User Satisfaction with Conventional Lower-Limb Orthotic Devices:  A Cross-Sectional Survey in Pakistan

Introduction. Women who do not switch to alternate methods after contraceptive discontinuation, for reasons other than the desire to get pregnant or not needing it, are at obvious risk for unplanned pregnancies or unwanted births. This paper examines the factors that influence women to switch from Intrauterine Contraceptive Device (IUCD) to other methods instead of terminating contraceptive usage altogether.Methods. The data used for this study comes from a larger cross-sectional survey conducted in nine (9) randomly selected districts of Sindh and Punjab provinces of Pakistan, during January 2011. Using Stata 11.2, we analyzed data on 333 women, who reported the removal of IUCDs due to reasons other than the desire to get pregnant.Results. We found that 39.9% of the women do not switch to another method of contraception within one month after IUCD discontinuation. Use of contraception before IUCD insertion increases the odds for method switching by 2.26 times after removal. Similarly, postremoval follow-up by community health worker doubles (OR = 2.0) the chances of method switching. Compared with women who received free IUCD service (via voucher scheme), the method switching is 2.01 times higher among women who had paid for IUCD insertion.Conclusion. To increase the likelihood of method switching among IUCD discontinuers this study emphasizes the need for postremoval client counseling, follow-up by healthcare provider, improved choices to a wider range of contraceptives for poor clients, and user satisfaction.

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Nurses’ perceptions of the clinical information system in primary healthcare centres in Qatar: a cross-sectional survey

BMJ Health & Care Informatics ◽

10.1136/bmjhci-2019-100030 ◽

2019 ◽

Vol 26 (1) ◽

pp. e100030

Author(s):

Monaa Hussain Mansoori ◽

Kathleen Benjamin ◽

Emmanuel Ngwakongnwi ◽

Samya Al Abdulla

Keyword(s):

Information System ◽

User Satisfaction ◽

Clinical Information System ◽

Quality Care ◽

Clinical Information ◽

Future Research ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Primary Health ◽

Nurses Perceptions

BackgroundQatar is one of the fastest growing countries in the Arabic region. Primary Health Care Corporation (PHCC) is the main provider of primary health services in Qatar and employs 1600 nurses. In 2014, PHCC started to migrate from paper to electronic documentation of patient records using a clinical information system (CIS). Since implementation, the use of CIS and perception of users have not been assessed.ObjectiveThis study measured nurses’ perceptions regarding the utilisation, quality and user satisfaction with the CIS in PHCC.MethodsUsing a pre-existing survey, a cross-section of nurses from six health centres in Qatar were systematically selected and invited to participate in the study. Eighty-nine surveys were completed (response rate: 98.8%) and descriptive analyses were performed.ResultsNurses’ perceptions regarding the utilisation, quality and user satisfaction with the CIS were positive. Nurses indicated that the CIS is a resource for clear, accurate and up-to-date data and that their performance improved due to the CIS. Yet responses to an open-ended question in the survey revealed some concerns related to the CIS, such as patient confidentiality, system downtime and time constraints.ConclusionEnsuring that the CIS is facilitating nurses’ work is crucial to guarantee high-quality care to the community. The findings provide foundational data to help PHCC to understand nurses’ perceptions and to take steps to overcome challenges that nurses face related to the CIS in their daily practice. This work could also provide direction for future research.

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Cross-Sectional Survey of Musculoskeletal Disorders in Workers Practicing Traditional Methods of Underground Coal Mining

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17072566 ◽

2020 ◽

Vol 17 (7) ◽

pp. 2566

Author(s):

Madiha Ijaz ◽

Sajid Rashid Ahmad ◽

Muhammad M. Akram ◽

Steven M. Thygerson ◽

Falaq Ali Nadeem ◽

...

