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Construction of Quality Indicators of Outpatient Care Based on Delphi Method and Analytic Hierarchy Process
Liu Manli,
Lin Qingran,
Liu Guilin,
Wang Lin,
Li Yanfei,
Yan Ling
Issue:
Volume 6, Issue 2, June 2020
Pages:
31-38
Received:
29 April 2020
Accepted:
11 May 2020
Published:
15 May 2020
Abstract: Objective: We aim to build a standard quality evaluation indicator system to provide a scientific quantitative evaluation tool for the assessment of the quality of outpatient care. Methods: we drew up the content of the indicator system for quality of outpatient care through searching literature at home and abroad and decided the indicators and their weight based on the Delphi method and analytic hierarchy process. Results: The collection rates of the expert consultation questionnaires were 95.45% and 100% for the first and second round and the coefficients of authority were 0.881 and 0.877, and Kendall coefficients of concordance were 0.303 and 0.313 respectively. The quality evaluation indicators of outpatient care consists of 3 first-level indicators, 14 second-level indicators and 56 third-level indicators. Conclusions: The indicator system for evaluation of quality of outpatient care is scientific and reliable and thus can be used as a tool for the evaluation of the quality of outpatient care, providing basis for continuous improvement of outpatient care quality.
Abstract: Objective: We aim to build a standard quality evaluation indicator system to provide a scientific quantitative evaluation tool for the assessment of the quality of outpatient care. Methods: we drew up the content of the indicator system for quality of outpatient care through searching literature at home and abroad and decided the indicators and the...
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Community Health Workers Engagement in Prevention of Mother-to-Child Transmission of HIV (PMTCT): A Cross-Sectional Study from Selected Fishing Communities in Tanzania
Maseke Richard Mgabo,
Sia Msuya,
Declare Mushi
Issue:
Volume 6, Issue 2, June 2020
Pages:
39-45
Received:
31 March 2019
Accepted:
23 May 2019
Published:
28 May 2020
Abstract: The prevalence of HIV infection is reported to be higher in fishing communities of Lake Victoria compared to non fishing neighboring communities. Besides, access to HIV/AIDS related services has been reported to be either inadequate or unavailable to some of these fishing communities particularly for those residing in islands. This study explored the engagement of Community Health Workers (CHWs) in provision of PMTCT services among the fishing communities of Sengerema and Musoma District Councils (DCs) in the Lake Zone of Tanzania. This was a cross sectional study using qualitative approach. Intrinsic and extrinsic motives were found to influence community members to be engaged as CHWs. The majority of CHWs were involved in Antenatal Care (ANC) and Reproductive and Child Health (RCH) as well as in health promotion activities as a strategy to cope with the shortage of trained health staff. CHWs were found to assist in HIV/AIDS Counseling and Treatment Center (CTC), generally, CHWs were not directly engaged in provision of PMTCT services. On the other hand, the National Health Policy does not clearly set roles of the CHWs and their incentives. Nevertheless, there are potentials of people willingness to volunteer in community health works that need to be better leveraged. Deploying CHWs is critical to enabling accessible primary health care services including HIV/AIDS particularly PMTCT services in remote areas such as fishing communities where human resource for health is reported to be inadequate.
Abstract: The prevalence of HIV infection is reported to be higher in fishing communities of Lake Victoria compared to non fishing neighboring communities. Besides, access to HIV/AIDS related services has been reported to be either inadequate or unavailable to some of these fishing communities particularly for those residing in islands. This study explored t...
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Assessment of Malaria Vector Control Measures (ITNs & IRS) Utilization and Factors Affecting it in Adama District, East Shoa Zone, Oromia Region Ethiopia, 2018
Dechasa Nesga,
Debalke Abate,
Girma Birhanu,
Addamu Addissie
Issue:
Volume 6, Issue 2, June 2020
Pages:
46-51
Received:
29 May 2019
Accepted:
9 July 2019
Published:
28 May 2020
Abstract: About 75% of landmass of Ethiopia is malaria-endemic, and 65% (58.5 million) of the population is estimated to be at risk of malaria infection. Malarious areas are targeted to receive key malaria control interventions (LLITNs and IRS) and we aimed to assess the utilization of ITN/IRS and factors affecting it. We conducted Community based Cross sectional study in Adama district from January 1-30, 2018 among 818 households using Multi stage sampling system followed by Simple random sampling method in selecting districts and camps. Bi-variate and multivariate logistic regression was used to calculate the association. Of 818 visited HHs 73% were utilizing ITN regularly and sprayed by IRS in the past one year. The prevalence rate of malaria was found to be six percent. Having good awareness about malaria transmission and control measures (AOR 1.4 (1.1-2), sharing one bed with a member of 3-5 compared to not sharing (AOR=0.7 (0.4-0.9), family head educational level of higher level compared to illiterate (AOR=4.8, 95% CI 1.1- 6.6), Employed family head Compared to Farmers (AOR=8.1, 95% CI 7.8-10.7) are significantly associated with ITN utilization. ITN utilization was influenced by Lack of knowledge, lack of education and family sharing one bed. Increasing the knowledge of community on malaria transmission and prevention methods including ITN proper usage is important.
