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Short Commentary: More Health Psychology Intervention Needed to Prevent Traumatic Brain Injuries 简短评论:需要更多的健康心理干预来预防创伤性脑损伤
Pub Date : 2018-01-01 DOI: 10.4172/2380-5439.1000249
K. Sexton-Radek
It is the sequelae that present a complication for the patient and medical care as the level of awareness regarding their significance is commonly underestimated. With TBI, it is probable that severe medical consequences are complicated further by the absence of serious signs of brain tissue damage at initial examinations. As a result, many are treated and released and a greater number do not seek medical care [1].
后遗症对患者和医疗保健来说是一种并发症,因为对其重要性的认识水平通常被低估。对于创伤性脑损伤,由于在最初的检查中没有严重的脑组织损伤迹象,严重的医疗后果可能会进一步复杂化。结果,许多人得到治疗并出院,更多的人不寻求医疗照顾。
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引用次数: 0
Continuing Education Model for Nurses Regarding Substance Use Disorder 药物使用障碍护士继续教育模式
Pub Date : 2018-01-01 DOI: 10.4172/2380-5439.1000272
Natalie Perry, I. Chertok
Background: Nurses have reported a lack of knowledge regarding substance use disorder. Previous encounters with the patient population affected by substance use disorder and a lack of knowledge can lead to a lack of perceived competency among nurses. Limited research on continuing education interventions have suggested an improvement in nurses’ knowledge and sense of competency in caring for patients with substance use disorder. Method: The purpose of this study was to evaluate a continuing education intervention on nurses’ knowledge and perceived competency regarding the care of hospitalized patients with substance use disorder. A pre-test/post-test design was utilized to assess changes in knowledge and perceived competency immediately before and after the intervention for 31 hospital nurses using evidence-based tools and measures. Results: Directly following the intervention, knowledge and perceived competency scores were significantly improved among the nurse participants, while there was no statistical significance noted between the demographic characteristics and the pre-test/post-test results. Conclusion: The educational intervention was found to significantly improve knowledge and perceived competency scores among nurses as evidenced by the pre-test/post-test scores. Thus, nurses working with patients diagnosed with substance use disorder could benefit from continuing education on substance use disorder.
背景:护士报告缺乏关于物质使用障碍的知识。以前遇到的病人群体受物质使用障碍和缺乏知识的影响,可以导致缺乏感知能力的护士。关于继续教育干预的有限研究表明,护士在照顾物质使用障碍患者方面的知识和能力意识有所提高。方法:本研究的目的是评估继续教育干预对护理住院药物使用障碍患者的知识和感知能力的影响。采用测试前/测试后设计,使用循证工具和措施评估31名医院护士在干预前后的知识和感知能力变化。结果:干预后,参与护理人员的知识和感知能力得分显著提高,人口学特征与测试前/测试后结果无统计学差异。结论:教育干预对护士的知识和感知能力得分有显著的提高。因此,与被诊断为物质使用障碍的患者一起工作的护士可以从物质使用障碍的继续教育中受益。
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引用次数: 0
Awareness of Cardiovascular Diseases and Knowledge of Cardiovascular Risk Factors and Risk Reduction Measures among Urban and Rural Primary School Teachers in South-Eastern Nigeria 尼日利亚东南部城乡小学教师对心血管疾病的认识、心血管危险因素和减少风险措施的知识
Pub Date : 2018-01-01 DOI: 10.4172/2380-5439.1000289
Ofoegbu Cc, Okedo-Alex In, Ilika Al, Ifeadike Cc
