Introduction: Exclusive breastfeeding is one of the important indicators in achieving nutritional problems in children. Unfortunately, only 1 in 2 babies are exclusively breastfed in Indonesia. Therefore, this study aims to examine the factors associated with exclusive breastfeeding in the country. Design and Methods: Data were obtained from the Indonesian Family Life Survey (IFLS), by using a cross-sectional design involving a total of 2,217 mothers. The independent variables include weaning food, knowledge, labor difficulties, postpartum visits, number of children, marital status, sex of children, and low birth weight (LBW), while the dependent variable include exclusive breastfeeding. Subsequently, chi-square test and logistic regression were used to examine the relationship between exclusive breastfeeding and the related factors. Results: The prevalence of exclusive breastfeeding in Indonesia was 36.5%. Bivariate analysis showed that the variables associated with exclusive breastfeeding were weaning feeding, knowledge, low birth weight, and difficulty in labor with p-values of 0.005, 0.000, 0.040, and 0.005, respectively. The most dominant variable for exclusive breastfeeding behavior is knowledge with a value of OR = 1.85. Conclusions: There is a significant relationship between knowledge of mothers, weaning food, and low birth weight with exclusive breastfeeding behavior. Meanwhile, the main determinant among the variables is mother's knowledge. Therefore, health workers and community service cadres need to provide counseling about health, assistance, and motivation to mothers, thereby they will be able to properly provide exclusive breastfeeding.
{"title":"Mother’s knowledge as a dominant factor for the success of exclusive breastfeeding in Indonesia","authors":"R. Kapti, Y. Arief, Nurona Azizah","doi":"10.4081/hls.2023.11209","DOIUrl":"https://doi.org/10.4081/hls.2023.11209","url":null,"abstract":"Introduction: Exclusive breastfeeding is one of the important indicators in achieving nutritional problems in children. Unfortunately, only 1 in 2 babies are exclusively breastfed in Indonesia. Therefore, this study aims to examine the factors associated with exclusive breastfeeding in the country. \u0000Design and Methods: Data were obtained from the Indonesian Family Life Survey (IFLS), by using a cross-sectional design involving a total of 2,217 mothers. The independent variables include weaning food, knowledge, labor difficulties, postpartum visits, number of children, marital status, sex of children, and low birth weight (LBW), while the dependent variable include exclusive breastfeeding. Subsequently, chi-square test and logistic regression were used to examine the relationship between exclusive breastfeeding and the related factors. \u0000Results: The prevalence of exclusive breastfeeding in Indonesia was 36.5%. Bivariate analysis showed that the variables associated with exclusive breastfeeding were weaning feeding, knowledge, low birth weight, and difficulty in labor with p-values of 0.005, 0.000, 0.040, and 0.005, respectively. The most dominant variable for exclusive breastfeeding behavior is knowledge with a value of OR = 1.85. \u0000Conclusions: There is a significant relationship between knowledge of mothers, weaning food, and low birth weight with exclusive breastfeeding behavior. Meanwhile, the main determinant among the variables is mother's knowledge. Therefore, health workers and community service cadres need to provide counseling about health, assistance, and motivation to mothers, thereby they will be able to properly provide exclusive breastfeeding.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47705875","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}
Septa Katmawanti, Farah Paramita, Agung Kurniawan, S. K. A. Sharoni, Rosuzeita Fauzi, I. Pratiwi, Dea Aflah Samah, Yassinda Thasia Audina, Oktavia Sri Wahyuni, Meyralda Dara Adisa, Alinda Rahmani
Introduction: Exclusive breastfeeding is the simplest and healthiest infant feeding method that, directly or by extraction, uses only breast milk with the exception to drops or syrups containing vitamins, mineral supplements or medicines. This practice helpprevents malnutrition among toddlers and provide essential dietary values for subsequent growth and development, especially in the first 6 months. However, Mataram has the lowest coverage of exclusive breastfeeding in West Nusa Tenggara province in 2018. This exposure increased by 70.30% from 2017-2018, but has not achieved the 80% national target. The low coverage was caused by mothers’ inadequate knowledge. Therefore, the present research aims to demonstrate the effectiveness of booklets as a promotional medium for exclusive breastfeeding towards increasing the knowledge of breastfeeding mothers. Design and Methods: The research method involved the conduction of pre- and post tests (before and after the booklet was distributed) on 50 respondents by voluntary sampling. This sampling refers to a probability technique that provides equal opportunities for each population element selected as a member of the sample, while the participants were chosen using consecutive sampling technique Results: The results showed the average values of the pre- and post- tests at 72 and 77, respectively. Conclusions: Therefore, it is concluded that the booklet is effective in increasing mothers' knowledge on exclusive breastfeeding.
