Innovative Journal of Medical and Health Science最新文献

{"title":"Knowledge and attitude regarding COVID 19 among healthcare workers in India","authors":"A. Jha, Ashutosh Singh, Syed Yasin Shahtaz Emanee, Y. Alok, D. Jha","doi":"10.15520/IJMHS.V10I07.3049","DOIUrl":"https://doi.org/10.15520/IJMHS.V10I07.3049","url":null,"abstract":"Aim Covid-19 has engulfed the world and involved the healthcare workers (HCWs) worldwide. So, they should have the most updated knowledge and good attitude towards the disease. Hardly there is any study which evaluates the knowledge and attitude of healthcare professionals regarding Covid-19. This study assesses knowledge and attitude toward Covid-19 among HCWs across the country. Methods  This was a multicentric cross-sectional study. It was performed from 10th-20th April, 2020. Convenient random sampling was used. Data was collected through self-administered questionnaire of knowledge and attitude of HCWs regarding Covid-19. Data was analysed to describe: demographic, mean knowledge and attitude score. Pearson correlation, Kruskal Wallis-H test and one way ANOVA were carried out to evaluate the relationship between study variables. Wherever required, post-hoc analysis was done using Tukey’s HSD method. Results Total 458 HCWs (56.8% were senior residents/postgraduate trainee) had mean knowledge score of 14.2±1.65 and mean attitude score of 3.80±0.52. 69.4% had sufficient knowledge but lack of knowledge was seen when Covid-19 infection rate and fatality rate was compared with seasonal flu. Nearly 85% didn’t know when to screen a patient and the components of Personal Protective Equipment. Significant difference in knowledge was seen between the junior residents/MBBS and senior resident/Postgraduate trainee, between nursing/allied sciences and consultants, and between nursing/allied sciences and senior resident/postgraduate (p-value <0.001). There was positive correlation between knowledge and attitude score (r =0.111, p =0.019). Conclusion Most HCWs had good knowledge and positive attitude but there were few lacunas. More frequent educational training programmes are required to overcome this chasm.     Keywords Covid 19, Knowledge and attitude, Pandemic","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80331068","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}

{"title":"The Information Management into the Greek Health System","authors":"Sofia Voutsidou, E. Moraitis, A. Sissouras, E. Jelastopulu, G. Charalampous","doi":"10.15520/IJMHS.V9I12.2770","DOIUrl":"https://doi.org/10.15520/IJMHS.V9I12.2770","url":null,"abstract":"The present era has caused very important and speedychanges in the field of informatics technology, rendering theassistance of several electronic applications in the provisionof health services essentially valuable, in collaboration withother scientific fields (law, finance, psychology, sociology).This multidisciplinary approach contributed to the orientationtowards total quality management [1] with a view tooffering optimal healthcare with the lowest possible cost [2]. Moreover, it has played a part in the adoption of modernmanagement practices, strategic planning and open governance,which are mainly characterized by the values oftransparency, efficiency, equality and the ensuring of qualityservices which correspond to user expectations, who arebecoming the principal target of the health system [3] . \u0000Keywords: information management, electronic programs, interoperability,Greek health system","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"103 1","pages":"754-759"},"PeriodicalIF":0.0,"publicationDate":"2019-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79439116","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}

{"title":"Treatment outcome of tuberculosis cases seen at the University Hospital Center of Fenoarivo","authors":"Harison Michel Tiaray, K. Ravahatra, Jaobeline Rajaoharifetra, Oninala FenitraRAKOTONDRASOA, Iantsotiana Davidson Rakotondrabe, M. O. Rasoafaranirina, Mihaja Nandimbiniaina, J. Rakotomizao, Rakotoson Joëlson Lovaniaina, Raharimanana Rondro Nirina","doi":"10.15520/IJMHS.V9I12.2761","DOIUrl":"https://doi.org/10.15520/IJMHS.V9I12.2761","url":null,"abstract":"Introduction: Tuberculosis remains a major public health burden indeveloping countries such as Madagascar. The results knowledge of theinstituted treatment constitute a capital step in the management of thispathology. The objective of our study is to evaluate the results of tuberculosismanagement in the Fenoarivo hospital. Methodology: This is a retrospective,descriptive study evaluating the results of tuberculosis treatment notified at thediagnosis and management center of the Fenoarivo University Hospital duringthe period from Jan 01,2012 to December, 31 2016.Result: During our study, 1911 patients were included with a malepredominance (sex ratio of 1.79). The patients average age were 37.87 yearsold. Pulmonary tuberculosis is prevalent (67.66%) regarding to extra-pulmonary tuberculosis (32.34%). Therapeutic success, death, failure anddropped out of treatment rates were 89%, 3%, 1% and 7% respectively. Deathand dropped out of treatment occur mainly during the first and second monthsof disease management. Keys words: evaluation studies,Madagascar,tuberculosis, treatment outcome,","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"31 1","pages":"737-742"},"PeriodicalIF":0.0,"publicationDate":"2019-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87465909","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}

