GHM open最新文献_第3页

Evaluation of interventions to improve clinical practices for hypertension in health facilities in rural Zambia: A cross-sectional study. 评价改善赞比亚农村医疗机构高血压临床实践的干预措施：一项横断面研究。

GHM open Pub Date : 2024-11-30 DOI: 10.35772/ghmo.2023.01013

Yuta Yokobori, Ngosa Mumba, George Munono Sitali, Motoyuki Yuasa

{"title":"Evaluation of interventions to improve clinical practices for hypertension in health facilities in rural Zambia: A cross-sectional study.","authors":"Yuta Yokobori, Ngosa Mumba, George Munono Sitali, Motoyuki Yuasa","doi":"10.35772/ghmo.2023.01013","DOIUrl":"10.35772/ghmo.2023.01013","url":null,"abstract":"Responding to high disease burden of Hypertension (HTN), the Ministry of Health in Zambia considers improving services related to HTN a national priority. Therefore, this study evaluated the interventions for HTN pharmaceutical treatment by training of health staffs and procurement of necessary medical devices. We investigated service provision in the outpatient department (OPD) visits among patients aged 40 years and above in randomly selected health facilities in Chongwe district, between May and December 2017, before and after the interventions. The proportion of OPD visits that included standard clinical practices for HTN services significantly increased post-intervention: 45.8% to 71.9% for blood pressure screening, 26.8% to 31.8% for HTN diagnosis, and 14.2% to 20.9% for HTN medication. The proportion of OPD visits at which HTN medication was prescribed increased significantly post-intervention among patients with Grade 2 HTN or above, from 68.3% to 86.0%. The estimated district-wide monthly cost for HTN services in USD was $1,905 at baseline and increased to $2,643 post-intervention. These results suggest that improving HTN service provision is feasible and affordable at the district level. However, because a large number of individuals in need of HTN medication did not access a health facility, further investigation is required to estimate the expected effects and costs under improved access in the future.","PeriodicalId":520484,"journal":{"name":"GHM open","volume":"4 2","pages":"59-68"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unit costs of health services provided at hospitals and health centres in two provinces of Zambia. 赞比亚两个省医院和保健中心提供保健服务的单位费用。

GHM open Pub Date : 2024-11-30 DOI: 10.35772/ghmo.2023.01023

Patrick Banda, Yuta Yokobori, Shinobu Ashida, Felix Masiye, Oliver Kaonga, Hideki Higashi

{"title":"Unit costs of health services provided at hospitals and health centres in two provinces of Zambia.","authors":"Patrick Banda, Yuta Yokobori, Shinobu Ashida, Felix Masiye, Oliver Kaonga, Hideki Higashi","doi":"10.35772/ghmo.2023.01023","DOIUrl":"10.35772/ghmo.2023.01023","url":null,"abstract":"In Zambia, information on cost of services provided at health facilities are deficient. This study aims to contribute to fill this knowledge gap by estimating the unit costs of health services provided at different levels of health facilities. This costing exercise used cross-sectional data for the year 2016. Fourteen facilities were purposefully selected to represent different levels of health facilities and mix of characteristics. We used an accounting-based approach to calculate the unit costs of health services. Specifically, we employed the top-down approach to allocate total overhead costs incurred over to different services that were provided at the facility. Full costs of health facilities varied substantially between different levels, and even between facilities within the same level (particularly between health centres). The compositions of cost items within any facility were largely dominated by labour and material costs, each of which contributing approximately half the shares, whilst the proportion of capital costs remained small irrespective of the levels. Unit costs of outpatient services in the health centres ranged from ZMW 15 (USD 1.3) to ZMW 30 (USD 2.7) without medical consumables, while inpatient costs were between ZMW250 (USD 22.2) and ZMW 1,300 (USD 115.6) per admission and ZMW 140 (USD 12.4) to ZMW 500 (USD 44.4) per bed-day. Unit costs between services provided at the same facility exhibit fairly comparable pattern. The findings from this study provides useful information of unit costs for referencing in future studies. Further, the variations of unit costs among facilities with different characteristics provides policy relevant information for health administrators and policy makers.","PeriodicalId":520484,"journal":{"name":"GHM open","volume":"4 2","pages":"69-79"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pain relief effect of metoclopramide vs. sumatriptan for acute migraine attack: A single-center, open-label, cluster-randomized controlled non-inferiority trial. 甲氧氯普胺与舒马普坦对急性偏头痛发作的镇痛效果：一项单中心、开放标签、集群随机对照非劣效性试验

GHM open Pub Date : 2024-11-30 DOI: 10.35772/ghmo.2023.01026

Yumi Funato, Akio Kimura, Wataru Matsuda, Tatsuki Uemura, Kentaro Kobayashi, Ryo Sasaki

