scholarly journals Pattern of the Antimalarials Prescription during Pregnancy in Bangui, Central African Republic

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Alexandre Manirakiza ◽  
Georges Soula ◽  
Remi Laganier ◽  
Elise Klement ◽  
Djibrine Djallé ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Central African Republic ◽  
First Trimester ◽  
High Rate ◽  
Care Providers ◽  
National Guidelines ◽  
Artemisinin Derivatives ◽  
First Trimester Of Pregnancy ◽  
Antenatal Clinics

Introduction. The aim of this study was to identify the antimalarials prescribed during the pregnancy and to document their timing. Method. From June to September 2009, a survey was conducted on 565 women who gave birth in the Castors maternity in Bangui. The antenatal clinics cards were checked in order to record the types of antimalarials prescribed during pregnancy according to gestational age. Results. A proportion of 28.8% ANC cards contained at least one antimalarial prescription. The commonest categories of antimalarials prescribed were: quinine (56.7%), artemisinin-based combinations (26.8%) and artemisinin monotherapy (14.4%). Among the prescriptions that occurred in the first trimester of pregnancy, artemisinin-based combinations and artemisinin monotherapies represented the proportions of (10.9%) and (13.3%). respectively. Conclusion. This study showed a relatively high rate (>80%) of the recommended antimalarials prescription regarding categories of indicated antimalarials from national guidelines. But, there is a concern about the prescription of the artemisinin derivatives in the first trimester of pregnancy, and the prescription of artemisinin monotherapy. Thus, the reinforcement of awareness activities of health care providers on the national malaria treatment during pregnancy is suggested.

scholarly journals Addressing Outcomes Expectancies in Behavior Change

2017 ◽  
Vol 11 (6) ◽  
pp. 430-432 ◽  
Author(s):  
Layton Reesor ◽  
Elizabeth M. Vaughan ◽  
Daphne C. Hernandez ◽  
Craig A. Johnston
Keyword(s):  
Health Care ◽  
Problem Behavior ◽  
Health Care Providers ◽  
Outcome Expectancies ◽  
High Rate ◽  
Care Providers ◽  
Excessive Drinking ◽  
Patient Will ◽  
Behavior Health ◽  
Goals And Objectives

Individuals commonly seek help for problem health behaviors, such as excessive drinking, smoking, and weight gain. Yet there is a high rate of recidivism in these behaviors because outcome expectancies are either too high, negative outcome expectancies are not considered, or outcome expectancies are not properly addressed. Health care providers are recommended to list the outcome expectancy for the problem behavior and corresponding treatment for their patient. Through the process it is important to acknowledge both the positive and negative outcomes of engaging in the problem behavior. Health care providers are then encouraged to have their patient identify the goals and objectives that will assist in achieving the desired outcome. By recognizing and addressing outcome expectancies, it is more likely that the patient will be less resistant to the health care provider’s recommendations to change problematic behavior.

scholarly journals Knowledge, attitude, and practice of care providers about congenital rubella syndrome

2020 ◽  
Vol 8 (3) ◽  
pp. 806
Author(s):  
Lantonirina Ravaoarisoa ◽  
Todisoa N. Andriatahina ◽  
Zina A. Randriananahirana ◽  
Andrianina H. Ranivoson ◽  
Vonintsoa L. Rahajamanana ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Healthcare Providers ◽  
First Trimester ◽  
Congenital Rubella Syndrome ◽  
Care Providers ◽  
Congenital Rubella ◽  
Attitude And Practice ◽  
First Trimester Of Pregnancy ◽  
Level Of Knowledge ◽  
Knowledge Attitude And Practice

Background: Behaviour of healthcare providers when facing an illness is an important part of their struggle. The aim of this study was to assess the level of knowledge, the attitude and the practice of health care providers regarding to the Congenital Rubella Syndrome.Methods: Authors did a descriptive study on the knowledge, the attitude and the practice of healthcare providers about Congenital Rubella Syndrome with 161 healthcare providers working in 8 hospitals in Madagascar. A self-introduced survey was used to collect the data.Results: There were 87% of all healthcare providers included in the study, who said that rubella in the first trimester of pregnancy was the cause of this syndrome for child, 87% knew at least 2 of the 3 major signs of Congenital Rubella Syndrome and more than 80% had a good knowledge of the criteria for diagnosing cases (suspected, clinically confirmed, laboratory confirmed). The referral to a hospital or to a specialist was the most proposed for the management of the case of Congenital Rubella Syndrome. The prescription of an IgG avidity for rubella and advising abortion were the main propositions for mothers having a positive test at the first trimester of pregnancy.Conclusions: A fairly satisfactory level of knowledge of healthcare providers was noted.

