2024-03-29T16:34:10Z
https://www.ijehs.com/?_action=export&rf=summon&issue=33014
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
An Epidemiological evaluation of Acute Flaccid Paralysis surveillance performance in Ondo State; Nigeria, 2016-2020
Itse
Olaoye
Akinola
Fatiregun
Ekun
Opeyemi
David
Adeleke
Tsemaye
Jacdonmi
Stephen
Fagbemi
Famokun
Gboyega
Abiona
Samuel
Adefesoye
Akinpelumi
Onyibe
Rosemary
Background: The last case of the indigenous Wild Polio Virus in Ondo state was in 2008, and the last Polio compatible infection was in 2010. Poliovirus transmission was stopped thanks to the World Health Organization's (WHO) standards, which included acute flaccid paralysis (AFP) surveillance. We wanted to describe the state's polio surveillance performance during the last five years, from 2016 to 2020, using WHO-recommended measures and find areas where it could improve.Methods: Between January 2016 and December 2020, AFP case-based surveillance data was used to undertake a retrospective examination of records. Microsoft Excel was used for data processing, and Quantum Geographic Information System was used for mapping (GIS).Results: From 2016 to 2020, a total of 1,096 AFP instances were recorded, none of which were confirmed as Poliomyelitis. The bulk of the cases (77.2 percent) were found in children under the age of five. Males made up more than half of the cases (53.4%). More than 89 percent of reported cases received three or more OPV doses. Between 2016 and 2020, there was a 79 percent decline in reported incidents. Between 2016 and 2020, the average Non-Polio AFP rate was 11.2 per 100,000, with a stool adequacy of 98.4%.Conclusion: AFP surveillance in Ondo state met the minimum WHO targets during the study period, according to the findings. However, because of the possibility of poliovirus being imported from endemic countries, which might threaten Nigeria's polio-free status, all surveillance actors' sensitization and active case search should be strengthened, particularly in underperforming local government areas (LGAs).
Acute Flaccid Paralysis
(AFP)
Epidemiology
Surveillance
Indicators
GIS
Nigeria
WHO
2021
01
01
https://www.ijehs.com/article_246984_44592852103d1d8fa75de426e7be6a8e.pdf
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
The knowledge of medical students about aging and its related factors in Yazd, Iran
Kian
Nourozi Tabrizi
Maedeh
Mortezanasab
Farahnaz
Mohammadi-Shahboulaghi
Mostafa
Shokati Ahmad Abad
Mahdi
Noroozi
Background: Medical students must have sufficient expertise to provide health services to the old as the global population of the elderly grows. Few research, however, have looked into this issue among medical, health, and nursing students. As a result, the purpose of this study was to look into the knowledge of medical, health, and nursing students on aging and related variables.Methods: In the year 2020, a cross-sectional study was done in Yazd, Iran. The research community was founded by Yazd University of Medical Sciences students. A total of 105 students from medical, health, and nursing were needed for the study. Two tools were used to collect data. a) A list of demographic characteristics Age, gender, level of education, and b) The Facts on Aging Quiz are among the items on this checklist (FAQI). FAQI is made up of 25 things in four dimensions, each of which can be answered with one of three options: "correct," "don't know," or "false." A higher score suggests a better position and a greater understanding of aging facts.Results: Students were 29 years old on average. Women made up almost 75% of those who took part. Only over a quarter of the attendees went to conferences and seminars on senior health. The majority of students in all three areas (medicine, health, and nursing) had never volunteered with the elderly before. Medical, nursing, and health students scored 11.093.4, 8.83.1, and 11.82.8 out of a possible 25 points on their understanding of aging facts, respectively. Only the area of study was statistically associated to the mean score of facts of aging among the demographic variables, indicating that the knowledge score of medicine and nursing students was lower than that of health students.Conclusion: The students that took part in this study lacked appropriate awareness of the facts of aging. Students' understanding in this area must be increased through the implementation of relevant educational programs.
