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Influence of Health Education on Blood Pressure and Body Mass Index of Rural Dwellers IMO State 健康教育对IMO州农村居民血压和体质指数的影响
Pub Date : 2018-02-07 DOI: 10.4172/2380-5439.1000248
O. OsualaEunice
Background and objectives: Hypertension has been globally recognized as the most prevalent Cardiovascular Disease (CVD) and a potent risk factor in the development of other CVD outcomes such as coronary heart diseases, stroke, and renal insufficiency. It has been reported to be on the increase in recent years, being the most rapidly rising CVD in Sub-Saharan Africa. Meanwhile it is associated with preventable risk factors as salt, alcohol and obesity. The purpose of the study is to screen participants for high blood pressure and BMI, provide information on healthy lifestyles as a measure to reduce risk factors that predispose to hypertension among the populace.Methods: This work was an intervention study that adopted quasi experimental design in which only the Experimental Group (EG) was exposed to health education package aimed at lifestyle modification. Study was guided by three objectives and four hypotheses based on objective.Results: Percentage of participants with normal blood pressure reading in the EG increased from 37% at baseline to 47% at end-line unlike the Control Group (CG). There was significant difference between the blood pressure readings of the EG and CG, P value=0.000 but there was no significant difference between the BMI of the EG and CG, p value>0.05.Interpretation and conclusion: This implies that health education influenced their lifestyles positively. There was no significant change in BMI as obesity was not a problem among the populace. Awareness through Health Education on healthy lifestyles especially importance of DASH diet need to be intensified in rural communities by Health workers.
背景和目的:高血压已被全球公认为最常见的心血管疾病(CVD),也是其他心血管疾病(如冠心病、中风和肾功能不全)发展的重要风险因素。据报道,近年来,它呈上升趋势,是撒哈拉以南非洲CVD增长最快的地区。同时,它与盐、酒精和肥胖等可预防的风险因素有关。该研究的目的是对参与者进行高血压和BMI筛查,提供有关健康生活方式的信息,以减少人群中易患高血压的风险因素。方法:这项工作是一项采用准实验设计的干预研究,其中只有实验组(EG)接触旨在改变生活方式的健康教育包。研究以三个目标和四个基于目标的假设为指导。结果:与对照组不同,EG中血压读数正常的参与者比例从基线时的37%增加到终点线时的47%。EG和CG的血压读数之间有显著差异,P值=0.000,而EG和CG之间的BMI没有显著差异,P值>0.05。解释和结论:这意味着健康教育对他们的生活方式有积极影响。BMI没有显著变化,因为肥胖在人群中不是问题。卫生工作者需要通过健康教育提高农村社区对健康生活方式的认识,特别是DASH饮食的重要性。
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引用次数: 0
Great Initiatives for a Great Cause: Policy Making In United Kingdom to Limit Smoking 伟大事业的伟大举措:英国限制吸烟的政策制定
Pub Date : 2018-02-05 DOI: 10.4172/2380-5439.1000247
Ramsha Khan, M. Qureshi
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引用次数: 0
Role of Transformational Leadership in Employee's Performance with Mediating Role of Job Satisfaction in Health Sector of Pakistan 巴基斯坦卫生部门变革型领导对员工绩效的作用及工作满意度的中介作用
Pub Date : 2018-01-15 DOI: 10.4172/2380-5439.1000245
S. Naeem, Benish Khanzada
This research explores the association among transformational leadership, employee performances and also investigates the mediation of job satisfaction in the association of transformational leadership as independent variable and employee performance as dependent variable in health sector of Pakistan. Research data was collected; using questionnaire total 152 respondents participated in the study. From data analysis, it was concluded that the transformational leadership positively influences employee performance in the health sector of Pakistan. Job satisfaction as mediator was assessed by applying mediated regression analysis. It was found that job contentment mediated the affiliation between relation of transformational leadership as independent variable and employee performance as dependent variable.
