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Male involvement in birth preparedness through health Facility community dialogue in kajiado county- Kenya 肯尼亚卡贾多县通过卫生机构社区对话促进男性参与生育准备工作
Pub Date : 2023-08-29 DOI: 10.58489/2836-2179/020
Hellen n. Mutsi, P. Kabue, Justus w. Ngatia
Birth preparedness enables families to prepare for pregnancy thus increasing the uptake of antenatal care, skilled birthing, and postnatal care, enhancing readiness to handle pregnancy complications and first delays experienced in seeking obstetric care. Male partners influence maternal health outcomes due to their financial power and cultural endowment. Health facility community dialogue through maternity open days provides a platform for pregnant mothers, and their families/ community to interact with health care providers, visit maternity units, demystify birthing practices, and mitigate any fears/misconceptions/ myths about the birthing process thus empowering them on their reproductive health rights. Kenya has limited data on male involvement in birth preparedness through health facility community dialogue/maternity open days. The study objectives were to explore health system factors and nomadic cultural community factors that influence male involvement in birth preparedness through health facility community dialogue. Data was collected through structured guided interviews for focused group discussions on eighteen participants and two community health volunteers as key information informants. Health system factors that influence birth preparedness were; infrastructure: space, confidentiality, privacy, adequacy of beds/beddings, cleanliness, hot beverage/showers after birth, waiting time, and health care provider attitude. Nomadic cultural community factors were value-belief. The study showed the above factors hindered male involvement in birth preparedness.The county government of Kajiado to come up with health facility community dialogue forums on birth preparedness through open maternity days by having an annual budget.
分娩准备使家庭能够为怀孕做好准备,从而提高产前护理、熟练分娩和产后护理的使用率,增强处理妊娠并发症和首次延误寻求产科护理的准备。男性伴侣因其经济实力和文化禀赋而对孕产妇保健结果产生影响。通过 "孕产妇开放日 "开展医疗机构社区对话,为孕产妇及其家庭/社区提供了一个与医疗服务提供者 互动、参观产科病房、揭开分娩过程的神秘面纱、减轻对分娩过程的恐惧/误解/迷信的平台,从而增强她们在 生殖健康权利方面的能力。肯尼亚有关男性通过医疗机构社区对话/产科开放日参与分娩准备的数据十分有限。研究目标是通过医疗机构社区对话,探讨影响男性参与分娩准备的医疗系统因素和游牧文化社区因素。通过对 18 名参与者和两名社区卫生志愿者作为关键信息提供者进行结构化引导访谈和重点小组讨论来收集数据。影响备产的医疗系统因素包括:基础设施:空间、保密性、隐私、床位/床铺是否充足、清洁度、产后热饮/淋浴、等待时间以及医疗服务提供者的态度。游牧文化社区的因素是价值信念。研究表明,上述因素阻碍了男性参与分娩准备工作。卡贾多县政府应通过年度预算,在产科开放日期间举办关于分娩准备工作的医疗机构社区对话论坛。
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引用次数: 0
Modern Directions of Rhythmic Gymnastics as A Means of Increasing the Level of Physical Development and Physical Preparedness of Students 韵律体操作为提高学生体能发展水平和身体素质的手段的现代发展方向
Pub Date : 2023-07-24 DOI: 10.58489/2836-2179/019
Serhii Popel, Faychak R.I
Today in Ukraine, the incidence among women remains high, and in some nosological units, especially in the musculoskeletal system, endocrine and reproductive systems, very high. At the same time, there is a powerful arsenal of rehabilitation and recreational tools and programs aimed at restoring and maintaining a safe level of physical health and the necessary quality of life for women in modern society. units, especially from the musculoskeletal system, endocrine and reproductive systems, very high. At the same time, there is a powerful arsenal of rehabilitation and recreational tools and programs aimed at restoring and maintaining a safe level of physical health and the necessary level of quality of life for women in modern society. to analyze the impact of various sports and health areas of rhythmic gymnastics under the program "Rhythmic gymnastics and aerobics in physical education classes" on the level of physical development and physical fitness of students. Analysis and systematization of scientific and methodological literature, observation, survey, testing of physical fitness; measurement of anthropometric indicators; methods of mathematical statistics. Modern directions