Pub Date : 2021-01-01DOI: 10.35248/2376-0419.21.8.222
M. Ramathebane, L. Maja, Lipalesa Moletsane, M. Sello, R. Sayed
Introduction: Lesotho is one of the world’s countries hardest hit by HIV, with the second highest HIV prevalence after Swaziland. Elderly persons face many prevention challenges such as lack of knowledge in HIV/AIDS, discrimination and stigmatization that can lead to late testing, diagnosis and reluctance in seeking medical services. This is the first study conducted in Lesotho to assess knowledge regarding HIV transmission, prevention and treatment among elderly patients in rural Lesotho. Methods: The study population composed of elderly HIV/AIDS patients aged ≥ 50 years, receiving clinical services within the catchment of four rural clinics of Maseru districts. A random sample of medical records of patients living with HIV/AIDS was selected from each of the four clinics. After intervention interview were carried out using the same tool that was used at baseline. Results: Before intervention, a total of 269 patients were interviewed. Majority of the patients were females (65.8%) and had achieved only a primary level of education (71.4%). A composite score was derived from all the questions relating to knowledge about HIV transmission and treatment. A patient who achieved a composite score ≥ 75% was defined as having ‘adequate knowledge’. The results showed that only 34.2% of the patients had adequate knowledge of transmission and treatment of HIV/AIDS. Adequate knowledge about HIV transmission, prevention and treatment was significantly associated with gender, females being more knowledgeable than males (OR=1.9, 95% CI: 1.1-3.5; P=0.022). Patients with secondary or higher level of education being more knowledgeable than those with less education (OR=2.8, 95% CI: 1.1-7.8; P=0.021). After controlling for age, gender and educational level, the results from multivariate logistic regression analysis showed similar associations to the unadjusted ORs. Over one-third of the patients (36.8%) had unprotected sex. After intervention, a total of 183 patients were interviewed. Patients with no formal education gained more knowledge (OR=6.5 95% CI: 1.5-59.3; P=0.005). Males also gained more knowledge after intervention (OR=4.4, 95% CI: 1.6-14.9; P=0.001). Age group of + 65 also gained more knowledge (OR=6.5 95% CI: 1.5-59.3; P=0.005). Conclusion: There is a lack of knowledge about transmission and prevention among elderly patients living with HIV/AIDS in rural Lesotho. It is imperative that a targeted strategy be developed for this vulnerable group, taking into cognisance their inherent lower level of education and to improve access to services. After intervention there was a significant amount of knowledge gained particularly by the groups of patients that had less knowledge about HIV transmission and prevention.
{"title":"Knowledge Attitudes and Practice about HIV Transmission, Prevention and Treatment among Elderly Patients with HIV/AIDS in Rural Lesotho","authors":"M. Ramathebane, L. Maja, Lipalesa Moletsane, M. Sello, R. Sayed","doi":"10.35248/2376-0419.21.8.222","DOIUrl":"https://doi.org/10.35248/2376-0419.21.8.222","url":null,"abstract":"Introduction: Lesotho is one of the world’s countries hardest hit by HIV, with the second highest HIV prevalence after Swaziland. Elderly persons face many prevention challenges such as lack of knowledge in HIV/AIDS, discrimination and stigmatization that can lead to late testing, diagnosis and reluctance in seeking medical services. This is the first study conducted in Lesotho to assess knowledge regarding HIV transmission, prevention and treatment among elderly patients in rural Lesotho. Methods: The study population composed of elderly HIV/AIDS patients aged ≥ 50 years, receiving clinical services within the catchment of four rural clinics of Maseru districts. A random sample of medical records of patients living with HIV/AIDS was selected from each of the four clinics. After intervention interview were carried out using the same tool that was used at baseline. Results: Before intervention, a total of 269 patients were interviewed. Majority of the patients were females (65.8%) and had achieved only a primary level of education (71.4%). A composite score was derived from all the questions relating to knowledge about HIV transmission and treatment. A patient who achieved a composite score ≥ 75% was defined as having ‘adequate knowledge’. The results showed that only 34.2% of the patients had adequate knowledge of transmission and treatment of HIV/AIDS. Adequate knowledge about HIV transmission, prevention and treatment was significantly associated with gender, females being more knowledgeable than males (OR=1.9, 95% CI: 1.1-3.5; P=0.022). Patients with secondary or higher level of education being more knowledgeable than those with less education (OR=2.8, 95% CI: 1.1-7.8; P=0.021). After controlling for age, gender and educational level, the results from multivariate logistic regression analysis showed