Janaíne Machado Tomé, Daniela Cristina Silva Resende, Isabela Aparecida Gonçalves Prada, Adriana Paula da Silva, B. P. Ferreira, Elvi Cristina Rojas Fonseca, Beatriz Hallal Jorge Lara, Maria de Fátima Borges
AIMS: To evaluate the main barriers and motivations for metabolic control in patients with Diabetes Mellitus. METHODS: 101 patients assisted at the Endocrinology and Metabology service with clinical and laboratory diagnosis of Type 2 Diabetes were invited to participate in the research and answer a questionnaire developed by the authors, consisting of 65 questions, to assess barriers and treatment motivations. RESULTS: There was a predominance of females (75.2%), low education level (57.4%), income between 1.5-3.0 minimum wages (60.4%), Catholic affiliation (65.3%) and use of oral antidiabetic associated with insulin (43.6%). Patients demonstrated knowledge about the disease and the importance of maintaining good metabolic control. Most reported family support and acceptance in respect to the fact of suffering from diabetes, as well as stress related to eventual symptoms. The main motivating factors found were family relationships and personal religiosity. CONCLUSION: Ignorance and misunderstanding of some aspects of the disease, lack of support from the health system and non-acceptance of the disease are factors that interfere in the control. On the other hand, family relationships and religious engagement were considered highly motivating factors, encouranging patients to search for metabolic control and quality of life.
{"title":"Barriers and Motivations for the Metabolic Control of Patients with Type 2 Diabetes Assisted in a Tertiary Service in a City in Brazil","authors":"Janaíne Machado Tomé, Daniela Cristina Silva Resende, Isabela Aparecida Gonçalves Prada, Adriana Paula da Silva, B. P. Ferreira, Elvi Cristina Rojas Fonseca, Beatriz Hallal Jorge Lara, Maria de Fátima Borges","doi":"10.5539/gjhs.v15n4p21","DOIUrl":"https://doi.org/10.5539/gjhs.v15n4p21","url":null,"abstract":"AIMS: To evaluate the main barriers and motivations for metabolic control in patients with Diabetes Mellitus. \u0000 \u0000METHODS: 101 patients assisted at the Endocrinology and Metabology service with clinical and laboratory diagnosis of Type 2 Diabetes were invited to participate in the research and answer a questionnaire developed by the authors, consisting of 65 questions, to assess barriers and treatment motivations. \u0000 \u0000RESULTS: There was a predominance of females (75.2%), low education level (57.4%), income between 1.5-3.0 minimum wages (60.4%), Catholic affiliation (65.3%) and use of oral antidiabetic associated with insulin (43.6%). Patients demonstrated knowledge about the disease and the importance of maintaining good metabolic control. Most reported family support and acceptance in respect to the fact of suffering from diabetes, as well as stress related to eventual symptoms. The main motivating factors found were family relationships and personal religiosity. \u0000 \u0000CONCLUSION: Ignorance and misunderstanding of some aspects of the disease, lack of support from the health system and non-acceptance of the disease are factors that interfere in the control. On the other hand, family relationships and religious engagement were considered highly motivating factors, encouranging patients to search for metabolic control and quality of life.","PeriodicalId":12573,"journal":{"name":"Global Journal of Health Science","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74745897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
INTRODUCTION: The relationship between personality type and medical problems has been discussed widely in the literature, but empirical data on the relationship between heart diseases and personality types is lacking. In the current study, we aim to look at the connections (if there are ones) between Myer-Briggs Type Indicator (MBTI) personality types and Cardiac Rehabilitation Patients (CRPs) profiles. MATERIALS & METHODS: The current cross-sectional study was conducted from October 2017 to February 2019. The study included five hundred fifty-two (male: 336, female: 216) CRPs referred to Tehran Heart Center via a convenient sampling. After acquiring a written consent form and obtaining demographic data (age, educational status, blood type, antigen type, BMI, risk factors) from the medical history database, we asked participants to answer to Persian version of the MBTI questionnaire. Finally, we assessed any existing (if there) relationship between MBTI subtypes and the abovementioned variables among CRPs. RESULTS: According to the current study, among 16 MBTI personality types, only four types were identified in cardiac rehabilitation patients. Accordingly, INTJ maintained the highest frequency of CRPs, followed by ISTJ, ESTJ and ISFJ, respectively. The current study demonstrated a significant difference between PCI and CABG interventions among four MBTI dichotomies. The study also shows no significant association between risk factors and MBTI personality types (P<0.05). CONCLUSION: The result of the study has a salient clinical implication, as it can be adopted in the screening and intervention phases of the clinical process. During the screening, a clinician can tailor the therapeutic procedures according to the specific needs of the patient's personality traits. Furthermore, clinicians may elevate patients' adherence to treatment by considering specific personality preferences.
