738 research outputs found
PREVALENCE AND DETERMINANTS OF ANTIBIOTIC PRESCRIPTION FOR UPPER RESPIRATORY TRACT INFECTIONS AMONG CHILDREN ATTENDING THE OUTPATIENT CLINICS IN THARAKA-NITHI COUNTY
Upper respiratory tracts (URTI) are acute, self-limiting infection. In 80% of cases, the cause is viral. Consequently, routine antibiotics prescribing to treat URTIs is not justified as they have no clinical benefit and can contribute to antimicrobial resistance (AMR). However, clinicians are frequently prescribing antibioticswith no indication. AMR is one of the principal threats to public health throughout the world. This sequential explanatory study aimed to examine the prevalence of antibiotic prescriptions among under-fives with URTI and to determine the factors influencing prescriptions in Tharaka-Nithi County, Kenya. The first phase was a retrospective chart review withthe calculation of prevalence and Odds ratio. The researcher did asystematic sampling of charts of under-fives treated from December 2018 to November 2019 in outpatient for URTI. Children with a clinically suspected bacterial infection were excluded. This study found that antibiotic prescribing was 70.4%, and it was significantly associatedwith having tonsillitis, the level of education of the prescriber and living close to the hospital. In the second phase, medical officers and clinical officers working in the pediatric outpatient wereinterviewed. A thematic analysisrevealed the following influencing factors: easy access to antibiotics, lack of clinical confidence, limited clinical knowledge and communication skills, tonsillitis and reported fever,the workload in the outpatient clinic,parent's pressure. The recommendations include the reinforcement of regulations of antibiotic use inand out of hospitals with effective stewardship programs; focus on training clinicians regarding the indications of antibiotics,and training of clinicians to communicate effectively with patients. Hospitals should consider to reduce the workload of clinicians and to avail diagnostic testin
Man up: stories of Parvez and Muna
A collection of linked comic short stories about a young Muslim couple, tracing their relationship from their traditional courtship to the early parenthood.M.F.A.by Musa Syee
Bernard Pannagl's musa panagaea
Bernard Pannag1 (1666-1734, from 1684 member of Societas Jesu) was a gymnaSIUm teacher, predicator and 1ibrarian in the C1ementinum college in Prague. On1y five books of him are known, all of them in latin. One of these is Musa panagaea (edited probab1y in J anuary 1729), a collection of his schoo1 dramatic works. We bring an edition of the first part of the Musa panagaea, name1y the p1ays Joannes Nepomucenus, Divus Joannes Baptista and Romulus, with an introduction to the latin schoo1 drama in the 17. and 18. century and with informations about the author. There are no standard rules for the editions of the latin texts from 17. and 18. century, just some recommendations. The interpunction of that age in Bohemia hasn't been described and explained in detail s yet, and iťs different from the interpunction, which is used in the czech language (and in the enghsh as well) today; in our edition we use the czech modem interpunction so as the text can be easily read by modem readers. In the transcription of the words we respect the specific aspects of the modem latin (as we know especially from the works of Bohuslav Balbín) and we don't rewrite them in the c1assical latin way. Using of accents in the Musa panagaea is regular and we describe some rules, which we respect in the transcription of the text, but these..
Musa Dah i bliżej. Zaczynając od powieści Franza Werfla.