{"title":"The effects of exclusive breastfeeding booklets on mothers’ knowledge in providing exclusive breastfeeding in Mataram City, Indonesia","authors":"Septa Katmawanti, Farah Paramita, Agung Kurniawan, S. K. A. Sharoni, Rosuzeita Fauzi, I. Pratiwi, Dea Aflah Samah, Yassinda Thasia Audina, Oktavia Sri Wahyuni, Meyralda Dara Adisa, Alinda Rahmani","doi":"10.4081/hls.2023.11211","DOIUrl":"https://doi.org/10.4081/hls.2023.11211","url":null,"abstract":"Introduction: Exclusive breastfeeding is the simplest and healthiest infant feeding method that, directly or by extraction, uses only breast milk with the exception to drops or syrups containing vitamins, mineral supplements or medicines. This practice helpprevents malnutrition among toddlers and provide essential dietary values for subsequent growth and development, especially in the first 6 months. However, Mataram has the lowest coverage of exclusive breastfeeding in West Nusa Tenggara province in 2018. This exposure increased by 70.30% from 2017-2018, but has not achieved the 80% national target. The low coverage was caused by mothers’ inadequate knowledge. Therefore, the present research aims to demonstrate the effectiveness of booklets as a promotional medium for exclusive breastfeeding towards increasing the knowledge of breastfeeding mothers. \u0000Design and Methods: The research method involved the conduction of pre- and post tests (before and after the booklet was distributed) on 50 respondents by voluntary sampling. This sampling refers to a probability technique that provides equal opportunities for each population element selected as a member of the sample, while the participants were chosen using consecutive sampling technique \u0000Results: The results showed the average values of the pre- and post- tests at 72 and 77, respectively. \u0000Conclusions: Therefore, it is concluded that the booklet is effective in increasing mothers' knowledge on exclusive breastfeeding. \u0000 ","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48302813","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}
Introduction: Self-care management is the fundamental approach for Heart Failure (HF) management and is influenced by patient ability in preventing rehospitalization, mortality, and morbidity. Therefore, this study aims to investigate the predictors of a patient’s ability in HF self-care management. Design and Methods: A cross-sectional study was carried out on 96 patients with HF. The data were collected through interviews using questionnaires on demographic characteristics, physical activity (IPAQ), knowledge (Dutch Heart Failure Knowledge Score), and self-care management (Self Care Heart Failure Index). Subsequently, the data were analyzed using logistic regression analysis, and the best fit model for predicting self-care management in HF patients was generated. Results: The proportion of samples was 56.3% female, with mostly primary school (50%) as their education level. Furthermore, the proportion of patients with adequate HF self-care management was only 21% of the total participant. Based on the results, the patient’s physical activity level, HF knowledge, and gender were verified as a predictor of self-care management. Conclusions: The HF knowledge level, physical activity level, and gender were the predictors of HF self-care management.
