Pub Date : 2017-02-15DOI: 10.4172/2380-5439.1000209
Tsaloukidis N, Michopoulou V, Peponi M, Papageorgiou D, Lazakidou A
Background: One of the most common causes of death worldwide is sudden cardiac arrest. Nowadays, there is plethora of educational programs introducing basic life support skills among medical, paramedical stuff but also civilians. With the increasing use of computer technology, e-learning gains ground the recent years in several areas including medicine. Purpose: An opinion research was conducted, about whether e-learning classes of CPR, conventional classroom learning or a mixed pattern are preferable among nurses. Methods: Our study was conducted between August 2014 and April 2015 using an electronic survey uploaded in the official page of the National Regulatory Body of Nurses. In total 108 questionnaires were enrolled in the study after authenticity filtering. Results: 70% of the responders believe that average tolerable educational cost for a BLS course is about or less of 25 €. 96.6% of the participants had CPR training before and a 90.8% desired to take further education or be retrained. 96.3% would apply CPR if needed with 67.9% not to quail from the risk of legal penalties. 84.4% had a certified knowledge of computers. Among e-learning, traditional classroom sessions and a combination of methods, 7.3% chose e-learning, 26.6% and 65.1% respectively classroom training or a combination of methods. Conclusion: Nurses prefer to be trained by a combination of methods or else beginning to trust e-learning. The majority would offer a minimum amount of money for education. Encouraging, most of the participants have the intention to apply CPR if needed, despite the possibility for legal consequences.
{"title":"Evaluation of Nursesâ Perceptions on Cardiopulmonary Resuscitation(CPR) Education","authors":"Tsaloukidis N, Michopoulou V, Peponi M, Papageorgiou D, Lazakidou A","doi":"10.4172/2380-5439.1000209","DOIUrl":"https://doi.org/10.4172/2380-5439.1000209","url":null,"abstract":"Background: One of the most common causes of death worldwide is sudden cardiac arrest. Nowadays, there is \u0000 plethora of educational programs introducing basic life support skills among medical, paramedical stuff but also civilians. \u0000 With the increasing use of computer technology, e-learning gains ground the recent years in several areas including \u0000 medicine. \u0000Purpose: An opinion research was conducted, about whether e-learning classes of CPR, conventional classroom \u0000 learning or a mixed pattern are preferable among nurses. \u0000Methods: Our study was conducted between August 2014 and April 2015 using an electronic survey uploaded in \u0000 the official page of the National Regulatory Body of Nurses. In total 108 questionnaires were enrolled in the study after \u0000 authenticity filtering. \u0000Results: 70% of the responders believe that average tolerable educational cost for a BLS course is about or less of \u0000 25 €. 96.6% of the participants had CPR training before and a 90.8% desired to take further education or be retrained. \u0000 96.3% would apply CPR if needed with 67.9% not to quail from the risk of legal penalties. 84.4% had a certified \u0000 knowledge of computers. Among e-learning, traditional classroom sessions and a combination of methods, 7.3% chose \u0000 e-learning, 26.6% and 65.1% respectively classroom training or a combination of methods. \u0000Conclusion: Nurses prefer to be trained by a combination of methods or else beginning to trust e-learning. The \u0000 majority would offer a minimum amount of money for education. Encouraging, most of the participants have the intention \u0000 to apply CPR if needed, despite the possibility for legal consequences.","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"2017 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2017-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44003640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-27DOI: 10.4172/2380-5439.1000208
P. MacIntyre, P. A. Souvestre
Health Care professionals are effective problem-solvers in a specific area of technology; leadership calls for a very different way of thinking and learning. Leadership development is a combination of experiential learning and programmed learning, including the conceptual frameworks of leadership, practice to integrate and apply the metacognitive skills of leadership, such as self-discovery of leadership identity and a movement towards mindfulness. Integral to this learning is the support of other leaders who provide a mixture of coaching and mentoring to sustain the new leader’s growth. Leadership education takes place beyond university in a context that broadens the career opportunities for health care professionals. In the USA leadership development education has a business focus, while in Canada it values sustainability and a holistic thinking, particularly in medical and applied sciences. Often professionals regard leadership training as a soft skill with less value in their technical field of practice and this presents a challenge for leaders in organizations or professional associations, who need to identify the preferred educational strategies to develop leadership or to risk using leaders without the essential technical expertise for strategic planning and decisionmaking. Employer surveys show an expectation that health care graduates have equivalent skills in technical expertise, business knowledge, and leadership. Learning leadership includes leadership practices to describe and quantify the leadership of individuals and to characterize the leadership of the specific group; secondly, a workshop on leadership education based on transformational learning and thirdly, formation of a community of leaders who advocate and further leadership development.
