladele Simeon Olatunya ◽  
Adewuyi Temidayo Adeniyi ◽  
Adefunke Olarinre Babatola ◽  
Odunayo Tolulope Fatunla ◽  
Oyebanji Anthony Olajuyin ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Food Intake ◽  
Child Health ◽  
Health Facility ◽  
Tooth Extraction ◽  
Descriptive Study ◽  
Tertiary Hospital ◽  
Southwestern Nigeria ◽  
Cross Sectional ◽  
Over The Counter

Introduction: Teething is a physiologic process that begins during infancy. However, some mothers often attribute certain symptoms to teething. In this study, we assessed the opinions and practices of mothers attending a tertiary health facility in Nigeria on teething. Methods: This was a cross-sectional, descriptive study conducted among caregivers of children presenting to the out-patient department of a tertiary hospital, Southwestern Nigeria. Results: Five hundred and sixteen mothers were studied. The leading symptoms attributed to teething were fever 420 (81.4%), reduced food intake / appetite 320 (62.0%), diarrhoea 314 (60.9%) and vomiting 294 (57.0%). Some believed that teething is associated with convulsion 102 (19.8%), mouth ulcers 69 (13.4%), ear discharge 68 (13.2%), and no symptoms 41 (7.9%). Majority of the mothers 374 (72.5%) believed that teething requires treatment. Two hundred and four (39.5%) mothers had given their children oral analgesics for teething while 194 (37.6%) administered teething mixtures. These medications were more likely to be prescribed at the hospital or purchased over the counter (p < 0.05). Other treatments given included herbal concoction 46 (8.9%), local tooth extraction 22 (4.3%), enema 17 (3.3%), body scarifications 14 (2.7%), gum fomentation 14 (2.7%) and gum incision 12 (2.3%). Responders who attributed convulsion to teething were more likely to have incised their children’s gums (p < 0.05). Conclusions: This study revealed that sundry symptoms were attributed to teething and harmful home interventions were done for teething. There is a need to educate the society on teething and discourage harmful practices for teething by caregivers.

scholarly journals AB0564 RHEUMATOLOGISTS’ VIEWS AND EXPERIENCES IN MANAGING PsA PATIENTS BASED ON TREATING TO TARGET STRATEGY: A CROSS-SECTIONAL STUDY IN CHINA

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1318.2-1319
Author(s):  
L. Xu ◽  
Z. Wang ◽  
J. Xue ◽  
M. Bai ◽  
H. Zhong ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Psoriatic Arthritis ◽  
Disease Activity ◽  
Western Medicine ◽  
Work Experience ◽  
Tertiary Hospital ◽  
Treat To Target ◽  
Cross Sectional ◽  
Activity Assessment ◽  
High Level

