scholarly journals High viral suppression and low attrition in healthy HIV-infected patients initiated on ART with CD4 above 500 cells/μL in a program setting in Uganda

2020 ◽  
Vol 20 (1) ◽  
pp. 132-141
Author(s):  
Dathan M Byonanebye ◽  
Fred C Semitala ◽  
Jackson Katende ◽  
Alex Bakenga ◽  
Irene Arinaitwe ◽  
...  
Keyword(s):  
Viral Load ◽  
Viral Suppression ◽  
High Volume ◽  
Cross Sectional Study ◽  
World Health ◽  
P Value ◽  
Key Populations ◽  
Cross Sectional ◽  
Cd4 Counts ◽  
Asymptomatic Patients

Background: The World Health Organization recommends antiretroviral therapy (ART) for all HIV-infected patients at all CD4 counts. However, there are concerns that asymptomatic patients may have poorer viral suppression and high attrition. Objectives: We sought to determine attrition and viral suppression among healthy HIV-infected patients initiated on ART in program settings. Methods: This cross-sectional study enrolled ART-experienced patients attending two PEPFAR-supported, high-volume clinics in Kampala, Uganda. Eligible patients were >18 years and had completed at least six months on ART. Participants were inter- viewed on socio-demographics, ART history and plasma viral load (VL) determined using Abbott Real-time. Predictors of viral suppression (<75 copies/ml) were determined using multivariate logistic regression. Results: Overall, 267 participants were screened, 228 were eligible and 203 (89%) retained in care (visit within 90 days). Of the 203 participants, 115 (56.7%) were key-populations. Viral suppression was achieved in 173 patients (85%; 95% CI, 80.3%- 90.1%). The factors associated with viral suppression were prior VL tests (AOR 6.98; p-value <0.001) and receiving care from a general clinic (AOR 5.41; p=0.009). Conclusion: Asymptomatic patients initiated on ART with high baseline CD4 counts, achieve high viral suppression with low risk of attrition. VL monitoring and clinic type are associated with viral suppression. Keywords: Key populations; viral load; acquired immunodeficiency syndrome. 

Hubungan Komunikasi Terapeutik Perawat dan Fasilitas dengan Kepuasan Pasien Rawat Inap di Rumah Sakit Umum Cut Meutia Kota Langsa Tahun 2019

2020 ◽  
pp. 21-29
Author(s):  
Bambang Irawan ◽  
Erizal
Keyword(s):  
World Health Organisation ◽  
Cross Sectional Study ◽  
World Health ◽  
P Value ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional

Badan kesehatan dunia yaitu World Health Organisation (WHO) berupaya agar pelayanan kesehatan di dunia ini dapat memberikan suatu sistem pelayanan yang baik untuk meningkatkan derajat kesehatan masyarakat diberbagai belahan dunia. Penelitian ini bertujuan untuk mengetahui hubungan komunikasi terapeutik perawat dan fasilitas dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019. Penelitian ini bersifat analitik dengan desain penelitian cross sectional study. Sampel dalam penelitian ini sebanyak 84 responden yang merupakan pasien rawat inap. Data dianalisa secara univarat dan bivariat menggunakan uji Chi square. Hasil penelitian diperoleh ada hubungan komunikasi terapeutik perawat dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019 dengan nilai p-value (0,007) dan ada hubungan fasilitas dengan kepuasan pasien rawat inap di Rumah Sakit Umum Cut Meutia Kota Langsa tahun 2019 dengan nilai p-value (0,030).

scholarly journals High levels of viral load monitoring and viral suppression under Treat All in Rwanda – a cross‐sectional study

2020 ◽  
Vol 23 (6) ◽  
Author(s):  
Jonathan Ross ◽  
Muhayimpundu Ribakare ◽  
Eric Remera ◽  
Gad Murenzi ◽  
Athanase Munyaneza ◽  
...  
Keyword(s):  
Viral Load ◽  
Viral Suppression ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Viral Load Monitoring ◽  
Load Monitoring ◽  
Treat All

scholarly journals The Effect of Unintended Pregnancy Among Married Women on the Length of Breastfeeding in Indonesia