{"title":"Patient’s knowledge, gender, and physical activity level as the predictors of self-care in heart failure patients","authors":"Mifetika Lukitasari, Ulfia Fitriani Nafista","doi":"10.4081/hls.2023.11179","DOIUrl":"https://doi.org/10.4081/hls.2023.11179","url":null,"abstract":"Introduction: Self-care management is the fundamental approach for Heart Failure (HF) management and is influenced by patient ability in preventing rehospitalization, mortality, and morbidity. Therefore, this study aims to investigate the predictors of a patient’s ability in HF self-care management. \u0000Design and Methods: A cross-sectional study was carried out on 96 patients with HF. The data were collected through interviews using questionnaires on demographic characteristics, physical activity (IPAQ), knowledge (Dutch Heart Failure Knowledge Score), and self-care management (Self Care Heart Failure Index). Subsequently, the data were analyzed using logistic regression analysis, and the best fit model for predicting self-care management in HF patients was generated. \u0000Results: The proportion of samples was 56.3% female, with mostly primary school (50%) as their education level. Furthermore, the proportion of patients with adequate HF self-care management was only 21% of the total participant. Based on the results, the patient’s physical activity level, HF knowledge, and gender were verified as a predictor of self-care management. \u0000Conclusions: The HF knowledge level, physical activity level, and gender were the predictors of HF self-care management.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49182318","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}
Introduction: Patient safety is the initial foundation of quality healthcare that shared responsibility between policymakers as well as healthcare delivery, especially nurses, who aim for improvement. Interventions in patient safety culture reduce safety incidents, thereby, lowering the disability rates and deaths due to side effects of healthcare delivery. Therefore, this research aims to provide an overview of strategies to improve patient safety culture, which involves nurses in hospital settings. Design and Methods: In this research, a Scoping review was carried out using online database searches at ProQuest, Ebsco, and Sciencedirect. The selected article was experimental research, using English, published between 2011-2021, and fulfilled the criteria for inclusion and exclusion set. Result: In the initial disbursement, 480 articles were obtained with 13 studies that meet the inclusion criteria. The articles obtained used quasi-experimental research methods (2 articles), pre-post intervention design (4 articles), intervention time series (2 articles), randomized controlled trial (1 article), prospective cohort intervention (1 article), repeated cross-sectional experimental research (1 article), Mix quasi-experimental method non-randomized design and qualitative (1 article), and control groups (4 articles). Based on the articles obtained, the strategies to increase the patient safety culture in hospitals can be categorized into 4, which include educational, simulation, team, and comprehensive programs. Conclusions: All interventions implemented possess a positive impact on patient safety culture.
{"title":"Strategies to improving patient safety in hospitals","authors":"M. Taji, K. Putra, D. D. S. L. Ismail","doi":"10.4081/hls.2023.11181","DOIUrl":"https://doi.org/10.4081/hls.2023.11181","url":null,"abstract":"Introduction: Patient safety is the initial foundation of quality healthcare that shared responsibility between policymakers as well as healthcare delivery, especially nurses, who aim for improvement. Interventions in patient safety culture reduce safety incidents, thereby, lowering the disability rates and deaths due to side effects of healthcare delivery. Therefore, this research aims to provide an overview of strategies to improve patient safety culture, which involves nurses in hospital settings. \u0000Design and Methods: In this research, a Scoping review was carried out using online database searches at ProQuest, Ebsco, and Sciencedirect. The selected article was experimental research, using English, published between 2011-2021, and fulfilled the criteria for inclusion and exclusion set. \u0000Result: In the initial disbursement, 480 articles were obtained with 13 studies that meet the inclusion criteria. The articles obtained used quasi-experimental research methods (2 articles), pre-post intervention design (4 articles), intervention time series (2 articles), randomized controlled trial (1 article), prospective cohort intervention (1 article), repeated cross-sectional experimental research (1 article), Mix quasi-experimental method non-randomized design and qualitative (1 article), and control groups (4 articles). Based on the articles obtained, the strategies to increase the patient safety culture in hospitals can be categorized into 4, which include educational, simulation, team, and comprehensive programs. \u0000Conclusions: All interventions implemented possess a positive impact on patient safety culture. \u0000 ","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45818659","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}
