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Determinants of Proper Disposal of Plastic Waste among Health Workers at Chukwuemeka Odumegwu Ojukwu University, Amaka, Awka, Anambra State 阿南布拉州阿玛卡、奥卡、阿玛卡的楚克乌梅卡大学卫生工作者正确处置塑料废物的决定因素
Pub Date : 2023-08-28 DOI: 10.56201/ijmepr.v6.no1.2022.pg26.33
Eyisi I. G., N. C, Njelita I. A., Akabuike J., Eyisi C. S.
Improper disposal of plastic waste has being a huge global environmental issue over time. With the emergence of COVID-19 and high prevalence of various infectious diseases, production of single use personal protective equipment escalated. And they are mostly made of plastic, making plastic waste from healthcare services increase tremendously. These plastic wastes from the hospital may contain infectious or toxic substances that pose a significant threat to health workers, waste handlers and to the public at large for those that will come in contact with the waste if improperly disposed. The drastic increase in medical plastic waste is overwhelming the environment and so, has been tagged a major environmental burden. As a result, medical facilities are called upon to look into their waste management protocol to ensure they are safely disposing their waste to avoid infection of the public and waste handlers and also to ensure environmental safety. This study is to determine the proper disposal of healthcare waste among healthcare workers in Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Amaku, Awka, Anambra State. This study was carried out using a sample size of 712 staff. Simple random sampling without replacement was used in other to avoid obtaining a bias response. The association and predictability of the dependent variables by independent factors were determined statistically using Chi-square and regression methods, respectively. From the findings of the study, it was observed that 302(42.4%) of the total respondents used and disposed of their plastic wastes properly, whereas 410 (57.6%) disposed of their plastic waste improperly. Improper disposal of medical waste could be as a result of unavailability of proper means of waste disposal, bad or no healthcare management policy on waste management and other factors. Healthcare workers are advised to make use of proper means of plastic waste disposal so as to avoid the negative effect.
随着时间的推移,塑料垃圾的不当处理已经成为一个巨大的全球环境问题。随着新冠肺炎疫情的出现和各类传染病的高发,一次性个人防护用品的产量不断增加。它们大多是由塑料制成的,这使得医疗保健服务产生的塑料废物急剧增加。来自医院的这些塑料废物可能含有传染性或有毒物质,如果处置不当,将对卫生工作者、废物处理者以及与废物接触的广大公众构成重大威胁。医疗塑料垃圾的急剧增加使环境不堪重负,因此已被标记为主要的环境负担。因此,要求医疗设施审查其废物管理规程,以确保安全处置废物,避免公众和废物处理者受到感染,并确保环境安全。本研究旨在确定阿南布拉州阿卡阿马库的楚克乌梅卡Odumegwu Ojukwu大学教学医院医护人员对医疗废物的适当处置。这项研究的样本量为712名员工。另一种方法采用不替换的简单随机抽样,以避免偏差响应。因变量与自变量的相关性和可预测性分别采用卡方法和回归法进行统计分析。根据研究结果,302名受访者(42.4%)正确使用和处置塑胶废物,410名受访者(57.6%)不正确处置塑胶废物。医疗废物处置不当的原因可能是没有适当的废物处置手段、关于废物管理的保健管理政策不健全或没有,以及其他因素。医护人员应妥善处理塑胶废物,以免造成不良影响。
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引用次数: 0
Patterns of Management of Diabetic Mellitus and the Outcome in the Enugu State University Teaching Hospital, Enugu, South East Nigeria 尼日利亚东南部埃努古埃努古州立大学教学医院糖尿病管理模式及预后
Pub Date : 2022-09-30 DOI: 10.56201/ijmepr.v6.no1.2022.pg20.25
Linus U. M. Onoh
Aim: To assess the patterns of management of Diabetic Mellitus and the outcome in the Enugu State University Teaching Hospital, Enugu Nigeria. Method: A total of 422patients with type-2 Diabetes Mellitus (DM) who were being managed at the Enugu State University Teaching Hospital were studied within a six months period. They were issued with structured self-administered questionnaires which collected information on their socio-demographic profiles, types of management patterns being used for their illness ie, insulin therapy, oral hypoglycemic drugs, dietary restrictions and in some cases a combination of both. Results: The patients were well-matched for gender i.e. 51.9% males while 49.1% females. About 87.9% were above the age of 40years while 63.5% of them were married. About 67.7% of the patients were employed, while some were in the government sector, others were in the private sector and the remaining were self employed. About 75.6% had basic education from the secondary level and above. About 6.9% of patients were being managed solely on dietary control, 24.9% were on drug therapy, while 68.2% were on both drug and dietary therapy. 38.9% are on insulin therapy, 81.5% use their personal glucometer to monitor their blood sugar. 76.1% testified that they have done well with the pattern used to manage their illness and hence were satisfied with it. Conclusion: Type-2 Diabetes Mellitus is a disease of old age hence over 87% of the patients in this study were above 40years. About 70% were employed and of course the disease would have an effect on their jobs. Over 68% of the patients were on both dietary and drug therapy and 81.5% use their personal glucometer to monitor their blood sugar. Since 76.1% are satisfied with the outcome of their treatment, it means these management patterns are effective for the DM patients in ESUT Teaching Hospital Enugu.