本研究探讨了巴基斯坦卫生部门变革型领导与员工绩效之间的关系,并考察了工作满意度在变革型领导作为自变量和员工绩效作为因变量的关联中的中介作用。收集研究数据;采用问卷法对152名被调查者进行了调查。从数据分析得出的结论是,变革型领导对巴基斯坦卫生部门的员工绩效产生了积极影响。运用中介回归分析评估工作满意度的中介作用。研究发现,工作满意度在变革型领导作为自变量与员工绩效作为因变量的关系中起中介作用。
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引用次数: 22
Cardiopulmonary Resuscitation Performance may Improve with Consideration of Performer’s Characteristics 考虑到表演者的特点,心肺复苏的表现可能会有所改善
Pub Date : 2018-01-05 DOI: 10.4172/2380-5439.1000244
Hikaru Nachi, S. Nachi, Hideshi Okada, Kodai Suzuki, Takahito Miyake, Takahiro Yoshida, S. Ogura, E. Chihara
Background: In basic life support, chest compressions are a very important and basic skill. Acquiring the ability to perform chest compressions is affected by individual characteristics such as physique and physical strength, although all persons can learn to Perform Cardiopulmonary Resuscitation (CPR), including chest compressions. The aim of this study was to examine differences in physique between males and females and Basic Life Support (BLS) skill using a portable manikin with automated corrective feedback.Methods: Participants were 120 fourth-year preclinical dental school students (87 males, 33 females). For skill assessment, students performed chest compressions and single rescuer CPR using a Laerdal Resusci Anne Skill Reporter TM manikin for 2 minutes each before and after CPR. Outcome measures were (1) compression depth (mm), (2) compression rate (number of compressions per minute), (3) compression release depth (recoil, mm), and (4) hand position before and after the BLS course.Results: After the BLS course, compression depth and rate improved significantly. Both before and after the BLS course, male students performed deeper chest compressions than female students. In females, the duration of acceptable chest compressions was significantly shorter than in males.Conclusion: CPR performance was significantly different between males and females, probably due to differences in physique. Therefore, it is necessary for individualized instruction adapted to the learner’s characteristics.
背景:在基础生命支持中,胸外按压是一项非常重要的基本技能。尽管所有人都可以学习进行心肺复苏(CPR),包括胸外按压,但获得进行胸外按压的能力受到个人特征(如体格和体力)的影响。本研究的目的是使用带有自动纠正反馈的便携式人体模型来检查男性和女性在体格和基本生命支持(BLS)技能方面的差异。方法:参与者为120名临床前牙科学校四年级学生(男性87人,女性33人)。为了进行技能评估,学生在心肺复苏术前后分别使用Laerdal Resusci Anne skill Reporter TM人体模型进行胸外按压和单人心肺复苏术各2分钟。结果测量为(1)压缩深度(mm),(2)压缩率(每分钟压缩次数),(3)压缩释放深度(后坐力,mm), (4) BLS课程前后的手部位置。结果:经BLS治疗后,加压深度和加压率均有明显改善。在BLS课程前后,男学生比女学生进行更深的胸外按压。在女性中,可接受的胸外按压时间明显短于男性。结论:男性与女性在心肺复苏术表现上存在显著差异,可能与体质差异有关。因此,有必要根据学习者的特点进行个性化教学。
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引用次数: 0
Knowledge, Attitude and Perception on Prevention of Home Accidents among Mothers who Came to the Pediatrics Department of the Korle-Bu Teaching Hospital 科勒布教学医院儿科住院母亲对预防家庭事故的知识、态度和认知
Pub Date : 2018-01-04 DOI: 10.4172/2380-5439.1000242
Gideon Link Sackitey
Objective: The study examined the knowledge, attitude and perception on the prevention of home accidents among mothers who reported at the pediatrics department of the Korle-Bu Teaching Hospital.Sample: In all 30 mothers with children age 0 to 5 years were sampled for the study.Methods: The study also used the survey method with the aid of the questionnaire as the main instrument of data collection.Results: The outcome of the study showed that (73.3%) have had their children suffered from child injuries. Again, in terms of the prevalence of specific child injuries the study observed that burns (66.7%) and cut/wounds (63.3%) were recorded as the most prevalent child injuries among the respondents. In all 70 percent of the respondents recorded child injuries more than once in their homes. Furthermore, majority of the mothers expressed high knowledge on the causes and risk factors of home accidents among children aged 1-5 years. There is a clear indication of positive attitude of the respondents towards prevention of child injuries associated with the child at home. However, there is an indication from the outcomes that the respondents exhibited inappropriate attitude to prevention of home accidents. The study found that with the exception of education of mother and marital status of the mothers, all the other demographic variables showed insignificant relationship to prevention of child injuries. The study recommends that education programmers basing on the prevention and management of home accidents should be given urgent attention.
