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Risk factors for preeclampsia and eclampsia in Sidama region: a nested case-control study 西达玛地区子痫前期和子痫的危险因素:一项巢式病例对照研究
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.11604/pamj-oh.2022.9.3.34409
Birhanu Jikamo, Mulat Adefris, Telake Azale, Kassahun Alemu
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引用次数: 1
Integration of surveillance of priority zoonotic diseases into the existing polio eradication program in Ethiopia: processes, opportunities, successes, and challenges 将重点人畜共患疾病的监测纳入埃塞俄比亚现有的根除脊髓灰质炎规划:进程、机遇、成功和挑战
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.11604/pamj-oh.2022.9.9.36743
Muluken Asres Alemu, F. Bisrat, Katherine V. Stamidis, I. Rwego, Lee Losey, Negussie Deyesa
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引用次数: 0
Mortality rate and its determinants among colorectal cancer patients in comprehensive specialized hospitals, Ethiopia: a retrospective cohort study 埃塞俄比亚综合性专科医院结直肠癌患者死亡率及其决定因素:一项回顾性队列研究
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.11604/pamj-oh.2022.7.26.29412
Bantalem Tilaye Atinafu, Worku Misganaw Kebede, Tefera Mulugeta Demlew, Y. Aynalem, W. Shiferaw, Fetene Nigussie Tarekegn, G. Mulu
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引用次数: 3
Knowledge, attitude and practice of nurses working in South Gondar zone hospitals toward initial management of acute poisoning, 2021 南贡达尔区医院护士对急性中毒初期管理的知识、态度和实践,2021
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.11604/pamj-oh.2022.7.32.32311
Sheganew Fetene, D. Getaneh, Ermias Sisay, T. Amera, Abirham Tsedalu, Wondimnew Dessalegn, Endalikachew Sisay
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引用次数: 0
Factors associated with community engagement in areas with a high and low incidence of local malaria cases in Zanzibar 在桑给巴尔当地疟疾病例高发和低发地区,与社区参与有关的因素
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.11604/pamj-oh.2022.9.24.36894
F. Abbas, Al-Mafazy Abdul-Wahid, Mwinyi Khamis, S. Lalji, N. Serbantez, B. Kabula, H. Mkali, Fauzia Mohamed, E. Kigadye
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引用次数: 0
Detection of antibiotic residues in camel and goat meat from markets in Mogadishu city, Somalia 索马里摩加迪沙市市场骆驼和山羊肉中抗生素残留的检测
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.11604/pamj-oh.2022.9.8.36704
Mohamed Abdelrahman Mohamed, A. Ali, Mohamed A. Shair, Ayan Aden Moussa, M. Abatcha, Mohamed Aden Hersi, Abdirahman Abdirazak Ahmed, A. M. Osman
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引用次数: 1
Determinants of nonrenewal of National Health Insurance (NHI) membership cards among healthcare workers in the Kintampo North Municipality, Bono East Region of Ghana 加纳博诺东区金坦波北市卫生保健工作者不续签国民健康保险(NHI)会员卡的决定因素
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.11604/pamj-oh.2022.9.2.35861
Mustapha Hallidu, I. Sumaila
A descriptive cross-sectional approach was used to conduct this study where three hundred and ninety-seven (397) participants were recruited using a proportionate strati�ed sampling technique. All variables with a p-value < 0.25 at the bivariate analysis level were selected and put into multiple logistic regression analysis models for statistical signi�cance (p-value < 0.05). Odds ratios with their corresponding 95% Con�dence Interval were reported. A p-value < 0.05 was set as level of signi�cance. to renew their cards.
