The English National Health Service (NHS) is one of the largest employers in the world with a global reputation of being at the forefront of medical research and high standards of treatment. Despite this, it is currently in a state of crisis with nurses recently going on strike for the first time in its history, paramedics striking, and junior doctors striking due to experiencing burnout like never before. Working as a tutor, lecturer and mentor on healthcare leadership programmes in the UK, the author is hearing firsthand how exhausted so many of the English NHS workforce are and they have had enough of not being heard by the leaders of the organisation. This critical review explores some of the serious considerations as to why this world-renowned health service is shattered – both in the metaphorical sense, but also physically.
{"title":"Has the English NHS Shattered, Metaphorically and Phsyically? Is it a Reflection of a Global Healthcare Crisis?","authors":"","doi":"10.33140/jnh.08.03.07","DOIUrl":"https://doi.org/10.33140/jnh.08.03.07","url":null,"abstract":"The English National Health Service (NHS) is one of the largest employers in the world with a global reputation of being at the forefront of medical research and high standards of treatment. Despite this, it is currently in a state of crisis with nurses recently going on strike for the first time in its history, paramedics striking, and junior doctors striking due to experiencing burnout like never before. Working as a tutor, lecturer and mentor on healthcare leadership programmes in the UK, the author is hearing firsthand how exhausted so many of the English NHS workforce are and they have had enough of not being heard by the leaders of the organisation. This critical review explores some of the serious considerations as to why this world-renowned health service is shattered – both in the metaphorical sense, but also physically.","PeriodicalId":302843,"journal":{"name":"Journal of Nursing & Healthcare","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134379635","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}
Background: Ovarian cysts are a common finding in women of the reproductive age group. Aim: To evaluate the relationship between ovarian cysts and quality of life among women of reproductive age. Patients and Methods: A descriptive study was conducted at gynecological outpatient clinic and endoscopic unit in Zagazig university hospital. Sampling: A convenient sample was selected from 200 women with ovarian cysts. Data collection tools: 1) Socio-demographic Questionnaire. Quality of life was assessed with the 36-ItemShort Form Health Survey; 2) Physical and biological assessment; 3) Numeric pain scales and 4) Quality of life in women with ovarian cyst. Results: The results of the study revealed that the majority of women in the age group 17-50 years. Most of them complained of abdominal heaviness and fullness and loss of appetite, respectively. Moreover, most of them had moderate and severe pelvic pain, respectively. Also, more than half of them had severe pain that interfered with their normal physical activities. Moreover, most of women had average level regarding psychological and physical health. Conclusion: Health Related Quality of Life was significantly decreased in women with ovarian cyst. Thus, women with suspected or diagnosed ovarian cysts should seek immediate medical help because early diagnosis and treatment are beneficial in improving their quality of life.
{"title":"Health-Related Quality of Life Among Women with Ovarian Cysts","authors":"Amina Saad Gonid1, Mervat Sabah Lofty Mohamed1, Mostafa Abd, Magdy Lofty2","doi":"10.33140/jnh.08.03.08","DOIUrl":"https://doi.org/10.33140/jnh.08.03.08","url":null,"abstract":"Background: Ovarian cysts are a common finding in women of the reproductive age group. Aim: To evaluate the relationship between ovarian cysts and quality of life among women of reproductive age. Patients and Methods: A descriptive study was conducted at gynecological outpatient clinic and endoscopic unit in Zagazig university hospital. Sampling: A convenient sample was selected from 200 women with ovarian cysts. Data collection tools: 1) Socio-demographic Questionnaire. Quality of life was assessed with the 36-ItemShort Form Health Survey; 2) Physical and biological assessment; 3) Numeric pain scales and 4) Quality of life in women with ovarian cyst. Results: The results of the study revealed that the majority of women in the age group 17-50 years. Most of them complained of abdominal heaviness and fullness and loss of appetite, respectively. Moreover, most of them had moderate and severe pelvic pain, respectively. Also, more than half of them had severe pain that interfered with their normal physical activities. Moreover, most of women had average level regarding psychological and physical health. Conclusion: Health Related Quality of Life was significantly decreased in women with ovarian cyst. Thus, women with suspected or diagnosed ovarian cysts should seek immediate medical help because early diagnosis and treatment are beneficial in improving their quality of life.","PeriodicalId":302843,"journal":{"name":"Journal of Nursing & Healthcare","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114996753","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}
Eunice Fordjour1, Eugene Dogkotenge Kuugbee1, Maxwell Owusu Peprah2, Francis Appiah Boadu3, Elizabeth Essuah4, Gloria Commey5, Eunice Fordjour
