scholarly journals PERCEPTIONS, ATTITUDES, AND RESPONSES TO DENGUE EARLY WARNING AMONG URBAN COMMUNITY IN KUALA LUMPUR

2019 ◽  
Vol 19 (2) ◽  
pp. 149-159
Author(s):  
Leong Yu Kai ◽  
Chai Yan Yu ◽  
Kok Piao Yee ◽  
Siti Nazihah Abdullah ◽  
Tan Qing Hang ◽  
...  
Keyword(s):  
Early Warning ◽  
Educational Level ◽  
Climatic Factors ◽  
Warning System ◽  
Poor Response ◽  
Cross Sectional Study ◽  
Kuala Lumpur ◽  
Cross Sectional ◽  
Public Activity ◽  
Dengue Prevention

Dengue early warning system, based on many different factors including climatic factors, is likely to be a useful tool for predicting dengue cases. This study aims to assess the perceptions, attitudes, and responses to dengue early warning among a sample of residents in Kuala Lumpur, Malaysia as well as the factors associated with their willingness in participating dengue prevention public activity. A community-based cross-sectional study was conducted among residents of Titiwangsa District, Kuala Lumpur. A structured questionnaire was administered via face-to-face interview. About 75% of the respondents perceived dengue early warning as a useful tool for the community to take preventive measures. However, more than half did not know elevated temperature increases dengue cases. More than 80% wanted to know more how climate can be used to predict dengue outbreak. Willingness of participating in dengue control public activity was associated with age (p<0.001), educational level (p=0.005), perception (p<0.001), and attitude (p<0.001). Perception towards dengue early warning was positive among the urban residents. Majority of the participants reported good attitude with regard to dengue early warning while a minority demonstrated a poor response. Educational level, perception, and attitude are significantly associated with willingness to engage in dengue prevention public activity.

scholarly journals Midwives’ experiences of using the Obstetric Norwegian Early Warning System (ONEWS): A national cross-sectional study

2021 ◽  
Vol 5 (April) ◽  
pp. 1-9
Author(s):  
Line Fladeby ◽  
Marianne Raunedokken ◽  
Hannah Fonkalsrud ◽  
Dorte Hvidtjørn ◽  
Mirjam Lukasse
Keyword(s):  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Improvement to Early Warning System Of DHF Transmission Through Controlling Vector Breeding Places Of Aedes Sp. In Klaten District, Central Java

2018 ◽  
Vol 1 (1) ◽  
pp. 20-26
Author(s):  
Nur Alvira Pascawati ◽  
Ellen Petra Songjanan ◽  
Tri Baskoro Tunggul Satoto ◽  
Elisabeth Deta
Keyword(s):  
Vector Control ◽  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Household Level

Background: The presence of potential breeding places can be used to measure the risk of DHF transmission in Klaten. This result can be used by the community to eradication of mosquito breeding place on terget and can improve to early warning system through effective methods for vector control. The aim of the study is to know effective methods for vector control to improve early warning system.Methods: Type of study was analytic with cross-sectional study. The study was conducted in 104 households with simple random sampling technique. Data analysis used three stages: univariate, bivariate (Chi-square, Kolmogorov Smirnov, Spearman rank) and multivariate test (multiple logistic regression) with α=5%.Results: The density of larvae based on the value of CI, HI, and BI amounted to 1,6%, 19.2%, 27.9%. The potential place for larvae breed based on Maya Index of 76%. Containers of open wells with groundwater sources, the volume of water is more than 1 liter and the material from cement can be the preferred place for mosquitoes to breed. Multivariate analysis shows that open wells are strongly related and has a risk of 1,556 (CI: 1,199-2,019) increasing the density of larvae compared with other variables.The density of larvae based on who's standards indicates BI is a high category, HI is a moderate category and CI is a low category.Conclusions: The condition is influenced by the presence of open wells made of cement and can hold water in large quantities. Improve to early warning system of DHF transmission through effective methods for vector control in this area are to close the wells at the household level and conduct regular monitoring on the Controllable Sites.

scholarly journals Analisis Faktor Keberadaan Vektor Penular DBD Melalui Identifikasi Tempat Potensial Perkembangbiakan Nyamuk Aedes Sp. di Desa Gergunung, Kabupaten Klaten, Jawa Tengah

