Management strategy of oral mucosal diseases during the epidemic of Corona Virus Disease 2019 / 口腔疾病防治

Corona Virus Disease 2019 (COVID-19) has broke out in 29 countries and regions in the world in a short period since December 2019. Various measures of prevention and control have been taken all over China. At present, the epidemic situation shows a positive trend, however, there are still a few new comfirmed cases in some area of China. So the job and thinking of epidemic prevention still cannot be relaxed. As an important specialty of stomatology, the risk of cross infection is high in oral medicine. Establishing an effective system of pre- inspection and triage and adopting strict measures of prevention and control are essential. According to the prevention and control situation of COVID- 19, the characteristics of hospital infection, pre examination, protective measures, the home management strategies of oral mucosal diseases during the epidemic period and the differential diagnosis between COVID-19 and common oral muco- sal diseases with fever were summarized and recommended in this paper.

Knowledge, Practices and Perception of Malaria and Its Home Management Using Artemicinin-based Combined Therapy (ACT) among Mothers of Under-five

Malaria is a serious public health problem, yet preventable and treatable. The disease is one of the world’s highest rates of all cause of mortality for children under five, and about one in six children die before their fifth birthday. Hence, mothers of under-five and caregiver have a pivotal role to play in tackling this issue by improving their knowledge and skills concerning the treatment, prevention, and control using the appropriate approach. This study was carried out to assess knowledge, practices, and perception of malaria and its home management using Artemicinin-based Combined Therapy (ACT) in Yemetu community of Ibadan North Local Government. The study was a descriptive cross-sectional survey involving the use of Expanded Programme on Immunization (EPI) to facilitate the sampling and interview of respondents. This included recruiting all the mothers OriginalResearchArticle of under-five in Yemetu community who gave consent for the study. Four hundred (400) mothers of under-five in Yemetu community consented to participate in the study and were selected. A validated semi-structured questionnaire interviewed and self-administered questionnaire was used for data collection and respondents were assessed on a 62-points knowledge scale, 5-points practice scale, and 17-points perception scales. Knowledge score ≤21 were rated poor, scores ≥22≤42 fair and scores ≥43 were considered good. Practice score ≤3 was recorded as poor practice while scores ≥3 good practice. Perception scores ≤ 9 were considered unfavourable perception and scores ≥ 9 were considered favourable. Descriptive statistics and Chi-square tests were used to analyze the data at 95% level of significance.Respondents’ mean age was 29.9 ± 7.0 years and the majority of them(91.1%) of them were Yoruba. The majority (91.0%) of them were married and (91.1%) were Yorubas. Only (23.0%) correctly identified plasmodium as a cause of malaria. The correctly mentioned signs and symptoms of simple malaria were; cold (89.3%), body ache(91.3%) and fever (88.5%). The fairly corrected home management practice steps include; Exposure of baby to fresh air, administration of paracetamol, and then provision of coartem (2.6%) and bathing the baby, use of paracetamol and administration of coartem (1.3%). Negative perception shown by the respondents includes: Only (15.0%) believed that malaria is a disease of the poor and preference of herbal medicine to medical medicine for treating children at home when they have malaria episode because it is cheaper (19.8%). Overall, (2.9%) had poor knowledge, the majority (87.3%) had a fair knowledge, and 9.8% had good knowledge. There are several gaps in the respondents’ knowledge relating to malaria and its management in under-five. Therefore, there is a need for peer education/training approach in this regard to upgrading mothers' knowledge and skills concerning the treatment, prevention, and control of malaria.

Application of continuing nursing in home management of pelvic organ prolapse patients with pessaries / 中国实用护理杂志

Objective To analyze the effect and application value of continuation nursing in the management of pelvic organ prolapse (POP) patients. Methods From June 2016 to December 2017, 50 patients with POP who were treated with pessary were randomly divided into study group and control group by randomized comparison digital table. The study group was followed by family continuation care. The nursing guidance was compared at the time of enrollment, 3 months and 6 months after enrollment, and the difference between the two groups in terms of disease awareness, daily behavioral ability, psychological state and complications were compared. Results The study group was significantly better than the control group in terms of disease awareness, daily behavioral ability, psychological state and satisfaction rate of nursing services (t=13.2667-19.8533,χ2=0.12-4.56, P<0.05). Conclusion The application of pessary in the treatment of POP patients in the home management can be used to reduce complications and improve the quality of life of patients. It has application and promotion value.