{"title":"Building Global Leadership to Optimize the Future of Traditional andAlternative Medicine","authors":"P. MacIntyre, P. A. Souvestre","doi":"10.4172/2380-5439.1000208","DOIUrl":"https://doi.org/10.4172/2380-5439.1000208","url":null,"abstract":"Health Care professionals are effective problem-solvers in a specific area of technology; leadership calls for a very different way of thinking and learning. Leadership development is a combination of experiential learning and programmed learning, including the conceptual frameworks of leadership, practice to integrate and apply the metacognitive skills of leadership, such as self-discovery of leadership identity and a movement towards mindfulness. Integral to this learning is the support of other leaders who provide a mixture of coaching and mentoring to sustain the new leader’s growth. Leadership education takes place beyond university in a context that broadens the career opportunities for health care professionals. In the USA leadership development education has a business focus, while in Canada it values sustainability and a holistic thinking, particularly in medical and applied sciences. Often professionals regard leadership training as a soft skill with less value in their technical field of practice and this presents a challenge for leaders in organizations or professional associations, who need to identify the preferred educational strategies to develop leadership or to risk using leaders without the essential technical expertise for strategic planning and decisionmaking. Employer surveys show an expectation that health care graduates have equivalent skills in technical expertise, business knowledge, and leadership. Learning leadership includes leadership practices to describe and quantify the leadership of individuals and to characterize the leadership of the specific group; secondly, a workshop on leadership education based on transformational learning and thirdly, formation of a community of leaders who advocate and further leadership development.","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"2017 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2017-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2380-5439.1000208","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43856902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-23DOI: 10.4172/2380-5439.1000207
Mehrnosh Rabbani Zadeh, S. B. Pour
Some personality traits, such as A and D, have great stress, anxiety, and negative emotions that causes the patients with breast cancer to be susceptible to more stress and negative perception of events. We aimed to investigate the association of type D personality and cognitive strategies of emotion regulation with happiness and QOL in women with breast cancer. The present cross-sectional study included 100 women with breast cancer referred to Shiraz Medical Centers in summer 2015 through purposive sampling method. Demographic information was recorded and they filled four questionnaires voluntarily, including type D personality scale, Cognitive emotion regulation questionnaire (CERQ), and Oxford happiness inventory and QOL (SF-36) questionnaires. The association between the variables were then tested by regression models. We found a significant negative association between type D personality and happiness and there was a positive association between type D personality and QOL (P<0.001), between positive cognitive strategies of emotion regulation, and QOL, and happiness (both P<0.001), but there was no significant relationship between negative cognitive strategies of emotion regulation and happiness and QOL (P=0.08). Type D personality and cognitive strategies could affect QOL and happiness in patients suffering from breast cancer.
{"title":"Study Type D Personality and Cognitive Strategies of Emotion Regulation as Predictors of Happiness and Quality of Life in Women with Breast Cancer","authors":"Mehrnosh Rabbani Zadeh, S. B. Pour","doi":"10.4172/2380-5439.1000207","DOIUrl":"https://doi.org/10.4172/2380-5439.1000207","url":null,"abstract":"Some personality traits, such as A and D, have great stress, anxiety, and negative emotions that causes the patients with breast cancer to be susceptible to more stress and negative perception of events. We aimed to investigate the association of type D personality and cognitive strategies of emotion regulation with happiness and QOL in women with breast cancer. The present cross-sectional study included 100 women with breast cancer referred to Shiraz Medical Centers in summer 2015 through purposive sampling method. Demographic information was recorded and they filled four questionnaires voluntarily, including type D personality scale, Cognitive emotion regulation questionnaire (CERQ), and Oxford happiness inventory and QOL (SF-36) questionnaires. The association between the variables were then tested by regression models. We found a significant negative association between type D personality and happiness and there was a positive association between type D personality and QOL (P<0.001), between positive cognitive strategies of emotion regulation, and QOL, and happiness (both P<0.001), but there was no significant relationship between negative cognitive strategies of emotion regulation and happiness and QOL (P=0.08). Type D personality and cognitive strategies could affect QOL and happiness in patients suffering from breast cancer.","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2380-5439.1000207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45891560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.4172/2380-5439.1000239
Hasan Khalaf Abed
