Edward Otieno Ngoga, Ogol Japheth Ouma, Lillian Muiruri, Dr. Kezia Njoroge
Purpose: Many people, including healthcare workers, spend one-third of their adult lives in hazardous work environments. Despite significant advancements in safety management over the last few decades, occupational health continues to contribute to work-related health problems around the world, including in Kenya. The study's main goal was to investigate factors influencing the implementation of occupational health and safety measures at Kitale County Referral Hospital.
Methodology: The research was cross-sectional, descriptive, and mixed-methods. The targeted study population was 246 healthcare workers at Kitale County Referral Hospital, and 146 were randomly sampled. Key Informant Interview (KII) guidelines and a structured questionnaire were utilized to collect data. Data was coded, entered, and analyzed in STATA v15. A thematic method was utilized for analyzing KII qualitative data.
Findings: Spearman's correlation coefficients (0.687, p<0.05) for training show a strong link between these HealthCare’s training and OHS implementation. This means that traning directly affects hospital OHS implementation. Ordered regression results include age (Φ = 0.055; p<0.01), gender (Φ = 0.208; p<0.05), education (Φ = 0.105; p<0.01), cadre (Φ = 0.098; p<0.1), staff training (Φ = 0.090, p<0.05 confirmed that there existed a direct and positive relationship between the occupational health and safety implementation and some of the independent variables.
Unique Contribution to Theory, Practice and Policy: Thus, the study proposes that public hospitals teach staff to promote occupational health and safety. The facilities should also establish a management committee to drive OSH implementation, and the county government should guarantee that policies encourage OSH in county referral hospitals.
{"title":"Healthcare Workers Training and Implementation of Occupational Health and Safety (OSH) Measures at Kitale County Referral Hospital, Kenya","authors":"Edward Otieno Ngoga, Ogol Japheth Ouma, Lillian Muiruri, Dr. Kezia Njoroge","doi":"10.47672/ajhmn.1584","DOIUrl":"https://doi.org/10.47672/ajhmn.1584","url":null,"abstract":"Purpose: Many people, including healthcare workers, spend one-third of their adult lives in hazardous work environments. Despite significant advancements in safety management over the last few decades, occupational health continues to contribute to work-related health problems around the world, including in Kenya. The study's main goal was to investigate factors influencing the implementation of occupational health and safety measures at Kitale County Referral Hospital.
 Methodology: The research was cross-sectional, descriptive, and mixed-methods. The targeted study population was 246 healthcare workers at Kitale County Referral Hospital, and 146 were randomly sampled. Key Informant Interview (KII) guidelines and a structured questionnaire were utilized to collect data. Data was coded, entered, and analyzed in STATA v15. A thematic method was utilized for analyzing KII qualitative data.
 Findings: Spearman's correlation coefficients (0.687, p<0.05) for training show a strong link between these HealthCare’s training and OHS implementation. This means that traning directly affects hospital OHS implementation. Ordered regression results include age (Φ = 0.055; p<0.01), gender (Φ = 0.208; p<0.05), education (Φ = 0.105; p<0.01), cadre (Φ = 0.098; p<0.1), staff training (Φ = 0.090, p<0.05 confirmed that there existed a direct and positive relationship between the occupational health and safety implementation and some of the independent variables.
 Unique Contribution to Theory, Practice and Policy: Thus, the study proposes that public hospitals teach staff to promote occupational health and safety. The facilities should also establish a management committee to drive OSH implementation, and the county government should guarantee that policies encourage OSH in county referral hospitals.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"167 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135308186","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}
Purpose: Knee osteoarthritis (OA) is a prevalent degenerative joint disease characterized by cartilage breakdown and functional impairment. Its incidence is rising due to factors such as aging, sedentary lifestyles and obesity. Early detection and intervention are crucial for managing the condition effectively. Risk factors include age, obesity, previous joint injuries, genetics and occupational factors. Improved understanding and awareness of knee osteoarthritis can help reduce its impact on individuals and health care systems. This study seeks to as certain how well-aware middle-aged adults of rural population about symptoms and risk factors of knee osteoarthritis. To determine the prevalence, signs, and risk factors for symptomatic knee osteoarthritis in middle-aged persons in rural areas.
Methodology: From March until the beginning of August 2023, a cross-sectional survey was undertaken in the Pakistani district of Sialkot to raise awareness about the study. Both men and women of Pakistani nationality were included, but only those who were 40 to 60 years old. A self-administered questionnaire was used to collect data on sociodemographic traits, knowledge of the condition, symptoms, and risk factors associated with symptomatic knee osteoarthritis in middle-aged persons living in rural areas. Any ambiguities or concerns students had about the questions were clarified and addressed prior to the start of any data gathering activities.