of rhythmic gymnastics as a means of increasing the level of physical development and physical fitness of female students. The article presents the results of the study of the effectiveness of the author's program of complex use of modern sports and health-improving directions of rhythmic gymnastics and presents the results of studies of the influence of the program on the level of physical development and physical fitness of female students. Studies have shown that EG students have decreased anthropometric parameters when calibrating the subscapular and abdominal skin folds, decreased body weight, and shoulder circumference at rest. There is a significant increase (33.9%) in the parameters of flexibility when tilting the torso forward which is explained by the fact that in the complexes of exercises of the program was used a significant number of exercises that are associated with mobility not only in large but also, especially in small joints. The application of techniques for the development of dynamic force in various areas of strength aerobics has also increased the force in bending and unbending the arms in the supine position, as well as lifting in the saddle for 1 minute. Indicators of a long jump from a place and shuttle running in both groups do not differ essentially because, in the program of employment, there were no exercises of speed and power orientation. However, the measurement of aerobic cyclic movements (running 100 m) showed that in EG the indicator increased by 7.48%, and in CG - only by 2.49%. Indicators of aerobic capacity (running 2000 m) increased by 12.59%, while in EG, and in CG, this figure has not changed significantly - only 3.7%. Research has confirmed the effectiveness of the proposed rhythmic gymnastics and aerobics program, aimed at imp
今天,乌克兰妇女的发病率仍然很高,在某些疾病领域,尤其是肌肉骨骼系统、内分泌系统和生殖系 统,发病率非常高。与此同时,乌克兰拥有强大的康复、娱乐工具和方案库,旨在恢复和维持现代社会妇女的身体健康和必要 的生活质量。与此同时,还有一个强大的康复和娱乐工具及方案库,旨在恢复和保持现代社会妇女的安全身体 健康水平和必要的生活质量水平。分析 "体育课中的韵律体操和健美操 "方案下韵律体操的各种运动 和健康领域对学生身体发育水平和身体素质的影响。科学和方法文献、观察、调查、体能测试的分析和系统化;人体测量指标的测量;数 学统计方法。韵律体操作为提高女学生身体发育水平和身体素质的手段的现代方向。文章介绍了作者综合运用现代体育和提高健康水平的韵律体操方向方案的有效性研究结果,并介绍了该方案对女学生身体发育和体能水平影响的研究结果。研究表明,在校准肩胛下和腹部皮肤褶皱时,EG 学生的人体测量参数有所下降,体重和肩围在静止时也有所下降。躯干前倾时的柔韧性参数有明显增加(33.9%),这是因为在该计划的综合练习中使用了大量与大关节和小关节活动度相关的练习。在强度有氧运动的各个领域应用动态力量发展技术,也增加了仰卧位手臂弯曲和松开的力量,以及在鞍座上抬起 1 分钟的力量。两组的原地跳远和往返跑指标没有本质区别,因为在就业计划中没有速度和力量定向练习。然而,有氧循环运动(跑 100 米)的测量结果显示,EG 的指标提高了 7.48%,而 CG 仅提高了 2.49%。有氧能力指标(跑 2000 米)增加了 12.59%,而在 EG 和 CG 中,这一数字变化不大--仅为 3.7%。研究证实,旨在提高学生身体发育和体能水平的韵律操和健美操课程非常有效。我们制定的方案为在体育俱乐部、体育部门或提高和康复方向的团体以及其他体育和提高机构中开展不同方向的韵律体操联合就业提供了机会。
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引用次数: 0
Deformability Of Erythrocytes And Microcirculation In Old Patients With Hypoxia Of Various Genesis 不同成因缺氧的老年患者红细胞和微循环的变形能力
Pub Date : 2023-07-22 DOI: 10.58489/2836-2179/018
P. Bejga, S. L. Popel
Age-related changes in the deformability of erythrocyte membranes against the background of heart and respiratory failure exacerbate disorders of the blood supply to tissues and organs at the microcirculatory level, which is an important factor in worsening the prognosis of the disease, especially in people over 60 years of age. The purpose of the work is to investigate the patterns of changes in the deformability of erythrocyte membranes against the background of heart and respiratory failure in older people. In older patients against the background of COPD and CHF, a decrease in the deformability of erythrocyte membranes and associated microcirculation disorders against the background of hypoxia are detected. Age-related physiological changes in the morpho-functional state of erythrocyte membranes and changes in the deformability of their membranes against the background of somatic pathology (heart, respiratory failure, fever) lead to a syndrome of mutual weighting, exacerbate disorders of the blood supply to tissues and organs at the microcirculatory level, which is an important factor in worsening the prognosis diseases, especially in people over 65 years of age.