similar associations to the unadjusted ORs. Over one-third of the patients (36.8%) had unprotected sex. After intervention, a total of 183 patients were interviewed. Patients with no formal education gained more knowledge (OR=6.5 95% CI: 1.5-59.3; P=0.005). Males also gained more knowledge after intervention (OR=4.4, 95% CI: 1.6-14.9; P=0.001). Age group of + 65 also gained more knowledge (OR=6.5 95% CI: 1.5-59.3; P=0.005). Conclusion: There is a lack of knowledge about transmission and prevention among elderly patients living with HIV/AIDS in rural Lesotho. It is imperative that a targeted strategy be developed for this vulnerable group, taking into cognisance their inherent lower level of education and to improve access to services. After intervention there was a significant amount of knowledge gained particularly by the groups of patients that had less knowledge about HIV transmission and prevention.","PeriodicalId":16700,"journal":{"name":"Journal of Pharmaceutical Care & Health Systems","volume":"1 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90146367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2376-0419.21.8.225
H. Sahoo
{"title":"Editorial Note on Primary Healthcare","authors":"H. Sahoo","doi":"10.35248/2376-0419.21.8.225","DOIUrl":"https://doi.org/10.35248/2376-0419.21.8.225","url":null,"abstract":"","PeriodicalId":16700,"journal":{"name":"Journal of Pharmaceutical Care & Health Systems","volume":"60 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90951919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2376-0419.21.8.235
Obala Lesly Neto, F. Ndemo, P. Karimi
Background: Acute Kidney Injury (AKI) is a common illness especially among critically ill patients. The incidence is 2-3 cases per 1000. Seventy percent of the cases are found in the Sub-Sahara African. The proportion of drug- induced AKI is about 25%. Hence there is a need to identify the medication related problems in AKI patients which will facilitate identification, prevention and improved patient outcomes. Objective: To establish the prevalence and determinants of medication related problems in patients with AKI at Kenyatta National Hospital. Methods: This study was a cross-sectional survey that was conducted among patients with AKI at Kenyatta National Hospital. Consecutive random sampling was used to select 92 participants. Data was collected using researcher administered questionnaire and analyzed using STATA version 15. The level of significance was set at p ≤ 0.05. Results: The average age of the participants was 51(± 15.96) years. Medication related problems (57, 62%) identified were associated with the severity of AKI (p=0.014) with the most prevalent being over dosage (59, 64.1%, p=0.002) and drug-drug interactions (44, 47.8%, 0.037). Acute decompensated heart failure (25, 27.2%) was more prevalent comorbidity followed by Obstructive uropathy (18, 19.5%). The main independent predictors of AKI severity were alcohol use (p=0.021), drug overdose (p=0.001) and obstructive uropathy (p=0.014). Conclusion and recommendations: Medication related problems as a precipitating factor of AKI cannot be underscored particularly in the presence of comorbidities. It is therefore recommended that AKI management protocols and policies be developed to address the gaps and involve pharmacists in the bedside medication management.
{"title":"Prevalence and Determinants of Medication Related Problems in AcuteKidney Injury Patients at Tertiary Teaching and Referral Hospital inKenya","authors":"Obala Lesly Neto, F. Ndemo, P. Karimi","doi":"10.35248/2376-0419.21.8.235","DOIUrl":"https://doi.org/10.35248/2376-0419.21.8.235","url":null,"abstract":"Background: Acute Kidney Injury (AKI) is a common illness especially among critically ill patients. The incidence is 2-3 cases per 1000. Seventy percent of the cases are found in the Sub-Sahara African. The proportion of drug- induced AKI is about 25%. Hence there is a need to identify the medication related problems in AKI patients which will facilitate identification, prevention and improved patient outcomes. Objective: To establish the prevalence and determinants of medication related problems in patients with AKI at Kenyatta National Hospital. Methods: This study was a cross-sectional survey that was conducted among patients with AKI at Kenyatta National Hospital. Consecutive random sampling was used to select 92 participants. Data was collected using researcher administered questionnaire and analyzed using STATA version 15. The level of significance was set at p ≤ 0.05. Results: The average age of the participants was 51(± 15.96) years. Medication related problems (57, 62%) identified were associated with the severity of AKI (p=0.014) with the most prevalent being over dosage (59, 64.1%, p=0.002) and drug-drug interactions (44, 47.8%, 0.037). Acute decompensated heart failure (25, 27.2%) was more prevalent comorbidity followed by Obstructive uropathy (18, 19.5%). The main independent predictors of AKI severity were alcohol use (p=0.021), drug overdose (p=0.001) and obstructive uropathy (p=0.014). Conclusion and recommendations: Medication related problems as a precipitating factor of AKI cannot be underscored particularly in the presence of comorbidities. It is therefore recommended that AKI management protocols and policies be developed to address the gaps and involve pharmacists in the bedside medication management.","PeriodicalId":16700,"journal":{"name":"Journal of Pharmaceutical Care & Health Systems","volume":"59 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80142040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2376-0419.21.8.229