Findings: There were 167 (45.26%) males and 202 (54.74%) females. The education level were 139 (37.94%) primary studied people, 96 (24.39%) middle studied people, 93 (25.47%) matric studied people and 45(12.20%) secondary studied people who lived in rural area.
Recommendations: In conclusion, improving middle-aged persons' low levels of OA awareness and understanding has enormous potential for both personal and societal well-being. We can enable this age group to take control of their health, make informed decisions, and contribute to a healthy society by targeting them with targeted educational campaigns, seminars, and treatments. The effects go beyond one's own health, including economic output, the transmission of health information between generations, and a greater feeling of social wellbeing.
{"title":"Awareness, Symptoms and Risk Factors Related to Symptomatic Knee Osteoarthritis in Middle Aged Adults of Rural Population","authors":"Khushboo Gulzar, Marryam Cheema, Shaharyar Asghar, Mirza Farooq, Sheikh Shahzeb, Muhammad Bashir","doi":"10.47672/ajhmn.1583","DOIUrl":"https://doi.org/10.47672/ajhmn.1583","url":null,"abstract":"Purpose: Knee osteoarthritis (OA) is a prevalent degenerative joint disease characterized by cartilage breakdown and functional impairment. Its incidence is rising due to factors such as aging, sedentary lifestyles and obesity. Early detection and intervention are crucial for managing the condition effectively. Risk factors include age, obesity, previous joint injuries, genetics and occupational factors. Improved understanding and awareness of knee osteoarthritis can help reduce its impact on individuals and health care systems. This study seeks to as certain how well-aware middle-aged adults of rural population about symptoms and risk factors of knee osteoarthritis. To determine the prevalence, signs, and risk factors for symptomatic knee osteoarthritis in middle-aged persons in rural areas.
 Methodology: From March until the beginning of August 2023, a cross-sectional survey was undertaken in the Pakistani district of Sialkot to raise awareness about the study. Both men and women of Pakistani nationality were included, but only those who were 40 to 60 years old. A self-administered questionnaire was used to collect data on sociodemographic traits, knowledge of the condition, symptoms, and risk factors associated with symptomatic knee osteoarthritis in middle-aged persons living in rural areas. Any ambiguities or concerns students had about the questions were clarified and addressed prior to the start of any data gathering activities.
 Findings: There were 167 (45.26%) males and 202 (54.74%) females. The education level were 139 (37.94%) primary studied people, 96 (24.39%) middle studied people, 93 (25.47%) matric studied people and 45(12.20%) secondary studied people who lived in rural area.
 Recommendations: In conclusion, improving middle-aged persons' low levels of OA awareness and understanding has enormous potential for both personal and societal well-being. We can enable this age group to take control of their health, make informed decisions, and contribute to a healthy society by targeting them with targeted educational campaigns, seminars, and treatments. The effects go beyond one's own health, including economic output, the transmission of health information between generations, and a greater feeling of social wellbeing.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135395535","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}
Dr. Adegu William, Dr. Kevin Chesoni, Dr. Donald Madekwe, Dr. Aluora Kenneth, Dr. Benjamin Wabwire, Prof. Khainga Stanley, Dr. Nang’ole Ferdinand
Purpose: Takotsubo cardiomyopathy (TC), also known as broken heart syndrome, refers to an abrupt and short-lived cardiac syndrome that encompasses dramatic left ventricular apical akinesia. besides mirroring acute coronary syndrome. Patients with Takotsubo cardiomyopathy (broken heart syndrome) usually present with symptoms that are similar to acute coronary syndrome. The patient commonly presents with chest pain, dyspnea, palpitation, nausea and vomiting, syncope as well as cardiogenic shock. However, Takotsubo cardiomyopathy usually occurs in association with a preceding physical or emotional stressful event.
Methodology: A 25-year-old black female presented to the largest teaching & referral hospital in Kenya with chest pain, dyspnea, palpitations, nausea and vomiting. The patient was received in the emergency room where she was stabilized, a battery of investigations ordered and a diagnosis of TC was made after reviewing the results. She was managed as an inpatient on appropriate medication
Findings: Patient generally responded positively to the treatment and tolerated well the surgical procedures. Follow up echocardiograms performed weekly revealed progressive reduction in size of the thrombus, which had completely resolved at 4 weeks. There was no more thrombi formation after thromboembolectomy of the left femoral artery.
Recommendations: TC is a rescindable type of cardiomyopathy that is associated with good prognosis and an exceptional morphological characteristic of the left ventricle, that is defined by apical inflating appearance that has been recognized for nearly a quarter a century. We also recommend that patients with identified LV thrombus ought to be anticoagulated till LV function normalizes in addition to the thrombus no longer being present on echocardiogram.