Perception and Home Management of Malaria in Rural Communities in Imo State, Nigeria.

Aims: The objectives were to determine the rural communities’ knowledge on cause, transmission, spread of malaria, breeding sites of mosquitoes, signs and symptoms, health seeking behaviour of respondents, preventive measures and patterns of home management of malaria in the rural communities in Imo State. Study Design: A descriptive survey design was used. Place and Duration of Study: Imo State, Nigeria, between February 2013 and April 2013. Methodology: The sample size was 2674 adults (1650 males, 1024 females, age range 20-70 years). A structured, validated and reliable questionnaire (r = 0.81) and focus group discussion were used as instruments for data collection. Results: The result showed that out of 2674 respondents, 1683(62.9%) reported that malaria is transmissible while 976(36.5%) reported that malaria is not transmissible. Majority 2262(84.6%) noted that malaria spreads through mosquito bite while insignificant number said malaria spreads through drinking dirty water and eating unhygienic food. 1501(56.1%) noted that stagnant dirty water is a common breeding site for mosquitoes. Most of the respondents had good knowledge of the signs and symptoms of malaria which was used in prompt diagnosis. Majority 41% first patronized medicine stores followed by 38.5% that visited the hospital and health centers. In terms of preventive measures practiced by respondents, the majority 1049 and 1028 used mosquito bed nets and insecticide spray respectively while 237 used firewood smoke to drive mosquitoes away. In the pattern of home management of malaria, 62.3% used anti-malaria drugs, 10.5% used a special herb, Azadirachta indica (dogonyaro/Akum shut up leaf), 6.9% used combination of seven leaves (Pawpaw, mango, guava, Nchuanwu (Occimum basilicum) and awolowo leaf (Chromolaena odorata), orange and lemon grass) While 6.0% used prayers to God. Conclusion: Based on the above results and to keep abreast with the conventional practice, the rural communities require health education on home management of malaria.

The Impact of Health Seeking Behaviour, Educational Attainment and Financial Strength on Home Management of Malaria in Rural Communities in Imo State, Nigeria.

Aims: The objectives were to determine the impact of health seeking behaviour, educational attainment and financial Strength on home management of malaria in rural communities in Imo State, Nigeria. Study Design: A descriptive survey design was used. Place and Duration of Study: Imo State, Nigeria, between February 2013 and April 2013 Methodology: The sample size was 2674 adults (1650 males, 1024 females, age range 20-70 years). A structured, validated and reliable questionnaire (r=0.81) was used to collect data from 2674 consenting respondents. Results: The result showed that the health seeking behaviours of respondents when they suspect malaria was as follows; 25.7 percent patronized patent medicine stores/chemist, 22.3 percent visited health centers/ hospitals,18.6 percent consulted family members/friends/ neighbor for help. This statistically had a significant influence on the pattern adopted in managing malaria at home (Chi-square = 263.98, P -value < 0.001). Furthermore, 25.4 percent of those who visited the health centers/hospitals used more of Artemisinin-based Combination Therapy in managing malaria. Those who patronized patent medicine/chemist used more of chloroquine/quinine (25.7 percent), only 18.1 percent used a special herb, dogonyaro/Akum shut up leaf (Azadirachta Indica) in managing malaria at home. Those who visited herbalists (20.5%) also used chloroquine/quinine while those that visited prayer houses also used more of chloroquine/quinine (22.3%) and less of ACT (15.5%). The impact of educational attainment on pattern of home management of malaria was statistically significant (Chisquare= 155.47,P-value<0.001). Those who had no formal education used more of Chloroquine/Quinine in managing malaria at home while those who attained secondary and tertiary education adopted more of Artemisinin-based combination Therapy (ACT) in managing malaria. Herbal treatment (Dogonyaro/Akum shut up leaf (Azadirachta Indica), seven leaves and application of local ointment/lotion) were less used by respondents with higher educational attainment. Financial strength was also found to be statistically associated with the pattern of management adopted by the rural dwellers (Chisquare= 118.46, P-value<0.001). Those whose average monthly income was above 30,000 Naira used more of conventional medication and less of herbs. Conclusion: The findings showed that the rural communities need more enlightenment and education on home management of malaria.