在心脏和呼吸衰竭的背景下,与年龄有关的红细胞膜可变形性变化加剧了微循环层面组织和器官的供血障碍,这是导致疾病预后恶化的一个重要因素,尤其是对 60 岁以上的老年人而言。这项工作的目的是研究在老年人心力衰竭和呼吸衰竭的背景下,红细胞膜变形能力的变化规律。在慢性阻塞性肺病和慢性心力衰竭的背景下,老年患者的红细胞膜变形能力下降,并在缺氧的背景下出现相关的微循环障碍。与年龄有关的红细胞膜形态功能状态的生理变化以及在躯体病变(心脏、呼吸衰竭、发热)背景下红细胞膜变形能力的变化导致了相互加重综合征,加剧了微循环层面组织和器官的供血障碍,这是导致疾病预后恶化的重要因素,尤其是对 65 岁以上的老年人而言。
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引用次数: 0
The Level of Mother's Anxiety in Dealing with Diarrhea in Toddlers 处理幼儿腹泻时母亲的焦虑水平
Pub Date : 2023-04-24 DOI: 10.58489/2836-2179/017
Desi Meliana Gultom, Ummi Irmadani Harahap, Evi Erianty Hasibuan
Diarrhea is something condition Where somebody poop with consistency mushy or liquid, even can either water or accompanied mucus and blood. The frequency more often (usually three times or more) in One resulting day _ lost fluid and electrolyte. Study This aim for now the Level of Anxiety Mother in Face Diarrhea on Toddlers at the Health Center Labuan Rasoki Subdistrict Southeastern Padangsidimpuan. Can be measured with 5 categories that is No anxious, mild, moderate, severe and very heavy. The method used is quantitative with design descriptive with use questionnaire about level worry based on age, education, occupation and source information. Study This done in 31 mothers as sample taken _ with technique Accidental Sampling. Results study served in distribution frequency and percentage. From the results study find that level worry respondent experience level worry currently as much as 1 person (3%), level worry heavy as many as 2 people (6%) and level worry very heavy as many as 28 people (91%). So concluded that Level of Anxiety Mother in Face Diarrhea on Toddlers at the Health Center Labuhan Rasoki concern Southeast Padangsidimpuan In 2020 the majority experience level worry is very heavy.
腹泻是一种情况,当某人大便呈糊状或液体,甚至可能是水或伴随的粘液和血液。在一天中更频繁地(通常是三次或更多)失去液体和电解质。本研究旨在了解巴东西丁普安东南部纳闽拉索基街道健康中心幼儿面部腹泻的焦虑母亲水平。可分为无焦虑、轻度、中度、重度、极重5类。采用基于年龄、教育程度、职业和来源信息的定量、设计、描述和使用的焦虑水平问卷调查方法。本研究以31位母亲为样本,采用随机抽样技术。结果分析了分布频率和百分比。从结果研究中发现,重度担忧受访者目前经历重度担忧者多达1人(3%),重度担忧者多达2人(6%),重度担忧者多达28人(91%)。因此得出结论,焦虑水平的母亲面对腹泻的幼儿在健康中心Labuhan Rasoki关注东南部Padangsidimpuan在2020年,大多数经验水平的担忧是非常重的。
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引用次数: 0
Factor that associated with Knowledge and Attitude toward pediatric pain management among nurses in Hiowt Fana Specialized Referral Hospital, Harar, Ethiopia 埃塞俄比亚哈拉尔Hiowt Fana专科转诊医院护士对儿科疼痛管理知识和态度的相关因素
Pub Date : 2023-04-22 DOI: 10.58489/2836-2179/016
Arif Hussen Jamie, Dr. Elias Sertse Gebremedhin
Introduction: - Thoughtful management Analgesia is essential for ill persons due of its physiologic and psychological benefits. So, the objective of this study is to determine the knowledge and attitude toward pediatric pain management among the nurses in Hiowt Fana Specialized Referral Hospital, Harar, Ethiopia. Methods: - An institutional-based cross-sectional study was conducted from 10 to 20 September 2023 among 198 participants. A simple random sampling technique was used to select the study subjects. The data were collected by using a structured, pretested, self-administered questionnaire. Data analyzed by using SPSS 24. Mono, bi and multivariate analyses were performed. Variables with a p<0.05 in bi-variate analysis were entered into multiple logistic regression and variables with a p<0.05 in multivariate analysis were considered statistically significant associations. Result: - A total of 122(63%) respondents had good knowledge and 262 (66.7%) had a favorable attitude toward pediatric pain management. Educational status of respondents [AOR=3.1; 5% CI :( 1.52, 4.21)], working place ( ward )[AOR=3.27; 95% CI: (2.01, 5.89)] and in-service training [AOR= 5.29; 95% CI: (1.28, 10.34)] were significantly associated with knowledge on pediatric pain management and Service years (work experience) [(AOR = 3.42; 95% CI (1.23–7.35)] and Training [AOR = 2.17; 95% CI (1.13–3.59)], had significantly association with attitude on pediatric pain management. Conclusion: - Around two third of the participants and slightly greater than half of the respondents had good attitude and positive attitude toward pediatric pain management respectively. Educational status of respondents, working place and in-service training were significantly associated with knowledge on pediatric pain management and service years (work experience) and training had significantly association with attitude on pediatric pain management Therefore, for better pediatric pain management, it is recommended to provide continuous training for nurses.
