Quality in primary care最新文献

{"title":"Management of Pain Induced By Exercise and Mobilization During Physical Therapy Programs: Views of Patients and Care Providers","authors":"Naveena Sadu","doi":"10.36648/1479-1072.29.2.22","DOIUrl":"https://doi.org/10.36648/1479-1072.29.2.22","url":null,"abstract":"Exercise and Activity in Pain Management The International Association for Study of Pain (IASP) defines pain as “An unpleasant sensory and emotional expertise related to, or resembling that related to, actual or potential tissue harm.” It any states that “pain is often subjective, and every individual learns the applying of the word through experiences associated with injury in childhood.” IASP conjointly argues that activity iatrogenic in nociceptor and sensitive pathways by harmful stimulation isn't pain. For folks littered with pain, their initial response is to avoid activity and look for rest. And however exercise medical aid is usually prescribed as a treatment choice to manage pain. There square measure famed advantages of exercise and regular physical activity. government agency lists following because the advantages of physical activity: controls weight, reduces risk of illness disorder upset and metabolic disease, reduces risk of some cancers, strengthens bones and muscles, improves psychological state and mood, improves ability to perform daily activities and forestall falls, and will increase probabilities of living longer. Exercises and physical activity not solely have advantages in healthy individual however conjointly haswell-tried advantages in patients. Considering this some authors have postulated a plan that exercise ought to be thought of as a drug [1]. And infrequently most significant advantage of exercise for patients is improved pain control [2","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"112 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85872412","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":"Approach to Urticaria From Emergency Services and Primary Care","authors":"Akhila Sabbineni","doi":"10.36648/1479-1072.29.4.49","DOIUrl":"https://doi.org/10.36648/1479-1072.29.4.49","url":null,"abstract":"Urticaria may be a unwellness characterised by erythroderma, edematous, fretful and transient urticarial plaques, and covering the skin and mucose membranes. conjointly referred to as hives among individuals. it's a awfully common entity. 8.8–20% of people within the community expertise associate degree attack of rash a minimum of once in their lifespan [1]. It are often seen all told ages and sexes however is slightly a lot of common in young adults. In 40–50% of the patients, rash and angioedema area unit seen together, solely rash or angioedema is seen in four-hundredth and two hundredth of the individuals, severally [2]. Rash unremarkably presents with intensely pruritic wheals, typically with swelling of the connective tissue or animal tissue. it's a lifespan prevalence of regarding two hundredth. though typically ending and benign, it will cause vital discomfort, continue for months to years, and uncommonly represent a heavy general unwellness or severe aversion. rash is caused by antibody Eand non–immunoglobulin E-mediated unharness of amine and different inflammatory mediators from mast cells and basophils. identification is formed clinically; hypersensitivity reaction should be dominated out. Chronic rash is disorder in eightieth to ninetieth of cases. solely a restricted nonspecific laboratory workup ought to be thought of unless components of the history or physical examination recommend specific underlying conditions. The mainstay of treatment is turning away of triggers, if known. The first-line pharmacotherapy is second-generation H1 antihistamines, which may be titrated to bigger than customary doses. First-generation H1 antihistamines, H2 antihistamines, leukotriene receptor antagonists, high-potency antihistamines, and transient steroid bursts could also be used as connected treatment. In refractory chronic rash, patients are often remarked subspecialists for added treatments, like omalizumab or cyclosporine. quite common fraction of patients with chronic rash can have resolution or improvement of symptoms at intervals a year [3].","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"475 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82591513","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":"Integrating the safety of Patients on Nursing Education and Educating Future Leaders in Patient Safety","authors":"M. Razak","doi":"10.36648/1479-1072.21.29.110-111","DOIUrl":"https://doi.org/10.36648/1479-1072.21.29.110-111","url":null,"abstract":"Patient security is essential to safe patient consideration. Albeit the standards and ideas of patient security are recognized as a basic piece of wellbeing proficient schooling and preparing, numerous medical care suppliers and scholastics stay questionable concerning how to coordinate patient wellbeing into medical care training and clinical consideration, and are yet to incorporate patient wellbeing information into bedside practice.