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Comparison of 3D Printing and Traditional Hand Orthosis Fabrication 3D打印与传统手部矫形器制造的比较
Pub Date : 2023-01-31 DOI: 10.5539/gjhs.v15n2p42
John Damiao, Natalie Calianese, D. Cartwright, Cynthia Cherian, Erica Lee, Danielle Mucek
Traditional methods of custom orthosis fabrication are prone to challenges and limitations. Three-dimensional (3D) printing has been piloted with lower extremity orthotics and worthy of exploration with upper extremities. The aim of this study was to compare three-dimensionally printed wrist immobilization splints to conventionally made orthoses in terms of fabrication, comfort, and functionality. Three healthy participants with no history of wrist or hand conditions were recruited to be fitted for conventional and 3D-printed wrist immobilization splints. A sequential mixed-methods study design was conducted to explore comfort, fabrication, and functionality. An ethnographic study was conducted afterward to further understand the fabrication process of 3D-printed orthotics. The Quebec User Evaluation of Satisfaction with Assistive Technology and a Splint Analysis form was used to assess comfort. The function was assessed using the Jebsen-Taylor Hand Function Test. A five-point satisfaction Likert scale was used to evaluate fabrication. Although the results were not statistically significant due to the small sample size, 3D-printed orthotics appear to provide some benefits over traditional methods.
传统的定制矫形器制造方法容易受到挑战和限制。三维打印技术已经在下肢矫形器中进行了试点,值得在上肢矫形器中进行探索。本研究的目的是比较三维打印的腕部固定夹板与传统制作的矫形器在制作、舒适和功能方面的差异。招募了三名没有手腕或手部病史的健康参与者,以适应传统和3d打印的手腕固定夹板。一个连续的混合方法研究设计进行了探索舒适性,制造和功能。随后进行了人种学研究,以进一步了解3d打印矫形器的制造过程。使用魁北克用户对辅助技术满意度评估和夹板分析表来评估舒适度。使用Jebsen-Taylor手功能测试评估该功能。采用李克特五点满意度量表来评估制作。虽然由于样本量小,结果没有统计学意义,但3d打印矫形器似乎比传统方法提供了一些好处。
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引用次数: 0
Educational Equity Patterns in South Carolina Career and Technical Education 南卡罗来纳州职业技术教育的教育公平模式
Pub Date : 2023-01-16 DOI: 10.5539/gjhs.v15n2p32
Nickolas J. Sumpter, C. Cale, Michelle McCraney, Sunddip Panesar-Aguilar
Fuller Hamilton et al. (2015) review provided a suggested model to improve Career and Technical Education (CTE) equity so that this study could be replicated systematically. National resources examining CTE educational equity components did not exist. The problem addressed in the replication study was the need to explore educational inequity within the South Carolina CTE Health Science career cluster. No CTE educational equity research exists in South Carolina, so the purpose of the replication study was to explore educational inequity within the South Carolina CTE Health Science career cluster. Cultural Replication Theory was the conceptual framework used for this replication study. Four research questions were formulated to examine the CTE enrollment patterns in South Carolina concerning four demographic characteristics, namely sex, race/ethnicity, region, and socioeconomic status. Students enrolled in CTE within South Carolina during the 2018-19 school year was the population selected. Secondary data was collected from a sample of 196,318 CTE enrollees and examined using descriptive analysis procedures. Overall results were not uniform. Inconsistent levels of inequity existed within race, ethnicity, and sex. In addition, inequity was present regarding regional effects and socioeconomic status. Future recommendations for research include conducting a qualitative or mixed-method study to further explain the enrollment patterns of CTE programs in South Carolina. Implications for practice to address the inequities in South Carolina include improving the underrepresentation of educators by sex and race/ethnicity, recommending equity audits, examination of access and availability of opportunities within CTE programs, and encouragement of all educators actively adopting and advancing an equity agenda from the original study.