由于镇痛对病人的生理和心理都有好处,因此它是必不可少的。因此,本研究的目的是确定埃塞俄比亚哈拉尔Hiowt Fana专科转诊医院护士对儿科疼痛管理的知识和态度。方法:一项基于机构的横断面研究于2023年9月10日至20日在198名参与者中进行。采用简单的随机抽样技术选择研究对象。数据是通过使用结构化的、预先测试的、自我管理的问卷来收集的。数据分析采用SPSS 24。进行单因素、双因素和多因素分析。双变量分析中p<0.05的变量被输入到多元逻辑回归中,多变量分析中p<0.05的变量被认为有统计学意义。结果:122名(63%)受访者对儿童疼痛管理有良好的认识,262名(66.7%)受访者对儿童疼痛管理有良好的态度。被调查者学历状况[AOR=3.1;5% CI:(1.52, 4.21)],工作场所(病房)[AOR=3.27;95% CI:(2.01, 5.89)]和在职培训[AOR= 5.29;95% CI:(1.28, 10.34)]与儿童疼痛管理知识和工作年限(工作经验)显著相关[(AOR = 3.42;95% CI(1.23-7.35)]和Training [AOR = 2.17;(95% CI(1.13-3.59))],与儿童疼痛处理态度显著相关。结论:约三分之二的参与者和略多于一半的受访者分别对儿童疼痛管理持良好态度和积极态度。被调查者的教育程度、工作地点和在职培训与儿童疼痛管理知识显著相关,服务年限(工作经验)和培训与儿童疼痛管理态度显著相关。因此,为了更好地管理儿童疼痛,建议对护士进行持续培训。
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引用次数: 0
Tai-chi versus stretching exercises to manage fatigue in patients receiving hemodialysis: a randomized clinical trial 太极拳与伸展运动对抗血液透析患者的疲劳:一项随机临床试验
Pub Date : 2023-04-21 DOI: 10.58489/2836-2179/014
V. Naseri-Salahshour, Farshid Alazmani Noodeh, Faeze Baniyaghoobi, M. Sajadi
Background: Fatigue is one of the common complications of hemodialysis. The purpose of this study was to compare the effect of Tai-chi (TC) and stretching exercises (SE)on fatigue in patients receiving hemodialysis. Methods: A double-blind randomized clinical trial was undertaken with42 eligible patients receiving unit hemodialysis in Iran. Patients were randomly assigned to the first intervention (I1) (n=14), second intervention (I2) (n=14) and control (C) (n=14) group. The standard Multidimensional Fatigue Inventory (MFI) was completed at baseline and after 6 weeks else. In the I1group, SE was performed for 6 weeks and included 18 sessions for 40 to 60 minutes. In the I2group, TC was offered over 6 weeks and 18 sessions (40 to 60 minutes) were performed. During this period, the control group did not receive any training. Finally, the data were analyzed with SPSS Ver. 16 using descriptive and inferential statistics. Results: At baseline, there was no significant difference in fatigue score between the three groups (P>0.05). Post-intervention the fatigue score in the intervention groups was significantly lower than the control group. (P<0.05). Although the fatigue score decreased in both intervention groups, this decrease was more significant in I1 than I2 (p=0.01). Conclusions: SE and TC reduced fatigue in patients receiving hemodialysis in this study. Therefore, considering the simplicity, safety, and cost-effectiveness of these methods, it is suggested they are implemented for use in hemodialysis units. Trial registration: The present study was registered on 06/04/2019 in the Iranian registry of clinical trials (IRCT20161223031522N10).
