Pub Date : 2018-01-01DOI: 10.4172/2380-5439.1000288
Ofoegbu Cosmas Chiedozie, E. Fidelia
Satisfaction is the evaluation of clients’ on service or products and how it fulfills their needs and expectations [1-3]. Satisfaction with healthcare services is defined as the extent to which the patients seeking treatment experience positive perception of the care provided by the nursing or medical staff [4-6]. Patient satisfaction is defined here in terms of patients’ evaluations of what they experienced during their healthcare. It therefore reflects the gap between the expected service and the experience of the service, from the client’s point of view. Patients’ experiences are their direct, personal observations of their healthcare. Patients’ expectations have been defined as the anticipation that given events are likely to occur during, or as an outcome of, healthcare. In this way, what people expect to receive from their healthcare, compared with what they received in practice, are strongly important in influencing patients’ evaluations of their care (‘satisfaction’) [7]. It is often argued that a superfluity of perceived healthcare over anticipated or expected leads to increased satisfaction and in reverse, that unfulfilled expectations lead to increased dissatisfaction [7-9]. Ideally, patients who are satisfied with the care provided by the healthcare staff, are more likely to utilize health services in future and comply with the prescribed medical treatment to completion [8,9]. For patients to be more satisfied with treatment there is need to provide high quality healthcare which is viewed as safe, timely, effective, efficient, equitable, and patientcentered [10].
{"title":"Comparative Assessment of Clients Satisfaction with Doctors Services in Teaching and Mission Hospitals in South East Nigeria","authors":"Ofoegbu Cosmas Chiedozie, E. Fidelia","doi":"10.4172/2380-5439.1000288","DOIUrl":"https://doi.org/10.4172/2380-5439.1000288","url":null,"abstract":"Satisfaction is the evaluation of clients’ on service or products and how it fulfills their needs and expectations [1-3]. Satisfaction with healthcare services is defined as the extent to which the patients seeking treatment experience positive perception of the care provided by the nursing or medical staff [4-6]. Patient satisfaction is defined here in terms of patients’ evaluations of what they experienced during their healthcare. It therefore reflects the gap between the expected service and the experience of the service, from the client’s point of view. Patients’ experiences are their direct, personal observations of their healthcare. Patients’ expectations have been defined as the anticipation that given events are likely to occur during, or as an outcome of, healthcare. In this way, what people expect to receive from their healthcare, compared with what they received in practice, are strongly important in influencing patients’ evaluations of their care (‘satisfaction’) [7]. It is often argued that a superfluity of perceived healthcare over anticipated or expected leads to increased satisfaction and in reverse, that unfulfilled expectations lead to increased dissatisfaction [7-9]. Ideally, patients who are satisfied with the care provided by the healthcare staff, are more likely to utilize health services in future and comply with the prescribed medical treatment to completion [8,9]. For patients to be more satisfied with treatment there is need to provide high quality healthcare which is viewed as safe, timely, effective, efficient, equitable, and patientcentered [10].","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"06 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2380-5439.1000288","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70314489","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}
Pub Date : 2018-01-01DOI: 10.4172/2380-5439.1000282
M. R. McGuire
Early treatment will significantly change the way medicine is practiced and require medical education to change. The following identifies some ways that medical practice will change: • Prediction, loosely “diagnosis” and treatment of a disease will occur for a patient before there are any obvious symptoms of the disease. • The patient may not wish to have knowledge that he/she will likely get the disease and thus may not agree to prediction or treatment. • Prediction of the disease may only be possible during a given time frame before the disease occurs. • Treatment may also only be possible during a given time frame. Certainly, treatment should occur before, possibly long before, there are obvious symptoms. • Prediction or treatment of the disease has the potential of causing harm, so a false positive prediction could cause harm to the patient without any benefit. • Since the process of prediction of a disease could cause harm, then only selected patients (e.g., with a particular genetic makeup) may be candidates for early treatment of a given disease. • Insurance companies may be reluctant to pay for early treatments as the disease has not yet obviously occurred.
