Quality in primary care最新文献_第5页

Knowledge, attitude and practice of danger signs during pregnancy among mothers attending antenatal care at Melka Oda hospital, southeast Ethiopia 在埃塞俄比亚东南部Melka Oda医院接受产前护理的母亲对怀孕期间危险迹象的知识、态度和做法

Quality in primary care Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.3.41-46

Bruck Tesfaye, Geroma Morka

{"title":"Knowledge, attitude and practice of danger signs during pregnancy among mothers attending antenatal care at Melka Oda hospital, southeast Ethiopia","authors":"Bruck Tesfaye, Geroma Morka","doi":"10.36648/1479-1072.29.3.41-46","DOIUrl":"https://doi.org/10.36648/1479-1072.29.3.41-46","url":null,"abstract":"Background: Danger signs of pregnancies are a signs that women encounter during pregnancy, child birth and postpartum which is fatal for both Mather and child health. It is important, to know these warning signs for women and health care providers to rule out serious complications and initiate treatment immediately. Objectives: To determine the level of knowledge, attitude, and practice of pregnant mothers on danger signs during pregnancy among antenatal care attendants at Malka Oda general Hospital, 2019. Methods: A cross-sectional study was conducted among 208 pregnant women attending Antenatal Care from March 11-June 20/2019. A total 208 pregnant mother was selected randomly using Systematic random sampling technique. Data was collected by face to face interview. Data were processed and Analyzed. Results: This study found that 80(38.5%) were heard about obstetric danger signs while 128(61.5%) were not. One hundred ninety-two (92.3%), 15(7.2%) mothers agreed on importance of seeking medical advice on dangerous signs during pregnancy. Sixty-two (29.8%) had experienced any of danger sign during pregnancy. Of those who had experienced any of the danger signs, 59(95.2%) were sought medical care while 3 of the mothers reported that they sought care from traditional birth attendants. Conclusion: The study showed that More than two fourth of the study participants had good knowledge about danger signs during pregnancy and large number of participants had good practice. In addition, almost two over four of the studied pregnant mothers had a positive attitude towards danger sign during pregnancy.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82916955","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

Peritoneal Dialysis Catheter Inducing Colon Perforation 腹膜透析导管诱导结肠穿孔

Quality in primary care Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.3.23-25

Fatima A. Dirani, Doaa H. Jaffal, Rami M. Sammour, Fadi Isk, Arani

引用次数: 0

Factors Influencing Trainees Career Choice among Technical and Vocational Training Trainees: Implications for Psycho-Educational Intervention 技职培训学员职业选择的影响因素:心理教育干预的启示

Quality in primary care Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.60-64

Wossen Ayalew Tegegne

{"title":"Factors Influencing Trainees Career Choice among Technical and Vocational Training Trainees: Implications for Psycho-Educational Intervention","authors":"Wossen Ayalew Tegegne","doi":"10.36648/1479-1072.21.29.60-64","DOIUrl":"https://doi.org/10.36648/1479-1072.21.29.60-64","url":null,"abstract":"Purpose: The major purpose of this study was to examine factors influencing trainees’ career choice among technical and vocational training trainees. Materials and Methods: This study was delimited to see factors influencing trainees’ career choice like family influence, peer influence, job opportunity influence and school influence on trainees’ career choice in the study area. This study was conducted in Kidus Lalibela and Kobo technical and vocational colleges. A total of 140 (78 male and 62 female) trainees was taken as samples of the study. The Stratified random sampling technique was applied to select these samples. The data gathering instruments used in the study were questionnaire. Cronbach alpha was employed to test the reliability of the instrument. The data were analyzed by using mean, variance; standard deviation and one sample t-test to describe the characteristics of the sample. Result: The findings of this study revealed that: there was a statistically significant mean difference between peer influence, school influence, job opportunity influence and the expected mean value, but there was no statistically significant mean difference between trainee’s family influence on career choice and expected mean value. Conclusion: Family, school, ministry of labor and social affairs and ministry of education should work jointly in providing accurate, timely, and relevant career related information for students at different levels.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90240046","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 Impact 0f Pandemic Ebola Virus 0n Global Public Health 大流行埃博拉病毒对全球公共卫生的影响

Quality in primary care Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.4.50

Gowthami Bainaboina

引用次数: 0

Major Factors of Elders Begging in Bahir Dar City Administration Ethiopia 埃塞俄比亚巴希尔达尔市政府老年人乞讨的主要因素

Quality in primary care Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.52-59

Mequanint Kassa Getahun

引用次数: 2

Integrating the Physical Examination of The Respiratory System With Hand-Held Devices 将呼吸系统体检与手持设备相结合

Quality in primary care Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.3.36-40

J. Benbassat, D. Gilon, Z. Fridlender

引用次数: 0

Medicine and civilization: The role of medicine in population control and civilization building from the dawn of civilization until the present time 医学与文明:医学在人口控制和文明建设中的作用，从文明之初到现在

Quality in primary care Pub Date : 2018-01-02 DOI: 10.33140/mcr.03.01.04

Kevin M Galalae

引用次数: 0

Pharmacological Study and Overcome theCardiotoxicity Associated with Anticancer DrugDoxorubicin 抗癌药物阿霉素对心脏毒性的药理研究与克服

