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Womans health management aft er the age of 50 50岁以后妇女健康管理
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711-C7-049
P. Abreu, Conceicao Mansop
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引用次数: 0
The Need for Equity in the Generation and Distribution of Medical Knowledge-An African Perspective 在医学知识的产生和分配方面需要公平——非洲的观点
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000587
Vincent Setlhare
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引用次数: 0
Continuing Medical Education for Community and Hospital Physicians in Israel 以色列社区和医院医生的继续医学教育
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000588
R. Peleg, D. Kaplan, H. Tandeter, P. Shvartzman
Background: In this study we aimed to evaluate Continuing Medical Education (CME) activities of primary care physicians. Methods: An e-mail questionnaire, based on the Jefferson Scale of Physician Life Long Learning (JSPLL), was sent to hospital- and community-based physicians in the Negev District. Results: Eighty eight hospital-based physicians (38% response rate) and 118 community-based physicians (31% response) participated in the study. Hospital physicians participated more in annual meetings of professional medical associations (P<0.0001). They also gave more talks at professional meetings and took part more in research studies (P<0.0001). The variables that predicted the upper tertile of the most updated physicians were age (OR=0.947; 95% CI 0.926-0.968), male gender (OR=2.502; 95% CI 1.019-4.268), and active participation in teaching (OR=4.013; 95% CI 1.347-11.954). Conclusion: Both hospital and community physicians have a high level of access to medical journals and the Internet, but CME activities have been adapted more by hospital physicians.
背景:本研究旨在评估初级保健医生的继续医学教育(CME)活动。方法:以杰弗逊医师终身学习量表(JSPLL)为基础,向内盖夫地区的医院和社区医生发送电子邮件问卷。结果:88名医院医生(38%的回复率)和118名社区医生(31%的回复率)参与了本研究。医院医师参加专业医学协会年会较多(P<0.0001)。他们在专业会议上做了更多的演讲,参与了更多的研究(P<0.0001)。预测更新最多的医生的上五分位数的变量是年龄(OR=0.947;95% CI 0.926-0.968),男性(OR=2.502;95% CI 1.019-4.268),积极参与教学(OR=4.013;95% ci 1.347-11.954)。结论:医院和社区医生对医学期刊和互联网的获取程度都很高,但医院医生对CME活动的适应程度更高。
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引用次数: 0
Analysis of Oncologists and Patients Communication During Different Consultations 不同会诊期间肿瘤医师与患者沟通分析
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000626
Criscuolo Mg, C. Luciana, Stefano Cd, G. Marfé
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引用次数: 0
Client Satisfaction on Selected Public Health Facilities of South Nations, Nationalities and Peoples Regional State, South Ethiopia, Quantitative & Qualitative Survey 南埃塞俄比亚国家、民族和民族地区国家选定公共卫生设施的客户满意度,定量和定性调查
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000641
B. Duko, B. Meshesha, Eskindir Loha, G. Bekele
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引用次数: 0
Identifying Critical Issues in the Perception of Caregivers about Quality of Child Health Care Services Using a Modified Delphi Technique 使用改进的德尔菲技术识别看护者对儿童保健服务质量感知中的关键问题
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000597
Arije Oo, Omotosho Os, Alabi Ot
Background: Identification of the elements of the perception users of health services is a critical step in the development of measurement scales to assess such perception. This study is the second of a three phase approach to create a validated tool for the assessment of caregiver’s perceived quality of child health care in Primary health care (PHC) facilities. The first phase was exploratory using qualitative methods to assess the perceptions of caregivers about quality of child health care services; it yielded 39 quality-of-care items. Method: In this current study, we subjected the 39 quality of care items to expert review using the modified Delphi method. This method is useful for providing evidence for content validity in quantitative scale design. A total of 33 experts, including public health specialists, pediatricians and medical sociologists, participated in three iterative rounds. In each round the experts awarded score to the items and consensus amongst experts was determined by calculating inter quartile range of the assigned scores. Results: At the end of the three rounds of expert review, the total number of question items that had shown consensus considerably amongst the expert reviewers was 23. Conclusion: For these 23 items, a three point Likert scale response format was framed appropriately as a quantitative scale for assessing perceived quality of child health services in PHC facilities.