{"title":"A Cross Sectional Analysis about relation of Serum Uric Acid with other Cardiovascular risk factors","authors":"Ashok M Ganjre, PavanKumar N Namewar","doi":"10.15520/IJMHS.V9I12.2668","DOIUrl":"https://doi.org/10.15520/IJMHS.V9I12.2668","url":null,"abstract":"Introduction: The positive association between serum uric acid and cardiovascular diseases such as stroke or ischemic heart disease has been recognized since the 1950s and has been confirmed by numerous epidemiological studies.Elevated serum uric acid levels are commonly seen in association with glucose intolerance, hypertension and dyslipidemia, a cluster of metabolic and hemodynamic disorders which characterize the so-called metabolic syndrome.The purpose of the present study was to investigate the prevalence and the clinical correlates of hyperuricemia. \u0000Methods:This Cross Sectional  analytical  study involved Prior Consent from the patients & was found to be within ethical standards. It was conducted in six  months. Simple random sampling technique was used for data collection. An Interview with the help of Predesigned Questionnaire along with detailed clinical Examination was done. Cutt off Limits of various Cardiovascular risk factors was set . . 300 Number of Patients were included in the study. \u0000Results: In both sexes, serum triglycerides and serum uric acid levels were strongly correlated (p < 0.001). In women, significant correlations (p < 0.01) were also found with almost all metabolic parameters except for alcohol consumption. In men, serum uric acid correlated with blood pressure, body mass Index and  total cholesterol (p < 0.01). Age, triglycerides, BMI, alcohol consumption and hypertension were the major determinants of the variations in serum uric acid levels in both sexes. \u0000Conclusion: Hyperuricemia is also closely linked to the various components of the metabolic syndrome and in particular to serum triglycerides. Considering the rapidly increasing incidence of obesity and metabolic syndrome around the World and the potential link between hyperuricemia and coronary heart disease or stroke, more emphasis should be put on the evolving prevalence of hyperuricemia in developing countries.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"8 1","pages":"726-730"},"PeriodicalIF":0.0,"publicationDate":"2019-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84699911","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}

{"title":"CAREER AFTER RETIREMENT: A COMPARISON BETWEEN FORMER FEMALE AND MALE ATHLETES IN HOCHIMINH CITY – VIETNAM","authors":"Nguyen Hoang Minh Thuan","doi":"10.15520/ijmhs.v9i12.2752","DOIUrl":"https://doi.org/10.15520/ijmhs.v9i12.2752","url":null,"abstract":"The results showed that most athletes retire for reasons such as: anxiety forfuture careers, no achievements, injuries.... After retirement, they receive theassistance form many individuals and organizations. Many former male athletework in sport field, their income is also better former female athlete; Althoughincome is the most common trait that former female athletes choose to work.Keywords: Difference, former athlete, career, retirement","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"47 1","pages":"731-736"},"PeriodicalIF":0.0,"publicationDate":"2019-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75326481","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}

{"title":"PREVALENCE OF HYPOXAEMIA IN PAEDIATRIC PATIENTS ATTENDING CHILDREN OUT PATIENT CLINIC","authors":"Alex-Hart Ba, Y. Le","doi":"10.15520/ijmhs.v9i12.2750","DOIUrl":"https://doi.org/10.15520/ijmhs.v9i12.2750","url":null,"abstract":"Background; In more developed countries, it is a common practice to usepulse oximetry for the diagnosis of hypoxaemia, regrettably, it is not so inresource limited environments like ours especially in outpatient settings whilecarrying out emergency triage assessment. Aim; The aim of this study was todetermine the prevalence of undictated hypoxaemia among children presentingto the children outpatient clinic of the department of paediatrics at theUniversity of Port Harcourt teaching hospital. Methods; This descriptivecross-sectional study of the prevalence of hypoxemia was conducted at thechildren outpatient clinic of the department of paediatrics at the University ofPort Harcourt teaching hospital. The room air oxygen saturations of paediatricoutpatients were measured at rest from May, 2019 to September, 2019 usingdigital pulse oximetry. Hypoxaemia was defined as SpO2 less than 90% inroom air at rest. Results; A total of 351 children were recruited for the study ofwhich 201 (57.3%) were males and 150 (42.7%) were females giving a Male:Female ratio of 1.34:1, 233(66.38%) were under-fives. Prevalence ofhypoxaemia was 40(11.4%). Acute respiratory infection (ARI) was thecommonest condition presenting to the children outpatient clinic in 119(33.9%)and it was also the condition with the highest prevalence of hypoxia 11(27.5%) of all the cases with hypoxia followed by malaria 4(10%) anddiarrhoea 4(10%) Oximetry finding enabled patient to be seen faster( accelerating triaging) and sent to the children emergency room for oxygentherapy amidst other treatments. In conclusions, there is a high prevalence ofhypoxemia among children presenting at the outpatient clinic of the departmentof paediatrics at the University of Port Harcourt teaching hospital. Thereshould be routine screening for hypoxaemia during emergency triage andassessment by the outpatient clinic nurses. Pulse oximeter should be madeavailable to the outpatient clinic nurses by the hospital to enable them routinelyscreen for hypoxaemia and prioritize the patients with hypoxaemia amongpatients to be quickly seen by paediatricians and oxygen therapy commencedto reduce morbidity and mortality from hypoxaemia.Key words: Hypoxia Paediatrics Prevalence Children Pulse Oximetry Oxygen","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"39 1","pages":"709-716"},"PeriodicalIF":0.0,"publicationDate":"2019-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90281316","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}

