Research Article
Dignity Preservation Among Hospitalized Patient: A Case Study of Bugando Medical Centre, North-Western Tanzania
Ndakibae Gabriel Mabega*,
Halima Mwaisungu,
Gerald Phares Mwing’a,
Lazaro Amon Solomon Haule
Issue:
Volume 12, Issue 1, February 2024
Pages:
1-8
Received:
1 December 2023
Accepted:
22 December 2023
Published:
8 January 2024
DOI:
10.11648/j.ejpm.20241201.11
Downloads:
Views:
Abstract: Background: Dignity preservation is regularly emphasized as one of the basic patient rights in both national and international codes of ethics in medical practices. Therefore, it is important to explore this concept based on the patient's experience to maintain and respect their dignity, improve the quality of health services, and increase patient satisfaction in health care. This was a qualitative descriptive study in which 20 hospitalized patients were recruited. Purposive sampling was used to select study participants from wards of different departments of Bugando Medical Centre (BMC). Patients were interviewed about the experience related to the preservation of their dignity during their hospital stay. Data were analyzed using qualitative content analysis. The study aimed to explore the experience of dignity preservation among hospitalized patients during their hospital stay. Four major themes emerged from the analysis of the data obtained from the interview. Patient-Provider relationship, patient involvement in medical care, Inadequate privacy and confidentiality, Accessibility and Affordability of health services. From the patient’s experience, human dignity needs to be preserved and maintained in hospitals. Respect for their privacy, confidentiality, and patient involvement in the medical care should be taken into consideration.
Abstract: Background: Dignity preservation is regularly emphasized as one of the basic patient rights in both national and international codes of ethics in medical practices. Therefore, it is important to explore this concept based on the patient's experience to maintain and respect their dignity, improve the quality of health services, and increase patient ...
Show More
Case Report
An MR Imaging Study of Communicating Hydrocephalus After Gamma Knife Radiosurgery for Vestibular Schwannoma
Endalkachew Belayneh Melese,
Haitham Alhussain,
Fekadu Belay Ayalew,
Nathnael Abera Woldehana,
Motuma Gonfa Ayana,
Simon Tsegaye Geleta,
Ruth Betremariam Abebe,
Abrham Workineh Azale,
Wondimagegn Tibebu Tilahun*
Issue:
Volume 12, Issue 1, February 2024
Pages:
13-16
Received:
27 January 2024
Accepted:
12 February 2024
Published:
29 February 2024
Abstract: Patients with vestibular schwannoma (VS) face a 3.7-23.7% risk developing hydrocephalus. Small-sized VS are associated with communicating or non-communicating hydrocephalus. Hydrocephalus in VS patients can persist or worsen post-tumor removal. Gamma knife radiosurgery is effective, especially in younger patients with functional hearing. Although the causal relationship between gamma knife radiosurgery and hydrocephalus isn't firmly established, this case reports a possible association between developing hydrocephalus and Vestibular schwannoma. Elevated CSF protein suggests communicating hydrocephalus due to tumor necrosis. The rarity of hydrocephalus post-gamma knife surgery likely relates to tumor variations rather than procedural nuances. Gamma Knife radiosurgery for vestibular schwannomas can lead to communicative hydrocephalus. MR imaging, including pre- and post-treatment scans, along with MR CSF cine-flow studies, highlights the link between gamma knife involvement and hydrocephalus development. Despite the rarity, this negative outcome underscores the need for careful consideration and investigation of risk factors associated with hydrocephalus post-radiosurgery. A middle aged man with vestibular schwannoma was investigated in this case. Patient was procedure through gamma knife radiosurgery for vestibular schwannoma. Patient was passed through MR scans before the radio surgical procedure and 9 months past surgical procedure. Nine months later, severe ventriculomegaly was observed, revealing central necrosis in the tumor. Lumbar puncture indicated abnormal CSF characteristics without evidence of infection. Despite a failed endoscopic third ventriculostomy, MR imaging cine-flow studies confirmed free CSF flow, emphasizing the complexity of managing hydrocephalus post-gamma knife radiosurgery for vestibular schwannomas. VS typically occurs in older individuals, this case's younger age and optimal tumor size for gamma knife treatment add complexity. Faster-growing and larger tumors are more prone to post-treatment necrosis and hydrocephalus, necessitating careful management. MR cine-flow aids in hydrocephalus differentiation.
Abstract: Patients with vestibular schwannoma (VS) face a 3.7-23.7% risk developing hydrocephalus. Small-sized VS are associated with communicating or non-communicating hydrocephalus. Hydrocephalus in VS patients can persist or worsen post-tumor removal. Gamma knife radiosurgery is effective, especially in younger patients with functional hearing. Although t...
Show More
Research Article
Factors Associated with Knowledge of Hypertension in Rural Guinea, 2023: Case of the Rural Commune of Maferinyah
Alseny Yarie Camara*,
Almamy Amara Touré,
Salifou Talassone Bangoura,
Fassou Mathias Grovogui,
Saidouba Cherif Camara,
Sidikiba Sidibé,
Djiba Diakite,
Waly Diouf,
Habibata Baldé,
Ibrahima Barry,
Diao Cisse,
Sekou Sidate Sylla,
Abdoulaye Touré,
Alexandre Delamou,
Abdoul Habib Beavogui
Issue:
Volume 12, Issue 1, February 2024
Pages:
17-23
Received:
3 February 2024
Accepted:
21 February 2024
Published:
29 February 2024
Abstract: Introduction: While numerous studies have explored hypertension knowledge across Africa, they have predominantly focused on urban hospital settings and diagnosed patients. This study aimed to evaluate the determinants of hypertension knowledge in rural Guinea, a less-explored demographic. Methods: This cross-sectional study was conducted from March 01 to April 2023 within the Maferinyah sub-district and employed multivariate logistic regression to analyze the relationship between hypertension knowledge and various demographic characteristics. Results: The study included 701 individuals aged 16–65 years (mean age 38 years), with a predominance of women (68.3%) and those without formal education (62.8%). Key findings revealed that high economic status (aOR= 2.97; 95% CI: 1.91 - 4.64), age brackets of 41-50 years (aOR= 6.30; 95% CI: 3.51 - 11.5), 30-40 years (aOR= 4.74; 95% CI: 2.89 - 7.90), over 50 years (aOR= 4.13; 95% CI: 2.51 - 6.87), and unemployment (aOR= 2.60; 95% CI: 1.75 - 3.89) were significantly associated with higher hypertension awareness. Conclusion: Analysis of the collected data highlights a notable deficit in awareness of hypertension and its associated risk factors among the rural population of Guinea, underscoring the urgent need for targeted educational and awareness initiatives, especially among younger populations, to improve the understanding and management of Hypertension and other non-communicable diseases.
Abstract: Introduction: While numerous studies have explored hypertension knowledge across Africa, they have predominantly focused on urban hospital settings and diagnosed patients. This study aimed to evaluate the determinants of hypertension knowledge in rural Guinea, a less-explored demographic. Methods: This cross-sectional study was conducted from March...
Show More
; 
and 
(see the text for details of the models), the simulation errors of the three models were tested, and the relevant parameters all reached the level of first-class qualified models, and the simulation accuracy was 99.80%, 99.93% and 99.98%, respectively, reaching the qualified level. The prediction and verification of the occurrence and epidemic time of the n+1 major epidemic in the period of A and B were carried out respectively, and the accuracy rate reached 99.88% and 99.91%, both of which achieved satisfactory results.