2018 ◽  
Vol 6 (1) ◽  
pp. 29-38
Author(s):  
Nur Alvira Pascawati
Keyword(s):  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Household Level ◽  
Kolmogorov Smirnov

The presence of potential breeding places can be used to measure the risk of DHF transmission in Klaten. This result can be used by the community to eridication of mosquito breeding place on terget and can improve to early warning system through effective methods for vector control. Type of study was analytic with cross-sectional study. The study was conducted in 104 households with simple random sampling technique. Data analysis used three stages: univariate, bivariate (Chi-square, Kolmogorov Smirnov, Spearman rank) and multivariate test with α=5%. The density of larvae based on the value of CI, HI, and BI amounted to 1.6%, 19.2%, 27.9%. The potential place for larvae breed based on Maya Index of 76%. Containers of open wells with groundwater sources, the volume of water is more than 1 liter and the material from cement can be the preferred place for mosquitoes to breed. Multivariate analysis shows that open wells are strongly related and has a risk of 1,556 (CI: 1,199-2,019) increasing the density of larvae compared with other variables.The density of larvae based on BI is a high category, HI is a moderate category and CI is a low category. This condition is influenced by the presence of open wells made of cement and can hold water in large quantities. Improve to early warning system of DHF transmission through identification of the presence of potential breading places in this area are to close the wells at the household level and conduct regular monitoring on the Controllable Sites.

scholarly journals Knowledge, attitude and practice on dengue prevention and dengue seroprevalence in a dengue hotspot in Malaysia: A cross-sectional study

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Sivaneswari Selvarajoo ◽  
Jonathan Wee Kent Liew ◽  
Wing Tan ◽  
Xin Ying Lim ◽  
Wardha F. Refai ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Dengue Prevention ◽  
Knowledge Attitude And Practice

scholarly journals The Relationship between Clinic Visit Accompanied by Family and Dementia Severity in Taiwan

2021 ◽  
Vol 18 (4) ◽  
pp. 1792
Author(s):  
Chih-Yen Chang ◽  
Shou-Jen Lan ◽  
Chiao-Lee Chu ◽  
Ching-Sung Ho
Keyword(s):  
Educational Level ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Clinic Visit ◽  
Clinical Dementia Rating ◽  
Score Distribution ◽  
Chi Square ◽  
Cross Sectional ◽  
Central Taiwan ◽  
Severity Of Dementia

Introduction: This study analyzes the severity of dementia status with clinical dementia rating (CDR) score distribution among patients according to various family functional and sociodemographic issues. Methods: A cross-sectional study was performed in a regional hospital in Central Taiwan. The sample consisted of 318 patients who came to the clinic from May 2018 to April 2019, and who were diagnosed by the physicians with CDR scores ≧ 0.5. The Chi-Square test and binary logistic regression analyses were performed for inferential statistical analysis. Results: The mean age of the sample was 78.7 ± 8.51 years, and 61.6% of the samples’ CDR scores were equal or less than 1.0. Patients visiting the clinic were accompanied by spouses (21.7%), sons or daughters-in-law (40.6%), daughters (23.6%). Of the sample, 142 (44.3%) patients live with sons. Patients with a lower educational level had higher CDR scores. Compared to the patients who went to the clinic by themselves, the higher OR values of CDR scores ≧ 2 are found in patients who were accompanied by other relatives (OR = 18.871, 95% C.I. = 3.117–114.237, p = 0.001), or spouse (OR = 10.783, 95% C.I. = 1.996–58.245, p = 0.006). Conclusion: The family member who accompanied the patient to a clinic visit and the patient’s educational level are both significant issues relating to the severity of dementia.

scholarly journals Use of the first National Early Warning Score recorded within 24 hours of admission to estimate the risk of in-hospital mortality in unplanned COVID-19 patients: a retrospective cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e043721
Author(s):  
Donald Richardson ◽  
Muhammad Faisal ◽  
Massimo Fiori ◽  
Kevin Beatson ◽  
Mohammed Mohammed
Keyword(s):  
Hospital Mortality ◽  
Early Warning ◽  
Absolute Risk ◽  
Cross Sectional Study ◽  
Early Warning Score ◽  
Cross Sectional ◽  
Risk Of Mortality ◽  
Baseline Mortality ◽  
Acute Hospitals ◽  
National Early Warning Score

