Original Research Article
ABSTRACT
Purpose: Medical errors is a major health-safety issue in many hospitals; however, many of those errors are went underreported. Willingness of nurses to report the errors accurately is a key role in overcoming the underreporting issue. Therefore, this study determined the frequency of errors, error underreporting in Omani hospitals, and nurses' perceptions of the adequacy of the processes of error reporting and the most common errors, as well as the beliefs about reasons for underreporting. Method: The study used a descriptive cross-sectional design. Data were collected from 31 units in 11 Omani hospitals from July 2016 to July 2017 using incident reports and surveys completed by 562 nurses. Nurses were asked about reasons for underreporting, common errors on their patient units, and the adequacy of error reporting processes. Data were analyzed using SPSS version 24. Results: The rate of errors determined by incident reports was compared to the rate provided by the Institute of Health Improvement using its trigger tool. In comparison to the predicted error rate of .40 identified by the trigger tool, the rate of errors across all units was .0164. There was a significant difference in reported and predicted rates (z = 4.36, p < .001). All units (31) had significantly lower than predicted error rates, indicating underreporting. Despite the belief that the error reporting processes were adequate, most nurses identified fear of punishment as a common reason for underreporting. Conclusion: Fear was identified as a common cause of underreporting; therefore, it is necessary to implement a culture of safety to address underreporting, inaccuracy in rates of medical errors, and patient safety.
Original Research Article
ABSTRACT
Community-based breeding programs (CBBP) have been viewed as attractive breeding strategies, resulting in significant improvements in the performance of small ruminants and the income of producers in many parts of the world. As part of these interventions, a community-based breeding program was implemented on Abera sheep mostly reared in the region since 2013. An interview was conducted with 188 sheep producers (91 CBBP members) and 97 non-CBBP members) to know the contribution of CBBP in terms of sheep flock performance improvement and income of sheep producers in the Hula and Dara districts of Sidama region. Focused group discussions with 6–8 individuals in each breeder cooperative were separately made to complement the survey results. CBBP households owned significantly (p<0.05) larger sheep heads (7.28 versus 4.99) than non-CBBP members. CBBP households further had more market participation, sold significantly (p<0.05) higher average sheep (2.4 versus 1.3), and consequently earned significantly (p<0.05) higher annual income (ETB 3877) than non-participating (ETB 2007) households. The majority of CBBP households (85%) observed a better twining rate for their sheep flocks since they joined the breeding program. The average age of 8.63 months of a lambing interval, 7.9 months of ram maturity for breeding, and 10.42 months needed for a ram to achieve market age before implementation of the breeding program were significantly (p<0.05) reduced to 7.31 months, 6.2 months, and 7.69 months, respectively, after sheep producers started a selective breeding program. Low market integration (0.28), sheep mortality (0.21), feed shortage (0.20), low institutional support and coordination (0.17), and managerial problems of the committee (0.13) were major problems with the ranking index in parenthesis. Despite the significant contribution of the breeding program to sheep producers, the current study found weak and unsustainable institutional support for proper breeding ..........
Original Research Article
ABSTRACT
Background: Oral health problems affected 55.6% of adolescents aged 10-14 in Indonesia. This can be prevented by maintaining oral hygiene. Many physical and psychological changes happen in the adolescent phase, and more attention is needed to maintain oral hygiene. Oral hygiene is influenced by various factors, including demographic and socioeconomic factors. Objectives: This study aimed to determine factors associated with oral hygiene among adolescents in Jember, Indonesia. Method: There were 409 students from eight different junior secondary schools in Jember Regency as participants in this study. The sample was obtained using the cluster random sampling method. Data on oral hygiene as a dependent variable was collected through the OHI-S examination. Data on sex, school, ethnicity, mother and father education, father and mother employment, monthly income, and number of children as independent variables was gathered from questionnaires and students' data from the school database. First, a univariate Spearmen test was run for all independent variables (p<0.05). The significant variables were then analyzed using multiple regression to determine factors associated with oral hygiene (p<0.05). Results: The average OHI-S score was 2.53, which was categorized as moderate. Multivariate analysis results showed that females were more likely to have better OHIS-S scores than males (B=-0.716; p=0.000); ethnic Javanese were more likely to have better OHI-S scores than Maduranese (B=0.293; p=0.004); and middle-income students more likely have better OHI-S than low-income students (B=-0.307; p=0.003). Conclusion: It can be concluded from this study that adolescents' socioeconomic background is associated with their oral hygiene. This suggests the need to give more attention to a new model of oral health promotion programs targeting gender, ethnicity, and lower-income groups.