{"title":"Takotsubo Cardiomyopathy: Broken Heart Syndrome in A Tertiary Teaching & Referral Hospital in East Africa: Case Report & Literature Review","authors":"Dr. Adegu William, Dr. Kevin Chesoni, Dr. Donald Madekwe, Dr. Aluora Kenneth, Dr. Benjamin Wabwire, Prof. Khainga Stanley, Dr. Nang’ole Ferdinand","doi":"10.47672/ajhmn.1574","DOIUrl":"https://doi.org/10.47672/ajhmn.1574","url":null,"abstract":"Purpose: Takotsubo cardiomyopathy (TC), also known as broken heart syndrome, refers to an abrupt and short-lived cardiac syndrome that encompasses dramatic left ventricular apical akinesia. besides mirroring acute coronary syndrome. Patients with Takotsubo cardiomyopathy (broken heart syndrome) usually present with symptoms that are similar to acute coronary syndrome. The patient commonly presents with chest pain, dyspnea, palpitation, nausea and vomiting, syncope as well as cardiogenic shock. However, Takotsubo cardiomyopathy usually occurs in association with a preceding physical or emotional stressful event.
 Methodology: A 25-year-old black female presented to the largest teaching & referral hospital in Kenya with chest pain, dyspnea, palpitations, nausea and vomiting. The patient was received in the emergency room where she was stabilized, a battery of investigations ordered and a diagnosis of TC was made after reviewing the results. She was managed as an inpatient on appropriate medication
 Findings: Patient generally responded positively to the treatment and tolerated well the surgical procedures. Follow up echocardiograms performed weekly revealed progressive reduction in size of the thrombus, which had completely resolved at 4 weeks. There was no more thrombi formation after thromboembolectomy of the left femoral artery.
 Recommendations: TC is a rescindable type of cardiomyopathy that is associated with good prognosis and an exceptional morphological characteristic of the left ventricle, that is defined by apical inflating appearance that has been recognized for nearly a quarter a century. We also recommend that patients with identified LV thrombus ought to be anticoagulated till LV function normalizes in addition to the thrombus no longer being present on echocardiogram.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136279739","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}
Ngotiek Purity, Dr. Titus Kahiga, Dr. Onyambu Ondora
Purpose: The main objective of this study was to explore the factors that influence the place of delivery for women of reproductive age in Narok South Sub County. Methodology: The study adapted a descriptive, cross sectional study design which focused on all women of reproductive age who delivered at home after antenatal hospital care visits in the last 24 months. The research was completed in Narok South Sub County, Narok County in Kenya. The target populace included all women with children below two years of age who gave birth at home yet attended antenatal care visits in a health facility in Narok North Sub-County. The study population included all women of reproductive age which were in the age bracket of 15 and 49 years from Narok south sub-county in Narok County. The study adapted two sampling techniques (purposive sampling and simple random sampling) first, purposive sampling was used to obtain women who have had delivered in the last 24 months and also key informants like TBAs and community elders. A sample of 30% of the targeted population was selected; this is coherent with the proposition by Mugenda and Mugenda (2009) that 30% of the population is deemed to be sufficient for statistical analysis in research. A semi structured questionnaire was utilized to gather data. The study utilized primary data only. The primary data was collected through semi structured questionnaires by visiting households with women of reproductive age who gave birth in the last 24 months in a non- hospital set up. Data was analyzed using excel and statistical package for social sciences SPSS version 22.0. Findings: The study found that emergencies during delivery are well handled in a hospital setup and will greatly improve delivery outcome, the health of the mother and baby. The extended walking distance nearest health facility, the lesser the expectation of mothers to make use of skilled and trained delivery service. The absence of trouble-free transportation service to the nearest health facility is also an essential significant convolution. Source of information on reproductive health matters and more so about pregnancy, labor, and place of delivery can highly influence decision-making on the place of giving birth. Majority of women in rural areas receive advice on reproductive health matters from their 'mothers-in-law and extended family members. When pregnant mothers attend ANC they are taught about delivery and how to prepare for it. Recommendations: County Education officers in liaison with social development officers to promote adult formal education to improve literacy levels, which will go a long way in influencing reproductive health decisions. County health management team, together with the reproductive health section to network with other relevant stakeholders to increase sensitization on utilization of hospital-based deliveries. Health education by all relevant stakeholders on the advantages of hospital delivery. Establish community health
