item: #1 of 119 id: hls-10002 author: Wilson, Julia; Svenson, James; Duffy, Sean; Schmidt, Jessica title: Barriers to dietary modifications for people living with type 2 diabetes in a rural indigenous Guatemalan community date: 2021-09-16 words: 4478 flesch: 56 summary: The final set of open-ended questions focused on par- ticipants’ understanding and beliefs about healthful foods for people with diabetes, perceived obstacles to dietary changes, and potential facilitators for maintaining a healthful diet. Many partic- ipants suggested that videos or classes to teach them how to prepare healthful foods at home would be helpful. keywords: access; analysis; article; available; average; barriers; communities; community; consent; cost; data; day; diabetes; diabetic; diet; dietary; different; education; family; foods; fresh; fruits; gardens; guatemala; health; healthcare; healthful; high; home; important; improved; indigenous; interviews; knowledge; lack; local; low; lucas; majority; modifications; open; participants; people; population; preparation; program; promoters; public; questions; resource; rural; san; settings; small; spanish; study; support; time; tortillas; travel; type; understanding; university; vegetables; wisconsin cache: hls-10002.pdf plain text: hls-10002.txt item: #2 of 119 id: hls-1003 author: Houben, Christoph H.; Azubuike, Chuks; Ozoemena, Okogbe; Saidu, Bala title: Scrotal necrosis to total de-gloving injury of the male genitalia: an experience from Sub-Saharan Africa date: 2013-09-24 words: 1765 flesch: 61 summary: Post reconstructive surgery for scrotal skin loss secondary to Fournier’s gangrene. On arrival in the hospital the day after the injury, he had emergency surgery: on inspec- tion there was a total loss of scrotal skin down to the perineum with the testicles exposed but viable, the penis was bleeding from its distal end as a result of complete loss of the glans penis in addition to the shaft- and foreskin loss. keywords: figure; fournier; gangrene; genital; glans; gloving; healthcare; hospital; infection; injuries; injury; later; loss; low; management; patients; penile; penis; pouches; reconstruction; report; result; risk; saharan; scrotal; scrotum; skin; split; surgery; testicles; thigh; total; wound cache: hls-1003.pdf plain text: hls-1003.txt item: #3 of 119 id: hls-10056 author: Shah, Omair; Maqsood, Shadab; Shera, Tahleel; Bhat, Mudasir; Choh, Naseer; Shah, Aamir; Shaheen, Feroze; Gojwari, Tariq title: Computed tomography severity scoring of COVID 19 infected young patients: Is the second wave affecting the young lungs more than the first wave in India? date: 2021-12-06 words: 3444 flesch: 63 summary: Although the clinical findings were blinded, we found that patients in group B were clin- ically worse as compared to patients in group A evidenced by increased number of hospital admissions in group B patients (n=74 74%) as compared to group A patients (n=53 53%). We found that the mean CT severity score in group A was 10.1 ± 2.1 while that in group B patients was 12.6 ± 2.3 having a statistically significant difference (p< 0.001; Tables 1 and 2). keywords: admissions; age; chest; clinical; coronavirus; covid; covid-19; ct severity; data; disease; features; form; group; healthcare; hospital; hrct; images; infected; infection; institute; involvement; low; lung; mean; mild; moderate; new; patients; population; resource; scans; score; second; settings; severe; severity; severity score; study; time; virus; wave; years; young cache: hls-10056.pdf plain text: hls-10056.txt item: #4 of 119 id: hls-1009 author: Munsamy, Janine I.; Parrish, Andy; Steel, Gavin title: Conducting research in a resource-constrained environment: avoiding the pitfalls date: 2014-03-10 words: 2107 flesch: 47 summary: Research budgetary con- straints also limited data collection. This interrupted data collection continuity as community service personnel identified to assist during the proj- ect plan were no longer employed at the site when data collection commenced. keywords: administrative; africa; cape; care; challenges; clinical; collection; conducting; data; department; eastern; environment; health; lack; limited; low; patient; personnel; pharmacy; public; record; research; resource; retrospective; rhodes; sector; service; settings; sites; south; staff; study; time; university; use cache: hls-1009.pdf plain text: hls-1009.txt item: #5 of 119 id: hls-10256 author: Svenson, Emma; Sheth, Amber ; Schmidt, Jessica; Tun, Rafael; Svenson, James E. title: A retrospective analysis of emergency department usage in rural and semi-urban indigenous Guatemalan populations date: 2022-02-08 words: 8408 flesch: 58 summary: Emergency care also represents an entry point for access to additional special- ized care, providing crucial preventive health services at a population level.2–4 In nations where a significant portion of peo- ple are uninsured or underinsured, and lack access to primary care providers, emer- gency departments are even becoming point of care for non-urgent medical conditions.5,6 A lack of emergency care infrastructure is thus linked to poorer health outcomes, and ensuring access to emergency medical care is being prioritized as a mechanism to improve overall population health on a global scale.1,3,4,7 Identifying barriers for out of hospital emergency care in low and low-middle income countries: a sys- tematic review. keywords: access; acute; age; analysis; article; availability; available; average; barriers; bmc; burden; capacity; cardiovascular; care; cases; central; characteristics; cia; communities; complaints; cost; countries; country; covid-19; data; day; december; department; design; discharge; disease; distribution; dry; emergency; emergency care; emergency department; emergency medical; encounters; et al; evening; example; female; figure; global; greater; guatemala; health; healthcare; high; home; hospital; hospital emergency; hours; impact; income; indigenous; injury; international; january; labor; lack; level; local; low; lowand; lucas; lucas tolimán; madison; majority; manuscript; medical; medical care; medicine; middle; mortality; needs; non; page; parroquial; patients; pediatric; people; period; poor; population; presentation; presenting; primary; priorities; proportion; providers; public; rainy; research; residents; resource; respiratory; results; review; rural; san; san lucas; season; semi; services; settings; significant; staff; states; studies; study; surgical; systems; table; temporal; time; tolimán; total; town; training; transportation; trauma; traumatic; treatment; triage; tuberculosis; united; urban; utilization; variables; violence; visits; wisconsin; women; world; years cache: hls-10256.pdf plain text: hls-10256.txt item: #6 of 119 id: hls-10298 author: Singh, Narendra Pal; Goyal, Nisha; Saini, Vikas; Kapoor, Abhilasha ; Gangar, Seema title: Are we adequately prepared to handle the anticipated 3rd peak of COVID-19: A KAP survey among HCWs date: 2022-03-17 words: 4963 flesch: 60 summary: Zeyaullah M, AlShahrani AM, Muzammil K, et al. COVID-19 and SARS-CoV-2 Variants: Current Challenges and Health Concern. Figure 5 shows the distribution of COVID-19 vaccination practices among HCWs. keywords: age; anticipated; appropriate; association; attitude; available; behavior; cases; concern; cov-2; covid-19; data; delta; different; distribution; doctors; family; figure; good; groups; hcws; healthcare; higher; highest; india; infected; infection; information; july; knowledge; low; majority; maximum; mean; members; months; n=168; nco; page; pandemic; participants; peak; positive; practices; present; recent; resource; role; sars; scores; section; settings; significant; study; survey; test; vaccination; vaccine; variables; variant; virus cache: hls-10298.pdf plain text: hls-10298.txt item: #7 of 119 id: hls-10499 author: Kumar, Nahrat; Sheraz, Suman; Pereira, Felicianus Anthony; Razzaq, Aisha; Angela, Christina; Saad, Syed Muhammad title: Effects of home-based exercise program on physical functioning of hemodialysis patients: A randomized controlled trial date: 2022-06-13 words: 4611 flesch: 57 summary: There were 13 (100%) participants who had a history of smoking, and in study group there was only one smoker. Flisinski et al. aimed to analyze overall out- come measures, they also tried to represent deleted data values, with the average value being noted.30 A nurse led exercise training program at home-based for HD patients showed between group effects of normal gait speed is significantly improved in study group than control group (p=0.038). keywords: aerobic; article; assessment; balance; blood; body; capacity; chair; chronic; chronic kidney; cia; ckd; clin; consent; control; data; disease; duration; effects; emotional; exercise; fatigue; functional; functioning; gait; general; group; health; healthcare; hemodialysis; home; intervention; kdqol; kidney; kidney disease; life; limitations; low; management; minute; nco; p<0.001; page; pain; participants; patients; performance; physical; post; pre; prevalence; program; qol; quality; randomized; renal; resistance; resource; results; role; scale; settings; speed; stand; standing; study; test; therapy; training; treatment; trial; value; walk; week; weight; wilcoxon cache: hls-10499.pdf plain text: hls-10499.txt item: #8 of 119 id: hls-10575 author: Dahmarde, Hamid; Abiri, Marzieh; Sanei Sistani, Sharareh title: Analysis of the potential reasons for repeated radiography: a study in a major hospital in south eastern Iran date: 2023-05-18 words: 3138 flesch: 53 summary: Moreover, rejected images reduce the effi- ciency of the department and patients’ con- sent which accordingly increases institu- tional costs.5 Evaluating the rate of repeated images is a part of the rejection analysis process, which is an acceptable standard to assure the quality in general radiology. Repeated images were also differentiat- ed based on anatomic areas, including skull, spine, chest, abdomen, hips, and limbs, and the frequency of repetition was analyzed in each as well as their causes (Table 1). keywords: analysis; article; causes; chest; department; diagnostic; different; digital; exposure; healthcare; hospital; images; imaging; inadequate; inappropriate; limb; lower; medical; number; patient; positioning; processing; quality; radiation; radiography; radiology; rate; reasons; reject; rejection; repeat; repetitions; repetitive; resource; sci; settings; skull; staff; studies; study; table; zahedan cache: hls-10575.pdf plain text: hls-10575.txt item: #9 of 119 id: hls-1064 author: Ojha, Anil; Shrestha, Pawan; Green, David A. title: The importance of a patient’s background in formulating a management approach date: 2013-10-09 words: 1245 flesch: 58 summary: In a study of 144 non- NSAID using DU patients in New York, HP prevalence was 61%.5 If we use this prevalence in the model (e=61) with the same sensitivity and specificity estimates, then NPV=0.66. The prevalence of HP is lower in bleeding than non-bleeding peptic ulcers, but similar if the comparison is limited to patients not tak- ing NSAIDs.1 keywords: approach; background; bleeding; case; cell; duodenal; e20; healthcare; helicobacter; importance; infection; low; management; negative; non; patient; peptic; prevalence; pylori; resource; settings; term; therapy; ulcer cache: hls-1064.pdf plain text: hls-1064.txt item: #10 of 119 id: hls-10642 author: Nadeem, Asma; Jabeen, Rubina; Nazir, Shehla; Haider, Shahbaz title: Fear of COVID-19 among critical care nurses of public hospitals in Lahore: empirical evidence during third wave date: 2023-05-18 words: 4379 flesch: 63 summary: As per the results reported in Table 4, fear of COVID-19 was found to positively influence both fatigues among nurses (β=0.251, t=2.377, p=0.017) and quality of life (β= 0.332, t=3.969, p=0.000) indicating that one unit increase in fear of COVID-19 will increase in poor quality of life and fatigue among nurses working at COVID-19 ICU, ward floors and isolations. COVID-19 anxiety among front-line nurses: Predictive role of organisational support, personal resilience and social support. keywords: affected; analysis; article; cia; correlation; covid-19; critical; data; discriminant; evidence; fatigue; fear; foc; greater; healthcare; hospital; icu; influence; instance; lahore; life; low; med; mental; nco; nurses; nursing; page; pakistan; pandemic; patients; poor; poor quality; professional; psychological; qol; quality; questionnaire; related; relationship; research; resilience; resource; respondents; results; role; sample; sectional; services; settings; size; staff; statistics; students; studies; study; support; table; validity; values; variables; variance; wave; years cache: hls-10642.pdf plain text: hls-10642.txt item: #11 of 119 id: hls-10658 author: Amir, Zunira; Maroof, Shama; Haider, Shahbaz title: A descriptive study on nursing practice environment among public sector nurses in Lahore date: 2023-01-24 words: 4573 flesch: 56 summary: Tel.: +923086149902 E-mail: Shahbazhaider199@gmail.com Key words: Nursing practice environment; staffing adequacy; nurse leader; nurse training and development; nurse-physician collegial relationship. State of nursing practice environment. keywords: article; availability; better; care; cia; collection; critical; data; descriptive; environment; good; healthcare; hospital; items; lahore; low; manager; medical; nco; nurses; nursing; nursing care; nursing practice; organizational; outcomes; pakistan; patient; patient care; perceptions; poor; positive; practice; practice environment; present; proper; public; quality; questionnaire; reliability; resource; respondents; results; services; settings; staff; state; statistic; std; study; table; time; total; validity; work; working cache: hls-10658.pdf plain text: hls-10658.txt item: #12 of 119 id: hls-11143 author: Kuchena, Celestino; Qutieshat, Abubaker title: Evidence from systematic reviews on policy approaches to improving access to medicines date: 2023-07-19 words: 7334 flesch: 49 summary: To fill a research gap in health sys- tem studies and inform policymaking, we synthesized evidence from systematic reviews of how government policies affect low- and middle-income country (LMIC) medicine access. We must study how different policy options have shaped medicine access and determine which ones are most effective.10 Mousavi11 suggests a broad approach to healthcare that considers how policies affect health out- comes and service delivery. keywords: 11:11143; acceptability; access; accessibility; affordability; africa; agencies; analysis; approach; areas; article; assessment; authors; availability; available; barriers; behavior; bmc; brazil; capacity; challenges; cia; complex; concerns; context; cost; countries; coverage; covid-19; criteria; data; distribution; drugs; equity; essential; et al; evidence; facilities; factors; financing; findings; global; governments; guidelines; health; health policy; healthcare; implications; income; income countries; increase; insurance; intellectual; international; interventions; issues; key; limited; literature; lmics; local; low; lowand; manufacturing; medical; medicines; methods; middle; middleincome; narrative; need; organizations; page; people; pharmaceutical; plann; plos; policies; policy; policymakers; population; practice; price; pricing; primary; private; procurement; product; programs; property; public; public health; qualitative; rapid; rational; research; researchers; resource; review; role; saharan; sector; services; settings; specific; strategies; strengthening; studies; study; sub; supply; synthesis; systematic; systematic review; systems; technology; traditional; universal; usage; use; vaccine cache: hls-11143.pdf plain text: hls-11143.txt item: #13 of 119 id: hls-11159 author: Rana, Yuvraj; Vaish, Hina title: Evaluation of the static and dynamic balance in single and dual tasks among active smokers and non-smokers date: 2023-07-03 words: 4035 flesch: 60 summary: There was a significant difference in static balance in single as well as dual (motor and cognitive) tasks (Table 3); dynamic balance in single as well as dual (motor and cognitive) tasks (Table 4). Authors from previous studies have observed that there are 25% smaller fiber cross-sectional area in the vastus lateralis muscle; “lean body mass is also lower in smokers as compared to non-smokers”.25 In the present study, we found that there was a significant difference in the 10M and TUG tests (functional balance test) in smokers when compared to non-smokers. keywords: 11:11159; active; age; analysis; article; attention; authors; balance; brain; chronic; cigarette; cognitive; comparison; consent; control; data; demographic; difference; dual; dynamic; dynamic balance; effects; evaluation; gait; health; healthcare; history; impaired; individuals; injuries; leg; low; maharishi; markandeshwar; median; mmhg; motor; muscle; nicotine; non; participants; performance; physiotherapy; postural; present; resource; sensory; settings; significant; single; sls; smokers; smoking; stability; stance; static; study; system; table; task; test; time; tobacco; tug; university; walk; years cache: hls-11159.pdf plain text: hls-11159.txt item: #14 of 119 id: hls-11161 author: Shayya, Salman; Stadler, Frank title: Maggot therapy could provide affordable and efficacious wound care in Lebanon and other low- and middle-income countries date: 2023-05-25 words: 4140 flesch: 55 summary: Maggot therapy takes us back to the future of wound care: new and improved maggot therapy for the 21st century. However, it was the orthopedic surgeon William S. Baer at Johns Hopkins Hospital, Baltimore, who in the 1920’s established maggot therapy in modern clin- ical wound care.14 Unfortunately, the initial popularity of maggot therapy was relatively short-lived and declined in the 1940s with the emergence and widespread availability of antibiotics like penicillin, and the improvement of surgical techniques.15 Then, beginning in the 1980s and 90s, mag- got therapy experienced a renaissance due to the growing prevalence of wound infec- tions caused by antibiotic-resistant bacte- ria15 and a growing burden of wounds relat- ed to chronic health conditions such as dia- betes and cardiovascular disease. keywords: access; affordable; article; august; australia; available; bacterial; beirut; blast; blood; chronic; clinical; conditions; conflict; control; countries; dead; debridement; diabetes; diabetic; disasters; economic; foot; growth; healing; healthcare; hospital; infection; inflammation; insurance; introduction; larval; lebanese; lebanon; life; local; low; lowand; lucilia; macquarie; maggot; maggot therapy; management; means; medicinal; medicinal maggots; medmaglabs; middle; nco; new; page; patients; population; production; professionals; providers; public; quality; resource; review; secretions; sericata; settings; social; stadler; supply; system; therapy; tissue; treatment; ulcers; united; university; use; wound; wound care cache: hls-11161.pdf plain text: hls-11161.txt item: #15 of 119 id: hls-11163 author: Ahsan, Ahsan; Monitasari, Imeldha; Ningrum, Evi Harwiati; Rahmawati, Ike Nesdia; Noviyanti, Linda Wieke; Putra, Kuswantoro Rusca title: The effects of TeamSTEPPS implementation by nurses on situation monitoring in hospital date: 2023-02-09 words: 4585 flesch: 54 summary: Situation monitoring in the control group and interven- tion group Situation Monitoring in control group shows that the percep- tions pretest scores median of 28.00 was equal to that of the posttest scores. Meanwhile, nurses can fail to under- stand the patient’s declining condition because they often ignore the clinical information reported by other team members,8 which is also known as situation monitoring. keywords: analysis; article; attitudes; average; brawijaya; cases; cia; control; control group; difference; effects; faculty; group; health; healthcare; higher; hospital; implementation; improvement; incidents; indonesia; inpatient; intervention; intervention group; keselamatan; low; lower; malang; monitoring; nco; nurses; nursing; page; pasien; patient; patient safety; perawat; perceptions; posttest; pretest; program; rate; reported; resource; respondents; results; rumah; safety; sakit; scores; settings; significant; situation; situation monitoring; study; table; teamstepps; teamwork; training; unit; universitas; value; working; years cache: hls-11163.pdf plain text: hls-11163.txt item: #16 of 119 id: hls-11165 author: Innayah, Alma Maghfirotun; Hariani, Elvira Nur