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Factors Associated with Viral Load Suppression amongst People Living with HIV on Highly Active Anti-retroviral Therapy [Haart] at Kaloko, Chipulukusu and Kantolomba Art Health Facilities of Ndola District 在恩多拉区Kaloko、Chipulukusu和Kantolomba艺术卫生设施接受高效抗逆转录病毒治疗的艾滋病毒感染者中抑制病毒载量的相关因素
Pub Date : 2022-04-30 DOI: 10.21522/tijar.2014.09.02.art010
Nandipha Hanene
It is important to monitor HIV clients in ART treatment using viral load testing in an effort to meet the third 95 strategy of UNAIDS 95-95-95, which is viral load suppression. The target “95-95-95” strategy is expected to be achieved by 2030. Unfortunately, there is insufficient regional data, especially in the third “95”. Screening for viral load in low- and middle-income countries allows VLS monitoring of individual categories and demographics, necessary to achieve global epidemic control. The aim of this study was to find progress in the three [3] rural health centers in Ndola District on the achievement of VLS among HIV-positive patients on ART and related factors affecting the program. Sociodemography data, including age, gender, drug type and duration of treatment and laboratory variability [current viral load results], were extracted from client records using the SmartCare system. VL suppression and failure are determined using WHO definitions [viral pressure such as viral load <1000 copies/ml and virologic failure ≥1000 copies/ml]. Regular clinic [used as a proxy for adherence to medication and medication] will be defined as monthly clinical access to HAART treatment and other clinical management over the past 12 months.
利用病毒载量检测监测接受抗逆转录病毒治疗的艾滋病毒感染者非常重要,以努力实现联合国艾滋病规划署95-95-95的第三个95战略,即抑制病毒载量。预计到2030年实现“95-95-95”战略目标。遗憾的是,区域数据不足,特别是第三个“95”。在低收入和中等收入国家进行病毒载量筛查,使VLS能够监测个别类别和人口统计数据,这是实现全球流行病控制所必需的。本研究的目的是了解Ndola区三个[3]农村卫生中心在艾滋病毒阳性患者抗逆转录病毒治疗中实现VLS方面的进展情况以及影响该项目的相关因素。使用SmartCare系统从客户记录中提取社会人口学数据,包括年龄、性别、药物类型和治疗持续时间以及实验室变异性[当前病毒载量结果]。VL抑制和失败是根据WHO的定义来确定的[病毒压力,如病毒载量<1000拷贝/ml和病毒学失败≥1000拷贝/ml]。常规门诊(用作药物依从性的代表)将被定义为在过去12个月内每月接受HAART治疗和其他临床管理的临床机会。
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引用次数: 0
Normal Value Ranges of LV Deformation, Rotation and Twist Parameters in Healthy Adults by 4Dimensional XStrain Speckle Tracking Echocardiography 四维XStrain散斑跟踪超声心动图检测健康成人左室变形、旋转和扭转参数正常值范围
Pub Date : 2022-04-30 DOI: 10.21522/tijar.2014.09.02.art009
Akhil Mehrotra
XStrain 4D Speckle tracking echocardiography is a novel approach to address both the strain deformation and rotational mechanics of LV. The aim was to comprehensively present the normal value ranges of LV strain and rotational parameters of healthy Indian adults after assessment with this innovative technique. The study population comprising of 80 adults (58 males, 22 females; Group A < 30 years, Group B > 31 years) is revealing the values of Global longitudinal strain (GLS), Global longitudinal strain rate (GLSR), Transverse strain (TS), Transverse strain rate (TSR), Shear and Shear rate are greater in men than in women (p<0.01) and moreover in Group A, Global Circumferential strain (GCS), Global Circumferential strain rate (GCSR), Global Radial strain and Global Radial strain rate (GRSR) were similarly higher in men. Peak apical rotation, peak twist, twist rate and untwist rate values were again greater in men (p<0.01) and increased with advancing age. This is the first study to present a candid and comprehensive analysis of extensive parameters of LV strain and rotational mechanics in healthy Indian adults.