Fuller Hamilton等人(2015)的综述提供了一个改善职业技术教育(CTE)公平的建议模型,从而可以系统地复制本研究。考察CTE教育公平成分的国家资源并不存在。在重复研究中解决的问题是需要探索南卡罗来纳州CTE健康科学职业集群中的教育不平等。南卡罗来纳州没有CTE教育公平研究,因此本重复研究的目的是探讨南卡罗来纳州CTE健康科学职业集群内的教育不公平。文化复制理论是这个复制研究使用的概念框架。研究人员制定了四个研究问题,以考察南卡罗来纳州CTE的招生模式,涉及四个人口统计学特征,即性别、种族/民族、地区和社会经济地位。在2018-19学年在南卡罗来纳州注册CTE的学生是被选中的人群。次要资料收集自196,318名CTE入组者的样本,并使用描述性分析程序进行检查。总体结果并不一致。种族、民族和性别之间的不平等程度不一致。此外,在区域影响和社会经济地位方面也存在不平等。未来的研究建议包括进行定性或混合方法研究,以进一步解释南卡罗来纳州CTE项目的招生模式。解决南卡罗来纳不平等问题的实践意义包括改善性别和种族/民族教育工作者的代表性不足,建议公平审计,检查CTE项目中的机会和可用性,并鼓励所有教育工作者积极采用和推进原始研究中的公平议程。
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引用次数: 0
Factors Influencing the Practices of Health Care Workers on Prevention and Control of Infection at Keetmanshoop District Hospital, Namibia 纳米比亚基特曼肖普地区医院医护人员预防和控制感染行为的影响因素
Pub Date : 2023-01-09 DOI: 10.5539/gjhs.v15n2p22
Kangoya Elizabeth Kangoya, Emmanuel Magesa, Kuugongelwa Suama, Hiikondo Hileni
INTRODUCTION: According to World Health Organisation, prevention and control of infection is a strategy designed to protect both patients and health care workers from infections. Lack of such strategy among health care workers has negative impact such as long-term hospitalization, death, and morbidity. Therefore, the aim of this study was to determine the practices of health care workers on prevention and control of infection at Keetmanshoop district Hospital. METHOD: A descriptive correlational cross-sectional study design was employed. Structured questionnaire was used to collect data from participants. Data collected were analysed using SPSS version 27. Multiple regression analysis was used to determine, the factors influencing the practices of health care workers on prevention and control of infection. RESULTS: The findings shows that more than 50% of the health care workers in Keetmanshoop district hospital have poor adherence to IPC. However, factors such as demographic characteristics and resources availability do not have any significance influence on the practices of prevention and control of infection. Significance contributing factors effect such as access of IPC resources (β = 0.31), individual health worker practices on IPC (β = 0.31) and practices of IPC at the facility (β = 76). Practices of hand hygiene was found at (β = -0.45) which is the negative effect on adherence. CONCLUSION: Therefore, this study concluded that hand hygiene; access of IPC resource and individual practices on prevention and control of infection were the main factors influence poor adherence on IPC at Keetmanshoop hospital.
