Assessment of Gap Between Knowledge and Practice of PPES among Healthcare Professionals During Covid-19”

2021 ◽  
Vol 15 (10) ◽  
pp. 2736-2738
Author(s):  
Rizwan Sadiq ◽  
Fazal Wadood ◽  
Muhammad Faizan ◽  
Muhammad Abubakar ◽  
Naimal Fatima ◽  
...  

Objective: To assess the gap between knowledge and practice of PPEs among healthcare professionals during COVID-19. Study design: Cross-Sectional study. Study setting: Sheikh Zayed Medical College/Hospital, Rahim Yar Khan. Study Duration: May-August 2020. Methodology: A total of 214 Healthcare professionals (including medical and paramedical staff) were included in this study using convenient sampling technique. Data was collected on pre-designed questionnaire. The questionnaire included information regarding age, sex, job title, working station, etc. then data was entered in and analyzed by using SPSS Version. 21. Numerical variables like age was presented as mean ± standard deviation. Categorical variables like sex, job title, working station were shown as percentages. Results: Our study included the subjects with 88 (41.1%) males and 126 (58.9%) females. Mean age of study subjects came out to be 26.6±3.954 years. It is observed that only 95 (44.4%) of the subjects have PPEs; only 85 (39.7%) were provided PPEs from their respective healthcare authorities and 137 (64%) can afford purchasing PPEs on their own. And there is a major gap seen between the knowledge about PPEs/ appreciation of their effectiveness and the practice of PPEs by these healthcare professionals. Regarding PPEs (which include gown, surgical mask, N-95 mask, gloves, goggles, head cover, shoe cover, social distancing, hand sanitizer and hand washing), this lag is seen majorly among the healthcare professionals working in general wards; less among emergency staff and least among the subjects working at flu filter clinic or isolation wards. Conclusion: Majority of healthcare professionals appreciate the effectiveness of PPEs against corona virus but don’t bring them into practice; either due to non-availability of PPEs or they have some attitude problem towards it. Keywords: Healthcare authorities, COVID-19, Knowledge, Practice, PPEs, Availability, Attitude

2018 ◽  
Vol 16 (2) ◽  
pp. 46-50
Author(s):  
Nasir Hussain Shah Kazmi ◽  
Saima Gillani ◽  
Abdul Rauf ◽  
Haider Zaman ◽  
Shahzad Najeeb ◽  
...  

Background: Thyroid disorders are a commonly encountered problem in hilly areas of Pakistan. The objectives of the study were to determine the frequency and distribution of thyroid disorders among patients presenting with suggestive signs & symptoms of thyroid disorders in Hazara Division, Pakistan. Material and Methods: This cross-sectional study was conducted in Departments of Medicine and Pediatrics & Neonatology, Ayub Medical College, Abbottabad, KP, Pakistan from January, 2017 to January, 2018. Exclusion criteria was patients taking medicines such as Lithium and Cordarone. Sample size was 55 selected using consecutive sampling technique. Reference values were taken as follows; serum TSH=0.4-4.0 µIU/L, serum T3=100-200 ng/dL), serum T4=5-13.5 µgm/dL. Demographic variables were sex and age. Research variables were thyroid status (euthyroid/ hyperthyroid/ hypothyroid) and levels of thyroid function tests (TFT). Categorical variables such as sex and thyroid status were calculated by frequency and percentages whereas numeric variables such as age and TFT by Mean and SD. Descriptive statistics were calculated using SPSS Version 20. Results: Out of the total 55 patients, 11 patients were males and 44 patients were females. The minimum age was 20 years, maximum age was 90 years. Mean age was 43.24 years±15.118. Out of the total 55 patients, 14 (25.5%) were euthyroid, 30 patients (54.5%) were hyperthyroid and 11 (20%) patients were hypothyroid. Out of the 14 patients that were euthyroid, seven were males and seven were females. Out of the 30 hyperthyroid patients 26 were females and only 4 were males. All 11 hypothyroid were females. Conclusions: Hyperthyroidism is more common thyroid disorder in Hazara Division specially in adult females.


