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The Quantitative Effect of Community-Based Participatory Research on Building Teamwork among Medical and Long-Term Care Services in Rural Japan: The Tome Medical Project 基于社区的参与式研究对日本农村医疗和长期护理服务团队合作的定量影响:Tome医疗项目
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000605
Kemmyo Sugiyama, T. Tsuboya
Background: Comprehensive teamwork among medical experts, nursing-care experts and non-experts are essential in promoting medical and nursing care services in a community for the well-being of all residents. For accomplishment, inter-professional workshops have been conducted in various places throughout Japan. However, only a few studies have evaluated the effect of these activities, and most of them included only medical experts. Thus, we launched a community-based participatory research (CBPR), consisted of serial workshops in Tome City, a northeastern rural area in Japan. To our knowledge, this is the first study to quantitively evaluate the effect of CBPR. Methods: We held workshops including small lectures at a frequency of 1-2 times a month during six months. The participants discussed issues of medical or long-term care in Tome City. At baseline and the final workshops, we distributed to the participants questionnaires where they graded scores on the quality of cooperation among medical and nursing-care services in Tome. The summed scores were used as our main outcome. The higher scores mean better integration. Results: The median (range) of the scores for overall participants were 101.0 (66.0) at baseline, and 89.0 (76.0) at the end, with no statistical difference observed (p=0.50). Similar results were observed when stratified by number of times attending to other workshops and medical or nursing-care profession. Conclusion: No improvement in collaboration was observed after serial workshops in 6 months. Further discussions would be needed how we can promote better collaboration among professionals and citizens for the achievement of residents’ well-being.
背景:医学专家、护理专家和非专家之间的全面合作是促进社区医疗和护理服务的必要条件,以造福所有居民。为了实现这一目标,在日本各地举办了跨专业研讨会。然而,只有少数研究评估了这些活动的影响,其中大多数研究只包括医学专家。因此,我们在日本东北部农村地区Tome市发起了一项基于社区的参与性研究(CBPR),包括一系列讲习班。据我们所知,这是第一个定量评估CBPR效果的研究。方法:在6个月的时间里,我们以每月1-2次的频率举办研讨会,包括小型讲座。与会者讨论了汤姆市的医疗或长期护理问题。在基线和最后的研讨会上,我们向参与者分发了问卷,让他们对多美医疗和护理服务之间的合作质量进行评分。我们将总得分作为主要结果。分数越高意味着整合能力越强。结果:总体受试者的中位(范围)得分基线时为101.0分(66.0分),结束时为89.0分(76.0分),差异无统计学意义(p=0.50)。当按参加其他讲习班和医疗或护理专业的次数分层时,观察到类似的结果。结论:6个月的连续研讨会后,患者的协作能力未见改善。我们需要进一步讨论如何促进专业人士和市民之间更好的合作,以实现居民的福祉。
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引用次数: 0
Knowledge and Use of Contraceptives among Female Adolescents in Selected Senior Secondary Schools in Ife Central Local Government of Osun State 奥松州Ife中央地方政府选定高中女生避孕知识和使用情况
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000614
Tchokossa Ma, A. Ba
The study investigated the knowledge and use of contraceptives among female adolescents in selected secondary Schools in Ife Central Local Government Area of Osun State. The study surveyed 397 female adolescent students using purposive sampling technique. An adapted instrument was used to elicit information from the respondents. Five research questions were asked and answered while two hypotheses were tested and verified at 0.05 level of significance. The results among others showed that 244 (61.5%) of females adolescents had adequate knowledge of contraceptives in the study area. The results also showed that the factors that are enhancing the use of contraceptive among secondary school adolescents are proper sex education (77.8%) outreach service (71.5%) and proper orientation (69.5%). In addition, the findings revealed that there was no significant difference in the knowledge of contraceptive of female adolescents of different age categories (F=2.394; p>0.05). The study therefore recommended among others, that female adolescent should be properly educated on sex education.
