scholarly journals The effect of Corona virus disease 2019 on the care and prevention of Leprosy, the case of Boru Meda, Amhara region,Ethiopia, 2020

2021 ◽  
pp. 1-3
Author(s):  
Feleke Tilahun Zewdu ◽  
◽  
Anwar Seid Hassen ◽  
Geletaw Nega Endeshaw ◽  
◽  
...  

Introduction: Corona pandemic was unexpected challenges of the globe that results multi-dimension problem. When the state of emergency declared, and different resources are mobilized for the prevention of Corona pandemic some health facilities were committed for the isolation and treatment center for COVID-19. Meanwhile, other diseases including leprosy patients are unable to get care, and prevention due to inaccessibility of the health facilities. Methods:Aggregate secondary data from the Amhara regional health bureau and Boru Meda General Hospital were used. Result: From the regional data 76.36% and Boru Meda General Hospital 51.6% new leprosy patients to be diagnosed and to be treated were not come to the health institution due to Corona pandemic. Due to lockdown and repurposed of the health institution strictly to Corona pandemic, leprosy patients with neuropathic ulcer which can be treated and healed with antibiotics and routine nursing care were become complicated and needs amputation (increased by 300%). Conclusion: Still leprosy is one of the community health problems in Ethiopia, however one can considered leprosy as eliminated. Currently, children with age less than 15 were get leprosy with disability grade II. Recommendation: Community mobilization, capacity building, active case surveillance and early case diagnosis and treatment should be carried out

2020 ◽  
Vol 9 (1) ◽  
pp. 190-197
Author(s):  
Luh Putu Desy Puspaningrat ◽  
Gusti Putu Candra ◽  
Putu Dian Prima Kusuma Dewi ◽  
I Made Sundayana ◽  
Indrie Lutfiana

Substitution is still a threat to the failure of ARV therapy so that no matter how small it must be noted and monitored in ARV therapy. The aims  was analysis risk factor substitution ARV first line in therapy ARV. This study was an analytic longitudinal study with retrospective secondary data analysis in a cohort of patients receiving ARV therapy at the District General Hospital of Buleleng District for the period of 2006-2015 and secondary data from medical records of PLHA patients receiving ART.  Result in this study that the percentage of first-line ARV substitution events is 9.88% (119/1204) who received ARV therapy for the past 11 years. Risk factors that increase the risk of substitution in ARV therapy patients are zidovudine (aOR 4.29 CI 1.31 -2.65 p 0.01), nevirapine (aOR1.86 CI 2.15 - 8.59 p 0.01) and functional working status (aOR 1.46 CI 1.13 - 1.98 p 0.01). 


2020 ◽  
Vol 10 (1) ◽  
pp. 35-44
Author(s):  
Fausiah Fausiah

The number of inpatient visits in RSU Anutapura Palu, where in 2015 inpatient visits of 5,640, then in 2016 patient visits decreased to 5,451, in 2017 also decreased to 3,999 and in 2018 also decreased Drastic to 1,146 patient visits. This research aims to determine the utilization of health services in patients in general hospitalization in RSU Anutapura Palu. This type of research is quantitative descriptive. Research was conducted from May-June 2019. The population in the study is a visitor (number of hospitalizations) at the General Hospital (RSU) Anutapura Palu. In this case the people who use health services in the General Hospital (RSU) Anutapura Palu recorded as many as 1,146 visitors (patients) in the year 2018. Primary data collection is through questionnaires and secondary data through the study of patient record documents and other supporting documents. The utilization of health services in patients in general hospitalization in RSU Anutapura Palu is well from the aspects of health beliefs, abilities and needs. RSU Anutapura Palu is expected to be able to improve the promotion of health services so that people use the health services provided.  


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Michael Mireku Opoku ◽  
Harriet Affran Bonful ◽  
Kwadwo Ansah Koram