{"title":"Factors that Influence Place of Delivery for Women of Reproductive Age in Narok South Sub County","authors":"Ngotiek Purity, Dr. Titus Kahiga, Dr. Onyambu Ondora","doi":"10.47672/ajhmn.1560","DOIUrl":"https://doi.org/10.47672/ajhmn.1560","url":null,"abstract":"Purpose: The main objective of this study was to explore the factors that influence the place of delivery for women of reproductive age in Narok South Sub County. \u0000Methodology: The study adapted a descriptive, cross sectional study design which focused on all women of reproductive age who delivered at home after antenatal hospital care visits in the last 24 months. The research was completed in Narok South Sub County, Narok County in Kenya. The target populace included all women with children below two years of age who gave birth at home yet attended antenatal care visits in a health facility in Narok North Sub-County. The study population included all women of reproductive age which were in the age bracket of 15 and 49 years from Narok south sub-county in Narok County. The study adapted two sampling techniques (purposive sampling and simple random sampling) first, purposive sampling was used to obtain women who have had delivered in the last 24 months and also key informants like TBAs and community elders. A sample of 30% of the targeted population was selected; this is coherent with the proposition by Mugenda and Mugenda (2009) that 30% of the population is deemed to be sufficient for statistical analysis in research. A semi structured questionnaire was utilized to gather data. The study utilized primary data only. The primary data was collected through semi structured questionnaires by visiting households with women of reproductive age who gave birth in the last 24 months in a non- hospital set up. Data was analyzed using excel and statistical package for social sciences SPSS version 22.0. \u0000Findings: The study found that emergencies during delivery are well handled in a hospital setup and will greatly improve delivery outcome, the health of the mother and baby. The extended walking distance nearest health facility, the lesser the expectation of mothers to make use of skilled and trained delivery service. The absence of trouble-free transportation service to the nearest health facility is also an essential significant convolution. Source of information on reproductive health matters and more so about pregnancy, labor, and place of delivery can highly influence decision-making on the place of giving birth. Majority of women in rural areas receive advice on reproductive health matters from their 'mothers-in-law and extended family members. When pregnant mothers attend ANC they are taught about delivery and how to prepare for it. \u0000Recommendations: County Education officers in liaison with social development officers to promote adult formal education to improve literacy levels, which will go a long way in influencing reproductive health decisions. County health management team, together with the reproductive health section to network with other relevant stakeholders to increase sensitization on utilization of hospital-based deliveries. Health education by all relevant stakeholders on the advantages of hospital delivery. Establish community health","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83110413","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}
Purpose: The Intensive Care Unit (ICU) is a specialist ward within a hospital, with a concentration of expertise and resources for the management of critically ill patients. Some clinicians think of the ICU only in relation to surgical practice, maybe because many intensivists are anaesthesiologists and anaesthesia is closely linked to surgery. However, this notion may not be entirely true. This study aims to highlight the importance of the ICU to patients with medical challenges. Methodology: This is a ten-year retrospective study conducted at the University of Port Harcourt Teaching Hospital. Ethical approval for the study was sought and gotten from the hospital’s ethical committee. All patients who were admitted into the ICU with medical diagnosis were included in this study. The information gotten includes history, age, sex, diagnosis, length of admission, and outcome. The data collected was analyzed and presented in tables and charts. Findings: The mean age was 51.41±20.12. The highest age was 95 years. The mean bill paid was 80,718.55 Naira and the largest bill paid was 605,500 Naira while the least bill paid was 2000. The mean duration of stay was 6.59 days and ranged from a day to 120 days. The males were 268 (51.8%) while the females were 249(48.2%). Two hundred and sixty-five patients (51.3%) died during the study period. Patients who were transferred out of the ICU spent the highest amount of money and spent the most time (10.19 days) in the ICU. The patient who died spent the least amount of time (4.56 days) in the ICU. A hundred and two patients were discharged from the ICU. Transferring them to a high dependency unit or ward will save cost. As the age increased, the comorbidities also increased with 309 out of 517 having comorbidities. Exacerbation of comorbidity led to admission in the ICU. Recommendation: Medical patients admitted into the ICU tend to have a higher mean age and have a higher mortality rate. Older patients tend to have more comorbidity. Proper and effective management of the ICU will save cost. Proper management of comorbidities in older patients can lead to an improvement in health. Patients who are fit, could be transferred to other wards and discharged from there, this will free up beds in the ICU, increase effective use of the ICU and save cost.
