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Patients’ Treatment Satisfaction: Experiences of HIV Patients in a Tertiary Hospital in Southwest Nigeria
Osho Patrick Olanrewaju,
Adepoju Omoseni Oyindamola,
Joseph Adejoke Ajidat,
Joseph Oluyemi,
Ojo Oladotun Ayotunde,
Ojo Matilda Adesuwa Osagie,
Oni Oluwatosin Idowu
Issue:
Volume 9, Issue 3, September 2020
Pages:
43-50
Received:
22 May 2020
Accepted:
15 June 2020
Published:
17 July 2020
Abstract: According to the World Health Organization, about 40 Million people are living with HIV/ AIDS, where two- third resides in the African region and about 2 Million of them are from Nigeria. Hence, this study assessed the satisfaction of patients with services provided in a tertiary hospital in southwest Nigeria. This is due to the fact that the satisfaction of patients is a measure used to evaluate the quality of health care delivery of a hospital and from health care services providers. It is a cross sectional study that employed purposive and convenience sampling methods using well-structured questionnaires to retrieve information from HIV/ AIDS patients. A total of 143 respondents participated fully and whose data were analyzed using Statistical Package for Social Science (SPSS version 20), where the level of patient’s satisfaction was measured. The patients’ satisfaction was based on Service Quality (SERVQUAL) framework. Result from the study revealed that the patients were currently satisfied with the services being offered them, at a grand mean of 4.46 and standard deviation of 0.52. Also, the respondents ranked responsiveness dimension of SERVQUAL framework first with an average mean of 4.53 and standard deviation of 0.47. They ranked Empathy dimension as the lowest dimension, with an average mean of 4.36 and standard deviation of 0.58. Thus, the study recommends that health workers should be trained by the government on how to convey affection while providing services to HIV/ AIDS patients.
Abstract: According to the World Health Organization, about 40 Million people are living with HIV/ AIDS, where two- third resides in the African region and about 2 Million of them are from Nigeria. Hence, this study assessed the satisfaction of patients with services provided in a tertiary hospital in southwest Nigeria. This is due to the fact that the satis...
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Safety and Efficacy of Chloral Hydrate in Outpatient Pediatrics for Sedation
Ruijuan Qiu,
Guohua Huang
Issue:
Volume 9, Issue 3, September 2020
Pages:
51-53
Received:
30 June 2020
Accepted:
23 July 2020
Published:
5 August 2020
Abstract: Objective: Sedation is frequently applied in children who need to undergo a diagnosis or treatment procedure. We aim to investigate the safety and efficacy of retention enema with chloral hydrate for the sedation of outpatient children. Methods: We retrospectively reviewed outpatient pediatric patients from March 1, 2020 to July 6, 2020, who were given an initial dose of chloral hydrate rectally for needed sedation. Patient demographics, sedation dose, onset action time, action duration time, adverse reactions were recorded. Results: In this study, totally fifty- four pediatric patients (36 males, 18 females; median [range] age, 3 [1-5] years) were sedated with chloral hydrate (median [range] dose, 70 [30-130] mg/kg). The median weight was 15 (10-21) kg, and 48 (88.9%) children was success to sedate and finished the designated examinations. Five cases (9.3%) awoke quickly and one child (1.9%) failure to fall asleep, which required rescheduling of sedation. The median action duration time of sedation was 3 (1-8) hours, and all children recovered normally post-sedation. Only 2 cases (3.7%) showed minor adverse reaction, presented as prolonged sleep. Conclusion: When strictly following the process, retention enema with chloral hydrate in pediatric patients for sedation in this study demonstrated a relatively high success rate and low risk of adverse reactions, and can be used safely and effectively for outpatient pediatrics.
Abstract: Objective: Sedation is frequently applied in children who need to undergo a diagnosis or treatment procedure. We aim to investigate the safety and efficacy of retention enema with chloral hydrate for the sedation of outpatient children. Methods: We retrospectively reviewed outpatient pediatric patients from March 1, 2020 to July 6, 2020, who were g...
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A Case of Hypertension with Systemic Multiple Arterial Stenosis Accompanied by Acute Cerebellar Infarction
Yun Pan,
Hailing Liao,
Dongdong Chen,
Jiaxiong Tan
Issue:
Volume 9, Issue 3, September 2020
Pages:
54-57
Received:
19 August 2020
Accepted:
27 August 2020
Published:
14 September 2020
Abstract: Hypertension is a recognized risk factor for stroke and recurrent stroke. Studies have found that more than 75% of patients with acute stroke are associated with elevated blood pressure. We report a patient of hypertension with ischemic stroke who had a history of lymphoma and developed systemic atherosclerosis with good control of long-term blood glucose and lipid. Based on the literature, the etiology and treatment were discussed, suggesting that the cause of atherosclerosis may be related to the radiotherapy, chemotherapy and targeted therapy of lymphoma. It is pointed out that the target of blood pressure should be determined according to the actual situation of the patient rather than guadlines only. At the same time, the difference between stroke and coronary arterial disease in the secondary prevention was also revealed. Ticagrelor does not reduce the risk in the secondary prevention of ischemic stroke, and 21-day dual antiplatelet therapy (aspirin and clopidogrel) is recommended for patients with mild stroke starting within 24 hours to prevent stroke recurrence within 90 days.
