scholarly journals Kromium serum dan asupan mikromineral pada penyandang diabetes tipe 2

2017 ◽  
Vol 13 (4) ◽  
pp. 135
Author(s):  
Ni Ketut Sutiari ◽  
Rimbawan Rimbawan ◽  
Clara Meliyanti Kusharto ◽  
Purwantyastuti Ascobat ◽  
Adi Teruna Effendi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Zinc Intake ◽  
Primary Health ◽  
Serum Chromium ◽  
Significant Difference ◽  
Aas Method ◽  
The Mean

Background: Status of minerals such as zinc, magnesium, and chromium among diabetic patients are considered lower than non-diabetic peoples, both in the serum and intake. Some reviews show that those minerals contribute to carbohydrate metabolism among diabetic patients.Objective: This study aims to explore intake of zinc, magnesium, and chromium among DMT2 in Denpasar.Method: This is a cross-sectional analytic study. The population was all (70) DMT2 patients registered at Chronic Disease Service (Prolanis) at two Primary Health Care (PHC) Denpasar Utara III PHC and Denpasar Timur I PHC. The sample for the study was DMT2 patients and non-diabetic people age 50-70 years reside in Denpasar city. DMT2 patients were randomly selected with simple random technique, while non-diabetic peoples were non-randomly selected. The level of serum chromium was measured by AAS method, whereas microminerals intake were collected by a recall and SQ-FFQ method. Data was analyzed descriptively and differences were tested with two independent t-test at 95% confidence level.Results: The mean of serum chromium DMT2 and non-diabetic were 0.044 mg/L and 0.094 mg/L respectively. The mean±SEM magnesium (DMT2 316.1±22.4 mg/day; non-diabetic 211.0±33.5 mg/day), zinc intake was (DMT2 8.4±0.7 mg/day; non-diabetic 6.2±0.8 mg/day), and chromium (DMT2 10.8±1.3 µg/day; non-diabetic 8.7±0.9µg/day). A significant difference was found between magnesium intake (p=0.01).Conclusion: The study showed that zinc, magnesium and chromium intake is appeared higher among DMT2 patients compare to non-diabetic in Denpasar region.

scholarly journals Prevalence and profile of daily smokers seen at three primary health care units in Pelotas, southern Brazil

2012 ◽  
Vol 34 (3) ◽  
pp. 154-160 ◽  
Author(s):  
Mariane Ricardo Acosta Lopez ◽  
Karen Jansen ◽  
Luciano Dias de Mattos Souza ◽  
Ricardo Tavares Pinheiro ◽  
Elaine Tomasi ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Total Sample ◽  
Tobacco Consumption ◽  
University Hospital ◽  
Daily Smoking ◽  
Southern Brazil ◽  
Cross Sectional ◽  
Primary Health ◽  
Significant Difference

Objectives: To estimate the prevalence of daily smoking among users of three primary health care units affiliated with a university hospital in the municipality of Pelotas, southern Brazil, and to identify factors associated with daily tobacco consumption. Methods: This cross-sectional study included all individuals over 14 years of age who sought treatment at the health care units between June 29, 2009, and February 23, 2010, and lived in the area covered by the unit. Interviews were conducted during home visits to collect data on sociodemographic characteristics and health behaviors; the Mini International Neuropsychiatric Interview (MINI) was used to assess the presence of mood disorders; and a question from the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) on the daily use of tobacco in the past 3 months was used to assess smoking. Results: The total sample comprised 1,848 individuals, mostly female (72.9%), aged between 46 and 60 years (28.5%), and belonging to socioeconomic class C (61%). The prevalence of daily smoking was 23.4% (n = 432), and there was a statistically significant difference between men and women: 27 vs. 22.1% (p < 0.050). Conclusion: Our findings confirm a high prevalence of smoking among users of primary health care units, underscoring the need for a more accurate process of diagnosis and treatment at these facilities.

scholarly journals Awareness of Diabetic Retinopathy Among Type II Diabetic Patients Attending at King Salman Armed Forced Hospital-Primary Health Care, Tabuk 2019