Aims: To assess the knowledge of cardiovascular risk factors and reduction measures among primary school teachers in rural and urban areas in Anambra state. Study design: Comparative Cross-sectional study. Place and duration of study: Urban and rural primary schools in Onitsha North and Dunukofia local government areas of Anambra state between March–October 2015. Methodology: A random sample of 320 urban and rural primary school teachers (160 in each arm) who were less than 60 years, not pregnant and not on anti-hypertensive drugs were included in the study. Data was collected using a semi-structured interviewer-administered questionnaire and focus group discussions. Results: Were predominantly female (97.81%), mean age of 50.78+5.13 years. Awareness of cardiovascular disease was higher in urban than rural respondents (88% vs. 76%; P=0.005). Commonest source of information was TV/Radio, more in urban respondents (72% vs. 69%; P=0.008). Overall, 63.49% of respondents had high knowledge while 36.56% had low knowledge of cardiovascular disease risk factors. Most identified risk factors were lack of exercise, smoking, non-consumption of fruit/vegetables (98.75%, 96.56%, 94.38% respectively) and least identified risk factors were body site of fat deposition, physical inactivity, consumption of packaged processed food (16.25%, 11.25%, 17.19%). More urban respondents knew non-consumption of fruits/vegetables, fatty foods and stress as risk factors (P<0.000, P=0.033, P=0.006 respectively). For risk reduction measures, 61.25% had high knowledge while 38.75% had low knowledge. Regular medical check-up, cholesterol check and reduced alcohol intake (49.06%, 45.94%, and 45.63% respectively) were the most identified while 5-servings of fruit/day, regular blood sugar (16.56%, 25% respectively) were the least identified measures. Knowledge of exercising 30-minutes/day, consumption 5-servings of fruit/day, avoidance of fried foods were statistically higher in rural teachers. Conclusion: There was high awareness of risk factors and reduction measures in rural than urban teachers with no statistical difference overall.
目的:了解阿南布拉州农村和城市地区小学教师对心血管危险因素的认知及减少措施。研究设计:比较横断面研究。研究地点和时间:2015年3月至10月期间,阿南布拉州奥尼察北部和杜努科菲亚地方政府地区的城市和农村小学。方法:随机抽取320名60岁以下、未怀孕、未服用降压药的城乡小学教师(每组160人)作为研究对象。数据收集采用半结构化访谈问卷和焦点小组讨论。结果:以女性为主(97.81%),平均年龄50.78±5.13岁。城市受访者对心血管疾病的知晓率高于农村受访者(88%对76%;P = 0.005)。最常见的信息来源是电视/广播,在城市受访者中更多(72%对69%;P = 0.008)。总体而言,63.49%的受访者对心血管疾病危险因素知晓率较高,36.56%的受访者对心血管疾病危险因素知晓率较低。认为危险因素最多的是缺乏运动、吸烟、不食用水果/蔬菜(分别为98.75%、96.56%和94.38%),认为危险因素最少的是脂肪沉积部位、缺乏运动、食用包装加工食品(分别为16.25%、11.25%和17.19%)。更多的城市受访者认为不食用水果/蔬菜、高脂肪食物和压力是危险因素(P<0.000, P=0.033, P=0.006)。对于降低风险的措施,61.25%的人知晓率高,38.75%的人知晓率低。定期体检、胆固醇检查和减少酒精摄入量(分别为49.06%、45.94%和45.63%)被认为是最多的,而每天吃5份水果、定期血糖(分别为16.56%和25%)被认为是最少的措施。每天运动30分钟、每天吃5份水果、不吃油炸食品的知识在农村教师中有较高的统计学意义。结论:农村教师对危险因素的知晓率和减少危险措施的知晓率高于城市教师,但总体上差异无统计学意义。
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引用次数: 1
Comparing Role Playing and Lecture Training in Use of Permethrin Shampoo, on Pediculosis Treatment of Elementary School Girls 氯菊酯洗发水在小学女生弓形虫病治疗中的角色扮演与讲座培训比较
Pub Date : 2017-12-20 DOI: 10.4172/2380-5439.1000241
T. S. Toosi