Abstract: Hypertension is a recognized risk factor for stroke and recurrent stroke. Studies have found that more than 75% of patients with acute stroke are associated with elevated blood pressure. We report a patient of hypertension with ischemic stroke who had a history of lymphoma and developed systemic atherosclerosis with good control of long-term blood ...
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US COVID-19 State Mortality and Case Progression - A Midterm Report Card
Vernon Wen-Hau Lin,
Daniel Lin,
Hugh Pforsich,
Xiaoming Zhang
Issue:
Volume 9, Issue 3, September 2020
Pages:
58-67
Received:
14 August 2020
Accepted:
8 September 2020
Published:
21 September 2020
Abstract: The US is leading the world in terms of the number of deaths and cases due to COVID-19. After the end of the national lockdown, there has been a significant rise in both new cases and deaths associated with COVID-19—especially in the southern and western states. This study presents an interim report of each state (50 states, DC, and Puerto Rico), in terms of mortality rate (MR, the number of cumulative deaths per 100,000 population due to COVID-19 by July 15, 2020) and Case Rate Progression (CRP, the percent change in the number of cumulative cases per 100,000 population increased from May 31 to July 15, 2020). The study provided an A - F grade report card for each state when compared to one another. The results showed that the states that received F’s in MR are the following (starting from the worst): New Jersey, New York, Massachusetts, Connecticut, Washington DC, Rhode Island, and Louisiana. The following states received F’s in CRP (starting from the worst): Arizona, Florida, South Carolina, Texas, Idaho, Arkansas, Montana, Alaska, Nevada, and Oklahoma. A poor CRP grade reflects rampant increases in new COVID-19 cases, followed by resulting increases in hospitalization, health resource utilization, and mortality. Some prior high casualty states with MR grades of F (e.g. New York, New Jersey, and Connecticut) have maintained low new case counts and received A grades in CRP. They are exemplary in terms of COVID-19 state/region-wide response and public health efforts.
Abstract: The US is leading the world in terms of the number of deaths and cases due to COVID-19. After the end of the national lockdown, there has been a significant rise in both new cases and deaths associated with COVID-19—especially in the southern and western states. This study presents an interim report of each state (50 states, DC, and Puerto Rico), i...
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Factors Influencing Women’s Choice of Place of Delivery in Ngenge Sub-county, Kween District-Uganda
Walwasa John Paul,
Ikiriza Antony,
Maureen Andinda
Issue:
Volume 9, Issue 3, September 2020
Pages:
68-73
Received:
23 February 2020
Accepted:
3 August 2020
Published:
24 September 2020
Abstract: Background: Maternal and neonatal morbidity and mortality are major public health concerns in most developing countries and in under resourced settings. Increasing the proportion of babies that are delivered in health facilities is an important factor in reducing the health risks to both the mother and the baby. In Uganda’s skilled birth attendance is 58% of antenatal care mothers. Objective: The study assessed factors influencing the choice of place of delivery among women of reproductive age in Ngenge Sub County, Kween District- Sebei Sub region, Eastern Uganda. Methodology: The study design was cross-sectional in which data were collected using an interviewer administered structured questionnaire and analyzed using Epi info version 7.2. Results: A total of 350 mothers were interviewed of which 82% were married. Delivery under skilled attendance was 46%. Chances of delivering at the health facility decreased with increase in age (p=0.001), with increased parity (p=0.002), and increased with higher household income (p=0.011), and among mothers and their partners who had higher level of education (p=0.031, 0.024 respectively). The factors which influenced delivery in the health facility included: short waiting time at the health facility before receiving health care services, good attitude of the health care workers, and adequate birth preparedness during ANC. The factors which influenced delivery elsewhere included; the far distances to the nearest health facility, low education of mothers and their partners, increased maternal age, low household income, high parity, poor decision making and high perception of the mothers about the care provided by TBAs. Conclusion: The study concludes that skilled delivery was low at 46% way-below the national target of 95%. The factors statistically associated with choice of place of delivery included: waiting time at the health facility, attitude of the health care workers, birth preparedness during ANC, distance to the nearest health facility, level of education of mothers and their partners, maternal age, household income, parity of mothers, decision making, and perception of the mothers about the care provided by TBAs.
Abstract: Background: Maternal and neonatal morbidity and mortality are major public health concerns in most developing countries and in under resourced settings. Increasing the proportion of babies that are delivered in health facilities is an important factor in reducing the health risks to both the mother and the baby. In Uganda’s skilled birth attendance...