2020 ◽  
Vol 11 (2) ◽  
pp. 136-149
Author(s):  
Lia Suryani ◽  
Amrina Rosyada
Keyword(s):  
Child Care ◽  
Health Workers ◽  
Unwanted Pregnancy ◽  
Cross Sectional Study ◽  
Married Women ◽  
World Health ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Duration Of Breastfeeding

The coverage of exclusive breastfeeding in Indonesia in 2017 is 35%, far below the recommendations of WHO (World Health Organization) of 50%. This rate is getting lower in unwanted pregnancies. Every year there is13.3% incidence of unwanted pregnancy in women aged 15-44 years. It has an impact on the mental, psychological condition of the mother in the process of child care and nutrition from birth. This study aims to determine the prevalence and relationship of unwanted pregnancy among married women on the duration of breastfeeding in Indonesia. This research wa  a quantitative study using cross -sectional study design, a sample of 5,163 married women, and aged 15-49 years. Data were analyzed using univariate descriptive statistics on complex sample analysis, bivariate analysis using Chi-Square, and multivariate using logistic regression tests of risk factor models. This study showed that 1,267 mothers who breastfed <6 months and there was a relationship between the unwanted pregnancy with the duration of breastfeeding (p-value: 0.007 with PR: 1.349; 95% CI: 1.085-1.676) after been controlled by the use of contraception. The support of husband and health workers during pregnancy, childbirth until child care is needed to support breastfeeding  

scholarly journals A COMPARATIVE, QUESTIONNAIRE BASED CROSS-SECTIONAL STUDY ON SELF MEDICATION PRACTICE AMONG MEDICAL AND PARAMEDICAL STUDENTS

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Monika Mishra
Keyword(s):  
Prescription Drugs ◽  
Cross Sectional Study ◽  
Brand Names ◽  
World Health ◽  
P Value ◽  
Duration Of Treatment ◽  
Self Medication ◽  
Cross Sectional ◽  
Significant Difference ◽  
Health Organization

Background: According to World Health Organization (WHO), self medication is use of medicines to treat self recognized symptoms, or use of a prescribed medicine for chronic symptoms. It is associated with use of prescription drugs, alternative medicines and over the counter drugs (OTC). Methods: This was a prospective, observational, questionnaire based study where two groups of students were interviewed with a prevalidated questionnaire. The first group comprised of students from MBBS while the second group consisted of students of paramedical courses namely physiotherapy, operation theatre technicians and lab technicians. Results: A total of 200 students with an average age 19.62±0.65 years participated in the study. Among these students, 100 were medical students. All the students had practiced self medication however, only 51.00% agreed with the concept of self-medication. Considering the significant „p‟ value to be <0.05 there was a significant difference among the 2 groups with respect to awareness of generic and brand names of the drugs and importance of completing the course of treatment. 51.00% of medical and 29.00% paramedical students were aware about generic and brand names of drugs while knowledge about importance of completing course of treatment was present in 62% medical and 42% paramedical students. (p value<0.05). Also, there was no significant difference regarding the knowledge about the content, dose, duration of treatment and frequency of drug administration among the two groups. Conclusion: The present study shows a high prevalence of selfmedication among medical and paramedical students of the institution. The knowledge about self-medication was encouraging among the students of both the groups. Keywords: Self medication, student, knowledge

scholarly journals Socio-demographic correlate of knowledge and practice toward novel coronavirus among people living in Mosul-Iraq: A cross-sectional study

2020 ◽  
Author(s):  
Balsam Qubais ◽  
Rula mudhafar Al-Shahrabi ◽  
Obasanjo Afolabi Bolarinwa
Keyword(s):  
Online Survey ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Demographic Characteristics ◽  
World Health ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Knowledge And Practice ◽  
Novel Coronavirus