Abstract Background Misguided prescription of antibiotics is an important contributor towards the emergence and spread of antibiotic resistance. The absence of effective interventions to control antibiotic use leads to increased consumption beyond the needed requirements. Antibiotic stewardship interventions must be appropriately targeted and assessed to enhance the controlled use of antibiotics. The objective of this study was to determine the factors associated with antibiotic prescription to febrile outpatients who seek care in health facilities within the Greater Accra region of Ghana. Methods Secondary data obtained from the medical records of 2519 febrile outpatients, consecutively sampled at the outpatient department of 6 health facilities in 3 municipalities during the baseline survey of a quasi-experiment in 2015 was used. The primary outcome was prescription of any antibiotic. Independent variables included patients’ demographics, symptoms, laboratory investigations (blood film microscopy, malaria rapid diagnostic test, full blood count, urine and stool routine examinations), diagnoses, and prescribers’ demographics. Crude and adjusted logistic regression analyses were used to determine the factors associated with antibiotic prescription. Results The prevalence of antibiotic prescription was 70.1% (95% CI: 67.7–72.4). Prescribers with more years of practice (> 5 years) were more likely to prescribe antibiotics compared to those with less than 3 years of practice (p <  0.001). Integrated Management of Neonatal and Childhood Illnesses (IMNCI) training was associated with a 2.3 (95% CI: 1.54, 3.53, p <  0.001) fold odds of antibiotic prescribing. Patients aged 5 years or more were 60% less likely to receive antibiotics compared with those under 5 years (AOR = 0.40, 95% CI: 0.32, 0.51; p <  0.001). Patients referred for laboratory investigations were 29% less likely to be prescribed antibiotics than those not referred. The presence of cough as a presenting symptom was associated with a 3.5 (95% CI: 2.54, 4.92) fold odds of antibiotic prescription. Conclusion Prescription of antibiotics to febrile outpatients was high. Promoting laboratory testing can potentially reduce irrational antibiotic prescription. Prescribing antibiotics for children under five and the prescribing practices of prescribers with longer years of practice should be targeted with interventions to reduce high use of antibiotics.


Sains Medika ◽  
2015 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
Susilorini Susilorini ◽  
Udadi Sadhana ◽  
Indra Widjaya

Introduction: A periodical database is important including for skin cancer. Periodical registration is needed to acknowledge changes in pattern and frequencies of skin lesion. Objective: The purpose of this study was to describe the pattern and the frequency of skin lesion in RSUD Kariadi.Method: A cross-sectional study was conducted through analysis of the medical records of patients diagnosed skin lesion in the pathology labolatory of RSUD Kariadi between 2008 and 2009. The variables were secondary data including age, gender, specimen area, dan histopathology diagnosis. Data was choosen by consecutive sampling from 381 medical records of skin tissues examined at laboratorium of pathology anatomy of Dr. Kariadi general hospital during 2008-2009.Result: 381 cases were recorded comprising of 246 (65%) neoplastic and 135 (35%) non neoplastic lesion. 120 patients presented with skin cancer, and 126 with benign skin lesion. Most malignancy was observed among female patients (62.5%) on age catagory of 15-39 (65%). The most common lesion was basal cell carcinoma (48.3%) followed by squamous cell carcinoma (33.3%), malignant melanoma (10%), skin appendix carcinoma (2.5%), other malignancies (4.9%).Conclusion: the most common malignancies in Dr. Kariadi general hospital before 2008 was similar to data from 13 laboratory of pathology anatomy in Indonesia, which is squamous cell carcinoma.


2020 ◽  
Vol 3 (1) ◽  
pp. 76-91
Author(s):  
Bishnu Prasad Khanal

For the first time in history, almost all the domestic and international tourism destinations have restrictions for travel worldwide because of corona virus pandemic. Corona virus disease calls the COVID-19 pandemic is an ongoing problem in more than 210 countries in the world. The purpose of this study is to find the tourism impact of COVID-19 in Nepal and purpose recommendations for the preparation of evidence based policy and strategies for further development of the tourism industry in Nepal. Secondary data used in this study were obtained from the ministry of tourism in Nepal and other various web sources and primary data were collected from the online survey and collected 52 samples. They are involved in the hospitality, education & consulting, travel & tours, adventure & expedition, trekking agencies, and government officials from national tourism originations. The study highlights that the tourism contribution in Nepal’s GDP (Gross Domestic Product) as a significant sector that has a linkage with other sectors. Also, the Nepalese tourism industry is dependent on international factors and the Nepal tourism industry highly relies on foreign tourists and cancellation of the mountain climbing permits for the year 2020, affects the income of foreign currency as building the capacity of stakeholders and public-private partnership initiatives to promote and work together to develop and manage in future tourism fields. well as the local economy, the loss of thousands of jobs in the tourism sector and others sectors. Overall analyses suggest that building the capacity of stakeholders and public-private partnership initiatives to promote and work together to develop and manage in future tourism fields.


2020 ◽  
Vol 17 (2) ◽  
pp. 152
Author(s):  
Ida Nuraini ◽  
Rahmad Hidayat ◽  
Setyo Wahyu Sulistyono

This study aims to calculate the strength of interaction between regions and determine the variables determining the level of interaction between regions. This research was conducted in the area of East Java province with the object of 39 regencies and cities using the variable mileage, educational facilities, and health facilities. The data used are secondary data sourced from the Central Statistics Agency of East Java, meanwhile the analytical tool used is gravity analysis and regression analysis, with the regression model used is panel data regression, the Random Effect model. The results showed that the areas in the interaction category were weak, namely the southern part of East Java, the western part and the eastern part while those in the interaction category were in the middle eastern part of Java. Category of regions with strong interaction are Gerbang kertosusila and surrounding areas. From the random effect model regression analysis it is known that the distance, education and health facilities variables together influence 95% of the level of interaction between regions and the most dominant variable is the distance between regions which has a regression coefficient of -62480222. Health facility variable has a significant positive effect while education facility variable has no effect on interactions between regions. Therefore, in order for equitable development to be realized immediately, the distance between regions must be shortened by improving the quality of roads, construction of new roads and toll roads, especially in the southern, eastern and eastern parts of Java.