{"title":"Examination of the Possible Relationship of MBTI Personality Types among Cardiac Rehabilitation Patients– A Cross-Sectional Study","authors":"Mani B. Monajemi, S. Etemadi, Sajjad Allahdadi","doi":"10.5539/gjhs.v15n4p15","DOIUrl":"https://doi.org/10.5539/gjhs.v15n4p15","url":null,"abstract":"INTRODUCTION: The relationship between personality type and medical problems has been discussed widely in the literature, but empirical data on the relationship between heart diseases and personality types is lacking. In the current study, we aim to look at the connections (if there are ones) between Myer-Briggs Type Indicator (MBTI) personality types and Cardiac Rehabilitation Patients (CRPs) profiles. \u0000 \u0000MATERIALS & METHODS: The current cross-sectional study was conducted from October 2017 to February 2019. The study included five hundred fifty-two (male: 336, female: 216) CRPs referred to Tehran Heart Center via a convenient sampling. After acquiring a written consent form and obtaining demographic data (age, educational status, blood type, antigen type, BMI, risk factors) from the medical history database, we asked participants to answer to Persian version of the MBTI questionnaire. Finally, we assessed any existing (if there) relationship between MBTI subtypes and the abovementioned variables among CRPs. \u0000 \u0000RESULTS: According to the current study, among 16 MBTI personality types, only four types were identified in cardiac rehabilitation patients. Accordingly, INTJ maintained the highest frequency of CRPs, followed by ISTJ, ESTJ and ISFJ, respectively. The current study demonstrated a significant difference between PCI and CABG interventions among four MBTI dichotomies. The study also shows no significant association between risk factors and MBTI personality types (P<0.05). \u0000 \u0000CONCLUSION: The result of the study has a salient clinical implication, as it can be adopted in the screening and intervention phases of the clinical process. During the screening, a clinician can tailor the therapeutic procedures according to the specific needs of the patient's personality traits. Furthermore, clinicians may elevate patients' adherence to treatment by considering specific personality preferences.","PeriodicalId":12573,"journal":{"name":"Global Journal of Health Science","volume":"144 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87618664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paulo Okech, Shiferaw Mitiku, Kashi Carasso, Jean Damour Habagusenga, Marie-Jeanne Mukazayire
BACKGROUND: A cold chain is a temperature-controlled supply chain with uninterrupted chain of activities that maintain a given temperature range that keep and maintain the quality of vaccines. Vaccines move through complex procedures and processes that require special attention and care. Effective cold chain systems require efficient end-to-end vaccine storage, handling, and stock management to maintain vaccines under strict temperature control of between 2 °C and 8 °C (for almost all vaccines). METHODS: A descriptive cross-sectional study design and mixed (qualitative and quantitative) research approach is employed to conducting the research. Data were collected through face to face in-depth interviews and questionnaires from Vaccinators and key persons from IPs. Prior to data collection, ethical approval was obtained from national Ministry of Health, Directorate of planning and M&E, and the University of Rwanda, Research Committee Board. Accordingly, data were collected after seeking the personal consent sought from the participants. RESULTS: The key findings from this study showed that the cold chain coverage has been improved compared to the result obtained in EPI coverage survey conducted in 2017. The results revealed that inadequate availability of EPI cold technicians, lack of fridge spare parts, trained staff, and adequate vaccine forecasting was the major challenges at county and the health facility level. CONCLUSIONS: The main factor that contributed positively in strengthening vaccines supply chain system in the Upper Nile State was the substantive increase in cold chain coverage. However, the role of the CCEOP in improving immunization coverage is still doubted due to lack of regular preventive maintenance, spare parts, and EPI technicians. The major challenges that affect the vaccines relevance, effectiveness, efficiency and sustainability were found to be mainly poor vaccines handling, due to inadequate knowledge on cold chain management.