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90524674","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":"Utilization and Associated Factors of Emergency Contraception among Female College Students in Addis Ababa, Ethiopia","authors":"E. Sendo, Kassahun Fikadu","doi":"10.36648/1479-1072.29.1.01-07","DOIUrl":"https://doi.org/10.36648/1479-1072.29.1.01-07","url":null,"abstract":"Background: Increasing the access and availability of modern contraceptives with emergency contraceptives prevent unplanned pregnancy. In Ethiopia, the rate of unintended pregnancy is high among adolescents. The role of the Emergency contraceptive is confirming in the prevention of unplanned pregnancy and its sequels. However, the use of emergency contraceptives in cities like Addis Ababa is verylow. Given that unsafe abortion is the leading cause of maternal mortality, appropriate use of emergency contraceptives as back up for regular contraceptive is therefore needed. Objective: This study has assessed the practice of emergency contraception and associated factors among female students in ALKAN Health Science Business and Technology (HSBT) College, Addis Ababa, Ethiopia. Methods: An institution-based study among 271 female ALKAN Health Science Business Technology College, Addis Ababa campus students using a self-administered questionnaire. The study subjects were selected randomly using a stratified sampling technique. We used both descriptive summaries statistics and logistic regression to present the study findings. Results: The majority (93.3%) had emergency contraceptives awareness. Among those who had heard about an emergency contraceptive, 81.5% had good emergency contraceptive knowledge. The magnitude of participants who had used emergency contraceptive was 12.9%, where oral pills (93.3%) were the most frequently used method. Factors significantly associated with the use of emergency contraception were user being sexually active [AOR=124.0, 95%CI=33.4-61.1)], age less than or equal to 20 years [AOR=5.7, 95%CI=2.35-3.91)], and being single [AOR=6.2, 95%CI= 1.91-20.0)]. Conclusion: Efforts should be made to educate college female students on emergency contraceptives usage in their formal lesson.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91088436","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":"Healthcare Providers on the Frontline Against the COVID-19 Pandemic","authors":"N. Nuthalapati","doi":"10.36648/1479-1072.29.2.21","DOIUrl":"https://doi.org/10.36648/1479-1072.29.2.21","url":null,"abstract":"COVID-19 has affected the life and health of over one million individuals across the planet. This overwhelms several countries’ tending systems, and, of course, affects tending suppliers like nurses fighting on the frontlines to safeguard the lives of everybody affected. Exploring the problems that nurses face throughout their battle can facilitate support them and develop protocols and plans to boost their state. Thus, this integrative review can explore the problems facing Health care supplier throughout their response to the COVID-19 crisis. the key problems facing nurses during this state of affairs square measure the important shortage of nurses, beds, and medical provides, as well as personal and protecting instrumentation, as reviews indicate, psychological changes and fears of infection among nursing employees. The implications of those findings may facilitate to produce support and establish the wants of nurses all told affected countries to confirm that they will work and answer this crisis with additional confidence. Moreover, this can facilitate enhance state for pandemics and contemplate problems once drawing up crisis plans. the advice is to support the nurses, since they're a important line of defense. Indeed, additional analysis should be conducted within the field of pandemics concerning nursing.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84470606","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":"Preterm birth and factors: An institution based cross-sectional study in case of southern Ethiopia","authors":"Kassahun Fikadu, A. Belete, Gabriela Gebrekidan, Hirut Ataklti, Talegeta Fikadu, Tariku Belay, Henok Asaminew","doi":"10.36648/1479-1072.29.1.08-14","DOIUrl":"https://doi.org/10.36648/1479-1072.29.1.08-14","url":null,"abstract":"Background: Despite all the effort it has been taken, preterm birth is the most prevailed problem in modern obstetrics, in which it 40% of under-five death is accounted due to prematurity. In Ethiopia, 34% of neonatal deaths prematurity are because of prematurity. The multifactorial nature of factors related to preterm birth makes its etiology of poorly understood. In this regard, the evidence is limited in the study area. Therefore, this study aimed to assess preterm birth and associated factors in Southern Ethiopia. Methods: A hospital-based cross-sectional study was conducted on 258 samples from February to April 2018 in Jinka General hospital, Southern Ethiopia. By using face-to- face interviews, the data were collected and extracted using a structured extraction sheet