目的:了解尼日利亚埃努古市埃努古州立大学教学医院糖尿病患者的治疗模式及预后。方法:对埃努古州立大学附属教学医院6个月内收治的422例2型糖尿病(DM)患者进行研究。研究人员向他们发放了结构化的自我管理问卷,问卷收集了他们的社会人口统计资料、治疗疾病的管理模式,即胰岛素治疗、口服降糖药、饮食限制,在某些情况下两者结合使用。结果:患者性别匹配良好,男性占51.9%,女性占49.1%。年龄在40岁以上的占87.9%,已婚的占63.5%。约67.7%的病人受雇,其中部分在政府机构工作,部分在私营机构工作,其余则自雇。约75.6%的人接受过中学及以上的基础教育。约6.9%的患者仅接受饮食控制,24.9%的患者接受药物治疗,68.2%的患者同时接受药物和饮食治疗。38.9%的人接受胰岛素治疗,81.5%的人使用个人血糖仪监测血糖。76.1%的人证实他们对疾病管理模式做得很好,因此对其感到满意。结论:2型糖尿病是一种老年疾病,本研究中87%以上的患者年龄在40岁以上。大约70%的人有工作,当然这种疾病会对他们的工作产生影响。超过68%的患者同时接受饮食和药物治疗,81.5%的患者使用个人血糖仪监测血糖。76.1%的患者对治疗结果满意,说明该管理模式对ESUT埃努古教学医院DM患者有效。
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引用次数: 1
Malaria Case Presentation: The Results of a Web Based Malaria Surveillance in Plateau State, Nigeria 疟疾病例报告:尼日利亚高原州基于网络的疟疾监测结果
Pub Date : 2022-08-11 DOI: 10.56201/ijmepr.v6.no1.2022.pg13.22
H. Mafuyai, I. Tanko, S. Oguche, D. Egah, E. Envuladu, G. Mwansat, G. Mwansat, D. Pam, D. Shwe, N., Nannvyat, D. Oguche, B. Y.