{"title":"Pain relief effect of metoclopramide vs. sumatriptan for acute migraine attack: A single-center, open-label, cluster-randomized controlled non-inferiority trial.","authors":"Yumi Funato, Akio Kimura, Wataru Matsuda, Tatsuki Uemura, Kentaro Kobayashi, Ryo Sasaki","doi":"10.35772/ghmo.2023.01026","DOIUrl":"10.35772/ghmo.2023.01026","url":null,"abstract":"Triptans are recommended as a treatment for moderate to severe migraines; however, barriers to administration include contraindications or possible side effects. In contrast, metoclopramide, which is frequently used as an antiemetic in the emergency department setting, has shown efficacy in alleviating migraine pain. This study investigated the non-inferiority of intravenously (IV) administered metoclopramide 10 mg compared with subcutaneously (SQ) administered sumatriptan 3 mg for alleviating migraine pain. In this single-center, open-label, cluster-randomized controlled trial, patients presenting to the emergency department with migraine attacks were allocated to either the IV metoclopramide 10 mg group or the SQ sumatriptan 3 mg group. The primary outcome was change in numerical rating scale (NRS) score for headache at 1 h after baseline. The non-inferiority margin was set as -1.0 NRS points. Thirty-six patients were enrolled over a period of 3 years, starting from July 2019. Reduction in NRS at 1 h was 4.1 (95% confidence interval [CI]: 2.8, 5.4) in the metoclopramide group and 5.2 (95% CI: 4.2, 6.1) in the sumatriptan group, with a mean difference of -1.1 (95% CI: -2.7, 0.4), indicating that metoclopramide was not non-inferior to sumatriptan. Four patients required rescue medication: 3 (18%) in the metoclopramide group and 1 (7%) in the sumatriptan group (p = 0.34). There were no serious adverse events in either group. One hour after metoclopramide administration, migraine pain was reduced compared with baseline, but metoclopramide did not demonstrate non-inferiority for alleviating acute migraine pain compared with sumatriptan.","PeriodicalId":520484,"journal":{"name":"GHM open","volume":"4 2","pages":"95-98"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quality improvement of the national examination for nurses and midwives in Lao Peoples Democratic Republic. 老挝人民民主共和国护士和助产士国家考试质量的提高。

GHM open Pub Date : 2024-11-30 DOI: 10.35772/ghmo.2024.01009

Shiori Nagatani, Kazuki Miyazaki, Toyomitsu Tamura, Kyoko Koto-Shimada, Phengdy Inthaphanith, Souksavanh Phanpaseuth, Anousone Sisoulath, Bounpasith Khamkong, Makiko Mori

{"title":"Quality improvement of the national examination for nurses and midwives in Lao Peoples Democratic Republic.","authors":"Shiori Nagatani, Kazuki Miyazaki, Toyomitsu Tamura, Kyoko Koto-Shimada, Phengdy Inthaphanith, Souksavanh Phanpaseuth, Anousone Sisoulath, Bounpasith Khamkong, Makiko Mori","doi":"10.35772/ghmo.2024.01009","DOIUrl":"10.35772/ghmo.2024.01009","url":null,"abstract":"The quality of national licensing examinations is critical to ensuring a competent health workforce. This communication analyzes the process of improving examination questions for nurses and midwives in the Lao People's Democratic Republic (Lao PDR). Following the Ministry of Health's 2014 amendment to the Law on Health Care and the 2015 approval of the Strategy on Healthcare Professional Licensing and Registration System, a national licensing examination was initiated. Supported by the Japan International Cooperation Agency, the Nursing and Midwifery Board has conducted the annual examination since 2019, with 2,000 candidates participating to date. A continuous quality improvement cycle involving statistical analysis, revision, and new question creation has been implemented. Results showed significant improvement in key indicators such as correct answer rates and point-biserial correlations. These efforts highlight the importance of continuous quality improvement and collaboration between educators and clinicians, providing a model for enhancing healthcare professional licensing examinations.","PeriodicalId":520484,"journal":{"name":"GHM open","volume":"4 2","pages":"108-111"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Scaling-up hepatitis B testing and treatment and adapting response during COVID-19: Experience of the demonstration pilot in Central Luzon Region, Philippines. COVID-19期间扩大乙型肝炎检测和治疗并调整应对措施：菲律宾吕宋岛中部地区示范试点的经验

GHM open Pub Date : 2024-11-30 DOI: 10.35772/ghmo.2024.01005

Eugene Arbis, Maria Nerissa Dominguez, Jose Eduardo Chua, Rajendra Prasad Hubraj Yadav, Joseph Michael Manlutac, Po-Lin Chan

