scholarly journals Kartlegging av astmaundervisning til barn og foreldre i barneavdelinger mellom 2004, 2006 og 2014

2017 ◽  
Vol 13 (1) ◽  
Author(s):  
Anne Trollvik ◽  
Liv-Grethe Kristoffersen Rajka ◽  
Gun Nordström

The aim of the study was to investigate the organization of asthma education for children and parents in children’s wards in Norway over a ten-year period and how Ane and Bronky teaching material has been implemented. A prospective cross-sectional study using a questionnaire was conducted in 28, 22 and 29 children’s wards in 2004, 2006 and 2014. The response rate varied between 86 percent and 97 percent. Statistical analysis by means of Fisher’s exact test was used. The findings revealed that organized asthma education for children increased between 2004 and 2006, while it decreased in 2014. Dialogue and demonstration were common teaching methods. User participation in teaching sessions increased between 2004 and 2006. Only half of the wards reported that asthma education was the responsibility of management to a large/very large extent. This presents future challenges in establishing, prioritizing and ensuring stability in health education for children and their families.

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Elizabeth Thomas ◽  
HuiJun Chih ◽  
Belinda Gabbe ◽  
Melinda Fitzgerald ◽  
Gill Cowen

Abstract Background General Practitioners (GPs) may be called upon to assess patients who have sustained a concussion despite limited information being available at this assessment. Information relating to how concussion is actually being assessed and managed in General Practice is scarce. This study aimed to identify characteristics of current Western Australian (WA) GP exposure to patients with concussion, factors associated with GPs’ knowledge of concussion, confidence of GPs in diagnosing and managing patients with concussion, typical referral practices and familiarity of GPs with guidelines. Methods In this cross-sectional study, GPs in WA were recruited via the RACGP WA newsletter and shareGP and the consented GPs completed an electronic survey. Associations were performed using Chi-squared tests or Fisher’s Exact test. Results Sixty-six GPs in WA responded to the survey (response rate = 1.7%). Demographics, usual practice, knowledge, confidence, identification of prolonged recovery as well as guideline and resource awareness of GPs who practised in regional and metropolitan areas were comparable (p > 0.05). Characteristics of GPs were similar between those who identified all symptoms of concussion and distractors correctly and those who did not (p > 0.05). However, 84% of the respondents who had never heard of concussion guidelines were less likely to answer all symptoms and distractors correctly (p = 0.039). Whilst 78% of the GPs who were confident in their diagnoses had heard of guidelines (p = 0.029), confidence in managing concussion was not significantly associated with GPs exposure to guidelines. It should be noted that none of the respondents correctly identified signs of concussion and excluded the distractors. Conclusions Knowledge surrounding concussion guidelines, diagnosis and management varied across GPs in WA. Promotion of available concussion guidelines may assist GPs who lack confidence in making a diagnosis. The lack of association between GPs exposure to guidelines and confidence managing concussion highlights that concussion management may be an area where GPs could benefit from additional education and support.


2013 ◽  
Vol 4 (1) ◽  
pp. 45-55
Author(s):  
Zoriah Aziz ◽  
Chong Nyuk Jet ◽  
Sameerah Shaikh Abdul Rahman

Continuing professional development (CPD) is a lifelong learning approach to maintain and enhance professional competencies. This cross-sectional study aimed to examine the pharmacists’ preferred CPD activities and barriers to CPD participation. A survey instrument was distributed to all government pharmacists (N=3876) in Malaysia. The response rate was 29.2 %. The majority of the pharmacists (92%) believed that engaging in CPD would improve their performances in their current role. Almost 90% of the respondents preferred to participate in CPD activities associated with continuing education such as workshops and conferences attendance. Barriers to CPD participation were current job constraints, lack of time, and accessibility in terms of travel and cost. It is important to address these issues before the implementation of mandatory CPD for pharmacists in Malaysia.