{"title":"Evaluation of Cold Chain Equipment Platform Solar Fridges Project in Upper Nile State Republic of South Sudan","authors":"Paulo Okech, Shiferaw Mitiku, Kashi Carasso, Jean Damour Habagusenga, Marie-Jeanne Mukazayire","doi":"10.5539/gjhs.v15n4p1","DOIUrl":"https://doi.org/10.5539/gjhs.v15n4p1","url":null,"abstract":"BACKGROUND: A cold chain is a temperature-controlled supply chain with uninterrupted chain of activities that maintain a given temperature range that keep and maintain the quality of vaccines. Vaccines move through complex procedures and processes that require special attention and care. Effective cold chain systems require efficient end-to-end vaccine storage, handling, and stock management to maintain vaccines under strict temperature control of between 2 °C and 8 °C (for almost all vaccines). \u0000 \u0000METHODS: A descriptive cross-sectional study design and mixed (qualitative and quantitative) research approach is employed to conducting the research. Data were collected through face to face in-depth interviews and questionnaires from Vaccinators and key persons from IPs. Prior to data collection, ethical approval was obtained from national Ministry of Health, Directorate of planning and M&E, and the University of Rwanda, Research Committee Board. Accordingly, data were collected after seeking the personal consent sought from the participants. \u0000 \u0000RESULTS: The key findings from this study showed that the cold chain coverage has been improved compared to the result obtained in EPI coverage survey conducted in 2017. The results revealed that inadequate availability of EPI cold technicians, lack of fridge spare parts, trained staff, and adequate vaccine forecasting was the major challenges at county and the health facility level. \u0000 \u0000CONCLUSIONS: The main factor that contributed positively in strengthening vaccines supply chain system in the Upper Nile State was the substantive increase in cold chain coverage. However, the role of the CCEOP in improving immunization coverage is still doubted due to lack of regular preventive maintenance, spare parts, and EPI technicians. The major challenges that affect the vaccines relevance, effectiveness, efficiency and sustainability were found to be mainly poor vaccines handling, due to inadequate knowledge on cold chain management.","PeriodicalId":12573,"journal":{"name":"Global Journal of Health Science","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90109497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Reviewer Acknowledgements for Global Journal of Health Science, Vol. 15, No. 3, 2023.
