Journal of Medicine, Nursing & Public Health最新文献

{"title":"Substance and Drug Abuse on Human Health; A Case Study of Youth in the USA","authors":"","doi":"10.53819/81018102t5139","DOIUrl":"https://doi.org/10.53819/81018102t5139","url":null,"abstract":"","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126867473","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":"Causes and Effects of Obesity on Health of Children in Australia","authors":"","doi":"10.53819/81018102t5138","DOIUrl":"https://doi.org/10.53819/81018102t5138","url":null,"abstract":"","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125434158","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":"Immunization Coverage among Children Aged Between 12-23 Months in West Pokot County, Kenya","authors":"David Kirongo, I. Mwanzo, E. Gitonga","doi":"10.53819/81018102t6047","DOIUrl":"https://doi.org/10.53819/81018102t6047","url":null,"abstract":"Vaccination has been shown to be one of the most cost-effective health interventions worldwide. Despite the efforts made towards global immunization coverage, the number of unvaccinated and under-vaccinated infants is still high. The situation is no different in Kenya. Basic vaccination coverage reduced from 77% in 2008 to 70% in 2017. National basic vaccination coverage of 70% is significantly lower than the global target of 90% by the year 2020. There are gaping regional differences in immunization coverage. The lowest national immunization coverage is documented at 31% in West Pokot County. This study sought to identify the determinants of vaccination coverage among children between 12-23 months of age in West Pokot County. The study used a community-based cross-sectional design where mothers/guardians of children between 12-23 months old were randomly sampled. The objectives of the study were to estimate the immunization coverage, investigate factors influencing immunization coverage and determine the influence of health service utilization on immunization coverage. Binary logistic regression was conducted to determine the influence of the independent variables on the dependent variable. The findings showed that, majority (62.4%) of the mothers/guardians had partially immunized their children, followed by those who had fully immunized their children (36.6%) and lastly 1.1% had not immunized their children. Age of the mother/guardian is significantly associated with immunization coverage (OR = 1.128, p =0.000<0.05). This suggests that the older the mother/guardian, the higher the chances of the child being fully immunized. The distance to nearest health facility was found to have no significant relationship with immunization coverage (p>0.05). Respondents who paid for the services were more likely to have their children fully immunized than those who did not pay for the services (OR = 3.546, p =0.019<0.05). It was also observed that Paternal occupation influences coverage OR = 2.006, P =0.035<0.05), visiting the health facility in last year also influenced immunization (OR = 3.147, P =0.01<0.05). The study concluded that the immunization coverage among children between 12-23 months in West Pokot County is below the set target. It is therefore recommended that the county government should intensify vaccination campaigns and develop policies aimed at economically empowering the residents of West Pokot County. Keywords: Immunization coverage, children aged between 12-23 months, West Pokot County","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing &amp; Public Health","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117032874","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":"Determinants of the Quality of Life of Caregivers of Children with Sickle Cell Disease at Siaya County Referral Hospital, Kenya","authors":"Joash Okinyi, Grace K Githemo, S. Bett","doi":"10.53819/81018102t6046","DOIUrl":"https://doi.org/10.53819/81018102t6046","url":null,"abstract":"Sickle Cell Disease (SCD) is a high-morbidity and early-mortality disease if not managed and controlled properly. Managing a child with SCD is a challenging experience for both the caregiver and the family unit. These children are usually highly dependent on the caregiver for their daily activities. In Kenya, this disease has its highest prevalence in malaria-endemic regions mainly the Coast and Nyanza regions. Despite it being endemic in these regions, there is a dearth of literature on the determinants of the quality of life of caregivers of children with sickle cell disease in these areas. This study, therefore, sought to establish the determinants of the quality of life of caregivers of children with sickle cell disease attending care at the Siaya County Referral Hospital, in Kenya. The study adopted a descriptive and analytic cross-sectional study design. The study population were the caregivers of children suffering from Sickle Cell Disease seeking care at the Siaya County Referral Hospital in Kenya. A sample of 60 respondents was used to collect the desired data. A purposive sampling method was used to arrive at the sample. The study findings indicated that employment, financial security, monthly income, acquisition of new information, support from friends, ability to get around and quality of sleep impacted positively on caregivers’ quality of life. Results also indicated that frequency of hospitalization and frequent negative feelings impacted negatively on the caregivers’ quality of life. However, the study found no significant relationship between gender, age and education level with caregivers’ quality of life. The study recommended that the national and County governments should ensure that caregivers of children with SCD are provided with employment opportunities; the national and County governments should formulate programs aimed at supporting caregivers of children with SCD financially; and the employers of caregivers of children with SCD should consider raising their monthly income to enable them meet their financial needs. Keywords: Socio-demographic factors, economic factors, psychological factors, quality of life of caregivers, sickle cell disease","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing &amp; Public Health","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121748299","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":"Morbidity, Mortality Patterns and Factors Associated With Mortality among Neonates Admitted in Wajir County Referral Hospital","authors":"Daud Abdi Sheikh","doi":"10.53819/81018102t2106","DOIUrl":"https://doi.org/10.53819/81018102t2106","url":null,"abstract":"Background: Neonatal morbidity and mortality is a global burden despite management measures that has been developed. Approximately 75% of all newborn deaths occur in the first week of life. In 2018 alone, around 2.5 million neonates died globally as a result of preventable causes such as prematurity, complications at birth, infections, and congenital abnormalities. Objective: The objective of the study was to determine neonatal morbidity and mortality patterns, and factors associated with mortality among neonates admitted in Wajir County Referral Hospital. Methodology: A hospital-based retrospective cross-sectional study was conducted among all neonates admitted to the New Born Unit of the WCRH from 01 January 2019 to 31 December 2020. A consecutive sampling technique based on the inclusion criteria was used. A data abstraction tool was used to extract data from the medical records of neonates admitted to the New Born Unit of the hospital.  