Introduction: The COVID-19 disease is a global problem. Healthcare providers who are at the forefront of caring for, educating and treating the infected patients are at a higher risk of contracting the disease. Effective infection control measures prevent the spread of the disease, especially among medical practioners. This study aimed to determine knowledge, attitudes, and adherence to infection prevention and related factors among healthcare workers in the COVID-19 era at Bono Regional Hospital. Methodology: A descriptive cross-sectional design was employed and (n=348) respondents were selected using a simple random sampling technique. A validated and structured questionnaire was administered face-to-face to assemble data. the Statistical Package for Social Sciences (SPSS) version 26 (USA) was used to analyze study data. Both descriptive and inferential statistics were conducted and at a 95% level of confidence and an alpha value set at <0.05, the relationship between the outcome and explanatory variables was considered significant statistically. Results: Respondents' had 52.3% adequate knowledge and 50% adequate attitudes towards infection prevention and 72.1% good adherence to infection prevention practices. Related factors such as diploma education, seminar on infection control and availability of infection prevention protocol significantly predicted providers good adherence to infection prevention and control. Conclusion: Respondents' adequate knowledge and attitudes significantly contributed to good adherence to infection prevention. Continuous training and seminars on infection prevention and control could help improve respondents' knowledge with a subsequent increase in attitudes and practices towards preventing and controlling infection, especially during a disease outbreak.
{"title":"Assessing Infection Prevention Adherence and related factors among Healthcare Workers in Covid-19 Era at a Regional Health Facility in Ghana; An Institutionalized Based Study","authors":"Eunice Fordjour1, Eugene Dogkotenge Kuugbee1, Maxwell Owusu Peprah2, Francis Appiah Boadu3, Elizabeth Essuah4, Gloria Commey5, Eunice Fordjour","doi":"10.33140/jnh.08.03.03","DOIUrl":"https://doi.org/10.33140/jnh.08.03.03","url":null,"abstract":"Introduction: The COVID-19 disease is a global problem. Healthcare providers who are at the forefront of caring for, educating and treating the infected patients are at a higher risk of contracting the disease. Effective infection control measures prevent the spread of the disease, especially among medical practioners. This study aimed to determine knowledge, attitudes, and adherence to infection prevention and related factors among healthcare workers in the COVID-19 era at Bono Regional Hospital. Methodology: A descriptive cross-sectional design was employed and (n=348) respondents were selected using a simple random sampling technique. A validated and structured questionnaire was administered face-to-face to assemble data. the Statistical Package for Social Sciences (SPSS) version 26 (USA) was used to analyze study data. Both descriptive and inferential statistics were conducted and at a 95% level of confidence and an alpha value set at <0.05, the relationship between the outcome and explanatory variables was considered significant statistically. Results: Respondents' had 52.3% adequate knowledge and 50% adequate attitudes towards infection prevention and 72.1% good adherence to infection prevention practices. Related factors such as diploma education, seminar on infection control and availability of infection prevention protocol significantly predicted providers good adherence to infection prevention and control. Conclusion: Respondents' adequate knowledge and attitudes significantly contributed to good adherence to infection prevention. Continuous training and seminars on infection prevention and control could help improve respondents' knowledge with a subsequent increase in attitudes and practices towards preventing and controlling infection, especially during a disease outbreak.","PeriodicalId":302843,"journal":{"name":"Journal of Nursing & Healthcare","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129367969","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}
Hassan Mumtaz, Seemab Abid, Almas Ashraf, Shahrukh Khalid, Abdul Ahad Syed, Noureen Fatima, Samar Saleem, Arifa Batool, Abdul Rehman, Shah Syed, Ali Muzammil
Abstract Objective: We aimed to report the case of a Pakistani female who presented with MMD and hyperthyroidism, and the worldwide literature review of the case reports on MMD associated with hyperthyroidism. Methods: The study was carried out using PRISMA's recommendations. An electronic search on PubMed, Cochrane Library, and Google Scholar was carried out. Articles explaining the association between Moyamoya disease and thyroid-related diseases were included. Results: A total of 31 studies were included in the review, with the preponderance of Japanese females. The review has systematically compiled in detail all the aspects of moyamoya syndrome and thyroid disorders- from detailed histories of the included patients to the treatment interventions used and their outcomes. Conclusion: The authors are with the suggestion that more cases of MMD and its association with other major factors should be presented in Pakistan as well as in all parts of the world.