XStrain 4D散斑跟踪超声心动图是一种解决左室应变变形和旋转力学的新方法。目的是全面介绍用这种创新技术评估后健康印度成年人左室应变和旋转参数的正常值范围。研究人群包括80名成年人(男性58名,女性22名;A组< 30岁,B组> 31岁)显示,男性的全局纵向应变(GLS)、全局纵向应变率(GLSR)、横向应变(TS)、横向应变率(TSR)、剪切和剪切率均大于女性(p<0.01), A组的全局周向应变(GCS)、全局周向应变率(GCSR)、全局径向应变和全局径向应变率(GRSR)均高于男性(p<0.01)。顶点旋转、顶点捻度、捻度和解捻度值在男性中均高于男性(p<0.01),且随年龄增长而增加。这是第一个对健康印度成人左室应变和旋转力学的广泛参数进行坦诚和全面分析的研究。
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引用次数: 0
Information Overload and the Role of Librarians in Information Dissemination in Tertiary Institutions in Cross River State, Nigeria 尼日利亚克罗斯河州高等院校信息超载与图书馆员在信息传播中的作用
Pub Date : 2022-04-30 DOI: 10.21522/tijar.2014.09.02.art013
E. S. S
The advancement in “technology” has brought with it an information explosion causing excessive information everywhere. Hence, there is a huge amount of information resulting in information overload. Information overload is being experienced everywhere, in public and private organizations, institutions, government officers, information users, individuals and so on. This study, therefore, attempts to examine the causes of information overload and the role of librarians in information dissemination in tertiary institutions in Cross River State, Nigeria. Seventy-two (72) librarians from tertiary institutions in the state were used as the population for the study. A structured questionnaire was developed by the researchers for data collection. Data collected was analyzed using mean and standard deviation. The result revealed that receiving repetitive massages, an explosion in the volume of information sources, and the advent of technological innovation, among others, are the major causes of information overload. The study also revealed that SDI, e-SDI, referral services, and CAS are the major ways through which librarians can disseminate information promptly to users. The study further revealed that information filtering, and information withdrawal, among others, are the major strategies used by librarians in Cross River state to improve and remedy information overload. Based on the findings, it was recommended, among others, that librarians and information professionals should provide effective and innovative ways/strategies for tackling the problem of information overload.
“技术”的进步带来了信息爆炸,到处都是过量的信息。因此,存在着大量的信息,导致信息过载。在公共和私人组织、机构、政府官员、信息使用者、个人等等,到处都经历着信息过载。因此,本研究试图探讨尼日利亚克罗斯河州高等院校信息超载的原因和图书馆员在信息传播中的作用。来自该州高等院校的72名图书馆员被用作研究的人口。为了收集数据,研究人员制作了一份结构化的问卷。收集的数据采用均值和标准差进行分析。结果显示,接受重复的按摩、信息源数量的爆炸式增长、技术革新的出现等是造成信息过载的主要原因。研究还发现,SDI、e-SDI、转介服务和CAS是图书馆员向用户及时传播信息的主要途径。研究进一步发现,信息过滤和信息撤回等是克罗斯河州图书馆员改善和补救信息超载的主要策略。根据调查结果,除其他外,建议图书馆员和信息专业人员应提供有效和创新的方法/战略来处理信息超载问题。
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引用次数: 0
New E-Technologies and Practices Adoption Framework (Ne-TPAF) Dealing with the Crucial Times 应对关键时期的新电子技术和实践采用框架(Ne-TPAF)
Pub Date : 2022-04-30 DOI: 10.21522/tijar.2014.09.02.art006
J. Namabira
The study investigates into the factors influencing the adoption of e-HRM technologies in order to propose a framework for the adoption of new e-technologies and practices during critical times of disruption, uncertainty, complexity, and ambiguity, as is with the case of the Covid-19 pandemic. Through the identification of the factors that influence the adoption of e-HRM technologies in one of the biggest commercial banks in Tanzania, the paper proposes a new e-Technologies and Practices Adoption Framework (Ne-TPAF) in order to promote the adoption of new e-technologies and practices during and after the abnormal times.
该研究调查了影响采用电子人力资源管理技术的因素,以便在中断、不确定性、复杂性和模糊性的关键时期(如Covid-19大流行的情况)提出采用新电子技术和实践的框架。通过识别影响坦桑尼亚最大的商业银行之一采用电子人力资源管理技术的因素,本文提出了一个新的电子技术和实践采用框架(Ne-TPAF),以促进在异常时期和之后采用新的电子技术和实践。
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引用次数: 1
Does Gender Matter in the Adoption of Emails in the Namibian Enterprises? 性别对纳米比亚企业电子邮件的采用有影响吗?