{"title":"Scaling-up hepatitis B testing and treatment and adapting response during COVID-19: Experience of the demonstration pilot in Central Luzon Region, Philippines.","authors":"Eugene Arbis, Maria Nerissa Dominguez, Jose Eduardo Chua, Rajendra Prasad Hubraj Yadav, Joseph Michael Manlutac, Po-Lin Chan","doi":"10.35772/ghmo.2024.01005","DOIUrl":"10.35772/ghmo.2024.01005","url":null,"abstract":"This study aimed to describe the experience of scaling up hepatitis B virus (HBV) testing and treatment services during the COVID-19 pandemic in Central Luzon, Philippines. In 2019, service delivery networks (SDN) were established across all health system levels, linking tertiary and secondary care to primary units. Routine screening began at primary healthcare facilities, increasing HBV case detection. Community outreach improved public screening. However, the pandemic severely disrupted services, leading to the implementation of telephone hotlines and courier services for chronic treatment support. A pilot project review from August 2019 to September 2020 revealed that over 50,000 individuals were screened, with over a thousand testing positive for HBV. Thirteen percent of positive cases were eligible and enrolled for treatment. The pilot demonstrated successful scaling of HBV testing and treatment and the ability to adapt service delivery during the pandemic.","PeriodicalId":520484,"journal":{"name":"GHM open","volume":"4 2","pages":"99-102"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Direct aortic suture technique for anomalous systemic arterial supply to the basal lung: A retrospective cohort study. 直接主动脉缝合技术治疗基底肺异常全身动脉供应：一项回顾性队列研究。

GHM open Pub Date : 2024-11-30 DOI: 10.35772/ghmo.2023.01029

Keigo Sekihara, Kayoko Natsume, Tomoya Tajiri, Motohisa Shibata, Takamitsu Hayakawa, Yuko Ohashi, Yusuke Takanashi, Akikazu Kawase, Naoki Washiyama, Norihiko Shiiya, Kazuhito Funai

{"title":"Direct aortic suture technique for anomalous systemic arterial supply to the basal lung: A retrospective cohort study.","authors":"Keigo Sekihara, Kayoko Natsume, Tomoya Tajiri, Motohisa Shibata, Takamitsu Hayakawa, Yuko Ohashi, Yusuke Takanashi, Akikazu Kawase, Naoki Washiyama, Norihiko Shiiya, Kazuhito Funai","doi":"10.35772/ghmo.2023.01029","DOIUrl":"10.35772/ghmo.2023.01029","url":null,"abstract":"Anomalous systemic arterial blood supply to the basal lung (ABLL) is a rare congenital malformation. Although surgical resection is the standard treatment, the surgical techniques for aberrant arteries remain poorly discussed. Herein, we evaluated the efficacy of our direct suture closure technique in preventing aneurysmal changes in aberrant artery stumps through a retrospective review of the medical records of patients who underwent surgical resection of ABLL at our institution between January 2013 and January 2023. The diagnosis of ABLL was based on enhanced computed tomography (CT) findings. To treat ABLL, we performed lateral thoracotomy through the 5th intercostal space via a ~10 cm skin incision. After anatomical pulmonary resection, the aortic stump of the aberrant artery was sutured directly with a felted non-absorbable thread. In one patient, we further examined the postoperative blood flow using 4D-flow magnetic resonance imaging. Overall, 5 consecutive patients, including four (80%) females with a median age at operation of 59-year-old, were assessed. The median operative time was 166 min, and the median blood loss was 34 ml. There were no cases of perioperative mortality or morbidity, and the median hospital stay was 8 days. No vortex flow was observed in 4D-flow evaluation of blood flow. Histological changes were observed in the aberrant artery, including fibrous intimal thickening, atherosclerosis, intramural thrombus, and collection of foam cells and lymphocytes. Thus, we present this technique as a safe treatment for ABLL that allows for the preservation of blood flow and complete resection of abnormal vessels.","PeriodicalId":520484,"journal":{"name":"GHM open","volume":"4 2","pages":"91-94"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Materiality of evidence-based policy making for child and adolescent psychiatry in Japan. 日本儿童和青少年精神病学循证政策制定的重要性。

GHM open Pub Date : 2024-11-30 DOI: 10.35772/ghmo.2023.01016

Masahide Usami

引用次数: 0

Validity of vaccination information in the COVID-19 surveillance system in Japan: Implications for developing efficient and highly valid data collection systems in future pandemics. 日本COVID-19监测系统中疫苗接种信息的有效性：对在未来大流行中开发高效和高度有效的数据收集系统的影响

GHM open Pub Date : 2024-11-30 DOI: 10.35772/ghmo.2024.01007

Yuki Horie, Chieko Ishiguro, Wataru Mimura, Megumi Maeda, Fumiko Murata, Haruhisa Fukuda