目的:了解科勒布教学医院儿科住院母亲对家庭意外事故预防的知识、态度和认知。样本:共有30位有0至5岁孩子的母亲被抽样研究。方法:本研究同样采用调查法,以问卷调查作为主要的数据收集工具。结果:调查结果显示,73.3%的儿童曾遭受过儿童伤害。此外,就特定儿童伤害的发生率而言,研究发现烧伤(66.7%)和割伤/伤口(63.3%)是受访者中最常见的儿童伤害。在所有受访者中,有70%的人在家中不止一次记录了儿童受伤事件。此外,大多数母亲表示对1-5岁儿童家庭事故的原因和危险因素有较高的了解。有一个明确的迹象表明,答复者对预防与儿童在家有关的儿童伤害持积极态度。然而,从结果显示,受访者表现出不适当的态度,以防止家庭事故。研究发现,除了母亲的受教育程度和母亲的婚姻状况外,其他人口统计变量与预防儿童伤害的关系均不显著。该研究建议,以家庭事故的预防和管理为基础的教育计划应得到紧急关注。
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引用次数: 8
Attitude of Patients towards Student Nurses 患者对实习护士的态度
Pub Date : 2018-01-01 DOI: 10.4172/2380-5439.1000271
P. Shakya, Prabha Aryal
The present study was conducted to assess the attitude of patients towards student nurses. The descriptive research design was applied for the study where one hundred and fifteen respondents were involved from patients of Alka Hospital. A non-probability purposive sampling technique was for the sample. Interview schedule was developed for the data collection. Ethical consideration was maintained throughout the study. Data was collected by researcher herself. Data were analyzed with the help of Statistical Package for Social Science (SPSS) version 20. The findings of the data were analyzed using different descriptive statistics like frequency, percentage, mean and standard deviation. Results were presented in different academic tables. The study showed 7 percent of the respondents disagree with students acceptance depends on their confidence level whereas 9.6 percent of the respondents strongly disagree that students are skillful and competent in their roles. Furthermore, 60.9 percent of the respondents agree that student’s general appearance and manner are important for patient willingness for care. Similarly, least (3.5%) of the respondents disagree that patient satisfaction influenced with skills of students. Likewise, least (1.7%) of the respondents strongly disagree that grade of nursing students differs in patient care. The present study showed that the majority (73.9%) of the respondents had negative attitude likewise 24.3 percent of the respondents had positive attitude and only 1.7 percent of the respondents had neutral attitude towards student nurses. On the basis of the finding of the study it can be concluded that, majority of the respondents had negative attitude, less than half of the respondents had positive attitude whereas minority of the respondents had neutral attitude towards student nurses.