J. Y. Lee
{"title":"Editorial on Herbal medicine research and global health","authors":"J. Y. Lee","doi":"10.35248/2376-0419.21.8.229","DOIUrl":"https://doi.org/10.35248/2376-0419.21.8.229","url":null,"abstract":"","PeriodicalId":16700,"journal":{"name":"Journal of Pharmaceutical Care & Health Systems","volume":"41 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90265047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2376-0419.21.8.233
Rama Raj
{"title":"Social and Monetary Worth of Portuguese People Group Drug Stores in Medical Care","authors":"Rama Raj","doi":"10.35248/2376-0419.21.8.233","DOIUrl":"https://doi.org/10.35248/2376-0419.21.8.233","url":null,"abstract":"","PeriodicalId":16700,"journal":{"name":"Journal of Pharmaceutical Care & Health Systems","volume":"2 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76568658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2376-0419.21.S6.002
E. Aru
{"title":"Pharmacokinetic Changes of COVID Drugs in Pharmacy","authors":"E. Aru","doi":"10.35248/2376-0419.21.S6.002","DOIUrl":"https://doi.org/10.35248/2376-0419.21.S6.002","url":null,"abstract":"","PeriodicalId":16700,"journal":{"name":"Journal of Pharmaceutical Care & Health Systems","volume":"79 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83786377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2376-0419.21.8.223
H. Sahoo
{"title":"Editorial Note on Genomics Experimental Research","authors":"H. Sahoo","doi":"10.35248/2376-0419.21.8.223","DOIUrl":"https://doi.org/10.35248/2376-0419.21.8.223","url":null,"abstract":"","PeriodicalId":16700,"journal":{"name":"Journal of Pharmaceutical Care & Health Systems","volume":"2 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83417270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2376-0419.21.S6.003
A. Ward
Today, the majority of the drugs come from drug organizations in normalized dosages and prepacked structures and consequently, we frequently contend and banter the need of pharmacists in retailing of drugs, disregarding the way that the drug specialist expects more significance with regards to Indian Healthcare System. In the midst of the waiting ignorance, the drug specialist has a pivotal task to carry out, yet the pharmacists were "surprisingly underutilized and overlooked" given their schooling, preparing, and the necessity to the local area.
{"title":"Roles of Pharmacist in Public Health Care","authors":"A. Ward","doi":"10.35248/2376-0419.21.S6.003","DOIUrl":"https://doi.org/10.35248/2376-0419.21.S6.003","url":null,"abstract":"Today, the majority of the drugs come from drug organizations in normalized dosages and prepacked structures and consequently, we frequently contend and banter the need of pharmacists in retailing of drugs, disregarding the way that the drug specialist expects more significance with regards to Indian Healthcare System. In the midst of the waiting ignorance, the drug specialist has a pivotal task to carry out, yet the pharmacists were \"surprisingly underutilized and overlooked\" given their schooling, preparing, and the necessity to the local area.","PeriodicalId":16700,"journal":{"name":"Journal of Pharmaceutical Care & Health Systems","volume":"45 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84301190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2376-0419.21.8.230
Swati Roy
{"title":"Drug Related problems in type 2 mellitus patients","authors":"Swati Roy","doi":"10.35248/2376-0419.21.8.230","DOIUrl":"https://doi.org/10.35248/2376-0419.21.8.230","url":null,"abstract":"","PeriodicalId":16700,"journal":{"name":"Journal of Pharmaceutical Care & Health Systems","volume":"9 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81052007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2376-0419.21.8.234
M. Dorchin, Anis Dorchin, Neda Attar, Niosha Moradi, Zohre Sharifzadeh
{"title":"The Role of Rubbing Sesame Oil in Improving Chemotherapy InducedPhlebitis in Cancer Patients at Raha Cancer Clinic: Dezful","authors":"M. Dorchin, Anis Dorchin, Neda Attar, Niosha Moradi, Zohre Sharifzadeh","doi":"10.35248/2376-0419.21.8.234","DOIUrl":"https://doi.org/10.35248/2376-0419.21.8.234","url":null,"abstract":"","PeriodicalId":16700,"journal":{"name":"Journal of Pharmaceutical Care & Health Systems","volume":"60 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79612345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：