Original Research Article

EFFECTS OF EXTRINSIC AND ASSOCIATED SOCIODEMOGRAPHIC FACTORS ON JOB SATISFACTION AMONG NURSES AT SECONDARY HOSPITALS OF BORNO STATE, NIGERIA

HADIZA YAHAYA, ABDULLAHI SABO, ABIGAIL UCHENNA EMELOYE

Journal of Medicine and Health Research, Page 22-32

Introduction: The relevance of job satisfaction in optimal and efficient productivity in healthcare delivery, such as nursing services, cannot be over-emphasised. The mechanisms that drive job satisfaction are multifactorial. However, there is a lack of knowledge on the psychosocial mechanisms that drive job satisfaction in North-eastern Nigeria.

Objective: To determine the level and influence of extrinsic (hygiene) factors on job satisfaction and the influence of sociodemographic variables among nurses working in selected government hospitals in Borno State, Nigeria.

Study Design and Methodology: This quantitative descriptive cross-sectional design randomly (stratified) selected 399 participants (nurses) from a population of 695 nurses. A revised Nursing Work Index (NWI- R) questionnaire was adopted to collate data related to extrinsic factors of job satisfaction and sociodemographic variables of nurses. Data were analysed using Statistical Package for Social Science Version 23.0.

Results: The most frequently identified sociodemographic variables of the participants were those with 1-9 years of work experience, 256 (64.2%), basic (registered nurses), 235 (58.9%), those in surgical wards, 92 (23.1%), and those that work from 30 to 40 hours/ week, 214 (53.6%). The overall mean±SD (%) satisfaction for the hygiene factors was 93.55±21.85% (range: 53.63±12.49% [Policies and administration]) and 2.82±0.89% [Salary]. Marital status, qualifications, department/ward, hospital location, and working hours per week were significant sociodemographic characteristics associated with the nurses' hygiene factors (p<0.05). The levels of extrinsic factors related to interpersonal relationships in the hospitals were very high while salary was fair, all other evaluated items were moderate-high.

Conclusion: These findings put together suggest that discovered that all the extrinsic variables collectively determined nurses' job satisfaction. However, salary, administrative and managerial support, autonomy and responsibility, salary, supervision and working condition are positively associated with nurses' job satisfaction.

Original Research Article

A NOVEL DEEP LEARNING TECHNIQUE FOR ALCOHOL IMPAIRMENT USING VISUAL AND ACOUSTIC FEATURES

RAHUL KUSHWAH, RAJIV MURADIA, ANKUR SINGH BIST

Journal of Medicine and Health Research, Page 38-42

It has been frequently demonstrated that alcohol dependence is linked to emotional deficits, notably in the interpretation of emotional facial expressions. This paper presents the findings of several researches that investigated the impact of alcohol on speech acoustic-phonetic characteristics and on video. The method for detecting intoxication in a specific suspect using facial landmarks is the subject of the proposed study. The main objective of this research paper is to acquire an understanding of detection of alcohol of individuals before they start their job. The samples from various facial landmarks using facial video sequences and speech samples audio recordings using were then subjected to perceptual and acoustic analyses; were made of individual producing lists of sentences. This paper proposes real-time comprehensive employee alcohol impairment through our algorithm. This paper presents our views on the importance of detecting alcohol impairment considering the safety and health in the workplace at a preliminary stage with state-of-art technology before even starting a job.

It is found that facial lines changed significantly after consuming alcohol and that facial landmark vectors were the most predictive features. It is believed that consumption of alcohol produces changes in the speech production that are often described as slurred speech.

Tests revealed that under the influence of alcohol has been found to be slower, lower in all amplitudes, more prone to errors at the word, sentences and phonological levels. Our experiments are based on observations at different sites and novel deep learning architecture is proposed for giving real world performance.

Original Research Article

KNOWLEDGE REGARDING ERGONOMICS TO PREVENT HEALTH HAZARDS OF EXTENDED COMPUTERS USAGE AMONG ADMINISTRATIVE STAFF

ANANYA UPRETI, VEENA RAI, RAHUL BISHT

Journal of Medicine and Health Research, Page 43-49

Introduction: The science of creating a job to fit the worker is known as ergonomics. Ineffectiveness and suffering at work stem results from disregarding ergonomic principles. Poor seating, a lack of frequent short pauses while working, and poor viewing distance all contribute to symptoms like pain, numbness, tingling, etc. in various body parts like the wrists, shoulders, back, and legs as well as eye strains. Numerous health risks can be avoided with correct workplace organisation, seat height, working posture, armrest and backrest use, wrist and elbow alignment that is straight, and keyboard positioning.

Methodology: A self-structured knowledge questionnaire was used to collect data from 150 study participants who were chosen through the purposive sample method. To collect information about personal profile variables, a self-structured knowledge questionnaire is used. The study's results showed that the majority of participants, 60.7%, had average knowledge, 20.7% had poor knowledge, and 18.7% had good knowledge regarding ergonomics to prevent the health risks associated with prolonged computer use. Except for the length of computer stay, which was found to be statistically significant at the 0.05 level of significance, the majority of the demographic variables were not significantly associated with the level of administrative staff knowledge regarding ergonomic to prevent health hazards of extended computer usage.

Conclusion: Study concluded that administrative staff have average knowledge (60.7%) regarding ergonomic to prevent health hazard of extended computers usage and only 18.7 % of study participants have good knowledge regarding ergonomic to prevent health hazard of extended computers usage.