2021 ◽  
Vol 8 (09) ◽  
pp. 5584-5590
Author(s):  
Bivash Boran Biswas ◽  
Mousumi Malakar ◽  
Sazzad Bin Shahid ◽  
Sayem Hossain ◽  
Khan Nazrul Islam ◽  
...  

Urosepsis usually develops from a community or nosocomial acquired urinary tract infection (UTI) or during the procedure of various urinary disease such ureterorenoscopy (URS) and percutaneous nephrolithotomy (PCNL). Urosepsis is associated with bacteriuria, Urosepsis due to manipulation during or after percuteneous nephrolithotomy (PCNL) or ureterorenoscopy (URS) or push bang stenting can be catastrophic despite prophylactie antibiotic coverage. This cross sectional study was carried out in Dhaka Medical College Hospital, Dhaka, Bangladesh during the period of July 2011 to June 2013. Sampling technique was purposive and sample size was 70. Among them 23 patients for PCNL and 47 patients for URS were selected by selection criteria. Data were collected by interview of the patients, clinical examinations and laboratory investigations using the research instrument. Data were processed and analyzed using software SPSS (Statistical Package for Social Sciences) version 11.5. Incidence of bacteriuria and urosepsis were measured according to urine and blood culture report. Sensitivity pattern was also observed. According to this study, the incidence of bacteriuria and urosepsis were 17.1% and 5.7% respectively, Of the 70 patients, 12(17.1%) exhibited bacterial growth on urine culture, These 12 patients were then subjected to blood culture and 4(33.3%) of them were found positive. Most (83.4%) of the urine and blood infections (75%) were caused by E. coli. Some widely used antibiotics like moxicillin, Cephalexin and Ciprofloxacin were found 100% resistant in urine culture. Few sensitive antibiotics were Tobramycin (100 %), Amikacin and Ceftazidime (75%). Almost same sensitivity pattern was found in blood culture. In urosepsis, as in other types of sepsis. Urosepsis after PCNL and URS is an important and potentially catastrophic complication. Percuteneous nephrolithotomy (PCNL), Ureterorenoscopy (URS) occurs frequently in this institution. Although the incidence of urosepsis and bacteriuria with resistant organism is low, but it is a burning issue in management in urology practice. The apparent increase in ciprofloxacin resistant organisms appears to be associated with the increased rate of ciprofloxacin resistant organisms are observed in the general population.


2017 ◽  
Vol 13 (1) ◽  
pp. 32-39
Author(s):  
Janaki Parajuli ◽  
Pradip Mishra ◽  
Narbadha Thapa

Background: Breastfeeding has been accepted as the most vital intervention for reducing infant mortality and ensuring optimal growth and development of children. The current study aimed to assess the knowledge and practice regarding breastfeeding among mothers attending immunization clinic.Methods: A cross sectional study was mothers having children under 1 year of age, who attended their children for vaccination and for the treatment of other minor illnesses. The purposive sampling technique was used for selecting the study subjects. Information regarding patients' demographics, knowledge and practice towards breastfeeding were collected from these mothers on a pre-designed and pretested questionnaire.Results: A total of 208 women with children between 6 months and 12 months were included in the study. Their age ranged between 18 and 37 years with the mean of 24.9±4.1. Overall mother's breastfeeding knowledge was good among 35% and excellent among 22% of them while it was unsatisfactory among 43% of the mothers. Breastfeeding in the first 6 months was practiced by 42% of the participated mothers. Only 23% practiced exclusive breast feeding. Among those who breastfed their babies, 51% initiated breastfeeding in the first hour of birth, 21% between 2-4 hours and only 20% initiated it after 24 hours. Only 73% of mother had not given any prelacteal feeding to their babies. No enough breast milk (47.9%), crying hungry (31.5%), work-related problems (13.7%) & mothers' illness (6.8%) were the commonly reported barriers against exclusive breastfeeding.Conclusion: The prevalence of EBF for up to 6 months of age was still low as per WHO recommendations. The mother's perception of “insufficient breast milk” was also the main reason for introducing other foods. Optimal breastfeeding promotion campaigns need to be carried out within the existing health care system such as the antenatal, after delivery and vaccination clinics.Journal of Nepalgunj Medical College Vol.13(1) 2015: 32-39


Author(s):  
Malay K. Roy ◽  
M. Zakir Hossain ◽  
A. H. M. Tanvir Hasan Siddiquee ◽  
M. Alauddin ◽  
Mohammad K. Islam ◽  
...  

