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Screening for Perceived Stress and Racism in Hypertensive African American Men in a Community Health Setting 在社区卫生机构中筛查高血压非裔美国男性的感知压力和种族主义
Pub Date : 2017-04-20 DOI: 10.4172/2471-9846.1000168
G. Hobbs, Dawn M. Aycock
Objective: To explore the feasibility of screening for perceived stress, perceived racism, and provision of transcendental meditation education in hypertensive African American men receiving care at a community health clinic. Design and sample: An exploratory-descriptive pilot project was conducted with 21 African American men. Measures: Surveys were used to measure levels of perceived stress and perceived racism. Educational materials on transcendental meditation were offered. A study evaluation survey was completed. Results: Participants ranged in age from 37 to 58 years old. Perceived stress scores were high (M=21, ± 9.5) and perceived lifetime exposure to racism scores were low (M=20.3, ± 19.2). The majority (81%) felt that it was important to screen for stress and 57% would use evidence-based coping if education was offered. Conclusion: Screening for perceived stress in hypertensive African American men and educating them about the relationships between perceived racism, stress and hypertension, may be a feasible option to potentially help them to manage their blood pressure. Further exploration to determine if and how transcendental meditation can be implemented through community health clinics is needed.
目的:探讨在社区卫生诊所接受治疗的非裔美国人高血压患者中进行感知压力、感知种族主义筛查和提供超越冥想教育的可行性。设计和样本:对21名非裔美国人进行了探索性描述试点项目。测量方法:调查用于测量感知压力和感知种族主义的水平。提供了超越冥想的教育材料。完成研究评价调查。结果:参与者年龄在37 - 58岁之间。感知压力得分高(M=21,±9.5),感知种族主义终身暴露得分低(M=20.3,±19.2)。大多数人(81%)认为筛查压力很重要,如果提供教育,57%的人会采用循证应对方法。结论:对高血压非裔美国男性进行感知压力筛查,并教育他们感知种族主义、压力和高血压之间的关系,可能是一个可行的选择,可能有助于他们控制血压。需要进一步探索,以确定是否以及如何通过社区卫生诊所实施超越冥想。
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引用次数: 1
Orphan Drugs: Getting Arms around Rare Diseases 孤儿药:应对罕见疾病
Pub Date : 2017-04-18 DOI: 10.4172/2471-9846.1000167
Duygu Koyuncu Irmak
Finding ways to bring new therapies for rare diseases to patients in a timely manner, effectively and affordably is an important public health challenge. The key concern for decision makers in the health authorities for all medicinal products including Orphan Drugs is that the treatment demonstrates efficacy through “substantial evidence” from adequate, well-planned, well-controlled clinical trials A successful clinical development programs in rare diseases starts with a tailored approach to ensure the right methodology is employed for the target rare disease therapy. The research methodology needs to be evaluated specifically for each rare disease and the target therapy in the light of all available scientific knowledge by all experts acting in all stakeholders.
寻找方法及时、有效、经济地为患者提供罕见病的新疗法是一项重要的公共卫生挑战。卫生当局决策者对包括孤儿药在内的所有药品的主要担忧是,该疗法通过充分、计划周密、,控制良好的临床试验罕见病的成功临床开发计划始于量身定制的方法,以确保目标罕见病治疗采用正确的方法。研究方法需要由所有利益相关者的所有专家根据所有可用的科学知识,专门针对每种罕见病和靶向治疗进行评估。
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引用次数: 1
Effect of Physical Abuse on Academic Achievement among Secondary School Female Students in Jeddah 吉达中学生身体虐待对学业成绩的影响
Pub Date : 2017-04-05 DOI: 10.4172/2471-9846.1000166
W. Elarousy, Wejdan Shaqiqi