该研究调查了奥松州Ife中央地方政府区选定中学的女青少年对避孕药具的知识和使用情况。本研究采用目的抽样法对397名女大学生进行调查。一种经过改造的工具被用来从被访者那里获取信息。共提出并回答了5个研究问题,并对2个假设进行了0.05显著性水平的检验和验证。结果显示,研究区244名(61.5%)女性青少年对避孕药具有足够的了解。提高中学青少年避孕药具使用率的因素有:适当的性教育(77.8%)、外展服务(71.5%)和适当的性取向(69.5%)。此外,调查结果显示,不同年龄组的女性青少年对避孕知识的了解没有显著差异(F=2.394;p > 0.05)。因此,除其他外,该研究建议对女性青少年进行适当的性教育。
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引用次数: 6
Outcomes of a Culturally-Based Sexually Risk Reduction Intervention for Adolescents in Puerto Rico: A Cohort Evaluation Report 波多黎各青少年以文化为基础的性风险降低干预的结果:一项队列评估报告
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000585
Cruz Feliciano MA, Pabon Cruz K, Carrion Gonzalez IS, Vargas Bernal MI
Objective: Teen pregnancy and sexually risky behaviors among adolescents represent a major public health concern. Despite reduction of teen birth rates, Hispanic adolescents still report higher rates in comparison to other racial and ethnic groups. Under uncontrolled community and school settings, iCuidate! was implemented for assisting Puerto Rican youth reduce sexual risk behaviors in high risk communities. Methods: A prospective assessment was conducted among adolescents that participated in the intervention. A stratified probabilistic sample of 185 adolescents was re-contacted and comparisons were made between participants that completed and not completed the intervention in terms of intent to have sex, sexual encounters, contraceptive methods, teen pregnancy, and improvement in life coping skills. Results: After intervention’s completion participation, adolescents were more likely to ask sexual partner to use any birth control or condom that non-completers. Completers reported 75% less probability of reporting sex ever than those non-completers after controlling for age and gender. They also were more likely to indicate higher intentions to have sex. Among those adolescents that indicated not having sex before starting the intervention, 12.0% had sex and from those that had sex after the intervention, 1.2% reported being pregnant or gotten someone pregnant. Conclusions: The investigation found that an impact in knowledge and attitudes were experienced. Despite teen pregnancy prevention did not reach statistical significance, it resulted in lower incidence than the general population of adolescents.iCuidate! resulted effective in changing the perception towards abstinence, condom utilization, and in delaying age of first sexual encounter.
目的:青少年怀孕和性危险行为是一个主要的公共卫生问题。尽管青少年生育率有所下降,但与其他种族和族裔群体相比,西班牙裔青少年的生育率仍然较高。在不受控制的社区和学校环境下,我要退出!的实施是为了帮助波多黎各青年在高风险社区减少性危险行为。方法:对参与干预的青少年进行前瞻性评估。重新联系了185名青少年的分层概率样本,并对完成和未完成干预的参与者在性行为意图、性接触、避孕方法、青少年怀孕和改善生活应对技能方面进行了比较。结果:干预完成后,青少年比未完成干预者更倾向于要求性伴侣使用避孕措施或避孕套。在控制了年龄和性别之后,完成者报告性行为的概率比未完成者低75%。他们也更有可能表现出更高的性意愿。在那些在干预前没有性生活的青少年中,12.0%的人有过性行为,而在干预后有过性行为的青少年中,1.2%的人报告怀孕或使他人怀孕。结论:调查发现在知识和态度上有一定的影响。尽管青少年怀孕预防没有达到统计学意义,但其发生率低于一般青少年人群。结果有效地改变了人们对禁欲、避孕套使用的看法,并延缓了初次性行为的年龄。
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引用次数: 0
Assessment of Knowledge and Practice of Computer Ergonomics among Secretaries and Data Processing Workers in University of Gondar, Northwest Ethiopia, 2016 贡达尔大学秘书和数据处理工作者计算机人机工程学知识与实践评估,埃塞俄比亚西北部,2016
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000583
A. Tafese, A. Nega, D. Getasew, G. Er-ku
Background: Ergonomics is the science of fitting jobs to workers by taking into account the requirements of the job and peoples’ physical and mental capacities. Knowledge and practice about computer ergonomics helps employers and data processing workers to develop strategies that used to reduce the effects of poor computer ergonomics in the selected population. Objectives: the aim of the study is to assess knowledge and practice towards computer ergonomics among desk top users of secretaries and data processing workers who are working in different departments or staffs in university of Gondar. Methods: An institutional based cross-sectional study was conducted from the 1st February to June 2nd week, 2016 on secretaries and data processing workers in university of Gondar. Stratified sampling was used to get the total sample size of 260 participants. A self-administered structured questionnaire and observational checklists have been used to collect quantitative data on assessment of knowledge and practice of computer ergonomics. All the questionnaires have been checked visually, coded and entered into SPSS version 20 software package and also for analysis. Result: Among the total respondents 152(58.5%) of the participants were females while the mean age of the study participants was 29.62. About 165(63.5%) of the study participants had information about computer ergonomics with the mean knowledge and practice 51.9% and 48.1% respectively. Conclusion: Even though the workers had a good knowledge their practices were below the mean score. So the concerned body should be responsible to improve the awareness of the workers on computer ergonomics practice through office ergonomics strategies.
