Tewodros eyob

Background:Pain management has always been an important part of dental care. Quality use of analgesics is thus paramount
in the safe and effective management of dental pain.
Objectives:to determine the quality use analgesics in dental out patient in Jimma University Specialized Hospital.
Method:In total 302 patient cards were reviewed from 22/01/2013-27/01/2013. Data were analyzed by using SPSS version
19.0.The age and sex distribution, the case and analgesic prescribed for each case were determined by descriptive statistics
method “frequency”
Results:There were more female patients (55%) than male patients (45%) in this study. The dental disorders most frequently
reported in this study were diseases of pulp and periapical tissue (49%). Most of the non-opioid analgesics were administered
orally. The most commonly prescribed non-opioid analgesic was Diclofenac (43%) followed by Paracetamol (36%). In total 2.2%
analgesics were prescribed concomitantly with gastro protective agent (Omeprazole). All gastro protective agents (7) were prescribed concomitantly with non-opioid analgesics only. No gastro protective agents were used with opioid analgesic.
Conclusion:The prescription analysis demonstrated that pain was neglected and the analgesics available are irrationally used.
Moreover, the absence of opiods analgesics in the clinical settings is confirmed by this study.
Key Words:Pain, Analgesics, Dentistry, Jimma

Background:  The consumption of  non-prescription medicines  is  on the rise  globally.  The use of  non-prescription
drug  is  often  perceived  as  safe  albeit  they  cause  numerous  health  problems  through  duplication  of  therapies,
interaction with prescribed medicines and other products.
Objective:  The  objective  of  this  study  was  to  assess  customers’  knowledge  and  attitude  towards  safety  of  nonprescription medicines.
Methods:  an  interview  based  study  was  conducted  among  169  consumers  in  a  randomly  selected  10  private
pharmacies in Jimma Town, Southwest Ethiopia, from January 28 to February 10, 2013
Results:  a total  of 169 complete questionairs  were available for analysis  of which  46(27.2%) bought prescription
only medicines whereas 123(72.8%) bought non-prescription medicines: either alone 97(57.4%) or in combination
with  prescription  only  medicines  26(15.4%).  The  decision  to  use  these  drugs  was  mainly  (55.3%)  based  on  a
pharmacist  (55.3%)  or on the basis of a personal decisions. The most  non-prescription medicines purchased were
Anti-helimentic drugs, followed by  dermatologicals, NSAIDs and Paracetamol. Around 45.5% and 8.9% claimed to
read  carefully  the  package  inserts  and  to  ask  pharmacists  information  about  non-prescription  medicines
respectively.
Conclusions: our study discovered a great misconception among consumers towards nonprescription medicines. To
the  worst,  both  community  pharmacists  and  physicians  backed  patients  to  consume  non -prescription  medication
without appropriate guidance. Thus, giving drug information and awareness creation need to be strengthened to
improve  knowledge  and  attitude  of  Jimma  town  private  pharmacy  customers,  community  pharmacists  and
physicians about risk factors for nonprescription medicines.
Key Words: nonprescription, medicines, customers, safety, drugs

Background:  Patient satisfaction is an attitude resulting from a person’s general orientation towards a total experience of health care. It is a key determinant and a legitimate measure for quality of care. In developing countries,
satisfaction studies were conducted mainly on nursing care and outpatient services.
Objective:  This study aims to measure and describe the level of patient satisfaction within inpatient health care
services.
Methods:  Across sectional study design was conducted from 8 May 2011 to 2 June 2011 at Jimma University Specialized Hospital. Systematic random sampling technique was employed to recruit participants. A standardized structured
questionnaire developed by reviewing similar literatures was used to assess the level of patient satisfaction towards
the inpatient services. SPSS version 19 statistical packages were used for data management and analysis.
Result:  A total of 189 patients participated. The proportion of overall net patient satisfaction was 117 (61.9%). Majority of the respondents 148 (78.3%) reported that they got the kind of service they anticipated. Cleanliness of the ward
145 (76.7%) and time to get back to home 27 (14.3%) were found to have the highest and the lowest proportion of
satisfied respondents, respectively. Patients with no formal education 60 (76.9%) and patients from the rural areas 75
(68.8%) were satisfied higher than those from their counterparts. Patients at medical 22 (61.1%) and ophthalmology
10 (62.5%) wards were less satisfied than patients in other departments.
Conclusion:  Nearly two third of the patients were found to be satisfied by the service they received from the hospital. Most of the patients found to be dissatisfied with the nursing, pharmacy and laboratory services, while some
others were still dissatisfied with the level of health education, communication and information they received about
their illness. Therefore, the hospital administration system should best work on new innovative approach to keep and
improve the administrative system, waiting time, hospital stay, hospital accommodation, access for medications and
laboratory services to bring patient satisfaction. Nurses and physicians should have to work best to improve health
education, communication and understanding between doctors/nurses and patients. Hospital reformation and modern hospital administration system could work best to keep and improve the level of patient satisfaction