Ilkafah Ilkafah, Anestasia Pangestu Mei Tyas, Rini Rachmawaty
Introduction: The caring behavior of nurses affects their working performance and the health care quality received by patients. The adherence to ethical principles by nurses is also known to increase this factor. However, no previous studies have been conducted on how ethical principles affect the caring behaviors of nurses. Hence, this study aims to investigate the association between nursing ethics and other demographic characteristics and their caring behavior in Indonesian hospitals. Design and Methods: A cross-sectional descriptive-analytical study was conducted with 389 nurses working in Indonesian hospitals. Furthermore, data were collected using questionnaires, which included demographic characteristics, ethical principles-based attitudes, and caring behavior. The analysis of the data was performed using descriptive (M, SD) and inferential statistics (Chi-square, Spearman’s rank correlation, Fisher’s exact test, and multiple logistic regression) with α= 0.05. Results: According to this study, the caring behavior of nurses was associated with gender (p=0.030) and nursing ethical principles, such as veracity (p=0.025), non-maleficence (p=0.007), beneficence (p<0.000), and fidelity (p<0.000). Fidelity was also revealed as the most influential ethical principle on nurses’ caring behavior, with a value of Exp(B)= 3.446. This indicates that nurses, who had demonstrated good fidelity, cared three times more than those who lacked this quality. Conclusions: Nurses with good ethical principles deliver suitable caring behavior. Hence, applying the right ethics to a patient would result in a great caring attitude, as the principle of ethical behavior is compassion and respectful conduct towards patients.
{"title":"The ethical principles and caring behavior of Indonesian nurses","authors":"Ilkafah Ilkafah, Anestasia Pangestu Mei Tyas, Rini Rachmawaty","doi":"10.4081/hls.2023.11176","DOIUrl":"https://doi.org/10.4081/hls.2023.11176","url":null,"abstract":"Introduction: The caring behavior of nurses affects their working performance and the health care quality received by patients. The adherence to ethical principles by nurses is also known to increase this factor. However, no previous studies have been conducted on how ethical principles affect the caring behaviors of nurses. Hence, this study aims to investigate the association between nursing ethics and other demographic characteristics and their caring behavior in Indonesian hospitals. \u0000Design and Methods: A cross-sectional descriptive-analytical study was conducted with 389 nurses working in Indonesian hospitals. Furthermore, data were collected using questionnaires, which included demographic characteristics, ethical principles-based attitudes, and caring behavior. The analysis of the data was performed using descriptive (M, SD) and inferential statistics (Chi-square, Spearman’s rank correlation, Fisher’s exact test, and multiple logistic regression) with α= 0.05. \u0000Results: According to this study, the caring behavior of nurses was associated with gender (p=0.030) and nursing ethical principles, such as veracity (p=0.025), non-maleficence (p=0.007), beneficence (p<0.000), and fidelity (p<0.000). Fidelity was also revealed as the most influential ethical principle on nurses’ caring behavior, with a value of Exp(B)= 3.446. This indicates that nurses, who had demonstrated good fidelity, cared three times more than those who lacked this quality. \u0000Conclusions: Nurses with good ethical principles deliver suitable caring behavior. Hence, applying the right ethics to a patient would result in a great caring attitude, as the principle of ethical behavior is compassion and respectful conduct towards patients. \u0000 ","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41644315","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}
S. Wahyuni, Apriliani Yulianti Wuriningsih, N. Nursalam, Y. Arief
Introduction: Primary Health Care which is part of the Public Health Model can be applied through Pregnancy Coaching to prevent high-risk pregnancies. Design and Methods: This study was conducted using the literature review and Meta-Analysis (PRISMA) method. Results: A total of 152 articles were obtained from different databases consisting of Scopus 7, Pro-Quest 24, Science Direct 39, Pub Med 25, EBSCO 57 and were analyzed by excluding articles using PICOS. The data collection was restricted to pregnancy, pregnancy coaching, research-relevant interventions, outcomes, and article that are not systematic reviews, hence, the analysis obtained 20 relevant articles. Conclusion: Primary Health Care which is part of the Public Health Model aimed at reducing new cases is applicable to pregnant women in preventing high-risk pregnancy by optimizing health cadres.