背景:人体工程学是一门考虑到工作要求和人的身心能力,使工作适合工人的科学。关于计算机人体工程学的知识和实践可以帮助雇主和数据处理人员制定策略,用于减少计算机人体工程学对选定人群的不良影响。目的:本研究的目的是评估冈达尔大学不同部门的秘书和数据处理人员的桌面用户或员工对计算机人体工程学的知识和实践。方法:于2016年2月1日至6月2日对贡达尔大学的秘书和数据处理人员进行了基于机构的横断面研究。采用分层抽样法得到260名参与者的总样本量。一份自我管理的结构化问卷和观察性检查表被用来收集评估计算机人体工程学知识和实践的定量数据。所有的调查问卷都经过可视化检查,编码并输入SPSS 20版软件包进行分析。结果:调查对象中女性152人(58.5%),平均年龄29.62岁。约165人(63.5%)具有计算机人机工程学知识,平均知识和实践水平分别为51.9%和48.1%。结论:即使工人有很好的知识,他们的做法低于平均得分。因此,有关部门有责任通过办公室工效学策略来提高员工对计算机工效学实践的认识。
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引用次数: 1
Differences in MERS Epidemiology in the Middle East and South Korea 中东呼吸综合征流行病学在中东和韩国的差异
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000592
J. E. Park
The majority of Middle East Respiratory Syndrome (MERS) cases have occurred in the Middle East and South Korea. MERS transmission and severity has shown different patterns in those areas. Viral, host, and environmental factors may be the cause of such differences. The MERS virus in South Korea has exhibited higher genetic variability and mutation rates compared with in the Middle East. Host factors including race, population structure, and health behavior may also relate to the differences in outbreaks. Finally, characteristics of the transmission environment, including factors such as hospital systems and population density, could contribute. This article reviews the factors associated with the different attributes of MERS outbreaks in the two regions.
大多数中东呼吸综合征(MERS)病例发生在中东和韩国。中东呼吸综合征的传播和严重程度在这些地区表现出不同的模式。病毒、宿主和环境因素可能是造成这种差异的原因。与中东地区相比,韩国的MERS病毒表现出更高的遗传变异性和突变率。宿主因素包括种族、人口结构和健康行为也可能与疫情的差异有关。最后,传播环境的特征,包括医院系统和人口密度等因素也可能起作用。本文综述了导致这两个地区MERS疫情不同属性的相关因素。
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引用次数: 0
Screening for Depression Levels among Adult Female Resident at King Faisal National Guard Residential City in Jeddah (KFNGRCJ), From 18 Years Old and More, 2016 吉达费萨尔国王国民卫队居住城市成年女性抑郁水平筛查(KFNGRCJ), 18岁及以上,2016
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000604
Alaa H Alsharif, Fahad Al-Tayyeb, B. Aljasir, A. Bargawi
Background: Depression is one of the growing chronic diseases due to modernization and risk factors like poverty and unemployment. Almost 4.4% of the world population complaining of depression according to the World Health Organization (WHO). Depression need early screening and intervention to pick up the cases and prevent the complication associated with depression like suicide. Depressed patient cannot recognize the symptoms of depression although depression can affect the functioning and quality of life for the depressed patient. This is why screening is a necessary action also to measure the prevalence of depression in a community and to plan a public health care intervention supporting the community to cope with depression. Aim: The aim of this study is to build up a data base that could be utilized in the development of mental health program. Objectives: As there is a lack in the community based estimate of depression this study was conducted to assess the female’s depression prevalence and building a data base about depression status. Methods: This is a cross-sectional study design to measure the prevalence of depression among females 18 years and more, living at KFNGRCJ in Jeddah using the Arabic version of the Beck Depression Inventory II (BDI-II) tool. Result: Out of 727 distributed questionnaires, there were 443 included in the study showing the prevalence of depression was 12.4%. According to the severity the mild cases were 76.4%, the moderate cases were 20% and the sever cases were 3.6%. Conclusion: This study shows the magnitude of depression among female resident at KFNGRCJ in Jeddah is almost equal to the WHO estimates and near other studies done in Saudi Arabia. Single and divorced females are associated with depression.