Background: Physical abuse is defined as the intentional use of physical force against a child that can lead to harm for the child’s health, survival and development. Hitting, beating, kicking, shaking, biting, burning, poisoning and suffocating are forms of physical abuse. Physical abuse was predicted to negatively affect children’s academic and behavioral adjustment. Physically abused school age children continued to function more poorly than their nonmaltreated peers on a variety of academic and socio-emotional measures. They having lower grades, showed less academic engagement, more social skills deficits, and lower ego resiliency than non-maltreated comparison children. Aim of the study: The aim of the study is to investigate the effect of physical abuse on academic achievement among secondary school female students in Jeddah. Research question: Is there relationship between physical abuse and academic achievement among secondary school female students? Methods: The study was conducted at two female secondary school students in Jeddah – Saudi Arabia. Two hundred female students in secondary school in Jeddah were recruited for the study using non probability “convenience” sampling technique. A descriptive design was used. A structured self-reported questionnaire was developed by the researcher, after reviewing of the literature. The questionnaire was tested for validity and necessary modifications were done. Reliability was 0.813 by using Cronbach’s Alpha test. Results: It was found that 29% of participates reported that they were physically abused. About two third of participates who reported any forms of physical abuse have GPA less than 85% compared with about one third participates who reported that they never been abused have GPA less than 85% and the difference was statistically significant (P=0.001). Furthermore, the mean GPA of physically abused participants was 83.07±8.02 compared with 88.19 ± 9.13 for non-physically abused participants and the difference was statistically significant (P=0.001). Conclusion and recommendation: In summary, physical abuse is a worldwide problem that needs action from all community sectors. The findings of the current study support that there is a negative impact of physical abuse on children’s academic achievement. Identify and support abused children with poor academic achievement are needed. Pediatric nurse and school nurse should be trained about identification of physically abused children. Children’s rights in Islam and convention on the rights of children should be included in the school curriculum.
背景:身体虐待的定义是故意对儿童使用体力,可能对儿童的健康、生存和发展造成伤害。打、打、踢、摇、咬、烧、中毒和窒息都是身体虐待的形式。身体虐待对儿童的学业和行为适应有负面影响。身体上受虐待的学龄儿童在各种学术和社会情感方面的表现仍然比未受虐待的同龄人更差。与未受虐待的孩子相比,他们的成绩较低,学业投入较少,社交技能缺陷较多,自我恢复能力较低。研究目的:本研究旨在探讨身体虐待对吉达市中学女生学业成绩的影响。研究问题:中学女生身体虐待与学业成绩是否有关系?方法:以沙特阿拉伯吉达市2名女中学生为研究对象。采用非概率“方便”抽样技术,在吉达市中学招募了200名女学生进行研究。采用描述性设计。在回顾文献后,研究人员开发了一份结构化的自我报告问卷。对问卷进行了效度检验,并进行了必要的修改。经Cronbach’s Alpha检验,信度为0.813。结果:29%的参与者报告说他们受到了身体虐待。报告任何形式的身体虐待的参与者中约有三分之二的GPA低于85%,而报告从未受到虐待的参与者中约有三分之一的GPA低于85%,差异具有统计学意义(P=0.001)。身体虐待组的平均GPA为83.07±8.02,而非身体虐待组的平均GPA为88.19±9.13,差异有统计学意义(P=0.001)。结论和建议:总之,身体虐待是一个世界范围的问题,需要所有社区部门采取行动。目前的研究结果支持身体虐待对儿童学业成绩有负面影响的观点。需要识别和支持学业成绩差的受虐待儿童。儿科护士和学校护士应该接受关于识别身体虐待儿童的培训。伊斯兰教中的儿童权利和《儿童权利公约》应列入学校课程。
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引用次数: 5
An International Study of Nurses' Ethical Ideology and Religiosity 护士伦理思想与宗教信仰的国际研究
Pub Date : 2017-03-22 DOI: 10.4172/2471-9846.1000165
Malloy Dc, Sevigny P, Fahey McCarthy E, Lee Y, Liu P, Murakami M, Walsh A, Hadjistavropoulos T
To suggest that the nursing landscape is complex is a profound understatement. As nurses care for patients in a continuum of health, they are also confronted with the personal demands of their own value systems and religious belief systems in tandem with values and culture of the hospital. In an effort to shed some light on this complexity, this international study of nurses from four nations explored the relationship between religiosity and ethical ideology. The findings indicate that while there was no significant association between religiosity and ideology, nurses’ religiosity, ethical idealism, and ethical relativism differ as a function of country/culture. Future research can investigate whether these differences manifest themselves in behaviour.