Background:Psoriatic arthritis (PsA) is a chronic inflammatory arthritis with progressive, erosive destruction associated with functional impairment. Principles of treat-to-target (T2T) have been widely used in rheumatoid arthritis, which has powerfully improved patient outcomes. In 2017, the concept of T2T has proposed to apply in PsA patients. However, the awareness and implementation of evidence-based T2T treatment guidelines varies across different geographical regions of China, hospital grades, professional status and specialities.Objectives:The study aimed to investigate Rheumatologists’ views and experiences in managing PsA patients with T2T strategy in china.Methods:A cross-sectional questionnaire survey of Rheumatologists in China from 5 August to 15 August 2020 was conducted for this study. Rheumatologists were contacted by WeChat (a Chinese cell/web app) and asked to complete a web-based questionnaire anonymously. The electronic questionnaire was sent out by the internet platform of WenJuanXing via WeChat (https://www.wjx.cn/). The questionnaire was designed to collect: (a) demographic information; (b) patient management in clinical practice for Rheumatologists; (c) familiarity and application of T2T strategy in Rheumatologists. P values ≤0.05 were considered significant.Results:(1) A total of 823 rheumatologists (69.87% female, 30.13% male) provided valid answers to the questionnaire. 71.09% of the participants major in Modern Western Medicine, 28.91% major in traditional chinese medicine. A total of 75.94% worked in Grade-A Tertiary Hospital. A total of 52.73% had more than 10 years of work experience and 63.55% had High-level title. (2) More than half of the patients were followed up by 69% Rheumatologists in their daily practice. The proportion of follow-up patients increased powerfully in the group of Rheumatologists who major in Modern Western Medicine (P=0.014), work in Grade-A Tertiary Hospital (P<0.001), have more than 10 years of work experience (P<0.001) and High-level title (P<0.001). (3) 36.45% Rheumatologist thought the frequency for patient disease activity assessment was every 1 month and 53.1% was every 3 months. And 41.7% Rheumatologist prefer to use PASDAS for disease activity criteria, and only 3.6% choose MDA. (4) A total of 62.43% thought they were familiar with T2T strategy, and 83.6% Rheumatologists applied T2T strategy in clinical practice. Among 135 Rheumatologists who did not apply T2T strategy, 62.2% of Rheumatologists thought that the main barrier to T2T application was that they did not fully understand the strategy. The frequency of application of T2T strategy in clinical practice was significantly different between Rheumatologists who major in Modern Western Medicine (60.75%) and traditional chinese medicine (22.84%) (P=0.023).Conclusion:In china, the management of PsA patients need to be standardized to improve patient outcomes. And the promotion of T2T strategy in PsA need to be further strengthened.References:[1]Smolen JS, Schöls M, Braun J,et al. Treating axial spondyloarthritis and peripheral spondyloarthritis, especially psoriatic arthritis, to target: 2017 update of recommendations by an international task force. Ann Rheum Dis. 2018 Jan;77(1):3-17.[2]Tucker LJ, Ye W, Coates LC. Novel Concepts in Psoriatic Arthritis Management: Can We Treat to Target? Curr Rheumatol Rep. 2018 Sep 18;20(11):71.[3]Coates LC, Helliwell PS. Treating to target in psoriatic arthritis: how to implement in clinical practice. Ann Rheum Dis. 2016;75(4):640-643.Figure 1A. Rheumatologist priority of frequency for patient follow-up in different disease status. B. Rheumatologist priority of frequency for patient disease activity assessment in clinical practice. C. Rheumatologist priority of disease activity criteria for PsA patients.Disclosure of Interests:None declared.

Maternal and Child Health in Mongolia at 3 Years After Childbirth: A Population-Based Cross-Sectional Descriptive Study

2015 ◽  
Vol 20 (5) ◽  
pp. 1072-1081 ◽  
Author(s):  
Kenji Takehara ◽  
Amarjargal Dagvadorj ◽  
Naoko Hikita ◽  
Narantuya Sumya ◽  
Solongo Ganhuyag ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Descriptive Study ◽  
Population Based ◽  
Cross Sectional ◽  
And Child Health

scholarly journals Paediatric brought-in-dead at a tertiary health facility in South western Nigeria: Patterns and drivers

2021 ◽  
Vol 48 (2) ◽  
pp. 66-73
Author(s):  
Oladele S. Olatunya ◽  
Adefunke O. Babatola ◽  
Adewuyi T. Adeniyi ◽  
Adebukola B. Ajite ◽  
Isaac O. Oluwayemi ◽  
...  
Keyword(s):  
Health Facility ◽  
Causes Of Death ◽  
Severe Anaemia ◽  
Hospital Treatment ◽  
Cross Sectional ◽  
Over The Counter ◽  
Pediatric Health Care ◽  
Duration Of Illness ◽  
Common Causes ◽  
Southwest Nigeria

Background: ‘Brought- in-dead’ (BID) refers to the demise of an individual before presentation to a health facility. This study assessed the pattern of paediatric BID cases seen at a tertiary health facility in southwest Nigeria. Method: A cross-sectional, descriptive study was done at the Children Emergency Ward (CEW) of the hospital between January 2014 and December 2018. The patterns of BID cases and presumed causes of death were determined using a standardized checklist adapted from the WHO verbal autopsy instrument. Results: Ninety-eight BID cases were seen during the study, constituting 2.5% of total patients seen during the period. The median (IQR) age of cases was 24.0 (8.75 – 63.0) months and 72.4% were under-fives. Most had symptoms related to the haematologic (36.7%), respiratory (24.5%) or digestive (20.4%) systems. Severe anaemia 31(31.6%), gastroenteritis 19 (19.4) and aspiration 17 (17.3%) were the most common causes of death. The median (IQR) duration of illness before presentation was 3.0 (1.0 – 7.0) days but most presented from 4 – 7 days of illness. A significant relationship was found between the duration of illness and whether or not pre-hospital treatment was received (p < 0.0001). Unprescribed drugs purchased over the counter were the most commonly used treatment in 79.1% of cases (p < 0.0001). Conclusion: This study has highlighted the prevalence and pattern of paediatric BID in a tertiary health facility in southwest Nigeria and the factors that were associated with it. More efforts need to be geared towards community sensitization and pediatric health care to prevent factors drivingits menace.

