-
Trend of Poisoned Patients’ in Emergency Department of a Tertiary Care Hospital of Eastern Nepal
Chaudhary Ritesh,
Rai Bijendra Kumar,
Poudel Masum,
Yadav Ashok Kumar,
Kafle Naresh,
Khadga Shambhu Nandan,
Regmi Shusil
Issue:
Volume 2, Issue 1, March 2017
Pages:
1-5
Received:
1 December 2016
Accepted:
19 December 2016
Published:
18 January 2017
DOI:
10.11648/j.hep.20170201.11
Downloads:
Views:
Abstract: Poisonings are the major emergency health issues of which many are acute as well as severe case are encountered in emergency ward of BP Koirala Institute of Health Sciences (BPKIHS) being located in the Eastern region of Nepal. A hospital based retrospective study was carried out where 57 poisoned patients admitted, 24 (42.1%) were males whereas 33 (57.9%) were females varied from 14-68 years. 27 (47.36%) patients belong to 20-40 years. 17 (29.82%) patients were more than 40 years and 13 (22.8%) were below 20 years. 77.2% were from Terai, 22.8% were from Hilly region of Nepal. 71.8% were Hindus, 22.8% were Buddhist and 5.4% were Christian and Islam religions. 71.9% cases were married couples while 28.1% unmarried ones. 14 (24.56%) of poisoning were organophosphates; 8 (14%) were zinc phosphide; 4 (0.07%) were sedatives/medications. 13 (22.8%) included kerosene, sulphuric acid, mixed metal, herbal and aluminum phosphide poisonings.18 (31.57%) of ingested were unknown compounds. 21 (36.8%) of poisoning were in solid forms, 20 (35.1%) were liquid forms whereas, 16 (28.1%) were in other forms like powder, semisolid etc. 61.4% found suicidal, 21.5% were accidental and 17.1% unknown intention. The trends of poisoned patients’ incident were highest among the adult female aged populations within marital relationship and constitute high consumption of solid form of organophosphates compounds and secondly zinc phosphide with suicidal intention.
Abstract: Poisonings are the major emergency health issues of which many are acute as well as severe case are encountered in emergency ward of BP Koirala Institute of Health Sciences (BPKIHS) being located in the Eastern region of Nepal. A hospital based retrospective study was carried out where 57 poisoned patients admitted, 24 (42.1%) were males whereas 33...
Show More
-
Mapping Environmental Health Injustice in Chuka Town Through Land Use Refinement Method and Dispersal Modeling GIS Based Techniques
Issue:
Volume 2, Issue 1, March 2017
Pages:
6-11
Received:
8 December 2016
Accepted:
28 December 2016
Published:
19 January 2017
DOI:
10.11648/j.hep.20170201.12
Downloads:
Views:
Abstract: As the world population becomes urbanized, issues of environmental health, justice and equity are growing in interest. In developing countries, improper waste management contributes to environmental related health risks. In Kenya particularly, dumpsites are located close to residential blocks in urban areas exposing surrounding communities to olfactory nuisance, toxic smokes and diseases. To document cases of local environmental health injustice, sub population at exposure risk to smoke plume was assessed using a case study of Chuka town open dump site. Framework adopted in evaluating potential health risks was that on principles of risk assessment and Geographic Information System (GIS) based modeling. In this study, land use refinement and dispersal modeling methods were used to estimate population at exposure risk. The findings shown about 55,162 persons living along the smoke dispersion route were at high risk of exposure to hazardous smoke plumes. The exposure risk showed a spatial variation across the blocks in relation to land use and terrain. Over 73 percent of population in the affected blocks engaged in informal sector employment and were the less advantaged groups of this town’s urban community. The results of this study are consistent with those of related studies which have shown that location of noxious facilities is often within neighborhoods of minority urban poor. For the case of Chuka town, relocation of the dumpsite to a less populated block and the engagement of affected communities in mitigating the injustice will ease the ecological burden currently borne by these sub population.
Abstract: As the world population becomes urbanized, issues of environmental health, justice and equity are growing in interest. In developing countries, improper waste management contributes to environmental related health risks. In Kenya particularly, dumpsites are located close to residential blocks in urban areas exposing surrounding communities to olfac...