Medical students
health
Elderly care
Knowledge
Aging
2021
01
01
https://www.ijehs.com/article_245812_2fc51c47148b3d57a97e3b7b1da669a0.pdf
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
Breathing exercise and respiratory parameters in chronic kidney disease patients with hemodialysis
F.
Aliakbari
F.
Safei
F.
Deriss
S.
Salehitali
Introduction: Patients with chronic renal disease are at risk for dyspnea, which can have a negative impact on their quality of life. The current study aims to investigate the influence of breathing exercise on respiratory parameters in hemodialysis patients due to a lack of agreement on the efficacy of breathing exercise in the respiratory status of hemodialysis patients.Method: Participants were randomly assigned to one of two groups in this single-blind clinical investigation (intervention and control). Under the supervision of a nurse, the intervention group practiced breathing interventions (deep and slow breathing) for eight sessions over the course of a month. Data was collected using two questionnaires (demographic and respiratory parameter checklist).Results: There was a significant change (P=0.000) between the pre- and post-scores of the respiratory score in the intervention and control groups.Conclusion: Because breathing intervention is beneficial in lowering dyspnea and improving respiratory parameters, nurses should consider using it as an appropriate therapy for these patients due to its simplicity and low cost.
Hemodialysis
deep breathing
Physiological parameters
Chronic kidney disease
End-stage of renal disease
Clinical
2021
01
01
https://www.ijehs.com/article_245581_a1dfc4504ad1763f26f37383b452500f.pdf
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
Prevalence of Prehypertension in Nigeria: a Systemic Review and Meta-analysis
M.A.
Bashir
A.I.
Yahaya
Mukhtar
Muhammad
Ashiru
Yusuf
Prehypertension is a borderline blood pressure status associated with both higher incidence of cardiovascular disease as well as higher risk of progression to hypertension. The rising burden of hypertension and prehyperension globally is a serious concern to all and sundry. This study aims to estimate the burden of prehypertension in Nigeria. Online searches of Google Scholar, PubMed and African Index Medicus were conducted and studies selected based on predefined criteria. 21 studies consisting of 25839 individuals conducted between 2011 and 2021 were included in the meta-analysis. The pooled prevalence of prehypertension in Nigeria was found to be 34%(95% CI: 30%-40%) translating to 41.4 million adult Nigerians. Males have higher prehypertension prevalence of 39.1% (95% CI: 30.9%-47.6%) than females with prevalence of 28.5% (95% CI: 21.2%-36.4%). Differences between sexes are not statistically significant. The region with the lowest prehypertension prevalence is North-East at 18%. The region with the highest prevalence of prehypertension is North-West at 43%. Differences between the regions are statistically significant. The pooled prevalence in rural settlements is 32% whereas the pooled prevalence for urban settlements is 37%. Differences rural and urban settlements were not statistically significant. In conclusion, the burden of prehypertension in Nigeria is high and represents a future burden of hypertension and other cardiovascular diseases
cardiovascular diseases
Blood pressure
Prehypertension
Adults
Prevalence
Nigeria
Systematic review
meta-analysis
2021
01
01
https://www.ijehs.com/article_245213_9e0ae13fe92335b2050601e75a4cee34.pdf
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
Challenging care experiences among caregivers of hemodialysis patients
Fatemeh
Ghapanvari
Seyedehzahra
Hosseinigolafshani
Background: Recent studies on hemodialysis patients have focused more on the suffering caused by physical and psychological problems in them, and they have paid less attention to their caregivers. Since the caregivers of these patients are intensively affected by the physical and psychological problems caused by this method of treatment, it is necessary to pay more attention to the challenges as well as the problems that exist among them. This study aimed to describe the lived experiences of caregivers in caring for hemodialysis patients. Methods: The present study is a qualitative study with a phenomenological design. Sampling was first done through a purposive sampling method, and the snowball sampling method was then applied in order to select 21 caregivers for the hemodialysis patients from three hemodialysis centers in Qazvin, Iran. An audio recorder were used to collect the data of in-depth face-to-face semi-structured interviews. The interviews were analyzed using Colaizzi's approach. The criteria of Lincoln and Guba was followed for trustworthiness. Results: Analysis of the interviews in response to the main question revealed 108 initial codes, 18 subcategories, and 3 main themes, including 1. Care: Growth experience, 2. Care: Living in solitary confinement, and 3. In silence: Seeking help. Conclusion: In situations where the caregivers of hemodialysis patients felt they did not have sufficient material and spiritual support from those around them, they reported two different and conflicted experiences. Some people experienced progress and excellence, while others felt stuck and had to make ideal sacrifices. More in-depth research is required to discover the factors that influence such diverse insights.