{"title":"Moyamoya Disease and its Association with Thyroid Disorders; a Pakistani Case Report and a Review of Case Reports","authors":"Hassan Mumtaz, Seemab Abid, Almas Ashraf, Shahrukh Khalid, Abdul Ahad Syed, Noureen Fatima, Samar Saleem, Arifa Batool, Abdul Rehman, Shah Syed, Ali Muzammil","doi":"10.33140/jnh.08.03.06","DOIUrl":"https://doi.org/10.33140/jnh.08.03.06","url":null,"abstract":"Abstract Objective: We aimed to report the case of a Pakistani female who presented with MMD and hyperthyroidism, and the worldwide literature review of the case reports on MMD associated with hyperthyroidism. Methods: The study was carried out using PRISMA's recommendations. An electronic search on PubMed, Cochrane Library, and Google Scholar was carried out. Articles explaining the association between Moyamoya disease and thyroid-related diseases were included. Results: A total of 31 studies were included in the review, with the preponderance of Japanese females. The review has systematically compiled in detail all the aspects of moyamoya syndrome and thyroid disorders- from detailed histories of the included patients to the treatment interventions used and their outcomes. Conclusion: The authors are with the suggestion that more cases of MMD and its association with other major factors should be presented in Pakistan as well as in all parts of the world.","PeriodicalId":302843,"journal":{"name":"Journal of Nursing & Healthcare","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114315272","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}
Background: In the past few decades, global health research has grown incredibly quickly. The interest of scientists and medical professionals in evidence-based medicine (EBM), new drug and vaccine discovery are among the main reasons for the rapid increase of the scholarly literature in health research. The aim of this research is to analyse the scholarly literature published by UR - affiliated researchers, and discover the achievements and gaps in medical and surgical research at the University of Rwanda. Methods: The University of Rwanda was searched in Lens Scholarly Works, and all articles connected to the university were discovered. We filtered the initial results by field of study to locate materials that were published in medical and surgical fields. Except for co-authorship and keyword co-occurrence analysis which were done using VOSviewer software, all bibliometric analyses were carried out using Lens database. Results: For the initial search, University of Rwanda was associated with 2,821 articles. After careful assessment of publications based on their field of study, a total of 1, 220 and 106 publications were found to be in the medical and surgical fields respectively. The analysis was based on the category of scholarly work, the chemicals of focus of the study, the authors, the funders, and the journal that published the study. Journal articles constitute a sizable fraction of these publications, whereas conference articles, book chapters, reprints, and reports make up a far smaller portion. By comparing the numbers of publications, authors, and funding in the surgical and medical field, many gaps are apparent in surgical than medical research field. Conclusion: Although there is an increase in number of publications in the University of Rwanda, the number of medical and surgical literature in UR is still low. Improving mentorship to students and involving them in ongoing research projects; not restricting them to only data collection but allow them to participate in peer-reviewed publications are key measures to increase number of medical and surgical scholarly publications in University of Rwanda.