{"title":"A Ten-Year Review of the Management of Medical Patients in the Intensive Care Unit in a Resource-Poor Setting in Southern Nigeria","authors":"Abhulimen Victor, Oruobu-Nwogu Ayanate","doi":"10.47672/ajhmn.1536","DOIUrl":"https://doi.org/10.47672/ajhmn.1536","url":null,"abstract":"Purpose: The Intensive Care Unit (ICU) is a specialist ward within a hospital, with a concentration of expertise and resources for the management of critically ill patients. Some clinicians think of the ICU only in relation to surgical practice, maybe because many intensivists are anaesthesiologists and anaesthesia is closely linked to surgery. However, this notion may not be entirely true. This study aims to highlight the importance of the ICU to patients with medical challenges. \u0000Methodology: This is a ten-year retrospective study conducted at the University of Port Harcourt Teaching Hospital. Ethical approval for the study was sought and gotten from the hospital’s ethical committee. All patients who were admitted into the ICU with medical diagnosis were included in this study. The information gotten includes history, age, sex, diagnosis, length of admission, and outcome. The data collected was analyzed and presented in tables and charts. \u0000Findings: The mean age was 51.41±20.12. The highest age was 95 years. The mean bill paid was 80,718.55 Naira and the largest bill paid was 605,500 Naira while the least bill paid was 2000. The mean duration of stay was 6.59 days and ranged from a day to 120 days. The males were 268 (51.8%) while the females were 249(48.2%). Two hundred and sixty-five patients (51.3%) died during the study period. Patients who were transferred out of the ICU spent the highest amount of money and spent the most time (10.19 days) in the ICU. The patient who died spent the least amount of time (4.56 days) in the ICU. A hundred and two patients were discharged from the ICU. Transferring them to a high dependency unit or ward will save cost. As the age increased, the comorbidities also increased with 309 out of 517 having comorbidities. Exacerbation of comorbidity led to admission in the ICU. \u0000Recommendation: Medical patients admitted into the ICU tend to have a higher mean age and have a higher mortality rate. Older patients tend to have more comorbidity. Proper and effective management of the ICU will save cost. Proper management of comorbidities in older patients can lead to an improvement in health. Patients who are fit, could be transferred to other wards and discharged from there, this will free up beds in the ICU, increase effective use of the ICU and save cost. \u0000 ","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"119 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87125617","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}
Bone development during childhood and adolescence is a critical period that lays the foundation for lifelong skeletal health. Adequate nutrition, particularly the intake of minerals and vitamins, is pivotal in ensuring optimal bone growth and development. This comprehensive review examines the synergy between minerals and vitamins and its impact on childhood and adolescent bone development. The review begins with exploring the significance of bone health during the formative years, emphasizing the long-term implications of suboptimal bone development. The topic then turns to the precise roles essential vitamins, particularly vitamin D, and crucial minerals, such as calcium and phosphorus, play in maintaining healthy bones. It highlights their interdependent roles and the interconnected biochemical pathways facilitating bone growth. Moreover, this review sheds light on the factors influencing these nutrients' absorption, utilization, and bioavailability in children and adolescents. Genetic factors, dietary habits, lifestyle choices, and other variables are examined for their potential effects on bone health outcomes. Through a meticulous analysis of existing clinical studies and observations, the review evaluates the impact of minerals and vitamin synergy on bone density, mineral content, and overall bone strength in the pediatric population. Furthermore, it elucidates the potential benefits of optimizing these nutrients during crucial growth stages. Evidence-based recommendations are provided to guide parents, caregivers, and healthcare professionals in promoting healthy bone development in children and adolescents. The importance of tailored dietary strategies, supplementation when necessary, and lifestyle modifications is emphasized for maximizing bone health outcomes. In conclusion, this comprehensive review underscores the vital role of minerals and vitamin synergy in childhood and adolescent bone development. It consolidates existing knowledge, identifies research gaps, and sets the stage for future investigations in pediatric skeletal health. Ultimately, this work aims to raise awareness about the significance of adequate nutrition in shaping resilient and robust bones, contributing to the overall well-being of the younger generation. Here we will discuss the necessary bone nutrients, such as Phosphorus, Calcium, Vit D, Vit A, Vit K2, Zinc, Magnesium, and Branched Chain Amino Acid.
{"title":"A Comprehensive Review of Minerals and Vitamins Synergy: Impacts on Childhood and Adolescent Bone Development","authors":"Bilal Jinnah","doi":"10.47672/ajhmn.1534","DOIUrl":"https://doi.org/10.47672/ajhmn.1534","url":null,"abstract":"Bone development during childhood and adolescence is a critical period that lays the foundation for lifelong skeletal health. Adequate nutrition, particularly the intake of minerals and vitamins, is pivotal in ensuring optimal bone growth and development. This comprehensive review examines the synergy between minerals and vitamins and its impact on childhood and adolescent bone development. The review begins with exploring the significance of bone health during the formative years, emphasizing the long-term implications of suboptimal bone development. The topic then turns to the precise roles essential vitamins, particularly vitamin D, and crucial minerals, such as calcium and phosphorus, play in maintaining healthy bones. It highlights their interdependent roles and the interconnected biochemical pathways facilitating bone growth. Moreover, this review sheds light on the factors influencing these nutrients' absorption, utilization, and bioavailability in children and adolescents. Genetic factors, dietary habits, lifestyle choices, and other variables are examined for their potential effects on bone health outcomes. Through a meticulous analysis of existing clinical studies and observations, the review evaluates the impact of minerals and vitamin synergy on bone density, mineral content, and overall bone strength in the pediatric population. Furthermore, it elucidates the potential benefits of optimizing these nutrients during crucial growth stages. Evidence-based recommendations are provided to guide parents, caregivers, and healthcare professionals in promoting healthy bone development in children and adolescents. The importance of tailored dietary strategies, supplementation when necessary, and lifestyle modifications is emphasized for maximizing bone health outcomes. In conclusion, this comprehensive review underscores the vital role of minerals and vitamin synergy in childhood and adolescent bone development. It consolidates existing knowledge, identifies research gaps, and sets the stage for future investigations in pediatric skeletal health. Ultimately, this work aims to raise awareness about the significance of adequate nutrition in shaping resilient and robust bones, contributing to the overall well-being of the younger generation. Here we will discuss the necessary bone nutrients, such as Phosphorus, Calcium, Vit D, Vit A, Vit K2, Zinc, Magnesium, and Branched Chain Amino Acid. \u0000 ","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85022075","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}
