scholarly journals A Cross-Sectional Study to Assess Capacity of Health Facility Laboratories in Zone One of Afar Regional State, Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Chalachew Genet Akal ◽  
Tesfaye Andualem

Role of laboratory service in patient care is well recognized in developed compared to developing countries like Ethiopia where most medical decisions are based on clinical judgment. Laboratory based medical decisions save life and resources. Thus, health facilities (HFs) having capacitated laboratories provide better health care service. Thus, this study assessed capacity of laboratories found in all nine HFs in zone one of Afar region, Ethiopia. Cross-sectional study was conducted from January to May 2015. Data were collected using questioner from medical laboratory professionals (MLPs) and using cheek list from laboratory registration books. Collected data was analyzed using SPSS. Availability of laboratory related national guidelines and standard operating procedure varies among HFs studied. In 42 selected laboratory equipment and materials assessed, their availability shows variations among HFs from 13 (30.2%) to 32 (74.4%). Among different laboratory tests recommended to be performed at health center (HC) level by World Health Organization (WHO), six tests were not performed in all HC laboratories. Moreover, 11 (31.4%) MLPs received in-service training in the past one year. Internal quality control measures were done in 3 (33.3%) laboratories. However, all laboratories were involved in external quality assurance with varied schedules. Specimens after testing and specimen with prolonged transit time were discarded using standard rejection criteria in 8 (88.9%) and 3 (33.3) laboratories, respectively. Study showed that laboratories assessed have good capacities in involving external quality assurance and having proper laboratory test request format. But capacity of laboratories assessed is limited and unsatisfactory in number of laboratory tests performed at HC laboratories, in internal quality control measure implementation, and in getting up-to-date in-service training to staff. Thus, to enhance capacity of laboratories in HC, responsible bodies shall avail basic laboratory materials and equipment, make fair distribution of MLPs, provide up-to-date training, and implement internal quality control measures in laboratories.

Author(s):  
Praveen Kumar Kandakurti ◽  
Ravi Shankar Reddy ◽  
Venkata Nagaraj Kakarparthy ◽  
Kanagaraj Rengaramanujam ◽  
Jaya Shanker Tedla ◽  
...  

Abstract Purpose Neck extensor endurance (NEE) and position sense are vital for maintaining cervical spine function and defects in these processes may be associated with impaired postural control in chronic neck pain (CNP) subjects. The study’s objectives are 1) to compare the cervical extensor endurance capability and postural control of CNP subjects with those of asymptomatic controls; 2) to investigate the association between NEE and postural control. Materials and Methods Sixty-four participants (38 asymptomatic, 38 with CNP) participated in this cross-sectional study. NEE was assessed using a clinical extensor endurance test. Under open and closed eyes conditions, postural control measures were tested with the Good Balance system. The postural control parameters were AP-velocity (mm/s), ML-velocity (mm/s) and Velocity moment (mm2). NEE capacity and postural control parameters were compared and correlated between asymptomatic and CNP subjects. Results and Discussion CNP subjects showed lower NEE capacity (p<0.001) and significantly larger AP-velocity (p<0.001), ML-velocity (p<0.001) and Velocity moment (p<0.001) than asymptomatic participants. NEE negatively correlated with AP-velocity (r=−0.51, p=0.001), ML-velocity (r=0.46, p=0.003) and velocity moment (r=0.38, p=0.020) in asymptomatic subjects in eyes open condition and no correlations in subjects with CNP. CNP subjects showed increased postural sway velocities and lowered extensor endurance capacity compared to asymptomatic participants. No correlations existed between NEE and postural control parameters in CNP subjects.


Author(s):  
Matheus dos Santos Fernandez ◽  
Andreia Morales Cascaes ◽  
Francisco Wilker Mustafa Gomes Muniz ◽  
Nathalia Ribeiro Jorge da Silva ◽  
Camilla Hubner Bielavski ◽  
...  