Perspectives of clinical students toward organ donation and transplantation: A cross-sectional descriptive study in a Nigerian tertiary hospital

2020 ◽  
Vol 25 (2) ◽  
pp. 112
Author(s):  
VivianUzoamaka Muoneke ◽  
DorathyChinwe Obu ◽  
SamuelNkachukwu Uwaezuoke ◽  
UzomaVivian Asiegbu ◽  
AzubikeA Anya ◽  
...  
Keyword(s):  
Organ Donation ◽  
Descriptive Study ◽  
Tertiary Hospital ◽  
Cross Sectional

Impact of Socio-Emotional Skills On The Performance of Clinical Nursing Practices

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Judit Sánchez Expósito ◽  
Diana Jiménez-Rodríguez ◽  
José Luis Díaz Agea ◽  
María Dolores Carrillo Izquierdo ◽  
Cesar Leal Costa
Keyword(s):  
Clinical Practice ◽  
Nursing Students ◽  
Linear Regression ◽  
Significant Relationship ◽  
Descriptive Study ◽  
Clinical Practices ◽  
Cross Sectional ◽  
Potential Predictor ◽  
Emotional Skills ◽  
Clinical Nursing

AbstractAimTo analyze the Socio-emotional (SE) skills of the students in the Nursing Degree, and their relationship with their clinical practice in hospital centers.MethodsCross-sectional descriptive study of a sample of 91 nursing students. SE skills were analyzed through self-administered questionnaires, and the clinical practices through the instrument “Clinical Practices Evaluation Notebook”.FindingsThe students obtained medium and high scores in the SE skills and in the clinical practices. Most of the SE skills had a positive and statistically significant relationship (p < 0.05) between them. A relationship was observed between SE skills with performance in clinical practices, through a multiple linear regression.DiscussionIt is suggested that the development of the SE skills of the nursing students within the Nursing degree curriculum has an influence on their performance during their clinical practices.ConclusionThe SE skills are a potential predictor of the performance of the nursing students in clinical practices.

Placebo use in clinical practice by nurses in an Iranian teaching hospital

2011 ◽  
Vol 18 (3) ◽  
pp. 364-373 ◽  
Author(s):  
Nayereh Baghcheghi ◽  
Hamid Reza Koohestani
Keyword(s):  
Clinical Practice ◽  
Teaching Hospital ◽  
Descriptive Study ◽  
Placebo Treatment ◽  
Self Report ◽  
University Hospital ◽  
Cross Sectional ◽  
The Past ◽  
Knowledge And Attitude

The present study was carried out to explore Iranian nurses’ use of placebos in clinical practice and their knowledge and attitude towards its use. A cross-sectional, descriptive study was conducted using self-report questionnaires. All nurses working in a university hospital in Arak (n = 342) were invited to participate in the study. Among 295 respondents, 221 (75%) reported that they had used at least one placebo within the past year and 179 (81%) told patients they were receiving actual medication. The most common reason and symptom for placebo use were after unjustified demand for medication and pain, respectively. Only 60 (20.33%) of the nurses believed that placebos should never be used. Results showed that most nurses in our study had used placebos and probably will continue to use them. Placebo use is viewed as ethically permissible among nurses. Some patients benefit from the placebos, but their use raises ethical questions. The role of placebo treatment, its mechanisms, and its ethics issues should be taught to nurses.

scholarly journals GAMBARAN TINGKAT PENGETAHUAN DAN SIKAP MASYARAKAT TENTANG PENCABUTAN GIGI DI DESA MOLOMPAR UTARA KABUPATEN MINAHASA TENGGARA

e-GIGI ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Bayu R. E. Warouw
Keyword(s):  
Random Sampling ◽  
Tooth Extraction ◽  
Sampling Method ◽  
Descriptive Study ◽  
Dental Practice ◽  
Knowledge Level ◽  
Cross Sectional ◽  
The People ◽  
Knowledge And Attitude ◽  
Cross Sectional Design