Background: Since the World Health Organization (WHO) announced that the 2019 novel coronavirus (2019-nCoV) is a worldwide pandemic, as the Iraqi authorities have started responding and taking action to control the spread of the pandemic. The knowledge and practices of the public play an important role in curbing the spreading of the virus by following the health guidelines. This study aimed to assess the socio-demographic correlate of knowledge and practices of Iraqi living in Mosul-Iraq towards novel coronavirus during its rapid rise. Methods: A cross-sectional online survey of 909 participants was conducted among Mosul-Iraq between 20th June to 1st July 2020. The survey included three parts: 1) socio-demographic characteristics, 2) participants' knowledge, 3) participants' practices. T-test, ANOVA, chi-square, and binary logistic regression were used. A p-value less than 0.05 (p < 0.05) was considered statistically significant. Results: The results showed knowledge and practice mean score of (12.91\1.67) and (21.56\2.92) with cumulative knowledge and practice of 86% and 76% respectively towards 2019-nCoV. Socio-demographic characteristics such as age, marital status, gender, level of education and employment were statistically related with a higher mean score of knowledge and practice towards the virus as P<0.05. Conclusions: We concluded that the majority of the respondents demonstrate a high level of knowledge and practices towards 2019-nCoV except respondents with socio-demographic characteristics such as those who were younger, male respondents, those with lower education and those unemployed as such campaigns that will increase the knowledge and encourage adequate preventive practice towards 2019-nCoV should be targeted towards this group.

scholarly journals The Analysis of The Incidence of Depression and Risk of Suicide Using Buddy App on Teenagers in Makassar

2019 ◽  
Vol 3 (3S) ◽  
pp. 110-115
Author(s):  
Mutmainnah Sari ◽  
Arbianingsih Arbianingsih ◽  
A. Adriana Amal
Keyword(s):  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
World Health ◽  
P Value ◽  
Test Results ◽  
Late Adolescents ◽  
Late Adolescent ◽  
Cross Sectional ◽  
Study Approach ◽  
Health Organization

The data from the World Health Organization in 2017, suicidal behavior of teenagers Indonesia of 13-17 years old, as many 5.6% teens had made plans related to the way they committed suicide. The aim of this research is  to find out the analysis of the incidence of depression and risk of suicide using Buddy App on teenagers in Makassar. This research was an analytic quantitative with cross-sectional study approach. As many 285 teenagers involved in this research recruited by simple random sampling. Data collected by using a of depression namely KADS that are provided through online form and questionnaire of risk of suicide, namely CSSRS using buddy apps. It is called Buddy App because of its function as an application that can be a close friend to users. The incidence of depression and risk of suicide is higher in the late adolescents. Mean of depression in early adolescent (4.78) and late adolescent (6.31). The statistical test results showed the significant differences between the incidence of depression (p-value 0,000) and the level of risk of suicide (p-value 0,022) in early adolescence and late adolescents. The next researcher is expected to examine the level of depression in each level of suicide risk by developing the questionnaire of depression.

scholarly journals Disability and its prevalence and cause in northwestern Ethiopia: evidence from Dabat district of Amhara National Regional State: A community based cross-sectional study

2020 ◽  
Author(s):  
Solomon Mekonnen Abebe ◽  
Ansha Nega ◽  
Zemichel Gizaw ◽  
Mulugeta Bayisa ◽  
Solomon Fasika ◽  
...  
Keyword(s):  
Surveillance System ◽  
Cross Sectional Study ◽  
World Health ◽  
P Value ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Persons With Disabilities ◽  
Relevant Variables ◽  
System Part