The subject of the first part of the article is an interpretation of Franz Werfel’s novel Forty days of Musa Dah, published in 1933 and containing in its the name of the place where five thousand Armenians made a stand against the Turks in September and October 1915. The book made the author a national hero of the Armenians. However, this Jewish writer simultaneously sensed the approaching Shoah. Hence, in the second part of the paper, I show how the novel grew in importance during World War II: Musa Dah was compared to the resistance in the Jewish ghettos (e.g. the situation of the population in Bialystok). Janusz Korczak was to discuss the novel in the summer of 1941, also the chronicler of the Warsaw Ghetto, Emmanuel Ringelblum, in June 25, 1942 compared the Warsaw Ghetto to Musa Dah.The subject of the first part of the article is an interpretation of Franz Werfel’s novel Forty days of Musa Dah, published in 1933 and containing in its the name of the place where five thousand Armenians made a stand against the Turks in September and October 1915. The book made the author a national hero of the Armenians. However, this Jewish writer simultaneously sensed the approaching Shoah. Hence, in the second part of the paper, I show how the novel grew in importance during World War II: Musa Dah was compared to the resistance in the Jewish ghettos (e.g. the situation of the population in Bialystok). Janusz Korczak was to discuss the novel in the summer of 1941, also the chronicler of the Warsaw Ghetto, Emmanuel Ringelblum, in June 25, 1942 compared the Warsaw Ghetto to Musa Dah
The story of Musa and Khidir in QS. al-Kahfi (18): 60-82 according to Al-Alusi’s perspective
Al-Qur’an contains much of deep messages, like in Q.S al-Kahfi 18:60-82. It told about the story Musa and Khidir’s journey, by using descriptive-analitic method. In this thesis the author have two problem formulations are: 1) How is the story Musa and Khidir in Q.S al-Kahfi: 60-82 according to Tafsir Al-Alusi perspective? 2) What is the relevance of story Musa and Khidir in Q.S al-Kahfi: 60-82 towards learning ethics?
Based on the problem formulation above, the author used two ways to analyze the data First, the author will inventory the verses related to the story of Musa and Khidir , namely Surat al-Kahf: 60-82, then interpret the verses using the perspective of the Tafsīr al-Alusi book in a descriptive-analytic manner so that it can be found out how the construction of the interpretations of these verses is actually comprehensive. Second, from al-alusi interpretation, we will know what is the message from the story. Then from the messages of the story, the author try to seek what is the relevance from the story between the ethic of a student with his teacher.
Based on the method of research above, the author concluds that the story of Musa and Khidir contains three hikmah are Having A Big Enthuasiasm In Learning, Be Polite And Tawadhu' To The Teacher And Having A Patience And Commitment To Learning
Bernard Pannagl's musa panagaea
Bernard Pannag1 (1666-1734, from 1684 member of Societas Jesu) was a gymnaSIUm teacher, predicator and 1ibrarian in the C1ementinum college in Prague. On1y five books of him are known, all of them in latin. One of these is Musa panagaea (edited probab1y in J anuary 1729), a collection of his schoo1 dramatic works. We bring an edition of the first part of the Musa panagaea, name1y the p1ays Joannes Nepomucenus, Divus Joannes Baptista and Romulus, with an introduction to the latin schoo1 drama in the 17. and 18. century and with informations about the author. There are no standard rules for the editions of the latin texts from 17. and 18. century, just some recommendations. The interpunction of that age in Bohemia hasn't been described and explained in detail s yet, and iťs different from the interpunction, which is used in the czech language (and in the enghsh as well) today; in our edition we use the czech modem interpunction so as the text can be easily read by modem readers. In the transcription of the words we respect the specific aspects of the modem latin (as we know especially from the works of Bohuslav Balbín) and we don't rewrite them in the c1assical latin way. Using of accents in the Musa panagaea is regular and we describe some rules, which we respect in the transcription of the text, but these..