背景:由于现代化和贫困、失业等危险因素的影响,抑郁症是日益增长的慢性疾病之一。根据世界卫生组织(WHO)的数据,世界上几乎有4.4%的人患有抑郁症。抑郁症需要早期筛查和干预,以发现病例,防止与抑郁症相关的并发症,如自杀。虽然抑郁症会影响患者的功能和生活质量,但患者无法识别抑郁症的症状。这就是为什么筛查是一项必要的行动,也是为了衡量社区中抑郁症的流行程度,并计划公共卫生保健干预措施,支持社区应对抑郁症。目的:本研究的目的是建立一个可用于心理健康项目发展的数据库。目的:针对社区对抑郁症的评估不足,本研究旨在评估女性抑郁症的患病率,并建立抑郁状况数据库。方法:这是一项横断面研究设计,使用阿拉伯语版贝克抑郁量表II (BDI-II)工具,测量吉达KFNGRCJ 18岁及以上女性的抑郁症患病率。结果:在发放的727份问卷中,有443份纳入研究,抑郁症患病率为12.4%。按严重程度分,轻度占76.4%,中度占20%,重度占3.6%。结论:本研究表明吉达KFNGRCJ女性居民的抑郁程度与世卫组织的估计几乎相等,与沙特阿拉伯的其他研究结果相近。单身和离婚的女性容易患抑郁症。
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引用次数: 3
Improving California’s Capacity to Implement a Positive Youth Development Intervention for Expectant and Parenting Adolescents 提高加州的能力,以实施积极的青少年发展干预准父母和青少年
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000623
K. Tebb, F. Rodriguez, Melisa Price, Felipe Rodriguez, C. Brindis
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引用次数: 1
Social Factors Associated with Involvement of Husband in Birth Preparedness Plan and Complication Readiness in Dang District, Nepal 尼泊尔Dang地区与丈夫参与生育准备计划和并发症准备相关的社会因素
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000636
C. Bhusal, S. Bhattarai
Background: Male involvement in birth preparedness plan and complication readiness is a care and support provided by men during pregnancy, child birth and postpartum period for safe delivery by reducing three delays. This study aimed to determine social factors associated with husband involvement in Birth Preparedness Plan and Complication Readiness in Dang district, Nepal. Methods: Community based cross-sectional study among 125 husbands whose wives was delivered within last 12 months between May-November 2016 was conducted in Dang district Nepal. Randomly 3 wards were selected out of 11 existing wards from Tulsipur Municipality; records regarding child birth within last 12 months in selected wards were reviewed from Rapti Zonal Hospital and by using snowball sampling respondents were selected from 8, 9 and 11 wards. Results: The mean age was 23.28 ± 0.63. Among total, 57.6% respondents were involved in at least 5 components of Birth Preparedness. After adjustment couples who had love marriage were found 3.66 times more likely to involve (OR=3.66; CI=1.01-13.28, p=0.048). Husbands whose wives had formal education were more likely to involve (OR=11.92; CI=2.56-54.97, p=0.001). Similarly non-agricultural husbands were less likely to involve (OR=0.02, CI=0.01-0.44, p=0.013), likewise whose spouse were engaged in non-agriculture were 6.27 times more likely to involve (OR=6.27; CI=1.25-31.68, p=0.026). In addition who earned were more likely to involve (OR=140.78; CI=7.85-252.63, p=0.001). Conclusion: Male Involvement was significantly higher among husbands having love marriage, non-agricultural work and who earned. It is also predisposed by spouse education and spouse occupation. This study concerns stakeholders should focus on strategic behavior communication program regarding reproductive health including birth preparedness plan. .