Introduction: Tobacco is a preventable cause of morbidity and mortality across the globe. Low and middle income countries (LMICs) are the most severely affected. Shisha has been shown to be associated with a wide range of detrimental health effects.Objectives: Measure the prevalence of shisha smoking among medical students at College of Medicine and College of Dentistry-Baghdad University; identify the characteristics of Shisha smokers that have numerous public health and clinical implications.Subjects and methods: A cross-sectional study was conducted on a sample of 654 students. A questionnaire was used to gather the necessary information and filled by the study participants themselves. It included questions to gather information on certain socio–demographic variables, family of the participants, and believes about smoking. Information about shisha smoking, medical history and habits of the participants and their parents were gathered.Results: The Prevalence of shisha smoking was 12.1%; 57.5% of them were smoking for more than three years, 76.2% preferred cafe for smoking; 87.5% preferred friends to smoke with. The factors that significantly associated with prevalence of shisha smoking were (gender, address, marital status, living condition, presence of private work, parents smoking history, and belief about which type of smoking is more harmful).Conclusion: Shisha smoking habit is increasing during the last few years and becoming a community acceptable behavior, especially among college students. There was a significant positive effect for male gender, being divorced or widowed, living alone and outside of the capital, and having own job on smoking prevalence among students. Also parent's positive histories of tobacco smoking and students beliefs about shisha and cigarette harm were significantly associated with the use of shisha.
{"title":"Shisha Habit among Medical Students at College of Medicine and College of Dentistry-Baghdad University","authors":"Hasan Khalaf Abed","doi":"10.4172/2380-5439.1000239","DOIUrl":"https://doi.org/10.4172/2380-5439.1000239","url":null,"abstract":"Introduction: Tobacco is a preventable cause of morbidity and mortality across the globe. Low and middle income countries (LMICs) are the most severely affected. Shisha has been shown to be associated with a wide range of detrimental health effects.Objectives: Measure the prevalence of shisha smoking among medical students at College of Medicine and College of Dentistry-Baghdad University; identify the characteristics of Shisha smokers that have numerous public health and clinical implications.Subjects and methods: A cross-sectional study was conducted on a sample of 654 students. A questionnaire was used to gather the necessary information and filled by the study participants themselves. It included questions to gather information on certain socio–demographic variables, family of the participants, and believes about smoking. Information about shisha smoking, medical history and habits of the participants and their parents were gathered.Results: The Prevalence of shisha smoking was 12.1%; 57.5% of them were smoking for more than three years, 76.2% preferred cafe for smoking; 87.5% preferred friends to smoke with. The factors that significantly associated with prevalence of shisha smoking were (gender, address, marital status, living condition, presence of private work, parents smoking history, and belief about which type of smoking is more harmful).Conclusion: Shisha smoking habit is increasing during the last few years and becoming a community acceptable behavior, especially among college students. There was a significant positive effect for male gender, being divorced or widowed, living alone and outside of the capital, and having own job on smoking prevalence among students. Also parent's positive histories of tobacco smoking and students beliefs about shisha and cigarette harm were significantly associated with the use of shisha.","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"5 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70313537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.4172/2380-5439.1000238
E. J. Bruno, G. Simpson, Robert L. Martin
Context: Although telomeres are “sacrificial” DNA without any necessary genetic content, each time a cell divides, telomeres get shorter. When they decrease to a critical length, cell division ceases and cells becomes inactive or “senescent” or die. This process is associated with aging. To some extent, the process of telomere shortening is slowed by the enzyme telomerase, whose purpose it is to add telomere length to DNA. Certain nutraceuticals have been shown to activate telomerase, and extend telomere length. While this will not make cells immortal, it may extend their lifespan.Objectives: The study intended to examine the effectiveness of a multivitamin formulated to extend telomere length, and ascertain the viability of conducting a larger, randomized, controlled trial in the future.Design: The study a 90-day, open-label pilot.Participants: Generally healthy men and women older than 18 years.Intervention: All subjects received a 90-day supply of the multivitamin, and were instructed to take one table, three times daily with meals.Outcome measures: The endpoint was absolute telomere length, measured with the quantitative real-time polymerase chain reaction (qPCR) method, using a DNA sample from a buccal (inner-cheek) swab of each subject.Results: 10 subjects completed the protocol. 8 of the 10 had notable increases in telomere length. The mean increase in telomere length for all subjects was 55.86%.Conclusions: The current pilot trial demonstrated the efficacy of the multivitamin in lengthening the telomeres. These findings suggest that is worthwhile to conduct a larger, randomized, controlled trial to measure the telomere lengthening effects of the multivitamin formula.