challenge
care experience
Caregiver
Hemodialysis
patients
Patient care
2021
01
01
https://www.ijehs.com/article_245203_b0a47f726fbc7c7f2ff3ee029dca2ebb.pdf
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
Evaluation of the effect of individual education-supported needs assessment for anxiety among elderly candidates of open-heart surgery
Hossein
Tavangar
Farzan
Madadizadeh
Zohre
Kalani
Razie
Beygi Rizi
Zakieh
Tavakoli
Mostafa
Shokati Ahmad Abad
Background: The presence of pain and anxiety in a patient affects the results and, therefore, the process of healing, as well as the postoperative complications. Therefore, this study was performed to gauge the effect of individual education-supported needs assessment on anxiety among elderly patients who were candidates for open-heart surgery.Method: This quasi-experimental study was carried out in Iran in 2019. Sixty-one patients, who were candidates for open-heart surgery and aged 60 years or older, were divided into two groups: experiment and control. The patients within the control group received routine care, and therefore, the patients with the intervention received education-supported needs assessment in addition to routine care. The State-Trait Anxiety Inventory was used to assess the patients’ anxiety levels. All analysis was performed in SPSS v19 with a significance level of 0.05.Results: The demographic variables were similar in both groups (p <0.05). The mean scores of both the state and the trait anxiety among the patients in the intervention group decreased significantly after the intervention (p <0.05). The mean scores of both the state and the trait anxiety among the patients in the control group were similar before and after the intervention (p>0.05).Conclusion: Individual education based on needs assessment among elderly patients is an effective strategy for reducing their anxiety before open-heart surgery.
Anxiety
Individual education
Needs Assessment
Open-heart surgery
CABG
Elderly
Psychoepidemiology
Epidemiology
2021
01
01
https://www.ijehs.com/article_244539_bba7bf30fdd782bafa74e13aaa1e18ed.pdf
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
Effectiveness of family-centered empowerment program on the care needs of families of patients with a traumatic head injury
Razieh
Akbari
Shayesteh
Salehi
Nasrollah
Alimohammadi
Background: Most survivors of traumatic head injury, due to functional disorders, are dependent on their family members. In fact, these families are at the forefront of many challenges and stresses. The aim of the present study was to investigate the effectiveness of a family-centered empowerment program on the care needs of the families of patients with traumatic head injuries discharged from Al-Zahra Hospital in Isfahan in 2019.Methods: The present study was a clinical trial conducted among 56 family members of patients with traumatic head injury. The samples were randomly allocated to two groups: experiment and control. The experimental group received an empowerment program based on the "family-centered empowerment model" through 3-5 sessions of 45-60 minutes, while the control group received routine education during discharge. Data was collected using a checklist for demographic information as well as the standardized Family Need Questionnaire (FNQ).Results: Based on the findings of the present study, the level that the care needs have been met regarding health information, emotional support, instrumental support, and professional support was statistically significant higher in the experimental group compared to the control group (p < 0.001). The average care needs related to health information, emotional care, and instrumental support were statistically significant lower in the experimental group compared to the control group (p < 0.05). While considering community support network, the average care needs were statistically significant lower in the control group compared to the experimental group (p < 0.05); however, about involvement in care, no statistically significant difference was found between the two groups of experiment and control (p > 0.05).Conclusion: To meet the care needs of the families of patients with traumatic head injuries discharged from medical centers, implementation of the family-centered empowerment program is effective, and it results in improvement and continuous providing of services at home and meeting families’ care needs. Therefore, the application of such programs is recommended for healthcare planners.