Original Research Article

EFFECTIVENESS OF NURSE LED INTERVENTION ON KNOWLEDGE AND PRACTICE ON SELF-CARE MANAGEMENT AMONG HYPERTENSIVE PATIENTS

S. JAYAPRAKASH, J. JASMINE

Journal of Medicine and Health Research, Page 50-60

Background: Hypertension is one of the major health problems and very essential part in research due to its high prevalence and being major risk factor for developing cardiovascular diseases and other complications even death. Hypertensive patients need to be aware of various aspects of hypertension and its effective management (selfcare management). The aim of the study was to evaluate the effectiveness of nurse led intervention on knowledge and Practice on self-care management among hypertensive patients in selected PHCs Puducherry, with the objectives of  to assess the Pretest and posttest level of knowledge and Practice on self-care management among hypertensive patients in experimental and control group, to evaluate the effectiveness of nurse led intervention on self-care management among hypertensive patients in experimental group and compare with the control group and to associate the posttest level of knowledge and practice on self-care management among hypertensive patients with their selected demographic variables in experimental group.

Methodology: For this work, a quantitative approach was employed in conjunction with a quasi-experimental pretest and posttest with control group design. The study was carried out at two designated PHCs in Puducherry (Thavalakuppam and lawspet). The purposive sampling technique was used to choose the sample size, which was 10 in the experimental group and 10 in the control group. Pretesting was carried out using a structured questionnaire and interview schedule in the experimental and control groups. While the control group's patients simply received regular hospital care, the experimental group received video-assisted teaching and a booklet. On the seventh day, both groups underwent a posttest using the same instrument.  

Results: The study results revealed that the post level of knowledge on self-care management, 90% of subjects are having adequate knowledge and 100% of subjects are having good Practice on self-care management in experimental group. Whereas in the control group post-test illustrated that the level of knowledge on self-care management, 80% of subjects are having inadequate knowledge and 100% of subjects are having moderate practice on self-care management.

Conclusion: The study found that, when compared to the control group, a particular nurse-led intervention was beneficial in increasing knowledge and practise of self-care management among diabetic patients in the experimental group.

Short Communications

HOW EFFECTIVELY DOES NOMOPHOBIA WORK ON STUDENTS?

WALI REHMAN, AJIT PAL SINGH

Journal of Medicine and Health Research, Page 33-37

Nomophobia is a term where ‘Nomo’ means no mobile and ‘phobia’ means fear. Though anyone can suffer from nomophobia. However, this disorder tends to affect adolescents the most, with the 14-16 age group being the most prevalent. Term nomophobia has incurred student's life and their obsession with a mobile phone has reached the point where they feel like they can’t survive without phones. As we are well aware of the fact that addiction to anything can harm human nature, nomophobia is an exact example of it. It’s one of the most dangerous distractions in a student’s life. Nomophobia has been the reason for several death cases:  losing their data, game addiction death, social anxiety, short-term memory loss, losing the ability to learn things easily and many more. The major issue is that people don’t realize that they are suffering from it because they’ve become habitual of it & the stage they’re at also matters. The sign and symptoms of this disease are so normal that one can’t easily recognize them, for example, anxiety, obsession, social anxiety, arrhythmia, headache, respiratory problem, socially incompatible etc. that’s why the diagnosis process of nomophobia is easy because of the student’s majority time expenditure in a virtual world rather than the real world.

Review Article

THE ROLE OF miR-92a, PI3K/Akt/mTOR SIGNALING PATHWAY, TFFs, AND NAG-1 IN GASTRIC MUCOSA INJURY

NGWA ADELINE NGENG, HAIBO HE, JIE LI, XIAO WANG

Journal of Medicine and Health Research, Page 1-15

The prevalence of stomach diseases is tremendously high, which has a significant impact on human health. Damaged gastric mucosa is more susceptible to injury, leading to bleeding and perforation,eventually exacerbating the underlying disease. Gastric ulcer (GU) is a common disease of the digestive system and is mainly caused by an imbalance between protective and aggressive factors of the gastric mucosa. Gastric cancer (GC) is one of the most common gastrointestinal cancer worldwide and has a high recurrence rate and mortality rate. Therefore, it is very important to protect the gastric mucosa. However, conventional medications that protect the gastric mucosa can cause mild side effects. In recent years, scholars at home and abroad have shown that miRNAs, PI3K/AKt/mTOR, TFFs and NAG-1 are involved in the process of gastric mucosa lesion, but the relationship between these are not clear. MicroRNAs (miRNAs) play an important role in the development of GCs. A recent study showed a significant increase in miR-92a expression in several cancers, including GC. Targeted therapies are needed for a more effective treatment of oncological diseases. PI3K/AKT/Mtor signaling pathway inhibitors include single and dual inhibitors. Many PI3K inhibitors have performed well in preclinical studies, and have entered clinically trials for hematological malignancies and solid tumors. As multiple inhibitors are developed, further studies on predictive biomarkers are needed to measure the specificity of any therapeutic intervention. Here, we briefly review recent knowledge about the PI3K/Akt/mTOR pathway and the roles of miR-92a and PI3K/Akt/mTOR pathway inhibitors in gastric cancer. We also discuss recent efforts on the mechanisms of chemical factors that regulate the gastric mucosa, such as, TFFS; NAG-1, and future perspectives on gastric mucosa protection are discussed.

Policy Papers

PROTOCOLS FOR BLOOD COLLECTION IN A BLOOD BANK

AJIT PAL SINGH, RAHUL SAXENA, SUYASH SAXENA

Journal of Medicine and Health Research, Page 16-21

Blood donation is an essential component of healthcare globally. It pertains to therapeutic phlebotomy as a main medical intervention and blood transfusion as a life-sustaining and life-saving treatment. Every year, people all across the world donate more than 100 million units of blood. This article aims to presents Protocols of Blood Collection in a Blood Bank.