Abstract Objective: To evaluate the knowledge of Brazilian dental students about biosafety measures that should be adopted in the clinical setting during the coronavirus disease-2019 (COVID-19) pandemic. Methods: A cross-sectional study with 1,050 dental students was conducted. A semi-structured questionnaire was shared with students. Mean knowledge score on biosafety guidelines during the COVID-19 pandemic was the outcome, with a maximum of 8 scores. Explanatory variables included sociodemographic and educational characteristics, aspects related to biosafety education, actions adopted by the dental schools during the pandemic, and sources of biosafety information. Multivariate linear regression analyses were performed. Results: Mean knowledge score was 5.19 (1.28). Female students (β=0.346; 95%CI:0.154–0.539), those enrolled in the intermediate (β=0.525; 95%CI:0.167–0.883) or final (β=0.569; 95%CI:0.200–0.937) stage of course, and those who had already received theoretical-practical training in biosafety (β=0.464; 95%CI:0.063–0.866) presented higher mean knowledge scores. Students who did not receive guidance on aerosol control measures before the pandemic (β=-0.324; 95%CI:-0.519–-0.130) had the lowest score. Conclusion: Students presented a medium level of knowledge about dental biosafety measures in the COVID-19 pandemic. Sociodemographic characteristics and those related to the institutional profile of the participants, and access to orientation and training in biosafety may influence their knowledge.


2017 ◽  
Vol 9 (5) ◽  
pp. 27
Author(s):  
Ashraf Ahmad Zaghloul

INTRODUCTION: Marketing the hospital image through advertising shapes the sources of information upon which the patient takes a decision to purchase the service. Advertisement is considered to be one of the marketing activities geared towards promoting the hospital’s image. The aim of this study is to explore and investigate the determinants of consumer behavior toward newspaper advertising eye-catchers for hospitals and medical care in the UAE.METHODOLOGY: A cross-sectional study design was followed using the snowball technique to select a convenient sample of the population of Sharjah, UAE. The total number of questionnaires valid for statistical analysis accounted for a 402.RESULTS: The significant adjusted odds included in the model were occupation (Administrative) = 2.1 (CI 1.1-4.5), name and brand = 0.4 (CI 0.1-0.8), clinical staff photo = 0.2 (CI 0.1-0.7), and location = 3.9 (CI 1.3-11.9).  CONCLUSION: Healthcare organizations are required to further assess the feedback of their marketing plans especially newspaper advertisement budgets through the quality control activities performed at these organizations.


2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Animen Ayehu ◽  
Yibeltal Aschale ◽  
Wossenseged Lemma ◽  
Animut Alebel ◽  
Ligabaw Worku ◽  
...  

Background. Visceral leishmaniasis (VL, also called kala-azar) is a public health problem in Ethiopia, especially in sesame and sorghum growing areas. Compared to other populations, labor migrants are the most exposed. Knowing the seroprevalence ofLeishmania donovaniand associated risk factors is essential to design appropriate control measures. The main aim of this study was to assess the seroprevalence of asymptomaticL. donovaniamong laborers and associated risk factors in agricultural camps of West Armachiho district, Northwest Ethiopia. Therefore, this study was conducted to know the seroprevalence and associated risk factors ofL. donovaniinfection.Method. A cross-sectional study was conducted among 185 laborers from October to December 2017. A simple random sampling technique was used to select study participants from selected agricultural camps. After obtaining written informed consent, data were collected using a structured pretested Amharic version questionnaire using the interview technique. A single finger prick blood sample was collected from the study participants and the blood samples were subjected to the serological diagnostic method using the rk39 kit. The multivariable logistic regression model was used to identify risk factors associated withL. donovaniinfection.Result. Among 185 participants examined using rk39, 14 (7.6%) were seroreactive forL. donovani.Leishmania donovaniinfection had a statistically significant association with sleeping underBalanitestrees (AOR: 4.36, 95%CI: 1.186-16.06), presence of domestic animals near sleeping place (AOR: 4.68, 95% CI: 1.25-17.56), and lack of knowledge about VL transmission (AOR: 3.79, 95% CI: 1.07-13.47).Conclusion. Seroprevalence of asymptomaticL. donovaniamong laborers in agricultural camps of West Armachiho was low. Prevention measures and health education about risk factors that expose toL. donovaniinfection for the laborers are essential to prevent the spread of the disease.