Sa’idah; Khotimah, Husnul; Kusumastuty, Inggita; Yunita, Ema Pristi; Handayani, Dian title: β-(1,3)-D-glucan from Pleurotus ostreatus correlates with lower plasma IL-6, IL-1β, HOMA-IR, and higher pancreatic beta cell count in High-Fat and High-Fructose Diet (HFFD) rats date: 2023-02-09 words: 5617 flesch: 61 summary: McArdle MA, Finucane OM, Connaughton RM, et al. Mechanisms of obesity-induced inflammation and insulin resistance: insights into the emerging role of nutritional strate- gies. 2. Chen L, Chen R, Wang H, et al. keywords: 11(s1):1165; anti; article; beta; blood; body; brawijaya; cell; cia; correlation; count; diabetes; diet; difference; dose; effects; et al; extract; faculty; fat; fat diet; food; fructose; gain; glucan; glucose; groups; healthcare; hffd; high; homa; il-1β; il-6; increase; index; indonesia; inflammation; inflammatory; insulin; intake; kgbw; lee; levels; low; malang; medicine; metabolic; mice; molecular; mushroom; nco; normal; number; nutr; oat; obesity; ostreatus; oyster; page; pancreatic; pancreatic beta; plasma; pleurotus; previous; rats; resistance; resource; results; settings; significant; solution; structure; studies; study; test; type; universitas; weight cache: hls-11165.pdf plain text: hls-11165.txt item: #17 of 119 id: hls-11167 author: Setiyowati, Eppy; Hanik, Umi; Juliasih, Ni Njoman; Susilo, Priyo title: Identification of new cases of tuberculosis during the COVID-19 pandemic using model strategic management date: 2023-02-09 words: 4186 flesch: 54 summary: They should report TB cases or make patient referrals to the Health Center to increase the number of recorded case findings.24,26 The strategic management model of finding new TB cases in the wonokromo Health Center work area generates existing theo- ries and needs. Model management strategy of finding new TB cases Wonokromo Health Center (Wheelan and Hunger 2008, modified). keywords: active; activities; area; article; available; cadres; case; causes; center; cia; city; community; data; discovery; doctors; factors; figure; finding; health; health center; healthcare; high; indonesia; internet; knowledge; low; lung; management; methods; ministry; model; nco; new; nursing; page; pandemic; partnership; patients; perak; practice; prevalence; private; problem; program; public; region; regional; research; resource; screening; settings; siwalankerto; strategic; strategy; study; sufferers; surabaya; suspects; timur; treatment; tuberculosis; wonokromo cache: hls-11167.pdf plain text: hls-11167.txt item: #18 of 119 id: hls-11168 author: Ningrum, Evi Harwiati; Kartika, Annisa Wuri; Wibisono, Ahmad Hasyim; Rahmawati, Ike Nesdia; Noviyanti, Linda Wieke; Ahsan, Ahsan; Putra, Kuswantoro Rusca; Setyawan, Ungky Agus; Andayani, Lusia Titik; Widayanti, Ririn; Purnanto, Arif Jati; Subroto, Gatot; Laili, Nurul; Anderson, Judith title: The effects of a ‘COVID Nurse Assistant’ application on patient satisfaction in COVID isolation rooms date: 2023-02-09 words: 5381 flesch: 50 summary: With the limited personal protection equipment and a nursing service shortage caused inef- fective nursing care delivered to COVID-19 patients. The study will provide important information on whether the CNA is effective as health education media for COVID-19 patients and their families. keywords: 11(s1):11168; access; accessibility; application; article; aspects; assistant; better; brawijaya; care; cases; characteristics; clinical; cna; cna application; communication; control; coronavirus; covid-19; data; different; discharge; education; effects; efficacy; experimental; faculty; figure; financial; general; group; health; healthcare; home; hospital; implementation; indonesia; information; interpersonal; isolation; level; low; manner; media; nco; number; nurses; nursing; old; online; page; pandemic; patient satisfaction; patients; positive; ppe; psq-18; quality; resource; respondents; results; rooms; satisfaction; score; self; services; settings; study; subscales; survey; table; technical; time; transmission; universitas; use; video; years cache: hls-11168.pdf plain text: hls-11168.txt item: #19 of 119 id: hls-11177 author: Noviyanti, Linda Wieke; Junianto, Andri; Ahsan, Ahsan title: A cross-sectional study of the knowledge, skills, and 6 rights on medication administration by nurses at emergency department date: 2023-02-09 words: 4642 flesch: 48 summary: The magnitude and associated factors of medication administration error among nurses working in Amhara Region Referral Hospitals, Northwest Ethiopia. Hrev_master Healthcare in Low-resource Settings 2023; volume 11(s1):11177 A cross-sectional study of the knowledge, skills, and 6 rights on medication administration by nurses at emergency department Linda Wieke Noviyanti,1 Andri Junianto,2 Ahsan1 1Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya, Malang, Indonesia; 2Nursing Practitioner, General Hospital Saiful Anwar, Malang, Indonesia Abstract Introduction: Medication errors occur when a patient is given the wrong drug or receives incorrect pharmacological therapy. keywords: 11(s1):11177; administration; article; associated; attitude; bmc; brawijaya; calculation; complexity; correct; correlation; culture; data; department; design; dose; drug; educ; emergency; errors; et al; factors; good; healthcare; high; higher; hospital; implementation; important; individual; information; interprofessional; knowledge; lack; level; low; majority; malang; management; medication; medication administration; medication errors; medicine; nco; new; nurses; nursing; patient; principles; procedures; program; relationship; resource; results; rights; rights medication; risk; safety; serv; services; settings; significant; simulation; skills; strategies; students; study; universitas; use; work; years cache: hls-11177.pdf plain text: hls-11177.txt item: #20 of 119 id: hls-11179 author: Lukitasari, Mifetika; Nafista, Ulfia Fitriani title: Patient’s knowledge, gender, and physical activity level as the predictors of self-care in heart failure patients date: 2023-02-09 words: 3034 flesch: 58 summary: Therefore, comprehensive assessment on self-care and its determinants is essential in HF patient care to achieve better outcome.27 Conclusions The results showed that continuous education on activity restriction and their treatment regimens are important to promote adequate self-care in HF patients. Participants who had adequate self care management were women patients, high physical activity level, and adequate knowl- edge on HF. keywords: activity; adequate; article; better; brawijaya; care; care management; characteristics; chronic; clinical; cross; data; disease; education; factors; failure; gender; health; healthcare; heart; heart failure; high; indonesia; knowledge; level; life; low; management; mortality; nurs; nyha; patients; physical; predictors; previous; quality; related; resource; results; sectional; self; selfcare; settings; study; table; women cache: hls-11179.pdf plain text: hls-11179.txt item: #21 of 119 id: hls-11181 author: Taji, Mohamad; Putra, Kuswantoro Rusca; Ismail, Dina Dewi Sartika Lestari title: Strategies to improving patient safety in hospitals date: 2023-02-09 words: 9750 flesch: 62 summary: These include patient safety culture training programs in nurse managers, supervisors, and education as well as empowerment programs for nurses as frontlines. Training program under expert supervision with >5 years of experience in patient safety training. keywords: articles; cia; clinical; communication; comprehensive; course; culture; data; days; e t; educational; et al; et y; events; experimental; factors; feedback; group; h os; healthcare; high; hospital; hours; ifi; implementation; improvement; incidents; initial; intervention; ith; l s; low; m et; management; materials; methods; months; n ur; nco; nurses; nursing; p ro; page; participants; patient; patient safety; program; quality; reporting; research; resource; results; review; s af; safety; safety culture; safety program; seminar; settings; simulation; staff; strategies; study; t t; ta l; te rv; team; teamstepps; th e; tio; tio n; tools; topic; training; tte; unit; ur s; year cache: hls-11181.pdf plain text: hls-11181.txt item: #22 of 119 id: hls-11182 author: Safee, Mohd Khairuddin Mohd; Osman, Noor Azuan Abu title: Relationship between postural stability and fall risk in young adult after lower limb muscle fatigue date: 2023-02-09 words: 4362 flesch: 57 summary: The sit-to-stand (STS) protocol was used to induce lower limb muscle fatigue, while pos- tural stability and fall risk were assessed using the Biodex Balance System (BBS) before and after muscle fatigue. Therefore, this preliminary study was conducted to identify the relationship between postural stability and fall risk among healthy young adults before and after lower limb muscle fatigue. keywords: 11(s1):11182; activity; adults; age; analysis; apsi; article; balance; bbs; body; cia; coefficient; control; correlation; data; effect; exercise; faculty; fall; fall risk; fatigue; gait; healthcare; healthy; increase; index; induced; limb; lower; mean; mlsi; movement; muscle; muscle fatigue; nco; older; osi; overall; p<0.05; patients; physical; postural; postural stability; pre; prolonged; protocol; relationship; repetitive; resource; results; risk; sci; score; settings; significant; stability; sts; studies; study; subjects; table; test; trial; years; young cache: hls-11182.pdf plain text: hls-11182.txt item: #23 of 119 id: hls-11183 author: Noujeim, Carlos Machhour title: Improving healthcare value: integrating medical practitioners into hospital design in developing countries date: 2023-06-08 words: 2165 flesch: 44 summary: [Healthcare in Low-resource Settings 2023; 11:11183] Improving healthcare value: integrating medical practitioners into hospital design in developing countries Carlos Machhour Noujeim Port Harcourt Government House Clinic, Nigeria Abstract The cost of healthcare is a burden in most developing countries, and this is expo- nentially increasing in the context of popu- lation growth, pandemics, and rapidly evolving medical necessities. It also positively develops com- prehensive hospital signage, whether direc- tional or informational, as part of the wayfinding system that will assist the geri- atric population in seeking medical care. keywords: access; analysis; architectural; area; author; better; care; countries; covid-19; critical; data; delivery; design; designers; economic; environment; example; experience; facility; feedback; healthcare; hospital; important; input; layouts; low; medical; natural; nigeria; noise; outcome; patient; planning; practitioners; publisher; resource; room; settings; solution; staff; standard; system; typology; western cache: hls-11183.pdf plain text: hls-11183.txt item: #24 of 119 id: hls-11194 author: Elfiyunai, Ni Nyoman; Nursalam, Nursalam; Sukartini, Tintin; Efendi, Ferry title: A systematic review on telenursing as a solution in improving the treatment compliance of tuberculosis patients in the COVID-19 pandemic date: 2023-02-09 words: 2629 flesch: 43 summary: It also increases the awareness of patients to per- form periodic checkups.27 Medication monitors have also been shown to improve TB patient compliance, whereas receiving a reminder via text message does not affect medication adherence,28 even though text messages are sent in both directions every week.29 Because resources are limited, SMS reminders from mobile phones can help improve TB patient compliance.30 When com- pared to patients who do not receive short messages, health ser- vices with reminder messages can have a high cure rate.31 Meanwhile, another study stated that there was no increase in treat- Review Figure 1. Previous study explained that through reminder messages sent every day from mobile phones about TB treatment in the form of text messages, there was an increase in treatment compliance, centered on good relationships between providers.19 Text messaging effectively strengthens the level of complete treatment compliance in TB patients, as well as, reduces the possibility of missing medication schedules, and sev- ered treatment. keywords: 11(s1):11194; adherence; articles; cia; compliance; control; covid-19; data; design; disease; form; health; healthcare; indonesia; low; medication; messages; mobile; nco; page; pandemic; patients; phone; reminder; research; resource; review; settings; sms; solution; studies; study; support; telenursing; treatment; tuberculosis; use; workers cache: hls-11194.pdf plain text: hls-11194.txt item: #25 of 119 id: hls-11195 author: Kristianingrum, Niko Dima Kristianingrum; Arizda, Delfira; Setyoadi, Setyoadi; Hayati, Yati Sri; Parchman, Michael Leo title: Family health task implementation and the health status of diabetes mellitus patients: A correlational study date: 2023-02-09 words: 4281 flesch: 57 summary: Families according to several studies in the field of family health have a big influence on the members’ health status. Based on the components of family health care tasks, the best was that 65.4% family made deci- sions and the lowest with 57.8% modified the environment (Table 3). keywords: 11(s1):11195; ability; article; blood; brawijaya; care; caregivers; cia; control; dan; data; dengan; diabetes; diabetes mellitus; diabetics; disease; domain; education; environment; facilities; factors; faculty; families; family; family health; form; function; good; health; health care; health status; healthcare; implementation; indonesia; keluarga; keperawatan; kesehatan; level; life; low; malang; medicine; mellitus; members; mental; nco; nursing; old; pada; page; patients; people; physical; problems; relationship; research; resource; respondents; results; role; school; sciences; settings; significant; social; status; study; support; table; tasks; universitas; years cache: hls-11195.pdf plain text: hls-11195.txt item: #26 of 119 id: hls-11196 author: Hany, Alfrina; Vatmasari, Ratih Arum title: The effectiveness of self-care management in treating heart failure: A scoping review date: 2023-02-09 words: 4270 flesch: 56 summary: Therefore, this study aims to determine the most effective self-care management interventions for heart failure patients. The symptoms of heart failure were linked to self-care activities, while lower self-care levels were associated with worsening heart failure symptoms.5 Self-care is essential in heart failure patients and multidisciplinary heart failure management programs globally. keywords: 11(s1):11196; application; articles; brawijaya; cancer; care; care management; chronic; cia; clinical; control; covid-19; criteria; design; disease; education; effectiveness; effects; et al; eur; exclusion; faculty; failure; failure patients; failure self; family; follow; health; healthcare; heart; heart failure; home; inclusion; indonesia; information; intervention; interviewing; knowledge; life; malang; management; med; monitoring; months; motivational; nco; new; nurs; nurses; nursing; outcomes; page; patients; pilot; programs; quality; randomized; rehospitalization; resource; review; search; self; selfcare; settings; studies; study; telemonitoring; trial; universitas; use; web; website cache: hls-11196.pdf plain text: hls-11196.txt item: #27 of 119 id: hls-11197 author: Dewi, Ratna Candra; Wirjatmadi, Bambang title: Physical activity, exercise habits, and body mass index of adults date: 2023-02-09 words: 3400 flesch: 58 summary: Conclusions: Increased physical activity and exercise habits were associated with decreased BMI and body fat percentage. Comparable effects of moderate intensity exercise on changes in anorectic gut hor- mone levels and energy intake to high intensity exercise. keywords: activity; adults; airlangga; appetite; article; balance; bmi; body; body fat; body mass; composition; data; diet; duration; effects; energy; exercise; exercise habits; fat; fat percentage; food; frequency; habits; health; healthcare; high; hunger; index; indonesia; intake; intensity; kcal; levels; low; mass; minutes; moderate; nutr; obesity; overweight; percentage; physical; physical activity; public; relationship; resource; results; risk; settings; sport; study; surabaya; type; universitas; weight; work; years cache: hls-11197.pdf plain text: hls-11197.txt item: #28 of 119 id: hls-11204 author: Desta, Takele Taye; Mulugeta, Tewodros title: Compliant strategies to contain coronaviruses amidst the inconveniency of social distancing date: 2023-07-06 words: 4040 flesch: 49 summary: It is worthwhile to opt for long- lasting and affordable interventions like prevention and suppression to enhance the efficacy of containment strategies. 7. Coccia M. Preparedness of countries to face COVID-19 pandemic crisis: strate- gic positioning and factors supporting effective strategies of prevention of pandemic threats. keywords: alternative; areas; available; cases; centers; close; common; communities; complementary; contact; contagions; containment; control; coronavirus; countries; covid-19; critical; desta; developed; disease; distance; distancing; effective; ethiopia; example; exposure; face; figure; global; healthcare; immune; impact; impractical; individuals; infectious; july; limited; living; low; measures; methods; natural; nco; overcrowding; page; pandemic; patients; people; personal; physical; potential; prevention; public; report; resource; respiratory; respiratory syndromes; safe; services; settings; sex; short; social; social distancing; spread; strategies; study; suppression; syndromes; treatment; use; working; world cache: hls-11204.pdf plain text: hls-11204.txt item: #29 of 119 id: hls-11208 author: Lestari, Retno; Yusuf, Ah; Setyawan, Febri Endra Budi; Ahsan, Ahsan; Hargono, Rachmat title: A societal adaptation model as a novel approach toward the recovery of people with schizophrenia date: 2023-02-09 words: 5975 flesch: 43 summary: Through the adaptation model, society is expected to treat people with severe mental disorders as partners rather than just listeners or recipients of the information disseminated. [page 121] Abstract Introduction: People with severe mental disorders strain those involved, including families, societies, entire communities, and the government, due to decreased productivity. keywords: adaptation; adaptation model; appraisal; article; available; capital; care; collective; community; development; direct; disorders; effect; efficacy; factors; figure; government; health; healthcare; help; high; illnesses; indicators; indonesia; influence; low; malang; members; mental; mental disorders; model; mutual; nco; networks; norms; nursing; page; participation; path; people; perception; positive; problem; problem appraisal; process; recovery; resilience; resource; response; results; schizophrenia; sense; settings; severe; severe mental; significant; social; social capital; social support; societal; societal adaptation; societal resilience; societies; society; stigma; strategies; strategy; structural; study; sufferers; support; table; treatment; trust; universitas; value cache: hls-11208.pdf plain text: hls-11208.txt item: #30 of 119 id: hls-11209 author: Kapti, Rinik Eko; Arief, Yuni Sufyanti; Azizah, Nurona title: Mother’s knowledge as a dominant factor for the success of exclusive breastfeeding in Indonesia date: 2023-02-09 words: 4250 flesch: 58 summary: We identified similarities and differences in the components related to exclusive breastfeeding and demonstrated the significance of these factors in exclusive breastfeeding.13,14 Article Significance for public health Mother's knowledge, weaning food, and low birth weight have a relationship with exclusive breastfeeding behavior in Indonesia. The health pro- motion of exclusive breastfeeding behavior is very important and should be taught not only in the prenatal period but also in the post- natal period up to the second year of delivery.18 Health promotion is expected to include a maternal support system based on the results of the study which found that father’s knowledge of Exclusive Breastfeeding (EBF) enhances mother’s knowledge by sharing information and offering the support mothers need.22 In Indonesia, health workers need to develop and improve child health promotion facilities through discharge planning, to raise mothers’ awareness of exclusive breastfeeding and to develop infant program and cadres in Posyandu. keywords: 11(s1):11209; age; analysis; article; associated; available; babies; behavior; birth; breastfed; breastfeeding; children; country; data; early; exclusive; exclusive