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Caregivers’ Knowledge, Perceptions and Home Management Practices of Fever in Children under the Age of Five Years Presenting With Acute Febrile Illnesses

Thesis Info

Author

Oyieke, Katherine

Department

Paediatrics and Child Health (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2015

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728038912

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Background: Fever in children is one of the most common clinical symptoms and a frequent cause of caregiver concern. It is a normal body response to a variety of conditions, the most common of which is infection. Many childhood illnesses are accompanied by fever, which is often treated at home prior to presentation at a health facility. Nearly every child will develop a febrile episode at some point in life. The challenge for caregivers is to know when to be concerned and how to manage such episodes appropriately when they occur. Caregiver knowledge and perceptions regarding fever are an important determinant of their fever management practices. Objective: The purpose of this study was to determine knowledge, perceptions and management practice of fever among caregivers of children under-five presenting with acute febrile illnesses in an urban tertiary care hospital accident and emergency department. Study design: A cross sectional study carried out at the Aga Khan University Hospital paediatric accidents and emergencies department. Methods: Quantitative data was collected using a structured questionnaire administered by the lead investigator and assistant to caregivers accompanying febrile children aged below five years who presented at the paediatric casualty. The primary outcomes were the knowledge, perceptions and home management practices of fever amongst caregivers and the secondary outcomes were the socio-demographic characteristics of caregivers that influence knowledge, perceptions and home management of fever. Data were analysed and summarised as proportions for categorical data and means/ranges for continuous data. Tests of association between socio-demographic factors and the various responses on knowledge, perceptions and practice from the questionnaire choices were performed using chi-square and student’s t test for categorical and continuous variables respectively. Regression analysis was used to control for interaction effects and confounders. Results: Majority (98%) of caregivers were able to define fever adequately and were able to correctly deduce that fever was as a result of underlying illness and not a disease pathology on its own. Majority of caregivers (95.7%) experienced great anxiety when confronted with fever. Most (94.8%) caregivers did not feel confident managing fever in children at home and relied heavily on antipyretics to allay their anxiety. Knowledge on antipyretic indications and adverse effects was poor with 100% of caregivers not being aware of the fact that antipyretics had adverse effects. Healthcare providers constituted the greatest (92.9%) source of information to caregivers of febrile children. Caregiver education emerged as the greatest determinant of caregiver knowledge
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پھر قلم پر کھلا راستہ نعت کا

پھر قلم پر کُھلا راستہ نعت کا
پھیلتا ہی گیا سلسلہ نعت کا

خوشبوؤں سے لدے لفظ اُترنے لگے
یوں لگا اک چمن کِھل اُٹھا نعت کا

آنکھ میں تازگی سی کوئی بھر گئی
سبزۂ نو بہ نو بچھ گیا نعت کا

میرے لفظوں کو پھر باریابی ملی
ہوگیا ، ہوگیا فیصلہ نعت کا

نعت جس بھی گھڑی اک مکمل ہوئی
اِذن پھر مل گیا اک نیا نعت کا

میں نے کاغذ پہ کچھ لفظ یو نہی لکھے
غور سے جب پڑھا ، شعر تھا نعت کا

اک مہک سی مرے نطق میں بھر گئی
یہ بھی ہے اک نیا سلسلہ نعت کا

حجرۂ جاں میں پھر روشنی ہو گئی
پھر نیا اک دیا جل اُٹھا نعت کا

پھر سے شاخِ سخن تازہ تر ہو گئی
جو کِھلا ہے ابھی پُھول تھا نعت کا

مدى استخدام الأنظمة الإلكترونية في إدارة العمليات الإدارية والتعليمية بالتعليم المفتوح (بالتطبيق على جامعة السودان المفتوحة)

هدفت الدراسة للكشف عن مدى استخدام الأنظمة الإلكترونية في إدارة العمليات الإدارية والتعليمية بالتعليم المفتوح، من خلال تطبيقها على عمليات جامعة السودان المفتوحة، أُستخدم المنهج الوصفي التحليلي، وتمثل مجتمع الدراسة في العاملين بجامعة السودان المفتوحة، حيث تم اختيار عينة قصدية قوامها 38 من موظفي الخدمة التعليمية بفروع الجامعة بولاية الخرطوم، ورئاسة الجامعة، وكانت أداة الدراسة الإستبانة التي تكونت من ثلاثة محاور بواقع 36 عبارة، تم تحليل البيانات بواسطة التحليل الإحصائي SPSS، وكانت أهم النتائج أنَّ لاستخدام الأنظمة الإلكترونية دور فعال في إدارة العمليات الإدارية والتعليمية والتقويمية، وأوصت الدراسة برفع كفاءة القوة البشرية العاملة في مجال الأنظمة الإلكترونية بالتأهيل والتدريب

Community Algorithm: Classification of Users and Their Roles in a Community by Their Level of Interaction

Analysis of human communities is very much helpful in determining their trends and relationships among community objects. Community can be viewed as a social structure (network). There can be roles of leader or follower in such groups. Communities were defined as nested; i.e. one community can hold another; for example a geographical community may include a number of ethnical communities. Different computer science researchers define community as a graph and as a dense directed bipartite graph, which contains a complete bipartite subgraph of a certain size. Web community is a community of web pages, which can also be defined as “FLG-Communities”. There is a need of algorithm to analyze different human communities, which can deal with quantity of attributes. In this regard, Community Algorithm (CA) is proposed that will be helpful in identifying, analyzing, manipulating, monitoring, and transforming human communities based on human eProfiles. The algorithm is based on three major components that are ontologies, operators and community sticker. Operators are applied to make link between two existing (data) stickers and generating new stickers for individuals added in the community. Community Sticker is comprised over major characteristics of human eProfiles. Human Community Ontology is extended from Community Ontology and holds the definition of the Community Sticker. Profile Ontology categorizes different characteristics of human eProfiles. Three tools (TODE, LiveIT and GAHC) have been developed during the present research, for constructing iontologies and collecting experimental data to facilitate the research during experimentation and its analysis, regarding CA. A community (network) is formed when human eProfiles (nodes) have links (edges) and interactions with each other. If multiple medium of communications were considered like email, chatting and short message service (SMS) in the network, it would make the graph more complex (dense graph or forest). Fuzzy Graphs are utilized for analyzing and modeling levels of information in real-time systems (simple or complex networks). This research analyzes such human communities with the help of fuzzy graphs and highlights the status of individuals in a human community. Max-Min Composition (fuzzy relation) along with statistical analysis on fuzzy graphs of human community was applied, for critical analysis. Two different indices are also proposed and utilized in this research are, Interaction Index (II) and Role Index (RI). Interaction Index (II) was established in order to estimate the intensity of communication in different medium of communication. Similarly Role Index (RI) determines the participation status of individual in a human community. The research envisages towards development of CA, which describes the (computer based) interaction between individuals in a community measurable interaction between users in a community as well as the one between communities. Major attributes of the thesis are: · A novel concept of Community Sticker, having major characteristics of Human eProfile ii· Various ontologies holding the background information related to profiles and communities · Multiple operators helping in generating new data stickers for next generation and manipulating data stickers of current generation (community) · Several tools which help in analysis and experimentation of different human communities The thesis begun with Chapter 1 as of literature review to define major attributes of our research.