Introduction: The development of a society depends on public health of its people. In cases threatening public health, external parasites is still a health problem arises. Prevalence of head lice in children 6-12 years and primary schools developed countries is 10.2 percent. On the other hand there is also a problem in developing countries shampoo permethrin in the treatment of head lice are commonly used, often by health care providers were available, patients are taught how to use it. This study aimed to compare the effect of role playing and lectures on how to use permethrin shampoo on the treatment of female primary school students with Pediculosis was IranshahrMethods: This study was semi-experimental clinical trial in which 500 students with Pediculosis girls’ primary schools in six districts of the city of Iranshahr participated and were randomly assigned to two groups of 250 lectures and role shampoos containing permethrin consumption by health experts schools were taught in classes of 10 students. Questionnaire Include questions about individual and family behavior, demographic, and health documents of interviews of students completed. After two weeks of treatment, subjects in the examination and comparison of the results in the two groups were recorded in a questionnaire. All 18 spss software using descriptive and inferential statistics (frequency and percentage) t T test and chi-square tests were analyzed.Results: Students with an average age of 50/1 ± 05/9 year, most of them first-grade 8/21% and their average 31/2 ± 4/17 respectively. The two groups in terms of level of education, father’s occupation, parents’ education, income, length of hair, itching, hair, bathe and comb woman hair were not significantly different times and were equal. Two weeks after using the shampoo treatment in the Department of roles 5/71% 5/28% and lecture groups and the chi-square test, this difference was significant too (p=0/00).Conclusion: Educational method greatly contributes to more effective use shampoo permethrin in lice treatment is speech. Better school health educators in their educational programs, from dynamic and consistent with the goal of changing behavior that provokes active participation of learners in the learning process use. Role Playing use shampoo anti-lice used to training in the treatment of head lice in schools achieved better results.
一个社会的发展取决于其人民的公共健康。在威胁公共卫生的情况下,外部寄生虫仍然是一个健康问题。发达国家6-12岁儿童和小学的头虱患病率为10.2%。另一方面,发展中国家洗发水中也存在一个问题,氯菊酯在治疗头虱方面是常用的,往往是由卫生保健提供者提供的,是教患者如何使用的。本研究旨在比较角色扮演和讲座两种方法对氯菊酯洗发水治疗伊朗女小学生足癣的效果。本研究是一项半实验性临床试验,伊朗沙赫尔市6个区500名患弓形虫病的女子小学学生参加,随机分为两组,每组250人讲课,每组10名学生在卫生专家学校讲授含氯菊酯的洗发水。问卷调查包括个人和家庭行为、人口统计、健康文件等问题。治疗两周后,对两组受试者的检查结果进行问卷记录和比较。采用描述性统计和推理统计(频率和百分比)t检验和卡方检验对18个spss软件进行分析。结果:学生平均年龄50/1±05/9岁,以一年级学生居多,分别为8/21%和31/2±4/17岁。两组在受教育程度、父亲职业、父母受教育程度、收入、头发长度、瘙痒、头发、洗澡和梳理女性头发的次数均无显著差异,且均相等。在使用洗发水治疗两周后,在角色系5/71% 5/28%和讲座组和卡方检验中,这一差异也具有显著性(p=0/00)。结论:教育方法有助于更有效地使用洗发水氯菊酯治疗虱子。更好的学校卫生教育工作者在其教育方案中,从动态和符合目标的行为改变,激发学习者在学习过程中的积极参与使用。角色扮演使用洗发水防虱用于培训,在学校治疗头虱取得了较好的效果。
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引用次数: 0
The Experimental Study on Verifying the Rationality and Weakness of THERP with an Example of Truck Refrigerant Filling Process 以卡车制冷剂加注过程为例验证热处理工艺合理性和弱点的实验研究
Pub Date : 2017-11-15 DOI: 10.4172/2380-5439.1000236
D. Ming-ming, Z. Guo-qi
With an example of truck refrigerant filling process, an experimental method by E-prime was used to verify the analysis of human error probability in the refrigerant filling process by The Technique of Human Error Rate Prediction (THERP). The result of the experiment is basically in coincidence with the result of THERP. The weakness of THERP is that it calculates the human error, ignoring the cognitive process of the operation behavior.