{"title":"Early Treatment Diseases","authors":"M. R. McGuire","doi":"10.4172/2380-5439.1000282","DOIUrl":"https://doi.org/10.4172/2380-5439.1000282","url":null,"abstract":"Early treatment will significantly change the way medicine is practiced and require medical education to change. The following identifies some ways that medical practice will change: • Prediction, loosely “diagnosis” and treatment of a disease will occur for a patient before there are any obvious symptoms of the disease. • The patient may not wish to have knowledge that he/she will likely get the disease and thus may not agree to prediction or treatment. • Prediction of the disease may only be possible during a given time frame before the disease occurs. • Treatment may also only be possible during a given time frame. Certainly, treatment should occur before, possibly long before, there are obvious symptoms. • Prediction or treatment of the disease has the potential of causing harm, so a false positive prediction could cause harm to the patient without any benefit. • Since the process of prediction of a disease could cause harm, then only selected patients (e.g., with a particular genetic makeup) may be candidates for early treatment of a given disease. • Insurance companies may be reluctant to pay for early treatments as the disease has not yet obviously occurred.","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"06 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2380-5439.1000282","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70313585","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}
Pub Date : 2018-01-01DOI: 10.4172/2380-5439.1000267
D. Dinka
It is a known fact that individuals can possibly become in contact with multitudes of chemicals at workplace, in homes, in outdoor, at indoor and through consumption of food. However, the majority of individuals particularly in developing countries are unaware of toxicities of toxic chemicals and the possible routes of exposure to those chemicals. Although exposure to toxic chemicals is inevitable, lack of awareness exacerbates the incidence of toxic exposure to those chemicals. It is on this account that some classes of hazardous chemicals and sources exposure to them are briefly reviewed in this paper. Furthermore, the extent awareness of individuals about risks associated with hazardous chemicals is reviewed in far more detail manner with particular regard to developing countries with ultimate goal of making the problem more noticeable to concerned authorities and international organizations.
{"title":"Lack of Awareness as Aggravating Factor for the Detrimental Impacts of Hazardous Chemicals: A Review","authors":"D. Dinka","doi":"10.4172/2380-5439.1000267","DOIUrl":"https://doi.org/10.4172/2380-5439.1000267","url":null,"abstract":"It is a known fact that individuals can possibly become in contact with multitudes of chemicals at workplace, in homes, in outdoor, at indoor and through consumption of food. However, the majority of individuals particularly in developing countries are unaware of toxicities of toxic chemicals and the possible routes of exposure to those chemicals. Although exposure to toxic chemicals is inevitable, lack of awareness exacerbates the incidence of toxic exposure to those chemicals. It is on this account that some classes of hazardous chemicals and sources exposure to them are briefly reviewed in this paper. Furthermore, the extent awareness of individuals about risks associated with hazardous chemicals is reviewed in far more detail manner with particular regard to developing countries with ultimate goal of making the problem more noticeable to concerned authorities and international organizations.","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"06 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2380-5439.1000267","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70313683","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}
Pub Date : 2018-01-01DOI: 10.4172/2380-5439.1000255
M. Asadzandi, Eskandari Ar
Background and Aims: Due to the increasing prevalence of aggression and its destructive impact on various aspects of health, familiarity with simple and practical methods of anger management is necessary. This study aimed to design and validate religious evidence-based spiritual self-care guidelines in anger management. Methods: In an evolutionary research, focused on the question of “What are the guidelines of anger managing?” based on the religious and scientific evidence-based approach, the evidence was first reviewed by PICO method. Based on Sattler Model, instructions were extracted. Validity of instructions in three Delphi rounds was investigated with survey seminary and university professors. The instructions ability to apply, in focus groups meetings with nurses, was investigated. Quality of new guidelines was desirable by Agree and Glia questionnaire. Findings: The aim of the therapeutic interventions in scientific psychology is reducing emotional impulses and physiological arousal by increasing the awareness of individuals towards anger and its control techniques. In addition to treating the excitement of anger, Islam addresses the individual to an endurance that is the opposite of anger. Religious behavioural and cognitive anger management guidelines provide spiritual care that can easily be done by client in schedule of daily pastoral self-care. Conclusion: Simple, intelligible and practical religious evidence-based guidelines can be used to strengthen selfcontrol and daily self-calculation. In addition to reducing aggression, they promote the spiritual well-being of individuals and prevent the social and psychosocial outcomes of anger.