《全球健康科学杂志》，第15卷，第3期，2023年。
{"title":"Reviewer Acknowledgements for Global Journal of Health Science, Vol. 15, No. 3","authors":"E. Grey","doi":"10.5539/gjhs.v15n3p66","DOIUrl":"https://doi.org/10.5539/gjhs.v15n3p66","url":null,"abstract":"Reviewer Acknowledgements for Global Journal of Health Science, Vol. 15, No. 3, 2023.","PeriodicalId":12573,"journal":{"name":"Global Journal of Health Science","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86600115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nkiru E. Obande-Ogbuinya, Lois N. Omaka-Amari, Scholastica A. Orj, Stella Uzoamaka Ugwu, Regina Adaoma Onunze, Helen Nwokike Ugwunna, Jacinta E. Ugbelu, Nwajioha Patrck Nwite, Tyogbah Jacob Terungwa, C. O. Aleke
INTRODUCTION: Mental health (MH) effect caused by climate change, particularly on adolescents and adults is a call for concern. This study aimed at exploring the effects of climate change on the mental health of Undergraduates of Alex Ekwueme Federal University, Ndufu-Alike, Ebonyi State. METHODS: An institutional based cross-sectional study was adopted. The population consisted of 10,000 students. The sample for the study consisted 216 undergraduates. The instrument for the study was a self-structured questionnaire titled: Effect of Climate Change on Mental Health (ECCMHQ). Data was analyzed using bivariate correlational analysis to determine the association of climate change with the effects of MH, while structural equation modelling was used to test the hypotheses. RESULTS: The findings showed that climate change was positively correlated with stress disorder (r = 0.25, p <.01), anxiety (r = 0.32, p <.01), depression (r = 0.26, p <.01), trauma (r = 0.28, p <.01), substance abuse (r = 0.30, p <.01), suicidal ideation (r = 0.25, p <.01), fatigue (r = 0.27, p <.01) and suicidal guilt (r = 0.17, p <.05). There was no evidence of a correlation between climate change and post trauma (r = 0.12, p =.45) and a negative correlation with trauma (r = -0.16, p <.05). CONCLUSION: The study concluded that climate change can lead to tremendous mental health effects such as anxiety, PTSD, apocalypse, fear with their consequential chronic psychological dysfunctions. Nevertheless, challenges can be averted if an environmental health education intervention is urgently mounted by the university management.
气候变化引起的心理健康(MH)影响，特别是对青少年和成年人的影响值得关注。本研究旨在探讨气候变化对埃邦伊州Alex Ekwueme联邦大学本科生心理健康的影响。方法:采用基于机构的横断面研究。人口由1万名学生组成。该研究的样本包括216名本科生。这项研究的工具是一份题为“气候变化对心理健康的影响”的自结构问卷。数据分析采用双变量相关分析来确定气候变化与MH效应的关联，并使用结构方程模型来检验假设。结果:气候变化与应激障碍(r = 0.25, p < 0.01)、焦虑(r = 0.32, p < 0.01)、抑郁(r = 0.26, p < 0.01)、创伤(r = 0.28, p < 0.01)、药物滥用(r = 0.30, p < 0.01)、自杀意念(r = 0.25, p < 0.01)、疲劳(r = 0.27, p < 0.01)、自杀内疚(r = 0.17, p < 0.05)呈正相关。气候变化与创伤后无相关性(r = 0.12, p = 0.45)，与创伤负相关(r = -0.16, p < 0.05)。结论:该研究得出结论，气候变化会导致巨大的心理健康影响，如焦虑、创伤后应激障碍、启示录、恐惧以及随之而来的慢性心理功能障碍。然而，如果大学管理层迫切地进行环境健康教育干预，就可以避免挑战。
{"title":"Hypothetical Analysis of the Effects of Climate Change on Mental Health of Undergraduates in Alex-Ekwueme Federal University, Ebonyi State of Nigeria","authors":"Nkiru E. Obande-Ogbuinya, Lois N. Omaka-Amari, Scholastica A. Orj, Stella Uzoamaka Ugwu, Regina Adaoma Onunze, Helen Nwokike Ugwunna, Jacinta E. Ugbelu, Nwajioha Patrck Nwite, Tyogbah Jacob Terungwa, C. O. Aleke","doi":"10.5539/gjhs.v15n3p59","DOIUrl":"https://doi.org/10.5539/gjhs.v15n3p59","url":null,"abstract":"INTRODUCTION: Mental health (MH) effect caused by climate change, particularly on adolescents and adults is a call for concern. This study aimed at exploring the effects of climate change on the mental health of Undergraduates of Alex Ekwueme Federal University, Ndufu-Alike, Ebonyi State. \u0000 \u0000METHODS: An institutional based cross-sectional study was adopted. The population consisted of 10,000 students. The sample for the study consisted 216 undergraduates. The instrument for the study was a self-structured questionnaire titled: Effect of Climate Change on Mental Health (ECCMHQ). Data was analyzed using bivariate correlational analysis to determine the association of climate change with the effects of MH, while structural equation modelling was used to test the hypotheses. \u0000 \u0000RESULTS: The findings showed that climate change was positively correlated with stress disorder (r = 0.25, p <.01), anxiety (r = 0.32, p <.01), depression (r = 0.26, p <.01), trauma (r = 0.28, p <.01), substance abuse (r = 0.30, p <.01), suicidal ideation (r = 0.25, p <.01), fatigue (r = 0.27, p <.01) and suicidal guilt (r = 0.17, p <.05). There was no evidence of a correlation between climate change and post trauma (r = 0.12, p =.45) and a negative correlation with trauma (r = -0.16, p <.05). \u0000 \u0000CONCLUSION: The study concluded that climate change can lead to tremendous mental health effects such as anxiety, PTSD, apocalypse, fear with their consequential chronic psychological dysfunctions. Nevertheless, challenges can be averted if an environmental health education intervention is urgently mounted by the university management.","PeriodicalId":12573,"journal":{"name":"Global Journal of Health Science","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82796521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