Dying With Dyspnea in the Hospital

2016 ◽  
Vol 34 (2) ◽  
pp. 132-134 ◽  
Author(s):  
Deborah Morris ◽  
Marissa Galicia-Castillo
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
End Of Life ◽  
Health Care Providers ◽  
Tertiary Care ◽  
Retrospective Chart Review ◽  
Care Hospital ◽  
Care Providers ◽  
National Guidelines ◽  
Palliative Care Consultation

Background: While many patients hope to die at home, many die in hospitals. Patients die with unrecognized and untreated symptoms including dyspnea. Objective: We sought to determine prevalence of dyspnea at end of life in patients dying in acute hospital care and examine treatment patterns. Design/Participants: A retrospective chart review of deaths at tertiary care hospital over a 3-month period evaluated dyspnea in last 24 hours of life, opioid orders and administration as well as presence of palliative care consultation. Results: Of 106 decedents, 88 experienced dyspnea or tachypnea in last 24 hours of life. Health care providers noted only 50% as dyspneic, even those undergoing terminal comfort extubation. Almost all patients with dyspnea documented by staff had orders and received opioids; however, few orders described treatment specifically for dyspnea. Patients with palliative care consultations more often received opioids ( P = .0007), and opioid orders more often specified treatment of dyspnea ( P = .013). Conclusion: These findings support that previous work noting many patients experience dyspnea at end of life. Despite national guidelines, health care providers may still be underrecognizing and likely not optimally treating dyspnea at the end of life in the hospital. Collaboration with palliative medicine providers may improve assessments and treatments for quality end-of-life care for hospitalized patients.

“They Say I Should not Think About It:”: A Qualitative Study Exploring the Experience of Infant Loss for Bereaved Mothers in Kumasi, Ghana

2016 ◽  
Vol 77 (3) ◽  
pp. 267-279 ◽  
Author(s):  
Anna C. Meyer ◽  
Constance Opoku ◽  
Katherine J. Gold
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
High Rate ◽  
Care Providers ◽  
Cultural Issues ◽  
Original Cohort ◽  
God's Will ◽  
Maternal Experience ◽  
Psychological Harm ◽  
Infant Loss

Despite the high rate of infant mortality in Ghana, few studies have explored the maternal experience of infant loss and the perinatal grieving process. As part of a larger study that interviewed 153 mothers with a sick infant, this 1-year follow-up study reinterviewed eight mothers from the original cohort whose infant died since the study began. Mothers were queried about mental health, coping, and cultural issues related to the loss. Mothers were often discouraged from speaking or thinking about the death due to fear of psychological harm and impact on fertility. Primary coping mechanisms involved seeking support within the community and accepting the loss as God’s will. Mothers desired more communication from health-care providers at the time of death. Despite the cultural norm of silent acceptance in the face of perinatal loss, intense maternal grief and desire to mourn may allow more opportunities for health-care workers to support bereaved mothers.

scholarly journals Contemplating remote presence technology for culturally safe health care for rural indigenous children

2018 ◽  
Vol 15 (1) ◽  
pp. 31-33 ◽  
Author(s):  
Tanya Holt ◽  
Gregory Hansen ◽  
Veronica McKinney ◽  
Ivar Mendez
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Access ◽  
Access To Health Care ◽  
High Rate ◽  
Local Health ◽  
Care Providers ◽  
Indigenous Children ◽  
Timely Access ◽  
Local Health Care

Indigenous children living in rural and remote Canada have limited access to paediatric specialty services. As such, they experience a high rate of medical transport out of their home communities. The Truth and Reconciliation Commission’s calls to action has prioritized access to health care that is culturally safe and community directed. Remote presence robotic technology—a novel form of telemedicine—seeks to overcome the barriers of distance and time to improve health care access. The robot allows for direct patient visualization, examination, and communication with local health care providers and family members. This intervention may reduce unnecessary paediatric transfers, and enhance culturally safe care in the child’s home community through timely access to paediatric subspecialty care.

