The evaluation of educational work is one of the most pressing issues in education. Its implementation in Greece during the 2022-2023 school year, after a forty-year absence, presents a significant topic for both theoretical and empirical investigation. This study aims to explore this issue by first providing a theoretical examination of educational evaluation, clarifying key terms, and presenting its most critical aspects. The legal framework of teacher evaluation over the years is outlined, culminating in an analysis of the 2021 law, with its application examined through the research findings. The research part of this study investigates the perspectives of educators and administrators regarding the evaluation of educational work, particularly focusing on its implementation over the last two school years. The findings reveal that, in most cases, the evaluation was carried out in accordance with current legislation. However, certain aspects of the process, criteria, evaluators, and outcomes were identified as problematic or unclear, requiring improvements and clarifications to ensure the objectivity and effectiveness of the evaluation. Despite some concerns, teachers do not oppose the evaluation of their work; they consider it necessary and express a willingness to contribute their insights to the state, as they are the ultimate recipients and implementers of any educational evaluation legislation.
ORIGINAL RESEARCH ARTICLE | Nov. 14, 2024
Incidence and Risk Factors of Chronic Pain after Cesarean Delivery- An Observational Study
Dr. Tanzila Halim, Dr. Hasina Khatun, Dr. Bilkis Ferdous, Dr. Rowson Ara, Dr. Khodeza Khatun
Page no 560-567 |
DOI: https://doi.org/10.36348/sijog.2024.v07i11.005
Background: Chronic pain following cesarean delivery (CD) is a recognized postoperative complication affecting a notable proportion of women. The incidence and risk factors for chronic post-surgical pain in CD are influenced by physical, psychological, and procedural variables. Aim of the study: The aim of this study was to evaluate the incidence and risk factors of chronic pain after cesarean delivery. Methods: This cross-sectional observational study was conducted in Department of Obstetrics and Gynaecology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh, from March 2023 to February 2024. Total 100 women undergoing cesarean delivery were included in this study. Result: In our study, majority (46%) were in the age group of 18-24 years. About 53% participants with chronic pain reported preoperative anxiety (p = 0.015), and 47% reported depression compared to 9% in the non-chronic pain group (p < 0.0001). Chronic pain was present in 50% of anemic and 83% of malnourished participants (p < 0.0001 for both). Spinal anesthesia was associated with higher chronic pain (83%) than epidural (p < 0.0001). Surgery duration, intraoperative excessive bleeding (OR = 4.9, p < 0.0001) and wound infection (OR = 3.8, p < 0.0001) as well as postoperative wound infection (OR = 3.8; p < 0.0001) and excessive physical activity (OR = 4.2; p < 0.0001) also significantly increased chronic pain risk. Conclusion: This study highlights a significant incidence of chronic pain after cesarean delivery, with socioeconomic status, psychological factors, anemia, malnutrition, intraoperative complications, postoperative wound infection and excessive physical activity as strong predictors.
Background: Sickle cell disease (SCD) is an autosomal recessive disease characterized by production of abnormal hemoglobin S. The aim of this study is to review the history of SCD adults patients who were admitted to inpatient ward in Al-Ahsa, Saudi Arabia. Method: A retrospective cross sectional study was conducted through medical records chart review in King Fahad Hospital (KFH) in Al Ahsa to detect all SCD adults patients who were admitted to inpatient ward during 2013 to 2015. A structured Self designed questionnaire was reviewed and used during data collection from patients files. Results: A total of 130 patients were admitted to inpatient ward, consanguinity reported in 96.2 %. In the last visit, 64.3 % had diagnosed with vaso-occlusive crises, 10.1 % had sequestration crises, 13/2 % had acute chest syndrome, and 12.4% had gall stone. Complications of SCD included spleen removed (46.4%), infection (93%), anemia (93%) and acute chest syndrome (40.6%). Conclusion: SCD is considered as a load in the secondary health care services. Further studies need to be conducted in this subject.