{"title":"Religious Evidence-Based Spiritual Self-Care Guidelines in Anger Management","authors":"M. Asadzandi, Eskandari Ar","doi":"10.4172/2380-5439.1000255","DOIUrl":"https://doi.org/10.4172/2380-5439.1000255","url":null,"abstract":"Background and Aims: Due to the increasing prevalence of aggression and its destructive impact on various aspects of health, familiarity with simple and practical methods of anger management is necessary. This study aimed to design and validate religious evidence-based spiritual self-care guidelines in anger management. Methods: In an evolutionary research, focused on the question of “What are the guidelines of anger managing?” based on the religious and scientific evidence-based approach, the evidence was first reviewed by PICO method. Based on Sattler Model, instructions were extracted. Validity of instructions in three Delphi rounds was investigated with survey seminary and university professors. The instructions ability to apply, in focus groups meetings with nurses, was investigated. Quality of new guidelines was desirable by Agree and Glia questionnaire. Findings: The aim of the therapeutic interventions in scientific psychology is reducing emotional impulses and physiological arousal by increasing the awareness of individuals towards anger and its control techniques. In addition to treating the excitement of anger, Islam addresses the individual to an endurance that is the opposite of anger. Religious behavioural and cognitive anger management guidelines provide spiritual care that can easily be done by client in schedule of daily pastoral self-care. Conclusion: Simple, intelligible and practical religious evidence-based guidelines can be used to strengthen selfcontrol and daily self-calculation. In addition to reducing aggression, they promote the spiritual well-being of individuals and prevent the social and psychosocial outcomes of anger.","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"6 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2380-5439.1000255","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70313768","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}
Pub Date : 2018-01-01DOI: 10.4172/2380-5439.1000258
Ü. Parm, Grete Must, Katlin Kindsiko, A. Tamm
Objective: Because of the increasing use of air travel and the increased mobility of people, different health conditions may arise during the trip in the flight cabin or in the destination country. We aimed to determine the health conditions/problems associated with air travel and stays in a foreign country.Methods: The research included an electronic questionnaire completed by 1014 Estonian residents who travelled by plane during the last five years on holiday and/or on a cultural trip.Results: Health disorders occurred mostly during long trips of 1-4 hours, and the main health problems during plane travel were earaches, headaches, and flatulence. Fear of flying occurred in nearly in a third of the subjects on both short- and long-distance flights. It manifested in episodes of tachycardia and pre-travel insomnia. To cope with these situations, female passengers preferred to listen to music, and male passengers preferred to consume alcohol. In total, 59 different countries were visited, and the most frequent destinations were southern countries: Turkey, Spain, and Italy. Diarrhea, sunburn, severe headaches, fevers and flu-like symptoms were the main health problems in the destination countries. These problems were mostly caused by bad hygiene, consumption of local food, not applying sunblock creams and the change of the environment. The major share of information about the potential dangers of a trip was received from the Internet or from friends.Conclusions: People who decide to travel by plane are usually frequent flyers, and the preferred destinations were mostly warmer climates and not very distant but also not neighbor countries. Health problems occurred most frequently during flights of medium length (1-4 hours). The frequent health disorders at destinations were characteristic for northern tourists visiting southern countries.
{"title":"Health Conditions Related to Air Travel and Destination Country","authors":"Ü. Parm, Grete Must, Katlin Kindsiko, A. Tamm","doi":"10.4172/2380-5439.1000258","DOIUrl":"https://doi.org/10.4172/2380-5439.1000258","url":null,"abstract":"Objective: Because of the increasing use of air travel and the increased mobility of people, different health conditions may arise during the trip in the flight cabin or in the destination country. We aimed to determine the health conditions/problems associated with air travel and stays in a foreign country.Methods: The research included an electronic questionnaire completed by 1014 Estonian residents who travelled by plane during the last five years on holiday and/or on a cultural trip.Results: Health disorders occurred mostly during long trips of 1-4 hours, and the main health problems during plane travel were earaches, headaches, and flatulence. Fear of flying occurred in nearly in a third of the subjects on both short- and long-distance flights. It manifested in episodes of tachycardia and pre-travel insomnia. To cope with these situations, female passengers preferred to listen to music, and male passengers preferred to consume alcohol. In total, 59 different countries were visited, and the most frequent destinations were southern countries: Turkey, Spain, and Italy. Diarrhea, sunburn, severe headaches, fevers and flu-like symptoms were the main health problems in the destination countries. These problems were mostly caused by bad hygiene, consumption of local food, not applying sunblock creams and the change of the environment. The major share of information about the potential dangers of a trip was received from the Internet or from friends.Conclusions: People who decide to travel by plane are usually frequent flyers, and the preferred destinations were mostly warmer climates and not very distant but also not neighbor countries. Health problems occurred most frequently during flights of medium length (1-4 hours). The frequent health disorders at destinations were characteristic for northern tourists visiting southern countries.","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"6 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2380-5439.1000258","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70313845","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}