scholarly journals Moving towards people–centered approach in TB Health Care System: Armenia’s Experience

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Sahakyan ◽  
L Musheghyan ◽  
A Harutyunyan ◽  
V Khachadourian
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Healthcare Providers ◽  
Diagnosis And Treatment ◽  
Care Provision ◽  
Care Providers ◽  
National Guidelines ◽  
Ministry Of Health ◽  
Tb Treatment ◽  
Family Based

Abstract Background Achieving integrated people-centered care requires interventions at various levels of the system, including policy changes and measures tailored to strengthen skills and competencies of health care providers. The national guidelines for TB care provision in Armenia provide a standardized approach for TB diagnosis and treatment, including systematic implementation of TB care services across the country. Before August 2019, the only option for drug-sensitive TB treatment was facility-based DOT. Methods In order to offer an alternative treatment option- family- based DOT, and bring TB services closer to patients' needs and values, the national guideline for TB care provision was updated to institutionalize the new approach. A series of nationwide professional development trainings was launched to assure that health care providers at the inpatient and outpatient settings effectively follow the new updates in the national guideline. These evidence-based trainings specifically aimed to equip healthcare providers with the necessary tools, knowledge, and the skillset for communicating with TB patients and building relationship and trust, offering their professional support. Along with patient counselling skills, the curriculum covered recent updates on TB epidemic, its social-psychological and behavioral risk factors, and advancements in TB diagnosis and treatment. All the participants were provided with a manual and other materials regarding the program. Results The Ministry of Health of the RA has approved the national guidelines on TB care (No 2277 - Ô±, August 19). This document includes information on people-centered TB treatment and institutionalizes the family-based DOT in Armenia. More than 90 percent of TB healthcare providers (98 physicians and 134 nurses) throughout Armenia participated in the trainings and received certificates. The RA Ministry of Health accredited the training curriculum with 11 continuing medical education credits for participation.

scholarly journals Community perceptions on causes of high dizygotic twinning rate in Igbo-Ora, South-west Nigeria: A qualitative study

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243169
Author(s):  
Akhere A. Omonkhua ◽  
Friday E. Okonofua ◽  
Lorretta F. C. Ntoimo ◽  
Austin I. Aruomaren ◽  
Ayodeji M. Adebayo ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Group Discussion ◽  
Dietary Factors ◽  
High Rate ◽  
Care Providers ◽  
South West ◽  
Key Informant ◽  
The World ◽  
Adult Twins

Background Dizygotic (DZ, non-identical) twinning rates vary widely across different regions in the world. With a DZ twinning rate of 45 per 1000 live births, Igbo-Ora Community in South-west Nigeria has the highest dizygotic (DZ) twinning rate in the world. Although several postulations exist on the causes of high DZ twinning rates in Igbo-Ora, no study has yet been conclusive on a definite causative agent. Objective Using qualitative methods, this study explored the perceptions and beliefs of Igbo-Ora residents about the causes of high DZ twinning rates. Methods Focus group discussion sessions and key informant interviews were organized among fathers and mothers of twins, those without twins, and health care providers. Key informant interviews were also held with persons considered to be custodians of culture who may have knowledge relevant to twinning such as traditional rulers, and traditional birth attendants; as well as health care providers, mothers and fathers of twins, and adult twins. Results The results showed three factors featuring as the leading perceived causes of twinning in the community. These included twinning being an act of God, hereditary, and being due to certain foods consumed in the community. Contrary to reports that the consumption of a species of yam (Dioscorea rotundata) may be responsible for the DZ twinning in this Community; yam was not prioritized by the respondents as associated with twinning. In contrast, participants repeatedly mentioned the consumption of “ilasa” a soup prepared with okra leaves (Abelmoschus esculenta) with water that is obtained from the community, and “amala” a local delicacy produced from cassava (Manihot esculenta) as the most likely dietary factors responsible for twinning in the community. Conclusion Since the same foods are consumed in neighboring communities that have lower rates of twinning, we conjecture that nutritional and other environmental factors may produce epigenetic modifications that influence high DZ twinning rates in Igbo-Ora community. We conclude that more directed scientific studies based on these findings are required to further elucidate the etiology of the high rate of DZ twinning in Igbo-Ora.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

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