scholarly journals Task shifting in dermatology: Are nurses prepared and willing?

2022 ◽  
Vol 13 (1) ◽  
pp. 22-27
Author(s):  
Kavita Kavita ◽  
Hitaishi Mehta ◽  
Sandhya Ghai ◽  
Aarti Garg ◽  
Tarun Narang

Background: The high burden of skin diseases and the shortage of dermatologists are significant challenges in providing care to millions of people with skin diseases. Task shifting to nurses is a viable option for the delivery of dermatologic care in resource-poor settings. Satisfactory knowledge and a positive attitude are crucial for nurses to undertake the task of managing common skin diseases. This study aimed to investigate the knowledge of registered nurses and their attitude toward common skin conditions. Methods: In this descriptive, cross-sectional study, a total of 187 nurses were included from a nurses training institute by total enumeration sampling. A knowledge questionnaire and five-point Likert type-attitude scale were developed, validated, and employed to collect data. Written informed consent was obtained from the participants after approval from the institute ethics committee. Results: The mean of the knowledge scores were 10.7 ± 2.2. Nearly two thirds (62%) of the subjects demonstrated a low level of knowledge, while the remaining 38% showed a moderate level. There was no participant in the high-knowledge category. A majority of the nurses demonstrated a favorable attitude toward learning and undertaking the task of managing common skin conditions. Conclusion: We observed a low level of knowledge on diagnosing and managing common skin conditions. We recommend incorporating the relevant concepts of common skin conditions in the nursing curriculum with an emphasis on continuing education.

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Chong Kar Lim ◽  
Chang Woan Ching ◽  
Leow Jing Jun ◽  
Ling Yun

Background: It is a concern in meeting patients’ needs with a high prevalence of dementia across the world. However, dementia care has always been neglected. Nurses are expected to be capable of being able to care for people with dementia. Purpose: This study aims to determine the level of knowledge and attitude on dementia care and their association among nurses at a private hospital. Methods: This is a quantitative cross-sectional study. A self-administered questionnaire using Dementia Knowledge Assessment Scale (DKAS) and Dementia Attitude Scale (DAS) were adopted in the study. In this study, a simple random sampling method was used to recruit 102 nurses. Results: Findings show that nurses have poor knowledge (M=23.59, SD=6.79) but with a positive attitude (M=98.99, SD=12.08) on dementia care. There is no association between level of knowledge and attitude in dementia care (p> .05) among nurses. Conclusions: The educators, policy makers and administrators in healthcare settings are recommended to provide a support system and training strategy for nurses to improve their knowledge in caring for patients with dementia. Future study may be considered to examine the influencing factors and barriers related to dementia care.


2014 ◽  
Vol 29 (1-2) ◽  
pp. 8-11
Author(s):  
Abul Kalam Mohammad Yousuf ◽  
Yasmin Joarder ◽  
Ayasha Aktar ◽  
Md. Nazmul Hoq ◽  
Mushfika Rahman ◽  
...  

Background: Skin problems are one of the most common health problems seen in the developing countries. Objective: To assess the pattern of skin diseases most commonly encountered in Dermatology & Venereology Outdoor Patient Department (OPD) of Northern International Medical college Hospital (NIMCH). Materials and Methods: This cross sectional study was carried out in the Dermatology & Venereology OPD of NIMCH, Dhanmondi, Dhaka, Bangladesh, during the period of January 2012 to December 2012. A total of 1169 patients (511male and 658 female) aged 10-44 years, attended in the OPD in which 969 patients (450 male and 519 female) were found to have dermatological problems. Data were analyzed by using SPSS soft-ware version 18. Results: The pattern of skin diseases was higher in females (53.6%) than in males (46.4%). The most common disorders seen in outpatient department is eczema (23.7%) followed by fungal infection (15.5%), scabies (13.4%) and acne vulgaris (11.9%). A remarkable part (41.4%) of the patients was illiterate. Majority of the patients (67.6%) belonged to poor socio-economic class. 61.4 % patients were residing in overcrowded homes and 53% patients were not maintained personal hygienic standards Conclusion: This study gives a fair picture of pattern of common skin diseases in urban Dhanmondi and its surrounding locality, Dhaka. From this study, it can be concluded that better health education, maintaining personal hygiene, improvement in the standard of living, proper case diagnosis and proper treatment may remain of importance in managing common skin diseases. http://dx.doi.org/10.3329/bjpp.v29i1-2.20061 Bangladesh J Physiol Pharmacol 2013; 29(1&2) : 8-11