ORIGINAL RESEARCH ARTICLE | Nov. 12, 2024
Prognostic Value of Serum D-dimer in Predicting Outcomes in COVID-19 Positive Pregnant Women
Dr. Shah Noor Sharmin, Dr. Tripti Das, Dr. Kazi Sanzida Haque, Dr. Tanzina Iveen Chowdhury, Dr. Mehera Parveen, Dr. Rowson Ara, Dr. Eva Parvine, Dr. Murshid Jahan Binte Ali, Dr. Rakiba Sultana, Dr. Fahmida Nusrat
Page no 554-559 |
DOI: https://doi.org/10.36348/sijog.2024.v07i11.004
Background: Combined effects of pregnancy induced hypercoagulability and SARS-CoV-2 infection place pregnant women with COVID-19 disease at high risk of severe outcome. COVID-19 severity has also been associated with serum D-dimer, a biomarker reflecting coagulation and fibrin degradation, in general populations. Despite its prognostic value in pregnant women, the prognostic value of this finding particularly in maternal outcomes remains less understood. The aim of this study was to determine whether elevated serum D-dimer levels in pregnant COVID-19 positive women are of prognostic significance for severe maternal outcomes. Methods: This retrospective observational study included 62 third trimester COVID 19 positive pregnant women admitted to the Department of Obstetrics and Gynecology, BSMMU, Dhaka from March 2019 to February 2020. Serum D-dimer were measured at admission and day 7, 14. D-dimer levels were related to clinical outcomes and statistically evaluated using chi square tests and logistic regression at p < 0.05. Results: Significantly associated with higher risk of severe outcomes, all of which included ICU admission, respiratory complications and adverse pregnancy events is elevated D-dimer levels (≥1.5 mg/L). In logistic regression analysis, patients with D-dimer levels of ≥1.5 mg/L had 3.5-fold greater odds of severe outcomes (OR 3.486; 95% CI, 1.184 to 10.263; p = 0.023). D-dimer had a sensitivity of 64.29%, 67.55% specificity in predicting severe outcomes. Conclusion: Serum D-dimer is valuable prognostic marker of disease severity in pregnant COVID-19 positive women and may be used for early risk assessment and clinical decision making. Routine measurement may help identify early high risk cases in order to improve maternal outcomes.
ORIGINAL RESEARCH ARTICLE | Nov. 12, 2024
The Clinical and Biochemical Profiles and Outcomes of Dengue Fever and Dengue Hemorrhagic Fever in Children During a Dengue Outbreak in 2022 at a Tertiary Care Hospital in Bangladesh
Dr. Md. Al Mamun Hossain, Dr. Pandora Glory, Dr. Mst. Hasna Hena, Dr Farzana Kabir, Dr Afroza Sultana, Dr. Zannat-ul- Sarmin, Dr. Afroza Islam Shuma
Page no 796-801 |
DOI: https://doi.org/10.36348/sjmps.2024.v10i11.004
This study aims to determine the analysis of the influence between the level of knowledge on the behavior of using paracetamol syrup in parents in the community and health care facilities in the city of Bandung. The research method used was analytic-correlation in a cross sectional approach. The sampling technique used was accidental sampling. Data collection was carried out using a questionnaire with data analysis using the Spearman Rank correlation test. The results showed that the level of knowledge of parents or guardians in the community (community) and three health care facilities in Bandung City (Pharmacy, Clinic, Puskesmas) the majority had high knowledge (65.13%). The behavior of using paracetamol syrup in parents or guardians in the community (community) and three health care facilities (Pharmacies, Clinics, Puskesmas) the majority had very good behavior (67.58%). In this study, the level of knowledge affects the behavior of paracetamol syrup use in the community (community) and three health care facilities in Bandung City (Pharmacies, Clinics, Puskesmas). So that the better the knowledge, the better the behavior of using paracetamol syrup.