引言：初级卫生保健是公共卫生模式的一部分，可以通过妊娠指导来预防高危妊娠。设计和方法：本研究采用文献综述和荟萃分析（PRISMA）方法进行。结果：共从Scopus 7、Pro Quest 24、Science Direct 39、Pub Med 25、EBSCO 57等不同数据库中获得152篇文章，并通过排除使用PICOS的文章进行分析。数据收集仅限于妊娠、妊娠指导、研究相关干预措施、结果和非系统综述的文章，因此，分析获得了20篇相关文章。结论：初级卫生保健是旨在减少新病例的公共卫生模式的一部分，适用于孕妇通过优化卫生干部来预防高危妊娠。
{"title":"The application of the public health model in pregnancy coaching for preventing high-risk pregnancy","authors":"S. Wahyuni, Apriliani Yulianti Wuriningsih, N. Nursalam, Y. Arief","doi":"10.4081/hls.2023.11214","DOIUrl":"https://doi.org/10.4081/hls.2023.11214","url":null,"abstract":"Introduction: Primary Health Care which is part of the Public Health Model can be applied through Pregnancy Coaching to prevent high-risk pregnancies. \u0000Design and Methods: This study was conducted using the literature review and Meta-Analysis (PRISMA) method. \u0000Results: A total of 152 articles were obtained from different databases consisting of Scopus 7, Pro-Quest 24, Science Direct 39, Pub Med 25, EBSCO 57 and were analyzed by excluding articles using PICOS. The data collection was restricted to pregnancy, pregnancy coaching, research-relevant interventions, outcomes, and article that are not systematic reviews, hence, the analysis obtained 20 relevant articles. \u0000Conclusion: Primary Health Care which is part of the Public Health Model aimed at reducing new cases is applicable to pregnant women in preventing high-risk pregnancy by optimizing health cadres.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46940409","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}
Pakistan is a country where the nursing profession still has to get a good working environment as it is directly related to improved patient care. The nursing practice environment is a key factor that contributes to retention. Bearing in mind the importance of the issue the present study is designed to know the current state of the nursing practice environment. The data were collected from the nurses working in the medical wards and critical care units in the Pakistan Institute of Neurosciences, Lahore. Convenience sampling was used to select the respondents and collect the data. A total of 150 questionnaires were distributed among the nurses and 110 questionnaires were used for the data analysis in Statistical Package for Social Sciences. Frequency, descriptive statistics, reliability, and validity analyses were performed. As per the results of the study, the questionnaire used in the study was reliable and valid. Additionally, the results of the study established that the nursing practice environment is poor asking for concrete steps to make it better for improved patient care delivery. Nurse leaders can dedicate their efforts to the improvement of the nursing practice environment to improve the nurse job outcomes. Further, they can also arrange the trainings for the professional development of the nurses to ensure the better healthcare services delivery. The perceptions of the good nursing practice environment can be fostered among the nurses by having their active participation in the hospital matters and decision making because they are also the key staff in the hospital environment.
