scholarly journals Effectiveness of Visual Intervention Tool in Improving LATCH Score in Mothers

2021 ◽  
pp. 248-254
Author(s):  
S. Pramodita ◽  
Harish Sudarsanan ◽  
A. Asha ◽  
H Benazer ◽  
J. Kumutha
Keyword(s):  
Demographic Data ◽  
Objective Evaluation ◽  
Vital Role ◽  
World Health ◽  
Visual Aids ◽  
Post Intervention ◽  
Breastfeeding Education ◽  
The Difference ◽  
Health Organization ◽  
Postpartum Mothers

Background: World Health Organization (WHO) recommends exclusive breast feeding for at least 6 months and thereafter until the child is 2 years of age which has largely been achieved by Baby Friendly Hospital Initiative put forth by WHO. The vital role played by mother in breastfeeding delivers passive immunity and nutrients to the child and for it to be practiced in an effective way, counselling and education is neededfor postpartum mothers. For an objective evaluation of effectiveness of breastfeeding counselling with visual aids in our unit, LATCH scoring was used to assess breastfeeding quality. Materials and Methods: Breastfeeding education was given to postpartum mothersin the form of video assisted teaching as intervention. Pre and post intervention LATCH score were done to assess the quality of breastfeeding. Score for Latching (L), Audible swallowing (A), Type of nipple (T), Mother comfort (C), Help needed (H) were scored as 0,1 or 2. The total maximum score was 10 and minimum was 0. Maternal and neonatal demographic data and LATCH scores were collected and analyzed. Results: The difference between pre intervention and post intervention mean LATCH score was statistically significant. Conclusion: The visual intervention helped the mothers to understand breastfeeding techniques and lactate effectively.

scholarly journals Comparison of Measures adopted to combat COVID 19 Pandemic by different countries in WHO regions

2020 ◽  
Vol 32 (2 (Supp)) ◽  
pp. 288-299
Author(s):  
Shubha DB ◽  
Malathesh Undi ◽  
Rachana Annadani ◽  
Ayesha Siddique
Keyword(s):  
Virus Disease ◽  
Management Strategies ◽  
Vital Role ◽  
Control Measures ◽  
World Health ◽  
Contact Tracing ◽  
Limited Information ◽  
The World ◽  
The Difference ◽  
Health Organization

Since the emergence of Corona Virus Disease 19 (COVID 19) in China in December 2019, a lot of significant decisions have been taken by the World Health Organization (WHO) and several countries across the globe. As the world reels under the threat of rapid increase in the number of cases and is planning strategies with the limited information available on the virus, it is essential to learn from the experience of countries across the globe. Hence, we selected a few countries in five WHO regions based on their COVID 19 caseload, management strategies and outcome and compared some of the important measures taken by them to contain the spread of infection. Strategies like extensive testing and contact tracing, strict quarantine and isolation measures, Hospital preparedness, complete restriction of non-essential travel, strict border control measures and social distancing measures play a vital role in containment of the spread. All the countries faced the novel strain of virus and implemented similar strategies as per the guidance of WHO, but the extent of preparedness, swiftness with which the decisions were made and the scale of measures made the difference.

scholarly journals Correlation between white blood cell count at admission and mortality in COVID-19 patients: a retrospective study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bin Zhu ◽  
Xiaokai Feng ◽  
Chunguo Jiang ◽  
Song Mi ◽  
Liya Yang ◽  
...  
Keyword(s):  
White Blood Cells ◽  
Vital Role ◽  
World Health ◽  
Kaplan Meier ◽  
Single Center Study ◽  
Union Hospital ◽  
Laboratory Examinations ◽  
The Difference ◽  
Wbc Count ◽  
Death Cases

