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Community Perceptions on the Preference and Impediments to the Utilization of Healthcare Services in Omu-Ijebu, Ogun State, Nigeria
Issue:
Volume 10, Issue 5, September 2022
Pages:
185-192
Received:
20 July 2022
Accepted:
2 August 2022
Published:
27 September 2022
DOI:
10.11648/j.ajhr.20221005.11
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Abstract: Healthcare service plays an integral role in modern healthcare systems. The provision of healthcare services in any community is a step towards improving the health status of the populace in such a community. The presence of a healthcare facility does not translate to utilization, as there are factors that influence and impede the utilization of such services. This study assessed the perception of the community on the preference for healthcare facilities and impediments to the utilization of healthcare services in General Hospital Omu-Ijebu, Ogun State, Nigeria. The method employed in this study involved a community-based descriptive cross-sectional survey, and it was conducted among adult male and female residents who were 18 years and above, in the Omu-Ijebu community. The study was conducted with a sample of 400 adult male and female residents of the study area. Data collected were coded in excel Microsoft Package and analysed using descriptive statistics and bivariate analysis. The results showed that the majority (45.4%) of the respondents preferred General Hospital to any other hospitals; 71.7% had utilized the General Hospital Omu-Ijebu healthcare service in the last six months, and 66% preferred General Hospital Omu-Ijebu during an emergency. The results of this study further showed that the facility users of General Hospital Omu-Ijebu had a good perception of the services they received and were reasonably satisfied but certain deficiencies in the health care systems compromised the quality of service. Analysis of the preference for healthcare services and impediments to utilization showed a significant statistical relationship (p < 0.05). There is a need to urgently address certain impediments to the utilization of health services by the government to ensure utilization and improved quality of service.
Abstract: Healthcare service plays an integral role in modern healthcare systems. The provision of healthcare services in any community is a step towards improving the health status of the populace in such a community. The presence of a healthcare facility does not translate to utilization, as there are factors that influence and impede the utilization of su...
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Chronic Gastritis at Helicobacter Pylori: Relevance of Classifications OLGA and OLGIM
Nemian Meurde,
Mayanna Habkreo,
Ali Mahamat Moussa,
Allaboursa Seid Adji,
Mahamat Ali Hachim,
Ndongar Abel,
Mbaiguaguem Eric
Issue:
Volume 10, Issue 5, September 2022
Pages:
193-196
Received:
13 September 2022
Accepted:
4 October 2022
Published:
18 October 2022
DOI:
10.11648/j.ajhr.20221005.12
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Abstract: Introduction: Chronic gastritis with Helicobacter pylori is a common condition that progresses in 1-3% of cases to gastric adenocarcinoma. The purpose of this work was to identify high-risk patients in the OLGA and OLGIM classifications. Methods: This was a 4-year and 8-month descriptive retrospective study in N’Djamena. Included were all gastric biopsies for histological analysis in the Department of Pathological Anatomy and Cytology. Results: one hundred and fifty-two gastric biopsies were analyzed, including 79 cases of chronic gastritis. The average age of patients was 46.53 years with extremities of 11 and 80 years. Males account for 54.3% compared to 45.7% for females. The sex ratio was 1.2. High-risk cases vary 28.6% according to OLGA and 4.3% according to OLGIM. A statistically significant correlation was found between the OLGA and OLGIM stages and age over 55 (p = 0.0088). OLGIM underestimates 85% of high-risk cases according to OLGA. The level of risk increases with age. Eight cases of dysplasia were identified, including 5 cases (62.5%) associated with high-risk OLGA stages and 1 case (12.5%) with high-risk OLGIM stages. Seven cases of dysplasia (87.5%) were associated with low-risk OLGIM and 3 cases (37.5%) were associated with low-risk OLGA stages. Conclusion: OLGA and OLGIM systems in addition to the Sydney system allow the identification of chronic gastritis with high-risk Helicobacter pylori that evolves towards gastric adenocarcinoma.
Abstract: Introduction: Chronic gastritis with Helicobacter pylori is a common condition that progresses in 1-3% of cases to gastric adenocarcinoma. The purpose of this work was to identify high-risk patients in the OLGA and OLGIM classifications. Methods: This was a 4-year and 8-month descriptive retrospective study in N’Djamena. Included were all gastric b...
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The Frequency Distribution Analysis of Biological Data to Detect the Regulatory Status of Organisms
Issue:
Volume 10, Issue 5, September 2022
Pages:
197-200
Received:
25 September 2022
Accepted:
14 October 2022
Published:
21 October 2022
DOI:
10.11648/j.ajhr.20221005.13
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Abstract: The state of the human regulatory systems, especially the autonomic nervous system, is of great importance for health. Stress in the sense of disstress, which leads to rigidity, is just as unhealthy as chaos in the regulations. In humans, we can easily determine the current state with the frequency distribution analysis of the heart rate variability (HRV). Identical distances of the heartbeats (rigidity) include the risk of sclerosis and myocardial infarction, a large variability of the distances (arrythmia = chaos) can lead to embolisms. We can distinguish five states of regulation: disorder, health and order are variations within the physiology, chaos and rigidity are pathological. The investigation can be carried out with the help of the chi-square analysis by approximation to the Bell`s curve (randomness, chaos) and the lognormal distribution (order) inside the Poincare plot. It is not the mean value that represents health, but the golden ratio. This applies not only to the organism, but to all regulated systems, including society. From this, one can see what changes in attitudes and behaviors should be done in order to to ensure a healthier life.
Abstract: The state of the human regulatory systems, especially the autonomic nervous system, is of great importance for health. Stress in the sense of disstress, which leads to rigidity, is just as unhealthy as chaos in the regulations. In humans, we can easily determine the current state with the frequency distribution analysis of the heart rate variabilit...
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Knowledge, Attitude, and Practice of Voluntary Blood Donation Among Health Professionals in Hadiya Zone, Southern Ethiopia: Cross-Sectional Study Design
Kifle Wodebo,
Legese Petros,
Habtamu Wude
Issue:
Volume 10, Issue 5, September 2022
Pages:
201-205
Received:
18 August 2022
Accepted:
15 September 2022
Published:
21 October 2022
DOI:
10.11648/j.ajhr.20221005.14
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Abstract: Universal access to safe, affordable surgery when needed depends on a sufficient and safe blood supply. This is not the case in most of the world today. The average blood donation rate in low-income countries (2•8 donations per 1000 population) was an order of magnitude below that of high-income countries (36•4 donations per 1000 population). Typically, Ethiopia has a blood donation rate of 0•6 units per 1000 population, or roughly 56 000 units per year. This study assessed the level of knowledge, attitude, and practice, of blood donation among health professionals using an Institution-based analytic cross-sectional study design. A pre-tested and structured self-administered questionnaire was used to collect data. Among the study participants, 280 (86.4%) had adequate knowledge of blood, about 52% responded harmful events might occur during donations and 20% said only physically strong people donate. Only 65.1% showed a willingness to donate during an emergency and 36% of health professionals donated blood at least one time. In conclusion the level of knowledge was high in health care workers, and a significant number of health workers’ attitudes towards blood donation were inadequate. Although health workers were equipped with good knowledge of blood donation, an insignificant amount of blood donation practice was identified.
Abstract: Universal access to safe, affordable surgery when needed depends on a sufficient and safe blood supply. This is not the case in most of the world today. The average blood donation rate in low-income countries (2•8 donations per 1000 population) was an order of magnitude below that of high-income countries (36•4 donations per 1000 population). Typic...
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