Abstract: Tooth extraction is a mostly performed treatment in dental practice because most patients come with bad tooth condition that cannot be taken care anymore. The obstacle of tooth extraction is the society’s knowledge. Lack of knowledge causes doubt about going to the dentist. This study aimed to determine the overview of the knowledge and attitude levels of the people in North Molompar Village, South East Minahasa about tooth extraction. This was a descriptive study with a cross sectional design. There were 87 samples obtained by using the Slovin formula with random sampling method. Data presented in the form of a diagram based at the frequency distribution. The results showed that the knowledge level of tooth extraction in North Molompar was 55% good, obtained from scoring result of 481, and the attitude level of tooth extraction was 69% good, obtained from scoring result of 604. Conclusion: Levels of knowledge and attitude of the people in North Molompar Village, South East Minahasa, about tooth extraction were categorized as good. Keywords: tooth extraction, knowledge, attitude.     Abstrak: Pencabutan gigi merupakan tindakan yang sering dilakukan dalam praktek kedokteran gigi karena kebanyakan pasien datang dengan keadaan gigi yang sudah tidak  bisa dirawat lagi. Hambatan yang dialami dalam upaya pencabutan gigi ialah pengetahuan masyarakat mengenai hal-hal yang menyangkut pencabutan gigi. Pengetahuan yang kurang memadai membuat masyarakat ragu untuk berobat ke dokter gigi. Penelitian ini bertujuan untuk mengetahui gambaran tingkat pengetahuan dan sikap masyarakat tentang pencabutan gigi di Desa Molompar Utara Kabupaten Minahasa Tenggara. Penelitian ini bersifat deskriptif dengan desain potong lintang. Jumlah sampel sebanyak 87 responden diperoleh dengan menggunakan rumus Slovin dan penarikan sampel berupa acak sederhana. Data disajikan dalam bentuk diagram berdasarkan distribusi frekuensi. Hasil penelitian menunjukkan tingkat pengetahuan masyarakat tentang pencabutan gigi di Desa Molompar Utara yaitu 55% dapat dikatakan baik (hasil skoring 481) dan sikap masyarakat tentang pencabutan gigi di yaitu 69% dapat dikatakan baik (hasil skoring 604). Simpulan: Tingkat pengetahuan dan sikap masyarakat di Desa Molompar Utara terhadap pencabutan gigi tergolong baik. Kata kunci: pencabutan gigi, pengetahuan, sikap.

scholarly journals Self-Medication Practices among Medical and Non-Medical Students

2020 ◽  
Vol 9 (40) ◽  
pp. 2976-2980
Author(s):  
Isha Anwar ◽  
Krishna Minimol ◽  
Manjunath Narasimhaiah
Keyword(s):  
Descriptive Study ◽  
Quality Education ◽  
Common Source ◽  
Self Medication ◽  
Cross Sectional ◽  
Over The Counter ◽  
Health Concerns ◽  
Behavioural Patterns ◽  
Demographic Background ◽  
Structured Questionnaire

BACKGROUND Self-medication practice involves consumption of medicines by one’s own initiative or on the consultation of others without the guidance of a doctor. Self-medication and use of over-the-counter drugs, are worldwide health concerns. This study evaluated the prevalence, behavioural patterns, knowledge of self-medication, and the attitudes toward this practice among medical and nonmedical university students. METHODS This is a cross-sectional descriptive study conducted among students with medical and non-medical backgrounds. A semi-structured questionnaire was constructed after reviewing literature to capture data regarding socio-demographic background, practice and knowledge of self-medication. RESULTS Out of a total of 98 students, 79.6 % of students practiced self-medication (medical - 77.5 % and non-medical - 85.2 %). The main reason for self-medication was convenience (50.8 %) and the choice of self-medication was based on their own experience (30.4 %) and previous doctors’ prescription (20.2 %). Community pharmacies (64.0 %) were the most common source of acquiring the drugs in both groups. It was observed that 53.1 % students think self-medication is an acceptable practice. 28.6% were confident of treating infectious diseases through selfmedication. CONCLUSIONS The present study shows a higher prevalence of self-medication among students. It also indicates a critical need for the implementation of quality education programs in order to prevent the self-medication among students. KEY WORDS Self-Medication, Medical, Non-Medical

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.

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