TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH最新文献_第9页

Predicting the Risk of in-Hospital Mortality in Patients with HIV-Associated Talaromyces Marneffei Infection 预测hiv相关的Talaromyces Marneffei感染患者的住院死亡风险

TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH Pub Date : 2022-07-30 DOI: 10.21522/tijar.2014.09.03.art003

Thanh Nguyen Tat

{"title":"Predicting the Risk of in-Hospital Mortality in Patients with HIV-Associated Talaromyces Marneffei Infection","authors":"Thanh Nguyen Tat","doi":"10.21522/tijar.2014.09.03.art003","DOIUrl":"https://doi.org/10.21522/tijar.2014.09.03.art003","url":null,"abstract":"Disseminated Talaromyces marneffei infection (formerly termed penicilliosis) is the third most common microbiologically confirmed opportunistic infection in Southeast Asia, with mortality of up to 30% despite antifungal therapy. There are restrictive clinical algorithms to predict treatment outcomes. A total of 513 patients with microbiology-confirmed HIV-associated talaromycosis were included in the analysis. Poor outcome was observed in 143/513 patients (27.9%). In the univariate logistic regression analysis, hepatomegaly and splenomegaly were protective factors. Shorter duration of illness, higher respiratory rates, dyspnea, AIDS-associated central nervous system syndromes, platelet counts <50,000 cells/mL, aspartate transaminase (AST) >300 U/L, alanine transaminase (ALT) >150 U/L, serum creatinine >110 µmol/L were predictors of poor outcome. In the multivariate logistic regression analysis, shorter days of illness, higher respiratory rates, platelet counts <50,000 cells/mL, AST >300 U/L and serum creatinine >110 µmol/L, active tuberculosis (TB) and/or ongoing TB induction treatment and AIDS-associated central nervous system syndromes were independent predictors of poor outcome. The prognostic scores ranged from 0 to 19, corresponding to a mortality risk of 0% to 100%. The internal validation showed acceptable discrimination (AUC=0.68) and calibration slope (0.93). The Brier score for model performance was 0.14. We developed a simple scoring system that can predict the risk of death in patients with HIV-associated talaromycosis based on routinely measured characteristics on admission. The scoring system will be further externally validated using other cohorts in the region.","PeriodicalId":22213,"journal":{"name":"TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90867446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Correlation between Sleeping Patterns and Academic Performance for TAU Medical Students TAU医学生睡眠模式与学习成绩的相关性

TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH Pub Date : 2022-07-30 DOI: 10.21522/tijar.2014.09.03.art015

Tiffany Erebe

{"title":"The Correlation between Sleeping Patterns and Academic Performance for TAU Medical Students","authors":"Tiffany Erebe","doi":"10.21522/tijar.2014.09.03.art015","DOIUrl":"https://doi.org/10.21522/tijar.2014.09.03.art015","url":null,"abstract":"Sleep is very essential to promote proper functioning as human beings. Yet, in the “medical society”, whether as a student or practitioner, it’s a known fact that a lot of individuals struggle with different types of sleep disorders of varying degrees. Recent studies have been able to shed light on the detrimental effects of inadequate sleep on the general health and productivity of a person. The Circadian rhythm dictates the body’s natural bedtime-wakeup schedule. The better the quality of sleep, the less likely we are to experience significant daytime sleepiness. When a student has to do 8 courses, go to school for 10 hours and do extracurricular activities like volunteering, the time it will take to cover all of those tasks, sleep seems almost impossible for medical students. Regardless of whether previous students, now practitioners, were able to complete these tasks does not indicate that there is no problem. It is important we research this correlation because we need to know if this aspect in our day-to-day lives affects our outcome in academics. As students, we are expected to do a lot in a short span of time and pass exams with flying colours. As such, we must investigate one of the proposed factors that leads to poor academic performance in students. For the purpose of this research, our sample community would be limited to Texila American University Students in MD1-MD4. Keywords: Academic, Medicine, Performance, Pittsburgh, Students, Sleep.","PeriodicalId":22213,"journal":{"name":"TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86031530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the Understanding of Technical University Lecturers on Continuous Professional Development in Ghana 探讨加纳技术大学讲师对持续专业发展的理解

TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH Pub Date : 2022-07-30 DOI: 10.21522/tijar.2014.09.03.art010