breastfeeding; factors; food; health; healthcare; ifls; important; indonesia; infants; information; introduction; knowledge; labor; lbw; low; maternal; months; mothers; nco; number; nursing; postpartum; relationship; resource; results; risk; settings; solid; status; study; support; survey; unicef; universitas; variables; weaning; weight; workers; yes cache: hls-11209.pdf plain text: hls-11209.txt item: #31 of 119 id: hls-11212 author: Setyoadi, Setyoadi; Yusuf, Ah; Kristianingrum, Niko Dima; Hayati, Yati Sri; Noviyanti, Linda Wieke; Syafiky, Nurmalia Filda title: The correlation between family support and health status in patients with diabetes mellitus date: 2023-02-09 words: 5038 flesch: 60 summary: The diabetic patients in the working area of the Public Health Centre in Malang City received good family support, and this is in line with Damayanti that it influences the implementation of self- management.20 Friedman stated that there are 4 types of family support, Good family support gives the patient a sense of calmness and comfort.29 keywords: analysis; article; blood; brawijaya; caregivers; center; cia; city; correlation; dan; data; dengan; diabetes; diabetes mellitus; disease; dukungan; emotional; faculty; families; family; family support; finding; friedman; function; good; good health; health; health status; healthcare; hubungan; indonesia; informational; instrumental; jakarta; jurnal; keluarga; kesehatan; knowledge; level; life; line; low; malang; management; mellitus; mellitus patients; members; nco; nursing; office; page; pasien; patients; people; percentage; physical; public; quality; relationship; resource; respondents; results; role; self; settings; status; study; sugar; support; table; tipe; treatment; type; universitas cache: hls-11212.pdf plain text: hls-11212.txt item: #32 of 119 id: hls-11213 author: Ardyansah, Rizki Bahtiyar; Wisnasari, Shila; Wihastuti, Titin Andri; Ismail, Dina Dewi Sartika Lestari title: Experience of nurses using the basic nursing science in performing nursing care for patients at RSUD Dr. Soedomo Trenggalek, Indonesia date: 2023-02-09 words: 4677 flesch: 49 summary: Sub-theme 1: Serve as a guide during assessment Respondents agreed that basic nursing science helps nurses to obtain diseases’ anamnesis data easily, because it serves as a guide while exploring patients’ condition, as expressed below: “Basic nursing science can become a guide for us in the anam- nesis process, we will learn something (about patients’ condition) we did not know before” (P2). Basic nursing science helps nurses to determine nursing problems and diagnoses found in patients, but they need to differ- entiate the diagnoses, as stated below: “There are several approaches and examination that should be done before we establish nursing diagnoses, we cannot make it up, and that is the importance of basic science nursing.” keywords: actions; article; assessment; basic; basic nursing; brawijaya; care; caring; chronic; condition; critical; data; diagnoses; diseases; duties; education; effective; examination; expected; experience; faculty; goals; health; healthcare; hospital; implementation; important; indonesia; intervention; knowledge; low; medical; monitoring; need; nurses; nursing; nursing science; patients; personnel; physical; physiology; planning; problem; process; quality; resource; respondents; science; services; settings; skills; study; sub; theme; thinking; treatment; universitas cache: hls-11213.pdf plain text: hls-11213.txt item: #33 of 119 id: hls-11217 author: Suharsono, Tony; Sunarmi, Sunarmi; Ida, Nur; Khirria, Bella Nove; Asrin, Nazla; Ulya, Ikhda title: The implementation of code blue by nurses as first responders in outpatient and inpatient rooms at Malang Indonesia Hospital date: 2023-02-09 words: 2845 flesch: 55 summary: Conclusions The majority of code blue implementation by nurses as the first helper on cardiac arrest in the hospital is sufficient. Blue code: Is it a real emer- gency? keywords: arrest; article; basic; blue; brawijaya; cardiac; cardiac arrest; cardiopulmonary; care; code; code blue; cpr; data; emergency; et al; faculty; health; healthcare; heart; hospital; ihca; implementation; indonesia; inpatient; knowledge; life; low; malang; med; methods; nurses; outpatient; rate; resource; respondents; results; resuscitation; rooms; settings; simulation; study; support; survival; table; team; universitas; work; years cache: hls-11217.pdf plain text: hls-11217.txt item: #34 of 119 id: hls-11229 author: Grover , Malika; Goyal, Nisha; Gangar, Seema; Singh, Narendra Pal title: Prevalence of MLSB Phenotypes of Staphylococcus aureus isolates in a tertiary care hospital of Delhi date: 2023-06-15 words: 2877 flesch: 43 summary: Association of methicillin susceptibility was established in the isolates displaying inducible clindamycin resistance. Prevalence of inducible clindamycin resistance in Staphylococcus aureus isolated from clinical samples. keywords: agar; article; aureus; care; clindamycin; clinical; constitutive; delhi; diffusion; disc; distribution; drug; erm; erythromycin; figure; geographical; healthcare; hospital; icr; india; inducible; infections; isolates; low; methicillin; mlsb; mrsa; msb; mssa; patient; phenotypes; prevalence; regions; resistance; resource; samples; settings; staphylococcus; staphylococcus aureus; study; susceptibility; susceptible; table; tertiary; testing; total; zone cache: hls-11229.pdf plain text: hls-11229.txt item: #35 of 119 id: hls-11302 author: Jain, Charu; Das, Shukla; Ramachandran, Vishnampettai G.; Saha, Rumpa; Bhattacharyak, Sambit Nath; Dar, Sajad Ahmad; Birhman, Nikita; Singh, Narendra Pal title: Pityriasis Versicolor: host susceptibility in relation to IL-10 and IFN γ cytokine gene polymorphism date: 2023-06-23 words: 3976 flesch: 53 summary: In the pre- sent investigation, cytokine gene polymor- phism revealed that the host was susceptible to Malassezia infection. Hence, polymorphism in the genes responsi- ble for cytokine production can influence the susceptibility of the host to develop and manifest the disease. keywords: +874; allele; amplification; article; association; blood; cells; column; commensal; consent; controls; cytokine; disease; dna; frequency; gene; genetic; genomic; genotype; healthcare; healthy; higher; hospital; host; human; ifn; il-10; il10; immune; individual; inflammatory; informed; low; malassezia; minutes; nco; normal; nucleotide; page; patients; pityriasis; polymorphism; population; production; refractory; resource; response; responsible; sample; sequence; settings; significant; single; skin; snps; solution; specific; studies; study; subset; susceptibility; system; th1; th2; versicolor; yeast cache: hls-11302.pdf plain text: hls-11302.txt item: #36 of 119 id: hls-11323 author: Rashad Mostafa, Neveen; Ali, Abeer Ahmed Mohamed; Ezzat, Rehab Moustafa; Bakry, Mostafa Kamel; Marzo, Roy Rillera title: Value of biochemical markers in predicting outcome of COVID-19 infection in University Hospital, Alexandria, Egypt date: 2023-06-08 words: 5929 flesch: 53 summary: CRP showed mean value of 17.7±16.3 mg/L in all COVID-19 infected patients, with a mean of 11.4±8.3 mg/L in discharged patients, and a mean of 33.4±20.4 mg/L in deceased patients. Ferritin showed mean value of 1308±2006 ng/mL in all COVID-19 infected patients, with a mean of 715.8±1188.6 ng/mL in discharged patients, and a mean of 2788.8±2758.5 ng/ml in deceased patients, the increase in ferritin level was highly signifi- cant in deceased patients in comparison to discharged patients, p<0.001 (Table 2, Figure 1). keywords: 11(s2):11323; age; alexandria; alt; analysis; aptt; article; ast; biochemical; bnp; china; clinical; comorbidities; coronavirus; covid-19; covid-19 infection; covid-19 patients; crp; data; deceased; deceased patients; dimer; discharged; discharged patients; disease; elevated; ferritin; healthcare; high; hospital; increase; infected; infection; injury; ldh; levels; liver; low; markers; mean; mean±sd; median; min.–max; mortality; outcome; p<0.001; patients; pct; performance; pro; probnp; procalcitonin; prognostic; resource; retrospective; sensitivity; settings; severe; severity; significant; specificity; study; symptoms; table; test; university; value; variables; wuhan cache: hls-11323.pdf plain text: hls-11323.txt item: #37 of 119 id: hls-11340 author: Rashad Mostafa, Neveen; Ali, Abeer Ahmed Mohamed; Marzo, Roy Rillera title: The effect of vitamin D deficiency on glycemic control in patients with type 2 diabetes mellitus date: 2023-06-08 words: 3543 flesch: 53 summary: The participants ‘vitamin D level, fast- ing blood sugar and HbA1c were measured, all patients were treat- ed with oral hypoglycemic medications. Mean vitamin D level in diabetic patients with controlled fast- ing blood sugar was 32.4±14.7ng/ml, while the mean vitamin D level in diabetic patients with uncontrolled fasting blood sugar was 24.3±15.1ng/mL, p= 0.003*(Table 3, Figure 1). keywords: age; aktas; article; association; blood; complications; consent; control; data; deficiency; diabetes; diabetes mellitus; diabetic; diabetic patients; effect; et al; glycemic; group; hba1c; health; healthcare; inflammation; institute; insulin; level; low; mean; medical; medicine; mellitus; normal; patients; prevalence; ratio; relation; research; resource; settings; significant; study; sugar; table; test; type; uncontrolled; university; vitamin; vitamin d; years cache: hls-11340.pdf plain text: hls-11340.txt item: #38 of 119 id: hls-11359 author: Gulumbe, Bashar Haruna; Usman, Nazeef Idris title: Projected shortfall of 10 million healthcare workers by 2030: implications for low- and middle-income countries and the way forward date: 2023-08-11 words: 1199 flesch: 43 summary: E-mail: bashar.haruna@fubk.edu.ng Key words: healthcare workers deficit; low- and middle-income countries; rural and remote regions. As the num- ber of available healthcare workers dwin- dles, the workload and pressure on those remaining in the field will escalate, poten- tially leading to burnout and a consequent decline in the quality of care provided.6 Furthermore, the shortages are likely to dis- proportionately impact rural and remote regions, exacerbating existing inequalities in access to healthcare services and further widening the gap between urban and rural areas.3,6 keywords: 11:11359; countries; crisis; deficit; global; healthcare; income; kebbi; lmics; low; lowand; middle; migration; professionals; remote; resource; rural; settings; shortage; shortfall; solutions; state; university; workers; workforce cache: hls-11359.pdf plain text: hls-11359.txt item: #39 of 119 id: hls-11379 author: Rashad Mostafa, Neveen; Ali, Abeer A.M.; Alkaphoury, Mona Gamalludin; Marzo, Roy Rillera title: Helicobacter Pylori infection and non-alcoholic fatty liver disease. Is there a relationship? date: 2023-06-22 words: 4469 flesch: 56 summary: [Healthcare in Low-resource Settings 2023; 11(s2):11379] No n- co mm er cia l u se on ly ovaries also increases the formation of hepatic steatosis and pro- gression to fibrosis.20 Obesity has been linked to fatty liver disease in all stages, start- ing from simple steatosis to steatohepatitis and fibrosis. Hrev_master Healthcare in Low-resource Settings 2023; volume 11(s2):11379 Helicobacter Pylori infection and non-alcoholic fatty liver disease. keywords: age; analysis; article; association; bmi; cholesterol; clinical; common; data; density; development; disease; elastography; factors; fatty; fatty liver; females; gastric; gastroenterol; gut; h. pylori; healthcare; helicobacter; hepatic; hepatol; independent; infection; institute; insulin; lipoprotein; liver; liver disease; low; max; mean±sd; median; medical; medicine; metabolic; min; nafld; nco; nonalcoholic; obesity; page; patients; pylori; pylori infection; relationship; research; resistance; resource; risk; settings; significant; steatosis; studies; study; table; test; total; university; years cache: hls-11379.pdf plain text: hls-11379.txt item: #40 of 119 id: hls-11424 author: Makwara, Tendai; Chireshe, Rumbidzai; Nyashanu, Mathew title: Exploring healthcare system adaptive techniques and challenges in caring for people living with HIV and AIDS during the COVID-19 lockdown period in Harare, Zimbabwe date: 2023-08-07 words: 5371 flesch: 50 summary: Consequently, to close these emerging health services delivery gaps and maintain health system resilience, healthcare practi- tioners’ attention turned towards devising adaptive strategies to reconcile the compet- Healthcare in Low-resource Settings 2023; volume 11:11424 Correspondence: Tendai Makwara, Higher Education Department, Boston City Campus, Stellenbosch, 7600 Cape Town, South Africa. E-mail: makwara.t@gmail.com Key words: COVID-19; HIV and AIDS; health care system; challenges. Profile of participants ( health care professionals). keywords: access; adaptive; africa; aids; analysis; appointments; article; authors; centers; challenges; clinic; communication; countries; covid-19; covid-19 pandemic; covid19; data; delivery; difficult; diseases; findings; harare; health; healthcare; healthcare professionals; help; hiv; information; initiatives; insurance; interview; lockdown; low; masks; measures; medical; medication; need; new; nurse; outbreak; pandemic; participants; patients; people; phase; plwha; ppes; professionals; protocols; public; qualitative; research; researchers; resilience; resource; resourcefulness; services; settings; sharing; south; spread; staff; standard; strategies; studies; study; support; system; techniques; time; treatment; work; zimbabwe cache: hls-11424.pdf plain text: hls-11424.txt item: #41 of 119 id: hls-11527 author: Lenka, Smarita; Dubey, Debasmita; Rath, Shakti; Das, Somadatta; Swain, Santosh Kumar title: Clinical manifestation and microbial profiling of recurrent MDR microorganisms associated with head and neck infection- a retrospective study date: 2023-08-11 words: 5619 flesch: 52 summary: Yearly, seasonal, and regional infor- mation The highest peak of head and neck infection patients was throughout the study period 309 (28.61%) in 2021 (Figure 2). Deep neck infections: a study of 365 cases highlighting recommendations for management and treatment. keywords: -100; -nd; abscess; abscesses; adult; age; amp; analysis; antibiotics; anusandhan; article; aspergillus; associated; aureus; bacteria; bhubaneswar; candida; cases; cip; clinical; complications; data; deep; demographic; diagnosis; different; distribution; drainage; empirical; epidemiology; figure; formation; fungal; group; head; healthcare; hni; hospital; india; infection; isolates; it100; low; manifestation; mic100; microorganisms; multidrug; nco; neck; neck infection; nit; ns-100; number; odisha; odontogenic; oral; oxacillin; page; pain; patients; percentage; rate; recurrence; resistant; resource; settings; severe; significant; siksha; sites; space; staphylococcus; study; surgery; surgical; swelling; symptoms; table; tgc; therapy; throat; treatment; university; years; young cache: hls-11527.pdf plain text: hls-11527.txt item: #42 of 119 id: hls-1187 author: Sahakyan, Yeva; Thompson, Michael E.; Abrahamyan, Lusine title: Sex differences in long-term outcomes of patients with percutaneous coronary intervention: the Armenian experience date: 2013-09-24 words: 4278 flesch: 54 summary: A study that evaluated the effectiveness of drug-eluting stents in acute coronary syndrome patients with dia- betes reported a higher prevalence of insulin- dependent diabetes among women compared to men.22 The sex differences in our study may also be explained by unequal access to or uti- lization of health care services in Armenia. Lansky AJ, Hochman JS, Ward PA, et al. Percutaneous coronary intervention and adjunctive pharmacotherapy in women: a statement for healthcare professionals from the American Heart Association. keywords: acute; adverse; american; analysis; armenia; arrhythmia; artery; baseline; cad; cardiac; cerebrovascular; coronary; diabetes; differences; e17; events; follow; free; gender; hazard; health; healthcare; heart; higher; hospital; infarction; intervention; long; macce; major; medical; mortality; myocardial; nmmc; number; observed; outcomes; patients; pci; percutaneous; repeat; resource; risk; sample; settings; sex; significant; stent; studies; study; survival; table; term; total; university; women cache: hls-1187.pdf plain text: hls-1187.txt item: #43 of 119 id: hls-1387 author: Kheir, Abdelmoneim E.; Jobara, Ghada A.; Elhag, Kamal M.; Karar, Mohamed Z. title: Qualitative C-reactive protein as a marker of neonatal sepsis in a tertiary neonatal unit in Sudan date: 2013-10-09 words: 3409 flesch: 55 summary: [page 71] Qualitative C-reactive protein as a marker of neonatal sepsis in a tertiary neonatal unit in Sudan Abdelmoneim E. Kheir,1 Ghada A. Jobara,2 Kamal M. Elhag,3 Mohamed Z. Karar2 1Department of Pediatrics, University of Khartoum, Khartoum; 2Department of Neonatology, Soba University Hospital, Khartoum; 3Microbiology Department, Soba University Hospital, Khartoum, Diagnosis of neonatal sepsis may be difficult because clin- ical presentations are often non-specific. keywords: association; babies; blood; blood culture; care; clinical; correlation; count; crp; culture; diagnostic; duration; early; factors; hospital; infection; khartoum; low; markers; mortality; negative; neonatal; neonatal sepsis; neonates; npv; number; onset; positive; protein; qualitative; reactive; reactive protein; resource; results; risk; sensitivity; sepsis; settings; significant; signs; soba; specificity; study; sudan; table; test; total; true; university; value cache: hls-1387.pdf plain text: hls-1387.txt item: #44 of 119 id: hls-1390 author: Megbelayin, Emmanuel Olu; Sackey, Jacob title: Multivariate regression analysis of prime variables affecting ophthalmic patients’ satisfaction in a resource limited economy date: 2014-02-06 words: 3460 flesch: 53 summary: Other reasons that have necessitated a shift towards business approach to healthcare deliv- ery are intense competition, more patient awareness, increased purchasing power of patients, and availability of specialist care.3,4 Public health systems in developing coun- tries have failed to achieve adequate level of services. Interest has grown not only in the assessment of treatment interventions by patients, but in the systematic evaluation of the delivery of that care. keywords: age; agree; analysis; approval; article; care; centre; cia; clinic; comfort; confidence; criteria; data; distribution; examination; expectation; eye; facility; fairness; female; health; healthcare; hospital; level; logistic; low; med; medical; nco; nigeria; non; overall; page; partiality; patients; privacy; public; quality; questionnaires; resource; sample; satisfaction; satisfied; services; settings; size; socio; staff; study; table; teaching; thoroughness; university; uyo; variables; years cache: hls-1390.pdf plain text: hls-1390.txt item: #45 of 119 id: hls-1443 author: Makarem, Nisrine N. title: Contraception and poverty: a lost battle date: 2013-10-09 words: 955 flesch: 68 summary: From what women tell us, it seems that men in this community are the ones who demand many children. Lebanon has a contraceptive-use rate of 58% for any method and a value for fertility rate of 1.76 in 2013, a minimum since 1960.1,2 Despite such encouraging figures, contraceptive use is rare among women in this community. keywords: american; beirut; children; clinic; community; contraceptive; family; healthcare; lebanon; low; medicine; poverty; resource; settings; use; women cache: hls-1443.pdf plain text: hls-1443.txt item: #46 of 119 id: hls-1465 author: Shrivastava, Saurabh RamBihariLal; Shrivastava, Prateek Saurabh; Ramasamy, Jegadeesh title: Application of emporiatrics in minimizing travelers’ health risks date: 2013-07-10 words: 906 flesch: 55 summary: Hrev_master [Healthcare in Low-resource Settings 2013; 1:e14] [page 53] Application of emporiatrics in minimizing travelers’ health risks Saurabh R. Shrivastava, Prateek S. Shrivastava, Jegadeesh Ramasamy Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Kancheepuram, India Dear Editor, Emporiatrics or travel medicine deals with the prevention and management of health problems of international travelers.1 Actions which the traveler must take prior to the commencement of the journey should be learning about the destination (ascertaining health risks prevalent in the area, climate, availability of health care facilities, etc.); med- ical consultation for necessary immunizations or for an ongoing health concern;7 obtaining special travelers health insurance for destina- tions where health risks are significant and medical care is expensive/not readily available; and carrying a medical/first-aid kit. keywords: disease; e14; emporiatrics; health; healthcare; insect; international; low; march; measures; medical; medicine; resource; risks; settings; shrivastava; travel; travelers; viz; water cache: hls-1465.pdf plain text: hls-1465.txt item: #47 of 119 id: hls-1538 author: Uyagu, Damien; Omoigberale, Augustine; Dienye, Paul title: Efficacy and safety of Camosunate for the treatment of uncomplicated malaria in the University of Benin Teaching Hospital, Benin City, Nigeria date: 2013-10-30 words: 4043 flesch: 57 summary: Patients were administered 4 tablets once daily for 3 days; ii) Camosunate junior (6 tablets), each tablet con- taining 300 mg amodiaquine base and 100 mg artesunate for patients aged 7-13 years. Patients were administered 2 tablets once daily for 3 days; iii) Camosunate children (2 sachets), each containing pleasantly flavored powder containing 150 mg amodiaquine and 50 mg artesunate respectively for patients aged 1-6 years. keywords: act; age; amodiaquine; antimalarial; artesunate; as+aq; benin; blood; camosunate; children; chloroquine; city; clinical; combination; day; days; dose; drug; e22; efficacy; failure; falciparum; family; federal; health; healthcare; hospital; low; malaria; medicine; nigeria; parasitaemia; parasite; patients; plasmodium; population; republic; resource; safety; settings; severe; signs; study; symptoms; table; teaching; tess; therapy; total; treatment; ubth; uncomplicated; university; use; vomiting; years cache: hls-1538.pdf plain text: hls-1538.txt item: #48 of 119 id: hls-1559 author: Bakare, Muideen O.; Munir, Kerim M.; Bello-Mojeed, Mashudat A. title: Public health and research funding for childhood neurodevelopmental disorders in Sub-Saharan Africa: a time to balance priorities date: 2014-01-15 words: 3116 flesch: 54 summary: There is a distributive ethical need to redress the imbalance that is reflected by the much larger population of children in SSA compared to that in Europe and North America.22 Conclusions The right time is now to conduct large scale epidemiological studies on ASD and other child- hood NDD among SSA children. 