{"title":"Involvement of the University of Rwanda in Medical and Surgical Research: A Bibliometric Analysis of Achievements and Gaps","authors":"Olivier Sibomana1, Eruine Mbonyinshuti2, Olivier Sibomana","doi":"10.33140/jnh.08.03.02","DOIUrl":"https://doi.org/10.33140/jnh.08.03.02","url":null,"abstract":"Background: In the past few decades, global health research has grown incredibly quickly. The interest of scientists and medical professionals in evidence-based medicine (EBM), new drug and vaccine discovery are among the main reasons for the rapid increase of the scholarly literature in health research. The aim of this research is to analyse the scholarly literature published by UR - affiliated researchers, and discover the achievements and gaps in medical and surgical research at the University of Rwanda. Methods: The University of Rwanda was searched in Lens Scholarly Works, and all articles connected to the university were discovered. We filtered the initial results by field of study to locate materials that were published in medical and surgical fields. Except for co-authorship and keyword co-occurrence analysis which were done using VOSviewer software, all bibliometric analyses were carried out using Lens database. Results: For the initial search, University of Rwanda was associated with 2,821 articles. After careful assessment of publications based on their field of study, a total of 1, 220 and 106 publications were found to be in the medical and surgical fields respectively. The analysis was based on the category of scholarly work, the chemicals of focus of the study, the authors, the funders, and the journal that published the study. Journal articles constitute a sizable fraction of these publications, whereas conference articles, book chapters, reprints, and reports make up a far smaller portion. By comparing the numbers of publications, authors, and funding in the surgical and medical field, many gaps are apparent in surgical than medical research field. Conclusion: Although there is an increase in number of publications in the University of Rwanda, the number of medical and surgical literature in UR is still low. Improving mentorship to students and involving them in ongoing research projects; not restricting them to only data collection but allow them to participate in peer-reviewed publications are key measures to increase number of medical and surgical scholarly publications in University of Rwanda.","PeriodicalId":302843,"journal":{"name":"Journal of Nursing & Healthcare","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130852367","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}
Background: Although vaccines were found to be effective in preventing and reducing morbidity, the last two decades saw a steep increase in anti-vaccination and vaccine hesitancy [1]. In March 2020, the World Health Organization (WHO) declared the ongoing COVID-19 outbreak as pandemic with global economic, political, vocational, and social ramifications. COVID-19 vaccines are considered safe and effective in reducing morbidity rates. Nevertheless, according to the ministry of health only 59% of the Israeli population is vaccinated against COVID-19 [2]. In 2016 the WHO defined vaccine hesitancy as the “reluctance or refusal to vaccinate despite the availability of vaccines”. Vaccine hesitancy curtails the ability of health services to safely and effectively prevent morbidity and to preserve public health [11]. Results from surveys show that there is little variation in the factors affecting vaccine hesitancy in healthcare workers (HCWs) across countries [7]. From December 2020 to March 2021 hospital workers were given the opportunity to vaccinate in the workplace instead of vaccinating through their HMOs (Health Maintenance Organizations). To date, most workers had already vaccinated and only 150 remained unvaccinated. 93 (1.6%) of them refuse to vaccinate although they have no medical conditions that preclude vaccination. 190 (3.2%) out of the vaccinated group have done so from April to July 2021 and we shall refer to them as “vaccine hesitants”. The aim of this survey was to determine the underlying causes of vaccine hesitancy and refusal in hospital personnel, in order to better plan interventions. The data was collected by performing a cross-sectional study using anonymous online surveys. After processing and analyzing the data, we are planned future intervention. Methods: The data had been collected using a cross-sectional study by administering an online anonymous questionnaire. After evaluation of the data, an intervention is planned to be developed. Results: The survey was answered by 42 staff members. From them, 22 (52.4%) were late to receive the vaccine, while 20 (47.6%) refused it. No differences were found between the two groups in background variables. There were no significant differences between the two groups in positions regarding the coronavirus. The question with the highest average was related to the belief that “COVID is like a normal flu. There were no significant differences in COVID-19 knowledge sources between the hesitant group and the anti-vaccinationist group. The most prominent knowledge sources were the government and the ministry of health, doctors, information from the press or the hospital, and information from social media. Significant differences were found between the two groups in the feeling that they have sufficient information in selected topics concerning the coronavirus The response averages were higher among the hesitant group than among the anti-vaccinationist group in relation to knowledge about the se