Keyword(s):

Coal Mining ◽

Upper Limb ◽

Lower Limb ◽

Lower Limbs ◽

Underground Mines ◽

Upper Limbs ◽

Underground Coal Mining ◽

Cross Sectional Survey ◽

Cross Sectional ◽

R Programming

Background: In subcontinental underground mines, coal mining is carried out manually and requires many laborers to practice traditional means of coal excavation. Each task of this occupation disturbs workers’ musculoskeletal order. In order to propose and practice possible ergonomic interventions, it is necessary to know what tasks (drilling and blasting, coal cutting, dumping, transporting, timbering and supporting, loading and unloading) cause disorder in either upper limbs, lower limbs, or both. Methods: To this end, R-programming, version R 3.1.2 and SPSS, software 20, were used to calculate data obtained by studying 260 workers (working at different tasks of coal mining) from 20 mines of four districts of Punjab, Pakistan. In addition, a Standard Nordic Musculoskeletal Questionnaire (SNMQ) and Rapid Upper Limb Assessment (RULA) sheet were used to collect data and to analyze postures respectively. Results: In multi regression models, significance of the five tasks for upper and lower limb disorder is 0.00, which means that task based prevalence of upper and lower limb disorders are common in underground coal mines. The results of the multiple bar chart showed that 96 coal cutters got upper limb disorders and 82 got lower limb disorders. The task of timbering and supporting was shown to be dangerous for the lower limbs and relatively less dangerous for the upper limbs, with 25 workers reporting pain in their lower limbs, and 19 workers reporting pain in their upper limbs. Documented on the RULA sheet, all tasks got the maximum possible score (7), meaning that each of these tasks pose a threat to the posture of 100% of workers. The majority of participants (182) fell in the age group of 26 to 35 years. Of those workers, 131 reported pain in the lower limbs and slight discomfort (128) in the upper limbs. The significance value of age was 0.00 for upper limb disorder and was 0.012 for lower limb disorder. Frequency graphs show age in direct proportion to severity of pain while in inverse proportion with number of repetitions performed per min. Conclusions: All findings infer that each task of underground coal mining inflicts different levels of disorder in a workers’ musculoskeletal structure of the upper and lower limbs. It highlighted the need for urgent intervention in postural aspects of each task.

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Identifying lower limb problems and the types of safety footwear worn in the Australian wine industry: a cross-sectional survey

Journal of Foot and Ankle Research ◽

10.1186/s13047-021-00495-3 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Alexander Willem Copper ◽

Rolf Scharfbillig ◽

Thuy Phuong Nguyen ◽

Cassandra Collins

Keyword(s):

Physical Health ◽

Lower Limb ◽

Musculoskeletal Diseases ◽

Wine Industry ◽

Leg Pain ◽

Full Time ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Australian Economy ◽

Agricultural Industries

Abstract Background The Australian wine industry is a valuable part of the wider Australian economy worth approximately A$45 billion annually and employs 163,790 people either full time or part time. Australian agricultural industries are amongst the nation’s most dangerous workplaces with joint, ligament, muscle and tendon injuries being commonplace along with wounds, lacerations and musculoskeletal diseases. It is therefore important to try and minimise the risk of injuries to workers. The aims of this study were to (1) identify whether lower limb problems occur in the Australian wine industry and (2) identify the types of safety footwear worn. Methods Participants were recruited from the Australian wine industry. The study was a cross-sectional anonymous survey of 82 questions with n = 207 respondents. Questions related to job role performed, types of lower limb problems experienced, level of pain, restriction of activities, types of footwear worn, general health and physical health. Results The main working roles were winery (73.4%), vineyard (52.2%), laboratory (39.6%), cellar door (32.4%) and office (8.2%), with 63.3% of participants working in more than one role. Lower back pain was the most commonly reported problem at 56% followed by foot pain (36.7%), knee pain (24.6%), leg pain (21.3%), ankle pain (17.9%), hip pain (15.5%), toe pain (13%) and heel pain (11.1%). The most popular footwear used by participants were elastic sided safety boots, followed by high cut lace up safety boots with side zip. Overall, although the pain experienced was moderate, it did not impact the workers ability to perform their duties and the majority self-reported as being in very good general and physical health. Conclusion To date no data have been published on the types of lower limb problems or the types of safety footwear worn in the Australian wine industry. This study is the first to demonstrate that elastic sided safety boots were the most popular amongst respondents and that lower limb problems occur with workers. Therefore, further research into the safety footwear used in the Australian wine industry is needed to better support workers health while working in their varied roles and conditions.