Pub Date : 2018-01-01DOI: 10.4172/2380-5439.1000290
J. Skonieczna, A. Fronczak, Aleksandra Kielan, A. Brytek-Matera, Dominik Olejniczak
Objective: The omnipresence and functionality of the Internet as well as its common use by the society influence the constantly growing number of research devoted to the problematic use of the Internet. Problematic Internet Use (PIU) is defined as an excessive engagement in the use of some Internet applications, creating psychological, social and health problems. The recent research have shown that adolescents using the Internet in a dysfunctional ways present several psychosocial problems. In the literature, there is no doubt that high sense of coherence (SOC) has a positive impact on human's health. Methods: We used a simple random sample. The study group comprised of 1078 students of 9 randomly chosen secondary schools in Warsaw, Poland. All participants completed the Sense of Coherence Scale for Adolescents (SOC-11M), the version being adapted for Polish studies by Zwoliński; and the Internet Use Test which is a Polish adaptation of the Young’s Internet Addiction Test by Poprawa. Results: About 11.6% of students (N=125) showed a very high or high level of the PIU. We found a significant correlation between all dimensions of the PIU and the SOC. Secondary school students with lower level of the SOC showed the highest intensity of the PIU, while those with higher level of the SOC achieved the lowest results in the PIU. Conclusions: There is a lack of studies focusing on the impact of SOC on the PIU. Results lead to conclusion that strengthening SOC would be a useful aspect of school-based health promotion programs focused on PUI prevention and reducing its negative health consequences. The psychosocial causes as well as the potential influences of SOC on the PIU should be studied in the future longitudinal research. In addition, the studies concerning the practical use of SOC, including intervention studies, would be valuable. The impact of sense of coherence on the Problematic Internet Use among secondary school students.
{"title":"The Impact of the Sense of Coherence on the Problematic Internet Use among Secondary School Students","authors":"J. Skonieczna, A. Fronczak, Aleksandra Kielan, A. Brytek-Matera, Dominik Olejniczak","doi":"10.4172/2380-5439.1000290","DOIUrl":"https://doi.org/10.4172/2380-5439.1000290","url":null,"abstract":"Objective: The omnipresence and functionality of the Internet as well as its common use by the society influence the constantly growing number of research devoted to the problematic use of the Internet. Problematic Internet Use (PIU) is defined as an excessive engagement in the use of some Internet applications, creating psychological, social and health problems. The recent research have shown that adolescents using the Internet in a dysfunctional ways present several psychosocial problems. In the literature, there is no doubt that high sense of coherence (SOC) has a positive impact on human's health. Methods: We used a simple random sample. The study group comprised of 1078 students of 9 randomly chosen secondary schools in Warsaw, Poland. All participants completed the Sense of Coherence Scale for Adolescents (SOC-11M), the version being adapted for Polish studies by Zwoliński; and the Internet Use Test which is a Polish adaptation of the Young’s Internet Addiction Test by Poprawa. Results: About 11.6% of students (N=125) showed a very high or high level of the PIU. We found a significant correlation between all dimensions of the PIU and the SOC. Secondary school students with lower level of the SOC showed the highest intensity of the PIU, while those with higher level of the SOC achieved the lowest results in the PIU. Conclusions: There is a lack of studies focusing on the impact of SOC on the PIU. Results lead to conclusion that strengthening SOC would be a useful aspect of school-based health promotion programs focused on PUI prevention and reducing its negative health consequences. The psychosocial causes as well as the potential influences of SOC on the PIU should be studied in the future longitudinal research. In addition, the studies concerning the practical use of SOC, including intervention studies, would be valuable. The impact of sense of coherence on the Problematic Internet Use among secondary school students.","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"06 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2380-5439.1000290","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70314086","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}
Pub Date : 2018-01-01DOI: 10.4172/2380-5439.1000283
R. Assaf, Sharon M Hudon, S. Marcy, L. Radbill, Alex Van Speybroeck, Connie Siskowski, Mona Patel
Background: Caregiving youth are minors providing significant assistance to relatives or household members who have chronic physical or mental illnesses and disabilities, yet in the US are relatively under supported. Objective: We sought to introduce a hospital-based model for screening, referral, and intervention among a population of children who care for siblings with chronic and often complex medical conditions. Methods: A descriptive, quantitative analysis was followed by a two-phase intervention (focus group and caregiver workshop) utilizing qualitative analysis in an academic children's hospital. Screening sites included the inpatient complex care team and three outpatient clinics. Results: Sibling caregivers (N=21) spent an average of 2 hours a day on weekdays and 4 hours a day on weekends caring for a brother or sister with a chronic health condition. Common activities of daily living included: helping with mobility, bathing, dressing, and toileting. Advanced tasks included: giving medication, managing oxygen delivery, gastrostomy tube care, suctioning or medical interpreting. We applied the stress process and transition conceptual framework in analyzing emergent themes from dialogue with sibling caregivers and parents. Conclusion: Key beneficial elements of our hospital-based intervention program identified by participants included: structured family-based dialogue, stress management techniques, and a peer-support environment. Interventions that target both the parent and caregiving sibling, with the goal of strengthening family communication, enhancing sense of community and understanding, and nurturing coping repertoires may help promote sibling caregiver resilience.