Show More
-
Nutrition Counseling in Homelessness: A NC4HD Nexus
Issue:
Volume 2, Issue 1, March 2017
Pages:
12-15
Received:
21 December 2016
Accepted:
3 January 2017
Published:
24 January 2017
DOI:
10.11648/j.hep.20170201.13
Downloads:
Views:
Abstract: Health and nutritional horrors are in great triumph on the helm of galore public health fright in the world, especially in the developing countries. This situation is panicky to all classes’ people and the author attempts to evaluate the contribution of nutrition counseling for health development (NC4HD) project in context of homeless children in Bangladesh, an Asian developing country. Though NC4HD is a general term to aid development of health status of samples in a population, there are many cases where the potential benefits of NC linked with the individual, community and national level also. So the author argues the think tank to adopt NC4HD in different cases for meeting good health of the population in a country.
Abstract: Health and nutritional horrors are in great triumph on the helm of galore public health fright in the world, especially in the developing countries. This situation is panicky to all classes’ people and the author attempts to evaluate the contribution of nutrition counseling for health development (NC4HD) project in context of homeless children in B...
Show More
-
Knowledge Sharing: Exploring the Links to Organizational Culture
Issue:
Volume 2, Issue 1, March 2017
Pages:
16-26
Received:
18 December 2016
Accepted:
4 January 2017
Published:
26 January 2017
DOI:
10.11648/j.hep.20170201.14
Downloads:
Views:
Abstract: Countless studies have examined the relationship between organizational culture and knowledge management, and yet there is little research done on the relationship between organization culture and knowledge sharing in public organizations. The purpose of this paper is to explore the relationship between organizational culture and knowledge sharing among Ministry of cooperatives, labor & social welfare employees'. Data was collected via a questionnaire designed to measure the relationship between organizational culture and all kinds of knowledge's sharing. The data collected from 193 Ministry of cooperatives, labor & social welfare headquarter experts was explored by regression analysis. Among organizational culture, clan culture leaded the employees to share embedded knowledge on request and to specific persons rather than unrequested to specific persons. Also, it can be deduced that market culture stimulated the employees to share embedded knowledge on request to everybody rather than on request and to specific persons. Furthermore, market culture urged the employees to share embedded knowledge unrequested to specific persons rather than on request and to specific persons. Moreover, 2.72% of variation in embedded knowledge sharing was explained by clan culture meanwhile, 3.92% of variation in embedded knowledge sharing was explained by market culture. The study was limited to the mentioned ministry, hence the further survey should be carried out in other Iranian and overseas organizations in order to conduct a comparative study.
Abstract: Countless studies have examined the relationship between organizational culture and knowledge management, and yet there is little research done on the relationship between organization culture and knowledge sharing in public organizations. The purpose of this paper is to explore the relationship between organizational culture and knowledge sharing ...
Show More
-
Lack of Medicaid Expansion in Some States
Ejezie Francis Uchechukwu
Issue:
Volume 2, Issue 1, March 2017
Pages:
27-29
Received:
7 January 2017
Accepted:
19 January 2017
Published:
15 February 2017
DOI:
10.11648/j.hep.20170201.15
Downloads:
Views:
Abstract: The patient protection and Affordable Care Act became law on march 23rd 2010 and was intended to be fully implemented on January 1, 2014. The reason for this law was to address the systemic health inequalities for millions of Americans who lacked health insurance. A major component of this law is the expansion of Medicaid which is the program for the indigent jointly administered by the federal and state government, with the aim of providing low-income individual with access to insurance coverage. Failure of Medicaid to be expanded in most states in the United States is due to some obstacles which have crippled this aim. One of such obstacle is the supreme court decision of June, 2012 nullifying the Affordable Care Act’s mandate requiring all states to adopt the Medicaid expansion program. This problem can be tackled by addressing inequalities in social and economic domains as well as the development of a creative expansion program and a user-friendly system.
Abstract: The patient protection and Affordable Care Act became law on march 23rd 2010 and was intended to be fully implemented on January 1, 2014. The reason for this law was to address the systemic health inequalities for millions of Americans who lacked health insurance. A major component of this law is the expansion of Medicaid which is the program for t...
Show More