{"title":"Factors Encouraging A Change of Health Care Worker’s Attitudes Who Are Hesitant or Opposed to Receiving A Vaccine Against the COVID 19 Virus and Increasing Vaccination Rate","authors":"Ilana Kan","doi":"10.33140/jnh.08.03.01","DOIUrl":"https://doi.org/10.33140/jnh.08.03.01","url":null,"abstract":"Background: Although vaccines were found to be effective in preventing and reducing morbidity, the last two decades saw a steep increase in anti-vaccination and vaccine hesitancy [1]. In March 2020, the World Health Organization (WHO) declared the ongoing COVID-19 outbreak as pandemic with global economic, political, vocational, and social ramifications. COVID-19 vaccines are considered safe and effective in reducing morbidity rates. Nevertheless, according to the ministry of health only 59% of the Israeli population is vaccinated against COVID-19 [2]. In 2016 the WHO defined vaccine hesitancy as the “reluctance or refusal to vaccinate despite the availability of vaccines”. Vaccine hesitancy curtails the ability of health services to safely and effectively prevent morbidity and to preserve public health [11]. Results from surveys show that there is little variation in the factors affecting vaccine hesitancy in healthcare workers (HCWs) across countries [7]. From December 2020 to March 2021 hospital workers were given the opportunity to vaccinate in the workplace instead of vaccinating through their HMOs (Health Maintenance Organizations). To date, most workers had already vaccinated and only 150 remained unvaccinated. 93 (1.6%) of them refuse to vaccinate although they have no medical conditions that preclude vaccination. 190 (3.2%) out of the vaccinated group have done so from April to July 2021 and we shall refer to them as “vaccine hesitants”. The aim of this survey was to determine the underlying causes of vaccine hesitancy and refusal in hospital personnel, in order to better plan interventions. The data was collected by performing a cross-sectional study using anonymous online surveys. After processing and analyzing the data, we are planned future intervention. Methods: The data had been collected using a cross-sectional study by administering an online anonymous questionnaire. After evaluation of the data, an intervention is planned to be developed. Results: The survey was answered by 42 staff members. From them, 22 (52.4%) were late to receive the vaccine, while 20 (47.6%) refused it. No differences were found between the two groups in background variables. There were no significant differences between the two groups in positions regarding the coronavirus. The question with the highest average was related to the belief that “COVID is like a normal flu. There were no significant differences in COVID-19 knowledge sources between the hesitant group and the anti-vaccinationist group. The most prominent knowledge sources were the government and the ministry of health, doctors, information from the press or the hospital, and information from social media. Significant differences were found between the two groups in the feeling that they have sufficient information in selected topics concerning the coronavirus The response averages were higher among the hesitant group than among the anti-vaccinationist group in relation to knowledge about the se","PeriodicalId":302843,"journal":{"name":"Journal of Nursing & Healthcare","volume":"197 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131747140","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}
Objective: The validity of Quranic Orientation Scale (QOS) developed by Khodadady and Dastgahian [1] was explored. They extracted its underlying factors through Principal Axis Factoring (PAF) and rotated them via Promax with Kaiser Normalization (PKN). This study, however, rotated the extracted factors via Varimax with Kaiser Normalization (VKN) to find out 1) which rotational method determines the invariance in the factors extracted from the QOS and 2) which factors rotated with these methods associate positively with English language achievement (ELA). Method: The responses of 1123 grade 4 senior high school students (G4SHSSs) who took the QOS were subjected to PAF and VKN. The extracted and rotated factors were then correlated with the students’ scores on a test measuring their ELA. To standardize the method the word “self” was operationalized by resorting to divine religion and schema theory. Results: VKN is superior to PKN for several reasons. First, it shows QOS enjoys not only factorial but also divine, empirical and theoretical validity. Secondly, the invariance in the QOS items lies in its first factor. Thirdly; the first factor rotated by VKN is broader than that of the PKN in its constituting items. And finally, the first factor rotated by VKN explains G4SHSSs’ self-actualization better than the QOS because its positive association with the ELA is stronger than those of the QOS and PKN. Conclusion: Self is an 11-taxon schema through which G4SHSSs resort not only to God but also to other sapiens to actualize it.