{"title":"Extending Telomere Length with a Multivitamin: A Pilot Study","authors":"E. J. Bruno, G. Simpson, Robert L. Martin","doi":"10.4172/2380-5439.1000238","DOIUrl":"https://doi.org/10.4172/2380-5439.1000238","url":null,"abstract":"Context: Although telomeres are “sacrificial” DNA without any necessary genetic content, each time a cell divides, telomeres get shorter. When they decrease to a critical length, cell division ceases and cells becomes inactive or “senescent” or die. This process is associated with aging. To some extent, the process of telomere shortening is slowed by the enzyme telomerase, whose purpose it is to add telomere length to DNA. Certain nutraceuticals have been shown to activate telomerase, and extend telomere length. While this will not make cells immortal, it may extend their lifespan.Objectives: The study intended to examine the effectiveness of a multivitamin formulated to extend telomere length, and ascertain the viability of conducting a larger, randomized, controlled trial in the future.Design: The study a 90-day, open-label pilot.Participants: Generally healthy men and women older than 18 years.Intervention: All subjects received a 90-day supply of the multivitamin, and were instructed to take one table, three times daily with meals.Outcome measures: The endpoint was absolute telomere length, measured with the quantitative real-time polymerase chain reaction (qPCR) method, using a DNA sample from a buccal (inner-cheek) swab of each subject.Results: 10 subjects completed the protocol. 8 of the 10 had notable increases in telomere length. The mean increase in telomere length for all subjects was 55.86%.Conclusions: The current pilot trial demonstrated the efficacy of the multivitamin in lengthening the telomeres. These findings suggest that is worthwhile to conduct a larger, randomized, controlled trial to measure the telomere lengthening effects of the multivitamin formula.","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"5 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2380-5439.1000238","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70313980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.4172/2380-5439.1000240
Mengistu Alemu, Yadeta Dessie, T. Tesfaye, Abdu Oumer, Yohannes Teka
Background: Human immunodeficiency virus highly affected young peoples in developing countries, of which sexual transmission was the major route including vaginal, oral and anal sex. Understanding the full range of sexual behavior among young people especially anal sexual experience is very crucial to design appropriate intervention strategies.Objective: To assess oral and anal sexual experience and associated factors among preparatory school youths in Dire Dawa city, Eastern Ethiopia, 2016.Methods: School based cross sectional study was conducted among 1067 school youths attending preparatory schools. Systematic random sampling method was used to select study participants. Data were collected using selfadministered questionnaire and entered in to Epi-data version 3.3.1 and exported to SPSS 20 for analysis. Descriptive and bivariate logistic regression was done. Variables in bivariate analysis with P<0.25 were entered to multiple logistic regression analysis to determine predictor variables. P<0.05 was considered statistically significance and AOR with 95% CI used to assess strength of association.Results: The proportion of youths who reported having anal sex was 6.7% (66). Having multiple sexual partnerships was reported by 56.5% of youths who ever engaged in anal sex. From those who ever engaged to anal sex, 34.8% consistently used condom. Anal sex experience was significantly associated with intimate partner ever engaged to anal sex (AOR=5.34, 95% CI: 4.2-26.98), ever engaged to vaginal sex (AOR=10.64, 95% CI: 2.39-11.9), ever watching pornographic movies (AOR=3.86, 95% CI: 1.45-10.29) and parental monitoring of youth’s sexual behavior (AOR=2.63, 95% CI: 1.12-6.19).Conclusion: Significant proportion of youths had engaged in anal sexual practice and multiple sexual partners were common among youths for anal sex practices. In the contrary consistent condom use was very low. A combination of Sexual health education intervention strategies should be implemented at family, school and community level.