Abstract Background Coronavirus disease-19 (COVID-19) has become a world health threaten. Its risk factors with death were still not known. White blood cells (WBC) count as a reflection of inflammation has played a vital role in COVID-19, however its level with death is not yet investigated. Methods In this retrospective, single-center study, all confirmed patients with COVID-19 at West Branch of Union Hospital from Jan 29 to Feb 28, 2020 were collected and analyzed. Demographic and clinical data including laboratory examinations were analyzed and compared between recovery and death patients. Results A total of 163 patients including 33 death cases were included in this study. Significant association was found between WBC count and death (HR = 1.14, 95%CI: 1.09–1.20, p < 0.001). The regression analysis results showed there was a significant association between WBC count and death (HR = 5.72, 95%CI: 2.21–14.82, p < 0.001) when use the second quartile as a cutoff value (> 6.16 × 10^9/L). The difference was still exist after adjusting for confounding factors (HR = 6.26, 95%CI: 1.72–22.77, p = 0.005). In addition, Kaplan-meier survival analysis showed that there was a significant decline of the cumulative survival rate (p < 0.001) in those with WBC count ≥6.16 × 10^9/L. Conclusion WBC count at admission is significantly corelated with death in COVID-19 patients. Higher level of WBC count should be given more attention in the treatment of COVID-19.

Reflections on FDA and WHO recommendations concerning clinical trials

1989 ◽  
Vol 4 (2) ◽  
pp. 117-122 ◽  
Author(s):  
J.-F. Dreyfus ◽  
D. Cremniter ◽  
J.D. Guelfi
Keyword(s):  
Clinical Trials ◽  
Drug Users ◽  
Objective Evaluation ◽  
World Health ◽  
Measuring Instruments ◽  
New Techniques ◽  
The Usa ◽  
The One ◽  
Health Organization

SummaryWe are still confronted by numerous different nosographic models and problems concerning the objective evaluation of patients progress during treatment. It is interesting to consider the consequences of this situation in psychiatry which still involves a relative diversity of practical methods used in clinical trials. The recommendations of the USA Food and Drug Administration, on the one hand, constitute a highly structured and precise reference. The World Health Organization, on the other hand, promulgates general recommendations resulting from a compromise designed to satisfy the greatest number of clinicians.Despite the apparently diverse principles and the different practical methods they propose, both those sets of recommendations have been useful in inspiring clinicians to reflect upon these different methodological approaches. The qualities of the inclusion criteria used in the study of patients and the sensitivity of the different measuring instruments have allowed psychotropic drug users as well as producers to recognize the need for a certain rigour in clinical trials.The FDA and WHO guidelines have certainly improved the quality of clinical trials in psychopharmacology. However, they also represent a source of resistance to innovation.A series of consensus meetings to first reconcile US and European points of view and later to include new techniques in the recognized sets of methods would therefore be helpful.

scholarly journals EXPLORING COVID-19 VACCINE ACCEPTANCE AND HESITANCY DETERMINANTS

2021 ◽  
Vol 03 (01) ◽  
pp. 80-91
Author(s):  
Tauheed Zahra ◽  
◽  
Farhan Ahmad Faiz ◽  
Farrah Ahmed ◽  
◽  
...  
Keyword(s):  
Educational Background ◽  
Vital Role ◽  
World Health ◽  
Vaccine Hesitancy ◽  
Social Worlds ◽  
Vaccine Acceptance ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low Middle Income Countries ◽  
Health Organization

The World Health Organization recognizes vaccine related myths and conspiracies as the world's top threat to public health safety, particularly in low middle-income countries. The current study aims to explore the beliefs of the general public towards the vaccine acceptance and the hesitancy. The study explicates the COVID 19 vaccine acceptance and hesitancy determinants through an in-depth qualitative approach. A total of 30 male and female millennials from different education backgrounds were interviewed through an interview guide. This study reveals that people have different beliefs related to the vaccine authenticity which plays a vital role in the reluctance towards it. Findings from paper is similar to literature that people from good educational background have similar thoughts towards COVID 19 vaccination. Disregard for the vaccine was caused by various factors, such as misinformation, safety concerns, and personal knowledge. This level of distrust was associated with the social worlds that participants experienced during the pandemic. COVID-19 vaccine hesitancy is a complex relationship that involves the spread of misinformation. Vaccine programs should provide a focused, localized, and empathetic response to counter misinformation. Keywords: COVID-19, vaccines, myths, hesitancy, vaccines awareness, pandemic, conspiracy, corona virus

scholarly journals Analysis of current recommendations and criteria of the world health organization for the assessment of iodine deficiency conditions