Traumatic head injury
Family caregiver
Family-centered empowerment
Home care
Patient care
2021
01
01
https://www.ijehs.com/article_244538_2feee0af406ea0e378c852d43a9d2171.pdf
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
WHO Community Engagement Package: A Reinforcement of an Inclusive Approach to Global Public Health
Semeeh
Omoleke
Yolanda
Bayugo
Ukam Ebe
Oyene
Jonathan
Abrahams
Nina
Gobat
Suvajee
Good
Mary
Manandhar
Samar
Elfeky
Ana
Hernandez Bonilla
Nicole
Valentine
Jackeline
Alger
Qudsia
Huda
Saqif
Mustafa
Maria
Echavarria
Ankur
Rakesh
Taylor
Warren
Jostacio
Lapitan
Jana
Mier-Alpano
Dayo
Spencer-Walters
Meredith
Labarda
Mihai
Mihut
Aphaluck
Bhatiasevi
Obinna
Ekwunife
Community Engagement (CE) plays a crucial role in successful public health actions, achieving universal health coverage, and the realization of the United Nations Sustainable Development Goals. It has emerged as an effective strategy across different settings through prevention, preparedness, readiness and response, and recovery towards attaining community resilience, Primary Health Care (PHC) strengthening and universal health coverage (UHC), health security, and sustainable development. We reviewed the existing literature and various data sources and found that several CE training packages are available from international partners, focusing on the principles, theories, general questions, and CE techniques. However, there are still challenges because they are often fragmented, with little or no systematic procedures to guide the CE processes in different settings.In this light, WHO initiated a discourse on the CE Package (CEP) development in consultation with some selected international partners. The CEP Project will focus on developing a database, learning, and workshop packages based on curation of CE experiences in different settings using defined criteria. The CEP would harmonize CE processes and facilitate the reinforcement of the CE integration into public health. Further, the CEP Project serves as a collection of selected best practices for pre-service and in-service training packages for health professionals. Also, there is an anticipated inclusion into curricula of health training institutions and WHO staff capacity development. Finally, the database for compiling best practices is designed such that it can be periodically updated and becomes a compendium of CE for learning, research, and informing practice.
Community Engagement
Community Engagement Package
Global Public Health
Health Emergencies
Disaster Risk Management
Primary Health Care
WHO
2021
01
01
https://www.ijehs.com/article_244835_56a484c7e06a814a2b223b9d93f8af41.pdf
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
The potential role of Monsoon-induced humidity in India’s unexpected Covid-19 case decline and subsequent rise considering seasonality
Virendra
Mane
Poorva
Bhalerao
Background: The COVID-19 pandemic was expected to affect India severely; cases rose exponentially from May-June 2020, but around mid-September reached their peak and started declining. It showed a sign of the wave’s completion by the end of January 2021. This decline was not predicted by any models and the authors have not come across any explanation. Winter seasonality of influenza and similar viruses is well known and observed fact and that it has a direct correlation to the colder temperatures as well as lower humidity. Similarly, in low humidity, viruses are most viable, and they become ineffective as the humidity increases and reaches its maximum extent. This article hypothesizes and tries to explain the cause behind the first major decline and shows the subsequent rise of the second wave, and one short low humidity period followed by a high humidity period between the first and second waves. Methods: The humidity cycles in India were studied to find high and low relative humidity periods, which then corresponded to the daily cases in the country (macro-level), region (mid-level), and smaller regions (micro-level). Results: A definite correlation was observed between Monsoon-induced humidity and the incidence rate decline. This happens in 8 to 10 weeks. Incidence rates start declining about 4 weeks after the peak humidity is reached in a particular region. A decrease in humidity below 65% or 55% or lower causes an increase in the case increase/uptrend in about 3-4 weeks. Conclusion: COVID-19 has a seasonal peak in India, peaking in the middle of the monsoon season around mid-September and reaching its lowest levels in January-February. As humidity drops from February to June/July, a trend reversal and sharp rise are expected. The subsequent wave/case peak would be expected to be seen around mid-September 2021.