导言:根据世界卫生组织,预防和控制感染是一种旨在保护患者和卫生保健工作者免受感染的策略。卫生保健工作者缺乏这种策略会产生负面影响,如长期住院、死亡和发病率。因此,本研究的目的是确定医护人员在基特曼肖普地区医院预防和控制感染的做法。方法:采用描述性相关横断面研究设计。采用结构化问卷对参与者进行数据收集。收集的数据使用SPSS version 27进行分析。采用多元回归分析确定医护人员预防和控制感染行为的影响因素。结果:基特曼肖普区医院50%以上的医护人员对IPC的依从性较差。然而,人口特征和资源可得性等因素对预防和控制感染的做法没有任何显著影响。重要影响因素如IPC资源的获取(β = 0.31)、卫生工作者个人对IPC的做法(β = 0.31)和设施内IPC的做法(β = 76)。手卫生的做法被发现为(β = -0.45),这是对依从性的负面影响。结论:本研究得出手卫生;基德曼肖普医院IPC资源获取和个人感染防控实践是影响IPC依从性差的主要因素。
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引用次数: 0
Effect of a Health Communication Strategy on Uptake of Cervical Cancer Screening in Isiolo County, Kenya 健康传播策略对肯尼亚Isiolo县宫颈癌筛查的影响
Pub Date : 2023-01-05 DOI: 10.5539/gjhs.v15n2p12
Agnes Muthoni Linus, A. Wanyoro, Mary Muiruri Gitahi
BACKGROUND: To assess the effect of a health communication strategy on women’s community-level uptake of cervical cancer screening in Isiolo County. PURPOSE: to determine the effect of a health communication strategy on women’s community-level uptake of cervical cancer screening in Isiolo County. METHODOLOGY: The study adopted a community-based cluster randomized trial design. Multi-stage sampling was used to derive the sample size. There were 444 women overall, varying in age from 15 to 65 years. Community Health Volunteers disseminated health information to the intervention arm of study and referred participants to link health facilities for screening. An interviewer-administered questionnaire was used for data collection. The research was done between February and August of 2022. FINDINGS: At baseline, the study findings showed that 18.2% of respondents had ever been screened. Reasons for not screening included: fear (12%); feeling healthy (17%) among others. At post-intervention, the cervical cancer screening uptake among the respondents in the intervention arm was found to have increased from 18.2% to 45.9%, while that of the control arm remained at 18%. Respondents in the study’s intervention arm had a 3.867 higher chances of being screened than respondents in the control arm (OR 3.849, CI.1.802- 8.223, P<0.001) CONCLUSION: At baseline, the screening uptake for cancer of the cervix was low. The existing communication strategies in Isiolo County were limited in addressing cervical cancer. Targeted health communication on cervical cancer screening by Community health, subsequently cervical cancer screening uptake post-intervention.
背景:评估健康沟通策略对伊西奥洛县妇女接受宫颈癌筛查的影响。目的:确定健康沟通策略对伊西奥洛县社区妇女接受宫颈癌筛查的影响。方法:本研究采用基于社区的聚类随机试验设计。采用多阶段抽样计算样本量。总共有444名妇女,年龄从15岁到65岁不等。社区卫生志愿者向研究的干预部门传播健康信息,并介绍参与者联系卫生设施进行筛查。数据收集采用访谈者填写的问卷。这项研究是在2022年2月至8月期间完成的。研究结果:在基线时,研究结果显示18.2%的受访者曾经接受过筛查。不进行筛查的原因包括:害怕(12%);感觉健康(17%)。干预后,干预组受访者接受子宫颈癌普查的比率由18.2%上升至45.9%,而对照组的比率则维持在18%。研究干预组的应答者被筛查的机会比对照组的应答者高3.867 (OR 3.849, CI.1.802- 8.223, P<0.001)结论:在基线时,宫颈癌的筛查吸收率较低。伊西洛洛县现有的宣传战略在解决宫颈癌问题方面是有限的。由社区卫生署就子宫颈癌普查进行有针对性的健康宣传,然后在干预后接受子宫颈癌普查。
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引用次数: 0
Reviewer Acknowledgements for Global Journal of Health Science, Vol. 15, No. 1 《全球健康科学杂志》第15卷第1期审稿人致谢
Pub Date : 2023-01-02 DOI: 10.5539/gjhs.v15n1p67
E. Grey
Reviewer Acknowledgements for Global Journal of Health Science, Vol. 15, No. 1, 2023.
