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Quality of the Tuberculosis Control Program, Havana, Cuba, 2018
Donelia Gamez Sanchez,
Leidis Margarita Perez Perez,
Odeite Dueñas Moreira,
Maritza Benitez Martinez,
Dianellys Perez Jimenez
Issue:
Volume 7, Issue 2, June 2021
Pages:
26-29
Received:
9 April 2021
Accepted:
28 April 2021
Published:
15 May 2021
Abstract: Background: Boyeros municipality is considered a high risk of tuberculosis, historically it maintains incidence rates above the provincial average. Objective: Evaluate the National Program for the Prevention and Control of Tuberculosis quality in Boyeros, 2018. Methods: a tactical evaluation was carried out according to components: structure, process and results. The universe constituted by 10 cases of tuberculosis notified during 2018 and 469 health workers who participated in the execution of the program. The information was obtained from the bibliographic and documentary review, the interview, observation and questionnaire. Summary measures such as absolute frequencies and percentage were used. Results: a deficit of doctors and nurses was found in the structure dimension, no update was carried out on the subject, 50% of the clinics did not have bottles, in 50% of the areas there was no availability of reagents, in the process dimension It did not comply with the indicators of second samples of sputum and cultures and in the results relapses and TB / HIV-AIDS co-infection were found. Conclusions: The lack of human and material resources, the lack of training on the subject, the failure to comply with the diagnostic times, the existence of relapses, loss of follow-up and TB / HIV co-infection, led to the evaluation of the National Program for the Control of Tuberculosis in the Boyeros municipality, during 2018 was evaluated as unsatisfactory, since the standards established for each dimension were not met.
Abstract: Background: Boyeros municipality is considered a high risk of tuberculosis, historically it maintains incidence rates above the provincial average. Objective: Evaluate the National Program for the Prevention and Control of Tuberculosis quality in Boyeros, 2018. Methods: a tactical evaluation was carried out according to components: structure, proce...
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Evaluation of Current Situation in Career Development and Training of Teaching Physician
Ye Yang,
Qin Yi Zhang,
Jia Yang Xia,
Xiao Ling Han,
Xu Zhou,
Sheng Jie Xu,
Wei Liu,
Wei Lin Sang,
Yan Li Li,
Su Fang Wu
Issue:
Volume 7, Issue 2, June 2021
Pages:
30-38
Received:
3 May 2021
Accepted:
15 May 2021
Published:
21 May 2021
Abstract: Background: Extreme competition for grant funding or publications to gain career promotion in an affiliated hospital has outsized negative effects on doctor to gain career promotion in China these years. This research seeks to explore the relationships between evaluation of a teaching physician and their actual aptitude towards career promotion. Methods: This study was offered to all teachers and standardized residency training students at Shanghai General Hospital affiliated to Shanghai Jiao Tong University. A web-based survey was conducted to identify individuals’ aptitude to teaching physician. A total of 240 participants entered and finished the study, including 140 teachers and 100 standardized residency training students. The questions consisted of how teaching physician is assessed, the percentage of clinical, scientific work and teaching grant funding/awards/publications of teaching physician, as well as attitude towards training in teaching. Results: Teaching physicians tried to satisfy scientific research or grant funding/awards/publications requirements and failed to apply time on teaching, thus affect the teaching quality. Teaching training can serve as an approach to ensure career growth and advancement in medical education. Teaching physicians should be equipped with teaching skills and educational administration in teaching curriculum development. Conclusions: We recommend the outstanding teaching physician should not only be equipped with clinical skills, but also be full of teaching enthusiasm and methods as well as improved quality of teaching through training.
Abstract: Background: Extreme competition for grant funding or publications to gain career promotion in an affiliated hospital has outsized negative effects on doctor to gain career promotion in China these years. This research seeks to explore the relationships between evaluation of a teaching physician and their actual aptitude towards career promotion. Me...