以卡车制冷剂加注过程为例,采用E-prime实验方法,验证了人为错误率预测技术对制冷剂加注过程中人为错误概率的分析。实验结果与THERP结果基本一致。THERP的弱点在于它计算人为错误,忽略了操作行为的认知过程。
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引用次数: 0
Aganwadi Community Health Workers: Awareness, Knowledge, Attitude and Beliefs about Diabetes Mellitus and Its Effect on Oral Health in Nagpur District 那格浦尔区阿干瓦迪社区卫生工作者对糖尿病的认识、知识、态度和信念及其对口腔健康的影响
Pub Date : 2017-11-15 DOI: 10.4172/2380-5439.1000237
Surekha Rathod, Grishmi Niswade
Purpose: This study aimed to evaluate the oral health related awareness and practicesof diabetes mellitus and its effects on oral health in anganwadi workers.Study design: It is an interventional type of study.Materials and methods: 200 anganwadi workers from the areas of Hingna, Wanadongri, Gumgaon and Wadhdhamna in Nagpur district and 30 interns participated in the study. In the first part, all the interns were trained for a module that contained what are diabetes, aetiology, signs and symptoms of diabetes, complications, management and prevention of diabetes mellitus in Marathi language. In second part to know the awareness of diabetes, a pre-test was conducted and a validated questionnaire was distributed to the participant. Following this the interns educated the Aganwadi workers regarding diabetes through this module for 30 minutes and also information leaflets were distributed to the participants. In third part post -test was conducted for the participant. Descriptive statistics were used to report the results of the study.Results: The knowledge of the participants was assessed using 16 questions related to diagnosis, risk factors, prevention and complications of diabetes and its relationship with oral health. Out of the total 100 participants, the pre-test showed an average of 36 participants to be aware about diabetes and the post test showed an average of 77 participants to have improved their knowledge.Conclusion: Awareness and education programs should be planned and conducted for anganwadi workers according to community needs.
目的:本研究旨在评估安瓦地工人对糖尿病的口腔健康相关意识和实践及其对口腔健康的影响。研究设计:这是一种介入性研究。材料和方法:来自那格浦尔区Hingna、Wanadongri、Gumgaon和Wadhdamna地区的200名安甘瓦迪工人和30名实习生参与了这项研究。在第一部分中,所有实习生都接受了一个模块的培训,该模块包含马拉地语中的糖尿病、病因、糖尿病的体征和症状、并发症、糖尿病的管理和预防。在第二部分中,为了了解对糖尿病的认识,进行了预测试,并向参与者分发了一份经过验证的问卷。在此之后,实习生通过该模块对Aganwadi工作人员进行了30分钟的糖尿病教育,并向参与者分发了信息传单。第三部分对参与者进行了后测。采用描述性统计方法报告研究结果。结果:使用与糖尿病的诊断、危险因素、预防和并发症及其与口腔健康的关系有关的16个问题来评估参与者的知识。在总共100名参与者中,前测试显示平均有36名参与者了解糖尿病,后测试显示平均77名参与者的知识有所提高。结论:应根据社区需求,为安甘瓦迪工人规划和实施意识和教育计划。
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引用次数: 2
Designing a School based Health Education Program to Prevent Nutritional Anaemia among the Adolescent Girls in a Rural School in Bangladesh 设计学校健康教育计划,预防孟加拉国农村学校少女营养性贫血
Pub Date : 2017-10-25 DOI: 10.4172/2380-5439.1000229
Md. Tarek Hossain, S. K. Luies
In Bangladesh, the nutritional status of adolescents is reprehensible, where a large number of adolescent girls are suffering from malnutrition. Among others, anaemia is currently one of the most common and intractable nutritional problems that may develop at any stage of the life cycle but children, adolescent girls and women of reproductive age are high-risk groups for developing anaemia. Although the situation of anaemia among adolescents has improved over the past few years, the current magnitude of the problem in both urban and rural areas is clearly a significant public health concern for the country. Therefore, a specific health education program on nutritional anaemia will be beneficial to sensitize adolescent girls on related topics and also contribute to self-care and behavior change, therefore, improve their quality and value of life.