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FREQUENCY AND TYPE OF FRACTURES ENTERING THE EMERGENCY UNITS OF ORTHOPEDIC HOSPITALS

Pakistan Journal of Rehabilitation ◽

10.36283/pjr.zu.2.2/004 ◽

2013 ◽

Vol 2 (2) ◽

pp. 21-26

Author(s):

Pawan Rekha ◽

Sheena Kumari ◽

Amna Aamir Khan

Keyword(s):

Emergency Department ◽

Lower Limb ◽

Road Traffic ◽

Tertiary Care ◽

Regional Distribution ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Mortality And Morbidity ◽

Different Types ◽

Emergency Units

BACKGROUND Trauma is globally encountered in the emergency department on regular intervals placing a burden on the economy through an increase in the mortality and morbidity. Multiple types of fractures have been notified leading from moderate to severe disability. The aim of the study is to assess different types of fracture entering the emergency department, the risk of these fractures and also to find the association between genders. A cross sectional survey was conducted on 450 participants in different Emergency Departments of tertiary care units of Karachi. It has been observed that fracture cases are increasing in emergencies in Karachi. Road Traffic Injuries (RTA) with 41.6% is the most dominant cause of fracture whereas fall or slip injuries and brawl/fight show 22.2% and 14.7% respectively. Generally, alcohol and cigarette smoking has adverse effect yet 91.6% population revealed no relationship. Regional distribution of fracture shows lower limb fracture with 40.9% as most commonly occurring fractures where male percentages is higher than females. The selected population presented no idea about BMD and Vitamin D test which causes fractures in old age commonly.

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Identifying Lower Limb Problems And The Types of Safety Footwear Worn In The Australian Wine Industry: A Cross-Sectional Survey.

10.21203/rs.3.rs-742762/v1 ◽

2021 ◽

Author(s):

Alexander Copper ◽

Rolf Scharfbillig ◽

Thuy Phuong Nguyen ◽

Cassandra Collins

Keyword(s):

Physical Health ◽

Lower Limb ◽

Musculoskeletal Diseases ◽

Wine Industry ◽

Leg Pain ◽

Full Time ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Australian Economy ◽

Agricultural Industries

Abstract Background: The Australian wine industry is a valuable part of the wider Australian economy worth approximately AUD$45billion annually and employs 163,790 people either full time or part time. Australian agricultural industries are amongst the nation’s most dangerous workplaces with joint, ligament, muscle and tendon injuries being commonplace along with wounds, lacerations and musculoskeletal diseases. It is therefore important to try and minimise the risk of injuries to workers as much as possible. The aims of this study were to (1) identify the types of lower limb problems that occur in the Australian wine industry and (2) identify the types of safety footwear used. Methods: Participants were recruited from the Australian wine industry. The study was a cross sectional anonymous survey of 82 questions with n=207 respondents. Questions related to job role performed, types of lower limb problems experienced, level of pain, restriction of activities, types of footwear worn, general health and physical health.Results: The main working roles were 73.4% winery, 52.2% vineyard, 39.6% laboratory, 32.4% cellar door and 8.2% office, with 63.3% of participants working in more than one role. Lower back pain was the most commonly reported problem at 56% followed by foot pain 36.7%, knee pain 24.6 %, leg pain 21.3%, ankle pain 17.9%, hip pain 15.5%, toe pain 13% and heel pain 11.1%. The most popular footwear used by participants was the elastic sided safety boot, followed by a high cut lace up safety boot with side zip. Overall, although the pain experienced was moderate to severe, it did not impact the workers ability to perform their duties and the majority self-reported as being in very good general and physical health.Conclusion: To date no data has been published on the frequency of lower limb problems or the types of safety footwear worn in the Australian wine industry. This study demonstrated that elastic sided safety boots were the most popular amongst respondents and with that, certain lower limb problems can occur. Therefore, further research into the safety footwear used is needed to better support workers health while working in varied roles and conditions.

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Smart@Home – Supporting safety and mobility of elderly and care dependent people in their own homes through the use of technical assistance systems and conventional mobility supporting tools: A cross-sectional survey

10.21203/rs.3.rs-30817/v1 ◽

2020 ◽

Author(s):

Deborah Elisabeth Jachan ◽

Sandra Strube-Lahmann ◽

Ursula Müller-Werdan ◽

Nils Axel Lahmann

Keyword(s):