本研究旨在了解病人对实习护士的态度。本研究采用描述性研究设计,从Alka医院的患者中选取115名受访者进行调查。样本采用非概率目的抽样技术。为了收集数据,制定了访谈时间表。在整个研究过程中都保持了伦理考虑。数据是由研究者自己收集的。数据分析使用SPSS (Statistical Package for Social Science)第20版。使用不同的描述性统计数据(如频率、百分比、平均值和标准差)分析数据的结果。结果以不同的学术表格呈现。研究显示,7%的受访者不同意学生的接受程度取决于他们的自信水平,而9.6%的受访者强烈不同意学生在他们的角色中熟练和胜任。此外,60.9%的受访者认为学生的整体外貌和举止对病人是否愿意接受护理很重要。同样,最少(3.5%)的受访者不同意患者满意度影响学生的技能。同样,最少(1.7%)的受访者强烈不同意年级护理学生在病人护理方面存在差异。本研究结果显示,大部分受访者(73.9%)对学生护士持否定态度,24.3%的受访者持肯定态度,只有1.7%的受访者对学生护士持中立态度。根据研究结果可以得出结论,大多数受访者对学生护士持消极态度,不到一半的受访者持积极态度,少数受访者对学生护士持中立态度。
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引用次数: 2
Healthcare ProfessionalâÂÂs Utilization of Physical Exercise as a Strategy to Prevent NCDs in Ethiopian Public Sector Hospitals 医疗保健ProfessionalâÂÂs利用体育锻炼作为埃塞俄比亚公立医院预防非传染性疾病的战略
Pub Date : 2018-01-01 DOI: 10.4172/2380-5439.1000243
M. Kassa, J. Grace
Background: Despite the recognized benefits of physical exercise, including a reduction of health risk factor indicators, illness and death related to Non-Communicable Diseases (NCDs) (cardiovascular disease, diabetes, hypertension, cancer), the extent of its recognition and use as a prevention strategy by healthcare professionals working in Ethiopian referral hospitals is unknown. Objective: This study explored healthcare professionals’ use of Physical exercise as a non-communicable disease Prevention Strategies in the Ethiopian public sector Healthcare System. Methods: A cross-sectional study was conducted among (N=312) health care professionals (nurses, physicians and medical managers) in 13 Ethiopian referral hospitals. Results: The results indicated thatthree quarters (78%) of healthcare professionals working in Ethiopian hospitals are not using physical exercise as a strategy to prevent NCDs. Increased specialization (AOR=20.203, p<0.001), many service years (AOR=0.041, p=0.014), young age (AOR=19.871, p<0.001), and being men (AOR=0.269, p<0.001) were predictors of using physical exercise as a strategy for NCDs prevention. Conclusion: Healthcare professionals’ utilization of physical exercise as a strategy for NCDs prevention was inadequate in Ethiopia. Given the increasing burden of NCD disease in Ethiopia, training nurses, physicians and medical managers to use physical exercise as an NCD prevention strategy is essential at undergraduate level for as well as through specialized courses once they are qualified.
背景:尽管人们认识到体育锻炼的好处,包括减少与非传染性疾病(心血管疾病、糖尿病、高血压、癌症)有关的健康风险因素指标、疾病和死亡,但埃塞俄比亚转诊医院的保健专业人员对体育锻炼的认识程度和将其作为一种预防战略的使用程度尚不清楚。目的:本研究探讨了卫生保健专业人员在埃塞俄比亚公共部门医疗保健系统中使用体育锻炼作为非传染性疾病预防策略。方法:对13家埃塞俄比亚转诊医院的312名卫生保健专业人员(护士、医生和医疗管理人员)进行横断面研究。结果:结果表明,在埃塞俄比亚医院工作的四分之三(78%)的卫生保健专业人员没有将体育锻炼作为预防非传染性疾病的策略。专业化程度提高(AOR=20.203, p<0.001)、服务年限长(AOR=0.041, p=0.014)、年龄小(AOR=19.871, p<0.001)和男性(AOR=0.269, p<0.001)是将体育锻炼作为预防非传染性疾病策略的预测因素。结论:在埃塞俄比亚,卫生保健专业人员将体育锻炼作为非传染性疾病预防策略的利用不足。鉴于埃塞俄比亚非传染性疾病的负担日益加重,对护士、医生和医疗管理人员进行培训,使他们将体育锻炼作为一项非传染性疾病预防战略,在本科阶段以及在他们获得资格后通过专门课程进行培训至关重要。
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引用次数: 0
Determinants of Systemic Diseases amongst Periodontitis Patients in Suva, Fiji 斐济苏瓦牙周炎患者中全身性疾病的决定因素
Pub Date : 2018-01-01 DOI: 10.4172/2380-5439.1000254
A. Thomas, L. Maimanuku, M. Mohammadnezhad, Sabiha Khan
Introduction: Periodontitis develops through opportunistic infection which usually occurs when there is an imbalance between the oral biofilm and host defense’s and has been connected with various systemic diseases such as heart diseases, diabetes, renal diseases, respiratory diseases etc. Due to lack of previous study, this study is aimed to describe the determinants of systemic diseases amongst periodontitis patients in Suva, Fiji. Methodology: This retrospective descriptive study was carried out in the FNU Dental Clinics, Suva, Fiji using the periodontitis patient clinical records from 1st January 2013 to 31st December 2014. Periodontitis patients with or without self-reported systemic disease history were included in this study. Patient demographic variables were collected and Binary logistic regression was used to calculate odds ratio with their 95% Confidence Intervals to define any association between dependent variable and independent variables. A p-value<0.05 was considered