Epidemiology
Public health
infectious diseases
SARS-CoV-2
COVID-19
Humidity
monsoon
India
2021
01
01
https://www.ijehs.com/article_244388_9b8a4dfcc7d684608102baf47285034d.pdf
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
Epidemiological approach to an outbreak of gastroenteritis in Ondo State, South West, Nigeria
Itse
Olaoye
Akinola
Fatiregun
Stephen
Fagbemi
Famokun
Gboyega
Rosemary
Onyibe
Background: Acute gastroenteritis, a very common disease in humans affecting both children and adults, remains a major public health concern worldwide. Several groups of viruses have been reported as the causative agents of acute gastroenteritis. An outbreak of acute gastroenteritis with a high fatality rate was reported in Ondo State, Southwest, Nigeria, in September 2020. Methods: To provide a descriptive epidemiology of the outbreak, a field investigation was carried out in affected communities in September 2020. Results: Four Local Government Areas (LGA) were affected, with Odigbo LGA having the highest attack rate of 14.9 per 100,000 population. The epidemic curve was propagated in nature. 50 cases were reported with 21 deaths (42%). The outbreak primarily affected 15-year-olds (94%, n=47) and more males (58%, n=29). Conclusion: Poor sanitation, food, and water hygiene conditions in communities of the LGA visited were observed. The spread of the outbreak was probably facilitated by water sellers.
Gastroenteritis
Epidemiology
Outbreak
WHO
Nigeria
2021
01
01
https://www.ijehs.com/article_244239_dee8533232113aa14be20c404bd18cbb.pdf
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
Covid-19 with neuropathic pain symptom: A case-report
Samira
Zouhri
Mohcine
El Baroudi
A woman in her sixties with a normal medical history was admitted to a general medical floor with Neuropathic pain symptoms such as a burning sensation throughout her body (head, back, spine, throat, and tongue with dry mouth, chest, abdomen, kidneys, thighs, toes), inability to eat, urinary incontinence, difficulty wearing clothing, and difficulty leaning on the back. There was a difficulty and delay in diagnosing the patient's condition, which was confirmed to have severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) with no respiratory symptoms. The patient's pain did not respond to the covid-19's first-line medications, but it did respond to neuropathic medication with Pregabalin and Alprazolam. Our study shows that Pregabalin could be helpful in relieving the patient’s pain and very effective for treating neuropathic pain with a safe profile, unlike Alprazolam, which interferes with the same stages of sleep, which made her sleep condition worse.
Alprazolam
COVID-19
Neuropathic pain
Pregabalin
SARS-CoV-2
Morocco
Case-report
Clinical
2021
01
01
https://www.ijehs.com/article_244138_2204c4b0ade5d0149fb44a06a93bb4b2.pdf
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
The impact of COVID-19 pandemic on the Malaysian firms’ operation
Fazlollah
Keshavarzi
Berry
Ting
Betty
Tang
Kai Xin
Chang
Fei San
Chee
Kar Mey
Chen
Background. The worldwide economic impact of the COVID-19 pandemic is comparable with the largest disastrous events of modern human history, such as the first and second world wars. This study investigated the nationwide impact of the pandemic on the local Malaysian firms.Methods. A cross-sectional, online survey was carried out in East and West Malaysia by inviting the Malaysian firms’ executives to fill in a questionnaire that was adopted from previous similar studies in other countries. The final questionnaire included 16 questions distributed in three categories. The executives of firms were contacted through email and social media. SSPS was used to analyse the collected data.Results. A total of 379 responses were received. Nearly 42% of firms reported a small impact with some difficulties in business operations but overall stability. Approximately 32% of businesses were severely impacted, and operations were barely maintained. Six percent of the firms had no significant difficulties and 5.3% reported that the pandemic provided new opportunities for development.Conclusion. Almost one-third of the Malaysian firms are affected significantly by the COVID-19 pandemic. The business operation of half of the Malaysian firms is also affected to some extent. Supportive policies are needed to reduce the companies’ manufacturing costs and assist them in surviving and eventually returning to normal business operations.