2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Katarzyna Tomaszewska ◽  
Magdalena Kozłowska ◽  
Andrzej Kaszuba ◽  
Aleksandra Lesiak ◽  
Joanna Narbutt ◽  
...  

Alopecia areata (AA) and vitiligo are both common skin diseases of autoimmune origin. Both alopecia areata and vitiligo have shown to be affected by oxidative stress. The present work is aimed at evaluating and comparing the serum proinflammatory cytokine levels in AA and nonsegmental vitiligo (NSV). A cross-sectional study was conducted of 33 patients with AA, 30 patients with NSV, and 30 healthy controls. Serum levels of interferon γ (IFN-γ), interleukin- (IL-) 1β, and IL-6 were determined quantitatively by ELISA method. Our analysis identified a signature of oxidative stress associated with AA and NSV, characterized by elevated levels of IFN-γ (AA: p=0.007283; NSV: p=0.038467), IL-1β (AA; NSV: p≤0.001), and IL-6 (AA; NSV: p≤0.001). IL-6 was also significantly increased in NSV patients in comparison with AA patients (p=0.004485). Our results supported the hypothesis that oxidative stress may play a significant role in promoting and amplifying the inflammatory process both in AA and vitiligo. The complex understanding of both disease etiopathogenesis involves interrelationships between oxidative stress and autoimmunity. The clinical study registration number is RNN/266/16/KE.


2021 ◽  
Vol 49 (2) ◽  
pp. 81-86
Author(s):  
Mitayani Mitayani ◽  
Trisnawati Mundijo

Knowledge level of a parent will affect the health behavior in a family. COVID-19 pandemic may affect the health status of the Thalassemic patients. This study aimed to identify the actual knowledge of parents of Thalassemic patients and their risk factors. This was a cross-sectional study. The population was the parents of Thalassemic patients who become members of Perhimpunan Orang Tua Penyandang Thalassemia Indonesia (POPTI) in Palembang. Sample size of 77 subjects was chosen using consecutive sampling technique. Subjects were asked to fill the structured questionnaire. Data were analyzed using chi square test. Subjects with good level of knowledge about COVID-19 were 5.2%, with sufficient level of knowledge was 44.2%, and with low level of knowledge was 50.6%. Parents’ level of knowledge about COVID-19 was affected by their educational background (p=0.006), but was not affected by gender, occupation, and age (p>0.05). There were still many parents with low level of knowledge about COVID-19 which required special attention because it could affect the patients’ health behavior. Keywords: knowledge level, COVID-19, Thalassemia, POPTI Abstrak Tingkat pengetahuan orang tua yang baik akan memengaruhi perilaku kesehatan keluarga penderita Thalassemia. Musim pandemi COVID-19 diperkirakan memengaruhi kesehatan penderita Thalassemia. Tujuan penelitian ini adalah untuk mengetahui tingkat pengetahuan orang tua penderita Thalassemia mengenai COVID-19 dan faktor-faktor yang mempengaruhinya. Penelitian dengan desain potong lintang ini dilakukan di Yayasan Perhimpunan Orang Tua Penyandang Thalassemia Indonesia (POPTI) kota Palembang. Besar sampel sebanyak 77 orang diambil dengan teknik consecutive sampling. Responden diminta mengisi kuesioner terstruktur tentang pengetahuan yang kemudian dianalisis dengan uji Chi Square. Responden yang memiliki tingkat pengetahuan baik sebesar 5,2%, cukup sebesar 44,2% dan kurang sebesar 50,6%. Tingkat pengetahuan orang tua mengenai COVID-19 dipengaruhi oleh tingkat pendidikan orang tua (p=0,006), namun tidak dipengaruhi oleh jenis kelamin, pekerjaan, dan usia (p>0,05). Masih banyaknya orang tua penderita Thalassemia dengan pengetahuan yang kurang mengenai COVID-19 memerlukan perhatian khusus karena dapat memengaruhi perilaku kesehatan penderita. Kata kunci: tingkat pengetahuan, COVID-19, Thalassemia, POPTI