认为护理环境是复杂的是一种极为低调的说法。护士在健康的连续体中照顾病人,他们也面临着自身价值体系和宗教信仰体系的个人需求,以及医院的价值观和文化。为了揭示这种复杂性,这项针对四个国家护士的国际研究探讨了宗教信仰和伦理意识形态之间的关系。研究结果表明,虽然宗教信仰与意识形态之间没有显著联系,但护士的宗教信仰、道德理想主义和道德相对主义作为国家/文化的函数而不同。未来的研究可以调查这些差异是否在行为中表现出来。
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引用次数: 2
Do Educational Interventions with Mothers Enhance the Quality of Life of their Children with Chronic Functional Constipation in a Randomized Trial 对母亲的教育干预能提高患有慢性功能性便秘的孩子的生活质量吗?一项随机试验
Pub Date : 2017-03-13 DOI: 10.4172/2471-9846.1000164
G. C. S. Sette, Ana Márcia Tenório de Souza Cavalcanti, M. Coriolano, G. A. P. Silva, M. E. Motta, L. S. D. Lima
Aim: To analyse the effect on the quality of life of children with chronic functional constipation when performing educational intervention on mothers, using the technique of focus groups, in a prospective randomized trial. Method: This study was conducted on the paediatric gastroenterology clinic of the teaching hospital of the Federal University of Pernambuco, from November 2012 to May 2013. A prospective study of educational intervention in health was applied on two randomized groups (experimental and control) that was formed from a sample of 55 participants according to the Rome III criteria. Mothers from the experimental group participated of a focus group that used active methods of teaching and learning in order to elucidate the biopsychosocial issues surrounding constipation. Children from both groups kept the usual treatment held by the paediatric gastroenterologist during the monthly medical visits. In order to measure the primary outcome - quality of life - the questionnaire PedsQLTM 4.0 Generic Core Scales was applied to both groups before and after the intervention. The data related to clinical parameters and quality of life of participants before and after the intervention were analytically compared in both groups with the significance level p ≤ 0.05. Results: This study included 55 mothers of children and adolescents with disorders of defecation, 11 in the educational intervention group and 44 in the control group. After monitoring the mothers that participated in focus groups for six months, the outcome quality of life was represented by a total score of 89.13, whilst the total score before the intervention was 78,26 (p=0,00). Conclusion: The quality of life of patients with functional constipation improved after the intervention. Therefore, the educational intervention on focus groups with mothers configure a therapeutic alternative to patients and families living with defecation disorders.
目的:在前瞻性随机试验中,采用焦点小组技术,分析对母亲进行教育干预对慢性功能性便秘患儿生活质量的影响。方法:本研究于2012年11月至2013年5月在伯南布哥联邦大学教学医院儿科胃肠病学门诊进行。根据罗马III标准,对55名参与者组成的两个随机组(实验组和对照组)进行了健康教育干预的前瞻性研究。实验组的母亲参加了一个焦点小组,该小组采用积极的教学方法来阐明与便秘有关的生物心理社会问题。两组儿童在每月就诊期间都接受儿科胃肠病学家的常规治疗。为了测量主要结局-生活质量,两组在干预前后均采用问卷PedsQLTM 4.0通用核心量表。两组患者干预前后临床参数及生活质量相关数据进行分析比较,p≤0.05。结果:本研究共纳入55名患有排便障碍的儿童和青少年母亲,其中教育干预组11名,对照组44名。在对参加焦点小组的母亲进行了6个月的监测后,结果生活质量的总分为89.13分,而干预前的总分为78,26分(p=0, 000)。结论:干预后功能性便秘患者的生活质量得到改善。因此,对有母亲的焦点小组进行教育干预,为患有排便障碍的患者和家庭提供了一种治疗选择。
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引用次数: 1
Experimental Results of Phoebe Framework: Optimal Formulas for Estimating Fetus Weight and Age 菲比框架的实验结果:估计胎儿体重和年龄的最佳公式
Pub Date : 2017-03-13 DOI: 10.4172/2471-9846.1000163
Loc X. Nguyen, Thu-Hang T. Ho
Fetal age and weight estimation plays an important role in pregnant treatments. There are many estimate formulas created by combination of statistics and obstetrics. However, such formulas give optimal estimation if and only if they are applied into specified community. We proposed a so-called Phoebe framework that supports scientists to find out most accurate formulas with regard to the community where scientists do their research. Now we compose this paper that focuses on using Phoebe framework to derive optimal formulas from experimental results. In other words, this paper is an evaluation of Phoebe framework.