M. Ngozi, Ndubuisi Sunday F., Anieche John E., Agbapuonwu Noreen E., O. Linda C., Obidife Ifeoma H.
Purpose: To assess the extent to which nurses working in tertiary health institutions in Edo State intend to quit their job and the potency of their categorical data Methodology: The study conducted a cross- sectional study design. A proportionate stratified simple random sampling technique was used to recruit 326 participants from selected tertiary health institutions in Edo State. Participants with less than one year of employment and those unavoidably absent during the period of the study were not assessed. Data was collected through the use of self-administered questionnaires, while Statistical Package for Social Science (SPSS) version 25 was utilized for the analysis and the Chi-Square test for hypotheses. The inferential statistics was presented in tables. Findings: Out of the 326 questionnaires administered, 310 were completely filled out, returned, and analysed. The study revealed that majority of the respondent expressed moderate level (26.9%) of intent to quit, and there was no significant relationship between the categorical variables (cadre, Nursing qualification, and gender) and intent to quit except for marital status (P.value 0.001), which shows a significant relationship. Recommendations: The theory of organisational equilibrium requires consistency between the contributions and incentives of employees and those of the organisation. Therefore, having a moderate level of intent to quit among nurses is not a guarantee that a golden opportunity from another hospital within or outside the country will not make them quit. So, it is recommended that the hospital management improve nurses’ welfare and ensure a nurse-friendly environment.
目的:评估在江户州三级卫生机构工作的护士打算辞职的程度及其分类数据的效力。方法:该研究进行了横断面研究设计。采用比例分层简单随机抽样技术，从江户州选定的三级卫生机构招募了326名参与者。工作不到一年的参与者和那些在研究期间不可避免地缺席的参与者没有被评估。采用自填问卷收集数据，采用SPSS (Statistical Package for Social Science)第25版进行分析，并对假设进行卡方检验。推断统计数据以表格形式呈现。调查结果:在326份调查问卷中，有310份被完整填写、退回并进行了分析。研究发现，大多数被调查者表示中等水平的离职意向(26.9%)，除婚姻状况(p值0.001)外，其他分类变量(干部、护理资格、性别)与离职意向之间均无显著关系(p值0.001)。建议:组织均衡理论要求员工的贡献和激励与组织的一致。因此，在护士中有中等程度的辞职意向并不能保证来自国内或国外另一家医院的黄金机会不会使他们辞职。因此，建议医院管理层提高护士的福利待遇，确保护士友好的环境。
{"title":"Intent to Quit Among Nurses in Edo State Tertiary Health Institutions: A Cross-Sectional Study","authors":"M. Ngozi, Ndubuisi Sunday F., Anieche John E., Agbapuonwu Noreen E., O. Linda C., Obidife Ifeoma H.","doi":"10.47672/ajhmn.1531","DOIUrl":"https://doi.org/10.47672/ajhmn.1531","url":null,"abstract":"Purpose: To assess the extent to which nurses working in tertiary health institutions in Edo State intend to quit their job and the potency of their categorical data \u0000Methodology: The study conducted a cross- sectional study design. A proportionate stratified simple random sampling technique was used to recruit 326 participants from selected tertiary health institutions in Edo State. Participants with less than one year of employment and those unavoidably absent during the period of the study were not assessed. Data was collected through the use of self-administered questionnaires, while Statistical Package for Social Science (SPSS) version 25 was utilized for the analysis and the Chi-Square test for hypotheses. The inferential statistics was presented in tables. \u0000Findings: Out of the 326 questionnaires administered, 310 were completely filled out, returned, and analysed. The study revealed that majority of the respondent expressed moderate level (26.9%) of intent to quit, and there was no significant relationship between the categorical variables (cadre, Nursing qualification, and gender) and intent to quit except for marital status (P.value 0.001), which shows a significant relationship. \u0000Recommendations: The theory of organisational equilibrium requires consistency between the contributions and incentives of employees and those of the organisation. Therefore, having a moderate level of intent to quit among nurses is not a guarantee that a golden opportunity from another hospital within or outside the country will not make them quit. So, it is recommended that the hospital management improve nurses’ welfare and ensure a nurse-friendly environment. \u0000 ","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73389042","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}