背景:男性参与分娩准备计划和并发症准备是男性在怀孕、分娩和产后期间通过减少三次延迟为安全分娩提供的护理和支持。本研究旨在确定尼泊尔Dang地区与丈夫参与分娩准备计划和并发症准备相关的社会因素。方法:对尼泊尔Dang地区2016年5月至11月12个月内分娩的125名丈夫进行基于社区的横断面研究。从图尔西普尔市现有的11个区中随机抽取3个区;对Rapti地区医院选定病房过去12个月内的分娩记录进行了审查,并通过滚雪球抽样从8、9和11个病房中选择了应答者。结果:患者平均年龄23.28±0.63岁。在总数中,57.6%的应答者至少参与了生育准备的5个组成部分。经调整后,有爱的婚姻的夫妇有3.66倍的可能性涉及(OR=3.66;CI = 1.01 - -13.28, p = 0.048)。妻子受过正规教育的丈夫更有可能参与其中(OR=11.92;CI = 2.56 - -54.97, p = 0.001)。同样,非农业丈夫参与的可能性较小(OR=0.02, CI=0.01-0.44, p=0.013),同样,配偶从事非农业的丈夫参与的可能性是其6.27倍(OR=6.27;CI = 1.25 - -31.68, p = 0.026)。此外,有收入的人更有可能参与(OR=140.78;CI = 7.85 - -252.63, p = 0.001)。结论:有爱情婚姻、从事非农业工作和有收入的丈夫的男性投入度显著高于有工作的丈夫。配偶的教育程度和配偶的职业也会导致这种情况。本研究关注利益相关者应关注生殖健康的战略行为沟通计划,包括生育准备计划。
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引用次数: 7
Cured Meat as a Potential Risk Factor of Chronic Obstructive Pulmonary Disease 腌肉是慢性阻塞性肺疾病的潜在危险因素
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000637
G. Ali, S. A. Ali, S. Ali
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引用次数: 0
Acceptance of Tele-Consultation and its Determinant Factors among Doctors in Outpatient Clinics in the Hospital of Conselor Tuanku Muhriz, Kuala Lumpur, Malaysia 马来西亚吉隆坡Tuanku Muhriz顾问医院门诊医生接受远程会诊及其决定因素
Pub Date : 2018-01-01 DOI: 10.4172/2161-0711.1000606
Laila Abushaar, A. Ismail
The recent introduction of information technology has improved the quality of healthcare services. In many developing countries, including Malaysia, patients suffer from a shortage of trained medical specialists and teleconsultation (TC) would ease access to specialists. The need to know if doctors are willing to accept such technology has prompted this study. The objective of the study therefore was to measure the acceptance, knowledge, and attitude towards tele-consultation among doctors in Conselor Tuanku Muhriz, Kuala Lumpur, Malaysia (HCTM) and to identify the factors which influence its acceptance. Factors such as socio-demographics, knowledge, attitude, perceived ease of use (PEOU) and perceived usefulness (PU) towards tele-consultation were chosen according to the technology acceptance model (TAM) and some literature. This was a cross-sectional study based on a quantitative method. Data was collected from HCTM outpatient clinics in Cheras area, Kuala Lumpur, Malaysia in March 2017. A total of 90 questionnaires were collected from eight different outpatient clinics in HCTM. Statistical Package for the Social Sciences (SPSS) (version 22.0) was used to analyse the data. The results showed an acceptance rate of 63.3% among doctors in HCTM. The study also showed that perception of usefulness and positive attitude had a significant association with the acceptance of TC. In conclusion, this study has revealed the important factors that have influenced tele-consultation acceptance as perceived usefulness and positive attitude. Furthermore, the overall findings from the study suggest that TAM is an appropriate model for explaining physicians' technology acceptance decisions.
最近引入的信息技术提高了医疗保健服务的质量。在包括马来西亚在内的许多发展中国家,患者缺乏训练有素的医疗专家,远程会诊将使他们更容易找到专家。了解医生是否愿意接受这种技术的需求促使了这项研究。因此,本研究的目的是衡量马来西亚吉隆坡Tuanku Muhriz咨询师(HCTM)医生对远程会诊的接受程度、知识和态度,并确定影响其接受程度的因素。根据技术接受模型(TAM)和一些文献选择了社会人口统计学、知识、态度、感知易用性(PEOU)和感知有用性(PU)等因素对远程会诊的影响。这是一项基于定量方法的横断面研究。数据于2017年3月从马来西亚吉隆坡Cheras地区的HCTM门诊诊所收集。从中医8个门诊共收集问卷90份。使用社会科学统计软件包(SPSS)(版本22.0)分析数据。结果显示,中医对医生的接受率为63.3%。研究还发现,有用性感知和积极态度与接受TC有显著的关联。总之,本研究揭示了影响远程咨询接受的重要因素是感知有用性和积极态度。此外,研究的总体结果表明,TAM是解释医生技术接受决策的合适模型。
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引用次数: 2
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Journal of community medicine & health education
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