{"title":"Comparative Study of Pseudo-continuous Anal Sexual Practice among Preparatory School Youths in Dire Dawa City Administration Eastern Ethiopia","authors":"Mengistu Alemu, Yadeta Dessie, T. Tesfaye, Abdu Oumer, Yohannes Teka","doi":"10.4172/2380-5439.1000240","DOIUrl":"https://doi.org/10.4172/2380-5439.1000240","url":null,"abstract":"Background: Human immunodeficiency virus highly affected young peoples in developing countries, of which sexual transmission was the major route including vaginal, oral and anal sex. Understanding the full range of sexual behavior among young people especially anal sexual experience is very crucial to design appropriate intervention strategies.Objective: To assess oral and anal sexual experience and associated factors among preparatory school youths in Dire Dawa city, Eastern Ethiopia, 2016.Methods: School based cross sectional study was conducted among 1067 school youths attending preparatory schools. Systematic random sampling method was used to select study participants. Data were collected using selfadministered questionnaire and entered in to Epi-data version 3.3.1 and exported to SPSS 20 for analysis. Descriptive and bivariate logistic regression was done. Variables in bivariate analysis with P<0.25 were entered to multiple logistic regression analysis to determine predictor variables. P<0.05 was considered statistically significance and AOR with 95% CI used to assess strength of association.Results: The proportion of youths who reported having anal sex was 6.7% (66). Having multiple sexual partnerships was reported by 56.5% of youths who ever engaged in anal sex. From those who ever engaged to anal sex, 34.8% consistently used condom. Anal sex experience was significantly associated with intimate partner ever engaged to anal sex (AOR=5.34, 95% CI: 4.2-26.98), ever engaged to vaginal sex (AOR=10.64, 95% CI: 2.39-11.9), ever watching pornographic movies (AOR=3.86, 95% CI: 1.45-10.29) and parental monitoring of youth’s sexual behavior (AOR=2.63, 95% CI: 1.12-6.19).Conclusion: Significant proportion of youths had engaged in anal sexual practice and multiple sexual partners were common among youths for anal sex practices. In the contrary consistent condom use was very low. A combination of Sexual health education intervention strategies should be implemented at family, school and community level.","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"5 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70313543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.4172/2380-5439.1000234
A. Adeboye, M. Ross, M. Wilkerson, A. Springer, H. Ahaneku, Rafeek A. Yusuf, T. Olanipekun, S. McCurdy
This study, conducted among men who have sex with men (MSM) in sub-Saharan Africa (SSA), sought to replicate the syndemic effects of psychosocial health problems on HIV risk by using data collected from a sample of 300 MSM and bisexuals from Tanzania. We also sought to test the utility of syndemic theory by replicating the effects of the number of syndemic conditions on HIV risk behavior in that population. Five psychosocial health problems (i.e., the syndemic factors), acronymized as SAVID, were examined: substance use while having condomless sexual intercourse, childhood and adolescent sexual abuse, experience of anti-gay violence, internalized homonegativity (IH), and depression. Nine of the 10 odds ratios (ORs) generated from analysis of the bivariate associations between these syndemic factors were found to be statistically significant and positive; the tenth was marginally significant and positive. These results indicate not only a high degree of coexistence of the syndemic factors but also suggest that possible interactions between these factors may have additive effects on the behavioral health outcomes of the study participants. Such additive effects were confirmed by finding a A¢Â€Âœdose-responseA¢Â€Â� relationship between HIV risk-associated sexual behavior and the number of the five syndemic factors reported by each participant. After controlling for demographic and contextual factors, we found that the SAVID syndemic variable significantly increased the odds of engaging in condomless sexual intercourse (OR, 1.48). This substantiates the central tenet of syndemic theory, which is that those participants who were exposed to a greater number of the psychosocial health problems also engaged in higher-risk sexual behavior. Multivariate regression analyses revealed not only the effect of two of the syndemic conditions (substance use during sex and IH) on HIV risk-related sexual behavior but also confirmed how one demographic variable (younger age) and one culturally structured factor (being gay but still having a meaningful sexual relationship with women) uniquely contributed to syndemic conditions among Tanzanian MSM. These results suggest that a multifaceted HIV intervention grounded in syndemic theory should be considered as an effective approach to mitigating the risk environment that potentiates the vulnerability to HIV among Tanzanian MSM.