2008 ◽  
Vol 12 (3) ◽  
pp. 161-167
Author(s):  
Sri Arini Winarti R. ◽  
Krisna Yetti ◽  
Besral Besral

AbstrakPengawasan dalam manajemen berperan untuk mempertahankan kegiatan yang telah terprogram dapat dilaksanakan dengan baik. Penelitian ini bertujuan mengetahui hubungan fungsi pengawasan oleh bidang perawatan dengan pelaksanaan supervisi oleh seluruh supervisor di sebuah RS di Yogyakarta dengan desain potong lintang. Hasil penelitian menunjukkan bahwa 48,2% supervisor berusia 40-50 tahun, berjenis kelamin perempuan (80,4%), berpendidikan DIII Keperawatan (60,7%), telah bekerja 20 30 tahun (57,1%), 51,8% belum pernah pelatihan manajemen keperawatan, dan 46,4% shift dinas sore. Hasil analisis korelasi menunjukkan fungsi pengawasan bidang keperawatan memiliki hubungan bermakna dengan pelaksanaan supervisi oleh supervisor (r = 0,393; p = 0,003). Penelitian ini menyimpulkan bahwa kombinasi fungsi pengawasan bidang keperawatan dan pelatihan yang diikuti oleh supervisor memiliki hubungan yang bermakna terhadap pelaksanaan supervise oleh supervisor. Pengawasan secara periodik serta dengan teknik supervisi efektif meningkatkan kinerja perawat dalam pelayanan keperawatan. AbstractControlling in management has specific role in maintaining the quality of implementation as programmed by manager. This cross-sectional study was aimed to identify the correlation between controlling function of nursing directorate with the supervision carried out by all supervisors in a hospital in Jogjakarta. The supervisors were predominantly 40-50 years old (48.2%), women (80.4%), Diploma Nurse (60.7%), having 20-30 years of working experience (57.1%), never get in-service training (51.8%) and in evening duty shift (46.4%). The correlation analysis showed that controlling from nursing directorate had significant correlation with the implementation of supervision by the supervisor (r = 0,393; p = 0,003). This study concluded that the combination of controlling from nursing directorate and in-service training which is monitored by supervisor has significant correlation with the supervision implemented by the supervisor. Finding from the study suggested that good controlling and scheduled supervision using effective communication could increase the nursing performance in giving nursing care.


Author(s):  
NORMA NARVÁEZ ◽  
◽  
NUBIA GUERRERO ◽  
GINA FUENTES

Some The Villa of San Diego de Ubaté has been the main municipal seat, thus being the commercial center with the greatest influx, bringing together peasants not only from the central savannah, but also from Bogotá, people who gather around traditions and sale of products. that are harvested by themselves and by their families, thus being the family sustenance. The objective of this study is to make a diagnosis of informal workers who work in the Plaza de Mercado Villa de San Diego de Ubaté. This research is an observational, cross-sectional study with a quantitative approach and descriptive scope. An instrument was designed that assesses sociodemographic and occupational variables, health status, and health and safety conditions at work, the sample was 183 jobs who participated voluntarily. The main findings are found in the number of people who work especially in the batán (43%), peasant (25%) and fruver (15%) sections, showing discomfort mainly at the musculoskeletal level. It is concluded that it is necessary to implement control measures in the person, at the source and in the middle, in order to improve the health and safety conditions at work of informal workers.


Author(s):  
Arulprasad Radjasegarane ◽  
Kavita Vasudevan ◽  
Prakash Mathiyalagen ◽  
Arul Varman P. ◽  
Lopamudra M. ◽  
...  

Background: The proportion of elderly increases worldwide. India entered into the list of “greying nation”. The process of biological ageing brings with it various illnesses. This study was conducted with the objective of determining the morbidity profile of elderly people residing in a rural area.Methods: A community based cross-sectional study was conducted among elderly aged 60 years and above residing in rural area of Puducherry. Simple random sampling was used to select two sub-centre areas among four, under the field practice area and all the eligible elderly individuals were included. House to house visit was made and after obtaining informed consent, the data were collected using a pre-tested semi-structured questionnaire and examination.Results: A total of 954 individuals were included in the study of which 66.4% and 33.6% of them were females and males respectively (Mean: 68 ± 6.8 years). Acute and chronic illnesses were present among 4% and 47.7% of elderly individuals respectively. Hypertension (42.5%) was observed to be the predominant chronic illness followed by Diabetes (29.6%), Osteoarthritis (8.1%) and Asthma (7.9%), Visual problems (4.3%), Coronary artery disease (2.9%), Cerebrovascular accident (1.2%) and hearing problems (0.9%).Conclusions: Chronic illnesses were more common among elderly than acute illnesses. Hence it is recommended to screen elderly individuals utilizing the platform of community based assessment for non-communicable diseases. The study also recommends implementing stringent tobacco control measures so as to curtail the silent epidemic of non-communicable diseases.


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