Modern Health Science最新文献

{"title":"Medication error in the provision of healthcare services","authors":"Maimuna Khatun, Anha Akter Riya, Md. Morshed Alam, Sophia Hossain, Tanzilal Hira, Imtiaj Hossain Chowdhury","doi":"10.30560/mhs.v7n1p1","DOIUrl":"https://doi.org/10.30560/mhs.v7n1p1","url":null,"abstract":"Medication errors are the most common and widespread medical adverse event that occurs in healthcare settings and can lead to increased patient morbidity, mortality, and healthcare costs. The availability of a wide range of over-the-counter and prescribed medications in the healthcare market, which the general public seems to use on a frequent basis to treat their health complications, has rapidly increased the chances of medication errors. Furthermore, the medication chain has several steps that require different people, and errors can occur at different stages in patient care, from ordering the medication to the time the patient is administered the drug. So each stage of the medication chain is exposed to risks that could result in medication errors. Thereby, medication errors prompt patient harm, preclude immediate discharges, and enhance healthcare costs. As a result, it is important to set up a medication safety culture that can light up in the context of effectively putting strategies into action, and everyone's collaboration and participation to adhering to medication safety strategy can improve patient safety. This review of the literature aims to provide a concept of medication errors, explore the pattern of errors, causes and consequences of errors, and error-related adverse events in all types of healthcare settings, risk factors for medication errors, and strategies to avoid and minimize medication errors.","PeriodicalId":421866,"journal":{"name":"Modern Health Science","volume":"209 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139858745","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":"Medication error in the provision of healthcare services","authors":"Maimuna Khatun, Anha Akter Riya, Md. Morshed Alam, Sophia Hossain, Tanzilal Hira, Imtiaj Hossain Chowdhury","doi":"10.30560/mhs.v7n1p1","DOIUrl":"https://doi.org/10.30560/mhs.v7n1p1","url":null,"abstract":"Medication errors are the most common and widespread medical adverse event that occurs in healthcare settings and can lead to increased patient morbidity, mortality, and healthcare costs. The availability of a wide range of over-the-counter and prescribed medications in the healthcare market, which the general public seems to use on a frequent basis to treat their health complications, has rapidly increased the chances of medication errors. Furthermore, the medication chain has several steps that require different people, and errors can occur at different stages in patient care, from ordering the medication to the time the patient is administered the drug. So each stage of the medication chain is exposed to risks that could result in medication errors. Thereby, medication errors prompt patient harm, preclude immediate discharges, and enhance healthcare costs. As a result, it is important to set up a medication safety culture that can light up in the context of effectively putting strategies into action, and everyone's collaboration and participation to adhering to medication safety strategy can improve patient safety. This review of the literature aims to provide a concept of medication errors, explore the pattern of errors, causes and consequences of errors, and error-related adverse events in all types of healthcare settings, risk factors for medication errors, and strategies to avoid and minimize medication errors.","PeriodicalId":421866,"journal":{"name":"Modern Health Science","volume":"70 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139798861","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":"Incidence of Anxiety and Depression in Patients with Chronic Obstructive Pulmonary Disease: A Meta-Analysis","authors":"Xiaotao Wang, L. Lei, P. Deng","doi":"10.30560/mhs.v5n1p1","DOIUrl":"https://doi.org/10.30560/mhs.v5n1p1","url":null,"abstract":"Objective: To systematically evaluate the incidence of COPD with anxiety and depression in the past 5 years. \u0000Methods: The databases of CNKI, Wanfang, VIP, CBM, PubMed, WebofScience, TheCochraneLibrary and EMbase were searched by computer. The study type was cross-sectional study or other types of study that included baseline data. Outcome indicators included the incidence of anxiety or depression; The cross-sectional study evaluation scale recommended by AHRQ was used to evaluate the quality of the included literature, and StataSE 16 was used to complete the meta-analysis. \u0000Results: A total of 35 literatures were included, including 27 Chinese literatures and 9 English literatures. Meta-analysis results showed that: The overall incidence of COPD combined with anxiety or depression was 50.00%, the overall incidence of COPD combined with anxiety was 40%, the incidence of COPD combined with depression was 42%, and the incidence of COPD combined with anxiety