{"title":"A descriptive study on nursing practice environment among public sector nurses in Lahore","authors":"Z. Amir, Shama Maroof, Shahbaz Haider","doi":"10.4081/hls.2023.10658","DOIUrl":"https://doi.org/10.4081/hls.2023.10658","url":null,"abstract":"Pakistan is a country where the nursing profession still has to get a good working environment as it is directly related to improved patient care. The nursing practice environment is a key factor that contributes to retention. Bearing in mind the importance of the issue the present study is designed to know the current state of the nursing practice environment. The data were collected from the nurses working in the medical wards and critical care units in the Pakistan Institute of Neurosciences, Lahore. Convenience sampling was used to select the respondents and collect the data. A total of 150 questionnaires were distributed among the nurses and 110 questionnaires were used for the data analysis in Statistical Package for Social Sciences. Frequency, descriptive statistics, reliability, and validity analyses were performed. As per the results of the study, the questionnaire used in the study was reliable and valid. Additionally, the results of the study established that the nursing practice environment is poor asking for concrete steps to make it better for improved patient care delivery. Nurse leaders can dedicate their efforts to the improvement of the nursing practice environment to improve the nurse job outcomes. Further, they can also arrange the trainings for the professional development of the nurses to ensure the better healthcare services delivery. The perceptions of the good nursing practice environment can be fostered among the nurses by having their active participation in the hospital matters and decision making because they are also the key staff in the hospital environment.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47986650","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}
Vikas Saini, N. Goyal, N. Singh, Meenakshi Goswami
In resource limited settings, very often susceptibility reports glycopeptide antibiotics are released only on the basis of disk diffusion test. Determination of MIC by either E-strips or microbroth dilution tests can be of paramount importance in checking the errors that may have incurred with the singular use of disk diffusion tests. Distribution of errors in Vancomycin and Teicoplanin susceptibility reporting by disk diffusion test was evaluated in comparison with MIC determination with reference method of E-strip. A total of 40 isolates of Enterococcus species were obtained during the study period. In vancomycin susceptibility reporting, very major errors, major errors and minor errors were observed in 33.3%, 5.4% and 5% instances respectively. For teicoplanin, major errors were observed in 5.3% of instances. E test can be used in conjunction with disk diffusion where resources are limited. We have observed that by using a combination of both disk diffusion and MIC determination by E-strip methods for glycopeptide antibiotics, a majority of reporting errors can be addressed.
{"title":"Evaluation of errors during susceptibility reporting of glycopeptide antibiotics for enterococcal isolates on sole basis of widely used disk diffusion test","authors":"Vikas Saini, N. Goyal, N. Singh, Meenakshi Goswami","doi":"10.4081/hls.2022.10806","DOIUrl":"https://doi.org/10.4081/hls.2022.10806","url":null,"abstract":"In resource limited settings, very often susceptibility reports glycopeptide antibiotics are released only on the basis of disk diffusion test. Determination of MIC by either E-strips or microbroth dilution tests can be of paramount importance in checking the errors that may have incurred with the singular use of disk diffusion tests. Distribution of errors in Vancomycin and Teicoplanin susceptibility reporting by disk diffusion test was evaluated in comparison with MIC determination with reference method of E-strip. A total of 40 isolates of Enterococcus species were obtained during the study period. In vancomycin susceptibility reporting, very major errors, major errors and minor errors were observed in 33.3%, 5.4% and 5% instances respectively. For teicoplanin, major errors were observed in 5.3% of instances. E test can be used in conjunction with disk diffusion where resources are limited. We have observed that by using a combination of both disk diffusion and MIC determination by E-strip methods for glycopeptide antibiotics, a majority of reporting errors can be addressed.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43231899","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}
Infections with viruses have detrimental effects on neurological functions, and even cause severe neurological damage. There is mounting evidence that coronaviruses (CoV) as well as SARS-CoV-2 exhibit neurotropic abilities and might cause neurological problems. Neuroinvasive viruses are not fully understood, which makes it important to investigate their impact on the nervous system. In this paper, we review research into neurological complications associated with CoV.