{"title":"Sibling Caregivers: A Mixed Methods Study and Family-Based Intervention Model in a Pediatric Hospital","authors":"R. Assaf, Sharon M Hudon, S. Marcy, L. Radbill, Alex Van Speybroeck, Connie Siskowski, Mona Patel","doi":"10.4172/2380-5439.1000283","DOIUrl":"https://doi.org/10.4172/2380-5439.1000283","url":null,"abstract":"Background: Caregiving youth are minors providing significant assistance to relatives or household members who have chronic physical or mental illnesses and disabilities, yet in the US are relatively under supported. Objective: We sought to introduce a hospital-based model for screening, referral, and intervention among a population of children who care for siblings with chronic and often complex medical conditions. Methods: A descriptive, quantitative analysis was followed by a two-phase intervention (focus group and caregiver workshop) utilizing qualitative analysis in an academic children's hospital. Screening sites included the inpatient complex care team and three outpatient clinics. Results: Sibling caregivers (N=21) spent an average of 2 hours a day on weekdays and 4 hours a day on weekends caring for a brother or sister with a chronic health condition. Common activities of daily living included: helping with mobility, bathing, dressing, and toileting. Advanced tasks included: giving medication, managing oxygen delivery, gastrostomy tube care, suctioning or medical interpreting. We applied the stress process and transition conceptual framework in analyzing emergent themes from dialogue with sibling caregivers and parents. Conclusion: Key beneficial elements of our hospital-based intervention program identified by participants included: structured family-based dialogue, stress management techniques, and a peer-support environment. Interventions that target both the parent and caregiving sibling, with the goal of strengthening family communication, enhancing sense of community and understanding, and nurturing coping repertoires may help promote sibling caregiver resilience.","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"06 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2380-5439.1000283","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70314177","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}
Pub Date : 2018-01-01DOI: 10.4172/2380-5439.1000246
Muluken Wubetu, Dagninet Derebe, T. Mulaw, T. Yimer, Getachew Hailu
Background: According to World Health Organization more than half of all medicines are prescribed and dispensed improperly, hence half of patients take them inappropriately. To reduce morbidity and mortality and their adverse outcomes, appropriate drug utilization has an enormous impact. Methodology: This study is aimed to assess prescription patterns of drugs in Finote Selam and Motta District Hospital in outpatient pharmacy unit. The study was cross-sectional retrospective by selecting the outpatient pharmacy units of Finote Selam and Motta district hospitals. A total of 362 prescription papers were incorporated from March 01/2015 to February 29/2016. A structured standardized proforma, adopted from the world health organizations, was used to fill data by observing the prescriptions papers of patients. The data was entered into EPI INFO version 7.0, and then analyzed using World Health Organization drug use indicators. Results: A total of 362 prescriptions were reviewed retrospectively from a total of those prescribed for 1-year period. The average number of drugs prescribed per encounter was 2.1 with a range between 1 and 5. The percentage of encounters in which an antibiotic or injection was ordered was 58.8% and 3.6%, respectively while the percentage of those drugs prescribed by generic name and from an essential drug list was 98.4% (n=742) and 81% (n=611), respectively. Amoxicillin (9.2%), ciprofloxacin (6.2%), and doxycycline (4.8%) were among the common antibiotics prescribed. Conclusion: Our study showed that the prescription pattern for most antibiotics deviates from the one advised by the world health organization. There is also overuse of some antibiotics which needs urgent intervention. The study also revealed the occurrence of an increasing practice of prescribing drugs using generic names. The very interesting point that our study revealed is problems like poly pharmacy and prescribing from the essential drug list were not concerns in the studied hospitals. Baseline data gathered by this study can be used by researchers and policymakers to improve prescribing practice at these two Hospitals. Lastly, drug prescribing practices in these two hospitals are not far from the world health organization requirements.