and depression was 20%. \u0000Conclusion: The incidence of COPD combined with anxiety and depression is high. Clinicians and patients' families should pay attention to COPD, and the psychological problems of patients, and prevent the occurrence of anxiety and depression.","PeriodicalId":421866,"journal":{"name":"Modern Health Science","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132263054","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":"Detection of Mycobacterium Tuberculosis IgM and IgG Antibodies and Associated Risk Factors Among Apparently Healthy Undergraduate Students of a Private University in South-West Nigeria","authors":"Seyi S. Enitan, Morenikeji Hannah Adeniyi, S. Junaid, Ernest Chibuike Ohanu, N. Ogbonna, Effiong Effiong Joseph, G. Itodo, O. Adekunbi, Joan Odigie, Ayomide Ruth Olabanji","doi":"10.30560/mhs.v4n2p6","DOIUrl":"https://doi.org/10.30560/mhs.v4n2p6","url":null,"abstract":"Background: Infection with Mycobacterium tuberculosis (TB) is frequent among Nigerians. Many people are infected without realizing it (asymptomatic) and thus provide a risk of transmission to others. Not only will early treatment prevent TB complications, but it will also help to break the infection cycle in a community. \u0000Objective: The study was conducted to determine the prevalence of Mycobacterium tuberculosis IgM and IgG antibodies and associated risk factors among apparently healthy undergraduate Students of Babcock University, Ilishan-Remo, Ogun State. \u0000Methodology: The serum samples of 100 consenting participants were collected randomly and screened for TB antibodies using Aria TB IgG/IgM Combo Rapid Antibody Test Cassette (CTK Biotech Inc. Poway, CA 92064, USA). A structured questionnaire was administered to consenting students to obtain information on their bio-data (e.g, the age, sex, study level etc.), as well as clinical information regarding their health (History of TB, history of BCG vaccination, use of anti-TB medications, alcohol consumption, smoking habits etc.). \u0000Results: The outcome of this study shows that 15 (15%) out of the 100 participants screened, were positive for TB IgG antibody, while, only 1 (1%) person was positive for TB IgM antibody. There was no significant association (P>0.05) between percentage TB IgG positivity and the socio-demographic characteristics of the study participants (gender, age, study level and tribe), except for religion. The percentage of TB IgG positivity among the study participants was found to be significantly higher than of TB IgM positivity (P<0.05). None of the 15 participants who tested positive to TB IgG indicated any of the signs and symptoms (persistent cough, chest pain, nausea, fever, chills, loss of appetite, fatigue and night sweat) associated with TB), however the only person who tested positive for TB IgM indicated all, except night sweat. Identified risk factors associated with the occurrence of TB IgM include history of TB, lack of BCG vaccination, history of diabetes and physical unfitness. \u0000Conclusion: The findings of this study show that asymptomatic and latent tuberculosis infection exists among the study participants, and that if left untreated, it will progress to active tuberculosis with all of its associated complications, including death. This emphasizes the importance of ongoing public health education, BCG vaccination, and periodic screening to detect asymptomatic cases in the study population in order to break the infection cycle.","PeriodicalId":421866,"journal":{"name":"Modern Health Science","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121812834","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 Between Specificity and Precision in Writing the Main Diagnosis and Accuracy of Main Diagnosis Codes with Financing Claims in Cases of DM in Dr Radjiman Wediodiningrat Hospital, Lawang","authors":"Endang Sri Dewi Hastuti Suryandari","doi":"10.30560/mhs.v2n2p26","DOIUrl":"https://doi.org/10.30560/mhs.v2n2p26","url":null,"abstract":"Specificity and precision in writing the main diagnosis will give the accuracy of diagnosis code, and proper code will give an impact on the appropriate of the cost using INA-CBGs. Research objectives was to analyze the specificity and precision in writing the main diagnosis and the accuracy of main diagnosis code based on ICD-10, also the claims of financing in the case of Diabetes Mellitus (DM) in RSJ Dr. Radjiman Wediodiningrat Lawang, as well as analyzed their relationship. This type of research was a cross sectional correlasional. Independent variables were the specificity and precision in writing the main diagnosis and the accuracy of main diagnosis code, and the dependent variable was the claim of financing. The number of samples analyzed were 50 inpatient medical record document (MRD) of DM cases which hospitalization from January to September 2017, selected by simple random sampling. The results showed the unspecific and unprecise in writing the main diagnosis of DM disease had a risk 1.6 times greater impacting the inaccuracy the main diagnosis code