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Youth’s Sexual and Reproductive Health Service Utilization and Associated Factors in Addis Ababa: Community Based Cross-sectional Study
Issue:
Volume 7, Issue 2, June 2021
Pages:
39-46
Received:
26 April 2021
Accepted:
21 June 2021
Published:
26 June 2021
Abstract: Background: youth is a period of change and adjustment. It is a period of life in which an individual display significant physiological, psychological and social changes that expose them at high risk of reproductive health problems. Consequently, many youth are less informed, less experienced and less comfortable in utilizing reproductive health services. Objective: this study assessed reproductive health service utilization and associated factors among youths in Addis Ababa, Yeka Sub city (Woreda one), Ethiopia. Methods: a community based cross-sectional study was conducted from September 13, 2020 to October 25, 2020. Three hundred seventy eight youths were selected by systematic random sampling technique and interviewed using structured self-administered questionnaire. Data were analyzed using SPSS windows version 24.0. Multiple logistic regression was run to identify variables that predict RHS utilization. P-values <0.05 were taken as a decision line to consider a variable is statistically significant or not. Results: Three hundred thirty nine (89.4%) respondents were properly filled and returned the questionnaire. One hundred sixty two (47.8%) of them were female and 177 (52.2%) of them were male participants. Two hundred fifty two (74.3%) of the respondents had heard about reproductive health services and 87.3% had knowledge about sexually transmitted infection and 42.8% of the respondents utilized RHS. Age (AOR=0.342, 95% CI: 0.124-1.942), marital status (AOR=3.420, 95% CI: 1.088-11.065), living arrangement (AOR=0.142, 95% CI: 0.032-0630), father education (AOR=6.613, 95% CI: 2.363-18.505), mothers education (AOR=0.334 95% CI: 0.133-1.936) and self-determination (AOR=0.294 95% CI: 0.149-0.581) were predictors of youth reproductive health service utilization. Conclusion: irrespective of the youth knowledge/information about reproductive health service (sexually transmitted diseases and family planning), youths reproductive health service utilization is low. Therefore, life skill training for youth, parental scaffolding and communication with youth, and training and updating care providers in the youth center, capacitating the youth center in terms of resources helps to enhance youth reproductive health service utilization.
Abstract: Background: youth is a period of change and adjustment. It is a period of life in which an individual display significant physiological, psychological and social changes that expose them at high risk of reproductive health problems. Consequently, many youth are less informed, less experienced and less comfortable in utilizing reproductive health se...
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Cardiovascular Risk and Hypertensive Patients’ Knowledge, Attitudes and Practices on Modifiable Risk Factors in Kinshasa, the Democratic Republic of the Congo
Kashala Badianyama Remy,
Lukanu Ngwala Philippe,
Lepira Bompeka François,
Fina Lubaki Jean-Pierre,
Prosper Mukobelwa Lutala
Issue:
Volume 7, Issue 2, June 2021
Pages:
47-56
Received:
4 June 2021
Accepted:
21 June 2021
Published:
28 June 2021
Abstract: Good practice on modifiable cardiovascular risk factors is based on good knowledge and a positive attitude. The study aims to assess cardiovascular risk and knowledge, attitudes and practices of hypertensive patients in Kinshasa on modifiable cardiovascular risk factors as well as their associated determinants. We conducted a cross-sectional study with 345 hypertensive patients followed at Monkole Hospital and at Saint-Joseph Hospital in the city of Kinshasa in the Democratic Republic of the Congo from September 2017 to February 2018. The participants were submitted to the WHO-Steps survey. Cardiovascular risk was assessed by the number of deleterious risk factors present in patients. Descriptive and inferential analyzes were performed. The statistical significance threshold was set at p<0.05. The average age of the participants was 62.1±11.2 years with a gender ratio of 1.1 in favor of women. In total, 61%, 56% and 60% of our respondents had, respectively, a low level of knowledge, a bad attitude and an insufficient practice on modifiable cardiovascular risk factors. Good knowledge was statistically significantly linked to education, the medical profession as a source of information, and employment. Only age ≥ 60 years was significantly associated with the right attitude in our patients while good practice was linked to the level of education. The majority of participants (80.3%) had a high cardiovascular risk. Poor knowledge (p: 0.032) and insufficient overall practice (p<0.001) were significantly associated with high cardiovascular risk. The present study showed that hypertension was associated with a high Cardiovascular risk underpinned by a low level of knowledge, a bad attitude and insufficient practice on modifiable cardiovascular risk factors. Therefore, education programs and strategies to positively influence attitudes and practices are essential to reduce the impact of cardiovascular disease and its risk factors in our environment.
Abstract: Good practice on modifiable cardiovascular risk factors is based on good knowledge and a positive attitude. The study aims to assess cardiovascular risk and knowledge, attitudes and practices of hypertensive patients in Kinshasa on modifiable cardiovascular risk factors as well as their associated determinants. We conducted a cross-sectional study ...
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