背景:疲劳是血液透析的常见并发症之一。本研究的目的是比较太极拳(TC)和伸展运动(SE)对血液透析患者疲劳的影响。方法:在伊朗对42例接受单位血液透析的患者进行双盲随机临床试验。将患者随机分为第一次干预组(I1) (n=14)、第二次干预组(I2) (n=14)和对照组(C) (n=14)。在基线和6周后完成标准多维疲劳量表(MFI)。在i1组中,SE进行了6周,包括18次,每次40至60分钟。在i2组,TC提供超过6周,进行18次(40至60分钟)。在此期间,对照组没有接受任何训练。最后,使用SPSS Ver. 16对数据进行描述性统计和推理统计分析。结果:基线时,三组患者疲劳评分比较,差异无统计学意义(P>0.05)。干预后,干预组的疲劳评分明显低于对照组。(P < 0.05)。两组患者的疲劳评分均有所下降,但I1组较I2组下降更显著(p=0.01)。结论:在本研究中,SE和TC可减轻血液透析患者的疲劳。因此,考虑到这些方法的简单性、安全性和成本效益,建议在血液透析单位实施使用。试验注册:本研究于2019年6月4日在伊朗临床试验注册中心(IRCT20161223031522N10)注册。
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引用次数: 0
Has The English NHS Shattered, Metaphorically and Physically? Is it a reflection of a Global Healthcare Crisis? 英国国民健康保险制度已经崩溃了吗?这是全球医疗危机的反映吗?
Pub Date : 2023-04-21 DOI: 10.58489/2836-2179/015
Dr. Clare Holt
The English National Health Service (NHS) is one of the largest employers in the world with a global reputation of being at the forefront of medical research and high standards of treatment. Despite this, it is currently in a state of crisis with nurses going on strike for the first time in its history, paramedics also striking, and junior doctors experiencing burnout like never before. Working as a tutor, lecturer, and mentor on healthcare leadership programs in the UK, the author is hearing first-hand how exhausted so many of the English NHS workforce are and they have had enough of not being heard by the leaders of the organization. This critical review explores some of the serious considerations as to why this world-renowned health service is shattered – both in the metaphorical sense, but also physically.
英国国家医疗服务体系(NHS)是世界上最大的雇主之一,在医学研究的前沿和高标准的治疗方面享有全球声誉。尽管如此,它目前仍处于危机状态,护士们有史以来第一次罢工,护理人员也在罢工,初级医生们前所未有地经历了倦怠。作为英国医疗保健领导项目的导师、讲师和导师,作者第一手听到了许多英国NHS员工是多么疲惫,他们已经受够了不被组织领导人听到。这篇批判性的评论探讨了一些严肃的问题,即为什么这个世界闻名的卫生服务被打破了——无论是在隐喻意义上,还是在物理上。
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引用次数: 0
The Impact of First Aid Training Program on School Health Staff Knowledge, Attitude and Practice at National Guard Girl Schools in Riyadh-Saudi Arabia 沙特阿拉伯利雅得国民警卫女子学校急救培训项目对学校卫生人员知识、态度和行为的影响
Pub Date : 2023-03-28 DOI: 10.58489/2836-2179/013
Haya M. Al Fozan, H. Al-Ghadeer, Sitah Al-Shutwi, Hend Elazazey, Zahraa H. Al-Nasser, Aouhood Alharbi, Abdullah Alangari
Aim of the study was to evaluate the impact of the first aid training program on school health staff knowledge, attitude, and practice at the National Guard girl schools, Riyadh-Saudi Arabia. Materials and Methods: Quasi-experimental design was used. A purposive sample was conducted to enroll the study participants, the total number was 103 school health staff. A structured self-administered questionnaire was designed. Results: The findings pointed out the mean age of the participants was (38.32 + 5.08). Sixty percent of the participants had less than 5 years of experience as school health staff and only 11.7% of them had received prior first aid training. There was a statistically significant difference between the total mean scores of the participants’ knowledge and practice in pre/post-test. There was a substantial shift in participants’ positive attitudes towards the training program in the post-test compared to the pretest. Conclusion: Based on the results of the present investigation, there was an improvement in school health staff (advisors) knowledge, practices, and attitude towards first aid after application of the program. Recommendation: A national initiative is highly recommended to make all schools in Saudi Arabia a safer environment through the provision of a national first aid program for school health advisors (staff).