Purpose: To describe prevalence, presenting symptoms and severity of COVID infection in our pregnant population. To determine the association between COVID infection and adverse pregnancy outcomes such as preclampsia and preterm birth. To discuss the effect of the disease on cesarean section rates. Methodology: This study included retrospective analysis of 167 pregnancies complicated with COVID infection in a single center between March 2020 and April 2022. Findings: Prevalence of COVID infection was 18,1% (167/925) in our population. Most common presenting symptom was fever with a rate of 61,1% (102 of 167 pregnancies). Second most common symptom was cough with a rate of 52,7% (88 of 167 pregnancies). Three patients have been hospitalized for severe infection (1.8%). None of these patients required admission to the intensive care unit or mechanical ventilation. Eight patients delivered before 37 weeks of pregnancy resulting in a preterm rate of 4,8%. None of these 167 pregnancies were complicated with preclampsia. Forty-two of the 167 deliveries were performed by vaginal route, resulting in a cesarean section rate of 74,9%. This rate varied between 35 to 50% during years in our center before pandemics. Recommendation: Our findings do not match with previously published data, and reveal a more benign course during pregnancy. These results are expected to decrease the anxiety of pregnant women diagnosed with COVID and shed light to management of future infections.
{"title":"Covıd-19 and Pregnancy: Single Center Experience With 167 Pregnancies","authors":"U. Korucuoğlu","doi":"10.47672/ajhmn.1498","DOIUrl":"https://doi.org/10.47672/ajhmn.1498","url":null,"abstract":"Purpose: To describe prevalence, presenting symptoms and severity of COVID infection in our pregnant population. To determine the association between COVID infection and adverse pregnancy outcomes such as preclampsia and preterm birth. To discuss the effect of the disease on cesarean section rates. \u0000Methodology: This study included retrospective analysis of 167 pregnancies complicated with COVID infection in a single center between March 2020 and April 2022. \u0000Findings: Prevalence of COVID infection was 18,1% (167/925) in our population. Most common presenting symptom was fever with a rate of 61,1% (102 of 167 pregnancies). Second most common symptom was cough with a rate of 52,7% (88 of 167 pregnancies). Three patients have been hospitalized for severe infection (1.8%). None of these patients required admission to the intensive care unit or mechanical ventilation. Eight patients delivered before 37 weeks of pregnancy resulting in a preterm rate of 4,8%. None of these 167 pregnancies were complicated with preclampsia. Forty-two of the 167 deliveries were performed by vaginal route, resulting in a cesarean section rate of 74,9%. This rate varied between 35 to 50% during years in our center before pandemics. \u0000Recommendation: Our findings do not match with previously published data, and reveal a more benign course during pregnancy. These results are expected to decrease the anxiety of pregnant women diagnosed with COVID and shed light to management of future infections. \u0000 ","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83285902","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}
Purpose: This study aims to analyze the epidemiology of injury in CrossFit participants using a systematic review format. Methodology: In total, 12 studies were selected for review. The Electronic Databases which were searched include; Google Scholar, Human Kinetics Journal, NCBI Journal of Sport Science, PUBMed and the SAGE Journals. The methodological quality of each study was assessed using the STROBE Criteria recommendations. Data was also collected by searching the NSCA Journal of Strength and Sport Conditioning Research databases. Reviewed items were selected using the PRISMA recommendations for systematic review. The inclusion and exclusion followed PICO recommendations. Findings: CrossFit is an extremely varied sport with a large list of demands and due to its unpredictable nature it may seem to pose a high risk of injury to participants. However, CrossFit has been shown to be a relatively safe sport. Injuries were found to foremostly in the shoulders followed by the lower back and the knees. These injuries can be hypothesized to be a result of overtraining or excess workload. Considerations may be taken in the future to reduce the risk of injury in these areas. Factors which may influence the risk of injury in these areas were found during the review. Unique Contribution to Theory, Practice and Policy: Recommendations include- emphasis on proper form and technique; gradually increasing training load; incorporating strength and mobility training; individualize programming and scaling; prioritizing rest days and recovery and educating participants on injury prevention.