INTRODUCTION: While much research has focused on mental health and well-being during the early stage of the Covid-19 pandemic, significantly fewer studies have directly explored the connection between lockdown policies, family functioning, and effects on the mental health of parents in highly vulnerable communities in low-income countries where pre-pandemic conditions were already unstable. This study aims to address this gap and examines the quality and nature of relationships with spouses, children, and extended families in highly vulnerable communities during an extended lockdown period. METHODS: With the approval of the appropriate Institutional Review Board and after receiving verbal consent, following standard local procedures, 30 individuals participated in in-depth semi-structured telephone surveys that were conducted three months following the lifting of the lockdown restrictions to assess the impact of the extended quarantine periods on mental health, overall family functioning, and relationships with spouses/partners, children, and extended family. RESULTS: Findings indicate that mental health distress post-lockdown predicts changes in the nature and quality of relationships with spouses, children, and extended family and increased risks for family violence. CONCLUSION: Findings highlight the differential impact of global health crises on highly vulnerable communities facing complex issues with limited access to adequate care systems. By reframing large-scale pandemics as complex emergencies, our results can inform current policies and support interventions and preventive measures preparing families to better cope with similar emergencies.
{"title":"Shattered or Strengthened? The Impact of Extended Lockdown on Family Functioning and Quality of Relationships during the COVID-19 Pandemic","authors":"Marciana Popescu, Dana Alonzo","doi":"10.5539/gjhs.v15n3p43","DOIUrl":"https://doi.org/10.5539/gjhs.v15n3p43","url":null,"abstract":"INTRODUCTION: While much research has focused on mental health and well-being during the early stage of the Covid-19 pandemic, significantly fewer studies have directly explored the connection between lockdown policies, family functioning, and effects on the mental health of parents in highly vulnerable communities in low-income countries where pre-pandemic conditions were already unstable. This study aims to address this gap and examines the quality and nature of relationships with spouses, children, and extended families in highly vulnerable communities during an extended lockdown period. \u0000 \u0000METHODS: With the approval of the appropriate Institutional Review Board and after receiving verbal consent, following standard local procedures, 30 individuals participated in in-depth semi-structured telephone surveys that were conducted three months following the lifting of the lockdown restrictions to assess the impact of the extended quarantine periods on mental health, overall family functioning, and relationships with spouses/partners, children, and extended family. \u0000 \u0000RESULTS: Findings indicate that mental health distress post-lockdown predicts changes in the nature and quality of relationships with spouses, children, and extended family and increased risks for family violence. \u0000 \u0000CONCLUSION: Findings highlight the differential impact of global health crises on highly vulnerable communities facing complex issues with limited access to adequate care systems. By reframing large-scale pandemics as complex emergencies, our results can inform current policies and support interventions and preventive measures preparing families to better cope with similar emergencies.","PeriodicalId":12573,"journal":{"name":"Global Journal of Health Science","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76639648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical leadership is the important skill to delivery better service in health care. The skills equip health practitioners to act autonomously, making decision, work collaboratively with other disciplines (Hendricks, Cope, & Harris, 2010). This skills is gained from education or training programs. In Indonesia, Midwifery diploma programs has no curricula attached clinical leadership unit. Meanwhile, graduated midwives is highly expected for being versatile workforce that is ready to be employed in health services with leaderships skills. Therefore, it is essentially important to equip diploma students in Indonesia with clinical leadership skills that incorporate within institutional curriculum. Objectives of this essay are to discuss the clinical leadership training in midwifery diplomas programs discuss how to incorporate clinical leadership training into curricula in Indonesian diploma programs, formulate what will be tough in clinical leadership unit for diploma students, determine when the clinical leadership unit will be tough. Method of this study is qualitative using case study approach. Results the clinical leadership skills that incorporated in midwifery diploma programs in Indonesia is important to develop midwives’ ability in managing complex responsibility in health care and particularly in delivering quality health service. Therefore, Indonesian midwifery organisations and education institutions, policy makers, users should collaborate for the initiation of clinical leadership and it is formed in the curricula.
