scholarly journals Pain Management and Its Possible Implementation Research in North Ethiopia: A before and after Study

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Mengistu Hagazi Tequare ◽  
James John Huntzicker ◽  
Hagos Gidey Mhretu ◽  
Yibrah Berhe Zelelew ◽  
Hiluf Ebuy Abraha ◽  
...  
Keyword(s):  
Pain Management ◽  
Implementation Research ◽  
Learning Strategy ◽  
Assessment Tool ◽  
World Health ◽  
Base Line ◽  
Management Guidelines ◽  
The World ◽  
Before And After ◽  
Pain Outcome

Background. Though there is an effective intervention, pain after surgical intervention is undermanaged worldwide. A systematic implementation is required to increase the utilization of available evidence-based intervention to manage the inevitable pain after surgery. The aim of this research project is to develop a scalable model for managing pain after cesarean section by implementing the World Health Organization’s (WHO) pain management guidelines through a combination of implementation research and quality improvement methods. Methods. We implemented the World Health Organization (WHO) pain management guidelines using effective implementation strategies. First, we conducted a formative qualitative exploration to identify enablers and obstacles. In addition, we took base-line assessment on pain management implementation process and outcome using a checklist prepared from the guideline and an adapted American Pain Outcome assessment tool version 2010, respectively. Then, we integrated the guidelines into the existing practice by using collaborative iterative learning strategy. We analyzed the data by Statistical Packages for Social Sciences (SPSS) version 21. We compared the before and after data using chi-squared and Fischer’s exact test. A change in any measurement was considered as significant at p value 0.05. Result. We collected data from 106 mothers before and 110 mothers after intervention implementation. We successfully integrated pain as a fifth vital sign in more than 87% (p value <0.001) of patient, and fidelity was approximately 59% (p value <0.001). In addition, we significantly improved pain outcome measures after the implementation of the intervention. Conclusion and Recommendations. A systematic approach to implement pain management guidelines was successful. We recommend the ward sustain these gains and that hospital, the region, and the nation to replicate the success.

Digital transformation of face-to-face focus group methodology: engaging a globally dispersed audience in management of institutional change (Preprint)

2021 ◽  
Author(s):  
Mohamed Mahmoud ◽  
Anna TOKAR ◽  
Melissa ARRIAS ◽  
Christos MYLONAS ◽  
Heini UTUNEN ◽  
...  
Keyword(s):  
Focus Group ◽  
Learning Strategy ◽  
Transformation Process ◽  
World Health ◽  
Global Learning ◽  
Group Discussions ◽  
Face To Face ◽  
Global Workforce ◽  
The World ◽  
Health Organization

UNSTRUCTURED As part of its transformation process to meet the health challenges of the 21st century by creating a motivated and fit-for-purpose global workforce, the World Health Organization (WHO) is developing the first-ever global Learning Strategy for health personnel around the world. Focus group discussions (FGDs) were organized as part of in-depth qualitative research on staff views, visions, and suggestions. Due to the pandemic, a flexible, multi-linguistic, participatory, iterative methodology for digitization of face-to-face FDGs to engage a globally dispersed workforce was implemented.

scholarly journals Peter Chew Formular for calculate Covid-19 Vaccine efficiency

2021 ◽  
Author(s):  
Peter chew
Keyword(s):  
Relative Risk ◽  
New England ◽  
Target Population ◽  
World Health ◽  
Medical Worker ◽  
The Public ◽  
1 Peter ◽  
The World ◽  
Before And After ◽  
Health Organization