本研究采用描述性横断面方法,采用比例分层抽样技术招募了397(397)名参与者。选取双变量分析水平上p值< 0.25的变量,并将其放入多元logistic回归分析模型中进行统计显著性分析(p值< 0.05)。报告了比值比及其相应的95%置信区间。p值< 0.05为显著性水平。去续卡。
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引用次数: 0
Prévalence du burn out chez les sages-femmes du grand Tunis 大突尼斯助产士倦怠的患病率
Q4 Medicine Pub Date : 2021-09-24 DOI: 10.11604/pamj-oh.2021.6.3.26545
C. Mrazguia, H. Abouda, H. Aloui, Ahmed Halouani, Abir Karoui, Sawsen Hammami, W. Homri, M. Channoufi
INTRODUCTION: Le burn out est considere comme un processus qui se developpe dans le temps, debute avec l´epuisement emotionnel et se continue avec la depersonnalisation et la diminution de la realisation. METHODES: Il s´agit d´une etude quantitative, transversale, descriptive et analytique realisee a partir d´une enquete menee aupres des sages-femmes. L´enquete a dure 1 mois (15 juillet 2019 a 15 Aout 2019). Elle a ete menee dans 4 maternites universitaires de grand Tunis. Nous avons utilise le questionnaire : le Maslach Burn out Inventory (MBI). Notre objectif principal est de determiner la prevalence des taux de burn out chez une population de sages-femmes exercant dans des maternites de niveau trois du grand Tunis. L´objectif secondaire est de chercher les facteurs de risques associes au burn out severe. RESULTATS: Notre etude a ete realisee aupres de 90 sages-femmes. Elle a demontre que le burn out est une situation bien reelle et alarmante. Nous avons constate que 86,7% des sages-femmes interrogees avaient un burn out. Plus en details, l´epuisement emotionnel est eleve chez 50% des cas, la depersonnalisation est elevee chez 47,8% et l´accomplissement personnel est bas chez 14,40% d´entre elles. Les facteurs associes significativement au burn out severe sont : le celibat, l´anciennete <20 ans, la surcharge de travail elevee, la distance lointaine entre le domicile et le lieu du travail, le regret du choix du metier, l´insatisfaction des horaires de travail et de l´organisation global de travail, le mauvais climat professionnel, la presence de stress professionnel, la contraction de maladie professionnelle, les accidents de travail et le developpement de conduites addictives. CONCLUSION: Suite a ses resultats alarmantes, il serait urgent de proposer des mesures de prevention, de depistage et de prise en charge des sages-femmes touchees par ce syndrome ou a risque. Une formation bien approfondit en matiere de gestion de stress doit etre integrer dans le cursus universitaire. La prevention et le traitement de l´epuisement professionnel auront certainement un impact important en termes de qualite de vie et par consequent en termes de qualite des soins fournis.
导言:倦怠被认为是一个随着时间的推移而发展的过程,从情感枯竭开始,并随着个性化和成就的减少而继续。方法:这是一项定量、横断面、描述性和分析性研究,基于对助产士的调查。调查持续1个月(2019年7月15日至2019年8月15日)。她在大突尼斯的4所母校接受教育。我们使用了Maslach倦怠量表(MBI)。我们的主要目标是确定大突尼斯三级妇产医院助产士的倦怠率。第二个目标是寻找与严重烧伤相关的风险因素。结果:我们对90名助产士进行了研究。她证明,倦怠是一个非常真实和令人震惊的情况。我们发现,86.7%的受访助产士精疲力竭。更详细地说,50%的人情绪枯竭,47.8%的人人格解体,14.40%的人个人成就感较低。与严重倦怠显著相关的因素包括:独身、年龄<20岁、工作负担过重、离家很远、对职业选择感到遗憾、对工作时间和整体工作组织不满意、恶劣的工作环境、工作压力、职业病发作、工作事故和成瘾行为的发展。结论:鉴于其令人震惊的结果,迫切需要为受该综合征影响或有风险的助产士提出预防、筛查和护理措施。应将深入的压力管理培训纳入大学课程。预防和治疗职业倦怠肯定会对生活质量产生重大影响,从而对所提供的护理质量产生重大影响。
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引用次数: 0
Antibiotic prescribing habits among primary healthcare workers in Northern Nigeria: a concern for patient safety in the era of global antimicrobial resistance 尼日利亚北部初级保健工作者的抗生素处方习惯:全球抗生素耐药性时代对患者安全的担忧
Q4 Medicine Pub Date : 2021-08-26 DOI: 10.11604/pamj-oh.2021.5.19.30847
M. Manga, Y. Mohammed, S. Suleiman, A. Fowotade, Z. Yunusa-kaltungo, M. Usman, Ahmed A. Abulfathi, M. Saddiq