2019 ◽  
Vol 1 (2) ◽  
pp. 79
Author(s):  
Tuntas Rayinda ◽  
Devi Artami Susetiati ◽  
Sri Awalia Febriana

Individuals who live in boarding schools often experience various skin diseases, both infection and non-infectious because of exposure to various risk factors such as hormonal changes, poor hygiene and sanitation, and dense living quarters. To date, data on the prevalence of disease in adolescents in boarding schools are still very limited. This study is an observational cross-sectional study that aims to describe skin diseases that often occur in adolescents who live in boarding schools. Surveys and clinical examinations are carried out by dermatologist. Based on a survey of 1,250 students aged 10 - 16 years, 1,073 students (85.8%) had at least one skin disease. A total of 1,073 cases from 27 different types of skin diseases were found in these students. The five most common skin diseases are dermatophytosis, scabies, acne vulgaris, ecthyma, and pityriasis versicolor. Education, periodic surveys, mass treatment, and interventions to improve hygiene and living conditions are key to success in the management of skin diseases in students living in boarding schools.


Author(s):  
Shameena A. U. ◽  
Sanjeev Badiger ◽  
Nanjesh Kumar S.

Background: Overcrowding, Poor personal hygiene and Lower economic status are proved to be major causes of common skin conditions. School children are more prone for these infections and majority of them are preventable. The objective of the study was to assess the pattern of common skin conditions among school children in Urban South India.Methods: A cross sectional study was conducted on 615 children from three primary schools coming under the community health centre, Mulky. Data was collected using a pretested semi structured questionnaire on socio-demographic characteristics and skin conditions were identified by examination.Results: Out of the 615 children, 389 (63%) had infective skin conditions. Most of them belonged to Hindu religion (57.4%) followed by Muslim (32.7%) and Christian (9.4%). Skin infections were equal among both sexes. Among the skin infections, nearly 26.1% had fungal infections, 18.7% had bacterial infections, 13.1% had parasitic infections and 5.4% had viral infections.Conclusions: Prevalence of skin infections is high in our study and there is a need to emphasize more on improving school health programmes and health education to teachers, parents and children.


2021 ◽  
Vol 2 (1) ◽  
pp. 36-45
Author(s):  
Addientya Maykeza ◽  
Rizanda Machmud ◽  
Lendrawati Lendrawati

Nowadays, the shifting of fixed orthodontic function becomes a lifestyle is more popular than before. The study is purpose to determine a relationship between teenager behaviour (knowledge, attitudes, and action) to fixed orthodontic appliance.This study using cross sectional study design. The sample was a high school students of Don Bosco Padang, Sumatera Barat. The number of samples are 90 people, that chosen by proportionate stratified random sampling technique. The data was collected by using a questionnaire to measure the level of knowledge, attitude and action. Data analysis using Chi-Square test. The result showed there was no significant relationship between teenager knowledge, attitude, and action with fixed orthodontic application in high school students of Don Bosco Padang. The conclusion from this study is that most of high school students of Don Bosco Padang have a high knowledge, positive attitude, and good action about fixed orthodontic treatment


2021 ◽  
Vol 5 (1) ◽  
pp. 82-90
Author(s):  
Fabiola Vincent Moshi ◽  
Esther E. Akyoo ◽  
Saada Ally Seif

