Journal of Health, Medicine and Nursing 2022-01-11T09:59:10+03:00 Journal Admin Open Journal Systems <p>Journal of Health Medicine and Nursing( JHMN) is a peer reviewed journal published by IPRJB.Published both online and printed version the scope of the journal include physical and mental health, diet exercises ,science on health issues ,public health and safety issues ,mechanism in medicine technology and manufacturing of medicine ,diagnosis surgery , health care nursing practices ,nurse training and education ,nursing ethics etc.JHMN is one of the best journal accredited for vital insight information.</p> Organizational, Technical and Behavioral Factors Associated with Malaria Routine Data Reporting among Health Workers in Selected Health Facilities in Trans-Nzoia County, Kenya 2022-01-03T06:36:19+03:00 Nicholas Lagat J Oyore J. Korir <p><strong>Purpose</strong>: Malaria remains to be among the primary causes of sickness, infirmity and cases of deaths and has continued to negatively affect health and socio-economic progress in the country. Rapid reporting of malaria cases could avert prospective epidemics which would lead to a high proportion of sickness and deaths. The study, therefore, sought to assess the determinants of malaria routine data reporting among health workers in selected health facilities in Trans-Nzoia County.</p> <p><strong>Methodology</strong>: A descriptive cross-sectional study was conducted to evaluate the organizational, technical, and behavioral aspects that influence the reporting of malaria routine data among health workers. The sample size was 123 health facilities that were selected randomly based on their strata. Research tools that were utilized were structured questionnaires, focused group discussion, and key informant interview guide.&nbsp; Chi-square (χ<sup>2</sup>) was used to test the hypothesis with a p ≤ 0.05 being considered significant.</p> <p><strong>Findings</strong>: The findings on socio-demographic characteristics indicated that majority of the research participants were females 76(62.6%), had college education 85(69.1%) and 81 (65.9%) had worked in the health facility for 5 to 10 years. Most 76(61.8%) of the health facilities were Level 3 (Health Centres). There was significant relationship between level of health facility and malaria routine data reporting at (χ<sup>2 </sup>=9.999, df=3, p-value = 0.019). Other organizational factors that had significant association with malaria routine data reporting (p&lt; 0.001) include inadequate budget, low staffing, poor ICT infrastructure and complex data management procedures. &nbsp;In terms of technical aspects, limited training on technologies had significant relationship with malaria routine data reporting (p&lt; 0.001). Regarding behavioral aspects, identified factors include lack of incentives and inadequate resources.</p> <p><strong>Unique contribution to theory, practice and policy</strong>: The outcomes of the study provide proof for support, tactical organization, and collaboration in the health sector in Trans-Nzoia County as well as to the other developmental agencies working in the field of malaria control. The study recommends that the county government of Trans-Nzoia should provide adequate funds and ICT infrastructure to boost malaria routine data reporting. The county department of health with support from the national government through Division of National Malaria Program (DNMP )should consistently conduct in-service training, support supervision and data quality audits.</p> 2022-01-03T00:00:00+03:00 Copyright (c) 2022 Journal of Health, Medicine and Nursing CORRELATION OF PANORAMIC RADIOGRAPHIC FINDINGS AND CLINICAL FINDINGS OF DENTAL PATIENTS AT MOI TEACHING AND REFERRAL HOSPITAL, KENYA 2022-01-11T09:59:10+03:00 Abdullatif Badru Elias Onditi Kenneth Okemwa <p><strong>Purpose: </strong>The purpose of this study was to determine the correlation of panoramic radiographic findings and clinical findings among dental patients at Moi Teaching and Referral Hospital (MTRH), Kenya.</p> <p><strong>Materials and</strong> <strong>Methods: </strong>This was a hospital based cross sectional study conducted at the Radiology and Imaging department and dental department at Moi Teaching and Referral Hospital from September, 2019 to June, 2020. A total of 93 consenting patients were enrolled using systematic random sampling. Standard chart review forms were administered, and clinical examination findings documented. Panoramic radiograph findings were then discussed with a consultant radiologists and findings recorded. Descriptive statistics were carried out. Categorical variables were summarized as frequencies and proportions, and reported in tables. Numerical variables were summarized as median and interquartile ranges. Cross tabulation was done to compare clinical examination and panoramic radiograph findings where total raw agreement was reported as proportions.