《全球健康科学杂志》,第15卷,第1期,2023年。
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引用次数: 0
Game Usage in Pregnant Women at Early Gestation in Japan 日本早期怀孕女性的游戏使用情况
Pub Date : 2022-12-23 DOI: 10.5539/gjhs.v15n2p1
H. Sato, T. Yasui
BACKGROUND: Gaming addiction is becoming a problem in young women. However, there has been no report on game usage in pregnant women. OBJECTIVE: The aim of this study was to determine the current status of computer game usage and the existence of game addiction and also to determine the associations of game usage time with lifestyle, personal relationships and thoughts about games in pregnant women at early gestation. SUBJECTS & METHODS: We recruited pregnant women who received a pregnancy checkup during the first trimester. We distributed QR codes for the online survey. We conducted a web questionnaire survey including Internet Gaming Disorder Scale (IGDS) in 178 pregnant women. RESULTS: The proportion of women with game usage was 40.4%. The mean game usage time per day was 72.9 minutes. There were no pregnant women whose IGDS score was more than 5 points. We divided 72 participants into three groups by tertile according to game usage time per day: group A (≦ 30 mins), group B (> 30 and ≦ 90 mins) and group C (> 90 mins). There were no significant differences in current smoking, alcohol drinking and daily life behavior among the three groups. There were significant differences in the proportions of women who had difficulty for establishing personal relationships by face-to-face communication and who thought that they might have a game addiction among the three groups. Pregnant women with longer game usage time had a high IGDS score. CONCLUSION: We showed for the first time the proportion of pregnant women who use games in the early period of gestation. Pregnant women with longer game usage time may require careful observation.
背景:游戏成瘾正在成为年轻女性的一个问题。然而,目前还没有关于孕妇玩游戏的报道。目的:本研究的目的是确定电脑游戏使用现状和游戏成瘾的存在,并确定游戏使用时间与妊娠早期孕妇的生活方式、人际关系和游戏思想的关系。研究对象和方法:我们招募了在妊娠早期接受妊娠检查的孕妇。我们为在线调查分发了二维码。采用网络游戏障碍量表(IGDS)对178名孕妇进行网络问卷调查。结果:女性使用游戏的比例为40.4%。平均每天游戏使用时间为72.9分钟。未见IGDS评分大于5分的孕妇。我们根据72名参与者每天使用游戏的时间,将他们分成三组:A组(≦30分钟)、B组(> 30和≦90分钟)和C组(> 90分钟)。三组患者目前吸烟、饮酒及日常生活行为均无显著差异。在这三个群体中,难以通过面对面交流建立人际关系的女性比例和认为自己可能有游戏成瘾的女性比例存在显著差异。游戏使用时间越长的孕妇IGDS得分越高。结论:我们首次展示了在怀孕早期使用游戏的孕妇比例。使用游戏时间较长的孕妇可能需要仔细观察。
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引用次数: 2
Differences between Hair Cortisol Concentrations in Day Shift Workers and Rotating Night Shift Workers in Japan 日本白班工人和轮班夜班工人头发皮质醇浓度的差异
Pub Date : 2022-12-20 DOI: 10.5539/gjhs.v15n1p58
Sachiko Kubo, T. Yasui
PURPOSE: The study aimed to determine the differences between stress levels in day shift workers and night shift workers by measurements of hair cortisol concentration (HCC) and by using self-administered questionnaires. METHODS: HCC was measured by using liquid chromatography-mass spectrometry. The subjective stress level was evaluated by a brief job stress questionnaire, stress response scale-18 (SRS-18), and visual analog scale (VAS). RESULTS: Mean (± standard deviation: SD) HCC in the 16 subjects was 17.28 ± 7.39 pg/mg. There was no significant difference between HCCs in day shift workers (17.98 ± 3.03 pg/mg) and rotating night shift workers (16.37 ± 1.86 pg/mg). There were also no significant differences in SRS-18 scores, job-related stress scale scores, and VAS scores between day shift workers and rotating night shift workers. There was a significant difference in HCC between the group in which the stress condition was weak or normal and the group in which the stress condition was slightly strong or definitely strong according to the SRS-18 level (p = 0.030). CONCLUSIONS: Day shift workers and rotating night shift workers have similar HCCs and similar degrees of job-related stress. In rotating shift workers who feel strong stress, acquirement of resilience due to stress coping for medium- to long-term stress may be involved in low HCC.