本研究的目的是评估急救培训计划对沙特阿拉伯利雅得国民警卫队女子学校卫生人员的知识、态度和实践的影响。材料与方法:采用准实验设计。本研究采用有目的的抽样方法,共纳入103名学校卫生工作人员。设计了一份结构化的自我管理问卷。结果:研究结果指出,参与者的平均年龄为(38.32 + 5.08)。60%的参与者担任学校卫生工作人员的经验不足5年,其中只有11.7%的人接受过急救培训。被试的知识和实践总均分在测试前和测试后有显著的统计学差异。与测试前相比,测试后参与者对培训计划的积极态度有了实质性的转变。结论:根据本调查结果,学校卫生工作人员(辅导员)在应用该项目后,急救知识、实践和态度均有改善。建议:强烈建议采取一项国家行动,通过为学校卫生顾问(工作人员)提供国家急救方案,使沙特阿拉伯所有学校的环境更加安全。
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引用次数: 0
The application and evaluation of an augmented-reality-based physical and cognitive stimulation programme for older adults 基于增强现实的老年人身体和认知刺激计划的应用和评估
Pub Date : 2023-03-27 DOI: 10.58489/2836-2179/012
Pablo Avilés-Martínez, María del Carmen García-Collado
The aim of this paper is to present the results of research analysing the incorporation of virtual or augmented reality into a programme based on physical and cognitive stimulation in older adults and to evaluate its effects following its application. The specific objectives were to verify whether the intervention had a positive effect on the cognitive deterioration of older adults as far as their mobility and fall risk were concerned and whether it was possible to observe any significant differences. A total of 18 people over the age of 65, all of whom were users of a day centre for the elderly, participated in this research. In terms of methodology, the study employed a quasi-experimental approach with two groups and both a pretest and a posttest to analyse the data quantitatively and descriptively. Three scales adapted to a Spanish population were used to measure cognitive deterioration, mobility and fall risk and to evaluate mental disorders in old age. As far as the results are concerned, although no statistically significant data have been found, it has been possible to appreciate slight improvements which suggest that virtual or augmented reality is a tool which can be used to complement physical and cognitive intervention programmes and activities in day centres for the elderly, incorporating aspects of an interactive nature which allow people to exercise and recover basic abilities in their everyday life, particularly in the area of cognition.
本文的目的是介绍一项研究的结果,分析将虚拟或增强现实结合到基于老年人身体和认知刺激的计划中,并评估其应用后的效果。具体目标是验证干预是否对老年人的认知退化有积极影响,就他们的行动能力和跌倒风险而言,以及是否有可能观察到任何显著差异。共有18名65岁以上的老人参加了这项研究,他们都是老年人日间中心的用户。在方法学方面,本研究采用两组准实验方法,同时采用前测和后测对数据进行定量和描述性分析。三种适用于西班牙人群的量表被用于测量认知退化、活动能力和跌倒风险,并评估老年精神障碍。就结果而言,虽然没有发现有统计学意义的数据,但已经有可能欣赏到轻微的改进,这表明虚拟或增强现实是一种工具,可以用来补充老年人日间中心的身体和认知干预计划和活动,结合互动性质的各个方面,使人们能够锻炼和恢复日常生活中的基本能力。尤其是在认知领域。
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引用次数: 0
Ecocity in the COVID-19 era
Pub Date : 2023-01-30 DOI: 10.58489/2836-2179/011
C. Lirios, Victor Hugo Meriño Cordoba, Carmen Ysabel Martinez de Meriño
The system of co-management and co-administration of public services known as governance has been extensively addressed in terms of its dimensions, but an analysis of the process has not been established so far. The objective of this work has been to confirm the factorial structure reported in the literature. Two studies were carried out, one exploratory and the other confirmatory to the factorial structure of the Expected Governance Scale of Carreón (2021), establishing three factors: expected resolution, perceptions of agreements and expectations of responsibilities, although the research design limited the findings to the sample of analysis, suggesting the extension of the model to other moderating factors such as leadership.
被称为治理的公共服务的共同管理和共同行政制度已就其各方面进行了广泛讨论,但迄今尚未对这一进程进行分析。这项工作的目的是确认在文献中报道的析因结构。对Carreón(2021)的预期治理量表的析因结构进行了两项研究,一项是探索性的,另一项是验证性的,建立了三个因素:预期决议、对协议的感知和对责任的期望,尽管研究设计将研究结果限制在分析样本中,建议将模型扩展到其他调节因素,如领导力。
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Emergency and Nursing Management
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