ObjectivesAlthough the National Early Warning Score (NEWS) and its latest version NEWS2 are recommended for monitoring deterioration in patients admitted to hospital, little is known about their performance in COVID-19 patients. We aimed to compare the performance of the NEWS and NEWS2 in patients with COVID-19 versus those without during the first phase of the pandemic.DesignA retrospective cross-sectional study.SettingTwo acute hospitals (Scarborough and York) are combined into a single dataset and analysed collectively.ParticipantsAdult (≥18 years) non-elective admissions discharged between 11 March 2020 and 13 June 2020 with an index or on-admission NEWS2 electronically recorded within ±24 hours of admission to predict mortality at four time points (in-hospital, 24 hours, 48 hours and 72 hours) in COVID-19 versus non-COVID-19 admissions.ResultsOut of 6480 non-elective admissions, 620 (9.6%) had a diagnosis of COVID-19. They were older (73.3 vs 67.7 years), more often male (54.7% vs 50.1%), had higher index NEWS (4 vs 2.5) and NEWS2 (4.6 vs 2.8) scores and higher in-hospital mortality (32.1% vs 5.8%). The c-statistics for predicting in-hospital mortality in COVID-19 admissions was significantly lower using NEWS (0.64 vs 0.74) or NEWS2 (0.64 vs 0.74), however, these differences reduced at 72hours (NEWS: 0.75 vs 0.81; NEWS2: 0.71 vs 0.81), 48 hours (NEWS: 0.78 vs 0.81; NEWS2: 0.76 vs 0.82) and 24hours (NEWS: 0.84 vs 0.84; NEWS2: 0.86 vs 0.84). Increasing NEWS2 values reflected increased mortality, but for any given value the absolute risk was on average 24% higher (eg, NEWS2=5: 36% vs 9%).ConclusionsThe index or on-admission NEWS and NEWS2 offers lower discrimination for COVID-19 admissions versus non-COVID-19 admissions. The index NEWS2 was not proven to be better than the index NEWS. For each value of the index NEWS/NEWS2, COVID-19 admissions had a substantially higher risk of mortality than non-COVID-19 admissions which reflects the increased baseline mortality risk of COVID-19.

scholarly journals Knowledge on postnatal care among postpartum mothers during discharge in maternity hospitals in Asmara: a cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ghirmay Ghebreigziabher Beraki ◽  
Eyasu H. Tesfamariam ◽  
Amanuel Gebremichael ◽  
Berhanemeskel Yohannes ◽  
Kessete Haile ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Educational Level ◽  
Postnatal Care ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Postnatal Period ◽  
Danger Sign ◽  
Cross Sectional ◽  
Maternity Hospitals ◽  
Postpartum Mothers

Abstract Background The early postnatal period is a dangerous time for both mother and baby where morbidity and mortality are highly prevalent if proper care is not done. Post natal care (PNC) knowledge has significant role in reducing such complications. In this study, the knowledge of postpartum mothers on PNC and its determinants were determined. Methods A cross-sectional quantitative study was conducted in postpartum mothers (PpM) who attended all maternal delivery services in Asmara. Data was collected by a structured questionnaire. All (n = 250) PpM who gave birth in December, 2017 were included in the study. Independent samples t-test and one way ANOVA were used to compare the scores in knowledge across categories of background characteristics using SPSS. Bonferroni post-hoc test was performed for variables that were found to be significant while using ANOVA tool. P-values less than 0.05 were considered as significant. Results The percentage of PpM who cited vaginal bleeding, as a maternal danger sign, and fever, as a baby danger sign, were 83.2 and 58.8%, respectively. The majority (96%) of PpM responded the correct answer on where to go if they note any danger signs. In addition, more than nine tenth of PpM correctly identified injectable contraceptives (92.7%) and oral contraceptive (91.5%). The percentages of knowledge in recognizing the necessary nutrients ranged from 87.6% for carbohydrates to 46% for minerals. The percentages of correct knowledge regarding first baby bath, frequency of breast feeding, umbilical care, duration of exclusive breast feeding, need and purpose of vaccine were 40.1, 81.9, 77.4, 94.8, and 99.2% respectively. The mean PNC knowledge score was 24.89/60. The score of knowledge on postnatal care was found to significantly differ across the categories of residence (p < 0.001) and ethnicity (p = 0.015). An increasing trend of knowledge score was observed with increase in age group (p < 0.001), educational level (p = 0.021), gravida (p < 0.001) and para (p < 0.001). Conclusion Considerable gaps in knowledge regarding postnatal care among postpartum mothers were evident. Special attention should be laid on rural residents, single/living together, junior/below in educational level, primigravida/para, non-Tigrigna ethnicity, and 17 to 25 years old mothers.