Abstract: About 75% of landmass of Ethiopia is malaria-endemic, and 65% (58.5 million) of the population is estimated to be at risk of malaria infection. Malarious areas are targeted to receive key malaria control interventions (LLITNs and IRS) and we aimed to assess the utilization of ITN/IRS and factors affecting it. We conducted Community based Cross sect...
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Possible Treatment for the Arresting of Progression of Parkinson’s Disease from Bovine Milk
Jesus’ Christus,
Michael Arden Madson
Issue:
Volume 6, Issue 2, June 2020
Pages:
52-55
Received:
26 August 2019
Accepted:
14 October 2019
Published:
28 May 2020
Abstract: An approach to study Ca+2 channel function using bovine milk component or a product (s) of milk components and NaBH4 in NH4OH. The successful study of these molecules could lead to their use in the treatment of Parkinson’s disease or could lead to the use of bovine milk itself as a treatment for this disease. Bovine milk, a source of two molecules and itself, to be used to possibly block the progression of Parkinson’s disease (PD) is reported. The structures of these molecules were established by ESI-MS and API-MS. There is ESI-MS support for the milk component and its product upon treatment with NaBH4 in NH4OH. A mechanism for the possible rescue of Ca+2 channel function is proposed to include a Tyr-Asn (Asp) dipeptide requirement in calcium channels and that it requires the incorporation of N-acetamido neuraminic acid, and SO4- residues as well, for the restoration of calcium channel function. If one or both molecules effectively rescue Ca+2 channel function, an inexpensive treatment of Parkinson’s disease could be available by either simply drinking milk or a treatment could be available via a simple process using bovine milk as its source. A possible treatment of PD, because of the projected low cost, would be available to those less fortunate in the third world.
Abstract: An approach to study Ca+2 channel function using bovine milk component or a product (s) of milk components and NaBH4 in NH4OH. The successful study of these molecules could lead to their use in the treatment of Parkinson’s disease or could lead to the use of bovine milk itself as a treatment for this disease. Bovine milk, a source of two molecules ...
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Model for the Transfer of Ca2+ from Outside the Cell to Inside the Cell with Bovine Milk Component to Justify Its Use as an Alzheimer’s Treatment
Jesus’ Christus,
Michael Arden Madson
Issue:
Volume 6, Issue 2, June 2020
Pages:
56-61
Received:
24 December 2019
Accepted:
30 December 2019
Published:
28 May 2020
Abstract: A model of Ca2+ channel function rescue via treatment with a milk component is suggested. This molecule’s structure is shown by ms and ms2 evidence, from an NH4+ form cation exchange cartridge effluent. This model includes the participation of phospho-protein in the shuttling of Ca2+ through a path of anionic moieties from an N-acetamido neuraminyl group to a sulfate group. It suggests the rescue of Ca2+ function with bovine milk oligosaccharide dipeptide component in the treatment of Alzheimer’s disease. Ca2+ is proposed to end at a sulfo-tyrosine then extended inside the cell internally. The rolling of the Ca2+ from N-acetamido neuraminyl group is thought to be due to the interaction of doubly charged calcium cation with a series of negatively charged ions, sequestered and transported via the molecule from bovine milk oligosaccharide dipeptide. Excess K+ availability in early Alzheimer’s disease is known and may cause interference in the transport of Ca2+ in this disease. This model predicts that K+ can seize the Ca2+ channel rescue because it has no excess charge driving it forward to the end of the bovine milk component. The location of phosphate on the galactosyl group of the molecule from which the drawn structures is obtained by ms and ms2, is described here. A pathway for the Ca2+ transfer along this structure is depicted here. The goal is to provide a rationale for using bovine milk as a low cost treatment for Alzheimer’s disease which would allow treatment of this disease for people in the third world who cannot afford high cost treatments.
Abstract: A model of Ca2+ channel function rescue via treatment with a milk component is suggested. This molecule’s structure is shown by ms and ms2 evidence, from an NH4+ form cation exchange cartridge effluent. This model includes the participation of phospho-protein in the shuttling of Ca2+ through a path of anionic moieties from an N-acetamido neuraminyl...
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