{"title":"HIV Vulnerability and Coexisting Psychosocial Health Problems amongTanzanian Men who have Sex with Men from the Perspective of an African Syndemic Model","authors":"A. Adeboye, M. Ross, M. Wilkerson, A. Springer, H. Ahaneku, Rafeek A. Yusuf, T. Olanipekun, S. McCurdy","doi":"10.4172/2380-5439.1000234","DOIUrl":"https://doi.org/10.4172/2380-5439.1000234","url":null,"abstract":"This study, conducted among men who have sex with men (MSM) in sub-Saharan Africa (SSA), sought to replicate the syndemic effects of psychosocial health problems on HIV risk by using data collected from a sample of 300 MSM and bisexuals from Tanzania. We also sought to test the utility of syndemic theory by replicating the effects of the number of syndemic conditions on HIV risk behavior in that population. Five psychosocial health problems (i.e., the syndemic factors), acronymized as SAVID, were examined: substance use while having condomless sexual intercourse, childhood and adolescent sexual abuse, experience of anti-gay violence, internalized homonegativity (IH), and depression. Nine of the 10 odds ratios (ORs) generated from analysis of the bivariate associations between these syndemic factors were found to be statistically significant and positive; the tenth was marginally significant and positive. These results indicate not only a high degree of coexistence of the syndemic factors but also suggest that possible interactions between these factors may have additive effects on the behavioral health outcomes of the study participants. Such additive effects were confirmed by finding a A¢Â€Âœdose-responseA¢Â€Â� relationship between HIV risk-associated sexual behavior and the number of the five syndemic factors reported by each participant. After controlling for demographic and contextual factors, we found that the SAVID syndemic variable significantly increased the odds of engaging in condomless sexual intercourse (OR, 1.48). This substantiates the central tenet of syndemic theory, which is that those participants who were exposed to a greater number of the psychosocial health problems also engaged in higher-risk sexual behavior. Multivariate regression analyses revealed not only the effect of two of the syndemic conditions (substance use during sex and IH) on HIV risk-related sexual behavior but also confirmed how one demographic variable (younger age) and one culturally structured factor (being gay but still having a meaningful sexual relationship with women) uniquely contributed to syndemic conditions among Tanzanian MSM. These results suggest that a multifaceted HIV intervention grounded in syndemic theory should be considered as an effective approach to mitigating the risk environment that potentiates the vulnerability to HIV among Tanzanian MSM.","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"5 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2380-5439.1000234","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70313971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-26DOI: 10.4172/2380-5439.1000205
Ayala Gonen, L. Lev-Ari
Background: Today, as the rapid progress of Information Technologies (I.T) in health care continues, it is crucial to find out more information about the factors that might advance or hinder the nurses’ educators’ acceptance of technological changes. The main goal of this study was to explain the use of using I.T, by focusing on sociological factors like the impact of support and influence. The study design was a quantitative research, using a written and online survey. One hundred and nine academic nurse educators from ten different academic nursing schools in Israel participated. Results: support and influence predict actual use of I.T. The Chi-square Goodness-of-Fit index presented an excellent fit for the data (p=0.46; Normed Fit Index (NFI)=0.96; Root Mean Square Error of Approximation (RMSEA)=0.00). The relationship between sociological factors from significant others and the actual use of IT was mediated by personality characteristics such as self-efficacy, and innovativeness. Conclusion: Management should ensure that sociological factors (such as support and influence) and personality characteristics (such as self-efficacy, attitudes toward I.T, and innovativeness) are considered when preparing to introduce new technologies to nurse educators. Enhancing support and influence and self-efficacy should be considered in the organization, in order to encourage favorable use among healthcare professionals.