在孟加拉国,青少年的营养状况是应受谴责的,那里有大量少女营养不良。其中,贫血是目前最常见和最棘手的营养问题之一,可能在生命周期的任何阶段发生,但儿童、少女和育龄妇女是发生贫血的高危群体。虽然青少年贫血的情况在过去几年中有所改善,但目前这一问题在城市和农村地区的严重程度显然是该国一个令人关切的重大公共卫生问题。因此,一项关于营养性贫血的具体健康教育方案将有助于提高青春期女孩对相关主题的敏感性,并有助于自我保健和行为改变,从而提高她们的生活质量和价值。
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引用次数: 2
Syndemic Production of HIV Infection among Tanzanian MSM 坦桑尼亚男男性行为者中艾滋病毒感染的同步生产
Pub Date : 2017-10-23 DOI: 10.4172/2380-5439.1000231
A. Adeboye, M. Ross, M. Wilkerson, A. Springer, H. Ahaneku, Rafeek A. Yusuf, T. Olanipekun, S. McCurdy
Tanzanian men who have sex with men (MSM) experience HIV disparity and are disproportionately vulnerable to psychosocial health problems together called SAVID (Substance abuse, childhood and adolescent sexual Abuse [CSA], anti-gay Violence, Internalized homonegativity [IH], and Depression). We applied syndemic theory to assess additive effects of the SAVID problems on HIV seropositivity among 300 MSM from two Tanzanian cities, who provided demographic, psychosocial health–problem, and HIV-status information. Prevalence rates of the problems were substance abuse during condomless sexual intercourse (37.3%), a history of CSA (35.3%), anti-gay violence (22%), high IH (52.7%), and depression (58%). Bivariate analysis showed a significantly positive “dose-response” relationship between the SAVID-problem count and HIV seropositivity: SAVID problems significantly increased the odds of HIV seropositivity (odds ratio, 1.42). This is the first study in sub-Saharan Africa to use syndemic theory to explore additive effects of coexisting psychosocial health problems on HIV seropositivity among Tanzanian MSM. Our results underscore the need for comprehensive HIV interventions targeting MSM.
坦桑尼亚男男性行为者(MSM)感染爱滋病的比例悬殊,更容易受到心理健康问题的影响,这些问题被称为SAVID(药物滥用、儿童期与青少年性侵、反同志暴力、内化同性恋负面情绪、忧郁症)。我们应用综合症理论评估了来自坦桑尼亚两个城市的300名男男性行为者中SAVID问题对艾滋病毒血清阳性的累加效应,这些人提供了人口统计、心理健康问题和艾滋病毒状况信息。患病率依次为无套性行为中药物滥用(37.3%)、性暴力史(35.3%)、反同性恋暴力(22%)、高IH(52.7%)和抑郁症(58%)。双变量分析显示,SAVID问题计数与HIV血清阳性之间存在显著正的“剂量-反应”关系:SAVID问题显著增加HIV血清阳性的几率(优势比为1.42)。这是在撒哈拉以南非洲首次使用综合症理论来探索共存的社会心理健康问题对坦桑尼亚男男性行为者艾滋病毒血清阳性的累加效应。我们的研究结果强调了针对男男性行为者进行全面艾滋病毒干预的必要性。
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引用次数: 8
Hybrid Simulation Experience-Hybrid Simulator Model vs. Manikin in Bladder Catheterization Procedure: A Pilot Study 混合仿真体验混合仿真模型与人体模型在膀胱导管插入术中的对比:一项初步研究
Pub Date : 2017-09-29 DOI: 10.4172/2380-5439.1000235
S. Nikolic, M. Močnik, S. Bevc
Background: Simulation has been widely adopted as a training and assessment tool in medical education. The aim of our research was to investigate an influence of hybrid simulation on the students’ success at bladder catheterization (BC) procedure, on the knowledge retention and communication with patient-actors. We were interested in the impact of BC protocol repetition and real life clinical experience of BC on the result of BC procedure on the model as well as hybrid