背景:根据世界卫生组织的数据，超过一半的药物处方和配药不当，因此有一半的患者服用不当。为了降低发病率和死亡率及其不良后果，适当使用药物具有巨大的影响。方法:本研究旨在评估菲诺特塞拉姆和莫塔地区医院门诊药房的药物处方模式。本研究采用横断面回顾性方法，选取菲诺特·塞拉姆和莫塔地区医院门诊药房。2015年3月1日至2016年2月29日共纳入处方纸362份。采用世界卫生组织采用的结构化标准化形式，通过观察患者的处方文件来填写数据。数据输入EPI INFO 7.0版本，然后使用世界卫生组织药物使用指标进行分析。结果:回顾性分析1年处方362张。每次就诊的平均处方药物数为2.1，范围为1至5。使用抗生素或注射剂就诊的比例分别为58.8%和3.6%，使用通用名和基本药物清单的比例分别为98.4% (n=742)和81% (n=611)。阿莫西林(9.2%)、环丙沙星(6.2%)和强力霉素(4.8%)是常见的抗生素处方。结论:我们的研究表明，大多数抗生素的处方模式偏离了世界卫生组织的建议。一些抗生素的过度使用也需要紧急干预。该研究还显示，使用通用名称开处方的做法越来越多。我们的研究揭示了一个非常有趣的观点，即在被研究的医院中，诸如多药房和基本药物清单处方等问题并没有受到关注。研究人员和政策制定者可以利用本研究收集的基线数据来改进这两家医院的处方实践。最后，这两家医院的药物处方做法与世界卫生组织的要求相差不远。
{"title":"Assessment of Drug Prescription Pattern in Two District Hospitals, Northwest Ethiopia","authors":"Muluken Wubetu, Dagninet Derebe, T. Mulaw, T. Yimer, Getachew Hailu","doi":"10.4172/2380-5439.1000246","DOIUrl":"https://doi.org/10.4172/2380-5439.1000246","url":null,"abstract":"Background: According to World Health Organization more than half of all medicines are prescribed and dispensed improperly, hence half of patients take them inappropriately. To reduce morbidity and mortality and their adverse outcomes, appropriate drug utilization has an enormous impact. Methodology: This study is aimed to assess prescription patterns of drugs in Finote Selam and Motta District Hospital in outpatient pharmacy unit. The study was cross-sectional retrospective by selecting the outpatient pharmacy units of Finote Selam and Motta district hospitals. A total of 362 prescription papers were incorporated from March 01/2015 to February 29/2016. A structured standardized proforma, adopted from the world health organizations, was used to fill data by observing the prescriptions papers of patients. The data was entered into EPI INFO version 7.0, and then analyzed using World Health Organization drug use indicators. Results: A total of 362 prescriptions were reviewed retrospectively from a total of those prescribed for 1-year period. The average number of drugs prescribed per encounter was 2.1 with a range between 1 and 5. The percentage of encounters in which an antibiotic or injection was ordered was 58.8% and 3.6%, respectively while the percentage of those drugs prescribed by generic name and from an essential drug list was 98.4% (n=742) and 81% (n=611), respectively. Amoxicillin (9.2%), ciprofloxacin (6.2%), and doxycycline (4.8%) were among the common antibiotics prescribed. Conclusion: Our study showed that the prescription pattern for most antibiotics deviates from the one advised by the world health organization. There is also overuse of some antibiotics which needs urgent intervention. The study also revealed the occurrence of an increasing practice of prescribing drugs using generic names. The very interesting point that our study revealed is problems like poly pharmacy and prescribing from the essential drug list were not concerns in the studied hospitals. Baseline data gathered by this study can be used by researchers and policymakers to improve prescribing practice at these two Hospitals. Lastly, drug prescribing practices in these two hospitals are not far from the world health organization requirements.","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"6 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2380-5439.1000246","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70313628","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}
Pub Date : 2018-01-01DOI: 10.4172/2380-5439.1000266
H. Habu, Emmanuel Oc, A. Inuwa, H. Dathini, B. Maigari, N. Lona, A. Haruna, Alih Fi
Sexually Transmitted Diseases or Infections are a major health problem across the globe and adolescence seems to be worst heat evidenced by increasing incidences of STDs among this age grades. This study assesses Awareness and Practice Preventive of Measures regarding (STDs) among Students of Demonstration Secondary School Maiduguri, Borno State. The study adopted survey method and used both primary and secondary data using questionnaire. One hundred twenty-one (121) respondents were selected using multi-stage sampling technique. Data were analyzed using descriptive statistics. The results showed that majority of the