of DM disease (95% CI: 1.05 - 2.30) and 1.8 times greater resulting in the claims for financing treatment not accordance (95% CI: 1.03 - 3.12). An internal verification team is needed for submission of financing claims, consisting of elements from the medical committee, medical recorders and other related elements, as well as conducting periodic monitoring and evaluation of how to write the main diagnoses and their coding.","PeriodicalId":421866,"journal":{"name":"Modern Health Science","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115680099","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":"Index of Independence","authors":"Ilija Barukčić","doi":"10.30560/mhs.v2n2p1","DOIUrl":"https://doi.org/10.30560/mhs.v2n2p1","url":null,"abstract":"Objective. Under certain circumstances, the results of multiple investigations – particularly, rigorously-designed trials, can be summarized by systematic reviews and meta-analyses. However, the results of properly conducted meta-analyses can but need not be stronger than single investigations, if (publication) bias is not considered to a necessary extent. \u0000Methods. In assessing the significance of publication bias due to study design simple to handle statistical measures for quantifying publication bias are developed and discussed which can be used as a characteristic of a meta-analysis. In addition, these measures may permit comparisons of publication biases between different meta-analyses. \u0000Results. Various properties and the performance of the new measures of publication bias are studied and illustrated using simulations and clearly described thought experiments. As a result, individual studies can be reviewed with a higher degree of certainty. \u0000Conclusions. Publication bias due to study design is a serious problem in scientific research, which can affect the validity and generalization of conclusions. The index of unfairness and the index of independence are of use to quantify publication bias and to improve the quality of systematic reviews and meta-analyses.","PeriodicalId":421866,"journal":{"name":"Modern Health Science","volume":"11 10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126170836","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":"Screening, Sensitivity, Specificity, and So Forth: A Second, Somewhat Skeptical, Sequel","authors":"Robert Trevethan","doi":"10.30560/MHS.V2N1P60","DOIUrl":"https://doi.org/10.30560/MHS.V2N1P60","url":null,"abstract":"This article is concerned with the sensitivity, specificity, predictive values, and other metrics associated with screening tests. It has direct origins in two previous articles. In this third article, the author of the first article writes about topics and issues that were addressed only minimally in his previous article and expands on topics raised by authors of the second article. In particular, attention is turned to wording and terminology that can be idiosyncratic and confusing with regard to screening versus diagnosis as well as to issues associated with reference (“gold”) standards and screening tests, and to the importance of cutpoints and prevalence in relation to metrics associated with screening tests. The primary aims are to help readers attain clarity about topics that they might have felt unsure about; gain reassurance about conceptual difficulties in the field that, once recognized for what they are, can become less problematic because it is possible to be confident about not being confident; and, where appropriate, adopt an appropriately skeptical attitude about screening tests and their associated metrics. Examples are drawn from the use of ankle–brachial and toe–brachial indices for identifying peripheral artery disease, although wider applicability is intended.","PeriodicalId":421866,"journal":{"name":"Modern Health Science","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122018168","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":"Index of Unfairness","authors":"Ilija Barukčić","doi":"10.30560/mhs.v2n1p22","DOIUrl":"https://doi.org/10.30560/mhs.v2n1p22","url":null,"abstract":"Objective. Objective scientific knowledge for many authors more valuable than true subjective belief is determined by research on primary data but a renewed analysis of already recorded or published data is common too. Ever since, an appropriate experimental or study design is an important and often a seriously underappreciated aspect of the informativeness and the scientific value of any (medical) study. The significance of study design for the reliability of the conclusions drawn and the ability to generalize the results from the sample investigated for the whole population cannot be underestimated. In contrast to an inappropriate statistical evaluation of a medical study, it is difficult to correct errors in study design after the study has been completed. Various mathematical aspects of study design are discussed in this article. \u0000Methods. In assessing the significance of a fair study design of a medical study, important measures of publication bias are