<p class="abstract"><strong>Background:</strong> Knee osteoarthritis is a notable issue in senior citizens and is a burning problem worldwide. There are so many risk factors related to knee osteoarthritis but women's sex, age, and obesity are significant. The aim and objective of this study were to estimate the prevalence of knee osteoarthritis among women in the age group of 46 to 65 years and the effect of age and body mass index (BMI) on knee osteoarthritis.</p><p class="abstract"><strong>Methods:</strong> Cross-sectional study was conducted at outpatient department (OPD) in Mymensingh Medical College Hospital, a tertiary level hospital, among females of Mymensingh, a divisional city of Bangladesh in the age group of 46 to 65 years. Purposive sampling technique used to select study subjects. A total of 100 females participated in this study in one month (July 2019-August 2019).<strong></strong></p><p class="abstract"><strong>Results:</strong> 100 participants were enlisted in the study, in the age group of 46 to 55 years 39 (39%) and 56 to 65 years 61 (61%). Total 65 (65%) participants were affected with knee osteoarthritis. Among them, 19 (29.2%) participants were in the age group of 46-55 years and 46 (70.8%) participants were in the age group of 55-65 years, thus in the advanced age group, knee osteoarthritis is remarkably more. Participants affected with knee osteoarthritis with BMI ≥25 were significantly more affected 45 (69.2%) compared with participants with normal BMI 20 (30.2%).</p><p class="abstract"><strong>Conclusions:</strong> Knee osteoarthritis is significantly associated with advanced age and obesity. Advanced age and overweight were strongly associated with osteoarthritis in our population. Therefore, weight reduction and preventive measures can decrease the burden and will help in minimizing morbidity associated with OA.</p>


2021 ◽  
Vol 4 (1) ◽  
pp. 01-08
Author(s):  
Shanzida Khatun ◽  
Kohinur Begom MSN ◽  
Shanzida Khatun ◽  
Happy Bandana Biswas ◽  
Mohammad Nurul Anowar

Background: Having a child in hospital is a stressful experience for most parents, especially for mothers. In Bangladesh, the number of hospital admission of under-5 children is gradually increasing. Support from nurses can assist mothers to maintain their parenting role and promote quality nursing care. Objective: The study was conducted to assess the nursing support perceived by the mothers of hospitalized children in Bangladesh. Methods: A Descriptive cross-sectional study was conducted among 112 mothers whose children were admitted at Dhaka Medical College Hospital. Convenience sampling technique was used to select the study participants. Data was collected by using self-administered structured questionnaires including (1) The Demographic Data Questionnaires and (2) Perception of Nursing Support Questionnaire. Data were analyzed by using descriptive and inferential statistics. Results: The total mean of nursing support was 3.68 (SD=.25). The findings showed that there was a statistically significant difference between mothers’education and nursing support (F=2.73, p=.033). There was a statistically significant positive relationship between child age and nursing support (r=.22, p=.019). There were statistically significant differences between a child’s gender and nursing support of mothers (t=1.99, p=.048) which means mothers who had a male child had more nursing support. Conclusion: The findings of the present study provide information for the nurses ‘that help to increase nursing support among mothers of hospitalized children in Bangladesh. Nurses can promote the quality of care and should be aware of the importance of nursing support. Further study is crucial for identifying factors influencing on nursing support perceived by the mothers of hospitalized children. It is important that nurses continue to develop their knowledge about communication and establishing parent support system.