ORIGINAL RESEARCH ARTICLE | Nov. 12, 2024
The Influence of Parents' Knowledge Level on the Behavior of Paracetamol Syrup Use in the Community and Health Service Facilities in the City of Bandung
Entris Sutrisno, Ani Anggriani, Jajang Japar Sodik, Nabila Putri, Ajeng Apriliani
Page no 789-795 |
DOI: https://doi.org/10.36348/sjmps.2024.v10i11.003
This study aims to determine the analysis of the influence between the level of knowledge on the behavior of using paracetamol syrup in parents in the community and health care facilities in the city of Bandung. The research method used was analytic-correlation in a cross sectional approach. The sampling technique used was accidental sampling. Data collection was carried out using a questionnaire with data analysis using the Spearman Rank correlation test. The results showed that the level of knowledge of parents or guardians in the community (community) and three health care facilities in Bandung City (Pharmacy, Clinic, Puskesmas) the majority had high knowledge (65.13%). The behavior of using paracetamol syrup in parents or guardians in the community (community) and three health care facilities (Pharmacies, Clinics, Puskesmas) the majority had very good behavior (67.58%). In this study, the level of knowledge affects the behavior of paracetamol syrup use in the community (community) and three health care facilities in Bandung City (Pharmacies, Clinics, Puskesmas). So that the better the knowledge, the better the behavior of using paracetamol syrup.
ORIGINAL RESEARCH ARTICLE | Nov. 12, 2024
Rainfall Variability, Flood Hazards and Adaptation Strategies in Douala IV and V Municipalities, Littoral Region of Cameroon
Aghedse Mizpah Pohk-seh, Ojuku Tiafack, Ngong Hycinth Tosam
Page no 357-367 |
DOI: https://doi.org/10.36348/sjhss.2024.v09i11.003
Excessive rainfall resulting to floods remain a thorny problem in developing countries including Cameroon. This follows the negative impacts of floods on the population, infrastructure and public services. This study examines rainfall variability, population vulnerability to floods and measures put in place by the population and other stakeholders to adapt to the situation in the Douala IV and V municipalities in Littoral Cameroon. The study exploits both primary and secondary sources data for its realization. Heads of households, quarter’s heads, municipal authorities and its personnel, and public administrative officials were contacted for data collection. The data focused on floods manifestation, their effects on the city, and adaptation strategies put in place to mitigate the negative outcomes. Data from semi structured interview conducted were analyzed using content analysis methods. Sociological and spatial data also collected were analyzed using remotely sensed techniques and statistical tools such as SPSS and Microsoft excel. Climatic data were collected from the urban council, the meteorological units in the town and the National Observatory on Climate Change of Cameroon. Sequential analyses (linear trend curves, standard deviations, and cumulative balances) were used to evaluate the evolution of rainfall and correlation to floods events. The result revealed that floods in Douala IV and V result from rainfall variability, characterized by deficit and excessive rains in the months of June, July, August and September. These heavy rains accompanied by human induced factors such as uncontrolled urbanization, anarchy in construction and occupation of wetlands, poor waste management, pollution of water ways and lack of drains for stagnant water evacuation leads to floods. Also, natural drivers such as the low relief of the area, a dense hydrographic network and contact with the Atlantic Ocean via the Wouri estuary result to floods. These floods are a problem to the health of the population, public services and infrastructure and sustainability of the city. Faced with the numerous damages caused by floods, remediation strategies such as: the construction of traditional dikes, solid house foundations, water embankments, and periodic weather forecasting by the National Observatory on Climate Change of Cameroon to reduce the negative outcomes of flooding has been ineffective in reduction of floods outcomes. Consequently, floods still remains a concern in Douala town. Good environmental practices such as civil education on hygiene and sanitation, periodic cleaning of drains, combats on deforestation of mangroves and afforestation campaigns, government investment on decentralization of waste collection and management will be productive in reducing the effects of floods in Douala. The implementation of all these remedial measures will not only ensure the safety of vulnerable civilian populations but the protection of their activities.