Background: Initiating breastfeeding during the first hour after birth and continuing breastfeeding exclusively for 6 months prevents childhood infections such as diarrhoea. Exclusive breastfeeding (EBF) for the first 6 months of life of the baby is recognised globally as the best and the most effective intervention to ensure the survival of babies. The aim of this study was to determine the prevalence of EBF and its predictors among mothers of 0 to 6 months infants from pastoralists and hunters’ community in Manyara region-Tanzania. Methods: This was a community-based analytical cross-sectional study that involved 342 mothers of 0 to 6 months infants who were randomly selected through 4 stage multistage sampling technique. Data was collected using an interviewer-administered questionnaire. Collected data was analysed using Statistical Package for Social Sciences (SPSS) version 20. Binary Logistic Regression analysis was used to establish factors associated with EBF practices. Results: The prevalence of EBF among postnatal women from hunters and pastoralists societies was 47.1% at 95% CI=41.7%-52.5%. After adjusted for confounders, the predictors of EBF practice were age of infants (0-1 months, AOR= 2.838 at 95% CI = 1.326-6.075, p=.007), age of mothers (26-35 years, AOR=1.851 at 95% CI= 1.059-3.234, p=.031), Level of education of infants’ mothers (primary education, AOR= 2.374 at 95% CI= 1.321-4.265, p=.004) and knowledge on exclusive breast feeding, AOR=2.51 at 95% CI= 1.435-4.393, p=.001. Conclusion: Majority of mothers from pastoralists’ and hunters’ societies were not practising EBF. Predictors of EBF practice were; the age of infants, maternal age, level of education of the mother and knowledge on exclusive breastfeeding. Poor EBF practice was mainly contributed to low level of knowledge about the EBF. The low level of knowledge could have been contributed by poor access to maternal services. Nature of living (lack of permanent settlement) of the study population could have contributed to low access to maternal services. An innovative interventional study is highly recommended to come up with strategies that will improve knowledge on EBF and practice of EBF


2012 ◽  
Vol 27 (10) ◽  
pp. 1248 ◽  
Author(s):  
Jung Min Bae ◽  
Beomman Ha ◽  
Hongsun Lee ◽  
Chang Keun Park ◽  
Hyun Joon Kim ◽  
...  

2021 ◽  
Vol 9 (B) ◽  
pp. 1633-1636
Author(s):  
Afrida Aryani Nasution ◽  
Imam Budi Putra ◽  
Mutiara Indah Sari

Background: Scabies is a disease caused by the mite Sarcoptes scabiei var. hominis. In Indonesia, scabies ranks third out of the 12 most common skin diseases. In terms of disease screening, direct visualization of dermatitis from mites and microscopy of skin scrapings is less sensitive. PCR and dermoscopy examinations have a high sensitivity value to Sarcoptes mites. Aims: This study aims to identify Sarcoptes scabiei mites between clinical symptoms and supporting examinations, namely PCR and dermoscopy methods. Methods: This research is a cross-sectional study, with descriptive analytics. The number of samples of 50 people who met the inclusion criteria was examined by microscopic examination, dermoscopy, and PCR. We state it to be positive if we found scabies mites or their eggs on microscopy, delta wing sign, or jet wet contrail on dermoscopy and there is a 135bp DNA band on PCR. Results: 50 samples diagnosed with scabies based on cardinal sign of scabies, gender were 80% male and 20% female with an average age of 14 years. Based on the location of the rash, the most rashes were between the fingers and toes, each 26% and the least on the head as much as 2%. Based examination tools, no Sarcoptes scabiei mites were found through microscopic and dermoscopic examination, while the PCR examination found 12 positive samples of scabies. Conclusion: PCR examination is very sensitive and specific even in very small quantities, with the fore primer SSUDF and the reverse primer SSUDR. Further research is needed to assess the sensitivity and specificity of dermoscopy and PCR in diagnosing scabies.


Sign in / Sign up

Export Citation Format

Share Document