Pub Date : 2022-04-30 DOI: 10.21522/tijar.2014.09.02.art004
A. Kamanzi
The paper examines if gender matters in the use of emails in the enterprises of Namibia. The paper is based on the usefulness of emails in business organizations, using the Namibia Enterprise Survey data collected from 580 enterprises by the World Bank in 2014/2015 in order to test a null hypothesis that there is no association in the use of emails between women and men top-managed enterprises in Namibia. The paper finds out that there is an association with men in top-managed enterprises using more emails than women’s top-managed organizations. This finding signifies the institutionalized gender digital divide in enterprises, signalling the marginal benefit of advantages accruing from emails in the enterprises that are top managed by women. Hence, gender matters.
本文探讨了性别是否影响纳米比亚企业使用电子邮件。本文基于电子邮件在商业组织中的有用性,使用2014/2015年世界银行从580家企业收集的纳米比亚企业调查数据,以检验零假设,即纳米比亚女性和男性高层管理企业之间使用电子邮件没有关联。研究发现,在高层管理的企业中,男性比女性使用更多的电子邮件存在关联。这一发现表明企业中存在制度化的性别数字鸿沟,表明在女性高层管理的企业中,电子邮件带来的优势具有边际效益。因此,性别很重要。
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引用次数: 1
An Investigation into Project Management Best Practices in Nigeria’s Telecommunication Industry 对尼日利亚电信行业项目管理最佳实践的调查
Pub Date : 2022-04-30 DOI: 10.21522/tijar.2014.09.02.art007
Olanrewaju Samuel
The purpose of the study was to investigate project management best practices in Nigeria’s telecommunication industry. Data was collected across 379 telecommunication firms and analyzed using the descriptive method. The study found that telecommunication firms in Nigeria adopt the best project management practices. Best project management practices are widespread in the telecommunication industry in Nigeria. The project management practices adopted by telecommunication firms include holding initial meetings of all the project stakeholders, the development of project scope management, keeping all related parties updated throughout the project’s lifecycle, the creating of resource plan, the creation of a response risk team, transparency in the implementation of projects, setting realistic project milestone and review of project performance.
本研究的目的是调查尼日利亚电信行业的项目管理最佳实践。从379家电信公司收集数据,并使用描述性方法进行分析。研究发现,尼日利亚的电信公司采用了最佳的项目管理实践。最佳项目管理实践在尼日利亚的电信行业广泛应用。电信公司采用的项目管理实践包括召开所有项目利益相关者的初始会议,开发项目范围管理,在项目的整个生命周期中保持所有相关方的更新,创建资源计划,创建响应风险团队,项目实施的透明度,设置现实的项目里程碑和审查项目绩效。
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引用次数: 0
Assessing the Social and Economic Impact of Logistics Management on the Liberian Economy (the National Transit Authority 2015-2018) 评估物流管理对利比里亚经济的社会和经济影响(国家交通管理局2015-2018)
Pub Date : 2022-04-30 DOI: 10.21522/tijar.2014.09.02.art012
Jeremiah Momo Gbellay
Under the able leadership of Her Excellency Madam Sirleaf, the government envisioned that to address the many unemployment in Liberia, it was prudent to decentralize governance and all government services appertaining transportation from the transport ministry to the national transit authority (NTA) to alleviate huge unemployment deficiency with employment. Therefore, affordable public transportation for Liberians was identified as one of the areas for strategic intervention. Significantly, the remodeling of the Monrovia Transit Authority (MTA) into the National Transit Authority (NTA) tries to pursue decentralization to provide affordable, convenient, and reliable mass transit services to citizens throughout the breadth of the country for all citizenries. After over a decade of post-conflict growth and relative peace and stability since the end of the 1989-2003 conflict, Liberia’s transport infrastructure and logistics sector have the potential for enormous growth and development. Over the past period, there has been an increasing emphasis on supply chain and logistics management as a medium for firms to achieve competitive advantage in markets (Collins, 2003. P. 8). A large number of examples in the 1990s show how countries have made significant investments to streamline the supply chain to improve customer satisfaction and increase the internal productivity of their economy. In conclusion, this paper fully explores both the framework for and an analysis of such reflections of the civil unrest conflicts in Liberia and assessing the social and economic impact of logistics management of the Liberian economy.