2019 ◽  
Vol 7 (23) ◽  
pp. 4143-4148
Author(s):  
Amal Mohammed Albalawi ◽  
Tahani Khalil ◽  
Reham Abdalmajeed Alimam ◽  
Ayah Suliman Albalawi
Keyword(s):  
Health Care ◽  
Diabetic Retinopathy ◽  
Primary Health Care ◽  
Low Income ◽  
Diabetic Patients ◽  
Type Ii ◽  
Health Care Centre ◽  
Cross Sectional ◽  
Poor Knowledge ◽  
Primary Health

BACKGROUND: Diabetic retinopathy refers to vascular disease of the retina that affects patients who have been diagnosed with type II diabetes mellitus. Information about DR must be spread the population, especially diabetic patients. Tools for DR screening are available and easy to access. No similar study was carried out in Tabuk to assess awareness of DR among type II diabetic patients up to our knowledge. AIM: To assess awareness of diabetic retinopathy among type II diabetic patients. METHODS: A cross-sectional study carried out in Tabuk city at King Salman Armed Forced Hospital-Primary Health Care Centers among type II diabetic patients attending at the period of study (n = 382) to assess their awareness about diabetic retinopathy. RESULTS: Out of 382 diabetics patients, (41.4%) had DM less than 5 years, (34.8%) had DM more than 10 years, and (23.8%) had DM between 5-10 years, (30.1%) had university degree, (42.4%) considered having low income, (57.6%) were screened for DR in the past year, ( 18.1%) of participant think that Seeing optometrist is enough for DR diagnosis. The total knowledge score about DR with a mean ± SD of 6.4 ± 1.5, indicating poor knowledge level, where 180 (47.1%) had poor knowledge, 106 (27.7%) had moderate knowledge, and 96 (25.2%) had good knowledge. CONCLUSION: Almost the Awareness of Type II Diabetic Patients Attending at king Salman Armed Forced Hospital-Primary Health Care centre regarding Diabetic Retinopathy needs to be improved.

scholarly journals Assessment of Key Performance Indicators of the Primary Health Care in Oman: A Cross-Sectional Observational Study

2020 ◽  
Vol 11 ◽  
pp. 215013272094695
Author(s):  
Badria Al Rashidi ◽  
Ahmed H. Al Wahaibi ◽  
Ozayr Mahomed ◽  
Zainab Al Afifi ◽  
Salah Al Awaidy
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Primary Health Care ◽  
Observational Study ◽  
Performance Indicators ◽  
Key Performance Indicators ◽  
Median Score ◽  
Cross Sectional ◽  
Primary Health ◽  
The Mean

Objective Effective primary health care (PHC) is the key to attaining universal health coverage. The key performance indicators (KPIs), is a component of quality improvement in the PHC service sector that provides feedback to inform and better public service delivery and promoting accountability. We assessed the current performance of PHC service by using KPIs to identify the possible challenges that necessitate being confronted, highlight the lessons learnt, and propose steps towards improvements. Methods We conducted a cross-sectional observational study across 12 PHC centers in 6 governorates in Oman during the period of June 2017 to June 2018. Secondary data from the computerized medical records of the PHC centers on six key indicators, accessibility, workload, outcomes, timeliness, satisfaction, and safety were analysed to assess the performance of PHC service and to identify challenges confronted and propose steps towards further service improvement. Results The mean overall KPIs scores across the ten PHC centers were 174.5 (SD: 9.80) or 67.01%. The overall scores were normally distributed with a median score of 175 (IQR: 171-181). The lowest percentage score was obtained by Al Qabil (61.35%) with the highest mark being at Wadi Kabir (70.54%). The mean score across all KPIs was 3.84 (SD:0.94) with a median score of 3.9 (IQR: 3.43-4.5). Of the six KPI components, safety (4.85), satisfaction (4.67), timeliness (4.44), and accessibility (4.31) had the highest performance scores, whilst workload (4.15) and outcomes (3.75) lagged behind. Conclusions Performance across the KPIs exhibited a considerable variation between facilities, with workload and outcome performing lower than other components. The findings of this study offered a measure of internal strengths that need to be sustained, challenges that require quality improvement initiatives, and external factors such as social determinants that impact overall performance PHC.