{"title":"Self and Its Actualization: Panoramic Validity","authors":"Ebrahim Khodadady","doi":"10.33140/jnh.08.02.09","DOIUrl":"https://doi.org/10.33140/jnh.08.02.09","url":null,"abstract":"Objective: The validity of Quranic Orientation Scale (QOS) developed by Khodadady and Dastgahian [1] was explored. They extracted its underlying factors through Principal Axis Factoring (PAF) and rotated them via Promax with Kaiser Normalization (PKN). This study, however, rotated the extracted factors via Varimax with Kaiser Normalization (VKN) to find out 1) which rotational method determines the invariance in the factors extracted from the QOS and 2) which factors rotated with these methods associate positively with English language achievement (ELA). Method: The responses of 1123 grade 4 senior high school students (G4SHSSs) who took the QOS were subjected to PAF and VKN. The extracted and rotated factors were then correlated with the students’ scores on a test measuring their ELA. To standardize the method the word “self” was operationalized by resorting to divine religion and schema theory. Results: VKN is superior to PKN for several reasons. First, it shows QOS enjoys not only factorial but also divine, empirical and theoretical validity. Secondly, the invariance in the QOS items lies in its first factor. Thirdly; the first factor rotated by VKN is broader than that of the PKN in its constituting items. And finally, the first factor rotated by VKN explains G4SHSSs’ self-actualization better than the QOS because its positive association with the ELA is stronger than those of the QOS and PKN. Conclusion: Self is an 11-taxon schema through which G4SHSSs resort not only to God but also to other sapiens to actualize it.","PeriodicalId":302843,"journal":{"name":"Journal of Nursing & Healthcare","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122934957","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}
Background: Epidemic growth curve was one of the epidemiological characteristics, which included sequential and synchronous and their complexity Objectives: Decoding the sequential and synchronous complexities of epidemic outbreaks will help guide the scientific response to the epidemic. Here, the complexities of epidemic sequential and synchronous were simulated from the perspective and method of cyclopeptide self-assembly, and the process of cyclopeptide self-assembly was observed by molecular fluorescence and morphological changes, reflecting the characteristics of the epidemic changes. Results: The results showed that the cyclopeptide, namely cyclo (FWWYYF), self-assembly process took different forms under different concentrations and solvents. At lower concentrations, cyclopeptide molecules simulated the complexity of epidemic sequential and synchronous, while at higher concentrations, cyclopeptide molecules self-assembly also behaves as a non-sequential and non-synchronous composite multimodal model. Conclusions: These results indicated that the complexity of the epidemic outbreaks was not only the complexity of sequential and synchronous, but also the emergence of non-sequential and non-synchronous complex multimodal models. Molecular simulations elucidated why the global pandemic required global solidarity and synchronization.
{"title":"Cyclopeptide self-assembly simulated epidemic sequential and synchronous complexity","authors":"","doi":"10.33140/jnh.08.02.08","DOIUrl":"https://doi.org/10.33140/jnh.08.02.08","url":null,"abstract":"Background: Epidemic growth curve was one of the epidemiological characteristics, which included sequential and synchronous and their complexity Objectives: Decoding the sequential and synchronous complexities of epidemic outbreaks will help guide the scientific response to the epidemic. Here, the complexities of epidemic sequential and synchronous were simulated from the perspective and method of cyclopeptide self-assembly, and the process of cyclopeptide self-assembly was observed by molecular fluorescence and morphological changes, reflecting the characteristics of the epidemic changes. Results: The results showed that the cyclopeptide, namely cyclo (FWWYYF), self-assembly process took different forms under different concentrations and solvents. At lower concentrations, cyclopeptide molecules simulated the complexity of epidemic sequential and synchronous, while at higher concentrations, cyclopeptide molecules self-assembly also behaves as a non-sequential and non-synchronous composite multimodal model. Conclusions: These results indicated that the complexity of the epidemic outbreaks was not only the complexity of sequential and synchronous, but also the emergence of non-sequential and non-synchronous complex multimodal models. Molecular simulations elucidated why the global pandemic required global solidarity and synchronization.","PeriodicalId":302843,"journal":{"name":"Journal of Nursing & Healthcare","volume":"196 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115507412","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}
Background: Hand hygiene is widely recognized as a simple way to prevent infection transmission to patients or among health care providers and adherence to its measures is associated with a significant reduction in mortality and morbidity. Despite this, many studies conclude that hand hygiene compliance is suboptimal. This study aims to assess compliance of healthcare workers to hand hygiene measures in Khartoum oncology hospital. Method: A cross-sectional hospital-based descriptive study was conducted during the period from December 2021 to July 2022 on a sample of 109 health care workers [doctors and nurses]. Hand hygiene knowledge and practice of health care workers were measured using a structured, pretested, administered questionnaire, modified from the WHO standardized questionnaire for HH knowledge and observation technique with a checklist was used to collect data on the practice. The data is analyzed by frequency tables. The Chi-square test is used to determine associations among categorized variables. All statistical tests were considered significant when the p value was 0.005. Result: Of the 109 participants, 56% had not received formal hand hygiene training in the last three years. 