{"title":"A Review of the Epidemiology of CrossFit-Related Injuries","authors":"Shaffick M. B","doi":"10.47672/ajhmn.1469","DOIUrl":"https://doi.org/10.47672/ajhmn.1469","url":null,"abstract":"Purpose: This study aims to analyze the epidemiology of injury in CrossFit participants using a systematic review format. \u0000Methodology: In total, 12 studies were selected for review. The Electronic Databases which were searched include; Google Scholar, Human Kinetics Journal, NCBI Journal of Sport Science, PUBMed and the SAGE Journals. The methodological quality of each study was assessed using the STROBE Criteria recommendations. Data was also collected by searching the NSCA Journal of Strength and Sport Conditioning Research databases. Reviewed items were selected using the PRISMA recommendations for systematic review. The inclusion and exclusion followed PICO recommendations. \u0000Findings: CrossFit is an extremely varied sport with a large list of demands and due to its unpredictable nature it may seem to pose a high risk of injury to participants. However, CrossFit has been shown to be a relatively safe sport. Injuries were found to foremostly in the shoulders followed by the lower back and the knees. These injuries can be hypothesized to be a result of overtraining or excess workload. Considerations may be taken in the future to reduce the risk of injury in these areas. Factors which may influence the risk of injury in these areas were found during the review. \u0000Unique Contribution to Theory, Practice and Policy: Recommendations include- emphasis on proper form and technique; gradually increasing training load; incorporating strength and mobility training; individualize programming and scaling; prioritizing rest days and recovery and educating participants on injury prevention. \u0000 ","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"7 11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86649430","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}
Purpose: The COVID-19 pandemic has affected the lifestyles of millions of individuals worldwide and is likely to cause psychological health issues in those who work in Covid-19 wards. To find out the Frequency of depression, anxiety and stress in health care workers serving in Covid-19 wards. Methodology: In this cross-sectional study, data were gathered from various hospitals in Lahore and 280 participants were recruited using a non-probability convenient sampling technique. The study included both male and female health care professionals, in particular doctors, nurses, and paramedics, working in Covid wards for at least one month in both the public and private sectors. Participants with experience of less than 1 month and lab workers were excluded from the study. Depression Anxiety and Stress scale was used to collect data. Data was collected by distributing questionnaires to the participants and analyzed their response by using SPSS version 21.0 statistical software. Findings: The results showed that mean ±S.D of participants were 26.55±3.367. Among all participants 148 participants were female and 132 were males. Among 89 doctors 10 felt severe stress, 2 found moderate and 65 doctors were normal.136 Nurses participated in study and 15 felt severe stress, 53 found moderate stress working in COVID-19 wards. Among 55 paramedics, 7 participants felt severe stress, 13 found moderate stress working in COVID-19 wards. Among 89 doctor participants 17 found moderate depression, 77 nurses and 50 paramedics found moderate depression working in COVID-19 wards. Recommendations: It was concluded from the study high levels of stress and burnout, and moderate depression were found in Nurses', then paramedics were affected and least stress, depression and anxiety were found in doctors.
{"title":"Frequency of Depression, Anxiety and Stress in Health Care Workers Serving in COVID-19 Wards","authors":"Dr.Aitmad Ur Rahman, Dr.Usman Ejaz, Dr.Ahtasm Dr.Ahtasm, Dr.Amina Zartasha, Dr.Saman Zafar, Dr.Namra Asif","doi":"10.47672/ajhmn.1458","DOIUrl":"https://doi.org/10.47672/ajhmn.1458","url":null,"abstract":"Purpose: The COVID-19 pandemic has affected the lifestyles of millions of individuals worldwide and is likely to cause psychological health issues in those who work in Covid-19 wards. To find out the Frequency of depression, anxiety and stress in health care workers serving in Covid-19 wards. \u0000Methodology: In this cross-sectional study, data were gathered from various hospitals in Lahore and 280 participants were recruited using a non-probability convenient sampling technique. The study included both male and female health care professionals, in particular doctors, nurses, and paramedics, working in Covid wards for at least one month in both the public and private sectors. Participants with experience of less than 1 month and lab workers were excluded from the study. Depression Anxiety and Stress scale was used to collect data. Data was collected by distributing questionnaires to the participants and analyzed their response by using SPSS version 21.0 statistical software. \u0000Findings: The results showed that mean ±S.D of participants were 26.55±3.367. Among all participants 148 participants were female and 132 were males. Among 89 doctors 10 felt severe stress, 2 found moderate and 65 doctors were normal.136 Nurses participated in study and 15 felt severe stress, 53 found moderate stress working in COVID-19 wards. Among 55 paramedics, 7 participants felt severe stress, 13 found moderate stress working in COVID-19 wards. Among 89 doctor participants 17 found moderate depression, 77 nurses and 50 paramedics found moderate depression working in COVID-19 wards. \u0000Recommendations: It was concluded from the study high levels of stress and burnout, and moderate depression were found in Nurses', then paramedics were affected and least stress, depression and anxiety were found in doctors.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86835873","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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