{"title":"Impact of Training Program about Occupational Stress on Decision Making among Teaching Staff Members in faculty of nursing at Suez Canal University.","authors":"Mona Aziz Rateb Demitry, Wafaa. A. Elhosany, Mostafa Abbas, assist prof. Nadia Mohamed El-Sayed Ghonem","doi":"10.15520/IJMHS.V9I12.2751","DOIUrl":"https://doi.org/10.15520/IJMHS.V9I12.2751","url":null,"abstract":"Background: Stress is an important issue within nursing teaching staff and itis difficult to find agreement among those who are expert in the area regardinga concise definition of stress. Nevertheless stress is seen as a negative feelingaffecting people's health either physically and/or psychologically. Stress anddecision making are intricately connected on the behavioral and the neurallevel; work stress has impact on teaching staff decision. The aim of the study:the study aimed to assess impact of occupational stress program on decisionmaking among teaching staff members. Research design: A quasi-experimental design was utilized in this study. Setting: the study wasconducted in the faculty of nursing at Suez Canal University. Subject: allteaching staff members working in 6 different scientific departments in theprevious study setting. Tools of the study: Three tools were used to conductthis study; tool (I): occupational stress questionnaire which was used to assessstress level, tool (II): observation checklist which was used to assessoccupational stressors and tool (III): decision making scale to assess decisionmaking steps; data was collected from beginning July 2017 December 2018.Results: The study revealed that about half of the studied group had high stresslevel in preprogram with a slight decrease in post immediate and a highdecrease in follow-up (12.3%). About two third of the studied group had madedecision steps preprogram with slightly increased in post program, andfollowed by high increased (91.3%) in follow-up. conclusion: There wasstatistically significant improvement in teaching staff occupational stress level,with significant improvement in decision making before and after theimplemented program, There was statistically significant relation betweeneffect of occupational stress on decision making among teaching staff members(P value=.004) Recommendation: Providing periodic training in effectivecognitive strategies concerning healthy stress reducers, and providingcomprehensive training courses about communication, conflict resolution andteam building to reduce occupational stress.Key words: Decision Making, Occupational stress, Teaching staff","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"14 1","pages":"717-730"},"PeriodicalIF":0.0,"publicationDate":"2019-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79483863","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}

{"title":"CAREER AFTER RETIREMENT OF THE PROFESSIONAL ATHLETES IN HO CHI MINH CITY, VIET NAM","authors":"Nguyễn Hoàng Minh Thuận","doi":"10.15520/ijmhs.v9i12.2747","DOIUrl":"https://doi.org/10.15520/ijmhs.v9i12.2747","url":null,"abstract":"The article focuses on a thorough description of the career after retiring offormer athletes currently living and working in Ho Chi Minh City. The resultsshowed that the rate work in sports in the former athletes is not high. Employee,Self-employed, Physical education teachers are the top 3 most chosenprofessions. Some strenuous and unstable jobs such as mason, motorbike taxiare also selected. The author hopes that this result will be a useful referencesource in building support programs for athletes in general and athletes whohave retired in particular.Keywords: retirement, career, former athletes","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"14 1","pages":"702-708"},"PeriodicalIF":0.0,"publicationDate":"2019-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86948203","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}