18.3% did not use alcohol for hand hygiene in their practice. Regarding participants' knowledge of the importance of hand hygiene, 97.2% considered it an important tool for infection prevention. Practice wise, 60% of participants did not wash their hands before touching the patients, while 20% of them used the same glove for more than one patient. A significant statistical association was found between the routine use of alcohol and receiving formal training in hand hygiene in the last three years (p-value 0.004). Conclusion: The overall use of alcohol-based hand rub for hand hygiene was high, in spite of low training programs in the last three years. There is a huge shortage of soap and alcohol in working places. Developing a training program will help magnify the use of alcohol for hand hygiene
{"title":"Knowledge and Practice of Healthcare Workers about Hand Hygiene in Khartoum Oncology Hospital, 2021","authors":"","doi":"10.33140/jnh.08.02.04","DOIUrl":"https://doi.org/10.33140/jnh.08.02.04","url":null,"abstract":"Background: Hand hygiene is widely recognized as a simple way to prevent infection transmission to patients or among health care providers and adherence to its measures is associated with a significant reduction in mortality and morbidity. Despite this, many studies conclude that hand hygiene compliance is suboptimal. This study aims to assess compliance of healthcare workers to hand hygiene measures in Khartoum oncology hospital. Method: A cross-sectional hospital-based descriptive study was conducted during the period from December 2021 to July 2022 on a sample of 109 health care workers [doctors and nurses]. Hand hygiene knowledge and practice of health care workers were measured using a structured, pretested, administered questionnaire, modified from the WHO standardized questionnaire for HH knowledge and observation technique with a checklist was used to collect data on the practice. The data is analyzed by frequency tables. The Chi-square test is used to determine associations among categorized variables. All statistical tests were considered significant when the p value was 0.005. Result: Of the 109 participants, 56% had not received formal hand hygiene training in the last three years. 18.3% did not use alcohol for hand hygiene in their practice. Regarding participants' knowledge of the importance of hand hygiene, 97.2% considered it an important tool for infection prevention. Practice wise, 60% of participants did not wash their hands before touching the patients, while 20% of them used the same glove for more than one patient. A significant statistical association was found between the routine use of alcohol and receiving formal training in hand hygiene in the last three years (p-value 0.004). Conclusion: The overall use of alcohol-based hand rub for hand hygiene was high, in spite of low training programs in the last three years. There is a huge shortage of soap and alcohol in working places. Developing a training program will help magnify the use of alcohol for hand hygiene","PeriodicalId":302843,"journal":{"name":"Journal of Nursing & Healthcare","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124550795","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}
Western industrialized countries had similar vaccination policies in the COVID-19 pandemic but different vaccination organizations. Analyzing their performance in terms of publicly available vaccination rates revealed that decentralized as in the United States and centralized systems as in the United Kingdom had comparable start peak performance on international level and showed no significant differences in performance on a subnational level in Germany. In comparing peak performance, a mixture of both systems showed a 0.95% higher protection rate which would have resulted in estimated 17’995 less infections, 251 less Covid-19 related death and US$ 4.3 million less hospitalization costs in the United States. A mixture of centralized vaccination organization such as vaccination centers and decentralized vaccination through regional doctor practices deliver best results in the first phase of pandemic outbreaks given the first half year experience in the COVID-19 pandemic.
{"title":"Performance in Covid-19 Vaccination in The First Half Year: A Review and Analysis of Decentralized and Centralized Vaccination Organizations","authors":"","doi":"10.33140/jnh.08.02.06","DOIUrl":"https://doi.org/10.33140/jnh.08.02.06","url":null,"abstract":"Western industrialized countries had similar vaccination policies in the COVID-19 pandemic but different vaccination organizations. Analyzing their performance in terms of publicly available vaccination rates revealed that decentralized as in the United States and centralized systems as in the United Kingdom had comparable start peak performance on international level and showed no significant differences in performance on a subnational level in Germany. In comparing peak performance, a mixture of both systems showed a 0.95% higher protection rate which would have resulted in estimated 17’995 less infections, 251 less Covid-19 related death and US$ 4.3 million less hospitalization costs in the United States. A mixture of centralized vaccination organization such as vaccination centers and decentralized vaccination through regional doctor practices deliver best results in the first phase of pandemic outbreaks given the first half year experience in the COVID-19 pandemic.","PeriodicalId":302843,"journal":{"name":"Journal of Nursing & Healthcare","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128534036","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}
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