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Lipid/Lipoprotein Abnormalities Among Adult Type 1 Diabetics in Nigeria
Collins Amadi,
Olufisayo Gabriel Ayoade,
Fabian Aniekpon Unyime,
Sarah Ifreke Essien,
Blessing Thomas Moses,
Mfonobong Eni Enyong
Issue:
Volume 9, Issue 3, September 2020
Pages:
74-81
Received:
25 August 2020
Accepted:
10 September 2020
Published:
24 September 2020
Abstract: Background: Dyslipidemia abounds among diabetics. However, these are poorly characterized among patients with type 1 diabetes (T1DM). The current study determined the pattern of dyslipidemia and their relationship with glycemic status among adult T1DM subjects. Methods: This survey was conducted retrospectively among 346 newly-diagnosed/treatment-naïve T1DM adults attending outpatient units of a third-level hospital in Nigeria. Patients’ fasting plasma glucose and lipid parameters at the time of T1DM diagnosis were abstracted from their medical files. Lipid parameters included triglyceride (Tg), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C). Abstracted parameters were analyzed using descriptive and comparative statistics. Results: Of the 346 studied, 46.8% (n=162) were dyslipidemic (aged: 32.69±6.29) with female predominance (59.3%; p=0.018). Categorically, females predominated among isolated dyslipidemics while males predominated among the combined/mixed dyslipidemics. High plasma Tg concentration (n=142;87.7%) was the most common isolated dyslipidemia without male/female difference (p>0.05); seconded by low HDL-C (n=80;49.4%) with the females predominating (p<0.05). The most combined and mixed dyslipidemia was high plasma Tg/low HDL-C (total n=28, 17.3%; males n=16, 24.2% vs. females n=12, 12.5%; p=0.011) and high plasma Tg/high LDL-C/low-HDL-C (total n=30, 18.5%; males n=18, 27.3% vs. females n=12, 12.5%; p=0.001) concentrations, respectively with male predominance. The female dyslipidemics were younger with lower BMI, higher systolic blood pressure, glycemia, and mean plasma Tg levels (p<0.05). The overall dyslipidemics had poor glycemic status and their risk of dyslipidemia increases with worsening glycemia. Conclusion: Dyslipidemia was common and associated with poor glycemic status among the studied cohorts. This finding informs the need for more rigorous monitoring of dyslipidemia among T1DM subjects to reduce the risk of its complications.
Abstract: Background: Dyslipidemia abounds among diabetics. However, these are poorly characterized among patients with type 1 diabetes (T1DM). The current study determined the pattern of dyslipidemia and their relationship with glycemic status among adult T1DM subjects. Methods: This survey was conducted retrospectively among 346 newly-diagnosed/treatment-n...
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The Value of Predictive Nursing in Perioperative Period of Allogeneic Hematopoietic Stem Cell Transplantation
Issue:
Volume 9, Issue 3, September 2020
Pages:
82-86
Received:
3 September 2020
Accepted:
15 September 2020
Published:
28 September 2020
Abstract: Background: Predictive nursing is a new concept proposed in recent years. Studies have shown that predictive care is effective in critically ill and surgical patients. However, the application and research of predictive nursing in patients with allogeneic hematopoietic stem cell transplantation (allo-HSCT) during perioperative period is still lacking. Objective: The value and clinical effect of predictive nursing in allo-HSCT during the perioperative period. Methods: Retrospective analysis was performed on 36 patients with hematological disease who had received allo-HSCT. Observation group A was the patient who received oral care, perineal care and perianal care during the transplantation period; group B was the patient who received only one of the three care items; group C was the patient who received no nursing intervention. And then the time of stem cell transplantation, the incidence of infection, and the cost of treatment were analyzed among the three groups. Results: Predictive nursing intervention can significantly shorten the transplantation time of granulocytes and megakaryocytes (A vs. C, P=0.000, P=0.000; B vs. C, P=0.000, P=0.000). Patients receiving oral care, perineal care and perianal care at the same time had a tendency to shorten the transplant time of stem cells and effectively reduce the incidence of respiratory and urinary tract infections compared with patients receiving only one nursing intervention (X2=5.538, X2=5.924; P=0.019, P=0.05). And reduce the cost of treatment during transplantation (A vs. C, P=0.006). Conclusions: In the perioperative period of allogeneic hematopoietic stem cells, various predictive nursing interventions can shorten the transplantation time of stem cells, reduce the incidence of infection, and thus reduce the economic burden of patients. It is a cheap and effective method and worthy of clinical application.
Abstract: Background: Predictive nursing is a new concept proposed in recent years. Studies have shown that predictive care is effective in critically ill and surgical patients. However, the application and research of predictive nursing in patients with allogeneic hematopoietic stem cell transplantation (allo-HSCT) during perioperative period is still lacki...
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