Nigeria bears the heaviest malaria burden of any single nation in the world and has relentlessly pursued the elimination of the disease. One of the key strategies for the elimination of malaria is increasing the specificity and sensitivity of surveillance. To this end, this study sought to determine malaria transmission along an altitudinal gradient of Plateau state, central Nigeria, while examining socio- demographic factors affecting the prevalence of malaria at these sites. Three communities each at high and low elevation areas of Plateau State in central Nigeria were surveyed for incidence of malaria cases. Information on age, gender, use of long-lasting insecticide treated nets, pregnancy status in women, and, malaria severity were recorded in 1700 study subjects. Using venipuncture method, 4ml blood samples were collected in EDTA vials for laboratory analyses. Microscopy (thick and thin blood smear techniques) and Rapid Diagnostic test were used to detect malaria parasites and determine the Plasmodium species involved. Using a propriety application (ELDACAP), real time geolocation data, socioeconomic, health, and preventative status information were also collected from all 1700 respondents. Our findings showed more cases of malaria prevalence in lowland areas compared to highland areas. The main predictors of malaria incidence were age, sex, use of ITN and the presentation of symptoms. Non-net users had more prevalence of malaria compared to users, males had a higher positive frequency compared to females, and malaria was more prevalent in the younger age group compared to older group. Malaria eradication in north-central Nigeria must take into account geographic differences, cultural and social practices, previous anti-malaria preventative measures (use of ITN), as well as the presence of asymptomatic malaria carriers who serve as reservoir in the population
尼日利亚是世界上任何一个国家中疟疾负担最重的国家,并坚持不懈地努力消除这一疾病。消除疟疾的关键战略之一是提高监测的特异性和敏感性。为此,本研究试图确定尼日利亚中部高原州沿海拔梯度的疟疾传播,同时研究影响这些地点疟疾流行的社会人口因素。对尼日利亚中部高原州高海拔和低海拔地区的三个社区分别进行了疟疾发病率调查。在1700名研究对象中记录了有关年龄、性别、使用长效杀虫剂处理过的蚊帐、妇女怀孕状况和疟疾严重程度的信息。采用静脉穿刺法采集血样4ml,装在EDTA瓶中进行实验室分析。使用显微镜(厚薄血涂片技术)和快速诊断试验检测疟疾寄生虫并确定所涉及的疟原虫种类。使用适当的应用程序(ELDACAP),还从所有1700名受访者中收集了实时地理位置数据、社会经济、健康和预防状态信息。我们的研究结果显示,与高地地区相比,低地地区的疟疾患病率更高。疟疾发病率的主要预测因素是年龄、性别、使用ITN和出现症状。与用户相比,非网络用户的疟疾患病率更高,男性的阳性频率高于女性,而疟疾在年轻群体中的患病率高于年长群体。在尼日利亚中北部消灭疟疾必须考虑到地理差异、文化和社会习俗、以前的抗疟疾预防措施(使用ITN),以及在人口中充当水库的无症状疟疾携带者的存在
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引用次数: 0
Perception and Determinants of Caregivers Participation in Immunization in Rivers East Senatorial District, Nigeria 感知和护理人员参与免疫接种的决定因素在河流东部参议院区,尼日利亚
Pub Date : 2022-07-02 DOI: 10.56201/ijmepr.v6.no1.2022.pg1.12
PETER-KIO Opirite Boma, Ordu Caroline Nne
This study investigated the perception and determinants of caregivers’ participation in immunization in Rivers East Senatorial District, Nigeria. The study adopted the descriptive research design with a population which consisted of three million, nine hundred and thirteen thousand, six hundred and eighty-three (3,913,683) persons in Rivers East Senatorial District. A sample size of 512 was selected using the multistage sampling procedure. Data was collected using a structured questionnaire with a reliability coefficient of 0.75 while analysis was carried out using percentage and chi-square. The result showed that, majority 488(97.6%) of the respondents had positive perception, high level of participation (99.4%). However, no statistically significant relationship was found between participation and other factors such as perception (X2-value = 0.61, df = 1, p>0.05), religion (X2-value = 0.66, df = 2, p>0.05), and age (X2-value = 3.58, df = 4, p>0.05). It was concluded that caregivers in Rivers East senatorial district had positive perception towards immunization and a high level of participation in immunization. It was recommended that, public health practitioners should embark on community based interventions through proper counseling to clear every negative perception about childhood immunization arising from lack of information which influences its participation
本研究调查了尼日利亚河东参议院区护理人员参与免疫接种的认知和决定因素。本研究采用描述性研究设计,研究对象为河东参议院区3,913,683人。使用多阶段抽样程序选择了512个样本量。数据收集采用结构化问卷,信度系数为0.75,分析采用百分比法和卡方法。调查结果显示,488名(97.6%)受访者对网络安全有积极的认知,参与度较高(99.4%)。而参与与知觉(X2-value = 0.61, df = 1, p>0.05)、宗教(X2-value = 0.66, df = 2, p>0.05)、年龄(X2-value = 3.58, df = 4, p>0.05)等因素无统计学意义相关。结果表明,河东参议院区护理人员对免疫接种有积极的认知,对免疫接种的参与程度较高。建议公共卫生从业人员应通过适当的咨询开展以社区为基础的干预,以消除由于缺乏影响其参与的信息而产生的对儿童免疫接种的每一种消极看法
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引用次数: 0
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