{"title":"Clinical Leadership for Indonesian Midwifery Three Years Diploma Curricula from Australian Benchmarking","authors":"A. Ulnang, Frans Salesman","doi":"10.5539/gjhs.v15n3p32","DOIUrl":"https://doi.org/10.5539/gjhs.v15n3p32","url":null,"abstract":"Clinical leadership is the important skill to delivery better service in health care. The skills equip health practitioners to act autonomously, making decision, work collaboratively with other disciplines (Hendricks, Cope, & Harris, 2010). This skills is gained from education or training programs. In Indonesia, Midwifery diploma programs has no curricula attached clinical leadership unit. Meanwhile, graduated midwives is highly expected for being versatile workforce that is ready to be employed in health services with leaderships skills. Therefore, it is essentially important to equip diploma students in Indonesia with clinical leadership skills that incorporate within institutional curriculum. Objectives of this essay are to discuss the clinical leadership training in midwifery diplomas programs discuss how to incorporate clinical leadership training into curricula in Indonesian diploma programs, formulate what will be tough in clinical leadership unit for diploma students, determine when the clinical leadership unit will be tough. Method of this study is qualitative using case study approach. Results the clinical leadership skills that incorporated in midwifery diploma programs in Indonesia is important to develop midwives’ ability in managing complex responsibility in health care and particularly in delivering quality health service. Therefore, Indonesian midwifery organisations and education institutions, policy makers, users should collaborate for the initiation of clinical leadership and it is formed in the curricula.","PeriodicalId":12573,"journal":{"name":"Global Journal of Health Science","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74368522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND: South Africa has the highest number of colorectal cancer (CRC) patients in sub-Saharan Africa, with the CRC projected new cases at 8 000 per 100 000 population by 2030. Screening assists with the early detection and control of cancer. This study determined knowledge, attitude, and practices (KAP) related to CRC among Health Care Workers (HCWs). METHODS: A cross-sectional descriptive study was conducted between April and November 2021 using a self-administered close-ended questionnaire. Data was collected from 109 HCWs in public primary health care facilities in Durban, South Africa. Summary descriptive and association analysis were conducted using IBM SPSS vs. 28. RESULTS: Overall CRC screening knowledge score was 12% (mean 13) with 39% that were familiar with the National Department of Health Cancer Control framework. Only 15% of participants perceived the Perceived the National Cancer Control Guidelines to be influential for the implementation of colorectal cancer screening. 70% of participants would recommend CRC screening to patients. Over one-fifth, (22%) of participants felt that fecal occult blood, flexible sigmoidoscopy, and colonoscopy were effective for CRC screening. Over a third (44%) preferred a structured CRC screening programme. Most participants (81%) were willing to recommend CRC screening to their patients. Only 10% of participants had ever conducted colorectal screening before. The vast majority were unfamiliar with the types of CRC screening tests. Lack of CRC screening guidelines, training, equipment and CRC low burden were identified as barriers to screening. CONCLUSION: The vast majority of HCWs lacked knowledge of the CRC screening programme and its procedures. However, the vast majority of HCWs were willing to conduct screening once trained. This study also highlighted perceived health systems barriers affecting CRC screening. Currently, South Africa does not have national guidelines for CRC screening in South Africa, hence, a national risk differentiation CRC screening guideline is needed to guide implementation at the PHC level. Health systems strengthening interventions, including training of HCWs, availability of screening tests and materials to facilitate the integration of CRC screening noting that PH already implements screening programmes for other cancer types.