2020 ◽  
Vol 40 (2) ◽  
pp. 88-96
Author(s):  
Mahalul Azam ◽  
Arulita Ika Fibriana ◽  
Fitri Indrawati ◽  
Indah Septiani

Backgrouds: Multi-drug resistance tuberculosis (MDR-TB) adds the burden of tuberculosis (TB). Depression is a common comorbidity in TB patients. Prevalence of depression among MDR-TB patients was higher, i.e. 11-70%. Prevalence of depression among TB patients in Dr. Kariadi General Hospital was 51.9%. Previous study reported the determinants related to the depression in MDR-TB patients. This study explored the prevalence of depression in MDR-TB patients and its determinants. Methods: This study was a cross-sectional study conducted from July-August 2019. Data consisted of primary and secondary data from Dr. Kariadi General Hospital patients. Sample in this study involved 72 respondents, over 16 years old from 151 registered MDR-TB patients. Depression status was determined using Depression Anxiety Stress Scales obtained from the medical record. Subjects’ characteristics and determinants were collected from primary as well as secondary data. Descriptive data were presented in proportion. Chi-square test continued by Binary logistic regression was performed to determine the association between depression status and its determinants. A P-value


2019 ◽  
Vol 3 (3) ◽  
pp. 146
Author(s):  
Meizly Andina ◽  
Lisa Nabila Pratiwi ◽  
Fadhilah Ramadhan Aribowo

Introduction: Stroke refers to any sudden neurological disorder that occurs due to the cessation of blood flow through the arterial supply system of the brain. The etiology obstructions are atherosclerosis. There was an imbalance of lipid profiles in patients with ischemic stroke There was an imbalance of lipid profiles in patients with ischemic stroke. The objective of this research is to determine differences between lipid profile in new ischemic stroke patients with recurrent stroke at Haji General Hospital of North Sumatra Indonesia in 2015-2016.Methods: This is a cross-sectional study using total sampling method with a total of 64samples. Secondary data obtained from General hospital Haji Medan. Secondary data collected were data on lipid profile in patients with acute stroke and recurrent stroke by collecting medical records.Results: The result from the acute stroke patients found HDL levels of 33.97 mg/dl, recurrent stroke patients found HDL levels of 35.25 mg/dl. LDL levels in acute stroke patients were 109.56 mg/dl and recurrent stroke patients were 123.16 mg/dl. In new ischemic stroke patient, the average value of triglyceride levels was 143 mg/dl and the average value of total cholesterol was 205.8 mg/ dl. In recurrent ischemic stroke patient, the average value of triglyceride levels was 165.2 mg/dl and the mean total cholesterol level was 180.8 mg/dl.Discussion: There are no differences of lipid profile in new and recurrent ischemic stroke patients at Haji General Hospital of North Sumatra Indonesia in 2015-2016 (p>0.05)International Journal of Human and Health Sciences Vol. 03 No. 03 July’19. Page: 146-149


2021 ◽  
Vol 1 (12) ◽  
pp. 946-956
Author(s):  
Rani Salsabilla ◽  
Marie Yuni Andari ◽  
Monalisa Nasrul

Congenital cataracts are the leading cause of blindness in children. Lens opacity in early life has the potential to cause permanent visual impairment if not treated promptly. Cataract surgery performed at the right time can prevent children from amblyopia (lazy eye). This study aims to determine the characteristics of congenital cataracts at the West Nusa Tenggara Provincial General Hospital in the 2018-2019 period. This research uses descriptive method. The data used is secondary data from medical records of congenital cataract patients at the West Nusa Tenggara Provincial General Hospital in the 2018-2019 period. In the 2018-2019 period, 40 children had congenital cataracts. Most of the cataract sufferers were women (52.5%); living outside the city of Mataram (92.5%) with an age distribution of under 12 months (95%) and the rest over 12 months. For infants under 12 months, 53 percent have been diagnosing at the age of 1-2 months. The characteristics of congenital cataracts found were generally bilateral (52.5%), had standard birth weight (52.5%), history of natural birth delivery (67.5%), and had other extraocular congenital abnormalities (72.5%). Most patients with congenital cataracts in the West Nusa Tenggara Provincial General Hospital have been diagnosing at a (pretty/moderately) early age of 1-2 months at the beginning of their lives. So, with appropriate and prompt therapy, hoping that it can reduce the risk of amblyopia.


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