</p> <p><strong>Results: </strong>93 patients whose ages ranged from 5-73 years with a mean of 29 years were included into the study. Radiographic features of dental caries were present in 54% of panoramic radiographs compared to clinical examination (50.5%) while 23.7% of radiographs revealed impacted teeth compared to clinical examination (19.4%).&nbsp; Radiographic features of periodontitis were observed in 14% compared to clinical examination (16.1%). Fractures (12.9%) were observed radiographically compared to (10.7%) clinically. Periapical lesions (8.6%) were observed radiographically compared to clinical examination (6.4%). Temporo-mandibular disorder (6.5%) were observed both on radiographs and clinical examination. Radiographic features of missing teeth (3.2%) were observed compared to clinical examination (1.1%) while only 1.1% of malpositioned teeth were observed radiographically compared to clinical examination (2.2%). Notably, mandibular lesions (3.2%) and nasal congestion (14%) were only discovered radiographically. The overall raw agreement between panoramic radiograph and clinical examination was 75.3% (70/93) with a p value of less than 0.001.</p> <p><strong>Unique contribution to theory, practice and policy</strong><strong>: </strong>The study recommends that all patients presenting with dental conditions should be done panoramic radiograph to improve diagnosis. Moi Teaching and Referral Hospital and the Ministry of Health to consider routine panoramic radiographs in the guidelines for the assessment of dental patients in all the hospitals offering, dental health services</p> 2021-12-30T00:00:00+03:00 Copyright (c) 2022 Journal of Health, Medicine and Nursing EMBRYO GLUE AND CLINICAL PREGNANCY RATES IN ICSI EMBRYO TRANSFER CYCLES: A PROSPECTIVE STUDY 2021-12-16T17:38:24+03:00 Salwa Fadhil Mohammad Selman Manal Al-Obaidi <p><strong>Purpose:</strong> One of the reasons for failed implantation after transferring good quality embryos in an intracytoplasmic sperm injection cycle is the failure of creation a viscid layer between the embryo and the endometrium. Many modifications have been made in embryo transfer medium to improve implantation and increase pregnancy rates such as adding albumin as a source of energy and adding hyaluronic acid in high concentrations such as in Embryo Glue medium: a human embryo transfer medium. To investigate whether the use of Embryo Glue had any effect on clinical pregnancy rates in intracytoplasmic sperm injection-fresh embryo transfer cycles.</p> <p><strong>Methods:</strong> A prospective study included one hundred and twenty-eight infertile Iraqi women who were selected and subjected to a stimulation protocol in an intracytoplasmic sperm injection-fresh embryo transfer cycle. All patients were considered to be eligible for embryo transfer (no visible causes could prevent implantation) and only good quality embryos were transferred to them. Those women were divided randomly into two groups according to type of embryo transfer medium: group A: Embryo Glue medium. group B: Conventional medium. Then group A was subdivided according to age into:&nbsp; AI (34 women with age &lt; 35 years and represented 50.7%) AII (33 women with age ≥ 35 years and represented 49.3%) While group B was subdivided into:&nbsp; BI (41women with age &lt; 35 years and represented 67.3%)&nbsp; BII (20 women with age ≥ 35 years and represented 32.7%).</p> <p><strong>Results:</strong> Although there was no significant difference between all groups in causes of infertility, the pregnancy rate was significantly higher in subgroup AII (18 pregnant from 33 women) while only 5 patients became pregnant from 20 patients in subgroup BII.&nbsp; In all women no more than four good quality embryos were transferred, and when total number of transferred embryos was significantly more in group B than group A (P=0.013), the significant increase in pregnancy rates was only observed in subgroup AII (P=0.048). Even though a highly significant difference in number of repeated implantation failure was in group A than group B (P=0.027), the pregnancy rates were significantly higher in group A (P=0.038).</p> <p><strong>Conclusion:</strong> This study concluded that using Embryo Glue has a beneficial effect on old women and increase pregnancy rates, also it has a positive effect on pregnancy rates in repeated implantation failure and increases pregnancy rates even if the women is old.</p> 2021-12-16T00:00:00+03:00 Copyright (c) 2021 Journal of Health, Medicine and Nursing