scholarly journals Leadership, governance and management for improving district capacity and performance: the case of USAID Transform: Primary Health Care

2020 ◽  
Author(s):  
Binyam Fekadu Desta ◽  
Azeb Abitew ◽  
Ismael Ali Beshir ◽  
Mesele Damite Argaw ◽  
Sualiha Abdlkader
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Management Practices ◽  
Health Management ◽  
District Health Office ◽  
District Health ◽  
Cross Sectional ◽  
Primary Health ◽  
Outcome Monitoring ◽  
Significant Difference

Abstract Primary health care (PHC) in Ethiopia serves as the main entry point for preventive, promotive and curative health services. The district health office is responsible for the planning, implementation and evaluation of all district health activities. In addition, district health offices manage service delivery facilities working on provision of PHC – primary hospitals, health centers and health posts. As the leader of the health care system tier, district health management must ensure direction, alignment and commitment within teams and organizations and make sure that achievements are consistent with the vision, values and strategy of the organization. USAID Transform: Primary Health Care provides diverse support to improve district health manager competencies including in-service trainings followed by planning and implementation of performance improvement projects and on-the-job mentoring and support. This study was conducted to compare district level capacity and performances between leadership, management and governance (LMG) and non-LMG districts. Project outcome monitoring data that shows the performance of districts was collected from 284 districts from January to December 2019. The study was carried out using a comparative-cross sectional study design, which assessed and compared district health office level indicators. Districts were classified into two categories: LMG and non-LMG districts. The study compared data from 94 LMG and 190 non-LMG districts. Propensity score matching was used to control the effect of differences between LMG and non-LMG districts. Results of the independent samples t-test revealed that LMG districts scored better average performances of 61.8±121.45 standard deviation (SD) compared to non-LMG districts 56.89±110.39 SD, with t (282243) = -3.407317 and p < 0.001, two-tailed. The difference of 4.9 percentage unit in the average performance indicated a statistically significant difference between the LMG and non-LMG districts. The data analysis illustrated significant differences observed in management practices, district administrative capacity, and quality in project implementation sites.

scholarly journals Job satisfaction among family nurses in Poland: A questionnaire-based study.

2019 ◽  
Author(s):  
Paulina Kalinowska ◽  
Ludmila Marcinowicz
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Primary Health Care ◽  
Family Doctor ◽  
Primary Health Care System ◽  
Cross Sectional ◽  
Primary Health ◽  
Health Care Unit ◽  
The Mean ◽  
Family Nurses

Abstract Background: A family nurse, next to a family doctor and midwife, plays a crucial role in the primary health care system, and a patient has the right to choose them; they are the first medical professional the patient meets when there is any problem. The present study aimed to define the level of job satisfaction among Polish family nurses and to establish its standards. Attempts were made to assess whether job satisfaction depends on the job location, form of employment, family structure, or financial situation. Method: A cross-sectional study was conducted among Polish family nurses who were professionally active in 2018. As the first step, the questionnaires were sent to all (45) County Chambers of Nurses and Midwives in Poland. The data were collected and analyzed using a standardized questionnaire “The Satisfaction With Job Scale” by A.M. Zalewska and our survey questionnaire. Results: Of 220 family nurses surveyed, 219 (99.5%) were females and one (0.5%) was male. The mean age of the study participants was 50.13 years, with a standard deviation of 8.36. The majority of nurses had secondary education (37.6%), with a qualification course (96.2%), without specialization (61%), with a nursing job seniority of 30–39 years (44.6%), and residing in a medium-sized city (43.7%). In the study group, the mean score of job satisfaction was 22.23 (on a scale of 35), and median (Me) score was 23. Conclusion: The results of the study revealed that Polish family nurses are moderately satisfied with their job. A higher level of job satisfaction was reported among family nurses with longer job seniority, who are working in the country, are owners or co-owners of a primary health care unit, live in a complete family, are single, and who declared that they could afford what they wanted to buy and possessed savings. Moreover, the level of job satisfaction was highest among the nurses who recommended other nurses to work in a primary health care unit, participated in scientific conferences, and subscribed to nursing care journals. Key words: family nurses, job satisfaction, nursing in Poland

scholarly journals Knowledge and Awareness of Osteoporosis among Saudi Physicians and Nurses: A Cross-Sectional Study