Abstract Background: The World Health Organization (WHO) said the situation in India was a "devastating reminder" of what the coronavirus could do. India shifts from mass vaccine exporter to importer, worrying the world. Every country needs to vaccinate its citizens faster, vaccination can reduce viral load. This results in vaccination that can reduce transmission, preventing serious illness and death'. Therefore, Countries with higher levels of vaccination can prevent them from becoming "Second India".Preprint study, Vaccination Education App (1). [Peter Chew, 2021] shows that most people do not take the covid-19 vaccine because they question the safety and effectiveness of the vaccine. Therefore, it is important to create a simple formula for calculate the efficiency of the covid-19 vaccine. The purpose of creating this calculation formula is to allow the public to calculate the efficiency of the covid-19 vaccine by themselves, so that they can understand the effectiveness of the vaccine and decide to take the vaccine. This helps to get a high response to COVID vaccinationMethods: Use the Data publish at The New England JOURNAL of MEDICINE, Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine [Fernando P. Polack et all , 2020]. Calculate of Pfizer BioNTech’s COVID-19 vaccine efficiency by using normal formular and Peter Chew Formular , show that the same result are obtain, which is 95.0599 %. In addition, By using public news information, the public can use the Peter Chew formula to easily calculate Covid-19 vaccine efficacy. This is to ensure public can do the calculation themselves. A calculation of relative risk is also provided to provide more information to persuade the public to take the vaccine.Results: The efficiency of Pfizer BioNTech's COVID-19 vaccine for Malaysian medical worker calculated by using the Peter Chew formula is 95.0599 %. In addition, the calculation of Peter Chew's formula also shows that before the vaccination, about 12 medical staff were infected every day, but after the full vaccination, only about one medical worker was infected every two days. The calculation of relative risk can also make it easier for the public to know that people who are not vaccinated with Pfizer BioNTech's COVID-19 vaccine are 22 times more likely to be infected than people who are fully vaccinated. The above results can convince those who easily question the effectiveness of vaccination.Conclusions: Peter Chew Formular easy to calculate, and the data required for the Peter Chew Formular calculation easy to obtain from public news. This is to ensure that the public can calculate the efficacy of the vaccine by themselves. The information on the calculation can let public compare the average target group get infected every day before and after fully vaccination is also an advantage to let public know the effectiveness of vaccination. One of the advantage of Peter Chew formulator is that we can assume a high target population of vaccination with k = 100, such as the medical worker group When k = 100, the Peter Chew formular calculation becomes very simple. The Proof of Peter Chew Formular must also be shown.

Persisting pain in childhood medical illness

2013 ◽  
pp. 319-327
Author(s):  
Martha Mherekumombe ◽  
John J. Collins
Keyword(s):  
Pain Management ◽  
World Health Organization ◽  
Essential Medicines ◽  
World Health ◽  
Medical Illness ◽  
Global Problem ◽  
The World ◽  
Health Organization ◽  
Medicines For Children

Persisting pain in the context of medical illness has been recognized recently as a global problem by the World Health Organization (WHO, 2012). Whilst the epidemiology of medical illness varies throughout the world, the general principles of pain management are applicable to most medical illnesses in children and are effective. Successful pain management for most children is contingent on the availability of the WHO model list of essential medicines for children (WHO, 2011), although regrettably not all medicines are available in every country in the world.

Economic Impact of Adherence to Pain Treatment Guidelines in Chronic Pain Patients

Pain Medicine ◽  
2019 ◽  
Vol 20 (10) ◽  
pp. 1907-1918 ◽  
Author(s):  
Jay M Margolis ◽  
Nicole Princic ◽  
David M Smith ◽  
Lucy Abraham ◽  
Joseph C Cappelleri ◽  
...  
Keyword(s):  
Health Care ◽  
Pain Management ◽  
Treatment Guidelines ◽  
Pain Treatment ◽  
Multivariate Statistical ◽  
Management Guidelines ◽  
Continuous Coverage ◽  
Painful Diabetic Peripheral Neuropathy ◽  
Before And After ◽  
Ed Visits

AbstractObjectivesThis research compared health care resource use (HCRU) and costs for pharmacotherapy prescribing that was adherent vs nonadherent to published pain management guidelines. Conditions included osteoarthritis (OA) and gout (GT) for nociceptive/inflammatory pain, painful diabetic peripheral neuropathy (pDPN) and post-herpetic neuralgia (PHN) for neuropathic pain, and fibromyalgia (FM) for sensory hypersensitivity pain.MethodsThis retrospective cohort study used claims from MarketScan Commercial and Medicare Databases identifying adults newly diagnosed with OA, GT, pDPN, PHN, or FM during July 1, 2006, to June 30, 2013, with 12-month continuous coverage before and after initial (index) diagnosis. Patients were grouped according to their pharmacotherapy pattern as adherent, nonadherent, or “unsure” according to published pain management guidelines using a claims-based algorithm. Adherent and nonadherent populations were compared descriptively and using multivariate statistical analyses for controlling bias.ResultsFinal cohort sizes were 441,465 OA, 76,361 GT, 10,645 pDPN, 4,010 PHN, and 150,321 FM, with adherence to guidelines found in 51.1% of OA, 25% of GT, 59.5% of pDPN, 54.9% of PHN, and 33.5% of FM. Adherent cohorts had significantly (P < 0.05) fewer emergency department (ED) visits and lower proportions with hospitalizations or ED visits. Mean health care costs increased following diagnosis across all conditions; however, adherent cohorts had significantly lower increases in adjusted costs pre-index to postindex (OA $5,286 vs $9,532; GT $3,631 vs $7,873; pDPN $9,578 vs $16,337; PHN $2,975 vs $5,146; FM $2,911 vs $3,708; all P < 0.001; adherent vs nonadherent, respectively).ConclusionsAdherence to pain management guidelines was associated with significantly lower HCRU and costs compared with nonadherence to guidelines.