背景:南非是撒哈拉以南非洲地区结直肠癌(CRC)患者数量最多的国家，到2030年，预计每10万人中有8000例结直肠癌新病例。筛查有助于早期发现和控制癌症。本研究确定了卫生保健工作者(HCWs)中与结直肠癌相关的知识、态度和实践(KAP)。方法:采用自填封闭式问卷，于2021年4月至11月进行横断面描述性研究。数据收集自南非德班公共初级卫生保健设施的109名卫生保健员。使用IBM SPSS vs. 28进行总结、描述性和关联分析。结果:总体CRC筛查知识得分为12%(平均13分)，其中39%熟悉国家卫生部癌症控制框架。只有15%的参与者认为《国家癌症控制指南》对实施结直肠癌筛查有影响。70%的参与者会向患者推荐CRC筛查。超过五分之一(22%)的参与者认为粪便隐血、乙状结肠镜和结肠镜检查对CRC筛查有效。超过三分之一(44%)的人更喜欢结构化的CRC筛查方案。大多数参与者(81%)愿意向他们的患者推荐CRC筛查。只有10%的参与者曾经做过结肠直肠癌筛查。绝大多数人不熟悉CRC筛查试验的类型。缺乏CRC筛查指南、培训、设备和CRC负担低被认为是筛查的障碍。结论:绝大多数医护人员缺乏对CRC筛查方案及其程序的了解。然而，绝大多数医护人员在接受培训后都愿意进行筛查。该研究还强调了影响结直肠癌筛查的感知卫生系统障碍。目前，南非没有全国性的结直肠癌筛查指南，因此，需要制定全国性的风险区分结直肠癌筛查指南来指导初级保健层面的实施。卫生系统加强干预措施，包括培训卫生保健员，提供筛查试验和材料，以促进CRC筛查的整合，注意到PH已经实施了其他癌症类型的筛查规划。
{"title":"Knowledge Attitude and Practices of Health Care Workers towards Colorectal Cancer Screening in Primary Care Settings in Durban, South Africa: A Cross-Sectional Survey","authors":"S. Magwaza, G. Van Hal, M. Hoque","doi":"10.5539/gjhs.v15n3p1","DOIUrl":"https://doi.org/10.5539/gjhs.v15n3p1","url":null,"abstract":"BACKGROUND: South Africa has the highest number of colorectal cancer (CRC) patients in sub-Saharan Africa, with the CRC projected new cases at 8 000 per 100 000 population by 2030. Screening assists with the early detection and control of cancer. This study determined knowledge, attitude, and practices (KAP) related to CRC among Health Care Workers (HCWs). \u0000 \u0000METHODS: A cross-sectional descriptive study was conducted between April and November 2021 using a self-administered close-ended questionnaire. Data was collected from 109 HCWs in public primary health care facilities in Durban, South Africa. Summary descriptive and association analysis were conducted using IBM SPSS vs. 28. \u0000 \u0000RESULTS: Overall CRC screening knowledge score was 12% (mean 13) with 39% that were familiar with the National Department of Health Cancer Control framework. Only 15% of participants perceived the Perceived the National Cancer Control Guidelines to be influential for the implementation of colorectal cancer screening. 70% of participants would recommend CRC screening to patients. Over one-fifth, (22%) of participants felt that fecal occult blood, flexible sigmoidoscopy, and colonoscopy were effective for CRC screening. Over a third (44%) preferred a structured CRC screening programme. Most participants (81%) were willing to recommend CRC screening to their patients. Only 10% of participants had ever conducted colorectal screening before. The vast majority were unfamiliar with the types of CRC screening tests. Lack of CRC screening guidelines, training, equipment and CRC low burden were identified as barriers to screening. \u0000 \u0000CONCLUSION: The vast majority of HCWs lacked knowledge of the CRC screening programme and its procedures. However, the vast majority of HCWs were willing to conduct screening once trained. This study also highlighted perceived health systems barriers affecting CRC screening. Currently, South Africa does not have national guidelines for CRC screening in South Africa, hence, a national risk differentiation CRC screening guideline is needed to guide implementation at the PHC level. Health systems strengthening interventions, including training of HCWs, availability of screening tests and materials to facilitate the integration of CRC screening noting that PH already implements screening programmes for other cancer types. ","PeriodicalId":12573,"journal":{"name":"Global Journal of Health Science","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87152376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Muhammad Murtaza, Jinxi Zhang, M. Rehman, K. Iqbal