William Owusu Boateng

{"title":"Exploring the Understanding of Technical University Lecturers on Continuous Professional Development in Ghana","authors":"William Owusu Boateng","doi":"10.21522/tijar.2014.09.03.art010","DOIUrl":"https://doi.org/10.21522/tijar.2014.09.03.art010","url":null,"abstract":"The main objective was to determine the understanding of technical university lecturers in Ghana on continuing professional development and the importance it plays in their career prospects. The study was qualitative with a sample size of forty-eighty. The sample was taken from six deans of faculties, six heads of departments, and thirty-six lecturers. The participants were chosen from two technical universities. Two interview schedules were used to interview the participants. The deans and heads were interviewed with a different schedule, and the other was used to interview the lecturers. Some of the research findings included that CPD is any training, activity, or program that improves one’s knowledge, competencies, and skills in their field of specialty. It was also revealed that CPD allows lecturers to develop themselves. The ultimate objective of CPD is to help lecturers be efficient and effective in their teaching to impact their students positively. The study recommends that lecturers above fifty years who do not qualify for study leave with pay to embark on terminal degrees but certify all the criteria for promotion be promoted not above the senior lecturer position. Keywords: Career prospects, Competencies, Knowledge, Professional Development, Skills.","PeriodicalId":22213,"journal":{"name":"TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH","volume":"13 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89792019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of the Capacity of Patent and Proprietary Medicine Vendors to Provide Contraceptive Services to Adolescents in Kaduna State, Nigeria 评估专利和专有药品供应商向尼日利亚卡杜纳州青少年提供避孕服务的能力

TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH Pub Date : 2022-07-30 DOI: 10.21522/tijar.2014.09.03.art001

M. Ibrahim

{"title":"Assessment of the Capacity of Patent and Proprietary Medicine Vendors to Provide Contraceptive Services to Adolescents in Kaduna State, Nigeria","authors":"M. Ibrahim","doi":"10.21522/tijar.2014.09.03.art001","DOIUrl":"https://doi.org/10.21522/tijar.2014.09.03.art001","url":null,"abstract":"The contraceptive Prevalence Rate among adolescents has remained extremely low in Kaduna State due to limited access to health facilities with youth-friendly services. Patent and Proprietary Medicine Vendors (PPMV) are the most widespread health facilities and the first point of access for family planning commodities in Nigeria. Providing contraceptive services to adolescents requires specific sets of skills and an environment that are youth friendly. This study examines the capacity of PPMV to offer contraceptive services to adolescents. The study used a cross-sectional descriptive design. We interviewed 462 PPMV selected from urban and sub-urban Local Government Areas (LGA) of Kaduna State using a multistage random sampling technique. Data analysis was based on percentages conducted with SPSS software, version 20. Findings from the assessment show that PPMV are a mix of professionals and lay providers. 43.1% possess a qualification in Nursing, midwifery, or community health, and 18.8% have received specific training on contraceptive services. 91.6% are dispensing contraceptives that are suitable for adolescents, and 97.4% are willing to acquire additional training to provide adolescent-friendly contraceptive services for both the married and unmarried. The study equally shows that most PPMVs have private space (70.1%) for confidential counselling and operate seven days a week (86.6%) and twelve or more hours a day (83.3%). Pharmacists Council of Nigeria should consider expanding the scope of contraceptive services that PPMV can provide based on their training.","PeriodicalId":22213,"journal":{"name":"TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH","volume":"2010 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82569923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Analysis of the Media in the Generation of Electoral Conflict Behaviours among Voters in the Western North Region, Ghana 加纳西北地区选民选举冲突行为产生中的媒体分析

TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH Pub Date : 2022-07-30 DOI: 10.21522/tijar.2014.09.03.art009

I. Damptey

引用次数: 0

Exploring Nigeria Annual Budgets and Health Sector Budget Provisions towards Attainment of Universal Health Coverage Amid the Covid-19 Pandemic Preparedness 探讨尼日利亚在Covid-19大流行防范期间实现全民健康覆盖的年度预算和卫生部门预算规定

TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH Pub Date : 2022-04-30 DOI: 10.21522/tijar.2014.09.02.art005