{"title":"Validity of vaccination information in the COVID-19 surveillance system in Japan: Implications for developing efficient and highly valid data collection systems in future pandemics.","authors":"Yuki Horie, Chieko Ishiguro, Wataru Mimura, Megumi Maeda, Fumiko Murata, Haruhisa Fukuda","doi":"10.35772/ghmo.2024.01007","DOIUrl":"10.35772/ghmo.2024.01007","url":null,"abstract":"Japan's government developed the Health Center Real-time Information-sharing System on COVID-19 (HER-SYS), the national COVID-19 surveillance system, which relies on manual data entry. Following the COVID-19 vaccination campaign, physicians were mandated to report COVID-19 cases with vaccination history via HER-SYS. However, concerns have arisen regarding the accuracy of this vaccination history. This study aimed to assess the validity of vaccination history recorded in HER-SYS. We used data from HER-SYS provided by three municipalities. The study cohort comprised COVID-19 cases registered in HER-SYS from February 2021 to March 2022. The validity of vaccination history in HER-SYS was assessed by cross-referencing with the Vaccination Record System (VRS) of these municipalities. We calculated sensitivity to gauge the extent of missing data in HER-SYS, and positive predictive value (PPV) to evaluate the accuracy of data entered into HER-SYS. Of the 19,260 COVID-19 cases included in the study cohort, HER-SYS and VRS identified 3,257 and 8,323 cases, respectively, as having the first-dose vaccination history. Cross-referencing identified 3,093 cases as true positives in HER-SYS. The sensitivity was 37.2% (95% confidence interval [CI]: 36.1-38.2) and the PPV was 95.0% (95% CI: 94.2-95.7). Collection of vaccination data by HER-SYS was found to be inadequate to obtain information on vaccination history of COVID-19 cases. This suggests that real-time data linkage across different systems such as HER-SYS and VRS would reduce the burden of manual data entry during the pandemic and lead to appropriate infection control measures based on more accurate information.","PeriodicalId":520484,"journal":{"name":"GHM open","volume":"4 2","pages":"84-90"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

2020 and 2021 web-based training program on children's mental health during the COVID-19 pandemic. 2020年和2021年关于2019冠状病毒病大流行期间儿童心理健康的网络培训计划。

GHM open Pub Date : 2024-11-30 DOI: 10.35772/ghmo.2024.01008

Crystal Amiel Estrada, Masahide Usami, Naoko Satake, Ernesto Gregorio, Ma Cynthia Leynes, Norieta Balderrama, Japhet Fernandez de Leon, Rhodora Andrea Concepcion, Cecile Timbalopez, Vanessa Kathleen Cainghug, Noa Tsujii, Ikuhiro Harada, Jiro Masuya, Hiroaki Kihara, Kazuhiro Kawahara, Yuta Yoshimura, Yuuki Hakoshima, Jun Kobayashi

{"title":"2020 and 2021 web-based training program on children's mental health during the COVID-19 pandemic.","authors":"Crystal Amiel Estrada, Masahide Usami, Naoko Satake, Ernesto Gregorio, Ma Cynthia Leynes, Norieta Balderrama, Japhet Fernandez de Leon, Rhodora Andrea Concepcion, Cecile Timbalopez, Vanessa Kathleen Cainghug, Noa Tsujii, Ikuhiro Harada, Jiro Masuya, Hiroaki Kihara, Kazuhiro Kawahara, Yuta Yoshimura, Yuuki Hakoshima, Jun Kobayashi","doi":"10.35772/ghmo.2024.01008","DOIUrl":"10.35772/ghmo.2024.01008","url":null,"abstract":"COVID-19 adversely affected mental health care and service delivery globally. Continuing its thrust on improving child and adolescent mental health, the National Center for Global Health and Medicine conducted a training program in collaboration with the University of the Ryukyus, University of the Philippines Manila, the National Center for Mental Health, and the Philippine Society of Child and Adolescent Psychiatry in 2020 and 2021 to discuss the situation, challenges, and good practices in mental health treatment, care, and promotion for children and adolescents during the COVID-19 pandemic. Composed of 15 on-demand lectures and a webinar on three general mental health themes, the training identified the need for strengthening the provision of care not only in specialized health facilities but also in empowering communities in addressing children and adolescent mental health concerns. Collaboration between different stakeholders is needed to ensure child and adolescent well-being during public health emergencies.","PeriodicalId":520484,"journal":{"name":"GHM open","volume":"4 2","pages":"103-107"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bridging the gap: International efforts and behavioral strategies to combat COVID-19 vaccine wastage. 弥合差距：应对COVID-19疫苗浪费的国际努力和行为战略。

GHM open Pub Date : 2024-07-31 DOI: 10.35772/ghmo.2023.01011

Yudai Kaneda, Mira Namba, Rei Goto, Kurenai Takebayashi, Masaki Takebayashi

引用次数: 0