from mothers' charts. Gestational age was calculated either by using the last menstrual period or Ballard maturity examination. Binary logistic regression was applied to control confounders. Results: Among mothers (n=258) enrolled in this study data on preterm birth was revealed 28.4%, in which the average age of subjects were between 18 to 34 years. The probability. of developing preterm birth were increased among subjects with gestational diabetes mellitus and no antenatal attendance (AOR=4.65, 95% CI=1.46, 14.80) was found to have a significant statistical association with preterm birth. Conclusion: The mangnitude of preterm birth in jinka general hospital was 28.4%. Having no antenatal visit and diabetes mellitus during pregnancy were significantly associated with preterm birth. Women should be encouraged to receive antenatal care in order to mitigate preterm birth in the study area. It is essential to give attention to increase the number of pregnant women who are visiting a hospital for perinatal care, yet further investigation is needed.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73036351","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":"Internet Use Patterns, Internet Addiction and Its Association With Psychological Self-Esteem Among Bahir Dar University Students, Ethiopia","authors":"Y. Y. Yedemie","doi":"10.36648/1479-1072.29.3.27-35","DOIUrl":"https://doi.org/10.36648/1479-1072.29.3.27-35","url":null,"abstract":"Background: Internet addiction is a common problem in university students and negatively affects cognitive functioning, leads to poor academic performance and engagement in hazardous activities, and may lead to anxiety and stress. Behavioural addictions operate on a modified principle of the classic addiction model. The problem is not well inspected in Africa including Ethiopia. Objectives: The purpose of this is to investigate internet use patterns, internet addiction and its association with psychological self-esteem among Bahir Dar University students from December to May 2018/2019 in Bahir Dar University Peda Campus, Ethiopia. Methods: An institution-based cross-sectional study among 359 Bahir Dar University Peda campus students by using a self-administered questionnaire. The study subjects were selected randomly using a stratified sampling technique. The researcher used both descriptive and inferential statistics to present the study findings. Bi-variate techniques, independent sample T-Test and ANOVA were used for continuous variables; Pearson product moment correlation was used for measuring associations. Results: The results show that 91.3% of university students were using the Internet at the time of data collection from which majority 58.2% of them used Smartphone to access the internet. The majority of student under category of normal 36.7% and moderate (33.7%) level Internet addiction, and there is statistically significant difference between sex at (t=2.0, p = .001) in Internet addiction score. There is a negative relationship between students' level of Internet addiction and psychological self-esteem level. Conclusion: The current study documents a high prevalence of internet addiction among University students. Factors associated with internet addiction were spending more time, having mental distress, playing online games, current that chewing, and current alcohol use. As internet addiction becomes an evident public health problem, carrying out public awareness campaigns may be a fruitful strategy to decrease its prevalence and effect. Besides to this, a collaborative work among stakeholders is important to develop other trendy, adaptive, and sustainable countermeasures","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75332139","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":"Public Health Ramps up for COVID-19 Vaccine Uptake","authors":"Zhan Ting","doi":"10.36648/1479-1072.21.29.85","DOIUrl":"https://doi.org/10.36648/1479-1072.21.29.85","url":null,"abstract":"Coronavirus cases flooding to new highs and countless antibody dosages coming, the pressing factor is on to convince Americans to get vaccinated. General wellbeing couriers are attempting to meet that objective, however are confronting steep difficulties. Readiness to get a COVID-19 immunization has consistently gone up among U.S. grown-ups, yet suspicion stays a genuine obstruction to accomplishing group resistance — and doing as such in an evenhanded manner. A December overview from Kaiser Family Foundation found 71% of grown-ups would get a COVID-19 immunization that was resolved protected by researchers and accessible for nothing, up from 63% in September. In any case, in excess of a quarter were as yet reluctant, saying they presumably or unquestionably would not get inoculated In another study from general wellbeing gatherings, including the National Association of County and City Health Officials, just 50% of overview respondents said they would or most likely get inoculated, and a full 39% were uncertain, liking to keep a watch out how well vaccinations continue. Question of antibody wellbeing and viability is