Quality in primary care Pub Date : 2017-01-01 DOI: 10.29011/2576-9588.100016

Muhammad Zafar, Huma Sabir

{"title":"Pharmacological Study and Overcome theCardiotoxicity Associated with Anticancer DrugDoxorubicin","authors":"Muhammad Zafar, Huma Sabir","doi":"10.29011/2576-9588.100016","DOIUrl":"https://doi.org/10.29011/2576-9588.100016","url":null,"abstract":"Doxorubicin, also known as Adriamycin, is an anthracycline drug commonly used in cancer chemotherapy. Adriamycin is being used clinically for solid tumours, e.g. adenocarcinoma of breast, malignant sarcomas, neuroblastoma, ovarian cancer, small lung cancer as well as hematologic malignancies including lymphomas and leukaemias. In this review we can answers different questions from which mainly we focus on that how we can prevent its toxicity and interactions with other agents and which parameters we use for to overcome this. Unfortunately, its therapeutic potential can be limited to cardiotoxicity so for to overcome this liposomal encapsulation of doxorubicin done for to overcome toxicity problems. However its use has been limited by its major clinical side effect, cardiotoxicity. Toxic effect of Adriamycin can be prevented by using different pharmacologic substances like antioxidants. Adriamycin produces its antineoplastic effect by multiple mechanisms and the exact mechanism of action of Adriamycin is still unknown. The proposed mechanism of the antineoplastic effect of Adriamycin at the cellular level is drug binding to DNA by intercalation between base pairs and inhibition of RNA synthesis by template disordering and steric obstruction.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75849681","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: 3

Breast Cancer Chemoprevention in Primary Care- Assessing Readiness for Change 初级保健中的乳腺癌化学预防——评估改变的准备程度

Quality in primary care Pub Date : 2016-05-20 DOI: 10.1200/JCO.2016.34.15_SUPPL.1547

Haiyun Wang, C. Snyder, Sharon Larson, V. Vogel, H. Kirchner, Haiyan Sun, Xiaowei Yan

{"title":"Breast Cancer Chemoprevention in Primary Care- Assessing Readiness for Change","authors":"Haiyun Wang, C. Snyder, Sharon Larson, V. Vogel, H. Kirchner, Haiyan Sun, Xiaowei Yan","doi":"10.1200/JCO.2016.34.15_SUPPL.1547","DOIUrl":"https://doi.org/10.1200/JCO.2016.34.15_SUPPL.1547","url":null,"abstract":"Purpose: Despite breast cancer chemoprevention recommendations, chemoprevention use remains low. We assess primary care providers’ (PCP) awareness and use of breast cancer chemoprevention, and perceived barriers/ solutions. \u0000Methods: We conducted an online survey to investigate PCPs’ awareness and use of breast cancer chemoprevention, and perceived barriers/solutions. 161/426 (38%) eligible PCPs completed the survey. \u0000Results: Of providers, 42% reported using breast cancer risk assessment models, only 9% prescribed breast cancer chemoprevention drugs in the past year. Providers using risk models were more likely to have made a breast cancer diagnosis in the past year (77% vs. 56%; p=0.01). Providers prescribed chemoprevention were older (mean 49 years vs. 40; p=0.01), more likely to be in practice ≥ 10 years (71% vs. 43%; p=0.04) and full time (79% vs. 49%; P=0.04); they all had diagnosed breast cancer in the past year (100% vs. 61%; p=0.002). Top three reported barriers to chemoprevention guideline adherence were lack of knowledge about chemoprevention drugs, unaware of chemoprevention guidelines, and inability to identify high-risk women. After adjustment for other provider characteristics and barriers, the PCPs who are unaware of chemoprevention guidelines have 3.1 increased odds (CI: 1.4-6.7) for not using risk assessment models. If high-risk women can be identified, 85% of respondents prefer referring appropriate women to a high-risk breast clinic. \u0000Conclusion: PCPs infrequently assess breast cancer risk and rarely prescribe chemoprevention drugs for risk reduction. PCP education on breast cancer prevention and establishing high-risk breast clinics may improve breast cancer chemoprevention uptake.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81898852","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: 3

Identifying Future High Cost Individuals within an Intermediate Cost Population. 在中等成本人群中识别未来的高成本个体。

Quality in primary care Pub Date : 2015-01-01

Juan Lu, Erin Britton, Jacquelyn Ferrance, Emily Rice, Anton Kuzel, Alan Dow

{"title":"Identifying Future High Cost Individuals within an Intermediate Cost Population.","authors":"Juan Lu, Erin Britton, Jacquelyn Ferrance, Emily Rice, Anton Kuzel, Alan Dow","doi":"","DOIUrl":"","url":null,"abstract":"Background: Improving health and controlling healthcare costs requires better tools for predicting future health needs across populations. We sought to identify factors associated with transitioning of enrollees in an indigent care program from an intermediate cost segment to a high cost segment of this population.Methods: We analyzed data from 9,624 enrollees of the Virginia Coordinated Care program between 2010 and 2013. Each fiscal year included all enrollees who were classified in intermediate cost segment in the preceding year and also enrolled in the program in the following year. Using information from the preceding year, we built logistic regression models to identify the individuals in the top 10% of expenditures in the following year. The effect of demographics, count of chronic conditions, presence of the prevalent chronic conditions, and utilization indicators were evaluated and compared. Models were compared via the Bayesian information criterion and c-statistic.Results: The count of chronic conditions, diagnosis of congestive heart failure, and numbers of total hospital visits and prescriptions were significantly and independently associated with being in the future high cost segment. Overall, the model that included demographics and utilization indicators had a reasonable discrimination (c=0.67).Conclusions: A simple model including demographics and health utilization indicators predicted high future costs. The count of chronic conditions and certain medical diagnoses added additional predictive value. With further validation, the approach could be used to identify high-risk individuals and target interventions that decrease utilization and improve health.","PeriodicalId":88096,"journal":{"name":"Quality in primary care","volume":"23 6","pages":"318-326"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874657/pdf/nihms755930.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34509538","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