7. You D, Wardlaw T. United Nations inter- agency group for child mortality estima- tion (2011 report): levels and trends in child mortality. keywords: adolescent; africa; age; asd; attention; autism; available; average; bakare; childhood; children; communicable; diseases; disorders; distribution; europe; figure; funding; health; healthcare; int; low; mental; mortality; ndd; need; neurodevelopmental; non; onset; percent; period; policies; population; prevalence; priorities; public; rate; reduction; region; report; research; resource; saharan; settings; social; spectrum; ssa; sub; symptoms; time; world; years cache: hls-1559.pdf plain text: hls-1559.txt item: #49 of 119 id: hls-1644 author: Shrivastava, Saurabh R.; Shrivastava, Prateek S.; Ramasamy, Jegadeesh title: Prevention of nosocomial infections in low resource countries date: 2013-10-15 words: 952 flesch: 33 summary: [page 79] Prevention of nosocomial infections in low resource countries Saurabh R. Shrivastava, Prateek S. Shrivastava, Jegadeesh Ramasamy Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Kancheepuram, India Dear Editor, Nosocomial infections are infections acquired during hospital care which are not present neither incubating at the time of admission. In other words it is the cross-infection of one patient by another or by doctors, nurses and other hospital staff while in hospital.1 Nosocomial infections have been observed worldwide affecting both developing nations with inadequate resources and developed nations.2 Hospital-acquired infections add to functional disability, economic burden and emotional stress for the patient and his/her relatives that can reduce the quality of life.3,4 The most frequent nosocomial infections are infections of the surgical wounds, urinary tract infections and lower respiratory tract infections, with their highest incidence being observed in intensive care units and acute sur- gical/orthopedic wards. keywords: admission; control; countries; department; different; e23; healthcare; hospital; infections; intensive; low; medicine; nosocomial; patients; plan; prevention; research; resource; settings; shrivastava; staff; surgical; viz; work cache: hls-1644.pdf plain text: hls-1644.txt item: #50 of 119 id: hls-1729 author: Prusty, Santosh K.; Panda, Bhuputra; Chauhan, Abhimanyu S.; Das, Jayanta K. title: Factors affecting immunization coverage in urban slums of Odisha, India: implications on urban health policy date: 2013-10-09 words: 5552 flesch: 54 summary: Total 79 children were assessed and their mothers were interviewed about the nature and quality of immunization services provided. Frequent illnesses of the child, lack of informa- tion about the scheduled date of immuniza- tion, frequent displacement of the family and lack of knowledge regarding the benefits of immunization were cited as the main factors behind coverage of immunization services. keywords: aged; areas; available; bcg; children; cia; city; community; complete; coverage; cuttack; data; delhi; delivery; district; dpt3; dwellers; e18; education; facilities; facility; factors; family; frequent; government; health; healthcare; high; immunization; immunization coverage; important; india; institute; lack; late; level; local; low; measles; med; ministry; months; mothers; national; nco; need; new; non; odisha; page; policy; polio; poor; population; providers; public; quality; reasons; resource; respondents; rural; services; settings; site; slum; social; status; strategy; studies; study; survey; system; table; time; total; urban; vaccination; vaccine; welfare; workers cache: hls-1729.pdf plain text: hls-1729.txt item: #51 of 119 id: hls-1784 author: Parashar, Pawan; Ahmad, Sartaj; Khan, Amir Maroof; Tiwari, Rupesh title: Impact of a single educational session on oral hygiene practices among children of a primary school of Meerut, India date: 2013-10-31 words: 2848 flesch: 62 summary: [Healthcare in Low-resource Settings 2013; 1:e24] Impact of a single educational session on oral hygiene prac- tices among children of a primary school of Meerut, India Pawan Parashar,1 Sartaj Ahmad,2 Amir Maroof Khan,3 Rupesh Tiwari1 1Department of Community Medicine, Subharti Medical College Meerut, Meerut; 2School of Community Medicine, Swami Vivekanand Subharti University, Meerut; 3Department of Community Medicine, University College of Medical Sciences, New Delhi, India Abstract Oral health promotion through schools is recommended by the World Health Organi - zation (WHO) for improving knowledge, atti- tude, and behavior related to oral health and for prevention and control of dental diseases among school children. Oral health promotion through schools is recom- mended by the World Health Organization (WHO) for improving knowledge, attitude, and behavior related to oral health and for preven- tion and control of dental diseases among school children.1 Children tend to be more vul- nerable to dental diseases due to social, eco- nomic and demographic factors like lack of awareness and transportation, limited access to professional dental care, lack of perceived need for dental care.2Schools are a suitable place for imparting knowledge to the school children and school children also are receptive to the infor- mation given to them. keywords: attitude; available; awareness; behavior; brushing; caries; change; children; community; dental; education; health; healthcare; higher; hygiene; impact; indian; intervention; knowledge; low; meerut; old; oral; oral health; practices; present; primary; problems; proportion; reported; resource; risk; school; session; settings; single; status; study; teeth; toothbrush; years cache: hls-1784.pdf plain text: hls-1784.txt item: #52 of 119 id: hls-1785 author: Shrivastava, Saurabh R.; Shrivastava, Prateek S.; Ramasamy, Jegadeesh title: Growth chart: passport to child health care in low-resource settings date: 2014-01-15 words: 872 flesch: 51 summary: Different types of growth charts have been developed and utilized in varied settings for accurate monitoring of growth of children.3,6,7 Apart from growth monitoring, the chart has many potential uses such as a diagnostic tool for identifying high risk children; for planning and designing of policies at the local and cen- tral level based on extent of malnutrition prevalent in an area; as an educational aid to illiterate mothers by encouraging her to partic- ipate actively in growth of her child; for assist- ing health worker to decide the type of inter- vention needed for specific children; and for evaluating the effectiveness of corrective measures / special interventions employed.3,5,6 To conclude, growth chart is a scientifical- ly sound, robust tool for monitoring health, well-being and nutritional status of infants and young children in different settings. Tel./Fax: +91.988.422.7224. E-mail: drshrishri2008@gmail.com Key words: growth chart, underweight, low- resource settings, millennium development goals. keywords: available; chart; children; community; development; goals; growth; health; healthcare; low; malnutrition; medicine; millennium; monitoring; organization; physical; prevalence; resource; settings; tool; underweight; world cache: hls-1785.pdf plain text: hls-1785.txt item: #53 of 119 id: hls-1831 author: Alomar, Mohammed; Daliri, Narges; Alamer, Awatif; Eldali, Abdolmoneim title: Residents need focused teaching during pediatric emergency medicine rotation to optimize their educational objectives date: 2014-08-25 words: 3687 flesch: 52 summary: [Healthcare in Low-resource Settings 2014; 2:1831] Residents need focused teach- ing during pediatric emergency medicine rotation to optimize their educational objectives Mohammed Alomar,1 Narges Daliri,1 Awatif Alamer,1 Abdolmoneim Eldali2 1Emergency Department, King Faisal Specialist Hospital and Research Centre, Riyadh; 2Biostatistics Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia Abstract Pediatric Emergency Medicine (PEM) rota- tion provides a unique training environment for rotating residents. After exposure to an online didactic curriculum, rotating residents demon- strated a significant increase in EM knowledge and reported a high level of satisfaction with the didactic program.23,24 A recent survey data show that 58% of rotating residents in academ- ic EDs currently attend EM resident confer- ences,25 and only 7% would prefer attending the standard EM residency core conferences.26 keywords: acad; arabia; available; care; centers; clinical; curriculum; department; didactic; educational; emergency; emergency medicine; end; experience; fellowship; healthcare; hospital; king; knowledge; low; mean; medical; medicine; months; number; participants; patients; pediatric; pem; pgy; post; pre; preand; programs; questions; research; residency; residents; resource; riyadh; rotation; saudi; scientific; scores; settings; shift; significant; specialty; standard; statistical; study; table; teaching; tertiary; test; training cache: hls-1831.pdf plain text: hls-1831.txt item: #54 of 119 id: hls-1839 author: Sun, Jing; Kang, Jun; Qu, Qian; Zhang, Weibin; Tan, Yongqian; Xiang, Wenxian title: Did capitation payment reform make a difference in Chinese rural primary health care? date: 2014-02-24 words: 4549 flesch: 51 summary: Although the contributors were only a small number of facilities comparing with overall Qianjiang, its contribution was weak and could be neglected, 2007 and 2008 annual average data of overall Qianjiang village clinics was not a perfect controller for two pioneer vil- lage clinics and four sample village clinics. This was the same case that, 2008 annual aver- age data of overall Qianjiang health centers was not a perfect controller for four pioneer health centers. keywords: analysis; annual; average; bureau; capitation; care; centers; changes; china; clinics; cny; containment; cost; data; effect; expenditure; facilities; group; health; health centers; hospitalization; income; january; low; management; maximum; medical; medicines; nrcms; outpatient; overall; payment; prescription; qianjiang; quality; rate; referral; reform; rural; sample; study; total; village; village clinics; visit cache: hls-1839.pdf plain text: hls-1839.txt item: #55 of 119 id: hls-1858 author: Khan Niazi, Asfandyar title: The diverse issues of Healthcare in Low-resource Settings date: 2013-09-18 words: 836 flesch: 53 summary: in their paper2 describe the inadequate healthcare services for the indigenous tribes of India and the inequitable distribution of healthcare resources between the indigenous and non-indigenous popula- tion. They, therefore, iden- tified the absence of free mental healthcare as a barrier to psychiatric healthcare utilization. keywords: areas; e15; healthcare; india; indigenous; low; medical; midwives; patients; psychiatric; researchers; resource; resource settings; rural; settings; shrivastava; study; work cache: hls-1858.pdf plain text: hls-1858.txt item: #56 of 119 id: hls-1866 author: Purohit, Brijesh C. title: Efficiency of social sector expenditure in India: a case of health and education in selected Indian states date: 2014-07-31 words: 7643 flesch: 56 summary: They show that public-reimburse- ment health systems, which combine private provision with public financing, are associated with lower public health expenditures and higher efficiency than publicly managed and financed health care systems.16 In general, the differential impact on life expectancy of health system inputs may be due to significant influence of some of these variables. keywords: analysis; approach; assam; availability; bank; bihar; budgetary; capita; care; comparison; countries; country; data; delhi; econ; economic; education; efficiency; expectancy; expenditure; facilities; factors; fdh; figure; frontier; government; gujarat; health; health care; health system; healthcare; highest; hospitals; impact; income; india; information; inputs; karnataka; kerala; level; lexp; life; literacy; low; madhya; maharashtra; major; manpower; measurement; model; new; non; number; organization; output; page; panel; parameters; parametric; performance; policy; possibility; pradesh; private; producer; production; public; public expenditure; punjab; relative; resource; results; rural; sector; settings; smaller; social; spending; states; stochastic; studies; study; system; table; technical; techniques; terms; university; uttar; variables; washington; world cache: hls-1866.pdf plain text: hls-1866.txt item: #57 of 119 id: hls-1883 author: Annadurai, Kalaivani; Danasekaran, Raja; Mani, Geetha title: Knowledge, attitude and practices on anti-tobacco measures imposed under the Cigarette and Other Tobacco Products Act among adult males in rural areas of Tamil Nadu, India date: 2014-03-21 words: 2910 flesch: 65 summary: Age N % Occupation N % N % Education keywords: act; adult; age; anti; attitude; available; aware; awareness; cancer; cigarette; control; cotpa; group; health; india; international; knowledge; limit; measures; men; nadu; places; population; products; prohibition; public; sale; smokers; smoking; socio; study; table; tamil; tobacco; total; use; warnings; world; years cache: hls-1883.pdf plain text: hls-1883.txt item: #58 of 119 id: hls-1891 author: Oladeinde, Bankole H.; Omoregie, Richard; Olley, Mitsan; Anunibe, Ahamdi J.; Odia, Ikponmwosa title: Intestinal parasitic infections in Okada rural community, Edo State, Nigeria: a four year retrospective study date: 2014-08-26 words: 2908 flesch: 55 summary: Data on prevalence of intestinal parasitic infection is sparse in rural Nigeria. Against this back- ground, this study aimed at determining the prevalence of intestinal parasitic infections within a four year period in the rural commu- nity of Okada, Edo State, Nigeria. keywords: age; ascaris; children; communities; community; data; edo; gender; group; health; higher; histolytica; hospital; igbinedion; increase; infected; infection; intestinal; intestinal parasitic; low; lumbricoides; male; nigeria; okada; parasites; parasitic; parasitic infection; patients; population; prevalence; resource; rural; settings; state; study; table; teaching; total; university; water; years cache: hls-1891.pdf plain text: hls-1891.txt item: #59 of 119 id: hls-1897 author: Shrivastava, Saurabh R.; Shrivastava, Prateek S.; Ramasamy, Jegadeesh title: Disinfection: an indispensable tool in controlling outbreaks in low-resource settings date: 2014-08-25 words: 868 flesch: 42 summary: In order to extend the benefits of disinfection in rural/tribal areas, grass-root level workers should be trained about proper disinfection measures of sputum, feces and soiled articles.3 To conclude, the proper implementation of environmental disinfection in low-resource settings reduces the incidence of infection, creating a public health benefit for the patients, community and health care workers by reducing the number of pathogenic microorganisms on surfaces. The process of disinfection can be either carried out concurrently (viz. keywords: college; community; control; disease; disinfection; healthcare; implementation; inanimate; india; infectious; kancheepuram; low; medical; outbreaks; proper; research; resource; settings; shrivastava; transmission; viz cache: hls-1897.pdf plain text: hls-1897.txt item: #60 of 119 id: hls-1978 author: Thayyil, Jayakrishnan; Jayakrishnan, Thejus title: Post-polio eradication: vaccination strategies and options for India date: 2014-11-12 words: 5291 flesch: 51 summary: A recent study from India reported that OPV vaccine take is less than expectation, highly seasonal and results in intestinal mucosal immunity that appears to wane significantly within a year of vaccination.24 Thus, in areas where fae- cal oral transmission is high, gut infection with WPV cannot be ruled out. A recently published RCT conduct- ed in a tropical country like Oman showed that fractional doses of IPV vaccine administered intradermally at 2, 4, and 6 months, as com- pared with full doses of IPV vaccine given intramuscularly on the same schedule, induce similar levels of seroconversion.23 keywords: associated; available; certification; cessation; children; choice; cost; countries; country; current; cvdpvs; development; doses; eradication; fractional; future; geneva; global; government; health; healthcare; high; iii; immune; immunization; inactivated; india; international; ipv; live; low; major; med; months; national; new; opv; oral; organization; paralytic; period; phase; polio; polio eradication; poliomyelitis; poliovirus; post; primary; program; resource; risk; routine; sabin; schedule; sequential; settings; similar; strategies; surveillance; switzerland; transmission; type; use; vaccination; vaccine; vapp; weeks; wild; world; wpv; year cache: hls-1978.pdf plain text: hls-1978.txt item: #61 of 119 id: hls-2116 author: Bairwa, Mohan title: Hepatitis B vaccine uptake assessment in India date: 2014-12-10 words: 1761 flesch: 47 summary: There is a number of vaccine introductions in India since adoption of Hep B vaccine in 10 states of the country. Lower coverage and higher drop outs were identified of three doses of Hep B vaccine (Hep B3) and three doses of diphtheria, tetanus, and poliomyelitis (DPT) vaccine (DPT3) during the study period. keywords: assessment; bairwa; coverage; delhi; dose; evaluation; government; health; healthcare; hep; hepatitis; immunization; india; interventions; introduction; lessons; low; major; national; new; pentavalent; private; program; recording; reporting; resource; sector; settings; states; study; vaccine cache: hls-2116.pdf plain text: hls-2116.txt item: #62 of 119 id: hls-2151 author: Chaudhary, Poras; Khowal, Hemant title: Advanced bilateral breast cancer, stage T4c N3 M1 date: 2014-08-27 words: 705 flesch: 54 summary: E-mail: drporaschaudhary@yahoo.com Key words: bilateral breast cancer, toilet mastec- tomy, India. Received for publication: 23 November 2013. Breast cancer accounts for 19- 34% of all cancer cases among women in India and carries a high mortality due to presenta- tion at late stage of the disease. keywords: advanced; awareness; bilateral; breast; cancer; case; examination; india; low; mastectomy; nodules; patient; resource; right; self; settings; toilet; women cache: hls-2151.pdf plain text: hls-2151.txt item: #63 of 