{"title":"The Impact of Sociological Factors on Nurse Educatorsâ Use ofInformation Technology","authors":"Ayala Gonen, L. Lev-Ari","doi":"10.4172/2380-5439.1000205","DOIUrl":"https://doi.org/10.4172/2380-5439.1000205","url":null,"abstract":"Background: Today, as the rapid progress of Information Technologies (I.T) in health care continues, it is crucial to find out more information about the factors that might advance or hinder the nurses’ educators’ acceptance of technological changes. The main goal of this study was to explain the use of using I.T, by focusing on sociological factors like the impact of support and influence. The study design was a quantitative research, using a written and online survey. One hundred and nine academic nurse educators from ten different academic nursing schools in Israel participated. Results: support and influence predict actual use of I.T. The Chi-square Goodness-of-Fit index presented an excellent fit for the data (p=0.46; Normed Fit Index (NFI)=0.96; Root Mean Square Error of Approximation (RMSEA)=0.00). The relationship between sociological factors from significant others and the actual use of IT was mediated by personality characteristics such as self-efficacy, and innovativeness. Conclusion: Management should ensure that sociological factors (such as support and influence) and personality characteristics (such as self-efficacy, attitudes toward I.T, and innovativeness) are considered when preparing to introduce new technologies to nurse educators. Enhancing support and influence and self-efficacy should be considered in the organization, in order to encourage favorable use among healthcare professionals.","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"2016 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2016-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70313958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-19DOI: 10.4172/2380-5439.1000197
Abhijeet Sinha, S. Syed
The monitoring of any project at scale becomes challenging issue and most of the monitoring systems are not strong enough to effectively monitor the project across difficult geographies. Monitoring at scale is a daunting task with hard to reach population and places in any given project implementation. However, projects suffer at large because of weaker monitoring system in difficult areas. Thus, Project management becomes challenging and project fails to deliver results especially when implemented at scale. The fact we all know if any project is not monitored through robust systems, project performance gets compromised. Nonetheless, where no one watching the activities it is highly likely the quality of project implementation and project management gets questioned. What could be done to build a system of project monitoring on the real-time basis and with virtual access, where one can remotely observe and track activities in the ground and on real time basis, with 100%, reach using the technology. The simple use of mobile technology built on Global Positioning System (GPS) can use Geotagging to find and link with variety of location-specific information from a device, can find images taken near a given location by entering latitude and longitude and photos can be linked to location specific information with the time stamp when and where the activity was precisely done. For monitoring of the Bihar Handwashing Programme at scale the Geotag applications has been developed along with web portal with an Android based application which serves the interface for the on-field teams to capture activity data. The application has been built with various control features to ensure that only the desired users have access to the relevant data. This is being done by way of mapping individual mobile phones via IMEI codes to Unique User IDs (Team IDs). This mapping ensures that no duplication of work is observed on the field, and one user may only access and operate upon the data pertaining to related user. The data captured on real time basis can be viewed in web portal and help program to interpret data in meaningful manner. It also ensures the quality of the programme is consistently maintained with robust monitoring system. As a result, so far over 0.4 million contacts have been rejected against the 2.7 million reached. The data collected gets audited and reviewed with external auditors and the auditors follow the operational procEducres where each photo gets validated to match with activities and sessions, and contacts get rejected if it is not matching in defined procEducres so this makes ongoing monitoring very powerful, and controls the quality of program implementation. The data automatically is synced to a web portal and is used at all levels to track program performance and also reward programme staff accordingly. Geotag system design helps in rEduccing fraud while it is cost effective. Through the inbuilt online live dash board in web portal, it helps
{"title":"The Use of Mobile Geotag Technology in Driving Project Performance at Scale","authors":"Abhijeet Sinha, S. Syed","doi":"10.4172/2380-5439.1000197","DOIUrl":"https://doi.org/10.4172/2380-5439.1000197","url":null,"abstract":"The monitoring of any project at scale becomes challenging issue and most of the monitoring systems are not strong enough to effectively monitor the project across difficult geographies. Monitoring at scale is a daunting task with hard to reach population and places in any given project implementation. However, projects suffer at large because of weaker monitoring system in difficult areas. Thus, Project management becomes challenging and project fails to deliver results especially when implemented at scale. The fact we all know if any project is not monitored through robust systems, project performance gets compromised. Nonetheless, where no one watching the activities it is highly likely the quality of project implementation and project management gets questioned. What could be done to build a system of project monitoring on the real-time basis and with virtual access, where one can remotely observe and track activities in the ground and on real time basis, with 100%, reach using the technology. The simple use of mobile technology built on Global Positioning System (GPS) can use Geotagging to find and link with variety of location-specific information from a device, can find images taken near a given location by entering latitude and longitude and photos can be linked to location specific information with the time stamp when and where the activity was precisely done. For monitoring of the Bihar Handwashing Programme at scale the Geotag applications has been