{"title":"A RETROSPECTIVE STUDY ON EFFECTS OF SERUM CHOLESTEROL ON MORTALITY AND MORBIDITY OF STROKE","authors":"P. SonaPriya, R. Madhan, Shamini Ak, N. Frank, S. Thilagar","doi":"10.15520/IJMHS.V9I12.2745","DOIUrl":"https://doi.org/10.15520/IJMHS.V9I12.2745","url":null,"abstract":"Introduction:Stroke or cerebrovascular accident or Intracranial Hemorrhage (ICH) is definedas an abrupt onset of a neurological deficit that is attributable to a focal vascularcause. Stroke is the second leading cause of death worldwide causing 6.2million deaths in 2011. Relation of high total cholesterol and triglycerides withischemic heart disease is well established worldwide. High cholesterol level areestimated to cause 56% of ischemic heart disease. However, dyslipidemia as arisk factor for ischemic stroke has been quite controversial in recent times. Ithas been observed in several studies that higher cholesterol and triglyceridelevels are associated with better outcome after ischemic stroke.Aim:The purpose of this study is to determine the effects of serum cholesterol on themortality and morbidity of stroke.Materials and Method:We retrospectively included 100 consecutive patients over age 18 with Strokeor cerebrovascular accident or Intracranial Hemorrhage (ICH) who wereadmitted in Sree Mookambika Institute of Health Sciences, confirmed by CTwithin 12 hours after onset. Patients with traumatism, brain tumor, previousICH, hemorrhagic transformation of ischemic stroke, vascular cerebralmalformations, and patients who required neurosurgical procedures wereexcluded. Data was collected with meticulous history, clinical examination withdetailed neurological examinations along with appropriate investigations. Astructured questionnaire was used to obtain data on family history of diabetes mellitus, history of hypertension, past and present illness, dietary pattern,addiction and medication. NIH stroke scale (NIHSS) were evaluated atadmission. Descriptive and analytical statistics were performed by SPSSversion 16.IEC clearance and a written informed consent were obtained frompatient or patients attenders. A P value of less than 0.05 was consideredstatistical significant.Results:Out of the 100 patients that were included in the study, the average age was 58.6± 12.15. Male to female ratio was 3:1(75:25) which clearly states that men aremore prone to develop stroke compared to females. Among the patients who hadstroke, risk factors like hypercholesterolemia(75%), hypertension(65%),diabetes mellitus(24%), smoking(40%), alcoholism(40%) were identified.Regarding the stroke severity, 39% of the patients had a minor stroke, 44% hada moderate intensity stroke while 17% of the patient had a severe stoke. A highmorbidity rate i.e., 80% was seen in patients who had had high totalcholesterol(75%) then compared to patients who had normal lipid profile with asignificant p value (<0.02).Only 2 passed away who was also found to have highcholesterol and triglycerides.Conclusion:Our study concluded a positive correlation between serum total cholesterol.Thus early detection of dyslipidemia and treatment with drugs along withdietary modifications & lifestyle changes can reduce the risk of stroke.Keywords: ICH, Stroke, Total Cholesterol, Cerebrovascular accident","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"22 1","pages":"697-701"},"PeriodicalIF":0.0,"publicationDate":"2019-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84146743","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}

{"title":"Knowledge Attitude and Practice regarding Diabetes Mellitus among patients with Type2 Diabetes in a tertiary care teaching hospital in Kerala, India","authors":"L. Manju, P. Ajithkumar, Divija, S. John","doi":"10.15520/IJMHS.V9I11.2733","DOIUrl":"https://doi.org/10.15520/IJMHS.V9I11.2733","url":null,"abstract":"Diabetes mellitus (DM) is one of the major health issues in India. Prevalenceof type 2 or noninsulin dependent diabetes mellitus is high in India. Kerala, asouthern state in India has varying prevalence rate of diabetes in its differentgeographical regions. Adequate knowledge, practice and attitude are the threevital parameters of a diabetic patient. Studies are there in literature to evaluatethe knowledge, attitude and practice of diabetes patients in different settingsbut very few studies have investigated the situation in Kerala. Hence the aim ofthis study was to assess the current knowledge, attitude and practice to start aneducational programme.MethodsA descriptive study was conducted in the out patient department of a tertiarycare hospital in South Kerala during the period April 2019 to September 2019.A sample of 220 patients were studied using a pretested questionnaire.Convenience sampling technique was adopted. Study participants were type-2diabetic patients above 18 years and diagnosed for at least six months. Student ttest/one way ANOVA was used to identify the socio-demographic variablesassociated with knowledge, attitude and practice.ResultThe mean(SD) knowledge, attitude and practice scores are 58.16(18.96),77.83(8.77) and 59.75(14.58) respectively. Knowledge and attitude are foundto be associated with educational and occupational status (p<0.05). Familyhistory is associated with attitude (p=0.001). There is statistically significantdifference between the practice scores of males and females (p=0.023). Modeof treatment is associated with knowledge (p=0.02)Keywords: Type 2 diabetic patients, knowledge, attitude, practice.","PeriodicalId":13590,"journal":{"name":"Innovative Journal of Medical and Health Science","volume":"46 1","pages":"665-674"},"PeriodicalIF":0.0,"publicationDate":"2019-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78925445","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}