119 id: hls-3260 author: Haregu, Tilahun Nigatu; Setswe, Geoffrey; Elliott, Jullian; Oldenburg, Brian title: A tool to guide the process of integrating health system responses to public health problems date: 2015-06-16 words: 4082 flesch: 46 summary: Health systems integration: competing or shared mental models? Once this is done, one should define the key elements of integration plan and prepare the plan. keywords: action; approach; capacity; communication; different; diseases; evidence; functions; general; health; healthcare; high; higher; implementation; importance; integrated; integration; level; low; magnitude; major; managers; matrix; medium; monitoring; needs; parallel; parameters; performance; plan; planning; policy; population; possible; prevalence; problems; processes; public; rating; resource; response; risk; section; settings; severity; similarities; similarity; stakeholders; system; table; time; tool; users cache: hls-3260.pdf plain text: hls-3260.txt item: #64 of 119 id: hls-3786 author: Coker, Ayodele O.; Olugbile, Olufemi B.; Oluwatayo, Olufemi title: Integration of mental healthcare into primary healthcare in Lagos, Nigeria: the way forward date: 2015-10-12 words: 3097 flesch: 48 summary: The expected challenges include: training of the PHC staff who have limited skills in identifying, diagnosing and managing individuals with common mental disorders; reluctance of PHC workers to man- age people with mental health disorders because of the cultural and traditional aetio- logical beliefs of mental illness. Thereafter, mental health advocacy and awareness programs should be designed to sensitise the residents of the state on preventive and rehabilitative aspects of mental health disorders. keywords: advocacy; available; benefits; burden; centers; challenges; city; community; consultant; disorders; gap; general; geneva; global; government; healthcare; healthcare services; hospital; integration; lagos; lagos state; low; mental; mental healthcare; ministry; needs; nigeria; organization; patients; phc; phcs; primary; programs; psychiatric; psychiatrists; services; settings; social; state; switzerland; teaching; treatment; workers; world cache: hls-3786.pdf plain text: hls-3786.txt item: #65 of 119 id: hls-4471 author: Asante, Augustine; Iljanto, Sandi; Rule, John; Doyle, Jennifer title: Do district health systems perform differently because of their managers? Preliminary insights from Indonesia date: 2015-07-07 words: 4909 flesch: 50 summary: The indicators covered some of the basic MoH functions of district health managers and were put together in consultation with the provincial health authority and after reviewing the published and grey international and local literature. Overall, District B’s low socioeconomic status may have played a sig- nificant role in the relatively low performance of its DHS. Conclusions While no major differences in M&L prac- tices were found between the two study dis- tricts, this should not lead to the conclusion that M&L practices of district health managers do not affect the overall performance of DHS. keywords: areas; assessment; better; capacity; care; centre; countries; data; development; dho; dhs; differences; disciplinary; district; district health; dp3; factors; government; heads; health; healthcare; high; indicators; indonesia; interviews; issues; jakarta; leadership; level; local; low; m&l; management; managers; manuals; matters; meetings; national; needs; organizational; overall; performance; performing; population; practices; provincial; resource; respondents; responsibilities; score; service; settings; staff; study; supervision; system; table; technical; use; work; years cache: hls-4471.pdf plain text: hls-4471.txt item: #66 of 119 id: hls-4569 author: Adelufosi, Adegoke Oloruntoba; Abayomi, Olukayode title: Portrayal of smoking in Nigerian online videos: a medium for tobacco advertising and promotion? date: 2014-09-24 words: 2891 flesch: 57 summary: For example, in 2012 Nigeria had the second highest YouTube viewership growth in Sub-Saharan Africa, increasing by 125% over that of 2011, while video upload increased by 50% over the same time.5 Being a popular entertainment destination, there is a potential for anonymous exploitation of YouTube by tobacco industries to reach a massive audience, particularly youngsters, by promoting and normalizing smoking.6 Smoking imageries in films influence viewers’ perception and attitude towards smoking espe- cially among youngsters and can negate effects of positive parental role modeling on smoking.7 In addition, previous studies have shown that there is a strong, direct association between seeing tobacco use in films and adolescent smoking initiation.8,9 However, there is a dearth of studies on the prevalence of cigarette smoking in online versions of popular Nigerian home videos. This subtle but powerful medium of advertisement reflects loopholes in existing legislation on tobacco advertisement in Nigeria and repre- sents at a global level, the unrelenting efforts by tobacco industries to promote the social acceptability and desirability of tobacco use.13 According to the definitions in Article 1 of the World Health Organization Framework Convention on Tobacco Control (WHO FCTC), a comprehensive ban on all tobacco advertis- ing, promotion and sponsorship applies to all forms of commercial communication, recom- mendation or action and all forms of contribu- tion to any event, activity or individual with the aim, effect or likely effect of promoting a tobac- co product or tobacco use either directly or indirectly.14 This definition would imply that various forms of smoking imagery in movies would be included as part of the comprehen- sive ban called for by the WHO FCTC, a bill which was also ratified by Nigeria in 2005. keywords: advertising; alcohol; available; cigarette; control; english; film; gender; health; healthcare; high; home; imageries; incidents; indigenous; industries; industry; language; low; main; min; movies; nigerian; nollywood; online; organization; popular; promotion; protagonists; resource; scenes; search; settings; smoking; social; study; tobacco; use; videos; view; world; yoruba; youtube cache: hls-4569.pdf plain text: hls-4569.txt item: #67 of 119 id: hls-4572 author: Goldstuck, Norman David title: Healthcare in Low-resource Settings: the individual perspective date: 2014-10-17 words: 1559 flesch: 53 summary: Healthcare resources can be grouped into the three broad categories of infrastructure, materials or supplies and human resources. What happens when infrastructure is poor and materials and supplies are not available but human resources (people), even relatively untrained, are? keywords: adequate; articles; available; cia; definition; healthcare; human; important; infrastructure; low; lrs; medical; nco; people; practice; resource; settings; time cache: hls-4572.pdf plain text: hls-4572.txt item: #68 of 119 id: hls-4663 author: Jungari, Suresh; Govind Chauhan, Bal title: Obstetric fistula in Assam, India: a neglected cause of maternal morbidities and mortality date: 2015-02-13 words: 3096 flesch: 53 summary: [page 1] Obstetric fistula in Assam, India: a neglected cause of maternal morbidities and mortality Suresh Jungari, Bal Govind Chauhan International Institute for Population Sciences, Mumbai, Maharashtra, India Abstract Each year between 50,000 to 100,000 women worldwide are affected by obstetric fistula, a hole in the birth canal. [Healthcare in Low-resource Settings 2015; 3:4663] Household Survey (DLHS)-3,23 prevalence of obstetric fistulas in Assam is unacceptably high (4.5%) compared to all other states, and national prevalence of obstetric fistula is 1.2%, which is another bad indicator for higher maternal mortality and morbidities. keywords: affected; age; assam; causes; consequences; data; district; fistula; gynaecol; health; healthcare; higher; incontinence; india; indicators; int; international; level; low; major; maternal; mental; morbidities; mortality; national; obstetric; obstetric fistula; page; population; pradesh; pregnancy; prevalence; resource; results; rural; services; settings; sexual; social; state; study; survey; table; traumatic; violence; women; world cache: hls-4663.pdf plain text: hls-4663.txt item: #69 of 119 id: hls-4677 author: Chaudhary, Poras; Kumar, Rajeev; Munjewar, Chandrakant; Bhadana, Utsav; Ranjan, Gyan; Gupta, Shailesh; Kumar, Sanjay; Arora, Mohinder P. title: Typhoid ileal perforation: a 13-year experience date: 2015-07-08 words: 2586 flesch: 52 summary: Serious complications occur in up to 10% of patients which depends on host factors like immunosuppression, antacid therapy and vaccination, and strain virulence and inoculum. Patients with associated malignancy and HIV were excluded from the study. keywords: anastomosis; cases; closure; common; complications; control; emergency; enteric; fever; healthcare; high; hospital; ileal; ileostomy; india; intestinal; low; medical; morbidity; mortality; new; patients; perforation; peritonitis; primary; range; rate; resection; resource; results; resurgery; resuscitation; sanitation; settings; shock; site; study; surgery; surgical; systemic; table; typhoid cache: hls-4677.pdf plain text: hls-4677.txt item: #70 of 119 id: hls-4772 author: Shrivastava, Saurabh R.; Shrivastava, Prateek S.; Ramasamy, Jegadeesh title: Color coding: a tool to enhance the quality of health care in low resource settings date: 2014-12-16 words: 2572 flesch: 48 summary: In conclusion, color coding in health care has the immense scope to ensure delivery of quality assured services, especially in low resource settings. Although, color coding finds utility in multiple sectors (electronics, navigation, military, etc.), in health care it is employed in different fields of medicine (both diagnostic and therapeutic) to ensure better differentiation, improvement in quality, systematic classification, thereby pre- venting medication errors and hence ensuring health promotion and augmenting patient safety.1,2 Acknowledging the enormous scarcity in the number of trained healthcare professionals (number of doctors/nurses per thousand popu- lation), especially in developing countries and in low-resource settings, color coding remains an important tool to promote the extension of quality assured health care services in remote areas through the outreach workers.1 keywords: approach; appropriate; available; beads; black; blue; box; care; childhood; children; coding; color; color coding; cycle; diagnosis; different; errors; family; green; health; healthcare; important; india; infections; inner; kit; low; management; medical; medicine; multiple; need; number; outer; patients; population; professionals; program; quality; red; resource; sector; services; settings; shrivastava; square; tag; tool; treatment; use; vaccines; waste; white; women; yellow cache: hls-4772.pdf plain text: hls-4772.txt item: #71 of 119 id: hls-4796 author: Shrivastava, Saurabh R.; Shrivastava, Prateek S.; Ramasamy, Jegadeesh title: Advocating contribution of private sector in fighting tuberculosis in India date: 2014-12-15 words: 666 flesch: 41 summary: Thus, to build linkages with the private sector and other health care establish- ments, the Revised National TB Control Program (RNTCP) has initiated multiple schemes, namely TB advocacy, communica- tion, and social mobilization scheme; sputum collection center scheme; sputum pick-up and transport service scheme; designated microscopy-cum-treatment center scheme; laboratory technician scheme; culture and drug sensitivity testing scheme; treatment adherence scheme; slum scheme; TB unit scheme; and TB-HIV scheme, to promote the involvement of private sector.4,5 The basic idea behind these schemes is to assist the private sector financially and logistically to improve the reach of the services to remote areas of the country where public health sector is weak.4,5 The role of the program manager is crucial - starting from the identification of the issues that need to be addressed; joint planning with the private provider; timely release of money; and to ensure regular monitoring and evalua- tion.2,4,5 In addition, the program managers have attempted to widen the horizon of servic- es by establishing linkages with multiple pro- fessional associations for expanding the range of services.1,2 [page 55] Advocating contribution of private sector in fighting tuberculosis in India Saurabh R. Shrivastava, Prateek S. Shrivastava, Jegadeesh Ramasamy Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Kancheepuram, India Dear Editor, The global tuberculosis (TB) report revealed that in the year 2013, almost 11.7 million new cases of TB have been reported, of which India accounts for more than a quarter.1 Similar trends have been suggested even for drug resistant TB.1 keywords: available; country; health; healthcare; india; institute; low; national; private; program; resource; scheme; sector; services; settings; shrivastava; tuberculosis cache: hls-4796.pdf plain text: hls-4796.txt item: #72 of 119 id: hls-4800 author: Shrivastava, Saurabh R.; Shrivastava, Prateek S.; Ramasamy, Jegadeesh title: Fight against Ebola disease: strengthening laboratory framework in low resource settings date: 2014-12-16 words: 1276 flesch: 51 summary: infection control in health care settings, community education, and avoiding contact with reservoir species), have been proposed to interrupt the chain of trans- mission and thus the progression of the dis- ease.3,4,6,7,10 Exhaustive case and contact finding remains the most crucial step in reducing the incidence of Ebola virus disease (EVD) cases, and thus ensuring availability of easily acces- sible diagnostic services in low-resource set- ting remains the major cause of public health concern.11 Ebola virus disease. keywords: africa; case; community; contact; detection; diagnostic; disease; ebola; engl; geneva; health; healthcare; laboratories; laboratory; low; med; new; organization; outbreak; patients; personnel; public; resource; settings; switzerland; virus; viz; world cache: hls-4800.pdf plain text: hls-4800.txt item: #73 of 119 id: hls-4946 author: Kheir, Abdelmoneim E.M.; Mustafa, Amna M.A.; Osman, Awatif A. title: Impact of umbilical cord cleansing with 4% chlorhexidine on rate of omphalitis and separation time among newborns in Khartoum state, Sudan date: 2015-07-07 words: 3373 flesch: 57 summary: The aim of this study is to i) assess the effect of umbilical cord cleansing with 4% CHX on rate of omphalitis and separation time among newborns in Khartoum state; ii) assess the existing knowledge scores of mothers towards umbilical cord care at pre-test; and iii) assess the existing skill scores of mothers towards umbilical cord care at post-test. They found no impact of hand wash- ing on either the incidence of omphalitis or neonatal mortality, but a substantial reduction in both omphalitis and neonatal mortality in the CHX group.17 Our study demonstrated that neonates who received umbilical cord care using CHX had shorter separation time compared to neonates without CHX (routine) umbilical cord care (mean=5.02) compared to the control group (mean=7.24) with significant difference between the two groups. keywords: care; chlorhexidine; chx; cluster; control; control group; cord; countries; differences; education; figure; group; health; home; infection; intervention; intervention group; khartoum; knowledge; low; mean; mortality; mothers; neonatal; neonates; newborn; omphalitis; post; rate; resource; result; score; separation; settings; significant; study; test; time; umbilical; umbilical cord cache: hls-4946.pdf plain text: hls-4946.txt item: #74 of 119 id: hls-5011 author: Seni, Jeremiah; Kidenya, Benson R.; Anga, Mercy; Kapesa, Anthony; Meda, John R.; Mutakyawa, Richard; Mkomwa, Zahra H.; Marcel, Fidelis; Changalucha, John M.; Mshana, Stephen E. title: Incremental detection of pulmonary tuberculosis among presumptive patients by GeneXpert MTB/RIF® over fluorescent microscopy in Mwanza, Tanzania: an operational study date: 2015-06-26 words: 3439 flesch: 56 summary: emphasizes the utility of GeneXpert MTB/RIF® over microscopy in the diagnosis of TB patients. Austin JF, Dick JM, Zwarenstein M. Gender disparity amongst TB suspects and new TB patients according to data record- ed at the South African Institute of Medical Research laboratory for the Western Cape Region of South Africa. keywords: age; assay; countries; dar; detection; diagnostic; diode; fluorescent; genexpert; genexpert mtb; health; healthcare; high; hiv; hospital; incremental; information; laboratory; light; low; methods; microscopy; mtb; mwanza; national; negative; new; patients; performance; plwh; positive; ptb; pulmonary; rapid; rate; resistance; resource; rif; rifampicin; salaam; settings; smear; sputum; srrh; study; table; tanzania; tuberculosis; utility; variables; years cache: hls-5011.pdf plain text: hls-5011.txt item: #75 of 119 id: hls-5067 author: Goldstuck, Norman David title: A minimalist technique for insertion of intrauterine devices date: 2015-05-13 words: 1578 flesch: 58 summary: This technique omits the sounding of the uterus which is considered a quintessential procedure before IUD insertion for which there is no one established piece of evidence.8 There are no controlled studies with or without the use of a uterine sound before IUD inser- tion. The technique of IUD insertion as described in most textbooks and journals is unnecessarily complex and based on ritual rather than good clinical evidence. keywords: cervix; contraception; cost; countries; device; dimensional; evidence; figure; forces; goldstuck; gynaecology; healthcare; insertion; instruments; intrauterine; iud; iuds; length; low; pelvic; resource; settings; sounding; speculum; technique; uterine; uterus; women cache: hls-5067.pdf plain text: hls-5067.txt item: #76 of 119 id: hls-5217 author: Shrivastava, Saurabh R.; Shrivastava, Prateek S.; Ramasamy, Jegadeesh title: World Health Organization calls for food safety and prevention of food-borne illnesses date: 2015-10-26 words: 1843 flesch: 51 summary: At the same time, food handlers/con- sumers should take efforts to get accustomed to the food they use so that they can make an informed food choice, and should handle food safely or grow fruits and vegetables all accord- ing to the recommendations made by the WHO.1,4,5 Finally, strategies like empowering women through food safety education in Senegal or sensitizing students in school regarding safe food as evidenced in Haiti, can be implemented in various parts of the world to make food safe.11,12 Support by the World Health Organization The World Health Organization (WHO) has called for both global prevention of food-borne illnesses, and establishment of an effective public health response to facilitate prompt detection of food-borne illnesses.1,5 In-fact, in order to show their commitment, WHO has adopted Food safety: from farm to plate, make food safe as the theme for the year 2015.13 Subsequently, the organization has devised Five keys to safer food (viz. [Healthcare in Low-resource Settings 2015; 3:5217] World Health Organization calls for food safety and pre- vention of food-borne illnesses Saurabh R. Shrivastava, Prateek S. Shrivastava, Jegadeesh Ramasamy Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Kancheepuram, India Introduction Globally, food plays a crucial role in ensuring human survival and promotion of optimal health.1 In fact, owing to the consumption of unsafe food, millions of people fall sick and many die. keywords: absence; available; chain; consumption; contamination; fact; food; global; health; health organization; healthcare; illnesses; international; keys; lack; low; nations; number; organization; population; public; research; resource; role; safer; safety; settings; shrivastava; standards; supply; trade; unsafe; world; world health cache: hls-5217.pdf plain text: hls-5217.txt item: #77 of 119 id: hls-5258 author: Le, Hoa H.; Connolly, Mark P.; Yu, Jingbo; Pinchevsky, Yacob; Steyn, Petrus S. title: The public health and economic consequences of unintended pregnancies in South Africa date: 2015-07-07 words: 5221 flesch: 46 summary: [Healthcare in Low-resource Settings 2015; 3:5258] The public health and economic consequences of unintended pregnancies in South Africa Hoa H. Le,1 Mark P. Connolly,1,2 Jingbo Yu,3 Yacob Pinchevsky,4 Petrus S. Steyn5 1Department of Pharmacy, University of Groningen, The Netherlands; 2Global Market Access Solutions, Mooresville, NC, USA; 3Merck & Co., Whitehouse Station, NJ, USA; 4MSD (Pty) Ltd., South Africa; 5Department of Obstetrics and Gynaecology, University of Cape Town, South Africa Abstract Unintended pregnancy (UIP) poses consid- erable humanistic and economic burden in both developed and developing countries. In the analysis described here, we evaluate the costs of unintended pregnancies based on estimates in South Africa. keywords: abortion; africa; analysis; annual; article; associated; available; birth; burden; cat; cerebral; child; clinical; complications; consultation; contraceptive; costs; data; deaths; deliveries; delivery; department; economic; ectopic; emergency; estimates; facility; failure; fee; general; health; healthcare; hiv; infant; likely; long; low; maternal; medical; medical practitioner; methods; miscarriage; model; mortality; national; neonatal; number; nursing; outcomes; page; palsy; practitioner; pregnancies; pregnancy; preterm; procedure; rates; resource; review; settings; south; south africa; table; test; total; uips; unintended; unintended pregnancies; unsafe; use; ward; women; year cache: hls-5258.pdf plain text: hls-5258.txt item: #78 of 119 id: hls-5278 author: Els, Christine; van der Merwe, Johannes L; Harvey, Justin; Steyn, Petrus title: The effect of skills training on attitudes, knowledge and clinical uptake of postplacental intra-uterine device use date: 2016-02-18 words: 4477 flesch: 55 summary: Post-partum bleeding and infection after post-placental IUD insertion. LAM 27 (54) 22 (54) - Pill 9 (18) 15 (36) 0.05 Injectable 33 (66) 29 (69) - Condom 28 (56) 18 (43) - IUD 38 (76) 38 (92) 0.04 Female sterilization 36 (72) 31 (75) - Vasectomy 22 (44) 20 (48) - Participants who have heard about post-partum insertion of an intrauterine contraceptive device, n (%) 44 (88) 38 (93) - Participants who provide information and counselling on STIs and HIV to post-partum women, n (%) 50 (100) 40 (97)° - Participants who would be willing to provide family planning services to an HIV positive client, n (%) keywords: africa; attitudes; care; clients; clinical; contraception; contraceptives; counselling; delivery; device; effect; engenderhealth; expulsion; family; health; healthcare; high; hiv; immediate; injectable; insertion; intrauterine; iud; iuds; knowledge; lack; long; low; methods; months; p=0.02; participants; partum; period; placental; planning; post; postpartum; postplacental; ppiud; providers; questionnaire; resource; responsibilities; review; second; service; settings; skills; sterilization; study; systematic; table; time; training; tygerberg; uptake; use; vaginal; women cache: hls-5278.pdf plain text: hls-5278.txt item: #79 of 119 id: hls-5411 author: Bakare, Waheed Ariyo; Ilesanmi, Olayinka Stephen; Nabena, Edmund Presiror; Famuyide, Temitope title: Psychosocial stressors and support needs of survivors of Ebola virus disease, Bombali District, Sierra Leone, 2015 date: 2016-02-18 words: 3501 flesch: 63 summary: One major factor that assists any survivor in going through the psychological after-effects of Ebola is the availability of sustainable psychosocial support systems within the immediate family and the broader community they are integrat- ed with.6 The most common psychological challenges faced by Ebola survivors include: sadness, fear, depression, frequent anxiety, panic, insomnia and nightmares, confusion, emotional numb- ness, embarrassment, low morale, lack of con- fidence, frustration, helplessness.2 These psy- chological effects are expressed in the outward disposition and display of survivors such as being of few words, low voice when they speak, withdrawn from people, conversation delays, over thinking, display of disregard to others, appearing lost and self-isolation and loss of hope. The social challenges facing Ebola survivors were numerous and these generally fell within food, shelter, finance, education and health services. keywords: africa; available; bombali; bombali district; children; collection; community; data; disease; district; ebola; economic; etc; evd; experiences; factors; family; financial; food; health; healthcare; interventions; interview; issues; lack; leone; low; management; members; methods; needs; old; orphans; outbreak; psychological; psychosocial; quantitative; resource; responses; settings; sierra; sierra leone; stressors; study; support; survivors; table; treatment; virus; years cache: hls-5411.pdf plain text: hls-5411.txt item: #80 of 119 id: hls-5447 author: Sunguti, Joram L.; Neave, Penny E.; Taylor, Steve title: Family factors associated with immunization uptake in children aged between twelve and fifty-nine months: a household survey in Kakamega Central district, Western Kenya date: 2016-05-30 words: 4470 flesch: 55 summary: Immunization coverage Among the households visited, the propor- tion of completely immunized children was 80.2%. Phukan RK, Barman MP, Mahanta J. Factors associated with immunization coverage of children in Assam, India: over the first year of life. keywords: anc; antenatal; assistants; bcg; birth; caregiver; central; characteristics; children; county; coverage; criteria; data; delivery; district; dose; education; evidence; facility; factors; health; healthcare; home; households; immunization; inclusion; information; kakamega; kenya; level; low; maternal; measles; model; months; mothers; number; organization; pentavalent; place; public; regression; research; resource; rural; sample; school; secondary; settings; sex; status; study; sub; survey; table; uptake; vaccination; vaccine; world cache: hls-5447.pdf plain text: hls-5447.txt item: #81 of 119 id: hls-5465 author: B, Venkatashivareddy; Gupta, Arti; Ramesh, Viviktha title: Surrogacy: blessing or curse to poor society in India date: 2016-02-24 words: 2327 flesch: 50 summary: Conclusions In India surrogacy is purely a contractual understanding between the parties, so care has to be taken while drafting an agreement to avoid violation of human laws. Globally, India is one of the popular providers of surrogates and commercial surrogacy is legalized. keywords: addition; anonymous; aspects; assisted; birth; child; commercial; cost; countries; donor; embryos; ethical; ethics; female; gestational; health; healthcare; human; india; infertility; intended; issues; law; legal; low; maternal; medical; mother; parents; payment; poor; pregnancy; public; reproductive; resource; risk; services; settings; social; state; surrogacy; surrogate; technology; tourism; women cache: hls-5465.pdf plain text: hls-5465.txt item: #82 of 119 id: hls-5482 author: Kyei, Samuel; Owusu-Ansah, Andrew; Boadi-Kusi, Samuel Bert; Abbey, Dennis Nii; Abu, Emmanuel Kwasi title: Occupational hazards correlates of ocular disorders in Ghanaian fisheries date: 2016-12-21 words: 4835 flesch: 60 summary: Ocular hazards There were 623 and 717 responses (due to multiple responses) to ocular hazards identi- fied at the workplace by fishermen and fish- mongers respectively. Ocular hazards encountered at the work place included seawa- ter, sand or dust, heat, sunrays and smoke. keywords: africa; agriculture; article; artisanal; association; available; cataract; central; coastal; communities; complaints; countries; data; development; diseases; disorders; education; examination; exposure; eye; figure; fisheries; fishermen; fishers; fishing; fishing industry; fishmongers; ghana; gritty; hazards; health; healthcare; heat; income; industry; injuries; irritation; level; logistic; low; marine; multivariate; nly; occupational; ocular; organization; p<0.001; page; participants; photophobia; posterior; prevalent; pterygium; region; regression; reported; research; resource; responses; retinal; risk; sampling; sand; sciences; seawater; sector; segment; sensation; settings; smoke; statistical; study; sunrays; symptoms; table; tearing; total; university; use; vision; workers; workplace; world; yes cache: hls-5482.pdf plain text: hls-5482.txt item: #83 of 119 id: hls-5525 author: Purohit, Brijesh C. title: Healthcare sector efficiency in Gujarat (India): an exploratory study using data envelopment analysis date: 2016-06-27 words: 4579 flesch: 60 summary: Thus, our results pertaining to district level health system efficiency in Gujarat State indicate that some of the dis- tricts have low efficiency in utilization of inputs like doctors, beds and workload per health institutions. Some researchers have focused on hospitals, nurs- ing homes, health maintenance organizations (HMOs) and district health authorities.3-9 Generally either of the methods, namely, non- parametric or parametric is employed. keywords: analysis; average; beds; case; ccr; constant; data; dea; districts; dmu; efficiency; envelopment; frontier; government; group; gujarat; health; healthcare; imr; india; inputs; level; like; literacy; low; male; manpower; medical; officer; output; page; performance; pradesh; production; rank; rate; relative; resource; results; returns; rural; scale; scores; sector; settings; state; sub; surat; system; table; terms; total; unit; urban; utilization; valsad; variables; world cache: hls-5525.pdf plain text: hls-5525.txt item: #84 of 119 id: hls-5584 author: Ababulgu, Sabit Abazinab; Dereje, Nebiyu; Girma, Abiot title: Secondhand tobacco smoke exposure among adolescents in an Ethiopian school date: 2016-05-30 words: 2997 flesch: 63 summary: According to multivariate analysis, sex, par- ent smoking, peer smoking, and not discussing about dangers of smoking and tobacco smoke in the class room were seen as significantly associated with SHS exposure. Secondhand tobacco smoke exposure was assessed using question: during the past 7 days (one week), how many days somebody smoked at your presence in your home or out- side your home? keywords: adolescents; analysis; associated; children; control; data; disease; effects; ethiopia; exposure; factors; figure; global; health; healthcare; higher; home; jimma; likely; low; non; places; prevalence; public; resource; school; secondhand; settings; shs; smoke; smokers; smoking; students; study; survey; tobacco; town; use cache: hls-5584.pdf plain text: hls-5584.txt item: #85 of 119 id: hls-5669 author: Freiberg, Michael A.T.; Onyango, Nelson O.; Ashbaugh, Stephanie J.; Mehta, Khanjan title: Chronic diseases in Nyeri, Kenya: a study of knowledge and perceptions date: 2016-12-21 words: 4246 flesch: 59 summary: Although the most recent data from the World Health Organization show that the majority of deaths in Africa between 2000-2012 were from com- municable disease at 61.7% compared to 28.6% for non-communicable disease and 9.8% from injury, this distribution is quickly changing.1 By 2020, 73% of deaths worldwide are expected to be due to non-communicable disease with 79% of these deaths occurring in developing countries.2-4 Many factors have been attributed to this rise including increased lifespan, mod- ernization, globalization, poverty, and chang- ing lifestyle.4,5 This problem is compounded by the fact that many health care systems are underfunded and ill-prepared to handle the current state of non-communicable disease and the inevitable rise over the coming years will put additional burden on these systems. A deep- er understanding of the knowledge and percep- tions of diabetes, hypertension, and cancer in this region, will guide and focus future educa- tion of both CHWs and community members on non-communicable disease. keywords: additional; africa; blood; burden; cancer; causes; cervical; chronic; class; communicable; community; data; diabetes; diet; disease; education; exercise; factors; global; health; healthcare; high; hypertension; individuals; interviews; kenya; knowledge; low; non; nyeri; open; organizaion; participant; people; population; pressure; prevention; questions; region; resource; response; rural; settings; significant; signs; state; study; subject; symptoms; table; treatment; urban; workers; world cache: hls-5669.pdf plain text: hls-5669.txt item: #86 of 119 id: hls-5680 author: Katama, Samuel Kusheta; Hibstu, Desalegn Tsegaw title: Knowledge, attitude and practice of contraceptive use among female students of Dilla secondary and preparatory school, Dilla town, South Ethiopia, 2014 date: 2016-05-30 words: 3450 flesch: 59 summary: Contraceptive knowledge Of the students, 249 (94.7%) had heard about contraceptives. The sources of contraceptive knowledge were tele- vision, 104 (41.8%), radio 54 (21.7%) and teachers 49 (19.7%) (Table 3). keywords: ababa; addis; adolescents; age; attitude; collection; condom; contraceptive; data; dilla; dilla secondary; ethiopia; family; female; health; healthcare; information; injectable; july; knowledge; low; method; north; number; oral; pills; planning; population; practice; pregnancy; preparatory; reproductive; resource; respondents; sample; school; secondary; settings; size; source; south; students; study; table; total; town; university; use; variables; women cache: hls-5680.pdf plain text: hls-5680.txt item: #87 of 119 id: hls-5755 author: Shrivastava, Saurabh R.; Shrivastava, Prateek S.; Ramasamy, Jegadeesh title: Striving toward malaria elimination and the necessity to be persistent in our efforts date: 2016-05-30 words: 906 flesch: 43 summary: Further, a significant rise in the inci- dence of rapid diagnostic testing for malaria has also been reported from heterogeneous settings.1,4 However, even now, many challenges persist and there is a great need to address all of them.1,3,5 These include high caseload and death rates, localization of maximum number of cases from some of the high-burden nations, a slow rate of decline in the inci- dence/death rates of malaria compared to the global trends, shortcomings in the health care system, inaccessibility of the services (like mosquito nets or indoor residual spraying), emergence of drug resistance and insecticide resistance, and poor involvement of the com- munity stakeholders.1,3,5,6 Finally, a newer strat- egy has been adopted by the WHO member states to reduce the global malaria incidence and mortality by at least 90%, eliminate malar- ia from 35 nations, and to prevent the re-emer- gence of the disease in malaria free nations by the year 2030.1,3 To conclude, now the goal is set, we have access to effective measures which have deliv- ered results, but the challenge is to implement the same for a longer duration of time. Strengthening tactical planning and operational frameworks for vector control: the roadmap for malaria elimination in Namibia. keywords: cases; community; deaths; decline; elimination; financial; global; goal; health; incidence; low; malaria; maximum; nations; rates; resource; shrivastava; significant; world; year cache: hls-5755.pdf plain text: hls-5755.txt item: #88 of 119 id: hls-5757 author: Clayton, Benjamin title: Motivation for studying medicine: assessing the similarities between UK and Ghanaian medical students date: 2016-06-17 words: 6250 flesch: 58 summary: Similar findings have occurred in a diverse range of countries such as Switzerland,21 the West Indies,30 Netherlands,22 Hungary,31 Ghana,32 and Egypt.33 As the Royal College of General Practitioners currently embarks upon a cam- paign to persuade UK medical students to choose GP as a career,14 understanding the impact of underlying motivation would allow for better targeted interventions.33 However, within the UK there is little literature studying the effect of motivation on student’s future career choice. In this study, UK medical students at a similar point in their studies were provided with the same questions. keywords: 4:5757; age; agyei; area; available; baffour; bmc; bristol; career; choices; clinical; cohorts; comparison; countries; current; demographics; desire; different; doctors; education; extrinsic; factors; future; general; ghanaian; health; healthcare; high; human; income; influence; interest; international; intrinsic; likely; low; medical; medical students; medicine; migration; motivated; motivation; organization; page; pes; population; practice; questionnaire; relationship; remote; report; research; resource; respondents; results; rural; school; settings; similar; status; students; studies; study; survey; table; training; ubms; uk medical; uk students; underlying; understanding; united; university; urban; work; workers; world; year cache: hls-5757.pdf plain text: hls-5757.txt item: #89 of 119 id: hls-5932 author: Yasobant, Sandul; Vora, Kranti Suresh; Saxena, Deepak title: Building resilient and responsive health systems for geriatric care in India date: 2017-08-09 words: 1268 flesch: 56 summary: Key words: Resilient health systems; Responsive health systems; Geriatric care; India. Indian health system has responded to these changes, but in addition to limited public health infrastructure there are also issues such as geographical vastness, socio- cultural diversity and rural-urban differ- ences throughout the nation.4 keywords: burden; care; current; elderly; family; geriatric; health; healthcare; human; india; low; ministry; national; new; nphce; population; private; public; resilient; resource; responsive; sector; services; settings; system; welfare cache: hls-5932.pdf plain text: hls-5932.txt item: #90 of 119 id: hls-6108 author: Juma, Ahmad; Ng'etich, Arthur K.S.; Naanyu, Violet; Mwangi, Ann; Kirinyet, Ruth C. title: Factors associated with Schistosomiasis control measures in Mwaluphamba Location, Kwale County, Kenya date: 2017-08-09 words: 4431 flesch: 53 summary: No n c om me rci al us e o nly Association between respondents’ socio-demographic factors and Schistosomiasis control measures Age 18-24 36(70.6%) 15(29.4%) 10.775 0.029 25-30 42(57.5%) 31(42.5%) 31-35 22(44.9%) 27(55.1%) 36-41 30(48.4%) 32(51.6%) Over 41 70(47.0%) 79(53.0%) Religious Status Muslim 154(47.4%) keywords: age; aged; area; children; community; control; control measures; county; data; demographic; disease; education; effective; factors; gender; health; health education; healthcare; household; income; infection; kenya; knowledge; kwale; levels; likely; location; low; male; manuscript; mass; measures; mwaluphamba; page; population; prevalence; region; religious; research; resource; respondents; risk; sample; schistosoma; schistosomiasis; schistosomiasis infection; school; settings; significant; size; socio; status; study; table; treatment; use; villages; water; world cache: hls-6108.pdf plain text: hls-6108.txt item: #91 of 119 id: hls-6239 author: Ilesanmi, Olayinka; Kareem, Adesola title: Perception of rural communities in Akoko North West local government area of Ondo State, Nigeria, towards the Ikaram Millennium Village Project date: 2018-05-17 words: 2737 flesch: 60 summary: The community members accessing health care services Ikaram Millennium Village Project. Variable Frequency Percentage Involvement in Ikaram Millennium Village Project keywords: akoko; area; available; awareness; centre; communities; community; development; good; government; health; ikaram; ikaram millennium; ikaram mvp; level; local; low; medical; millennium; millennium village; mvp; north; ondo; participation; perception; project; resource; respondents; rural; services; settings; state; study; table; village; village project; west; years cache: hls-6239.pdf plain text: hls-6239.txt item: #92 of 119 id: hls-6357 author: Bisi-Onyemaechi, Adaobi I.; Akani, Afonne N.; Ikefuna, Anthony N.; Tagbo, Beckie N.; Chinawa, Josephat M.; Chikani, Ugo N. title: School health services in Enugu East, Nigeria: perspectives from a resourcepoor setting date: 2017-08-29 words: 4836 flesch: 67 summary: Effective implementa- tion of school health services would ensure a substantial level of access to primary health care for children. The researchers set out to appraise school health services in Enugu East, to sensitize government on the need to step down the national school policy for the state and establish collaboration between the rel- evant stakeholders to ensure that schools act as a continuum of care for the child between the home and the community physician. keywords: aid; available; aware; awareness; boxes; care; child; children; communicable; community; data; disease; east; education; enugu; evaluation; feeding; final; government; head; health; health services; healthcare; lack; level; low; manuscript; maximum; meals; mean; medical; ministry; national; necessary; nigeria; parents; personnel; policy; primary; private; private schools; public; public schools; resource; scale; school health; schools; scores; services; settings; shs; state; study; teachers; treatment cache: hls-6357.pdf plain text: hls-6357.txt item: #93 of 119 