2021 ◽  
Vol 7 (1) ◽  
pp. 48-55
Author(s):  
Sabrina Aktar ◽  
Ashees Kumar Saha ◽  
Mst Akhtara Khatun ◽  
Baizid Khoorshid Riaz

A career is defined as advancing in a chosen job and as a result of that earning more money, taking on more responsibility, gaining more status, power, and respect A descriptive type of cross sectional study was conducted in two tertiary level Government hospitals namely Rajshahi Medical College Hospital (RMCH), Rajshahi and Shaheed Suhrawardy Medical College Hospital (ShSMCH), Sher-E-Bangla Nagar, Dhaka, Bangladesh from 1st January to 31st December, 2019 with the aimed to determine the career plan and related attributes of nurses in a selected tertiary hospital. Study Population was the nurses working in those two hospitals and convenience sampling technique was done, Sample size was 302. After taking written consent from the respondents, data collection was done by face to face interview using a semi-structured questionnaire. The study findings revealed that 94.0% of the respondents have career plan and only 89 respondents were received degree after employment, 43.8% nurses worked in RMCH and 56.2% nurses worked in ShSMCH. From the total respondents, 58.6% respondents expect after completion higher education they will get better job opportunity. Here, 50.0% of the respondent’s reason for no career plan had family problem, 33.3% respondents’ opinion was time consuming and only 16.7% respondents’ opinion was expensive and 56.3% had job satisfaction. Length of service significantly (p<0.001) associated with career plan and educational qualification significantly (p<0.001) associated with choosing of discipline. Professional development can be achieved through career plan, which will not only provide quality nursing care to patients but also nurses updated knowledge with new information and technology. Asian J. Med. Biol. Res. March 2021, 7(1): 48-55


2012 ◽  
Vol 6 (1) ◽  
pp. 11-13
Author(s):  
Sushmita Roy ◽  
S.M. Shamsuzzaman ◽  
K.Z. Mamun

Rotavirus is one of the leading causes of pediatric diarrhea globally. Accurate and rapid diagnosis of Rotavirus diarrhea should reduce unnecessary use of antibiotics and ultimately reduce drug resistance. Study was designed for rapid diagnosis of Rotavirus antigen in stool sample by ICT (Immunochromatographic test) as well as to observe the seasonal variation of rotavirus infection. This cross sectional study was carried out in the department of Microbiology, Dhaka Medical College from January 2011 to December 2011. Eighty stool samples were collected from Dhaka Shishu Hospital and Dhaka Medical College Hospital. All samples were tested for rotavirus antigen by ICT. Among 80 patients, 42 (52.5%) samples were positive for rotavirus antigen. Among these 42 positive samples, 30 (71.43%) were from 0-12 months of age group, 10 (23.81%) from 13 to 24 months of age group and rest 2 (4.76%) from 25 to 36 months of age group. Rotavirus Ag was detected in stool samples from January to April and another peak episode from October to December. Considering the importance of Rotavirus associated diarrhea, rapid detection of Rotavirus infection in human is substantially needed and should be routinely practiced.DOI: http://dx.doi.org/10.3329/bjmm.v6i1.19354 Bangladesh J Med Microbiol 2012; 06(01): 11-13


2021 ◽  
Vol 9 (2) ◽  
pp. 3-7
Author(s):  
Iffath Farooqui ◽  
Md Shamsul Islam ◽  
Rahat Amin Chowdhury ◽  
ATM Hasibul Hasan