{"title":"COVID-19 and neurological complications: A review","authors":"Feryal Dabagh-Gorjani, Mohammad-Ali Fatehchehr","doi":"10.4081/hls.2022.10800","DOIUrl":"https://doi.org/10.4081/hls.2022.10800","url":null,"abstract":"Infections with viruses have detrimental effects on neurological functions, and even cause severe neurological damage. There is mounting evidence that coronaviruses (CoV) as well as SARS-CoV-2 exhibit neurotropic abilities and might cause neurological problems. Neuroinvasive viruses are not fully understood, which makes it important to investigate their impact on the nervous system. In this paper, we review research into neurological complications associated with CoV.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49642302","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}
Adherence to antiepileptic drug therapy in people with epilepsy is critical for seizure control. Poor adherence to epilepsy treatment, on the other hand, is recognized as a worldwide problem, particularly in developing countries such as Ethiopia. As a result, the current study seeks to ascertain patients’ adherence to antiepileptic medications and the factors that influence it at Hawassa University Comprehensive Specialized Hospital in Southern Ethiopia. From February 1 to October 15, 2017, 187 people with epilepsy who were on followup at Hawassa University Comprehensive Specialized Hospital underwent a hospitalbased retrospective medical review. Adherence was measured using Morisky Medication Scale-8. Data was entered and analyzed using the soft ware Statistical package for social sciences version 20. The results were summarized using cross-tabulations and frequency tables. While binary logistic regression was used to analyze factors associated with adherence to antiepileptic drug therapy, significance was declared at p<0.05. According to the findings of the current study, about nineteen percent of the study participants were nonadherent to their treatment. Compared to patients with monthly income of less than 1000.00 ETB, those who earn>3000.00 ETB [AOR=0.164, 95% CI (0.038: 0.702)] and those with monthly income between 2000 and 3000 ETB [AOR=0.110, 95%CI (0.026:0.461)] [AOR=0.110, 95% CI (0.026:0.461)] are less likely associated with non-adherent to antiepileptic drugs (P<0.05). Likewise, patients who perceived epilepsy as psychiatric disorder [AOR= 0.250, 95%CI (0.087: 0.716)] compared to those who perceive it as neurologic, and those patients with seizure free period of less than one year [AOR= 0.206, 95%CI(0.076:0.562)] compared to those with seizure free period of more than one year are found to be less non adherent (p<0.05).
{"title":"Non adherence to treatment and the associated factors in patients with epilepsy in Southern Ethiopia","authors":"Kebede Abebe, B. Deresse, Keneni Gutema Negeri","doi":"10.4081/hls.2022.10694","DOIUrl":"https://doi.org/10.4081/hls.2022.10694","url":null,"abstract":"Adherence to antiepileptic drug therapy in people with epilepsy is critical for seizure control. Poor adherence to epilepsy treatment, on the other hand, is recognized as a worldwide problem, particularly in developing countries such as Ethiopia. As a result, the current study seeks to ascertain patients’ adherence to antiepileptic medications and the factors that influence it at Hawassa University Comprehensive Specialized Hospital in Southern Ethiopia. From February 1 to October 15, 2017, 187 people with epilepsy who were on followup at Hawassa University Comprehensive Specialized Hospital underwent a hospitalbased retrospective medical review. Adherence was measured using Morisky Medication Scale-8. Data was entered and analyzed using the soft ware Statistical package for social sciences version 20. The results were summarized using cross-tabulations and frequency tables. While binary logistic regression was used to analyze factors associated with adherence to antiepileptic drug therapy, significance was declared at p<0.05. According to the findings of the current study, about nineteen percent of the study participants were nonadherent to their treatment. Compared to patients with monthly income of less than 1000.00 ETB, those who earn>3000.00 ETB [AOR=0.164, 95% CI (0.038: 0.702)] and those with monthly income between 2000 and 3000 ETB [AOR=0.110, 95%CI (0.026:0.461)] [AOR=0.110, 95% CI (0.026:0.461)] are less likely associated with non-adherent to antiepileptic drugs (P<0.05). Likewise, patients who perceived epilepsy as psychiatric disorder [AOR= 0.250, 95%CI (0.087: 0.716)] compared to those who perceive it as neurologic, and those patients with seizure free period of less than one year [AOR= 0.206, 95%CI(0.076:0.562)] compared to those with seizure free period of more than one year are found to be less non adherent (p<0.05).","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43731245","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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