INTRODUCTION: Antibiotic overprescribing is associated with antibiotic resistance worldwide but worst in developing nations. Minimal information exists on the antibiotic prescribing habits of essentially all cadres of healthcare workers in Nigeria, but particularly primary healthcare (PHC) workers. Our aim was to explore antibiotic prescribing habits of Nigerian primary healthcare workers in the context of increasing antibiotic resistance which has a direct effect on healthcare associated infections (HCAIs) and patient safety worldwide. METHODS: a questionnaire-based cross-sectional study was conducted among 442 primary healthcare workers across three Northern Nigerian states of Gombe, Sokoto and Kwara. Data obtained was analysed using SPSS version 20. RESULTS: antibiotic prescription rate was 98.2%. The most commonly prescribed antibiotics were amoxicillin (71.7%) and ampicillin/cloxacillin (70.1%) while the least was meropenem (4.1%). Major indicators of antibiotics abuse include unconfirmed typhoid fever (96.1%), non-specific vaginal discharge (95.4%), fresh trauma wound (91.3%), non-specific diarrhoea (87.1%) and common cold (85.9%). Additionally, about one-third of the respondents also routinely prescribe antibiotics to healthy birds (31.5%) and animals (18.3%). Identified reasons attributed to antibiotic overprescribing from the participants´ perspectives include lack of awareness (87.0%), lack of penalty (79.4%), desire to help patients (76.5%), pressure from sales representatives (61.0%) and patients´ pressure (58.3%). Overall, majority (85.8%) of respondents agrees that overprescribing is a cause of antimicrobial resistance. CONCLUSION: overprescribing of antibiotics is common among PHC workers and could contribute significantly to the rising scourge of antimicrobial resistance and poses a threat to patient safety and associated increased burden of HCAIs.
引言:抗生素过量用药与抗生素耐药性有关,但在发展中国家最为严重。关于尼日利亚基本上所有医护人员干部的抗生素处方习惯的信息很少,尤其是初级保健(PHC)工作人员。我们的目的是在抗生素耐药性增加的背景下,探索尼日利亚初级保健工作者的抗生素处方习惯,这对全球医疗相关感染(HCAI)和患者安全有直接影响。方法:对尼日利亚北部贡贝州、索科托州和夸拉州的442名初级保健工作者进行了一项基于问卷的横断面研究。使用SPSS版本20对获得的数据进行分析。结果:抗生素处方率为98.2%。最常用的抗生素是阿莫西林(71.7%)和氨苄青霉素/氯唑西林(70.1%),最少的是美罗培南(4.1%)。抗生素滥用的主要指标包括未经证实的伤寒(96.1%)、非特异性阴道分泌物(95.4%)、新鲜创伤(91.3%),非特异性腹泻(87.1%)和普通感冒(85.9%)。此外,约三分之一的受访者还经常给健康的鸟类(31.5%)和动物(18.3%)开抗生素。从参与者的角度来看,抗生素过量使用的原因包括缺乏意识(87.0%)、缺乏惩罚(79.4%)、希望帮助患者(76.5%),来自销售代表的压力(61.0%)和患者的压力(58.3%)。总体而言,大多数(85.8%)受访者同意过量用药是抗菌药物耐药性的原因。结论:超剂量使用抗生素在PHC工作人员中很常见,可能会导致耐药性的增加,并对患者安全构成威胁,并增加HCAI的负担。
{"title":"Antibiotic prescribing habits among primary healthcare workers in Northern Nigeria: a concern for patient safety in the era of global antimicrobial resistance","authors":"M. Manga, Y. Mohammed, S. Suleiman, A. Fowotade, Z. Yunusa-kaltungo, M. Usman, Ahmed A. Abulfathi, M. Saddiq","doi":"10.11604/pamj-oh.2021.5.19.30847","DOIUrl":"https://doi.org/10.11604/pamj-oh.2021.5.19.30847","url":null,"abstract":"INTRODUCTION: Antibiotic overprescribing is associated with antibiotic resistance worldwide but worst in developing nations. Minimal information exists on the antibiotic prescribing habits of essentially all cadres of healthcare workers in Nigeria, but particularly primary healthcare (PHC) workers. Our aim was to explore antibiotic prescribing habits of Nigerian primary healthcare workers in the context of increasing antibiotic resistance which has a direct effect on healthcare associated infections (HCAIs) and patient safety worldwide. METHODS: a questionnaire-based cross-sectional study was conducted among 442 primary healthcare workers across three Northern Nigerian states of Gombe, Sokoto and Kwara. Data obtained was analysed using SPSS version 20. RESULTS: antibiotic prescription rate was 98.2%. The most commonly prescribed antibiotics were amoxicillin (71.7%) and ampicillin/cloxacillin (70.1%) while the least was meropenem (4.1%). Major indicators of antibiotics abuse include unconfirmed typhoid fever (96.1%), non-specific vaginal discharge (95.4%), fresh trauma wound (91.3%), non-specific diarrhoea (87.1%) and common cold (85.9%). Additionally, about one-third of the respondents also routinely prescribe antibiotics to healthy birds (31.5%) and animals (18.3%). Identified reasons attributed to antibiotic overprescribing from the participants´ perspectives include lack of awareness (87.0%), lack of penalty (79.4%), desire to help patients (76.5%), pressure from sales representatives (61.0%) and patients´ pressure (58.3%). Overall, majority (85.8%) of respondents agrees that overprescribing is a cause of antimicrobial resistance. CONCLUSION: overprescribing of antibiotics is common among PHC workers and could contribute significantly to the rising scourge of antimicrobial resistance and poses a threat to patient safety and associated increased burden of HCAIs.","PeriodicalId":34098,"journal":{"name":"PAMJ One Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45181631","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}
引用次数: 4
Parental Knowledge, beliefs and first-aid practices regarding febrile convulsion: a descriptive cross-sectional study in Tamale Teaching Hospital, Ghana 关于热性惊厥的父母知识、信念和急救实践:加纳Tamale教学医院的描述性横断面研究
Q4 Medicine Pub Date : 2021-08-25 DOI: 10.11604/pamj-oh.2021.5.18.29879
Abubakari Wuni, S. M. Salia, S. Salifu, Ninebri Justine, Charity Tiemeh Koku-Anu, Evans Nte-Awan Bigargma, S. N. Seini
INTRODUCTION: Febrile convulsion is one of the most common form of convulsion among children and one of the most common causes of hospital admissions in children under five years of age. There is paucity of data on the study of febrile convulsion in Ghana and especially, the northern part of Ghana. Aim: the study assessed parental knowledge, beliefs, and first-aid practice regarding febrile convulsion at a tertiary health facility in the northern region of Ghana. METHODS: this was a cross-sectional descriptive hospital-based study involving 100 parents whose children were admitted with previous history of febrile convulsion. They were sampled purposively. A questionnaire was used to collect data from the parents at the children´s emergency and paediatric wards of the Tamale Teaching Hospital from 1st October 2018 to 31st December 2018. The Data was then analyzed using SPSS version 23.0. RESULTS: majority (95%) of the parents had heard about febrile convulsion and especially from family members. Overall good knowledge score was 59.0%. About (71.0%) identified the presentation of febrile convulsion as twitching of the face and stiffening of the neck. Furthermore, 87% belief that febrile convulsion is caused by high body temperature. Majority (69%) of the parents bathed their children with cold water as a first aid measure of febrile convulsion. Multivariate analysis showed that the belief witchcraft could cause convulsion, type of first aid intervention given and intervention given after first aid were all associated with parental knowledge of febrile convulsion (χ2=4.05, p=0.044), (χ2=9.52, p=0.021) and (χ2=6.45, p=0.040) respectively. CONCLUSION: the study revealed that parents had substantial idea about febrile convulsions. That notwithstanding, most of their first aid management yielded no positive outcome. Again, it is worth mentioning that some parents resorted to cultural practices in treating convulsions at home, such as smearing ground garlic on the bodies of their children during a convulsive episode in order to abort it. Others attributed the cause of it to supernatural powers and witchcraft.