statistically significant. Results: The results of the study showed that the odds of having systemic disease were 3.5 times higher in 40-64- year-old patients than in the 15-39-year-old periodontitis patients (OR 3.5, 95% CI 1.98-6.09, p=<0.001). Male periodontitis patients reported with 42% systemic disease and females reported with 58% systemic disease. Systemic disease was higher in females than males; however, this was not statistically significant. The odds of having systemic disease were 1.9 times higher in the Fijians of Indian Descent than among the I-Taukei Fijians (OR 1.9, 95% CI: 1.17-3.11, p=0.026). Conclusion: The study concluded that systemic disease was the most in 40-64-year-old Fijians of Indian decent periodontitis patients, this was statistically significant. Female periodontitis patients showed higher presence of systemic diseases than the male periodontitis patients; however this was not statistically significant.
牙周炎是由机会性感染引起的,通常发生在口腔生物膜与宿主防御不平衡的情况下,与各种全身性疾病如心脏病、糖尿病、肾脏疾病、呼吸系统疾病等有关。由于缺乏以往的研究,本研究旨在描述在斐济苏瓦牙周炎患者的全身性疾病的决定因素。方法:本回顾性描述性研究在斐济苏瓦的FNU牙科诊所进行,使用2013年1月1日至2014年12月31日的牙周炎患者临床记录。有或没有自我报告全身性疾病史的牙周炎患者被纳入本研究。收集患者人口统计学变量,采用二元logistic回归计算比值比及其95%置信区间,以确定因变量和自变量之间的关联。p值<0.05认为有统计学意义。结果:研究结果显示,40-64岁牙周炎患者患全身性疾病的几率是15-39岁牙周炎患者的3.5倍(OR 3.5, 95% CI 1.98-6.09, p=<0.001)。男性牙周炎患者报告42%的全身性疾病,女性报告58%的全身性疾病。全身性疾病女性高于男性;然而,这在统计学上并不显著。印度裔斐济人患全身性疾病的几率是I-Taukei斐济人的1.9倍(OR 1.9, 95% CI: 1.17-3.11, p=0.026)。结论:全身性疾病以40 ~ 64岁斐济人印度裔牙周炎患者最多,具有统计学意义。女性牙周炎患者出现全身性疾病的比例高于男性;然而,这在统计学上并不显著。
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引用次数: 0
A Phenomenological Exploration of Transitional Opportunities Experienced by Intern-Nurses at Labasa Hospital, Fiji 斐济Labasa医院实习护士转型机会的现象学探讨
Pub Date : 2018-01-01 DOI: 10.4172/2380-5439.1000256
Devina Gaundan, M. Mohammadnezhad
Introduction and Aim: The transition from being a nursing scholar to a practicing nurse is a significant phase in the lives of intern-nurses. During this phase intern-nurses build on experiences which determine their proficiency in future. The transitional experience is a phase of learning, exploration and adaptation for intern-nurses. Transition programs are introduced by healthcare organizations in order to provide intern-nurses with better learning and adapting opportunities. This study aimed to build insight into the opportunities they faced by intern-nurses at Labasa Hospital during transition.Methodology: A qualitative phenomenological approach was used to carry out this study at Labasa Hospital, Fiji. A convenient sample of 22 intern-nurses participated in data collection, through semi-structured in depth interviews. The participants comprised of current intern nurses of Labasa Hospital or those that had completed internship at Labasa Hospital within the past five years and were currently working at different unit at Labasa hospital. The interview data was transcribed verbatim and interpreted using thematic analysis.Results: The demographical findings of this study indicated the ages of the participants to be between 22 and 26 while one participant was 46 years old. Ten of the participants were current intern-nurses of Labasa hospital whilst the remaining 12 had completed their internship less than five years ago and currently working in various units at Labasa Hospital. Thematic analysis of interview transcripts revealed three subthemes which describe opportunities experienced by intern- nurses; competence, confidence and socializing. The subthemes were further divided into categories. Competence is reflected by categories of skill development and efficient workers while, confidence is defined by communication and dealing with stress. Finally, socializing is categorized by rapport and team building.Conclusion: The findings of this study indicate that the transitional opportunities experienced by intern nurses are confidence, competence and socialization. The opportunities enable the intern-nurses to improve their proficiency level thus improving the clinical outcomes. The findings of this study will help in understanding the transitional experiences of intern-nurses and the need to provide support intern-nurses during transition.