2018 ◽  
Vol 6 (5) ◽  
pp. 913-916 ◽  
Author(s):  
Mushabab Ayed Alghamdi ◽  
Abdel Gaffar AbdelAllah Mohammed
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Professionals ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Poor Knowledge ◽  
Primary Health ◽  
Total Score Range ◽  
Significant Difference

AIM: We aimed to evaluate the awareness and knowledge of osteoporosis in a sample of 141 health professionals.MATERIALS AND METHODS: A group of 141 health professionals (medical, surgical, primary health care and nursing departments) were enrolled in this cross-sectional study in the period from August 2017 to November 2017. The participants completed a questionnaire composed of 19 questions about osteoporosis which covering the main domains of knowledge on osteoporosis. Each correct answer carried 1 point whereas incorrect or ‘don’t know’ carried 0 points. This gave a total score range of 0-19. A cut-off level of < 10 points was considered as poor knowledge while ≥ 10 was regarded as good knowledge.RESULTS: Out of 141 respondents, 78 were females, 63 males, mean age of the participants was 38.17 ± 9.6 years, less than 40 years (n = 89), more than 40 years (n = 52). Nurses (n = 54), medical (n = 29), surgical (n = 35), primary health care (n = 23). Most of the study group with experience of fewer than 10 years (n = 66), 127 (90.1%) had good knowledge and 14 (9.9%) had poor knowledge p-value < 0.01.CONCLUSION: Our study revealed that Saudi health professionals have a good of knowledge about osteoporosis and no significant difference in osteoporosis knowledge between the health professional subgroups.

scholarly journals Leadership, governance and management for improving district capacity and performance: the case of USAID Transform: Primary Health Care

2020 ◽  
Author(s):  
Binyam Fekadu Desta ◽  
Abitew Azeb ◽  
Beshir Ali Ismael ◽  
Argaw Damite Mesele ◽  
Abdlkader Sualiha
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Management Practices ◽  
Health Management ◽  
District Health Office ◽  
District Health ◽  
Cross Sectional ◽  
Primary Health ◽  
Outcome Monitoring ◽  
Significant Difference

Abstract Primary health care (PHC) in Ethiopia serves as the main entry point for preventive, promotive and curative health services. The district health office is responsible for the planning, implementation and evaluation of all district health activities. In addition, district health offices manage service delivery facilities working on provision of PHC – primary hospitals, health centers and health posts. As the leader of the health care system tier, district health management must ensure direction, alignment and commitment within teams and organizations and make sure that achievements are consistent with the vision, values and strategy of the organization. USAID Transform: Primary Health Care provides diverse support to improve district health manager competencies including in-service trainings followed by planning and implementation of performance improvement projects and on-the-job mentoring and support. This study was conducted to compare district level capacity and performances between leadership, management and governance (LMG) and non-LMG districts. Project outcome monitoring data that shows the performance of districts was collected from 284 districts from January to December 2019. The study was carried out using a comparative-cross sectional study design, which assessed and compared district health office level indicators. Districts were classified into two categories: LMG and non-LMG districts. The study compared data from 94 LMG and 190 non-LMG districts. Results of the independent samples t-test revealed that LMG districts scored better average performances of 61.8 ± 12.4 standard deviation (SD) compared to non-LMG districts at 56.8 ± 11.3 SD, with t (282) = 3.407 and p < 0.001, two-tailed. The difference of 5.02 percentage unit in the average performance indicated a statistically significant difference between the LMG and non-LMG districts. The data analysis illustrated changes observed in management practices, district administrative capacity, capacity of districts in resource mobilization and use, service availability and quality in project implementation sites.