particularly high among Blacks and Hispanics, who likewise face higher paces of death and hospitalization from COVID-19 than whites With COVID-19 sicknesses stressing clinics, laborers and wellbeing frameworks across the U.S., authorities need to ensure the current year's influenza season doesn't deteriorate the circumstance","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78469282","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":"Awareness of Diabetes Mellitus in Public Who are Suffering with it and its Practice among the Patients","authors":"Madden Cassola","doi":"10.36648/1479-1072.21.29.108-109","DOIUrl":"https://doi.org/10.36648/1479-1072.21.29.108-109","url":null,"abstract":"Diabetes is an ongoing, metabolic infection described by raised degrees of blood glucose (or glucose), which leads after some time to genuine harm to the heart, veins, eyes, kidneys and nerves. The most well-known is type 2 diabetes, ordinarily in grown-ups, which happens when the body becomes impervious to insulin or doesn't make sufficient insulin. In the beyond thirty years the commonness of type 2 diabetes has risen drastically in nations of all pay levels. Type 1 diabetes, once known as adolescent diabetes or insulin-subordinate diabetes, is an ongoing condition where the pancreas delivers practically zero insulin without help from anyone else. For individuals living with diabetes, admittance to reasonable treatment, including insulin, is basic to their endurance. There is a universally concurred focus to stop the ascent in diabetes and weight by 2025. Medical care experts just as open approach producers are very much aware of the general wellbeing effect of diabetes. Diabetes is a quiet infection – numerous victims became mindful that they have diabetes just when they foster one of its dangerous intricacies. Information on diabetes mellitus can aid early recognition of the infection and decrease the frequency of intricacies. In this way, significant endeavors had been placed in to advise the general population about diabetes. Albeit much exertion has been committed to teaching the general population about diabetes through different types of media, the effect of such endeavors still can't seem to be authoritatively assessed. It isn't realized how much people in general really thinks about diabetes through the current projects. A comprehension of the degree of public mindfulness is useful for wellbeing teachers to anticipate future projects. In any case, a writing search recovered no article fair and square of diabetes information in everyone. Endeavors in this space were coordinated towards estimating patients' information.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84853695","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":"Expert Method as a Quality Assessment Tool of a Multifunctional Hospital","authors":"Dunamalyan R.A, Mardiyan M.A, Mkrtchyan S.A, Sakanyan G.H","doi":"10.36648/1479-1072.21.29.88-95","DOIUrl":"https://doi.org/10.36648/1479-1072.21.29.88-95","url":null,"abstract":"The systematic structural transformation of the system and the introduction of new technologies are not enough to create an effective system for the medical quality control. It is supposed, that the health care quality management system will be phased, so, it is necessary to emphasize the change in management decisions of medical care quality. The purpose of the research is to alter the traditional scheme of medical expertise conceptualization into innovation, which is based on effective motivation of staff. The object of the study was Astghik Medical Center, which is a multi-functional medical center. Combining medical errors with different components of medical care quality, determines the degree of their significance, which allows dividing medical error into 4 classes. Taking into account the severity of the medical error, the degree of discrepancy is divided into 6 classes. We have developed a Medical Record Examination Questionnaire: 340 medical records have been examined. The research results show, that, the second class of health care quality discrepancy is most common. As a result of analyzing, the following errors were discovered: Gather information about the patient (25.5%), drug therapy -the absence of the prescribed medication, the improper use of the medication (0.8%), error in treatment continuity (10.8%). The received data indicate that it is necessary to develop and introduce managerial decisions that will result in a reduction of medical care discrepancy error. In order to achieve this goal it is necessary to set up a working group, whose staff is desirable to involve the chiefs of departments and the assistant of chief doctor. Thus, managing of medical care quality within the limits of a separate medical institution confirms, that medical care quality can be improved by correctly using information about quality, by purposeful activity of the head, which will be aimed at solving main problem of medical care quality.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80996280","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}