简介和目的:从护理学者到执业护士的转变是实习护士生活中的一个重要阶段。在这个阶段,实习护士积累经验,这决定了他们将来的熟练程度。实习期是实习护士学习、探索和适应的阶段。医疗机构引入过渡计划是为了给实习护士提供更好的学习和适应机会。本研究旨在了解Labasa医院实习护士在转业期间所面临的机会。方法:采用定性现象学方法在斐济Labasa医院开展这项研究。通过半结构化的深度访谈,选取22名实习护士作为样本进行数据收集。参与者包括Labasa医院目前的实习护士或过去五年内在Labasa医院完成实习并目前在Labasa医院不同部门工作的护士。访谈数据逐字抄录,并使用专题分析进行解释。结果:本次研究的人口统计结果显示,参与者的年龄在22 - 26岁之间,其中一名参与者的年龄为46岁。其中10名参与者目前是Labasa医院的实习护士,其余12名在不到5年前完成实习,目前在Labasa医院的各个部门工作。访谈记录的主题分析揭示了三个描述实习护士经历的机会的副主题;能力、自信和社交能力。次级主题进一步划分为类别。能力通过技能发展和高效工人的类别来反映,而信心则通过沟通和处理压力来定义。最后,社交分为融洽关系和团队建设。结论:本研究结果表明,实习护士经历的过渡机会为自信、能力和社会化。这些机会使实习护士能够提高他们的熟练程度,从而改善临床效果。本研究结果将有助于了解实习护士的转型经验,以及在转型过程中对实习护士提供支持的必要性。
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引用次数: 1
Effectiveness of Video Assisted Teaching Module (VATM) on Knowledge, Attitude and Utilization of Voluntary Counseling Testing Center (VCTC) Service among the College Students in the Selected Colleges of Pondicherry 视频辅助教学模块(VATM)对本地治里郡选定学院大学生自愿咨询测试中心服务知识、态度和利用的影响
Pub Date : 2018-01-01 DOI: 10.4172/2380-5439.1000277
Felicia Chitra, Manjubala Dash
Acquired Immunodeficiency Syndrome (AIDS), is posing itself to be one of the most serious challenges to the global public health which is caused by Human Immune Deficiency Virus (HIV). Around 36.9 million people were living with HIV, with a global HIV prevalence of 0.8%, towards the end of 2014 as per WHO global HIV statistics. There were around 2 million new HIV cases detected, out of which over 220,000 were children less than 15 years of age [1,2]. According to Government of India data highlights that 3.5% of all infections occur among children aged less than 15 years, whereas 83% occur in the age group of 15-49 years [3].
获得性免疫缺陷综合症(艾滋病)是由人体免疫缺陷病毒(艾滋病毒)引起的,是对全球公共卫生的最严重挑战之一。根据世卫组织全球艾滋病毒统计数据,截至2014年底,约有3690万人感染艾滋病毒,全球艾滋病毒感染率为0.8%。新发现的艾滋病毒病例约有200万例,其中超过22万例是15岁以下的儿童[1,2]。根据印度政府的数据,所有感染中有3.5%发生在15岁以下儿童中,而83%发生在15-49岁年龄组。
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引用次数: 0
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Journal of health education research & development
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