scholarly journals LEVEL OF AWARENESS, ACCESS AND USE OF LONG LASTING INSECTICIDAL NETS (LLINs) IN FIVE PUBLIC HEALTH CENTRES WITHIN KADUNA METROPOLIS

2020 ◽  
Vol 4 (3) ◽  
pp. 343-350
Author(s):  
HOSEA YAYOCK ◽  
N. O. Osageide ◽  
H. Mande ◽  
H. Habib ◽  
I. Zamani
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Pregnant Women ◽  
General Hospital ◽  
Mosquito Species ◽  
Health Care Facilities ◽  
Cross Sectional ◽  
Primary Health ◽  
Significant Difference ◽  
Long Lasting Insecticidal Nets

A cross sectional study designed to assess the difference in level of Awareness, Access and Use of Long Lasting Insecticidal Nets (LLINs) from consenting pregnant women aged between 15 to 40 years attending routine ante-natal clinic sessions at Kaduna State University (Barau Dikko) Teaching Hospital, General Hospital Kawo, Primary Health Care Badarawa, Primary Health Care Angwan Romi and General Hospital Sabon Tasha. A total of 360 questionnaires were distributed, but only 308 returned completed. Also, mosquito samples were collected in 30 randomly selected households of the consenting pregnant women that were within three kilometer radius range of the antenatal clinic for 12 weeks’ period. A one-way ANOVA was conducted using SPSS statistical package version 22. The result revealed that there was no significant difference (P> 0.05) in level of Awareness (92.53%), Access (75.32%) and Use (67.86%) of Long Lasting Insecticidal Nets (LLINs) among the pregnant women attending the various ante-natal hospitals/primary health care facilities. A total of 344 larvae samples were encountered and identified as Culex species 259(75.29%) and Aedes species 85(24.71%). Awareness, Access and Use of LLINs is relatively similar; while the mosquito species are vectors of Filariasis, Yellow fever, Dengue fever and can be prevented by the use of LLINs. ______________________________________________________________________________ Key word: Kaduna Metropolis, LLINs Awareness, Access and Use, Mosquito Preventive

scholarly journals Study of Acceptance and Application of Calgary Cambridge Communication Guideline for Doctor-Patient Communication in Primary Health Care

2018 ◽  
Vol 1 (3) ◽  
pp. 123
Author(s):  
Widyastuti Widyastuti ◽  
Mora Claramita ◽  
Retna Siwi Padmawati
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Clinical Skills ◽  
Care Center ◽  
Application Rate ◽  
Cross Sectional ◽  
Health Care Center ◽  
Primary Health ◽  
Application Rates ◽  
Significant Difference

ABSTRACTBackground: Communication is a basic skill that must be acquired by every doctor just like all other clinical skills. One of communication guidelines for doctor-patient that is the most widely used in many countries is the Calgary-Cambridge Communication Guideline (CCCG). However, since CCCG is based on the Western style of communications, a further study is necessary to determine whether CCCG is acceptable and applicable in Indonesia.Methods:  This research was an analytic descriptive study with a cross-sectional design. The research was conducted from December 2016 until January 2017 in Yogyakarta with 58 primary care doctors. The data was collected using the CCCG-based questionnaire method with a cross-cultural adaptation.Results: The CCCG is well accepted although its application is not optimum. The acceptance rate was 4.03 (indicating highly acceptable), while the application rate was 3.74 (indicating occasionally implemented). There was a significant difference between the acceptance and application rates (p<0.01). There were no significant differences between the acceptance rates of Puskesmas (Community and Primary Health Care Center) and non-Puskesmas (p = 0.115) facilities while the application was significantly different (p = 0.001). The application levels of the Puskesmas were lower than those in non-Puskesmas. Additionally, there was no difference in the acceptance or application of CCCG for doctors who have and who have not attended communication training.Conclusion: There was no difference in the acceptance of CCCG, but there was a difference in its application. The application rate at Puskesmas was lower than non-Puskesmas facilities. The experience in communication training did not affect the acceptance and the application rates of CCCG.

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