Abstract Background Disability is not just a factor of an individual’s physical condition; it develops through human interactions and reflects the social fabric of communities. Despite the fact that it directly affects 15% of Ethiopians, understanding and policy-relevant studies on disability and the conditions of persons with disabilities are lacking. The Dabat Demographic and Health Surveillance System part of the response to fill this gap. With significant drawbacks in the Surveillance System, this study aimed at assessing the prevalence, types and major causes of disability in Dabat district.Method A community-based cross-sectional study design was employed and covered 17,000 households residing in 13 Kebeles of Dabat district. The district is where DHSS collects health data semi-annually; but this study was designed and executed separately in 2018 utilizing robust tools (World Health Organization’s Disability Assessment Schedule (WHODAS 2.0) used to collect comprehensive data on disability in the district. The data was organized and presented using frequencies and percentages in table and figures. Relevant variables were used to construct a logit model that predicts the likelihood of disability whereby P-value < 0.05 was considered as statistically significant.Results This study found that the overall prevalence of disability in Dabat district was 2.14% [95% CI: 2.03, 2.24]. About 8.3% of households reported at least one member with disability. Visual impairment was the most commonly reported impairment d51%) while 8.19% had multiple impairments. Eighty-three percent of immediate the causes of disability were modifiable – specifically, illness (36.93%), injury (17.81%), and congenital (10.86%). The aged [AOR=1.0; 95% CI: 1.03, 1.04], those unable to read or write illiterate [AOR=1.57; 1.15,2.14], the unmarried/single [AOR=1.39; 95% CI: 185,2.47] and the separated [AOR=2.78; 95% CI: 4.14,6.19] were more likely to risk disability in the population.Conclusion This study reported an increased likelihood of impairment among those with advanced ages. The proportion of households with PwDs was also high. While most disabilities were visual, there were significant numbers with mobility impairments and hard of hearing. Most school-age PwDs did not complete secondary education, while employment was significantly limited. The findings indicated that most causes of disability were reversible.

scholarly journals Hubungan Durasi Penggunaan Smartphone Terhadap Perkembangan Psikologis Sosial Anak Usia 06-08 Tahun Di SDN 01 Poasia Kecamatan Poasia Kota Kendari

2021 ◽  
Vol 1 (1) ◽  
pp. 30-35
Author(s):  
Anisa Purnamasari ◽  
Lisnawati ◽  
Sari Arie Lestari ◽  
Sitti Masriwati ◽  
Nazaruddin
Keyword(s):  
World Health Organization ◽  
Random Sampling ◽  
Cross Sectional Study ◽  
World Health ◽  
P Value ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Health Organization

Penggunaan smarthphone di Indonesia menunjukkan angka yang semakin meningkat, data yang diperoleh dari Portal Techin Asia sampai dengan saat ini sudah mencapai 15 juta lebih pengguna smarthphone. Hasil survey yang dilakukan menunjukkan bahwa penduduk Indonesia terutama anak usia dini menjadi pengguna utama smarthphone. World Health Organization melaporkan bahwa 5-25% dari anak-anak usia sekolah menderita gangguan perkembangan. Sekitar 8-9% anak usia sekolah mengalami masalah psikososial khususnya masalah social emosional seperti kecemasan, sulit beradaptasi, bersosialisasi, susah berpisah dari orang tua, anak sulit diatur, dan perilaku agresif merupakan masalah yang paling sering muncul pada anak usia sekolah. Tujuan penelitian ini yaitu untuk mengetahui hubungan durasi penggunaan smartphone terhadap perkembangan psikologis sosial Anak Sekolah di SDN 01 Poasia, Kecamatan Poasia, Kota Kendari. Jenis penelitian ini adalah kuantitatif dengan pendekatan Cross Sectional Study. Populasi penelitian yaitu seluruh anak yang menggunakan smartphone usia 6-8 tahun yang bersekolah di SDN 01 Poasia sebanyak  315 orang dengan jumlah sampel 64 anak. Teknik pengambilan sampel menggunakan proportional random sampling. Analisis menggunakan Uji Chi Square. Hasil penelitian didapatkan nilai p value = 0.000 (X2 hitung = 13.012 > X2 tabel = 3.841), menunjukkan bahwa ada hubungan antara durasi penggunaan smartphone terhadap perkembangan psikologis sosial pada anak usia 06-08 tahun. Kesimpulan dalam penelitian ini yaitu ada hubungan antara durasi penggunaan smartphone terhadap perkembangan psikologis sosial anak usia 06-08 tahun di SDN 1 Poasia Kecamatan Poasia, Kota Kendari