Using hydraulic oscillator of Banu Musa for teaching relaxation oscillation
One of the introductory examples of scientific books and articles on relaxation oscillations is description of a tank containing a liquid and a siphon, which is known as Tantalus Cup. In this article, the author has shown that the origin of the cup can not be found in historical documents, and probably from the late eighteenth and early nineteenth centuries this device has appeared in laboratory and educational centers in Europe as teaching instrument. However, the thirty-second design of Alheyalbook of Banu Musa actually defines the means with the same performance but more completely than Tantalus Cup. In this article, this device is called "hydraulic relaxation oscillator of Banu Musa". First the history of the book and the life of author, Ahmad ibn Musa ibn Shaker Khorasani, is briefly stated. Thereafter, the historical and scientific record of Tantalus Cup is studied and the performance of the Cup is also described. Finally, Banu Musa's hydraulic oscillator based on relaxation is described in detail. The article claims that Banu Musa was the first engineer who used the relaxation oscillator in a mechanical device
“Musa callejera”: historia de un corpus inestable
Abstract: Literary critics have paid little attention to the textual history of Guillermo Prieto’s “Musa callejera”. When spoken of, his work is thought of as monolithic, whose only antecedent was Filomeno Mata’s 1883 edition, legitimized by the 1971 reprint that Francisco Monterde made for Porrúa publishing house. However, the structure of its textual history reveals three main facts which may modify the vision of Guillermo Prieto’s works: on one hand, that his very first book of poems, Versos inéditos, which completely propounds its own poetics, has been hidden in the author’s work; on the other hand, that Filomeno Mata’s “Musa callejera” is actually an anthology of Prieto’s poems, and finally, that “Musa callejera” is a literary project that the author continued until a few years before his death.Resumen: La historia textual del corpus “Musa callejera” de Guillermo Prieto ha sido poco estudiada por la crítica. Cuando se habla de él se piensa en una obra monolítica cuyo único antecedente es la edición publicada en 1883 por Filomeno Mata y legitimada por Francisco Monterde con su reedición de 1971 para la editorial Porrúa. Sin embargo, la construcción de su historia textual revela tres hechos fundamentales que implican un replanteamiento respecto de la obra del autor: por un lado, que el primer poemario de Guillermo Prieto, Versos inéditos, con toda una propuesta poética, ha quedado oculto en la producción del autor; por otro lado, que la “Musa callejera” de Filomeno Mata constituye en realidad una antología de la obra de Prieto, y finalmente que “Musa callejera” es un proyecto literario que el autor continuó hasta pocos años antes de su muerte
Un historien et anthropologue sénégalais : Shaikh Musa Kamara.
D. Robinson — A Senegalese Historian and Anthropologist : Shaikh Musa Kamara.
The author draws the historical background and the geographical setting of Shaikh Musa Kamara's life and regrets that, notwithstanding his being a prolific historian of the Fuuta Tooro, he be so unrecognized. Robinson recounts his life and divides it in three large periods: the thirty initial years, with a studious youth and three marking influences; the time at the beginning of the colonial period, which is not very well known; and the twenty-five last years when he took up writing. The article presents Kamara's works, their characteristics and topics. A complete list of his manuscripts and a detailed table of contents of his materpiece, the Zuhur, are appended.Robinson David. Un historien et anthropologue sénégalais : Shaikh Musa Kamara.. In: Cahiers d'études africaines, vol. 28, n°109, 1988. Mémoires, Histoires, Identités II. pp. 89-116
Pattern of Antibiotic Prescription for Upper Respiratory Tract Infections among Under- Fives in Outpatient Clinics in Tharaka-Nithi County
FULL TEXTThe World Health Organization (WHO) qualified antimicrobial resistance
(AMR) as one of the principal threats to public health globally and inappropriate antibiotic
prescription is its modifiable contributor. Therefore assessing antibiotic prescriptions for
URTI is an acceptable way to analyze the appropriateness of the prescriptions. However,
there is a paucity of data regarding the pattern of antibiotic prescriptions in rural hospitals
in Kenya. This study seeks to profile the pattern of antibiotic prescriptions among underfives
with URTI in Tharaka-Nithi County, Kenya.
This was a retrospective charts review of under-fives treated from November 2018 to
December 2019 for URTI in outpatient clinics in Chogoria and Chuka hospitals. A
systematic sampling of 385 charts was carried out using the table of Robert and Morgan
based on the total of 5000 URTI cases recorded. Charts of children with suspected bacterial
infections were excluded, and for cases of tonsillitis, only children with a modified Centor
score ≤3 were included. The binary logistic regression was used to assess the association
between variables with the calculation of Odd ratio with a CI of 95% using SPSS 24.
This study found that 70.4% of under-fives with URTI were prescribed antibiotics. The
prescriptions were associated with the diagnosis of tonsillitis as part of the URTI, OR
21(95%CI 4.52-99.3); the level of education of the prescriber with clinical officers
prescribing more than medical officers, OR 15.9(95%CI 6.98-36.2) and the patient’s
proximity to the hospital, OR 1.77(95%CI 1.22-2.77).
Antibiotics were prescribed to 70.4% of URTI cases. This percentage was higher than the
30% expected by WHO and was significantly associated with the diagnosis of tonsillitis,
the level of education of the prescriber and hospital accessibility. There is a need to train
clinicians about the indications of antibiotic prescriptions and to implement antimicrobial
stewardship programs in rural facilities.AISE
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