Frequency of Suspected and Probable Case of Dengue in Adult Febrile Patients and their Knowledge about Dengue Fever

2021 ◽  
pp. 8-12
Keyword(s):  
Dengue Fever ◽  
Calculated Data ◽  
Febrile Illness ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Medical Intervention ◽  
Cross Sectional ◽  
Probable Case ◽  
Control Objective ◽  
Dengue Prevention

Background: Febrile illness is considered a frequent medical syndrome of dengue. Due to the increasing prevalence of dengue infectivity, appropriate diagnosis among patients helps regarding timely medical intervention, etiological examination as well as disease control. Objective: To estimate the frequency of suspected and probable cases of dengue in febrile patients and their knowledge about dengue fever, presenting at outdoor of Jinnah Hospital, Lahore. Methodology: It was a cross-sectional study, in which 400 adult febrile patients visiting at outdoor of Jinnah Hospital, Lahore were included. A convenient sampling technique was carried out. Among the total febrile patients included, the frequency of suspected and probable cases was calculated. Data was collected through a questionnaire, which was entered and analyzed using SPSS version 20.0. Results: Out of 400 patients, 36.5% were 21-30 years old and 53.5% were female. Among these patients, 100% had fever (>2 and <10 days), 31.8% had headache, 51.8% had myalgia and43.8% patients had arthralgia while 12.5% were suspected cases of dengue. Majority (97.2%) had knowledge that full sleeve shirt can prevent dengue, none of the respondents had knowledge regarding dengue symptoms and 76% of respondents had knowledge that dengue is fatal. For the majority (76%) of respondents, the main source of information regarding dengue was health teams. Conclusion: The study concluded that symptoms of dengue fever in the study patients, as well as the dengue, suspected cases were mainly headache, retro-orbital pain, myalgia, and arthralgia. The majority of the patients had knowledge about dengue prevention. Most of the adult febrile as well as suspected had no knowledge about the symptomology of dengue fever.

scholarly journals Identification of Primary Container of Aedes Mosquitoes Breeding Site in Urban Region of Dengue Endemic Area, Purwokerto Indonesia

2020 ◽  
pp. 181-188
Author(s):  
Siwi Pramatama Mars Wijayanti ◽  
Devi Octaviana ◽  
Sri Nurlaela
Keyword(s):  
Urban Areas ◽  
Endemic Area ◽  
Breeding Site ◽  
Cross Sectional Study ◽  
Urban Region ◽  
Adult Mosquito ◽  
Mosquito Larvae ◽  
Cross Sectional ◽  
Mosquito Breeding ◽  
Dengue Prevention

Dengue prevention and control more reliant on reducing its vector,  Aedes sp. mosquitoes by mosquito breeding nest eradication method. Therefore, identification of the primary container of the Aedes sp. breeding site particularly in the urban region of dengue-endemic area is a crucial effort to conduct an effective dengue prevention program. This research aimed to identify the primary container of the Aedes sp. breeding site in the urban region of the dengue-endemic area. This is a descriptive cross-sectional study, located in an urban region of dengue-endemic area within Banyumas Regency of Central Java Indonesia. A total of 300 houses in three urban areas were observed in urban areas of Purwokerto namely Arcawinangun, Purwanegara, and Karangpucung (100 houses each area). A total of 1504 water-holding containers were observed. All container was observed and recorded the type, color, lid condition, position, and the presence of mosquito larvae. The analysis was conducted by calculating the percentage of types, color, lid condition, and position of the container also the presence of mosquito larvae. The result of this study highlighted that flower pots and bathtubs were the primary types of containers with Aedes sp. larvae in the urban area. The characteristics of larvae-positive containers mostly open, bright, and located indoor position. Dengue prevention efforts by targeting the primary types of containers for mosquito breeding are expected to reduce the adult mosquito population.

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