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":" ","pages":""},"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}
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":" ","pages":""},"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}
Ahsan Ahsan, Imeldha Monitasari, E. Ningrum, Ike Nesdia Rahmawati, L. Noviyanti, K. Putra
Introduction: Patient safety is a healthcare system, which minimizes the occurrence and impact of side effects. It also helps to facilitate full recovery in patients, and efforts to improve their safety require teamwork, such as situation monitoring by nurses. Therefore, this study aims to determine the effects of TeamSTEPPS implementation by nurses on situation monitoring in hospitals. Design and Methods: A quasi-experimental pre-post test design was used with a total of 56 nurses, which were selected using the purposive sampling technique. They were then shared equally into 2 groups, namely control and intervention groups. Results: The unpaired t-test result shows that the value of |t count| was lower than the t table (0.210 < 2.005), while the p-value was greater than α (0.835 > 0.050). This result indicates that implementing TeamSTEPPS by nurses have an insignificant effect on situation monitoring in the hospital. Conclusions: In conclusion, hospitals are advised to implement TeamSTEPPS regularly to improve teamwork, specifically in situation monitoring by nurses.
{"title":"The effects of TeamSTEPPS implementation by nurses on situation monitoring in hospital","authors":"Ahsan Ahsan, Imeldha Monitasari, E. Ningrum, Ike Nesdia Rahmawati, L. Noviyanti, K. Putra","doi":"10.4081/hls.2023.11163","DOIUrl":"https://doi.org/10.4081/hls.2023.11163","url":null,"abstract":"Introduction: Patient safety is a healthcare system, which minimizes the occurrence and impact of side effects. It also helps to facilitate full recovery in patients, and efforts to improve their safety require teamwork, such as situation monitoring by nurses. Therefore, this study aims to determine the effects of TeamSTEPPS implementation by nurses on situation monitoring in hospitals.\u0000Design and Methods: A quasi-experimental pre-post test design was used with a total of 56 nurses, which were selected using the purposive sampling technique. They were then shared equally into 2 groups, namely control and intervention groups.\u0000Results: The unpaired t-test result shows that the value of |t count| was lower than the t table (0.210 < 2.005), while the p-value was greater than α (0.835 > 0.050). This result indicates that implementing TeamSTEPPS by nurses have an insignificant effect on situation monitoring in the hospital.\u0000Conclusions: In conclusion, hospitals are advised to implement TeamSTEPPS regularly to improve teamwork, specifically in situation monitoring by nurses.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43483409","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}
Alma Maghfirotun Innayah, Elvira Nur Sa’idah Hariani, H. Khotimah, I. Kusumastuty, E. Yunita, D. Handayani
Introduction: The increasing consumption of high-fat and high-fructose foods contributes to the increasing prevalence of global obesity. Low-grade chronic inflammation in obesity is a significant risk factor for insulin resistance and type 2 diabetes. Therefore, this study aimed to determine the effect of β-(1,3)-D-glucan from oyster mushroom (Pleurotus ostreatus) extract on rats fed with a high-fat and high-fructose diet. Design and Methods: This experimental study was conducted on 35 male Sprague-Dawley rats aged eight weeks. The rats were divided into groups given a normal (N) diet, a high-fat and high-fructose diet (HFFD), D1 (HFFD+125 mg/kg BW β-glucan), D2 (HFFD+250 mg/kg BW β glucan), and D3 (HFFD+375 mg/kg BW β-glucan) with an intervention of 14 weeks. IL-6 and IL-1β levels were measured by the ELISA method, while HOMA-IR (Homeostatic Model Assessment for Insulin Resistance) was calculated by the fasting insulin (ng/mL) x fasting blood glucose (mg/dL)/405 formula. Pancreatic beta-cell counts were measured by hematoxylin and eosin (H&E) staining. Results: The results showed no differences in IL-6 and IL-1β between the treatment groups. However, there were significant differences in HOMA-IR and pancreatic beta-cell counts between groups. There were negative correlations between the dose of β-glucan and IL-6, IL-1β, and HOMA-IR levels. Also, there was a positive correlation between the dose of β-glucan and the number of pancreatic beta cells. Conclusions: Administration of β-(1,3)-D-glucan from oyster mushroom (Pleurotus ostreatus) extract prevented hyperglycemia and insulin resistance, also reduced inflammation in rats fed with HFFD regardless of weight gain.