目的:本研究旨在通过测量头发皮质醇浓度(HCC)和使用自我管理的问卷来确定白班工人和夜班工人压力水平的差异。方法:采用液相色谱-质谱法测定HCC。采用简要工作压力问卷、压力反应量表-18 (SRS-18)和视觉模拟量表(VAS)评估主观压力水平。结果:16例患者HCC的平均值(±标准差:SD)为17.28±7.39 pg/mg。白班工人的HCCs(17.98±3.03 pg/mg)与轮班夜班工人的HCCs(16.37±1.86 pg/mg)无显著差异。白班工人和轮班夜班工人的SRS-18评分、工作相关压力量表评分和VAS评分也无显著差异。应激条件较弱或正常组与应激条件稍强或绝对强组的SRS-18水平比较,差异有统计学意义(p = 0.030)。结论:白班工人和轮班夜班工人的HCCs和工作相关压力程度相似。在感到强烈压力的轮班工人中,由于应对中长期压力而获得的恢复力可能与低HCC有关。
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引用次数: 0
Pre-/Post- Assessment of a Sexual and Reproductive Health Training Program for Young People in Namibia 对纳米比亚年轻人性健康和生殖健康培训方案的前后评估
Pub Date : 2022-12-12 DOI: 10.5539/gjhs.v15n1p47
Karine Talbot, P. Talavera, F. Schütz, Mónica Ruiz-Casares
During the first COVID-19 lockdown in Namibia (March-September 2020), the Ministry of Health and Social Services reported there were an estimated 14,983 teenage pregnancies in 2020, an increase from the prior year’s estimated 13,552. The regions of Kavango East and West were particularly impacted. In response to these figures, the Ombetja Yehinga Organisation (OYO), a youth-focused Namibian non-governmental organization, facilitated an after-school intervention in 2021 to discuss key sexual and reproductive health knowledge. An identical questionnaire was administered at both pre- and post-test, in order to provide baseline information for assessing the effectiveness of a school-based intervention to promote safe sexual behaviours. A total of 18 schools in the regions of Kavango East and West participated in the intervention between May-September 2021, and 638 learners aged 13-25 were included in data analysis after completing both the pre- and post-tests. Prior to the intervention, knowledge on sexual and reproductive health, including safe sexual behaviours and accessing contraceptives was limited. Results obtained at post-test indicate there were significant increases in participants’ level of knowledge between pre- and post-test, suggesting that school-based interventions (such as the OYO program) may be effective in disseminating this crucial information to at-risk populations.