在瑟利夫夫人阁下的干干领导下,政府设想,为了解决利比里亚的许多失业问题,将治理和所有政府服务从运输部下放给国家运输管理局(NTA)是谨慎的做法,以缓解就业方面的巨大失业不足。因此,利比里亚人负担得起的公共交通被确定为战略干预的领域之一。值得注意的是,蒙罗维亚交通管理局(MTA)改造为国家交通管理局(NTA)试图追求权力下放,为全国各地的公民提供负担得起、方便和可靠的公共交通服务。自1989-2003年冲突结束以来,利比里亚经历了十多年的冲突后增长和相对和平与稳定,其运输基础设施和物流部门具有巨大的增长和发展潜力。在过去的一段时间里,人们越来越强调供应链和物流管理作为企业在市场上获得竞争优势的媒介(柯林斯,2003年)。20世纪90年代的大量例子表明,各国如何进行重大投资,以简化供应链,以提高客户满意度,增加其经济的内部生产力。总之,本文充分探讨了利比里亚内乱冲突的框架和分析,并评估了利比里亚经济物流管理的社会和经济影响。
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引用次数: 0
Strengths and Challenges to the Integration of Mental Health Services into the Primary Health Care System in Developing Countries: A Systematic Review 发展中国家将精神卫生服务纳入初级卫生保健系统的优势和挑战:系统综述
Pub Date : 2022-04-30 DOI: 10.21522/tijar.2014.09.02.art001
Roxanne Stowe Maloney
The existence of a treatment gap for persons with mental disorders has led the WHO to implore leaders around the world to integrate mental health services into the community or primary health care system. Whilst there are strengths, there are great challenges to the integration process that are hindering the implementation of this initiative in developing countries. The aim of this paper is to synthesize evidence from various researchers regarding the strengths and challenges to the integration of mental health services into the primary or community health care system in developing countries. The sources of information included Pubmed, Medline, Google Scholar, Ebsco Host, and the WHO website. Seventeen (17) studies met the inclusion criteria out of the search results of 2,200. The challenges most reported were inadequate support and supervision structures; lack of key resources, limited Knowledge, inadequate training, and lack of experience of healthcare providers in mental health; time constraints for the primary healthcare workers; lack of regulatory measures to encourage the integration. The strengths most reported were health care workers’ acceptance of responsibility to provide mental health services in the community setting. This paper has proven a number of strengths and challenges regarding the integration of mental health services into the primary or community health care system. It is hoped that this paper will assist stakeholders and policymakers in overcoming the majority of the challenges identified in the integration of mental health services in the primary health care system.
精神障碍患者治疗差距的存在使世卫组织恳请世界各国领导人将精神卫生服务纳入社区或初级卫生保健系统。虽然有优势,但一体化进程也面临巨大挑战,阻碍了这一倡议在发展中国家的执行。本文的目的是综合来自不同研究人员的证据,关于将精神卫生服务纳入发展中国家初级或社区卫生保健系统的优势和挑战。信息来源包括Pubmed、Medline、b谷歌Scholar、Ebsco Host和世卫组织网站。在2200篇检索结果中,17篇研究符合纳入标准。报告最多的挑战是支持和监督结构不足;缺乏关键资源、知识有限、培训不足以及卫生保健提供者在精神卫生方面缺乏经验;初级卫生保健工作者的时间限制;缺乏鼓励一体化的监管措施。报告最多的优势是卫生保健工作者接受在社区环境中提供精神卫生服务的责任。这篇论文已经证明了一些优势和挑战关于精神卫生服务整合到初级或社区卫生保健系统。希望本文将帮助利益相关者和决策者克服在初级卫生保健系统中整合精神卫生服务所确定的大多数挑战。
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引用次数: 0
Perception Regarding Health Care Financing System and Its Advancement towards Universal Health Coverage in Nigeria among Residents of Awka, Anambra State 阿南布拉州Awka居民对尼日利亚医疗融资体系及其向全民健康覆盖发展的看法
Pub Date : 2022-04-30 DOI: 10.21522/tijar.2014.09.02.art008
G. Eneh
The purpose of this study was to explore the perception regarding the health care financing system and its advancement towards health coverage in Nigeria among residents of Awka, Anambra state. An exploratory survey approach was used; and entailed the collection of both qualitative and quantitative data from 360 participants using one set of structured questionnaires, which was also used as an interview guide to collect data from the non-literate respondents. The findings reveal that majority of the respondents do not have knowledge of what the health care financing system involves, whether, on generation, allocation, or utilization of funds for health care, and thus do not agree with whatever the objectives of health care financing system is in Nigeria. Out-of-pocket expenditure has been reported as the mechanism commonly used for implementing a health financing system in Nigeria. There is little or no knowledge regarding the objective of pooling resources for health and no knowledge of how the government secures health services for the populace. Nigeria should develop and implement health financing policies that ensure contributions from relevant stakeholders aimed at investing in individuals, families, and communities, ensuring capacity development that will enable their active and meaningful engagement in health issues. This will thus optimize their knowledge as advocates for healthy policies, active co-developers of health and social services, and implementers of these services.