Development of the World Health Organization Measles Programmatic Risk Assessment Tool Using Experience from the 2009 Measles Outbreak in Namibia

Risk Analysis ◽  
2016 ◽  
Vol 37 (6) ◽  
pp. 1072-1081 ◽  
Author(s):  
Jennifer L. Kriss ◽  
Roselina J. De Wee ◽  
Eugene Lam ◽  
Reinhard Kaiser ◽  
Messeret E. Shibeshi ◽  
...  
Keyword(s):  
Risk Assessment ◽  
World Health Organization ◽  
Assessment Tool ◽  
Risk Assessment Tool ◽  
World Health ◽  
Measles Outbreak ◽  
The World ◽  
Health Organization

scholarly journals "CHRONIC SORROW THEORY APPLICATION" TO OVERCOME THE FEELING OF LOSS DUE TO INFANT MORTALITY IN POST-PARTUM WOMEN

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Dedeh Sri Rahayu
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Assessment Tool ◽  
Post Partum ◽  
Infant Mortality Rate ◽  
World Health ◽  
Chronic Sorrow ◽  
The World ◽  
Theory Application ◽  
Health Organization

Data from the World Health Organization (WHO) in 2012 stated that 44% of infant deaths in the world occurred in the first 28 days of life (neonatal period). The research results of the Central Statistics Agency (CSA) in 2016 noted that the infant mortality rate (IMR) reached 25.5%, West Java Province was one of the contributors to the highest maternal mortality rate (MMR) and infant mortality rate (IMR). Infant mortality inside the womb or outside the womb triggers grief and deep sorrow that is at risk of progressive, repetitive and permanent in women. Nurses in the maternity area play an important role in overcoming the problem of loss through various approaches to either theory or intervention. The purpose of this study was to determine the application of chronic sorrow theory in post-partum women whose babies were dead at Sariningsih Hospital Bandung. Method: This research was qualitative research. Participants were 5 people selected using purposive sampling techniques. Data collection was done by interviewing using a guide from the Burke / Eakes Chronic Sorrow Assessment Tool. Results: It was identified that women's opinions about the causes of infant mortalities were planned (abortion) and unplanned. Participants had effective coping strategies in dealing with their loss such as social support, and spiritual beliefs for comfort. Conclusion: participants felt the effectiveness of the chronic sorrow theory to overcome infant loss.Keywords: chronic sorrow theory application, loss, post-partum women, Qualitative.

scholarly journals Covid-19 Sonrası Normalleşme Sürecinde Rekreasyonel Aktivite Kullanımlarının Değişimi ve Kentsel Yeşil Alan Özlemi

2020 ◽  
Vol 8 (sp1) ◽  
pp. 8-12
Author(s):  
Sertaç Güngör ◽  
Burcu Öner
Keyword(s):  
World Health ◽  
Recreational Activities ◽  
Psychological Conditions ◽  
First Case ◽  
Epidemic Period ◽  
The World ◽  
Before And After ◽  
Health Organization ◽  
Short Time ◽  
Normalization Process

In this study, we examined how the new type of coronavirus (COVID-19), which originated in Vuhan, China, affected the whole world in a short time, affected individuals ‘ recreational activities and how much these activities changed after the normalization process. After the first case was announced in our country on March 10, 2020, many measures were taken, and within the scope of these measures, bans and partial bans occurred. The coronavirus, which has been declared a pandemic by the World Health Organization and has become a deadly virus all over the world, has also directly affected the recreational activities of people. The study, the longing of individuals to green areas during this epidemic period was evaluated by comparing the conditions before and after the normalization process of recreational activities. In addition, the findings obtained in accordance with the survey conducted in the study indicate that the new coronavirus affects both the recreational activities and psychological conditions of people.

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