在纳米比亚第一次COVID-19封锁期间(2020年3月至9月),卫生和社会服务部报告称,2020年估计有14,983名少女怀孕,比前一年估计的13,552人有所增加。卡万戈东部和西部地区受到的影响尤其严重。针对这些数字,以青年为重点的纳米比亚非政府组织Ombetja Yehinga组织(OYO)于2021年推动了一次课后干预活动,讨论关键的性健康和生殖健康知识。在测试前和测试后都使用了一份相同的问卷,以便为评估以学校为基础的促进安全性行为的干预措施的有效性提供基线信息。在2021年5月至9月期间,Kavango东部和西部地区共有18所学校参与了干预,638名13-25岁的学习者在完成前测试和后测试后被纳入数据分析。在进行干预之前,关于性健康和生殖健康,包括安全性行为和获取避孕药具的知识有限。测试后获得的结果表明,在测试前和测试后,参与者的知识水平显著提高,这表明以学校为基础的干预措施(如OYO计划)可能有效地向高危人群传播这一关键信息。
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引用次数: 0
No Booster for Us! An Understanding of HBCU Students’ COVID-19 Booster Vaccine Hesitancy 我们没有助推器!HBCU学生对COVID-19加强疫苗犹豫的了解
Pub Date : 2022-12-09 DOI: 10.5539/gjhs.v15n1p34
Joonwoo Moon, Julaine S. Rigg, Janice E. Smith, Jana Duckett
This exploratory study examines COVID-19 booster vaccine hesitancy among African American college students at a four-year Historically Black College and University (HBCU) in Maryland. Although limited in scope, this research has implications for students at other HBCUs because of the shared history and culture of the “Black experience” in the United States. The study was conducted using focus groups. Key findings lie in the areas of self-efficacy, gender, and health status couched in the context of African Americans’ generational distrust of government and science to serve their best interests. In terms of self-efficacy, the students stated by taking the initial vaccines, they had done enough to ward off severe COVID-19. A concern by gender was voiced about purported side effects of the vaccine experienced from the initial doses. Certainly, as with many young adults of all races, the students in the study had a sense of invincibility regarding their health. Overall, the findings indicate that government and health organizations need to work more purposively by listening to the young African Americans they seek to serve. This in turn could lead to the creation of more effective health messages to reach demographics and communities who view themselves as outliers from the larger society.
这项探索性研究调查了马里兰州一所四年制历史黑人学院和大学(HBCU)的非洲裔美国大学生对COVID-19加强疫苗的犹豫。尽管范围有限,但由于美国“黑人经历”的共同历史和文化,这项研究对其他HBCUs的学生也有影响。这项研究是通过焦点小组进行的。在非裔美国人世代不信任政府和科学服务于他们最大利益的背景下,主要发现在于自我效能感、性别和健康状况等领域。在自我效能感方面,学生们表示,通过接种最初的疫苗,他们已经做了足够的工作来抵御严重的COVID-19。按性别分列的与会者对最初剂量接种疫苗所产生的所谓副作用表示关切。当然,与所有种族的许多年轻人一样,研究中的学生对自己的健康有一种不可战胜的感觉。总的来说,调查结果表明,政府和卫生组织需要通过倾听他们寻求服务的年轻非裔美国人的意见,更有针对性地工作。这反过来又可能导致创造更有效的健康信息,以达到那些认为自己是大社会的局外人的人口和社区。
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引用次数: 0
Phenomenology Is Too Abstract for Psychopathology 现象学对精神病理学来说太抽象了
Pub Date : 2022-12-09 DOI: 10.5539/gjhs.v15n1p41
Zheng Wei
The phenomenological approach is a science that has its roots in the tradition of psychiatric science (Binswanger et al., 1896). Phenomenology intuits the content of consciousness precisely and distinguishes between concepts so that it can provide knowledge about the nature of consciousness. As the basis for scientific psychology and psychiatry, the phenomenological approach allows for a clearer understanding of the nature of mental disorders. This essay argues that phenomenology is not abstract to psychiatry is the foundation of psychiatry and has a distinguished role in psychiatry. The essay begins with an introduction to the origins and history of phenomenology and describes the psychiatric relevance of phenomenology. It then presents several arguments against Karl Jaspers’ phenomenology. It concludes by suggesting the role of phenomenology in understanding the lifeworld of people with schizophrenia.
现象学方法是一门植根于精神病学传统的科学(Binswanger et al., 1896)。现象学精确地直观意识的内容,区分概念,从而提供关于意识本质的知识。作为科学心理学和精神病学的基础,现象学方法可以更清楚地理解精神障碍的本质。本文认为现象学对精神病学来说并不是抽象的,它是精神病学的基础,在精神病学中具有突出的作用。这篇文章首先介绍了现象学的起源和历史,并描述了现象学与精神病学的相关性。然后,它提出了几个反对卡尔·雅斯贝尔斯现象学的论点。最后提出现象学在理解精神分裂症患者生活世界中的作用。
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引用次数: 0
期刊
Global Journal of Health Science
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