respondents (71%) could identify HIV/AIDs as common examples of STIs followed by Gonorrhea with 55.5%. However, respondents could not reasonably identify other forms of STIs evidenced by syphilis (9.9%), Herpes Simplex (5.8%) and Chlamydia (5%). On the awareness of the mode of transmission STDs (65%) agreed that STDs can be transmitted through sexual intercourse, sharing of underwear (35%). Regarding prevention, (72.7%) agreed that STIs are preventable. Majority of the respondents (72%) also identified Health Education Lesson as their main source of information on STIs closely followed by Radio/Television and Friends with (44%), (40%) respectively. Although, this study revealed moderate awareness about respondents on common types of STDs, there is a need to do more by relevant authorities in order save our tomorrows’ leaders from this clearly avoidable menace. Based on results of the study, the researchers recommended that Health Education lesson should be sustained. However, other forms of STIs should equally be considered in order to broaden the awareness respondents on STIs generally. Similarly, there is a need to intensify effort on preventive measures as well as negative use of social media.
{"title":"Awareness and Practice of Prevention of Sexually Transmitted Diseases Among Demonstration Secondary School Students, University of Maiduguri, Borno State","authors":"H. Habu, Emmanuel Oc, A. Inuwa, H. Dathini, B. Maigari, N. Lona, A. Haruna, Alih Fi","doi":"10.4172/2380-5439.1000266","DOIUrl":"https://doi.org/10.4172/2380-5439.1000266","url":null,"abstract":"Sexually Transmitted Diseases or Infections are a major health problem across the globe and adolescence seems to be worst heat evidenced by increasing incidences of STDs among this age grades. This study assesses Awareness and Practice Preventive of Measures regarding (STDs) among Students of Demonstration Secondary School Maiduguri, Borno State. The study adopted survey method and used both primary and secondary data using questionnaire. One hundred twenty-one (121) respondents were selected using multi-stage sampling technique. Data were analyzed using descriptive statistics. The results showed that majority of the respondents (71%) could identify HIV/AIDs as common examples of STIs followed by Gonorrhea with 55.5%. However, respondents could not reasonably identify other forms of STIs evidenced by syphilis (9.9%), Herpes Simplex (5.8%) and Chlamydia (5%). On the awareness of the mode of transmission STDs (65%) agreed that STDs can be transmitted through sexual intercourse, sharing of underwear (35%). Regarding prevention, (72.7%) agreed that STIs are preventable. Majority of the respondents (72%) also identified Health Education Lesson as their main source of information on STIs closely followed by Radio/Television and Friends with (44%), (40%) respectively. Although, this study revealed moderate awareness about respondents on common types of STDs, there is a need to do more by relevant authorities in order save our tomorrows’ leaders from this clearly avoidable menace. Based on results of the study, the researchers recommended that Health Education lesson should be sustained. However, other forms of STIs should equally be considered in order to broaden the awareness respondents on STIs generally. Similarly, there is a need to intensify effort on preventive measures as well as negative use of social media.","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"06 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2380-5439.1000266","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70313646","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}
Pub Date : 2018-01-01DOI: 10.4172/2380-5439-C1-005
Ps, ra Gordilhop
{"title":"Treating obesity with physical activity and nutrition","authors":"Ps, ra Gordilhop","doi":"10.4172/2380-5439-C1-005","DOIUrl":"https://doi.org/10.4172/2380-5439-C1-005","url":null,"abstract":"","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"06 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70314938","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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