scholarly journals Workplace Violence and its Associated Factors among Nurses

2018 ◽  
Vol 15 (3) ◽  
pp. 235-241 ◽  
Author(s):  
Manisha Pandey ◽  
Tulsi Ram Bhandari ◽  
Ganesh Dangal
Keyword(s):  
Workplace Violence ◽  
Associated Factors ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
World Health ◽  
P Value ◽  
Cross Sectional ◽  
International Labor ◽  
Health Organization ◽  
Self Administered Questionnaire

Background: Workplace violence among nurses is prevalent worldwide. If nurses become aware of the workplace violence and its risk factors then only they can protect themselves. This study assessed the prevalence of workplace violence and its associated factors among nurses in Pokhara, Nepal. Methods: A hospital-based descriptive cross-sectional study was conducted in Pokhara. The required sample size of the study was 200 nurses. We adopted self-administered questionnaire developed by International Labor Office, International Council of Nurses, World Health Organization (WHO), and Public Services International. Out of 21 hospitals of Pokhara, we selected five hospitals using simple random sampling method. The number of nurses in each hospital was fixed proportionately considering the total number of employed nurses. Individual nurses were selected on the first meet first basis to gain the required number. Results: Two-thirds (64.5%) nurses experienced some type of violence in the last six months at their workplace. The proportion of verbal violence was higher (61.5%) compared to the physical (15.5%) and sexual violence (9%). Most perpetrators of the violence were the relatives of patients and hospital employees. Age of nurses and working stations had statistically significant association with workplace violence (p-value < 0.05). Conclusions: Workplace violence among nurses is a noteworthy problem in Pokhara whereas nearly two-thirds of nurses faced some type of violence in last six months. It is an urge to widen awareness level of nurses on the violence thus, they can take precaution themselves and ask hospital administration and other stakeholders to address the workplace violence.

scholarly journals The magnitude of prescribing medicines by brand names at Muhimbili National Hospital, Tanzania

2020 ◽  
Vol 4 ◽  
pp. 239920261990014
Author(s):  
Ombeni Kisamo ◽  
Manase Kilonzi ◽  
Wigilya P Mikomangwa ◽  
George M Bwire ◽  
Hamu J Mlyuka ◽  
...  
Keyword(s):  
Treatment Guidelines ◽  
Cross Sectional Study ◽  
Brand Names ◽  
World Health ◽  
P Value ◽  
Muhimbili National Hospital ◽  
Prescribing Practices ◽  
National Hospital ◽  
Chi Square ◽  
Cross Sectional

Background: Tanzania National Treatment Guidelines and National Therapeutic Committee circular of 2012 requires prescribers to prescribe medicines using their generic names as recommended by the World Health Organization. The implementation of the aforementioned recommendations by prescribers is not well documented in our settings. Therefore, this study aimed to explore the compliance on the use of generic names by prescribers at Muhimbili National Hospital. Methods: A descriptive cross-sectional study was conducted at Muhimbili National Hospital from January to May 2019 in both inpatient and outpatient pharmacy units. Data were analyzed using SPSS, version 23. Chi-square test was used to analyze proportions between the different variables of the study. A p-value for significance was <0.05. Results: Of 1001 prescriptions analyzed, 71.6% contained medicines prescribed using brand names. The mean (±standard deviation (SD)) number of medicines per prescription was 2.98 (±1.5). The most frequently prescribed medicines by brand names were a combination of vitamin and mineral supplements (34.4%) followed by antibiotics (26.7%). Medical doctors (25.6%) and medical specialists (21.6%) prescribed ⩾2 medicines using brand names per prescription compared to interns (15.0%) and residents (6.9%) ( p < 0.001). Conclusion: Prescribing medicines using brand names was highly observed in this study. Supplements and antibiotics were among the products that were highly prescribed using their brand names. Qualitative studies to explore reasons for brand name prescribing practices are recommended.

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