id: hls-6361 author: Saliya, Mewuba Shamil; Azale, Telake; Alamirew, Atinkut; Tesfaye, Dawit Jember title: Assessment of nutritional status and its associated factors among people affected by human immune deficiency virus on antiretroviral therapy: A cross sectional study in Siltie zone, South Ethiopia date: 2018-05-17 words: 4952 flesch: 61 summary: Bivariate analysis was used prima- rily to assess association between depend- ent variable (malnutrition) and the inde- pendent variables (age, sex, residence, mar- ital status, ethnic group, occupation, WHO clinical stage, CD4 count, opportunistic infection, functional status, HIV status dis- closure to family, nutritional counseling, food security status, dietary frequency and wealth index). [AOR= 0.29, 95% CI (0.29, 0.13)], ambulatory functional status [AOR= 3.4, 95% CI (1.67, 6.98)] and absence of dietary counseling [AOR= 1.7, 95% CI (1.05, 2.78)] were found to be inde- pendent predictors of chronic energy defi- ciency among HIV positive adults. keywords: /week; 6:6361; adults; africa; aids; antiretroviral; aor=; art; associated; bmi; care; cd4; centers; chronic; clinical; collection; counseling; countries; data; day; deficiency; dietary; energy; ethiopia; factors; food; functional; health; healthcare; hiv; infected; infection; insecurity; intake; living; low; malnourished; malnutrition; meals; nco; nutritional; opportunistic; page; participants; patients; people; population; positive; prevalence; public; related; report; resource; respondents; settings; siltie; south; stage; status; study; table; university; wasting; weight; zone cache: hls-6361.pdf plain text: hls-6361.txt item: #94 of 119 id: hls-6396 author: Fasina, Abiola title: Healthcare in Low-Resource Settings: the long view for healthcare date: 2016-12-21 words: 605 flesch: 51 summary: Our Journal will focus on the following strategic targets over the next two years: increased publication of work resulting from multi-disciplinary collaboration between researchers in high and low-resource settings; adaption of our current format to improve access for those in low bandwidth low-resource countries where large streaming content is dif- ficult to view; a review of the Editorial Board with greater inclusion of researchers from low- resource settings, if they are currently under- represented; increased efforts to highlight the work of early and mid-career professionals in both settings with an interest in issues perti- nent to low-resource settings; a renewed focus on ethics and policy around work in low- resource settings; highlighting and publishing research focused on innovative and disruptive technology that can be harnessed towards low- resource settings for more effective healthcare outcomes. That this journal is Open Access increases its reach in low-resource settings but more must be done to understand all viewpoints in order to develop effective outcomes. keywords: fasina; healthcare; hls; information; low; lowresource; new; publication; research; resource; settings; way; work cache: hls-6396.pdf plain text: hls-6396.txt item: #95 of 119 id: hls-6401 author: Kheir, Abdelmoneim E.M.; Gebreel, Balla G. title: C-reactive protein as a marker of infection in children with severe acute malnutrition in Khartoum state, Sudan date: 2017-08-09 words: 3856 flesch: 61 summary: With regards to place of residence, 39(29.5%) were living in urban areas where as 93(70.5%) live in periurban areas with no significant association between place of res- idence and type of SAM (P= 0.072) In conclusion malnourished children are able to synthesize C-reactive protein in response to an infectious process and the magnitude of this response is increased in those with severe infections. keywords: acute; age; association; bass; blood; cases; children; count; crp; data; diagnosis; disease; healthcare; hospital; infection; khartoum; kwashiorkor; length; level; low; main; malnourished; malnutrition; marasmic; marasmus; months; mortality; muac; page; phase; protein; reactive; residence; resource; response; sam; settings; severe; significant; state; study; sudan; table; total; type; weight cache: hls-6401.pdf plain text: hls-6401.txt item: #96 of 119 id: hls-6468 author: Araujo, Claudineia Matos de; Fernandes, Marcos Henrique; Carneiro, José Ailton Oliveira; Coqueiro, Raildo da Silva; Pereira, Rafael title: Increased waist circumference as an independent predictor of hypercholesterolemia in community-dwelling older people date: 2018-06-29 words: 2646 flesch: 51 summary: Our results corroborate Zahorska-Markiewicz (2006)20 and Rezende et al. Nevertheless, Nagatsuyu et al. keywords: abdominal; adults; aging; analysis; anthropometric; association; bahia; blood; body; brazil; cardiovascular; circumference; community; coutinho; cutoff; data; deaths; elderly; epidemiological; et al; factors; fat; health; healthcare; home; hypercholesterolemia; lafaiete; logistic; low; mass; metabolic; obesity; older; people; population; regression; resource; results; risk; settings; state; studies; study; total; values; variable; visceral; waist; women; years cache: hls-6468.pdf plain text: hls-6468.txt item: #97 of 119 id: hls-7106 author: Dairo, Magbagbeola D.; Leye-Adebayo, Salewa; Olatule, Abimbola F. title: Awareness and reporting of notifiable diseases among private laboratory scientists in Lagos, Southwest Nigeria date: 2018-08-24 words: 4096 flesch: 53 summary: [Healthcare in Low-resource Settings 2018; 6:7106] Awareness and reporting of notifiable diseases among private laboratory scientists in Lagos, Southwest Nigeria Magbagbeola D. Dairo,1,2 Salewa Leye-Adebayo,1 Abimbola F. Olatule1 1Department of Epidemiology & Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan; 2Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria Abstract The availability of accurate, up-to-date, reliable and relevant health information on disease notification by medical laboratory practitioners is essential to detecting and responding to epidemic outbreaks. E-mail: drdairo@yahoo.com Key words: Disease surveillance and notifica- tion; Notifiable diseases; Private laboratory scientists. keywords: awareness; care; country; data; disease; epidemiological; feedback; form; government; guidelines; half; health; healthcare; ibadan; idsr; information; knowledge; laboratory; laboratory scientists; lack; lagos; level; local; low; medical; ministry; national; nigeria; notifiable; notifiable diseases; notification; personnel; policy; population; practice; private; public; reasons; reporting; resource; respondents; response; scientists; settings; state; study; surveillance; system; table; unit; variables; years cache: hls-7106.pdf plain text: hls-7106.txt item: #98 of 119 id: hls-720 author: Firoozeh, Farzaneh; Zibaei, Mohammad; Zendedel, Abolfazl; Rashidipour, Hushang; Kamran, Aziz title: Microbial contamination of pumice used in dental laboratories date: 2013-04-08 words: 2861 flesch: 51 summary: Despite rig- orous need for sterilization and disinfection of dental instruments, prosthetic appliances do not receive adequate infection control.11 The sterilization has to be performed with suitable validated procedures so that the success of these procedures can be monitored and safety and health of patients, users, and other per- sons guaranteed.12 An earlier research from Shiraz area (Iran) reported the microorgan- isms isolated from pumice in dental laborato- ries.7 The aim of this research was to deter- mine the bacterial and fungal contaminations present in pumice powder and slurry used in Khorram Abad dental laboratories to evaluate the role of pumice in cross-contamination of dental laboratories. This study was conducted to determine the types of the microorganisms in pumice powder and pumice slurry used in dental laboratory in order to eval- uate necessary disinfection control procedure in the dental settings. keywords: abad; acinetobacter; bacteria; candida; contaminated; contamination; control; cross; dental; dental laboratories; disinfection; fungal; fungi; gram; healthcare; infection; iran; isolated; isolation; khorram; laboratories; laboratory; lorestan; low; medical; medicine; microbiology; microorganisms; negative; oral; patients; polishing; potential; prosthesis; pseudomonas; pumice; resource; samples; school; sciences; settings; slurry; species; spp; sterilization; study; technicians; university cache: hls-720.pdf plain text: hls-720.txt item: #99 of 119 id: hls-722 author: Yakasai, Ibrahim A.; Morhason-Bello, Imran O. title: Risk factors for pre-eclampsia among women at antenatal booking in Kano, Northern Nigeria date: 2013-05-15 words: 4392 flesch: 63 summary: Risk factors associated with increased risk of early-onset PE were: his- tory of pre-eclampsia/eclampsia (PE/E) in a previous pregnancy [adjusted odds ratio (AOR) 2.09]; exposure to passive smoking (AOR 1.34); inadequate antenatal supervision (AOR 15.21); family history of hypertension in one or more 1st-degree relative (AOR 8.92); liv- ing in a joint family (AOR 6.93); overweight (120% to 150% of pre-pregnancy ideal body weight, AOR 4.65). Risk factors among women in Northern Nigeria are similar to those reported from other studies. keywords: age; analysis; antenatal; aor; body; booking; confidence; control; data; disease; e12; early; eclampsia; exposure; factors; family; gestational; group; gynecol; healthcare; history; home; hospital; hypertension; incidence; index; kano; level; low; maternal; medical; nigeria; northern; obstet; obstetrics; odds; onset; population; pre; pregnancy; present; previous; ratio; resource; risk; risk factors; sample; settings; severe; significant; smoking; stress; studies; study; table; weeks; weight; women; work; years cache: hls-722.pdf plain text: hls-722.txt item: #100 of 119 id: hls-723 author: Armin, Ahmed; Afzal, Azim; Upendra, Singh; Mohan, Gurjar title: Acute care for stunned myocardium after lightning strike is life-saving: need for public awareness programs date: 2013-05-07 words: 1839 flesch: 59 summary: Lightning injury can be fatal due to cardiac and neurological insult.3,4 Acute care, resusci- tation knowledge and awareness of bystanders can be life-saving because of the reversible nature of the injuries.5 We report a case of a victim of lightning injury who survived thanks to the availability of acute care facilities. The differ- ent mechanisms of lightning injury can result in a spectrum of injuries ranging from minor, through moderate to severe. keywords: acute; awareness; cardiac; cardiopulmonary; care; case; day; e11; echo; healthcare; heart; hours; india; injuries; injury; left; life; lightning; low; min; myocardium; normal; patient; programs; public; report; resource; resuscitation; serial; settings; severe; specific; strike; stunned; support; ventricle cache: hls-723.pdf plain text: hls-723.txt item: #101 of 119 id: hls-725 author: Mohamed, Aida M. title: Willingness and professional motivations of medical students to work in rural areas: a study in Alexandria, Egypt date: 2013-03-20 words: 5838 flesch: 51 summary: [page 11] Willingness and professional motivations of medical students to work in rural areas: a study in Alexandria, Egypt Aida M. Mohamed Community Medicine Department, Faculty of Medicine, Alexandria University, Egypt Abstract Retaining health workers in rural areas is challenging for a number of reasons, e.g. per- sonal preferences, difficult work conditions and low remuneration. After controlling for demographic characteristics and rural exposure, motivation- al factors significantly influenced willingness to practice in rural areas. keywords: age; alexandria; analysis; area; attributes; characteristics; clinical; community; countries; data; demographic; deprived; deprived area; egypt; exposure; extrinsic; factors; family; female; ghana; graduation; health; healthcare; high; important; interventions; intrinsic; job; likely; living; low; medical; medicine; model; motivation; nco; opportunities; organizational; page; physicians; postings; ppes; practice; professional; ratio; regression; research; resource; respondents; results; rural; rural area; security; service; settings; social; socio; staff; status; strong; students; studies; study; table; training; underserved; underserved area; university; urban; variables; willingness; work; workers cache: hls-725.pdf plain text: hls-725.txt item: #102 of 119 id: hls-726 author: Alruwaili, Nahar; Alomar, Mohammed; Sabei, Ismaeel; Eldali, Abdelmoneim title: Safety of dispensing prescribed iron formulation in childresistant containers among pharmacies in Saudi Arabia: a cross-sectional survey date: 2013-04-30 words: 2388 flesch: 59 summary: The severity of iron poisoning is based on the amount of elemental iron ingested which can be calculated based on elemental iron in the salt. The PPPA defines special packaging as packaging that is designed or constructed to be significantly dif- ficult for children under 5 years of age to open or obtain a toxic or harmful amount of the sub- stance contained therein within a reasonable time and not difficult for normal adults to use properly, but does not mean packaging which all such children cannont open or obtain a toxic or harmful amount within a reasonable time.5 Unit-dose packaging of potent iron sup- plements is expected to reduce the frequency of severe pediatric iron overdos incidents 6 Consumer Product Safety Commission regu- lations require child-resistant packaging for retail packages containing 250 mg or more of elemental iron.7 The use of CRCs yield no reported pediatric deaths in USA from iron poisoning in 2010 in the USA.8 Though exposures to iron and iron-contain- ing products in the developed countries have been slowly dropping during the previous decade and due to significant public health efforts at increasing awareness and improving packaging, iron overdose remains a significant public health threat to young children. keywords: american; arabia; centers; child; children; crcs; data; dispensing; elemental; government; healthcare; hospitals; iron; low; oral; package; packaging; pediatric; pharmacies; pharmacy; poisoning; primary; private; public; regulations; research; resistant; resource; riyadh; safety; saudi; settings; study; tablets; total; use cache: hls-726.pdf plain text: hls-726.txt item: #103 of 119 id: hls-727 author: Buowari, Yvonne O. title: Anaesthesia for acute abdomen in developing countries date: 2014-08-22 words: 2695 flesch: 43 summary: Patients presenting with abdominal emergencies often come to hospitals in Africa very late especially if payment for treatment is required. The major- ity of patients requiring laparatomy will pres- ent an aspiration risk and therefore, require intermittent positive pressure ventilation. keywords: abdomen; abdominal; acute; administration; agent; anaesthesia; aspiration; blood; cardiovascular; care; countries; drugs; eds; electrolyte; emergency; fluid; healthcare; hospitals; induction; intestinal; intravenous; ketamine; low; management; medical; monitoring; muscle; nasogastric; obstruction; optimization; oxygen; patient; postoperative; preoperative; pressure; principles; resource; respiratory; resuscitation; risk; settings; stomach; surgery; surgical; technique; treatment; tube; university; update; vascular; ventilation cache: hls-727.pdf plain text: hls-727.txt item: #104 of 119 id: hls-7276 author: Draiko, Christopher Vunni; Yamarat, Khemika; Panza, Alessio; Draleru, Judith; Taban, Martin; Onyango, Joseph; Akur, Regina; Omega, Rose Aliru title: Training interventions on Helping Babies Breathe among health workers in tertiary hospital of the Republic of South Sudan: A non-randomized quasi-experimental study date: 2018-10-02 words: 6364 flesch: 53 summary: Our failure rate in the study among the health workers was similar to other studies con- ducted by Singhal at al indicating that health workers skills and competency for neonatal intubation and ventilation remained very limited after training our results of the failure rate among the health workers was demonstrated by other studies reporting the limited skills and competency in neonatal intubation and ventilation.15 The training intervention revealed a potential benefit of not only improving the knowledge, skills, and competency of the health workers but has also impacted on the newborn outcomes. [page 19] Training interventions on Helping Babies Breathe among health workers in tertiary hospital of the Republic of South Sudan: A non-randomized quasi-experimental study Christopher Vunni Draiko,1 Khemika Yamarat,1 Alessio Panza,1 Judith Draleru,2 Martin Taban,3 Joseph Onyango,3 Regina Akur,2 Rose Aliru Omega4 1College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand; 2Juba College of Nursing and Midwifery, Juba Teaching Hospital, Juba, South Sudan; 3Real Medicine Foundation, Kampala, Uganda; 4United Nation Population Fund, Juba, South Sudan Abstract This study aimed to examine the effects of the Helping Babies Breathe (HBB) train- keywords: asphyxia; babies; baseline; births; care; competency; control; control group; countries; deaths; difference; early; evaluation; follow; group; hbb; health; health workers; healthcare; helping; hospital; hours; immediate; immediate post; implementation; increase; intervention; intervention group; juba; knowledge; mean; months; mortality; neonatal; neonatal resuscitation; newborn; p<0.05; participants; period; post; post intervention; practical; pre; pretest; program; psychomotor; reduction; resource; resuscitation; settings; significant; similar; skill; south; study; sudan; table; teaching; test; total; training; workers cache: hls-7276.pdf plain text: hls-7276.txt item: #105 of 119 id: hls-728 author: Jargin, Sergei V. title: Barriers to the importation of medical products to Russia: in search of solutions date: 2013-06-10 words: 3048 flesch: 50 summary: Policies pro- moting domestic medical products can result in their biased characterization in scientific reports. The policy promoting domestic medical products can include indirect pressure on researchers, resulting in a biased characterization of such products in scientific publications,3-5 which, in turn, are used for official registration of subop- timal products. keywords: ark; authorities; barriers; cancer; certification; clearance; custom; documents; domestic; duodenal; e13; editions; firms; foreign; gastrectomy; gastric; healthcare; import; importation; interests; international; intricate; jargin; jargin sv; khirurgiia; kogan; limited; literature; low; manufacturers; mediator; medical; medical products; meditsina; moscow; mosk; patients; patol; plagiarism; practices; procedures; products; professional; registration; resource; russia; settings; surgery; surgical; time; treatment; ulcer; yudin cache: hls-728.pdf plain text: hls-728.txt item: #106 of 119 id: hls-729 author: Purohit, Brijesh C. title: Demand for healthcare in India date: 2013-03-07 words: 7301 flesch: 54 summary: Other vari- ables like religion and electricity have positive impact on public health facility utilization. The role of health centres in the development of urban health systems, report of the WHO study group on primary healthcare in urban areas. keywords: areas; bpl; capital; care; care utilization; coefficients; consumer; coverage; demand; economic; education; elasticities; elasticity; elasticity coefficients; electricity; facilities; facility; female; function; governmental; gujarat; health; healthcare; high; higher; household; human; impact; income; index; india; inputs; insurance; level; line; low; magnitudes; maharashtra; market; medical; model; national; negative; policy; poor; positive; price; private; private care; production; provider; public; public healthcare; quality; quality variables; rajasthan; religion; resource; respect; respondents; results; rich; rural; rural areas; rural results; sanitation; services; significant; source; states; table; terms; time; type; urban; urban areas; utilization; variables; water cache: hls-729.pdf plain text: hls-729.txt item: #107 of 119 id: hls-734 author: Shrivastava, Saurabh Rambiharilal; Shrivastava, Prateek Saurabh; Ramasamy, Jegadeesh title: Implementation of public health practices in tribal populations of India: challenges and remedies date: 2013-01-31 words: 5532 flesch: 53 summary: While many strategies have been attempted over the years to discuss some of the economic, social, and physical factors preventing tribal population to get access to healthcare services, the ultimate outcome has remained far less than the expec- tations. Also, as