导读:高脂肪和高果糖食品消费的增加导致全球肥胖患病率的上升。肥胖患者的轻度慢性炎症是胰岛素抵抗和2型糖尿病的重要危险因素。因此，本研究旨在研究从平菇(Pleurotus ostreatus)中提取的β-(1,3)- d -葡聚糖对高脂高果糖饮食大鼠的影响。设计与方法:以35只8周龄雄性Sprague-Dawley大鼠为实验对象。将大鼠分为正常组(N)、高脂高果糖组(HFFD)、D1组(HFFD+125 mg/kg BW β-葡聚糖)、D2组(HFFD+250 mg/kg BW β-葡聚糖)、D3组(HFFD+375 mg/kg BW β-葡聚糖)，干预14周。采用ELISA法测定IL-6、IL-1β水平，采用空腹胰岛素(ng/mL) ×空腹血糖(mg/dL)/405计算HOMA-IR(胰岛素抵抗稳态模型评估)。苏木精和伊红(H&E)染色测定胰腺β细胞计数。结果:两组间IL-6、IL-1β水平无明显差异。然而，两组间HOMA-IR和胰腺β细胞计数有显著差异。β-葡聚糖剂量与IL-6、IL-1β、HOMA-IR水平呈负相关。此外，β-葡聚糖的剂量与胰腺β细胞的数量呈正相关。结论:在不影响体重增加的情况下，给予平菇提取物β-(1,3)- d -葡聚糖可预防高血糖和胰岛素抵抗，并减轻炎症反应。
{"title":"β-(1,3)-D-glucan from Pleurotus ostreatus correlates with lower plasma IL-6, IL-1β, HOMA-IR, and higher pancreatic beta cell count in High-Fat and High-Fructose Diet (HFFD) rats","authors":"Alma Maghfirotun Innayah, Elvira Nur Sa’idah Hariani, H. Khotimah, I. Kusumastuty, E. Yunita, D. Handayani","doi":"10.4081/hls.2023.11165","DOIUrl":"https://doi.org/10.4081/hls.2023.11165","url":null,"abstract":"Introduction: The increasing consumption of high-fat and high-fructose foods contributes to the increasing prevalence of global obesity. Low-grade chronic inflammation in obesity is a significant risk factor for insulin resistance and type 2 diabetes. Therefore, this study aimed to determine the effect of β-(1,3)-D-glucan from oyster mushroom (Pleurotus ostreatus) extract on rats fed with a high-fat and high-fructose diet.\u0000Design and Methods: This experimental study was conducted on 35 male Sprague-Dawley rats aged eight weeks. The rats were divided into groups given a normal (N) diet, a high-fat and high-fructose diet (HFFD), D1 (HFFD+125 mg/kg BW β-glucan), D2 (HFFD+250 mg/kg BW β glucan), and D3 (HFFD+375 mg/kg BW β-glucan) with an intervention of 14 weeks. IL-6 and IL-1β levels were measured by the ELISA method, while HOMA-IR (Homeostatic Model Assessment for Insulin Resistance) was calculated by the fasting insulin (ng/mL) x fasting blood glucose (mg/dL)/405 formula. Pancreatic beta-cell counts were measured by hematoxylin and eosin (H&E) staining.\u0000Results: The results showed no differences in IL-6 and IL-1β between the treatment groups. However, there were significant differences in HOMA-IR and pancreatic beta-cell counts between groups. There were negative correlations between the dose of β-glucan and IL-6, IL-1β, and HOMA-IR levels. Also, there was a positive correlation between the dose of β-glucan and the number of pancreatic beta cells.\u0000Conclusions: Administration of β-(1,3)-D-glucan from oyster mushroom (Pleurotus ostreatus) extract prevented hyperglycemia and insulin resistance, also reduced inflammation in rats fed with HFFD regardless of weight gain.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43515075","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":" ","pages":""},"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":" ","pages":""},"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":" ","pages":""},"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":" ","pages":""},"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":" ","pages":""},"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}
N. Kumar, Suman Sheraz, F. Pereira, A. Razzaq, Christina Angela, S. Saad
Chronic kidney disease is one of the leading causes of death, which is often neglected due to lack of knowledge and resources. The objective of this study was to determine the effects of home-based exercise on physical functioning, quality of life and fatigue assessment for patients on hemodialysis. A randomized control trial was conducted, with participants divided into two groups. Twenty-six (26) participants were enrolled, and were assigned equally to each group. The control group received hospital-based care, and the intervention group received a home exercise program. Both groups received three sessions per week, for six weeks. Outcome measures included six-minute walk test, standing balance, 4-metre gait speed, chair stand, fatigue assessment scale and quality of life. Significant improvement in sixminute walk test, fatigue assessment scale, 4 meter gait speed, chair stand test and standing balance was noted in the intervention group as compared with control group. This study concluded that aerobic and resistance exercises are more effective in improving the functional outcomes of patients on hemodialysis as compared to routine physical therapy.
{"title":"Effects of home-based exercise program on physical functioning of hemodialysis patients: A randomized controlled trial","authors":"N. Kumar, Suman Sheraz, F. Pereira, A. Razzaq, Christina Angela, S. Saad","doi":"10.4081/hls.2022.10499","DOIUrl":"https://doi.org/10.4081/hls.2022.10499","url":null,"abstract":"Chronic kidney disease is one of the leading causes of death, which is often neglected due to lack of knowledge and resources. The objective of this study was to determine the effects of home-based exercise on physical functioning, quality of life and fatigue assessment for patients on hemodialysis. A randomized control trial was conducted, with participants divided into two groups. Twenty-six (26) participants were enrolled, and were assigned equally to each group. The control group received hospital-based care, and the intervention group received a home exercise program. Both groups received three sessions per week, for six weeks. Outcome measures included six-minute walk test, standing balance, 4-metre gait speed, chair stand, fatigue assessment scale and quality of life. Significant improvement in sixminute walk test, fatigue assessment scale, 4 meter gait speed, chair stand test and standing balance was noted in the intervention group as compared with control group. This study concluded that aerobic and resistance exercises are more effective in improving the functional outcomes of patients on hemodialysis as compared to routine physical therapy.","PeriodicalId":30412,"journal":{"name":"Healthcare in Lowresource Settings","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44544160","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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