2019 ◽  
Author(s):  
Mohammed Bukari ◽  
Muzamil Mohammed Abubakari ◽  
Mohammed Majeed ◽  
Abdul-Razak Abizari ◽  
Anthony Wemakor ◽  
...  

Abstract This study sought to assess maternal growth monitoring knowledge and its effect on stunting, wasting and underweight among children 0-18 months in the Tamale Metropolis. An analytical cross-sectional study design, involving 340 mother-child pairs randomly selected from 4 health facilities in the Tamale Metropolis, was used. A structured questionnaire was used to collect information on socio-demographic characteristics and maternal growth monitoring knowledge. Weight and length of children were taken to assess nutritional status (stunting, underweight and wasting). Chi-square/Fisher’s exact test was used to determine the association between maternal growth monitoring knowledge level and child nutritional status.This study sought to assess maternal growth monitoring knowledge and its effect on stunting, wasting and underweight among children 0-18 months in the Tamale Metropolis. An analytical cross-sectional study design, involving 340 mother-child pairs randomly selected from 4 health facilities in the Tamale Metropolis, was used. A structured questionnaire was used to collect information on socio-demographic characteristics and maternal growth monitoring knowledge. Weight and length of children were taken to assess nutritional status (stunting, underweight and wasting). Chi-square/Fisher’s exact test was used to determine the association between maternal growth monitoring knowledge level and child nutritional status.


Author(s):  
Sitti Zakiyyah Putri ◽  
Dahniar ◽  
Sumantri

Stunting merupakan pertumbuhan fisik tinggi badan yang tidak normal sesuai dengan umur.  Stunting dipengaruhi oleh multifactor diantaranya adalah pemberian ASI eksklusif, berat badan lahir rendah, dan status imunisasi. Tujuan dari penelitian ini adalah untuk mengetahui hubungan pemberian ASI eksklusif, berat badan lahir rendah, dan status imunisasi dengan kejadian stunting pada balita. Desain penelitian yang digunakan yaitu analitik observational dengan pendekatan cross sectional study. Populasi dalam penelitian ini yaitu seluruh balita usia 25-60 bulan yang ada diwilayah kerja Puskesmas Banggae I yang berjumlah 96 balita. Teknik pengambilan sampel yang digunakan yaitu, yang pertama menggunakan cluster random sampling untuk pemilihan puskesmas kemudian yang kedua menggunakan consecutive sampling dengan jumlah sampel sebanyak 77 balita. Data dikumpulkan dengan menggunakan kuesioner. Analisis data mengunakan analisis person chi-square dan fisher’s exact test dengan ?=0.05. Balita usia 25-60 bulan sebagian besar mendapatkan ASI eksklusif, lahir dengan berat badan normal, dan mempunyai status imunisasi yang lengkap. Kesimpulan: hasil analisis menunjukkan bahwa tidak ada hubungan antara pemberian ASI eksklusif, berat badan lahir rendah, dan status imunisasi dengan kejadian stunting pada balita usia 25-60 bulan. Saran: meninngkatkan pelayanan kesehatan bagi Puskesmas melalui kegiatan deteksi dini dengan mengukur tinggi badan anak balita secara rutin tiap bulan.      


Author(s):  
Alex Chan ◽  
Andrew Cao ◽  
Leanne Kim ◽  
Shannon Gui ◽  
Manan Ahuja ◽  
...  

Purpose: Though prior literature has shown that virtual conferences improve accessibility and provide a comparable educational experience, further research is required to characterize their educational value. Methods: In this repeated cross-sectional study, demographic and survey data were compared between attendance perspectives for the in-person student-led internal medicine conference held in 2019 and subsequent virtual conference held in 2020. Results: There were 146 attendees at the in-person conference and 200 attendees at the online conference, in which 32 (22% response rate) and 52 responses (26% response rate) were gathered, respectively. Comparison of Likert Scale data via Mann-Whitney U Test revealed that learning objectives were better met in-person for the overall conference (p < 0.01) and didactic sessions (p < .05), but not for workshops, in which there was no significant difference. Survey takers noted the virtual conference to be more accessible on multiple factors, but felt as though their potential for interaction with other participants was more limited. Conclusions: Results indicate that though the virtual conference appeared more accessible to attendees, overall learning objectives for the conference and didactic sessions were better met in-person. Interestingly however, there was no observed difference in perceived educational value for small group workshops.