model. We also wanted to determine students' opinion about the usefulness of learning by simulation. Methods: Repeated measures design was used. 28 students were trained during the workshop to perform BC procedure on the different model and assessed by an objective structured clinical examination (OSCE). They were randomly divided into 2 groups (control group: model of the body part (manikin) and research group: hybrid simulator model (HSM)). The first OSCE was done 6 weeks and the second OSCE 12 weeks after training. Students completed questionnaires on learning by simulation. Results: Students performed statistically significantly better at OSCE 2 independent of simulation environment (p<0.001 for male HSM and p=0.023 for female HSM in research group, p<0.001 for male manikin, p=0.014 for female manikin in control group). Research group students have better results than control group but the difference was not statistically significant. Communication errors were less common within research group, especially at OSCE 1. Students assessed hybrid simulation as more useful (p=0.022) than a regular manikin model simulation. Conclusions: HSM provides medical students with quality learning of BC procedure. Hybrid simulation improves communication with patient-actor and students perceive it as useful.
背景:模拟已被广泛用作医学教育中的培训和评估工具。我们研究的目的是调查混合模拟对学生膀胱导管插入术(BC)成功率、知识保留和与患者行为者沟通的影响。我们感兴趣的是BC方案重复和BC的实际临床经验对模型和混合模型上BC程序结果的影响。我们还想通过模拟来确定学生对学习有用性的看法。方法:采用重复措施设计。在研讨会期间,28名学生接受了在不同模型上进行BC程序的培训,并通过客观结构化临床检查(OSCE)进行了评估。他们被随机分为2组(对照组:身体部位模型(人体模型)和研究组:混合模拟器模型(HSM))。第一次欧安组织是在培训6周后进行的,第二次欧安组织在培训12周后进行。学生们完成了关于模拟学习的问卷调查。结果:学生在独立于模拟环境的OSCE 2中的表现在统计学上显著更好(研究组中男性HSM的p<0.001,女性HSM的p=0.023,对照组中男性人体模型的p<001,女性人体模型的p=0.014)。研究组学生的成绩比对照组好,但差异无统计学意义。通信错误在研究小组中不太常见,尤其是在欧安组织1。学生们认为混合模拟比普通人体模型模拟更有用(p=0.022)。结论:HSM为医学生提供了高质量的BC程序学习。混合模拟改善了与患者行为者的沟通,学生们认为它很有用。
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引用次数: 2
The Subject of Family Education in Spanish Educational Research 西班牙教育研究中的家庭教育主题
Pub Date : 2017-09-29 DOI: 10.4172/2380-5439.1000233
S. Martín, María Luisa Sevillano García
Family education is a fundamental pillar for individuals' education and an essential part of the personality and human constitution of each of us. This is what has motivated our interest in ascertaining what has been published on this important subject. We do so through attempting to discover what has been published in leading Spanish education journals such as Revista de Educacion, Revista Espanola de Pedagogia, Revista Bordon, Revista de Investigacion Educativa and Revista Ensenanza and Teaching.
家庭教育是个人教育的基本支柱,也是我们每个人的个性和人格构成的重要组成部分。正因为如此,我们才有兴趣查明在这个重要课题上发表了什么。为了做到这一点,我们试图发现在西班牙主要教育期刊上发表的内容,如《教育评论》、《西班牙教育评论》、《博尔顿评论》、《教育调查评论》和《教学评论》。
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引用次数: 0
期刊
Journal of health education research & development
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