User Satisfaction ◽

Smart Home ◽

Technical Assistance ◽

Performance Ratio ◽

Control Group ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Term Care ◽

Price Performance ◽

Mobility Aids

Abstract BACKGROUNDThe use of technical solutions and conventional mobility aids can support the independence of people into old age in their own homes. However, we found relatively few empirical investigations on the effects and costs of these systems.METHODSThe aim of the study was to investigate usability, user satisfaction and the correlation between costs and benefits of different built-in smart home solutions and conventional mobility supporting tools in the home of elderly, partially care-dependent tenants (> 65 years). A cross-sectional survey was conducted from February to March 2018 with tenants of a housing association in apartments equipped with smart home technology and conventional mobility supporting tools. The response rate in the intervention group was n = 37 persons (out of 46 tenants with installed smart home and conventional solutions) and in the control group n = 64 persons (out of 100 tenants without built-in smart home and conventional solutions). Data were collected by a written questionnaire regarding usability and satisfaction of the tenants with the built-in smart home solutions and conventional mobility supporting tools. In addition, both the intervention and the control group were asked general questions about communication, safety and how to deal with the need for long-term care in their own living environment.RESULTSResults showed that with regard to usability, satisfaction and price performance ratio of the installed smart home solutions, the installation of the corresponding solutions with an overall score of 1.41 was mostly positively evaluated by the tenants. Overall, users rated the installed smart home solutions better than the conventional mobility supporting tools (mobility aids, such as handholds and increased balcony floor level).CONCLUSIONSAnalysis of the price performance ratio showed that smart home solutions are generally more expensive than conventional tools, but also contribute significantly to an increased security of the tenants, and thus may enable longer living in a familiar environment. We recommend modularized offers consisting of various components of smart home solutions, since this significantly reduces installation costs and allows for an individual composition according to requirements. Moreover, smart home solutions should be considered to be listed as medical aids.

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Rural-urban variation in user satisfaction with outpatient mental health services in Southern Malawi: a cross-sectional survey

Journal of Mental Health ◽

10.1080/09638237.2020.1739243 ◽

2020 ◽

pp. 1-8

Author(s):

Blessings Chikasema ◽

Xanthe Hunt ◽

Katherine Sorsdahl ◽

Mark Tomlinson

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

User Satisfaction ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Outpatient Mental Health

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Onset And Burden of Lower Limb Lymphedema After Radical Prostatectomy: A Cross-Sectional Study

10.21203/rs.3.rs-620768/v1 ◽

2021 ◽

Author(s):

Manuel Neuberger ◽

Laura Schmidt ◽

Frederik Wessels ◽

Miriam Linke ◽

Carina Müller ◽

...

Keyword(s):

Radical Prostatectomy ◽

Lower Limb ◽

Daily Life ◽

Short Form ◽

Linear Regression Analysis ◽

Complete Regression ◽

Regression Analyses ◽

Compression Stockings ◽

Cross Sectional Survey ◽

Cross Sectional

Abstract ObjectivesTo explore men´s onset and burden of lower limb lymphedema (LLL) after radical prostatectomy (RP) with pelvic lymph node dissection.Patients and methodsA cross-sectional survey-based study was conducted nation-wide and web-based in Germany. Part 1 included 15 multidisciplinary compiled questions with three questions from Short Form 12 Health Survey (SF-12) and WHO activity recommendation, part 2 the validated German Lymph-ICF-Questionnaire (Lymph-ICF-LL). Subgroup comparisons and simple regression analyses were used to identify factors associated with therapy and burden of LLL, followed by multiple regression analyses to explain variance in impairment in the patients’ daily life.Results54 patients completed the survey. Median time of LLL-onset was reported with 2.0 (0.5-9.75) months after RP. 19 patients (35.2%) reported bilateral lymphedema, 28 (51.9%) the use of individually fitted compression stockings (CS), 25 (46.3%) of manual lymphatic drainage (LD) and 26 (48.1%) complete regression.The Lymph-ICF-LL revealed a higher total burden for patients with an active LLL compared to complete regression (total score: 25.5 vs. 11.9, p=0.01) specially for “physical function” (28.3 vs. 12.9, p=0.004) and “mental function” (26.2 vs. 6.7, p<0.001). In multiple linear regression analysis, a higher BMI (β=0.28), lower subjective general health (β=-0.48) and active lymphedema (β =0.28) were significant predictors of higher reported impairments in the Lymph-ICF-LL, accounting for 45.4% of variance.ConclusionMen with LLL after RP with PLND report a significant burden in daily life. Bbasic therapy needs to be offered early. Postoperative onset of LLL is variable, which should be considered when assessing complications after RP.

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