This meta-analysis analyzed the prevalence of diarrheoal diseases among children less than fiveyears in three selected Eas African countries from 2012–2017. Search engines used Google Scholar, Proquest,and PubMed. Primarily, 300 studes were selected; hence 297 were eliminated using inclusion and exclusion criteria. The PICO (population, intervention, comparison, and outcome) guide helped in the analysis of the three selected stdies. The prevalence of diarrhoea among children less than fiveyears in the three selected EastAfrican countries from 2012 to 2017, averaged to 27% range from a minimum of 11% to a maximum of 54% of the 5478 total respondents (OR 2.07). The five-yearprevalence escalated extensively at Kenya, Ethiopia, and Somalia. There is a 207% risk of further escalation.
The case aims to apply the processes of decision-making to a Do-not-resuscitate (DNR) pediatric patient admitted to the Department of Emergency Medical Services (DEMS) of a state-run hospital located in a low-income country. It also aims to examine and evaluate the case of a 16-year-old female intoxicated pediatric patient to provide her with emergency care, management, diagnostic investigations and treatments. The descriptive, normative and prescriptive models of decision-making (Shaban 2005) are demonstrated and therefore concludes with a sound decision.Ethics of justice were considered and this case study maintained anonymity of patients, healthcare professionals and hospital's name. The purpose is to make a world view on how a sound decision-making is demonstrated in a fast-paced environment. BAckgRouND of ThE STuDyThe state-run hospital used for this study admits more than 180 000 patients per year with over 1000+ bed capacity -admitting an estimated 500+ patients per day (Philippine Statistical Ideas on pertinent literatures of decision-making models, clinical guidelines on poison resuscitation and DNR policies were already known by the majority. In addition, ideas on the benefits such as becoming enlightened on how to make sound judgments in an emergency situation, particularly addressing issues on how to prioritize patients waiting in the emergency departments were featured.Poison resuscitations were decided upon by using the descriptive, normative and prescriptive clinical decision-making models in a fast-paced environment. But the most important outcome however, was the recognition of client/relative satisfaction from hospital services -the demonstration of a sound decision-making that is legally, physiologically and financially in tandem with patient needs.
Background: Some personal and health-related factors may influence hypertensive patients' level of self-management. Aim: to determine clinical factors acting as barriers to the eleven (11) healthy lifestyles (self-management) practices amongst hypertensives in communities of Idoma tribe, Benue state Nigeria. Methods: A multi-stage, multi-communities, cross-sectional simple random sampling method for quantitative and qualitative data using Self-reported/administered questionnaire and Semi- structured focus group discussion/interviews was used. Data analyzed using descriptive statistics-frequency and percentage presented in tables, while thematic analysis was used for qualitative information. Results: Clinical factors barrier to medication adherent are; not having any symptom 85.1%, fear of side effect of drugs 84.4%, physical exercise barriers are Physician did not prescribe physical exercise 86.1%, Not have any symptoms 85.7%; Respondent stated that feel better 84.9% and when you do not have any symptom 79.9%, are barriers to self- BP monitoring clinically. Feel better 88%, poor commitment between patients and health care personnel 76% are barriers to DASH. 86% and 74.2%, feel better, being overweight were weight management barriers respectively. Moderation in Alcohol clinical factor barriers are; when you feel well 75.7% and feel better 72.6%. Barrier factor to non-smoking adherence is feel better 58.4%. Stress control clinical barriers are; feel worse 73.5% and multiple medical treatment regimen 71.8% amongst others. Follow prescribed treatment plan; Feel better 84%, not having symptom 81% amongst others were clinical barriers. Conclusion: The result calls for intervention to improve the population clinical factor barriers to the eleven healthy lifestyles variables.
This research identifid the factors affcting the widespread of the level of serum cholestrol among adult obese patients admitted to government hospitals in the easternpart of Sri Lanka, and identifie the number of adults obese patients with increasing serum cholesterollevel. A descriptive cross-sectional studydesign was used. Convenience sampling technique helped select 150 patients in medical wards and clinics of two government hospitals in the easternprovince of Sri Lanka, and Questionnaireswere distributedfor data analysis. Overall findingsof 150 obese patients regarding increasing serum cholestrol level admitted in the medical wards and follow-up at medical clinics had 59% in moderate risk, 36% with high risk, and 2% with a minimal risk of increasing serum cholestero level. Gender was a factor, which brings about 49.3% (n = 74) of the respondents were female and 50.7% (n = 76) were male. About 59% of participants had 130–159 mg/dl of total cholesterollevel while 36% had 160–189 mg/dl and 1% had lower than 100 mg/dl. It was also identifiedthat age and co-morbidities of obesity are factors that affect an increasing serum cholesterol level
The aim of this study is to explore patients’ experiences and how their rehabilitation and physiotherapy at a private hospital in Kuala Lumpur, Malaysia has affected their quality of life (QOL) due to osteoarthritis (OA). In addition, this study also aims to explore patients’ perspectives of the rehabilitation and physiotherapy for their OA before and after which affects moreover their QOL. The seven domains of the QOL were the physiological, social, financial,environmental, psychological, level of independence and spiritual – aimed to guide the theme of the interview sessions. A qualitative design was used. Of the 50 patients purposively enrolled only six were selected using inclusion and exclusion criteria. Thematic analysis addressed the seven domains of the QOL for data analysis. A 60-minutes interview session was audio-recorded. The rehabilitation therapy was explored on all seven domains of the QOL. Of the six respondents four explored their lived experiences on the social and environmental domain, while fiveon the physiologic domain. The spiritual, psychological, level of independence and financialdomains were mostly explored by the six respondents that have affected their QOL.
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