背景:确定感知卫生服务使用者的要素是制定评估这种感知的测量量表的关键步骤。本研究是三阶段方法的第二阶段,旨在创建一个有效的工具,用于评估初级卫生保健(PHC)设施中照顾者对儿童卫生保健的感知质量。第一阶段是探索性的,使用定性方法评估照顾者对儿童保健服务质量的看法;它产生了39个护理质量项目。方法:本研究采用改进的德尔菲法对39个护理质量项目进行专家评审。该方法可为定量量表设计中的内容效度提供依据。共有33名专家,包括公共卫生专家、儿科医生和医学社会学家,参加了三轮迭代。在每一轮中,专家给项目打分,专家之间的共识是通过计算分配分数的四分位数范围来确定的。结果:三轮专家评审结束时,评审专家一致的问题项总数为23个。结论:对于这23个项目,一个三点李克特量表反应格式被适当地构建为评估初级保健机构儿童保健服务感知质量的定量量表。
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引用次数: 0
Carcinoid of the Minor Duodenal Papilla: Case Report and Review of the Literature 十二指肠小乳头类癌:1例报告及文献复习
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000617
Weiping Ji, B. Songb, A. Chandoo, Yingpeng Huang, Lu, W. Sun, G. Jin, Xian Shen
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引用次数: 1
Evaluation of Health Literacy in Veteran Affairs Outpatient Population: A Focus on Patient Self-Perceived Health Status 退伍军人门诊人群健康素养评价:以患者自我感知健康状况为重点
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000613
Rasu Rs, Bawa Wa, A. Hu, R. Sharma, Stahnke Am, S. Burros
Health literacy is of great importance for clinicians to maximize patient involvement and in the effective delivery of healthcare services. Health literacy driven health communication strategies may encourage appropriate and optimal use of healthcare resources and medications. We evaluated health literacy level in veterans with unique population demographics and focused on patient self-perceived health status (SPHS). Veterans (N=194) were enrolled in this cross-sectional study. Only 40% had poor or inadequate health literacy level. Older individuals displayed poorer health literacy level. 57.2% of the patients had good/above SPHS. Patients with good or above SPHS had 1.7 times higher (OR: 1.68, 95% CI=0.79-3.54) compared to patients with below good SPHS. Veterans with hospitalization were 11% less likely (OR=0.89) to report good or adequate health literacy level compared to those not hospitalized. Veterans with good or adequate health literacy level perceived their health status to be better than veterans with poor or inadequate health literacy. Using plain and simple language by providers while counseling patients about their disease and medications, might have a positive ripple effect on the current patient-centered care delivery. Clinicians could use a tailored approach to improve communication with patients.
健康素养对于临床医生最大限度地提高患者参与度和有效提供医疗保健服务至关重要。卫生素养驱动的卫生传播战略可鼓励适当和最佳地使用卫生保健资源和药物。我们评估了具有独特人口统计特征的退伍军人的健康素养水平,并关注患者自我感知健康状况(SPHS)。退伍军人(N=194)被纳入本横断面研究。只有40%的人卫生知识水平差或不足。老年人的健康素养水平较差。57.2%的患者SPHS良好或以上。SPHS良好及以上的患者比SPHS欠佳的患者高1.7倍(or: 1.68, 95% CI=0.79-3.54)。与未住院的退伍军人相比,住院的退伍军人报告良好或足够的健康素养水平的可能性低11% (OR=0.89)。健康素养水平良好或适当的退伍军人认为自己的健康状况优于健康素养差或不充分的退伍军人。提供者在向患者咨询他们的疾病和药物时使用简单明了的语言,可能会对目前以患者为中心的护理服务产生积极的连锁反应。临床医生可以使用量身定制的方法来改善与患者的沟通。
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引用次数: 1
Health Educational Program Regarding Prevention of Sexual Harassment among Young Female Adolescents 关于预防年轻女性青少年性骚扰的健康教育方案
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000630
El-Gindy Fk, Ragheb Sg, R. Alkhateeb
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引用次数: 3
Determination of Mental Health Status of Sporting Individuals 运动个体心理健康状况的测定
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000603
M. Şahin, N. Lok, K. Bademl, B. Kayaaslan, S. Lok
Introduction and objectives: This research was conducted to determine the mental health status of individuals who participate in sport. Methods: Research is planned in a descriptive relational type. The study was conducted with face-to-face interviews with 143 people who participate in sport. In gathering the data; the information form prepared by the researchers questioning the socio-demographic information of the individuals and the General Health Questionnaire were used. The sample of the research has been formed by sports over 18 years of age who have been educated. In determining the sample of the research, the universal sampling method was used. The number and percentage distributions of the demographic data were used in the evaluation of the study and the chi square test was used to evaluate the relationship between the socio demographic characteristics and the general health. Results: When the socio-demographic characteristics of the sports were examined, the mean age was 31.12 ± 3.24, 48.3% were female, 51.7% were male, 51.6% were married 48.4% were single, 49%, 68 were high school graduates, 47.61% were chronic illnesses and 50.37% had daily sports for 1-5 hours. When the mood states of the athletes were evaluated according to the GSA-12 score, 41.4% were low (<2 points), 36.36% were middle (2-3 points) and 21.39% were high) were found. When the socio-demographic characteristics of the sports and general health questionnaire score were examined, it was found that the mental health of the men was better and the difference was statistically significant (χ2=3.147, p<0.05). Conclusions: When the results obtained from the study are evaluated, women, marriages, high school graduates, those with chronic illnesses and those with 1-5 hours of daily sports are at risk for mental health.
前言和目的:本研究旨在确定参加体育运动的个体的心理健康状况。方法:研究计划在一个描述性的关系类型。这项研究是通过面对面采访143名参加体育运动的人进行的。收集数据;使用研究者编制的个人社会人口学信息询问表和《一般健康问卷》。研究的样本是由18岁以上受过教育的体育运动员组成的。在确定研究样本时,采用了通用抽样方法。人口统计数据的数量和百分比分布用于评价研究,卡方检验用于评价社会人口统计学特征与一般健康之间的关系。结果:调查运动社会人口特征时,平均年龄为31.12±3.24岁,女性占48.3%,男性占51.7%,已婚占51.6%,单身占48.4%,高中毕业生占49%,慢性病占47.61%,每天运动1 ~ 5小时占50.37%。用GSA-12评分评价运动员情绪状态时,低(<2分)占41.4%,中(2-3分)占36.36%,高(21.39%)占21.39%。对运动和一般健康问卷得分的社会人口学特征进行检查,发现男性心理健康状况较好,差异有统计学意义(χ2=3.147, p<0.05)。结论:当对研究结果进行评估时,女性、婚姻、高中毕业生、慢性病患者和每天运动1-5小时的人存在心理健康风险。
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Journal of community medicine & health education
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