Coronavirus Disease in the Elderly Population: Structure, Pathogenic Process, Treatment and Prevention
Vahab Karamivand,
Aida Mohammadi
Issue:
Volume 2, Issue 3, September 2021
Pages:
60-65
Received:
21 May 2021
Accepted:
5 July 2021
Published:
9 August 2021
DOI:
10.11648/j.ajnhs.20210203.11
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Abstract: Background: Currently, in countries with rapidly aging populations, the demand for medical care, health care, nursing and services is much higher than for others. Coronavirus outbreaks are a challenge for health care systems around the world. With the advent of Covid-19, new information about it is published every day. We know that Covid-19 has more severe effects on the elderly. Geriatric patients seem to be the most vulnerable group in COVID-19. The individuals with the most severe symptoms and the highest risk of death are the elderly and those with chronic illness. Objective: The aim of this study is to provide key points about the structure, pathogenesis and treatment of Covid-19 in the elderly. Because the elderly seem to be the most sensitive age groups due to their specific age conditions. Result: Research findings show that it is difficult for the elderly to recover from Covid-19 and that the disease has many complications. Due to various risk factors, the mortality of the elderly with Covid-19 is high. Conclusion: It is necessary to first design preventive protocols and then special treatment for the elderly living in homes and care centers to reduce mortality in this age group. This important step requires the cooperation of health care providers and families together. Given the existence of chronic diseases in the elderly and the long process of treatment in them, the best course of action is to design preventive programs and focus on it.
Abstract: Background: Currently, in countries with rapidly aging populations, the demand for medical care, health care, nursing and services is much higher than for others. Coronavirus outbreaks are a challenge for health care systems around the world. With the advent of Covid-19, new information about it is published every day. We know that Covid-19 has mor...
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Mistreatment and Associated Factors Among Delivering Mothers in Dodota District Public Health Facility, Arsi, Oromiya, Ethiopia
Eshetu Girma Waktola,
Sileshi Garoma Abeya,
Sultan Kalu Beggi
Issue:
Volume 2, Issue 3, September 2021
Pages:
66-78
Received:
15 July 2021
Accepted:
28 July 2021
Published:
11 August 2021
DOI:
10.11648/j.ajnhs.20210203.12
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Abstract: Introduction: Globally, more than half a million women die annually because of pregnancy and childbirth related complication. In Africa, the maternal mortality is still 540 per 100, 000 live births, it accounts for 64% of maternal deaths. Ethiopia has one of the highest maternal mortality ratios that are 412 maternal deaths per 100,000 live births. Mistreatment during childbirth eventually contributes toward maternal and neonatal morbidity and mortality. Objective: To assess the magnitude of mistreatment and associated factors among delivering mothers in Dodotadistrict public health facility, Oromiya region, Arsi zone, Southeast, Ethiopia, from January 1 uptoFebruary28, 2021. Methods: Institutional based cross-sectional study design was employed using quantitative data collection methods. Study participant were selected through systematic random sampling. Semi structure and pretested questioner was used to collect data from study participant. The collected data was entered into EpiInfo version7.2.1 and analyzed using SPSS version 23. Descriptive statistics were used. Initially, binary logistic regression was carried out to see the association, Thereafter, the multivariable logistic regression method was used-value<0.05 and 95%CI was used to declare statistical significance. Hosmer–Lemeshow test was used to test goodness of fit of a model. Adjusted Odds Ratio (AOR) and 95% CI were used to report the strength of association between outcome and independent variables. Results: In this study, (70.3%) (95%CI: 1.579, 2.843) of the interviewed mothers reported having experience at least one form of mistreatment. The types of mistreatment during childbirth included Ineffective communication (66.6%), Verbal abuse (64.5%), Non-consented care (60.3%), Physical abuse (35.1%), Non-confidential care (21.8%), Discrimination (20.5%) and Abandonment (2.5%). Sex of health care provider (AOR=4.434; 95%CI: (2.83, 41.85), Medical supply shortage [AOR 5.219; 95%CI: (2.525, 10.8)], Number of health professions [AOR=6.08; 95%CI: (2.32, 15.88)] were factors significantly associated with mistreatment during delivery service. Conclusion and recommendations: From this study, we can conclude that women receiving labor and delivery care at the study health facilities are exposed to mistreatment to a higher extent suggesting to a need to urgent intervention. Resource shortage, Number and sex of health professions are factors associated with mistreatment. Fulfilling resource shortage, giving birth preparedness education is mandatory in order to tackle this problems.
Abstract: Introduction: Globally, more than half a million women die annually because of pregnancy and childbirth related complication. In Africa, the maternal mortality is still 540 per 100, 000 live births, it accounts for 64% of maternal deaths. Ethiopia has one of the highest maternal mortality ratios that are 412 maternal deaths per 100,000 live births....
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Essential Newborn Care Practices and Associated Factors Among Mothers Who Attended Postnatal Care at Public Health Facilities in Boset District, Ethiopia
Hailu Dagne,
Hunde Lemi,
Haji Aman,
Tilaye Gebru
Issue:
Volume 2, Issue 3, September 2021
Pages:
79-86
Received:
30 July 2021
Accepted:
24 August 2021
Published:
31 August 2021
DOI:
10.11648/j.ajnhs.20210203.13
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Abstract: Background: Essential newborn care is a set of comprehensive care designed to improve the health of newborns through intervention soon after birth and in the postnatal period. The World Health Organization in 2018 reported that globally every year 2.5 million neonates die during the neonatal period and 75% of the deaths occur during the first week in the neonatal period. The Lack of appropriate essential newborn care practices by the primary caregiver immediately after birth and in the postnatal period is important in determining neonatal mortality and morbidity rates. Objective: To assess essential newborn care practices and associated factors among postnatal mothers at public health facilities in Bosset District, Oromia Regional State, Ethiopia, 2021. Methods: An Institutional-based cross-sectional study was conducted from January 1 to February 20/2021 among 411 mothers who attended postnatal care at randomly selected public health facilities in the Bosset district. A Systematic sampling technique was used to select the study participants. Data were collected using a researcher-administered semi-structured questionnaire and an observation checklist. The Collected data were checked manually for completion cleaned and stored for consistency and entered into Epi info version 7.1 software then exported to the statistical package for social sciences (SPSS) version 21 software for analysis. Descriptive analysis was done to describe the study population using frequency, mean, standard deviation, and percentages. Bivariate logistic regression was used to determine the association between the independent and outcome variables. The strength of the association between the variables was described using AOR with a 95% Confidence interval. Statistical significance was declared at p-value<0.05. Result: The magnitude of essential newborn care practices was 62.8% (95%CI: 58.02-67.35). Birth attendant (AOR: 25.29; 95%CI: 2.98-215), mode of delivery (AOR: 2.84; 95%CI: 1.51-5.34), overall knowledge (AOR: 21.3; 95%CI: 10.21-44.3), and mothers’ attitude toward essential newborn care (AOR: 3.46; 95%CI: 1.42-8.46) were found to have a significant association with essential newborn care practices. Conclusion and recommendation: In this study, the level of essential newborn care practice was relatively higher than the study results in Oromia Regional State. To increase essential newborn care practice is the provision of counseling mothers, creating awareness, changing the attitude of mothers, and attending delivery by a skilled birth attendant to all pregnant women were recommended.
Abstract: Background: Essential newborn care is a set of comprehensive care designed to improve the health of newborns through intervention soon after birth and in the postnatal period. The World Health Organization in 2018 reported that globally every year 2.5 million neonates die during the neonatal period and 75% of the deaths occur during the first week ...
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