FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2066321245> ?p ?o ?g. }

• W2066321245 endingPage "1503" @default.
• W2066321245 startingPage "1502" @default.
• W2066321245 abstract "In developing countries primary health care workers are being trained to manage and treat acute respiratory infections with a protocol developed by the WHO. We tested the ability of nurses and nursing assistants in Swaziland to recognise the signs and symptoms of pneumonia; with the results of a paediatrician's examination as gold standard, sensitivities and specificities were calculated. Danger signs of stridor and abnormal sleepiness were poorly recognised (sensitivity 0-50%) by the health care workers, as was audible wheeze. Severe undernutrition, tachypnoea, and chest wall indrawing were well recognised. Overall, the recognition of pneumonia was good (sensitivity 71-83%, specificity 84-85%). These findings highlight topics for emphasis in training.In July-August 1989, 2 primary health care (PHC) workers (nurses and nurse's assistants) and a pediatrician used WHO case management protocol to assess the conditions of 362 2-59 month old children who came to Mbabane Government Hospital and the Salvation Army Clinic in Mbabane, Swaziland, with coughing (99%) and difficulty in breathing (29%). The PHC workers had earlier undergone a 5-day training period on identifying signs and symptoms of pneumonia. A consulting pediatrician and a public health official conducted this study to compare the ability of the PHC workers to recognize the clinical signs of pneumonia with that of the pediatrician (gold standard). 64% of the children had a history of fever, but only 12% had a fever (38.3 degrees Celsius) at admission. 4 children had had convulsions. The PHC workers did not do well at recognizing the danger signs of stridor and abnormal sleepiness (sensitivity 50% and 0-14%, respectively). They were able to correctly recognize the danger sign of severe undernutrition in 2 children, however. They correctly identified most children with true fever (sensitivity 73-76%), yet they also claimed that many children with normal temperature had a fever (specificity 62-78%). Thus they would have administered antipyretics to 2-3 times too many children. The nursing assistants detected audible wheeze in only 4 of 14 children with audible wheeze (sensitivity 29%), while the nurses only detected 2 such children (sensitivity 14%). Further, they diagnosed audible wheeze in 18 children who actually had blocked nostrils. They correctly identified fast breathing in almost 75% of cases. Nurses were more likely to correctly diagnose chest wall indrawing than the nursing assistants (sensitivity 68% vs. 34%; p = .0048). Overall, the training helped the PHC workers to diagnose pneumonia quit well (sensitivity 71-83%, specificity 84-85%). Future training programs must focus on recognition of 2 danger signs, stridor and abnormal sleepiness, however." @default.
• W2066321245 created "2016-06-24" @default.
• W2066321245 creator A5024197936 @default.
• W2066321245 creator A5066490756 @default.
• W2066321245 date "1992-12-01" @default.
• W2066321245 modified "2023-10-11" @default.
• W2066321245 title "Recognition of pneumonia by primary health care workers in Swaziland with a simple clinical algorithm" @default.
• W2066321245 cites W2038448366 @default.
• W2066321245 cites W2057728516 @default.
• W2066321245 cites W2068471695 @default.
• W2066321245 cites W2126054739 @default.
• W2066321245 doi "https://doi.org/10.1016/0140-6736(92)92757-7" @default.
• W2066321245 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/1361598" @default.
• W2066321245 hasPublicationYear "1992" @default.
• W2066321245 type Work @default.
• W2066321245 sameAs 2066321245 @default.
• W2066321245 citedByCount "23" @default.
• W2066321245 countsByYear W20663212452012 @default.
• W2066321245 countsByYear W20663212452015 @default.
• W2066321245 countsByYear W20663212452022 @default.
• W2066321245 countsByYear W20663212452023 @default.
• W2066321245 crossrefType "journal-article" @default.
• W2066321245 hasAuthorship W2066321245A5024197936 @default.
• W2066321245 hasAuthorship W2066321245A5066490756 @default.
• W2066321245 hasConcept C126322002 @default.
• W2066321245 hasConcept C138816342 @default.
• W2066321245 hasConcept C141071460 @default.
• W2066321245 hasConcept C159110408 @default.
• W2066321245 hasConcept C160735492 @default.
• W2066321245 hasConcept C162324750 @default.
• W2066321245 hasConcept C177713679 @default.
• W2066321245 hasConcept C187212893 @default.
• W2066321245 hasConcept C2776042228 @default.
• W2066321245 hasConcept C2777914695 @default.
• W2066321245 hasConcept C2778338976 @default.
• W2066321245 hasConcept C2781137159 @default.
• W2066321245 hasConcept C36454342 @default.
• W2066321245 hasConcept C40993552 @default.
• W2066321245 hasConcept C50522688 @default.
• W2066321245 hasConcept C512399662 @default.
• W2066321245 hasConcept C527108885 @default.
• W2066321245 hasConcept C551997983 @default.
• W2066321245 hasConcept C71924100 @default.
• W2066321245 hasConceptScore W2066321245C126322002 @default.
• W2066321245 hasConceptScore W2066321245C138816342 @default.
• W2066321245 hasConceptScore W2066321245C141071460 @default.
• W2066321245 hasConceptScore W2066321245C159110408 @default.
• W2066321245 hasConceptScore W2066321245C160735492 @default.
• W2066321245 hasConceptScore W2066321245C162324750 @default.
• W2066321245 hasConceptScore W2066321245C177713679 @default.
• W2066321245 hasConceptScore W2066321245C187212893 @default.
• W2066321245 hasConceptScore W2066321245C2776042228 @default.
• W2066321245 hasConceptScore W2066321245C2777914695 @default.
• W2066321245 hasConceptScore W2066321245C2778338976 @default.
• W2066321245 hasConceptScore W2066321245C2781137159 @default.
• W2066321245 hasConceptScore W2066321245C36454342 @default.
• W2066321245 hasConceptScore W2066321245C40993552 @default.
• W2066321245 hasConceptScore W2066321245C50522688 @default.
• W2066321245 hasConceptScore W2066321245C512399662 @default.
• W2066321245 hasConceptScore W2066321245C527108885 @default.
• W2066321245 hasConceptScore W2066321245C551997983 @default.
• W2066321245 hasConceptScore W2066321245C71924100 @default.
• W2066321245 hasIssue "8834-8835" @default.
• W2066321245 hasLocation W20663212451 @default.
• W2066321245 hasLocation W20663212452 @default.
• W2066321245 hasOpenAccess W2066321245 @default.
• W2066321245 hasPrimaryLocation W20663212451 @default.
• W2066321245 hasRelatedWork W1822248117 @default.
• W2066321245 hasRelatedWork W1839583537 @default.
• W2066321245 hasRelatedWork W1906898472 @default.
• W2066321245 hasRelatedWork W1974334898 @default.
• W2066321245 hasRelatedWork W1976296622 @default.
• W2066321245 hasRelatedWork W1995056710 @default.
• W2066321245 hasRelatedWork W2120091585 @default.
• W2066321245 hasRelatedWork W2156325297 @default.
• W2066321245 hasRelatedWork W2559656103 @default.
• W2066321245 hasRelatedWork W3093158126 @default.
• W2066321245 hasVolume "340" @default.
• W2066321245 isParatext "false" @default.
• W2066321245 isRetracted "false" @default.
• W2066321245 magId "2066321245" @default.
• W2066321245 workType "article" @default.