tribal populations find it difficult to navigate through the complexities of medical facilities, government in collaboration with local NGOs can arrange for counselors who are from tribal communities themselves and then can be placed at district hospitals to guide patients, explain doctors’ prescriptions, help patients take advantage of welfare schemes and coun- sel them on preventive and promotive health behaviors. keywords: access; alcohol; approach; areas; available; awareness; behavior; births; care; caste; centers; children; communities; community; deliveries; disease; district; doctors; economic; education; ethnic; facilities; factors; family; general; government; groups; health; health care; healthcare; higher; impact; india; indigenous; infections; international; lack; level; living; low; maharashtra; maternal; measures; medical; ministry; mortality; nadu; national; nco; need; new; nfhs-2; non; orissa; outcomes; page; people; percentage; policy; poor; population; poverty; pradesh; prevalence; primary; primitive; problems; provision; public; reach; research; resource; review; rural; sci; services; settings; shrivastava; social; state; status; strategies; sts; study; survey; tamil; times; tribal; tribal population; tribes; urban; use; women; year cache: hls-734.pdf plain text: hls-734.txt item: #108 of 119 id: hls-736 author: Olugbile, Olufemi B.; Coker, Ayodele O.; Zachariah, Mathew P. title: Cost of treatment as a barrier to access and continuity of healthcare for patients with mental ill-health in Lagos, Nigeria date: 2013-03-13 words: 3076 flesch: 54 summary: Mental health disorders, espe- cially the severe forms, are regarded as prob- lems for the society.11,15 Studies focusing on the issue of cost and access to mental health care were mostly car- ried out in the developed countries of the world. Local studies have shown that doctors at primary care levels show little interest or apti- tude for diagnosing mental disorder or carry- ing out interventions.4,8-11 Other identified fac- tors preventing access to mental health care by patients in LAMICs include cultural perception about the nature and origin of mental disorder, social stigma attached to mental illness and the logistics of travelling long distances to the few general hospitals with psychiatric facili- ties or specialist psychiatric hospitals.1,4,6,8,9 However, the most reported important barri- er to mental health care is finance.1,4,6,8,9 In a country such as Nigeria and many other sub- Saharan countries, evidence shows that about 45% to 60% of the population lives below the poverty line.12 Therefore, it stands to reason that if individuals suffering from mental disor- ders in LAMICs cannot relatively afford quality mental health care, it is expected that govern- ments from these countries should provide free mental health care services or subsidize the cost of mental health care. keywords: access; barrier; care; clinic; coker; cost; countries; department; disorders; expensive; family; findings; free; group; health; healthcare; hospital; ikeja; income; internal; lagos; low; mean; medical; medications; medicine; mental; mental health; monthly; nigeria; outpatients; patients; policy; psychiatric; resource; sample; services; settings; state; studies; study; teaching; treatment; university; world cache: hls-736.pdf plain text: hls-736.txt item: #109 of 119 id: hls-741 author: Lahariya, Chandrakant title: Introducing Healthcare in Low-resource Settings date: 2013-01-24 words: 1385 flesch: 58 summary: Healthcare or health resources, like any other system, can be grouped into three broad categories of infrastructure, material or supplies or consu- mable, and human resources. The situation becomes even more complex when discussion moves from simple inputs (infrastructure, materials and human resour- ces) to distribution of health services, frag- mentation of services (rural-urban, preventi- ve-curative, major city-small town, mother- child, young-old) in-equities and also on ser- vice provision for various health issues, etc. Low resource settings are the reality and have the highest all-cause mortality, inclu- ding child and maternal mortalities, thus hampering the overall achievement of Millennium Development Goals. keywords: available; challenges; changes; cost; data; evidence; health; healthcare; human; infrastructure; journal; limited; low; lrss; major; need; people; provision; research; resources; services; settings; system cache: hls-741.pdf plain text: hls-741.txt item: #110 of 119 id: hls-7464 author: Adesina, Adedotun Daniel; Ogaji, Daprim Samuel title: Impoverishing effect of household healthcare expenditure in semi-rural communities in Yenagoa, Nigeria date: 2018-08-06 words: 5001 flesch: 56 summary: The analysis of household income and expenditure from 11 countries in Asia showed an increase of 3.8% and 3.6% in extreme poverty and poverty headcounts respectively after household health spending deductions in Bangladesh which had the most significant proportional variation in the study.4 Our finding shows an increase of approximately 9% in both extreme poverty and poverty headcounts which is higher than these quot- ed percentages from India, Kenya, Brazil and Bangladesh. [page 27] Impoverishing effect of household healthcare expenditure in semi-rural communities in Yenagoa, Nigeria Adedotun Daniel Adesina, Daprim Samuel Ogaji Department of Preventive and Social Medicine, University of Port Harcourt, Nigeria Abstract Inequity in the payment mechanism for healthcare systematically affects poorer households more than the rich. keywords: analysis; article; attributable; average; bank; bayelsa; capita; catastrophic; communities; consumption; cost; countries; coverage; data; day; design; education; effect; equity; estimates; expenditure; extreme; financial; financing; food; gap; headcount; health; healthcare; healthcare expenditure; hhs; households; impoverishing; impoverishment; income; increase; insurance; international; kenya; line; long; low; mean; members; naira; need; nigeria; non; normalized; oop; organization; page; payment; percentage; pocket; poor; population; poverty; pre; resource; sampling; services; settings; social; spending; state; study; survey; system; table; term; total; university; world; world health; yenagoa cache: hls-7464.pdf plain text: hls-7464.txt item: #111 of 119 id: hls-7930 author: Abdalrahman, Ihab B.; Elgenaid, Shaima N.; Ellidir, Rashid; Abdallah, Asma Nizar Mohammed Osman; Hamid, Safa Ahmed Hassan; Elwidaa, Shahd H. A.; Ali, El-Tigani M. A. title: Breaking the bottle neck to enhance pediatrics renal transplantation at Soba university hospital: Role of a non-governmental organization date: 2019-10-28 words: 3168 flesch: 56 summary: SCO participated actively by provid- ing medication and supplies to improve health care for renal transplant patients since the invention of this service. Data was collected from files of all pediatric patients withend stage renal dis- ease who received renal transplant between January 2010 and December 2017 at Soba University Hospital (77 patients). keywords: care; children; community; cost; countries; data; days; dec; december; delivery; dialysis; discharge; duration; free; governmental; health; healthcare; high; home; hospital; jan; january; jul; jun; khartoum; kidney; low; medicine; months; non; number; organization; patients; pediatrics; period; post; renal; resource; sco; sector; service; significant; soba; stay; study; sudan; transplant; transplantation; university cache: hls-7930.pdf plain text: hls-7930.txt item: #112 of 119 id: hls-902 author: Kumar, Avanish; Mahapatro, Meerambika title: The cutting edge in the blunt space: an anthropological construct of auxiliary nurse midwives’ social world in the community date: 2013-04-09 words: 4402 flesch: 58 summary: Introduction Auxiliary nurse midwives (ANMs) are the most peripheral health providers, and as a per- manent functionary of health system, they manage the rural health sub-centre (SC) in a three-layered health system, interact directly with the community thus managing the Maternal and Child Health Programme in India.1 Considering their status as front-line or cutting-edge, grass-root level health providers in the health organizational hierarchy, and the gamut of functions performed, their work is fundamental to the success of the health pro- gram.2 Recent policy shifts in National Rural Health Mission (NRHM) have made it clear how it is ANMs’ responsibility3 to manage all aspects of health and family welfare.4,5 Other tasks include performing national health pro- grammes and support the International Classification of Diseases (ICD) and other out- of-reach governmental In order to make public health services effective and efficient the health system has to reduce strat- ification based on role and status. keywords: acceptance; anms; area; auxiliary; auxiliary nurse; block; brahmin; caste; centre; child; community; dehat; delivery; different; district; e10; econ; edge; environment; facilities; factors; family; gender; harassment; health; healthcare; house; india; interviews; kanpur; life; low; marital; medical; midwives; national; new; non; nurse; nurse midwives; people; politics; pradesh; professional; providers; public; quality; resource; role; rural; scs; services; settings; sex; social; status; study; support; system; training; uttar; village; visit; weekly; welfare; women; work; working cache: hls-902.pdf plain text: hls-902.txt item: #113 of 119 id: hls-927 author: Mosha, Frank Felix; Wambura, Mwita; Mwanga, Joseph R.; Mosha, Jacklin F.; Mshana, Gerry; Changalucha, John title: Readiness of health facilities to deliver safe male circumcision services in Tanzania: a descriptive study date: 2013-03-08 words: 5297 flesch: 56 summary: [Healthcare in Low-resource Settings 2013; 1:e9] Readiness of health facilities to deliver safe male circumci- sion services in Tanzania: a descriptive study Frank Mosha, Mwita Wambura, Joseph R. Mwanga, Jacklin F. Mosha, Gerry Mshana, John Changalucha National Institute for Medical Research, Mwanza, Tanzania Abstract Assessing the readiness of health facilities to deliver safe male circumcision services is more important in sub-Saharan Africa because of the inadequacy state of health facilities in many ways. This paper reports findings from the assessment of the readiness of health facilities to provide safe MC in select- ed regions in Tanzania and it provides the lit- erature with some empirical evidence on the issues that may adversely affect the scale-up of MC for countries considering MC roll-out. keywords: africa; aids; amos; analysis; appropriate; available; basic; bukoba; cia; circumcision; circumcision services; clinical; complications; correlation; cos; counselling; countries; data; districts; equipment; facilities; facility; females; government; health; health facilities; healthcare; hiv; ileje; infection; low; male; medical; minor; national; nco; number; nurses; officers; overall; page; people; practitioners; prevention; procedures; providers; readiness; research; resource; risk; rural; safe; services; settings; staff; study; supplies; surgeries; surgical; table; tanzania; tarime; testing; total; training; water; workers cache: hls-927.pdf plain text: hls-927.txt item: #114 of 119 id: hls-9307 author: Pagiwa, Vincent title: Economic contestation over user fees in low-resourced healthcare systems: A literature review date: 2021-03-01 words: 5955 flesch: 57 summary: Although user fees do not reduce demand for health care services by the poor, they will have negative redistributive effects because in paying more for their health services the poor will be left with less money for other essential services than the rich will do.16 Frivolous use of public health services is already deterred because travel and time costs to reach health services are usually The assumption being that, the price system signals to consumers what they must pay for health care services hence giving them an incentive to utilize those services well. keywords: africa; analysis; arguments; assumption; author; available; bank; benefits; care services; case; charges; cia; consumers; cost; countries; demand; economic; effects; efficiency; empirical; evidence; expenditure; externalities; fees; financing; goods; governments; hazard; health; health care; health services; healthcare; high; inelastic; insurance; international; literature; low; marginal; market; moral; nco; need; negative; page; paper; patient; people; perfect; plan; policy; poor; positive; price; price system; primary; public; recovery; report; research; resource; revenue; review; rich; saharan; search; sector; services; settings; studies; study; sub; system; systematic; theory; treatment; uncertainty; user; user fees; world cache: hls-9307.pdf plain text: hls-9307.txt item: #115 of 119 id: hls-9710 author: Sharma, Saurabh ; Parashar, Pawan; Mohan, Chandra; Singh, Alka; Ahmad, Sartaj title: Attitude of the first year medical students towards medicine as career: Motivations and apprehensions of being a doctor date: 2021-12-07 words: 3615 flesch: 60 summary: A total of 278 students were given a pre-designed and Healthcare in Low-resource Settings 2021; volume9:9710 Correspondence: Alka Singh, Department of Community Medicine, Subharti Medical College, Subhartipuram, NH-58, Delhi- Haridwar, Meerut Bypass Rd, Meerut, Uttar Pradesh 250005, Meerut, India. E-mail: alkasingh24593@gmail.com Key words: Medical students; attitude; career; motivation; media and movies. Sharma D, Pattnaik S. Carrier choices and the factors influencing it among medical students in a private medical college in Tamilnadu. keywords: analysis; article; aspects; attitude; career; choice; college; community; consent; cross; data; doctors; education; empathy; factors; family; good; health; healthcare; high; image; india; informed; interest; listener; low; mbbs; media; medical; medical students; medicine; meerut; motivation; movies; patient; percent; personal; present; profession; questionnaire; questions; reasons; research; resource; respect; review; school; sci; sectional; series; settings; society; students; study; table; undergraduate; violence; year cache: hls-9710.pdf plain text: hls-9710.txt item: #116 of 119 id: hls-9731 author: Mir, Farooq; Raina, Zahoor; Shah, Omair; Gojwari, Tariq; Robbani, Irfan; Shera, Tahleel title: Menisco-ligamentous injuries of knee joint: Can ultrasonography serve as an effective screening modality? date: 2021-07-29 words: 3957 flesch: 53 summary: Knee injuries are commonly sports related.1 The knee joint is stabilized by a number of ligaments. The menisci are C-shaped fibro- cartilagenous structures present between femur and tibia acting as shock absorbers.2 Clinical evaluation and localization of knee injuries is quite difficult. keywords: accuracy; acl; arthroscopy; article; availability; cases; clinical; collateral; cruciate; data; diagnostic; evaluation; false; figure; healthcare; high; hypoechoic; image; imaging; injuries; injury; joint; knee; lateral; lcl; ligament; ligamentous; low; mcl; medial; meniscal; menisco; meniscus; modality; mri; nco; negative; normal; page; patients; pcl; positives; posterior; resource; results; role; sensitivity; settings; specificity; sports; standard; study; tears; trauma; true; ultrasound; usg cache: hls-9731.pdf plain text: hls-9731.txt item: #117 of 119 id: hls-9799 author: Bahendeka, Silver; Piloya, Thereza; Onono, Jasper; Wesonga, Ronald; Mutungi, Gerald; Sseguya, Wenceslaus; Mubangizi, Denis title: Health service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemic date: 2021-11-23 words: 4801 flesch: 52 summary: Discussion The T1D health care team in Uganda conceptualized a national response that included EHR combined with an informa- tion and administrative digitized tool and guidelines for healthcare workers to address adverse effects of lockdown restrictive measures on diabetes supplies and metabol- ic control among T1D patients. Description Period 14 Weeks before lockdown Period 14 Weeks into lockdown Number of T1D clinics 40 40 Total number T1D registered at end of period in EHR 1408 1483 Patients enrolled into chronic care during period 41 75 T1D keywords: administrator; article; available; care; centre; cia; clinic; control; cov-2; covid-19; data; delivery; diabetes; ehr; figure; francis; glucose; hba1c; health; healthcare; himas; hospital; infection; information; insulin; june; kampala; lockdown; low; management; march; metabolic; mmol; monitoring; nco; page; patients; period; phone; records; resource; response; rural; sars; service; settings; sms; study; supplies; system; t1d; tool; total; type; uganda; urban; ut1d; virika; visits; workers cache: hls-9799.pdf plain text: hls-9799.txt item: #118 of 119 id: hls-9829 author: Karim, Habib Md Reazaul title: Oxygen therapy using Bain’s Circuit as an alternate option for moderate COVID-19 patients in resource-limited set-ups date: 2022-04-05 words: 1071 flesch: 59 summary: Therefore, Bain’s circuit can be a crucial armamentarium in supportive oxygen therapy for COVID-19 patients in low resource set-ups. Flow inflating devices like Bain’s circuit are effective as indigenous CPAP and have also been used to provide CPAP.2,3 The fresh oxygen flow rate required to minimize the rebreathing in Bain’s circuit is 10-15L/min (150-200mL/kg) for a 70kg person, which is similar to the requirement for NRBM to keep the bag inflated.4,5 The authors have also used the proposed device for managing post- operative respiratory failure in COVID-19 recovered patients,9 as well as for transfer- ring patients from COVID-19 ICU to step down facilities. keywords: bain; circuit; covid-19; device; filter; flow; healthcare; hfnc; india; low; mask; niv; nrbm; oxygen; patients; peep; positive; pressure; resource; respiratory; settings; therapy cache: hls-9829.pdf plain text: hls-9829.txt item: #119 of 119 id: hls-9960 author: Lelamo Legu, Kefale ; Tamiso Debiso, Alemu ; Mayisso Rodamo, Kaleb title: The magnitude of perinatal mortality rate and associated risk factors among deliveries at Dilla University Referral Hospital, Southern Ethiopia: A case-control study date: 2022-01-04 words: 6194 flesch: 58 summary: Introduction The Perinatal Mortality Rate is defined as the sum of the number of perinatal deaths (stillbirths and early neonatal deaths/ENND) divided by the number of pregnancies of seven or more months’ dura- tion (all live births plus stillbirths). Birth asphyxia, birth injury, preterm low birth weight, birth interval of <2 years, young maternal age at birth, low level edu- cation, poor maternal nutrition, absence of Antenatal Care (ANC) and complications during labour were primary causes initiat- ing the cascade of perinatal death.6,8 In Ethiopia, the PMR was 33 deaths/1000 pregnancies of seven or more months’ dura- tion (30 still births and 29 neonatal deaths), despite neonatal deaths shown a reduction of 17% over the past 5 years with signifi- cant disparities per 1,000 live births of 43 PMR in rural and 41 PMR in urban settings.9,10 In the southern region, threefold of the national figure was reported, with Pregnancy Induced Hypertension (PIH) being a single most important risk factor and obstructed labor accounted for 26 % of hospital deaths with 50% of still births and 2-5 folds of ENND.10,11 To the authors’ knowledge, data on the rate of perinatal deaths were very old and were obtained from urban residents rather than from remote population where the rate and the risk factors of perinatal deaths were poorly documented.12 Hence, the study aimed to assess the rate and risk factors associated with perinatal mortality so as to fill the existing gap of data and knowledge using local epidemiological study findings of these kinds and to establish a foundation of knowledge and understanding. keywords: age; alive; analysis; anemia; antepartum; aor; asphyxia; associated; available; birth; cases; chronic; complications; conditions; consent; control; control group; data; days; deaths; deliveries; delivery; dilla; duration; early; education; ennd; ethiopia; factors; fetal; fourth; group; hawassa; health; healthcare; higher; history; hospital; illness; important; interval; labor; low; majority; maternal; medical; mortality; mothers; neonatal; number; obstetric; page; partograph; perinatal; perinatal deaths; pmr; population; pregnancy; rate; referral; resource; risk; score; settings; stillbirths; study; table; term; total; university; value; variables; weight; years cache: hls-9960.pdf plain text: hls-9960.txt