本研究旨在探讨尼日利亚阿南布拉州Awka居民对医疗保健融资系统及其健康覆盖进展的看法。采用探索性调查方法;使用一套结构化问卷收集360名参与者的定性和定量数据,这也被用作采访指南,从不识字的受访者那里收集数据。调查结果显示,大多数受访者不知道什么卫生保健融资系统涉及,是否,在产生,分配,或利用资金用于卫生保健,因此不同意任何卫生保健融资系统的目标是在尼日利亚。据报道,自付费用是尼日利亚实施卫生筹资系统通常使用的机制。人们很少或根本不了解集中卫生资源的目标,也不了解政府如何确保为民众提供卫生服务。尼日利亚应制定和执行卫生筹资政策,确保相关利益攸关方的捐款,目的是投资于个人、家庭和社区,确保能力发展,使他们能够积极和有意义地参与卫生问题。因此,这将优化他们作为健康政策的倡导者、健康和社会服务的积极共同开发者以及这些服务的实施者的知识。
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引用次数: 0
Epidemics and Vaccination Dilemma in Complex Networks: A Case Study of Kosefe and Shomolu Local Government Area Lagos Nigeria 复杂网络中的流行病和疫苗接种困境——以尼日利亚拉各斯Kosefe和Shomolu地方政府区为例
Pub Date : 2022-04-13 DOI: 10.21522/tijar.2014.se.22.01.art002
Odis Adaora Isabella
Vaccination is undoubtedly one of the foremost important preventive measures of modern times; epidemics are feared as one of the most damaging phenomena in human societies. Aim: The thesis unveiled how the interplay between the probability of infection, vaccine effectiveness, and cost gives rise to non–linear responses in vaccine uptake. The study design was a cross-sectional descriptive study that used pretested closed-ended questionnaire that was distributed to the respondents. The sample size of 375 was adopted, which was calculated from the target population using the Cochrane formula for sample size calculation. Parents/guardians that strongly believe politicians should be role models that encourage vaccination were 61.87%, while 50.67% of mothers/caregivers were not sure if there is still a link between MMR vaccination and autism. The majority of parents/guardians (55.47% + 29.87%) strongly agree plus agree that media reports on vaccination programmes encourage them to vaccinate their children. 32.80% strongly agree, and 22.40% agree that the media exaggerates reports about disease outbreaks. Conclusion: The level of education plays an important role in the level of knowledge and attitude towards epidemics and vaccination. Income and Cost of vaccines affect vaccination uptake because of the present economic situation in Nigeria. Media plays a key role in vaccination campaigns, awareness, and intervention and should be promoted more to achieve the goal of ensuring all children are vaccinated properly. Doctors and Public Health Nurses have a major role to play in terms of influencing parents/guardian’s vaccination uptake.
接种疫苗无疑是现代最重要的预防措施之一;人们担心流行病是人类社会中最具破坏性的现象之一。目的:本文揭示了感染概率、疫苗有效性和成本之间的相互作用如何引起疫苗摄取的非线性反应。研究设计为横断面描述性研究,采用预先测试的封闭式问卷分发给受访者。样本量为375人,由目标人群计算,采用Cochrane公式计算样本量。61.87%的父母/监护人强烈认为政治家应该成为鼓励接种疫苗的榜样,而50.67%的母亲/照顾者不确定MMR疫苗接种与自闭症之间是否仍然存在联系。大多数家长/监护人(55.47% + 29.87%)强烈同意并同意媒体关于疫苗接种规划的报道鼓励他们为子女接种疫苗。32.80%强烈同意,22.40%同意媒体夸大了疾病暴发的报道。结论:受教育程度对传染病和预防接种的知识和态度水平有重要影响。由于尼日利亚目前的经济状况,疫苗的收入和成本影响到疫苗接种。媒体在疫苗接种运动、提高认识和干预方面发挥着关键作用,应更多地加以促进,以实现确保所有儿童适当接种疫苗的目标。医生和公共卫生护士在影响父母/监护人接种疫苗方面发挥着重要作用。
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引用次数: 0
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