G. Eneh

{"title":"Exploring Nigeria Annual Budgets and Health Sector Budget Provisions towards Attainment of Universal Health Coverage Amid the Covid-19 Pandemic Preparedness","authors":"G. Eneh","doi":"10.21522/tijar.2014.09.02.art005","DOIUrl":"https://doi.org/10.21522/tijar.2014.09.02.art005","url":null,"abstract":"The Covid-19 outbreak is currently having a significant impact on the health and economic growth of the World. This study explored the trend in Nigeria’s annual budget from 2016 to 2020, the assumptions for these annual budgets, the budget allocations to the Health Sector and the policy measures in place for health emergencies. The mixed-method approach was used and involved key informant interviews of 30 employees and 30 top management officials across the Federal Ministries of Health and Finance using a structured interview guide. There were also desk reviews of documents in public domains and government published financial and budget data at global and national levels. The findings reveal that Nigeria has continued to increase her annual budget without much improvement in her revenue position. The key assumptions on which the various annual budgets were based were distinct, and none envisaged the Covid-19 pandemic and its aftermath. On health sector allocation, the Federal Government of Nigeria lays little emphasis on efforts towards the attainment of UHC and emergency health events. The government ensured that health care financing policies and provisions are in place. However, the adequacy of those policies and provisions needs to be improved upon. The past spending pattern between 2016 and 2020 shows that these policies are not directed at closing the scary gap that makes ordinary Nigerians suffer from the overwhelming cost of healthcare. This includes a lack of attention to the basic health fund and funds for emergencies, probably due to inadequate political will and commitment to health.","PeriodicalId":22213,"journal":{"name":"TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78126802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Performance Appraisal System and its Implication on Employee Performance: A Study of Zambia Revenue Authority 绩效考核制度及其对员工绩效的影响——以赞比亚税务局为例

TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH Pub Date : 2022-04-30 DOI: 10.21522/tijar.2014.09.02.art014

Kausa Josephine Kasongo

{"title":"Performance Appraisal System and its Implication on Employee Performance: A Study of Zambia Revenue Authority","authors":"Kausa Josephine Kasongo","doi":"10.21522/tijar.2014.09.02.art014","DOIUrl":"https://doi.org/10.21522/tijar.2014.09.02.art014","url":null,"abstract":"Performance appraisal systems used by a multitude of organisations globally should pose a major concern to all who use this employee evaluation process. This is mainly because performance appraisals do have an effect on employees. Whether this effect is for good or bad is the primary goal of this paper. Using data from a named organisation, the study will strive to determine whether the performance appraisal methods of that organisation have indeed had intrinsic effects on the performance of individual employees and whether this has indeed trickled down to the entire organisation as a whole. Both quantitative and qualitative research approaches were chosen as a primary and secondary data source. Questionnaires and interviews were used for primary data collection. Secondary data were collected from different articles, books, and online sources as well as the organisation under consideration. The results showed that, indeed, inherent in a performance appraisal system may be factors that need special attention if it is to work out for the benefit of the organisation. Whereas the procedures of the system may in themselves be very beneficial, the implementation thereof may be lacking and expose holes that may need to be filled from top management, middle management, and supervisees alike in order for the organisation as a whole to realise the full benefit of the performance appraisal system. The researcher recommended that the organisation take these factors into consideration if they are to achieve organisational objectives and goals.","PeriodicalId":22213,"journal":{"name":"TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH","volume":"190 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74143211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of Acupuncture Using Specific Acupoints and Non-Acupoints in Non-Traumatic, Chronic Shoulder Pain: A Case Study 针刺特定穴位与非穴位对非创伤性慢性肩痛的影响:个案研究

TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH Pub Date : 2022-04-30 DOI: 10.21522/tijar.2014.09.02.art002

Murukesu M Margapandu

{"title":"The Effect of Acupuncture Using Specific Acupoints and Non-Acupoints in Non-Traumatic, Chronic Shoulder Pain: A Case Study","authors":"Murukesu M Margapandu","doi":"10.21522/tijar.2014.09.02.art002","DOIUrl":"https://doi.org/10.21522/tijar.2014.09.02.art002","url":null,"abstract":"Chronic shoulder pain is one of the most common presentations of musculoskeletal pain in our community, which usually complicates or interferes with a person’s daily activities, social events, and overall quality of life. It is the leading cause of disability among middle-aged working individuals. It has been reported that until the present day, none of the conventional treatments has proved effective for chronic shoulder pain in the long term. Furthermore, there are considerable side effects, to varying degrees of these treatments. Acupuncture, as part of Traditional Chinese Medicine, has shown effective results in treating shoulder pain by minimizing the pain and improving range of motion and mobility. The present case involves four patients diagnosed with non-traumatic chronic shoulder pain. All the patients were given three acupuncture treatments per week, lasting 40 minutes for the duration of two weeks. Needling was inserted at six specific acupoints and five specific non-acupoints. Pain and mobility assessments were done before and twenty minutes after each treatment. The result shows positive effects of acupuncture using specific acupoints and specific non-acupoints in alleviating non-traumatic chronic shoulder pain. At the end of this study, their shoulder pain was greatly minimized, and their shoulder functionality improved remarkably. Although larger clinical intervention studies on the effect of acupuncture treatment on chronic shoulder pain due to non-traumatic injury are needed, the result of this case study indicates that acupuncture treatment using specific acupoints and specific non-acupoints can be an effective alternative therapy or treatment tool for patients with non-traumatic chronic shoulder pain.","PeriodicalId":22213,"journal":{"name":"TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75818231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Relationship between Adverse Life Experiences in Childhood and Unhealthy Eating Behavior in Adulthood: A Literature Review 童年不良生活经历与成年不健康饮食行为的关系:文献综述

TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH Pub Date : 2022-04-30 DOI: 10.21522/tijar.2014.09.02.art003

Marina, Nagy Sabry Samy

{"title":"The Relationship between Adverse Life Experiences in Childhood and Unhealthy Eating Behavior in Adulthood: A Literature Review","authors":"Marina, Nagy Sabry Samy","doi":"10.21522/tijar.2014.09.02.art003","DOIUrl":"https://doi.org/10.21522/tijar.2014.09.02.art003","url":null,"abstract":"The manuscript is simply discussing several forms of adverse childhood experiences (ACE) and their negative impact on children. ACE may contribute to the development of eating disorders (ED) that mostly appear during adolescence, and if untreated earlier, children will suffer ED chronically. Undoubtedly, we are humans that make mistakes, and such mistakes may be stressful to others. Also, life is not so easy; it involves difficulties as well as enjoyment. Thus, in this study, the author analyzed the stressful conditions that occur in childhood and their negative impact on human behaviour that can be developed into many disorders such as eating disorders, obsessive-compulsive disorders, and others. The author used the methodology of searching articles published between 1990 and till present. The authors investigated the factors that play a role in the appearance of such disorders such as culture, media, genetics, upbringing, environment, peers, school, and others. The severity of disorders depends on the intensity, harshness, and frequency of ACE. Moreover, the relative relationship between the child and the one who harmed him plays a significant role in the severity of disorders. Studies proved that treatment of disorders is not impossible, and relief can occur.","PeriodicalId":22213,"journal":{"name":"TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77746730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of Knowledge and Acceptance of Covid-19 Vaccinations among Healthcare Workers in Kano State, Nigeria 对尼日利亚卡诺州医护人员Covid-19疫苗接种知识和接受程度的评估

TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH Pub Date : 2022-04-30 DOI: 10.21522/tijar.2014.09.02.art011

Abdullahi Abduljaleel

{"title":"Assessment of Knowledge and Acceptance of Covid-19 Vaccinations among Healthcare Workers in Kano State, Nigeria","authors":"Abdullahi Abduljaleel","doi":"10.21522/tijar.2014.09.02.art011","DOIUrl":"https://doi.org/10.21522/tijar.2014.09.02.art011","url":null,"abstract":"Coronavirus is an ongoing global viral disease firstly identified in Wuhan, China in December 2019, hence its name Covid-19. The World Health Organization (WHO) declared Covid-19 as a pandemic with Public Health Emergency of International Concern (PHEIC). People get infected when they inhale small airborne particles or droplets exhaled by a Covid-19 infected person. Some of the recommended preventive measures include social or physical distancing, covering the mouth when sneezing or coughing, wearing of face masks and regular hand wash. A multi-stage sampling method was used to select the study locations, hospitals, healthcare departments and survey groups. A quantitative method - using structured questionnaires was used. Statistical analysis was conducted using Statistical Package for Social Science (SPSS) version 26. Out of the 1004 participants that were surveyed, 864 responses were retrieved. The bulk of the respondents (59%) were male. Knowledge of Covid–19 was poor, 24.3%, while acceptance of Covid-19 vaccination was high (74.2%). Important predictors of Covid-19 vaccination are the number of years in service, marital status, designated work, and type of medical facility. Knowledge of Covid-19 is low, but acceptance of its vaccination was high among the study population. This could be due to fear of contacting the disease early plus the associated high mortality among the study population. There is a need for an enlightenment campaign to increase knowledge and further improve acceptance of the Covid-19 vaccination.","PeriodicalId":22213,"journal":{"name":"TEXILA INTERNATIONAL JOURNAL OF ACADEMIC RESEARCH","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73220011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1