introduced. Methods of data or publication bias analysis in different types of studies are illustrated through examples with fictive data. Formal mathematical requirements of a fair study design which can and should be fulfilled carefully with regard to the planning or evaluation of medical research are developed. \u0000Results. Various especially mathematical aspects of a fair study design are discussed in this article in detail. Depending on the particular question being asked, mathematical methods are developed which allow us to recognize data which are self-contradictory and to exclude these data from systematic literature reviews and meta-analyses. As a result, different individual studies can be summed up and evaluated with a higher degree of certainty. \u0000Conclusions. This article is intended to give the reader guidance in evaluating the design of studies in medical research even ex post which should enable the reader to categorize medical studies better and to assess their scientific quality more accurately.","PeriodicalId":421866,"journal":{"name":"Modern Health Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129058327","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":"Epstein Barr Virus and Atrial Fibrillation","authors":"Ilija Barukčić","doi":"10.30560/mhs.v2n1p1","DOIUrl":"https://doi.org/10.30560/mhs.v2n1p1","url":null,"abstract":"Objective: Atrial fibrillation (AF) is very frequent and clinically significant arrhythmia. The incidence of atrial fibrillation is continuously rising. Meanwhile several risk factors for AF development have been identified but the etiology is not cleared. \u0000Methods: A systematic review and re-analysis of studies which investigated the relationship between AF and some risk factors was conducted. The method of the conditio sine qua non relationship, the method of the conditio per quam relationship, the method of the exclusion relationship and the mathematical formula of the causal relationship k were used to proof the hypothesis. Significance was indicated by a p-value of less than 0.05. \u0000Results: The studies analyzed were able to provide direct and indirect evidence that AF is caused by a process of inflammation while a direct identification of the factor causing AF was not possible. Still, it appears to be very probable that Epstein-Barr virus (EBV) is the cause of AF.  \u0000Conclusion: Atrial fibrillation (AF) appears to be caused by an EBV inflammatory process.","PeriodicalId":421866,"journal":{"name":"Modern Health Science","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133854660","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":"Studies on the Lipid Profiles of Wistar Rat Models Treated with Aqueous and Methanolic Leaf Extracts of Alchornea Cordifolia and Thaumatococcus Daniellii","authors":"K. Osuocha, E. Ogbonnaya, E. O. Nweke, D. Ejiofor, P. Njoku","doi":"10.30560/MHS.V1N2P46","DOIUrl":"https://doi.org/10.30560/MHS.V1N2P46","url":null,"abstract":"This study aims at establishing the effect of T. daniellii and A. cordifolia leaf extracts on the lipid profile of experimental rat models. A total of twenty five (25) adult male wistar rats were used for the study. The rats were divided into five groups of five rats each. Group I (normal control) was administered with 2ml/kg distilled water p.o. Group II was administered with 200mg/kg aqueous leaf extract of T. daniellii p.o. Group III was administered with 200mg/kg methanolic leaf extract of T. daniellii p.o. Group IV and V were administered with 200mg/kg aqueous and methanolic leaf extracts of A. cordifolia respectively. Administration of extracts lasted for 14 days after which animals were sacrificed and serum developed from blood samples was collected and used for analysis to evaluate the lipid profiles of experimental models using standard methods. Results obtained from the study show that the highest level of Low Density Lippoprotein (LDL) (31.21±0.04 mg/dL) was recorded on Group II and was not significantly different from the control group (33.20±0.10 mg/dL). However, for High Density Lipoprotein (HDL), the highest level was recorded on Group IV (48.14±0.08mg/dL). Similarly, this was not significantly different from the Control group (51.80±0.10mg/dL). Group II presented the highest level of Triacylglyceride (TG) (48.80±0.02mg/dL), which however, was considered not significantly different from the control group (51.17±0.08mg/dL). For Total Cholesterol (TC), highest level (64.64±0.49mg/dL) was recorded on Group II and value was not significantly different from that recorded on the normal control (63.83±0.10mg/dL). In conclusion, it can be deduced from this study that extracts of T. daniellii and A. cordifolia lacks the potential to alter the lipid profile of patients depending on them for one medicinal use or the other and may thus be considered potential candidates for drug development.","PeriodicalId":421866,"journal":{"name":"Modern Health Science","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134290151","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}