1997 ◽  
Vol 43 (4) ◽  
pp. 3-6
Author(s):  
E. P. Kasatkina ◽  
D. E. Shilin ◽  
G. V. Ibragimova ◽  
M. I. Pykov ◽  
G. A. Ryumin ◽  
...  
Keyword(s):  
Iodine Deficiency ◽  
Thyroid Dysfunction ◽  
Endemic Goiter ◽  
Objective Evaluation ◽  
World Health ◽  
Low Dose Radiation ◽  
Rural Regions ◽  
Health Organization ◽  
Thyroid Abnormalities ◽  
Dose Radiation

The incidence of endemic goiter in the Orel district of Russia has been studied in order to assess the informative value of the new WHO classification for identification of iodine deficiencies (1994). A total of 2103 children living in three rural regions, two of which were polluted with low-dose radiation after the Chernobyl accident, have been examined in 1992-1996. The incidence of goiter and thyroid dysfunction in the newborns corresponded to grave endemia, and the median of blood thyroglobulin was moderately increased in the region with the highest pollution (5 to 15 Ci/km2 for 127Cs), characterized by a slight iodine deficiency. In a less contaminated region (1 to 5 Ci/km2) with a similar level of iodine deficiency, incidence of goiter, and median of blood thyroglobulin the incidence of thyroid dysfunction in the newborns was moderate. In a pure region, despite a more evident iodine deficit and a compatible increase of the median of blood thyroglobulin, the incidence of endemic goiter and thyroid dysfunction of the newborns was the minimal. Hence, the values of the analyzed iodine deficit indicators did not correlate with the actual iodine deficiency in all the regions examined. These differences suggest a possible contribution of strumogenic factors other than iodine deficit to the formation of goiter endemia in the examined district. The detection of these factors in the environment is needed for objective evaluation of the causes and severity of the endemic process and for the development of differentiated approaches to the prevention and treatment of thyroid abnormalities in the population exposed to radiation.

scholarly journals The clinical features of COVID-19 patients with positive viral RNA stool test results and possibility of fecal-oral transmission : A Systematic Review

2021 ◽  
Vol 22 (1) ◽  
pp. 42-51
Author(s):  
Selina Natalia ◽  
Felicia Imanuella Thorion ◽  
Luky Adlino ◽  
Clifford Eltin John ◽  
Andree Kurniawan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Gastrointestinal Tract ◽  
Demographic Data ◽  
Clinical Manifestations ◽  
Viral Rna ◽  
World Health ◽  
Test Results ◽  
Oral Transmission ◽  
Positive Stool ◽  
Health Organization

Objective : Coronavirus disease 2019 (COVID-19) has been declared as an international public health emergency by the World Health Organization (WHO), with outbreaks in over 200 countries and causing over 390,000 deaths globally. ACE-2 receptors are highly expressed in the upper and lower gastrointestinal system, providing a prerequisite for SARS-CoV-2 infection in the gastrointestinal tract. In addition, over half of the COVID-19 patients have viral nucleic acid detected in their feces and almost one-quarter of the cases, the stool samples test positive even when respiratory samples are negative. The aim of this systematic review is to summarize literature and to evaluate the clinical characteristics of patients with positive viral RNA stool test for COVID-19 and if there is a possibility of fecal-oral transmission of SARS-CoV-2 virus.Method : This systematic review has been registered in PROSPERO (CRD42020183049). A systematic search of the literature for observational study and randomized control trial was conducted in PubMed central and Google Scholar through May 5th, 2020. Three reviewers independently searched and selected. The risk of bias was evaluated using Newcastle-Ottawa Quality assessment tool.Results : 340 articles were screened, then from which eight articles were selected. Of eight articles that were included in this study, we sought for three main categories of the clinical manifestation; gastrointestinal, respiratory, and others. Each study was reviewed systematically to gain demographic data and evidence regarding the possibility of fecal oral transmission in SARS-CoV-2. Two studies reported prolongation of positive stool test results after the respiratory specimen conversion to negative which support the theory of fecal oral transmission.Conclusion : In conclusion, diarrhea, cough, and fever are the most common clinical manifestations in COVID-19 patients with positive RNA stool test results. Fecal oral transmission may be possible due to the ACE-2 receptors in the lining of the gastrointestinal tract. RNA stool test should be used as addition in discharging COVID-19 patients.

scholarly journals Attribute Selection in Naive Bayes Algorithm Using Genetic Algorithms and Bagging for Prediction of Liver Disease