COVID-19
Pandemic
Economic Burden of Disease
Malaysian firms
Malaysia
SARS-CoV-2
Epidemiology
2021
01
01
https://www.ijehs.com/article_244125_4b8c60c833702262d9e50a2c013bdbf6.pdf
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
Calculation of non-inferiority margin in pharmacoepidemiology: Simple methods for clinicians
Kourosh
Zali
The presence of a placebo arm is certainly a substantial element in randomized control trials (RCTs) because the effectiveness or efficacy of a new therapy can be evaluated through a direct comparison between the test treatment and the placebo arm. Conducting a placebo-controlled RCT is often very difficult or even impossible. To solve this problem, the availability of standard treatments and ethical concerns have led scientists to consider an active or positive control treatment as a comparator to assess the treatment effect without a placebo arm. Such an assessment is often made under a so-called “non-inferiority trial” (NIT) design. Non-inferiority margin (NIM) is the most important part of an NIT. Because there is no well-established method to determine the NIM, it is very important that this margin be pre-specified and the criteria for how it was established well defined prior to conducting the study. All methods of determination of NIM rely upon subjective judgment with unverifiable assumptions. This article demonstrates six simple methods to calculate NIM.
Non-inferiority trial
Non-inferiority margin
Pharmacoepidemiology
Clinicians
Epidemiology
2021
01
01
https://www.ijehs.com/article_243816_2aeaeeddb4af3abef38bf4688fba50ef.pdf
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
Development of an educational module for mothers of premature infants admitted to the neonatal intensive care unit in Iran: a narrative review
Shima
Heidary
Haydeh
Heidari
Roya
Choopani
Introduction: Mothers of preterm infants, as the primary caregiver, need to learn more about their infants and the complex environment of neonatal intensive care. This study aimed to develop and evaluate the educational module for the mothers of premature infants admitted to the neonatal intensive care unit (NICU) in Iran.Method: The online databases (SID, Magiran, Google Scholar, ScienceDirect, PubMed, Elsevier, and Scopus) were accessed from 2009 to 2019, using the keywords ‘mother’, ‘neonatal intensive care’, ‘program’, ‘intervention education,’ and ‘empowerment’. In general, 275 articles were retrieved and a total of 12 studies was retained for appraisal, after screening the titles, abstracts, and full-text reviews. Finally, the qualitative module validity and face validity were determined, using the opinions of 11 experts and 10 mothers of premature infants, respectively.Results: Eight themes were identified based on thematic analysis, including orientation with the NICU, characteristics of premature infants, premature infants’ problems, needs of premature infants, preparation of premature infant’s environment, behavioral symptoms of premature infants, the positioning of premature infants, and preparation for discharge and measures were developed after the discharge of the premature infant. Considering all acquired interventions for all items, a content validity ratio of 0.59 and content validity index of 0.79 based on the opinions of experts at two levels of specialists and mothers.Conclusion: Due to the lack of enough nursing staff and a high workload in the NICU, this review offers nurses to spend less time educating mothers and focusing more on premature infants. Moreover, supporting mothers can help to provide better care. The educational module can help nurses and mothers have more effective care for premature infants.