The sexual assaults and its consequences are increasing along with socioeconomic development of the country. Rise of modern communication technology add fuel to the flame. This descriptive cross-sectional study aimed to evaluate the role of communication technology in sexual assaults in Bangladesh. There were 87 victims included in this study. All were female of 6 years to 40 years of age, mean age was 15.67 (± 6.69) year. Most of the victims were below 20 years of age and came from low income families. About 76% mobile used were smart phone. Among them 46% were owned by the victims herself, 26% gifted by the assailants to the victims. Talking through mobile (37%) was the main communication route between the assailants and the victims; followed by direct verbal (31%), mixed verbal and mobile talking (26%) and others (6%). Regarding methods of communication, they only talk in 42% cases and 36% cases used mixed method (talking, SMS and video chatting). The assailant paid all the costs in 62% cases. Mobile phone came as a blessing in communication, but inchoate use makes it a curse to our society. Parents should be cautious about their children's mobile usage (especially smart phone) daily. Government also should make some policy on using mobile technology by the younger citizens. CBMJ 2020 July: Vol. 09 No. 02 P: 03-07


Author(s):  
Suresh C. Gupta ◽  
Karan J. Jain ◽  
Anjana Tiwari ◽  
Indu Padmey ◽  
Nandkishor J. Bankar ◽  
...  

Background: Acquired immunodeficiency syndrome (AIDS) is one of the deadliest diseases that modern medicine has ever had to tackle. Understanding the knowledge about HIV/AIDS in general populations will help in formulating strategy for prevention and treatment. With this background, this study was conducted to assess the knowledge and awareness about HIV/AIDS among general population.Methods: A cross sectional study was conducted at C.C.M. Medical College and Hospital, Durg during December 2018 to January 2019. The data was collected from 450 patients attending the medicine outpatient department. Study subjects were selected using convenient sampling technique. Patients giving consent and willing to participate were included in the study. The data was collected in predesigned and pretested questionnaire.Results: 77.11% study participants were aware that unprotected sex can lead to transmission of HIV, 73.78% knew that shaking hands will not transmit the disease. 79.8% knew that use of condom can prevent transmission of HIV/AIDS. Overall males had better knowledge than females. 76.85% said they would behave friendly with people having HIV/AIDS and 69.78% were willing to take care of relatives with HIV.Conclusions: This study indicates that majority participants have good knowledge about difference between HIV and AIDS, modes of transmission and prevention though they were not completely aware of it. The proportion of those with lack of correct knowledge though comparatively less, needs to be taken as a challenge and addressed through well planned health educational activities at various platforms including teaching hospital premises.


2013 ◽  
Vol 3 (1) ◽  
pp. 29-31
Author(s):  
Swapna Bhattacharjee ◽  
Shekhar Bhattacharjee ◽  
Rukhsana Parvin

Background: Cough variant asthma (CVA) is a subset of asthma where the only symptom is chronic persistent cough. Many cases go unrecognized due to lack of proper evaluation. Response to asthma medication with features supportive of airway hypersensitivity helps in management of this disease. Objective: To find out the proportion of cough variant asthma among the patients attending medicine outpatient department of Enam Medical College, Savar, Dhaka. Materials and Methods: This cross sectional study was conducted in Enam Medical College Hospital, Savar, Dhaka over a period of two years from July 2009 to July 2011. Cough variant asthma was diagnosed mainly on clinical ground as chronic cough without wheezing, fever, weight loss, shortness of breath or sputum or any other apparent cause that persisted for more than eight weeks with absolutely normal physical examination of chest, normal chest radiography and blood count except raised eosinophil count and IgE level. Patients who met these criteria were given 2 weeks course of inhaler beclomethasone propionate and were assessed for improvement. Those who improved after steroid inhalation were categorised as having cough variant asthma. Results: Out of purposively selected 148 patients complaining only of chronic dry cough for more than eight weeks, 92 patients met the primary selection criteria for cough variant asthma. These 92 patients were given 2 weeks trial of 250 ìgm beclomethasone inhalation twice daily. Seventy nine patients reported almost complete recovery from chronic cough after 2 weeks and were categorized as having CVA. Thirteen patients did not improve and were not categorized as CVA. Conclusion: These findings suggest that cough variant asthma is the most common among the patients with chronic cough not due to any apparent cause. The efficacy of inhaled corticosteroid suggests that early intervention is effective in the treatment of this disease. DOI: http://dx.doi.org/10.3329/jemc.v3i1.13871 J Enam Med Col 2013; 3(1): 29-31


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