Aggressive Driving behavior plays a key role in road safety as it is important in road traffic accident prevention. The aim of this study was to investigate the aggressive driving behavior attitude towards road safety issues in Pakistan and china and the applicability of three-factor structure (aggressive violations, ordinary violations and errors) of both version of driver behavior questionnaire (DBQ). T-test was conducted to evaluate significant differences and it exposed that Chinese sample is more significant. Confirmatory factor analysis was tested and calculated on both samples. Chinese samples fit the CFA statistics models best as compared to Pakistani sample. Additionally, Pakistan drivers especially the younger drivers were mostly engaged in aggression and errors, while Chinese drivers appeared more disciplined and rule followers.
{"title":"The Comparison of Aggressive Driving Behavior between Pakistan and China Based on Driver Behavior Questionnaire","authors":"Muhammad Murtaza, Jinxi Zhang, M. Rehman, K. Iqbal","doi":"10.5539/gjhs.v15n3p20","DOIUrl":"https://doi.org/10.5539/gjhs.v15n3p20","url":null,"abstract":"Aggressive Driving behavior plays a key role in road safety as it is important in road traffic accident prevention. The aim of this study was to investigate the aggressive driving behavior attitude towards road safety issues in Pakistan and china and the applicability of three-factor structure (aggressive violations, ordinary violations and errors) of both version of driver behavior questionnaire (DBQ). T-test was conducted to evaluate significant differences and it exposed that Chinese sample is more significant. Confirmatory factor analysis was tested and calculated on both samples. Chinese samples fit the CFA statistics models best as compared to Pakistani sample. Additionally, Pakistan drivers especially the younger drivers were mostly engaged in aggression and errors, while Chinese drivers appeared more disciplined and rule followers.","PeriodicalId":12573,"journal":{"name":"Global Journal of Health Science","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84031832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Reviewer Acknowledgements for Global Journal of Health Science, Vol. 15, No. 2, 2023.
《全球健康科学杂志》，第15卷，第2期，2023年。
{"title":"Reviewer Acknowledgements for Global Journal of Health Science, Vol. 15, No. 2","authors":"E. Grey","doi":"10.5539/gjhs.v15n2p50","DOIUrl":"https://doi.org/10.5539/gjhs.v15n2p50","url":null,"abstract":"Reviewer Acknowledgements for Global Journal of Health Science, Vol. 15, No. 2, 2023.","PeriodicalId":12573,"journal":{"name":"Global Journal of Health Science","volume":"25 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90427861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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