developed along with web portal with an Android based application which serves the interface for the on-field teams to capture activity data. The application has been built with various control features to ensure that only the desired users have access to the relevant data. This is being done by way of mapping individual mobile phones via IMEI codes to Unique User IDs (Team IDs). This mapping ensures that no duplication of work is observed on the field, and one user may only access and operate upon the data pertaining to related user. The data captured on real time basis can be viewed in web portal and help program to interpret data in meaningful manner. It also ensures the quality of the programme is consistently maintained with robust monitoring system. As a result, so far over 0.4 million contacts have been rejected against the 2.7 million reached. The data collected gets audited and reviewed with external auditors and the auditors follow the operational procEducres where each photo gets validated to match with activities and sessions, and contacts get rejected if it is not matching in defined procEducres so this makes ongoing monitoring very powerful, and controls the quality of program implementation. The data automatically is synced to a web portal and is used at all levels to track program performance and also reward programme staff accordingly. Geotag system design helps in rEduccing fraud while it is cost effective. Through the inbuilt online live dash board in web portal, it helps ","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"4 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2016-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70313267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-02DOI: 10.4172/2380-5439.1000200
A. Dreier-Wolfgramm, Sabine Homeyer, A. Beyer, Stefanie Kirschner, R. Oppermann, W. Hoffmann
Background: Interprofessional teamwork has become increasingly important to provide patient centered care. Physicians and nurses as two major professions are needed to be adequately qualified. Interprofessional Education (IPE) is an eligible approach. Nevertheless, there is a lack of the impact for both professions. Therefore, we implemented and evaluated simulation training and a collaborative working sequence on a training ward. The aim was to analyze the course structure and assess learning effects to evaluate the suitability for IPE. Methods: A mixed methods study with a sequential explanatory design was conducted. A total of five medical and five nursing students were involved. Students completed questionnaire based interviews after IPE lectures. Two group discussions were conducted to specify and expand quantitative evaluation results. For descriptive statistics, we used the software package SPSS. Both group discussions were analyzed by a qualitative content analysis using the software MAXQDA. Results: Students rated IPE predominantly positive. The learning contents broadness and the links between theory and practice. Students identified six core learning effects: (1) Realization of the importance for collaborative working; (2) Gaining knowledge about the roles of both professions; (3) Realization, that interprofessional care facilitates work; (4) Practicing communication between physicians and nurses; (5) Improving collaborative communication with the patient; and (6) Understanding chances and challenges of joint decision making. Nevertheless, students suggested improvements, e.g., the scenarios of the simulation training should be expanded. Conclusion: The results provide clear evidence that IPE by simulation training and a training ward is feasible and well accepted by students in a German medical school. Results can be used to adapt IPE lectures and to implement them for a larger number of students. The next step is to generalize findings and to sustainably implement IPE in both curricula.
{"title":"Impact of Interprofessional Education for Medical and Nursing Students using Simulation Training and a Training Ward: A German Pilot Study","authors":"A. Dreier-Wolfgramm, Sabine Homeyer, A. Beyer, Stefanie Kirschner, R. Oppermann, W. Hoffmann","doi":"10.4172/2380-5439.1000200","DOIUrl":"https://doi.org/10.4172/2380-5439.1000200","url":null,"abstract":"Background: Interprofessional teamwork has become increasingly important to provide patient centered care. Physicians and nurses as two major professions are needed to be adequately qualified. Interprofessional Education (IPE) is an eligible approach. Nevertheless, there is a lack of the impact for both professions. Therefore, we implemented and evaluated simulation training and a collaborative working sequence on a training ward. The aim was to analyze the course structure and assess learning effects to evaluate the suitability for IPE. \u0000Methods: A mixed methods study with a sequential explanatory design was conducted. A total of five medical and five nursing students were involved. Students completed questionnaire based interviews after IPE lectures. Two group discussions were conducted to specify and expand quantitative evaluation results. For descriptive statistics, we used the software package SPSS. Both group discussions were analyzed by a qualitative content analysis using the software MAXQDA. \u0000Results: Students rated IPE predominantly positive. The learning contents broadness and the links between theory and practice. Students identified six core learning effects: (1) Realization of the importance for collaborative working; (2) Gaining knowledge about the roles of both professions; (3) Realization, that interprofessional care facilitates work; (4) Practicing communication between physicians and nurses; (5) Improving collaborative communication with the patient; and (6) Understanding chances and challenges of joint decision making. Nevertheless, students suggested improvements, e.g., the scenarios of the simulation training should be expanded. \u0000Conclusion: The results provide clear evidence that IPE by simulation training and a training ward is feasible and well accepted by students in a German medical school. Results can be used to adapt IPE lectures and to implement them for a larger number of students. The next step is to generalize findings and to sustainably implement IPE in both curricula.","PeriodicalId":91744,"journal":{"name":"Journal of health education research & development","volume":"2016 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2016-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2380-5439.1000200","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70313401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：