2016 ◽  
Vol 2 (2) ◽  
pp. 142 ◽  
Author(s):  
Samman Chughtai

Self-medication is a common incidence in the world today. This study aims to evaluate self-medication among university students of Multan, Pakistan. This randomized cross sectional study was carried out in Bahauddin Zakariya University, Multan during December 2015- January 216. A sample size of 200 students was randomly selected. Response rate was 90% (n=182).The prevalence of self-medication among the students was determined to be 83%. There was difference in perception of pharmacy students and students of other professions. Most common condition in which students did self-medication was headache (49.66%; n=75). Students also showed tendency of self-medication in case of herbal and essential oil products (46.35%). Awareness concerning insecurity and benefits of self-medication must be spread among students to avoid the complications of self-medication. 


2019 ◽  
Vol 184 (25) ◽  
pp. 770-770 ◽  
Author(s):  
René Van den Brom ◽  
Rianne Klerx ◽  
Piet Vellema ◽  
Karianne Lievaart-Peterson ◽  
Jan Willem Hesselink ◽  
...  

Pseudopregnancy is a frequently diagnosed reproductive disorder in (dairy) goats. This cross-sectional study evaluates the incidence, possible risk factors and therapies for pseudopregnancy on Dutch dairy goat farms. Two questionnaires, one for farmers and one for veterinarians, were designed and included questions about general farm demographics, breeding management, hormonal oestrous induction, treatment, measures for reduction and stress moments in dairy goats in the period June 1, 2016–May 31, 2017. In total, 43 farmers (21.5 per cent response rate) and 27 veterinarians (22.5 per cent response rate) completed the questionnaire. The annual incidence of pseudopregnancy varied between 1 and 54 per cent per farm, with a mean annual incidence of 17 per cent (95 per cent CI 0.14 to 0.21). In this study, we found a significant association between incidence of pseudopregnancy and a higher percentage of goats with an extended lactation (p<0.0001) and between incidence of pseudopregnancy and the number of ultrasound examinations per year (p<0.0001). The recommended therapy in literature consists of two administrations of prostaglandins. This was only correctly applied by 10 per cent of the farms. On 52 per cent of the farms, an overdose was used comparing to the recommended dose in literature.


2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Thomas Kiggundu ◽  
Robert Kalyesubula ◽  
Irene Andia-Biraro ◽  
Gyaviira Makanga ◽  
Pauline Byakika-Kibwika

Abstract Background HIV infection affects multiple organs and the kidney is a common target making renal disease, one of the recognized complications. Microalbuminuria represents an early, important marker of kidney damage in several populations including HIV-infected antiretroviral therapy (ART) naïve patients. Early detection of microalbuminuria is critical to slowing down progression to chronic kidney disease (CKD) in HIV-infected patients, however, the burden of microalbuminuria in HIV-infected antiretroviral therapy (ART) naïve patients in Uganda is unclear. Methods A cross-sectional study was conducted in the Mulago Immune suppression syndrome (ISS) clinic among adult HIV − infected ART naïve outpatients. Data on patient demographics, medical history was collected. Physical examination was performed to assess body mass index (BMI) and hypertension. A single spot morning urine sample from each participant was analysed for microalbuminuria using spectrophotometry and colorimetry. Microalbuminuria was defined by a urine albumin creatinine ratio (UACR) 30-299 mg/g and macroalbuminuria by a UACR > 300 mg/g. To assess the factors associated with microalbuminuria, chi-square, Fisher’s exact test, quantile regression and logistic regression were used. Results A total of 185 adult participants were consecutively enrolled with median age and CD4+ counts of 33(IQR = 28–40) years and 428 (IQR = 145–689) cells/μL respectively. The prevalence of microalbuminuria was 18.9% (95% CI, 14–25%). None of the participants had macroalbuminuria. CD4+ count <350cells/μL was associated with increased risk of microalbuminuria (OR: 0.27, 95% CI: 0.12–0.59), P value = 0.001). Diabetes mellitus, hypertension, smoking, alcohol intake were not found to be significantly associated with microalbuminuria. Conclusion Microalbuminuria was highly prevalent in adult HIV − infected ART naive patients especially those with low CD4+ count. There is need to study the effect of ART on microalbuminuria in adult HIV − infected patients.


BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e021858
Author(s):  
Yuko Ono ◽  
Koichi Tanigawa ◽  
Takeyasu Kakamu ◽  
Kazuaki Shinohara ◽  
Ken Iseki

ObjectiveClinical procedural experience and confidence are both important when performing complex medical procedures. Since out-of-hospital endotracheal intubation (ETI) is a complex intervention, we sought to clarify clinical ETI experience among prehospital rescuers as well as their confidence in performing ETI and confidence-associated factors.DesignPopulation-based cross-sectional study conducted from January to September 2017.SettingNorthern Japan, including eight prefectures.ParticipantsEmergency life-saving technicians (ELSTs) authorised to perform ETI.Outcome measuresAnnual ETI exposure and confidence in performing ETI, according to a five-point Likert scale. To determine factors associated with ETI confidence, differences between confident ELSTs (those scoring 4 or 5 on the Likert scale) and non-confident ELSTs were evaluated.ResultsQuestionnaires were sent to 149 fire departments (FDs); 140 agreed to participate. Among the 2821 ELSTs working at responding FDs, 2620 returned the questionnaire (response rate, 92.9%); complete data sets were available for 2567 ELSTs (complete response rate, 91.0%). Of those 2567 respondents, 95.7% performed two or fewer ETI annually; 46.6% reported lack of confidence in performing ETI. Multivariable logistic regression analysis showed that years of clinical experience (adjusted OR (AOR) 1.09; 95% CI 1.05 to 1.13), annual ETI exposure (AOR 1.79; 95% CI 1.59 to 2.03) and the availability of ETI skill retention programmes including regular simulation training (AOR 1.31; 95% CI 1.02 to 1.68) and operating room training (AOR 1.44; 95% CI 1.14 to 1.83) were independently associated with confidence in performing ETI.ConclusionsETI is an uncommon event for most ELSTs, and nearly half of respondents did not have confidence in performing this procedure. Since confidence in ETI was independently associated with availability of regular simulation and operating room training, standardisation of ETI re-education that incorporates such methods may be useful for prehospital rescuers.


Author(s):  
Vijayakumar M. ◽  
Jeshtin M.

Background: Construction sector is a thriving industry which comprises most of the unorganized workers and providing widespread opportunities for employment of most of the poorest and marginalized sections of society in India. The workers are more susceptible to various occupational hazards due to working conditions in dusty environment. This study is proposed to identify the morbidity pattern, availability and usage of safety measures, health care seeking behaviour and health care facilities at the quarry site.Methods: A cross sectional study was conducted among the stone quarry workers of Maduranthakam area in Kancheepuram district from February 2018 to May 2018. The sample size was calculated as 94 and five quarries were selected randomly. The study tool was interview based semi structured questionnaire and clinical examination. Appropriate descriptive and inferential statistics like Chi square test, Fischer’s exact test was done to determine significant association (p<0.05).Results: The common morbidities among the participants were abdominal conditions (54%), injuries (34%) and musculoskeletal disorders (27%). One in five individuals had respiratory problems and those with breathing difficulty had decreased peak expiratory flow rate. Usage of personal protective equipments is low and about 63.8% of them were using government health care facilities.Conclusions: Increasing demand for stone and aggregates has led to extensive stone quarrying operations. Awareness and enforcement of personal protective equipment, vaccination against diseases like tetanus, periodic health check- ups should be enforced for people working in quarries.


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