Results: A total of 615 neonates were included in the study. There were 336 (54.6%) male and 279 (45.4%) female neonates. Almost all the deliveries 566 (92.0%) were performed at the health facility with a minority of about 49 (8%) delivered at home. The home deliveries and referrals admissions from tertiary hospitals together were 66 (10.7%). Neonatal morbidity included birth asphyxia 335 (54.5%), neonatal sepsis 144 (23.4%), 57 (9.3%) meconium aspiration syndrome and 52 (8.5%) low birth weight/preterm. Overall mortality in 2019 at the health facility was 45 (12.97%) and in 2020, 35 (13.06%) presenting no significant difference. The deaths that occurred in the first 24 hours of life was 36 (45%). Bivariate and multivariate analysis produced a significant association between the factors associated with neonatal mortality. The multivariate analysis with day of admission (OR 2.872, 95% CI 1.293, 6.375), Sex, (OR 1.02, 95% CI 1.0.627, 1.66) and Birth weight, (OR 0.936, 95% CI 0.423, 2.068) at p<0.05. The logistic regression model was statistically significant, χ2(7) = 20.770, p <0.001. The model explained 27% (Nagelkerke R2) of the variance in discharge outcome and correctly classified 87% of cases. The male gender were 1.02 times more likely to die than females while the place of delivery was 0.572 times likely to result in death. Conclusions: Birth asphyxia was found to be the leading cause of admission, followed by neonatal sepsis and meconium aspiration syndrome respectively. The leading cause of death was birth asphyxia and neonatal sepsis. The mortality rate at the facility was 13%. Neonatal fatality of the newborns admitted to NBU is high in Wajir County. Since majority of the deaths are from preventable causes, this offers chances to improve newborn survival. Key Words: Morbidity, Mortality, Neonates, Asphyxia","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing &amp; Public Health","volume":"1987 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125479838","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":"Demographic Factors Related to Pneumococcal Conjugate Vaccine Uptake Among Children Attending Immunization Services","authors":"","doi":"10.53819/81018102t3063","DOIUrl":"https://doi.org/10.53819/81018102t3063","url":null,"abstract":"","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing &amp; Public Health","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127259560","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":"Relationship of Knowledge, Attitude and Practices of Parents /Guardians to Pneumococcal Conjugate Vaccine Uptake Among Children Attending Immunization Services","authors":"","doi":"10.53819/81018102t3062","DOIUrl":"https://doi.org/10.53819/81018102t3062","url":null,"abstract":"","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing &amp; Public Health","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121849706","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 Stress on Employee Performance at Jamsai Firm in Bangkok, Thailand","authors":"","doi":"10.53819/81018102t50126","DOIUrl":"https://doi.org/10.53819/81018102t50126","url":null,"abstract":"","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing &amp; Public Health","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131815103","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":"Nursing Handover: Experiences and Perspectives in the Critical Care Unit at Murang’a County Referral Hospital","authors":"M. Murigi, N. Mbuthia, L. Meng’anyi","doi":"10.53819/81018102t6043","DOIUrl":"https://doi.org/10.53819/81018102t6043","url":null,"abstract":"Continuity in delivery of nursing care to patient in the critical care unit is of utmost importance. Although nurses have a variety of guidelines and formats to conduct the handover, gaps have been detected regarding the contents of the handover and its effects on the continuity of care in the critical care unit. The focus of the study was to explore the experiences and perspectives of nurses with nursing handover in the critical care unit. The study adopted a phenomenological qualitative design. A sample of 9 critical care nurses participated in this study. The study found critical care nurses believed they were individually equipped with adequate knowledge to carry out effective departmental and interdepartmental nursing handover. The existence of handover policies in the critical care unit was considered a major enabler of the handover. The participants also believed that strained human resource, lack of standardized handover tools and deviation from the set handover rules negatively impacted the handover process. Furthermore, they reported perceived insufficiency in the management’s role in handover evaluation and feedback. Moreover, all participants advocated for improvement of the current handover practices for improved quality of patient care as well as sense of self-accomplishment among the nurses. There are pertinent implications in the findings of this research for critical care nurses, nurses in other departments and policy makers. The resultant implication for each group of stakeholders promotes the adoption and formulation of effective handover practices and consequently enhanced quality of patient care through transfer of adequate patient information and sense of self-accomplishment among nurses. Keywords: Nursing handover, experiences, perspectives, critical care unit","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing &amp; Public Health","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124696547","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":"Delay to Treatment Initiation among Rifampicin Resistant Tuberculosis Patients in Kenya","authors":"","doi":"10.53819/81018102t3061","DOIUrl":"https://doi.org/10.53819/81018102t3061","url":null,"abstract":"","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing &amp; Public Health","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126828407","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}