热性惊厥是儿童惊厥最常见的形式之一,也是五岁以下儿童入院的最常见原因之一。关于加纳特别是加纳北部地区热性惊厥的研究数据缺乏。目的:本研究评估了加纳北部地区一家三级卫生机构关于热性惊厥的父母知识、信念和急救实践。方法:这是一项以医院为基础的横断面描述性研究,涉及100名有发热惊厥病史的儿童的父母。他们的抽样是有目的的。使用问卷收集2018年10月1日至2018年12月31日在Tamale教学医院儿童急诊室和儿科病房的家长的数据。然后使用SPSS 23.0版本对数据进行分析。结果:绝大多数(95%)家长听说过发热惊厥,尤其是从家人口中听说过。总体良好知识得分为59.0%。约71.0%的患者认为发热性惊厥表现为面部抽搐和颈部僵硬。此外,87%的人认为热性惊厥是由体温过高引起的。大多数(69%)父母用冷水给孩子洗澡作为热性惊厥的急救措施。多因素分析显示,父母对惊厥的认知程度、急救干预方式、急救后干预方式与父母对热惊厥的认知程度相关(χ2=4.05, p=0.044)、(χ2=9.52, p=0.021)、(χ2=6.45, p=0.040)。结论:本研究揭示了家长对热惊厥的认识。尽管如此,他们的大多数急救管理并没有产生积极的结果。同样值得一提的是,一些父母在家中治疗抽搐时采用了文化习俗,例如在抽搐发作时将大蒜粉涂抹在孩子身上以使其流产。其他人将其归因于超自然力量和巫术。
{"title":"Parental Knowledge, beliefs and first-aid practices regarding febrile convulsion: a descriptive cross-sectional study in Tamale Teaching Hospital, Ghana","authors":"Abubakari Wuni, S. M. Salia, S. Salifu, Ninebri Justine, Charity Tiemeh Koku-Anu, Evans Nte-Awan Bigargma, S. N. Seini","doi":"10.11604/pamj-oh.2021.5.18.29879","DOIUrl":"https://doi.org/10.11604/pamj-oh.2021.5.18.29879","url":null,"abstract":"INTRODUCTION: Febrile convulsion is one of the most common form of convulsion among children and one of the most common causes of hospital admissions in children under five years of age. There is paucity of data on the study of febrile convulsion in Ghana and especially, the northern part of Ghana. Aim: the study assessed parental knowledge, beliefs, and first-aid practice regarding febrile convulsion at a tertiary health facility in the northern region of Ghana. METHODS: this was a cross-sectional descriptive hospital-based study involving 100 parents whose children were admitted with previous history of febrile convulsion. They were sampled purposively. A questionnaire was used to collect data from the parents at the children´s emergency and paediatric wards of the Tamale Teaching Hospital from 1st October 2018 to 31st December 2018. The Data was then analyzed using SPSS version 23.0. RESULTS: majority (95%) of the parents had heard about febrile convulsion and especially from family members. Overall good knowledge score was 59.0%. About (71.0%) identified the presentation of febrile convulsion as twitching of the face and stiffening of the neck. Furthermore, 87% belief that febrile convulsion is caused by high body temperature. Majority (69%) of the parents bathed their children with cold water as a first aid measure of febrile convulsion. Multivariate analysis showed that the belief witchcraft could cause convulsion, type of first aid intervention given and intervention given after first aid were all associated with parental knowledge of febrile convulsion (χ2=4.05, p=0.044), (χ2=9.52, p=0.021) and (χ2=6.45, p=0.040) respectively. CONCLUSION: the study revealed that parents had substantial idea about febrile convulsions. That notwithstanding, most of their first aid management yielded no positive outcome. Again, it is worth mentioning that some parents resorted to cultural practices in treating convulsions at home, such as smearing ground garlic on the bodies of their children during a convulsive episode in order to abort it. Others attributed the cause of it to supernatural powers and witchcraft.","PeriodicalId":34098,"journal":{"name":"PAMJ One Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48807461","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}
引用次数: 3
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PAMJ One Health
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