Original Research Article
ABSTRACT
Sorghum has proven to be a super-rich component of nutrition and adds a superb flavour to gluten-free baking. The purpose of this study was to develop shortbread biscuits from sorghum flour. The objectives of the study are to develop a shortbread biscuit using sorghum flour and to determine whether the sorghum-based shortbread biscuits would be acceptable to consumers commercially. To produce biscuits from sorghum flour, sorghum was milled, sieved, mixed, rolled, cut, and baked. An experimental and a descriptive approach design was used for the study. Sixty (60) respondents were purposively selected for the study. Questionnaires were used to collect information from the respondents. Sensory evaluations of the properties such as texture, flavour, taste, appearance and colour were examined. The study found that most of the respondents had seen and tasted sorghum flour and thus, would be able to give vivid responses to questions about sorghum flour and its products. Sorghum as flour in baking is good and can be a perfect substitute for wheat flour in the preparation of many baked products. Thus, the bakery industry will be able to produce shortbread biscuits all year round as a snack.
Case Report
Giant Hip Lipoma with Physical and Psychological Impact at Bamako Dermatology Hospital
Dembélé, B, Diarra, H , Daou, A, Niaré, F, Diarra, L, Konaté, K, Daou, M. B, Haïdara, T. M, Dembélé, B. T
EAS J Med Surg, 2024; 6(3): 115-118
DOI: 10.36349/easjms.2024.v06i03.006
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ABSTRACT
Giant lipomas are voluminous benign mesenchymal tumors formed by fatty lobules from mature adipose tissue and whose exact etiological is not yet elucidated. We report the case of a 64-year-old patient with a giant lipoma at the hip with physical and psychological impact. Treatment was surgical and consisted of a wide excision of the mass. The surgical piece measured 378X303 mm and weighed 2600 grams. The surgical follow-ups were simple. The late management of lipomas can lead them to reach an inordinate size causing disabilities and increasing the possibility of neoplastic transformation. After excision, a pathological anatomopatological study is required to rule out a liposarcoma.
Original Research Article
ABSTRACT
Objective: The aim of this article is to examine the changes made by stakeholders in the provision of education for internally displaced school-age children during periods of crisis in the Department of Mayo Tsanaga. Method: Data was collected using development anthropology techniques from basic education authorities responsible for the education of displaced school-age children, implementing partners, parents or families of IDPs, pupils and informants likely to provide relevant information on this target group in the department of Mayo Tsanaga. The data was collected during the writing of our PhD thesis in Anthropology. Documentary research was also carried out. A total of 20 in-depth interviews were conducted in the locality of Zamai and surrounding villages with a split between urban and rural areas over a period from 15 November 2021 to the present day. Results: It has been shown that controlling the numbers of these displaced persons is a prerequisite for better planning and better integration into the education sector. The different forms of education will not eliminate the risk of conflict between individuals or groups of individuals, but they will enable people to know how to manage them and prevent them from degenerating into armed conflict, civil war or even genocide. Discussion: The particularity of this article is that, as well as being situated between forced displacement, terrorism and formal education, it takes a holistic look at the measures taken by stakeholders to encourage or compel parents to contribute to their children's education despite the hostilities, insecurity and armed conflicts that have arisen. Conclusion: The IDPs who are the subject of this study come from surrounding villages and Districts, with different cultures and differing apprehensions about formal education for their children.