Educational content
Mother
Premature Infant
Pediatrics
Neonatal intensive care unit
Neonatal
Intensive care unit
Narrative review
2021
01
01
https://www.ijehs.com/article_242846_6c39355425e5af17360be19a0a8884d7.pdf
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
Knowledge, Attitude, and Behavior Intention on Evidence-Based Practice among Nurses and Midwives of Pediatric and Neonatal units
Mojtaba
Senmar
Ali
Razaghpoor
Faezeh
Safarali
Faeze
Ramezani
Neda
Fallah
Saeideh
Hosseini
Hossein
Rafiei
Background: While evidence-based practice (EBP) should be considered by all of midwifery and nursing groups, it is more important to midwives and nurses working with neonates and infants. Due to the limited number of available studies in this area, the objective of this study was to examine the knowledge, attitude, and intention of midwives and nurses of pediatrics and neonatal units regarding EBP.Methods: This study was taking place in 2019 in Iran. A descriptive analytical study was carried out with 125 midwives and nurses working in pediatrics and neonatal units. The knowledge, attitude, and intention were assessed through a 34-item Rubin and Parrish questionnaire. Of these 34 items, 10, 14, and 10 items could assess the knowledge, attitude, and intention of the participants, respectively.Results: The total average knowledge score was 36.7 with a standard deviation of 5.6. The overall average of attitude score was 45.4 with a standard deviation of 4.7. The overall average of intention score was 38.1 with a standard deviation of 5.4. Two factors of “participating in EBP workshops” and “participating in research projects and having published articles” were the two factors that resulted in an increase in the level of knowledge, positive attitude, and a rise in the level of intention regarding EBP (p <0.05). Moreover, higher education has significantly increased the intention to use EBP (p <0.05).Conclusion: Participants in this study had a moderate level of knowledge, moderate intention, and a relatively positive attitude toward EBP. It is recommended that this situation be improved by providing training courses and workshops on EBP and involving clinical nurses and midwives in research projects.
Evidence-Based Practice
Midwife
Nurse
Pediatric Care
Neonatal Care
Neonatal
Knowledge
Attitude
Intention
2021
01
01
https://www.ijehs.com/article_239706_f9ba78202cff2184867236b10bc200cc.pdf
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
Epidemiology of Kidney Stone and Bacterial Strains with Antibiotic Resistance in Shiraz, Southwest of Iran, 2014-2019
Farshad
Kakian
Mohammad
Ghasemi Palangi
Nahal
Hadi
Background: Urinary stones are one of the major health problems worldwide and a significant part of referrals to physicians. Also, growing antibiotics resistance is an important concern. The purpose of this study was to evaluate the prevalence of urinary stones and bacterial strains with antibiotic resistance in women admitted to shiraz, southwest of Iran, from 2014 to 2019. Methods: In this period, all women admitted to the Zeinabieh Hospital were evaluated. The frequency of urinary stones and bacterial strains and antibiogram patterns of bacterial isolates were investigated from 2014 to 2019.Antibacterial susceptibility testing was done by disk diffusion method, fulfilling the standard criteria of “Clinical and Laboratory Standards Institute (CLSI) Performance Standards for Antimicrobial Susceptibility”. Results: Out of 101 isolates, the identified gram-negative bacteria were E. coli (68.3%), Klebsiella (6.9%), Enterobacter (6.9%), Pseudomonas (5%), Proteus (1%), and Acinetobacter (1%). Of gram-positive strains, Coagulase-positive Staphylococci (5.9%), coagulase-negative Staphylococcus (CONS) (3%) and Non-Hemolytic Streptococci (2%) were identified. Also, the frequency of urinary tract stones was about 5%. Four cases of kidney stones were associated with E. coli and one case with Klebsiella. All isolates had the highest resistance to co-trimoxazole (62.5%), Ampicillin and Nalidixic acid.Conclusion: In this study, no association was found between the type of bacteria and urinary stone. From the variable bacteria isolated, the highest rate of E. coli (as an important pathogen) was confirmed. Also, most of the bacterial isolates were resistant to multiple antibiotics, although Amikacin and nitrofurantoin (as the empirical therapy in our hospital) were dominated.