2020 ◽  
Vol 4 (1) ◽  
pp. 76-85
Author(s):  
Dwi Yuni Utami ◽  
Elah Nurlelah ◽  
Noer Hikmah
Keyword(s):  
Genetic Algorithms ◽  
Liver Disease ◽  
Naive Bayes ◽  
Confusion Matrix ◽  
Naïve Bayes ◽  
Attribute Selection ◽  
World Health ◽  
The Difference ◽  
Bayes Algorithm ◽  
Health Organization

Liver disease is an inflammatory disease of the liver and can cause the liver to be unable to function as usual and even cause death. According to WHO (World Health Organization) data, almost 1.2 million people per year, especially in Southeast Asia and Africa, have died from liver disease. The problem that usually occurs is the difficulty of recognizing liver disease early on, even when the disease has spread. This study aims to compare and evaluate Naive Bayes algorithm as a selected algorithm and Naive Bayes algorithm based on Genetic Algorithm (GA) and Bagging to find out which algorithm has a higher accuracy in predicting liver disease by processing a dataset taken from the UCI Machine Learning Repository database (GA). University of California Invene). From the results of testing by evaluating both the confusion matrix and the ROC curve, it was proven that the testing carried out by the Naive Bayes Optimization algorithm using Algortima Genetics and Bagging has a higher accuracy value than only using the Naive Bayes algorithm. The accuracy value for the Naive Bayes algorithm model is 66.66% and the accuracy value for the Naive Bayes model with attribute selection using Genetic Algorithms and Bagging is 72.02%. Based on this value, the difference in accuracy is 5.36%.Keywords: Liver Disease, Naïve Bayes, Genetic Agorithms, Bagging.

Comprehending the Role of Physicians and Counterfeit Medicine in Bangladesh

2021 ◽  
Vol 12 (1) ◽  
pp. 102-102
Author(s):  
Farzana Nazera ◽  
Assoc. Prof. Dr. Valliappan Raju
Keyword(s):  
Bibliometric Analysis ◽  
Vital Role ◽  
World Health ◽  
Flow Diagram ◽  
Consultation Service ◽  
Counterfeit Medicine ◽  
The World ◽  
Medicinal Formulation ◽  
Health Organization

Counterfeit medicine is a dangerous problem in Bangladesh which make the country's healthcare system in more challenging. For a developing nation like Bangladesh, it is hard to find a perfect solution to curb this problem. According to the World Health Organization (2021), awareness is the key to prevent innocent patient from taking counterfeit medicine. Due to knowledge gap, it's hard for patients to detect the authenticity of medicine because it requires knowledge of medicinal formulation. Physicians of Bangladesh could play a vital role in preventing this counterfeit medicine problem by establishing guidance co-operation relationship with the patients. The study made a literature review of the concept of counterfeit medicine, conducted a bibliometric analysis of counterfeit medicine on Scopus database and provided a relationship flow diagram of prospective guidance relationship between physicians and patients. The study concluded that, this consultation service should be offered by the physicians to the patients and the study expected that, the patient willingly accepts it for getting the safeguard against counterfeit medicine. Keywords: Bibliometric Analysis, Physicians, Patients, Counterfeit Medicine, Bangladesh

Creating a global covenant for healthcare reform in nursing

2019 ◽  
Vol 30 (11) ◽  
pp. 543-546
Author(s):  
Catherine Best
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Healthcare Reform ◽  
Access To Healthcare ◽  
Determinants Of Health ◽  
World Health ◽  
The Everyday ◽  
Positive Action ◽  
The Difference ◽  
Health Organization

Social determinants of health continue to exist and perpetuate health inequalities. Catherine Best explores the contribution of nurses on an international scale, particularly in regards to solving inequality in access to healthcare Encouraging nursing to be a global profession has gained considerable momentum in recent years. For significantly longer, social determinants of health have featured in multiple national and international reports, and their devastating impacts on societies, both nationally and globally, are still being experienced. The time for rhetoric has long gone. Instead, unprecedented action is needed to bring this to the fore of all governments across the globe. The World Health Organization, International Council of Nurses and the United Nations have done much to raise awareness of the need for change and make it clear that the nursing profession can contribute to take positive action. The provision of good healthcare should not be reliant on where you live and work, but should be available to everyone. This article will explore the difference that nurses can make to the everyday lives of those we care for, and in improving equal access to healthcare for everyone.

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