Urinary (kidney) stone
Epidemiology
Bacterial strains
antimicrobial resistance
Clinical
2021
01
01
https://www.ijehs.com/article_47993_9e53dfca3c774c4b94a17ab5452aec77.pdf
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
SARS-CoV-2 infection prevalence and characteristics in domestic contacts: Study of 39 families and 132 people in a general medicine clinic in Toledo (Spain). implications for the general practitioner
Jose Luis
Turabian
BackgroundMost people with COVID-19 receive care at home, increasing the likelihood of exposure for household members.ObjectiveTo study the prevalence and characteristics of secondary cases in families after the appearance of a primary caseMethodologyAn observational and retrospective study of families with at least one polymerase chain reaction (PCR) confirmed COVID-19 primary case was conducted from March 15 to December 25, 2020, in a general medicine office in Toledo, Spain. Socio-demographic and clinical variables were compared between primary and secondary cases in the families. The outcome of interest was secondary attack rate of SARS-CoV-2 within the family.Results39 families with a primary case (average size 3.4 members) with a total of 132 cohabitants were included. There were 22 cohabitants with negative PCR (22/92 = 24%), 70 secondary cases with positive PCR (Secondary attack rate 76%), of which 25 were asymptomatic (25/70 = 36%), and a cohabiting new-born. A high frequency of people from ethnic minorities, low household income and complex families was found, both in primary and secondary cases. The secondary cases with respect to the primary ones were more women, younger, students and with a lower socio-occupational level, with more asymptomatic cases, and milder symptomatic cases.ConclusionsIn this context, the prevalence of secondary domestic contacts is very high, and it occur in young women, being asymptomatic or mild. The high secondary attack rate suggests the importance of the pre-symptomatic or early symptomatic period of COVID-19, as well as the possible failure to comply with isolation measures.
COVID-19
SARS-CoV-2
Household contact
Family Characteristics
Secondary attack rate
Spain
Epidemiology
Clinical
2021
01
01
https://www.ijehs.com/article_241686_0eb1f1fa30f31ae7e807ed730622f9f2.pdf
2021-01-01
10.51757/IJEHS
International Journal of Epidemiology and Health Sciences
Int J Epidemiol Health Sci
2021
2
Continuous
Prevalence of low back pain among the working Ethiopian population: A systematic review and meta-analysis
Amanuel
Arero
Godana
Arero
Shimels
Mohammed
Sahar
Eftekhari
Background and objective: Low back pain (LBP), as a musculoskeletal disorder, remains a common health problem and is one of the most prevalent occupational injuries affecting adults living in both developed and developing countries. To increase the power and improve the prevalence estimates of LBP among the working Ethiopian population, a comprehensive meta-analysis was carried out. Methods: A comprehensive systematic literature search was conducted through multiple international electronic bibliographic databases such as Web of Science, Pub Med, EMBASE, Scopus, and Google Scholar. Population-based studies with the prevalence of LBP among the working population living in Ethiopia were included. Meta-analyses, meta-regression, and sensitivity analysis was conducted. Funnel plot symmetry visualization followed by Begg’s rank correlation, and Egger’s regression asymmetry test methods were performed to detect the existence of publication bias. Heterogeneity between studies was assessed by using the Cochrane Q and I2 statistics. Results: Overall, 719 articles were identified and 13 articles with 6513 participants met the inclusion criteria for meta-analyses. The pooled point and twelve-month prevalence of LBP among the working Ethiopian population was 49% (95% CI: 40-58) and 56% (95% CI: 49-62), respectively. Conclusion: The results showed a high prevalence of LBP among the working Ethiopian population, especially among teachers. We believe that prevention strategies addressing the early onset of LBP among the working population would most likely be the answer to the burden of LBP on future economies in Ethiopia.
Low back pain
Epidemiology
Occupational injury
Working population
Occupational epidemiology
Ethiopia
Systematic review
meta-analysis
Clinical
2021
01
01
https://www.ijehs.com/article_47841_c4c8837d1ccd0f6e394daa1f035e4749.pdf