胎儿年龄和体重估计在妊娠治疗中起着重要作用。统计学和产科相结合的估算公式有很多。然而,这些公式只有当且仅当应用于特定的群体时,才能给出最优估计。我们提出了一个所谓的菲比框架,它支持科学家找到关于科学家进行研究的社区的最准确的公式。现在,我们撰写了这篇论文,重点是利用菲比框架从实验结果中推导出最优公式。换句话说,本文是对Phoebe框架的评估。
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引用次数: 1
Facilitators and Barriers to Exclusive Breastfeeding in Thailand: A Narrative Review 泰国纯母乳喂养的促进因素和障碍:叙述性回顾
Pub Date : 2017-02-28 DOI: 10.4172/2471-9846.1000160
Thiwawan Thepha, D. Marais, J. Bell, Somjit Muangpin
The six months exclusive breastfeeding rate in Thailand has decreased from 15.1 % in 2009 to 12.3 % in 2013. It is important to identify what the facilitators and barriers to exclusive breastfeeding in Thailand. This narrative review aimed to identify facilitators and barriers to exclusive breastfeeding in Thailand. A narrative review was conducted by searching through the following data bases: Medline, CINAHL, Embase, Google scholar and Thai journal online between 2001 to the fourth week of September 2016. Searching terms are exclusive breastfeeding and Thailand. Inclusion criteria were that they focused on facilitators and barriers of exclusive breastfeeding - specifically relating to Thailand in all languages. Exclusion criteria were studies which not related with facilitators and barriers to exclusive breastfeeding in Thailand. Narrative data extraction was conducted, with data analyzed thematically. The result revealed that 74 studies were thematically analyzed using five identified themes: mother factor, family support, situation and social context, infant factor, and healthcare profession and healthcare service. Conclusion: The factors described in the study are corroborated by international findings. In difference context, identifying specific practical guideline based on the themes identified, in order to make suggestions amid policy planning for the promotion, protection, and support of exclusive breastfeeding in Thailand, is now in deed of exploration.
泰国6个月纯母乳喂养率已从2009年的15.1%下降到2013年的12.3%。重要的是要确定泰国纯母乳喂养的促进因素和障碍。本综述旨在确定泰国纯母乳喂养的促进因素和障碍。通过检索2001年至2016年9月第四周的Medline、CINAHL、Embase、谷歌scholar和Thai journal online数据库进行叙述性回顾。搜索词是纯母乳喂养和泰国。纳入标准是,它们侧重于纯母乳喂养的促进因素和障碍-特别是与所有语言的泰国有关。排除标准是与泰国纯母乳喂养的促进因素和障碍无关的研究。进行叙事数据提取,对数据进行主题化分析。结果显示,74项研究采用五个确定的主题进行主题分析:母亲因素、家庭支持、情况和社会背景、婴儿因素、医疗保健专业和医疗保健服务。结论:研究中描述的因素得到了国际研究结果的证实。在不同的情况下,根据所确定的主题确定具体的实用准则,以便在泰国促进、保护和支持纯母乳喂养的政策规划中提出建议,目前正在进行探索。
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引用次数: 24
Exploring Adolescence and Parenthood: A Transitional Life Stage and Abrupt Life Change 探索青春期和为人父母:一个生命的过渡阶段和突然的生命变化
Pub Date : 2017-02-28 DOI: 10.4172/2471-9846.1000162
Marcella Kelly, M. Millar
This explorative discussion of the literature explores transitional and developmental theory focusing on adolescence and the transition to parenthood. The concept of the emergent adult is explored in the context of teenage parenthood transition. Similar to the emergent adult the teenage parent proactively choose their life course options that incorporates securing social resources and future positions. The transitional process moving from adolescence to adulthood is expedited for the teenage parent. In hastening this transitional developmental phase teenage parents are propelled into the role of emergent adult. Awareness by community healthcare professionals of the challenges teenage parents face with regards to transitional processes moving from adolescent to the adult role of parent should be considered in effectively supporting these young parents.
这个探索性的文献讨论探讨了过渡和发展的理论,重点是青春期和过渡到父母。在青少年父母转变的背景下,探讨了新兴成人的概念。与新兴的成年人类似,青少年父母主动选择他们的人生道路选择,包括确保社会资源和未来的地位。对于十几岁的父母来说,从青春期到成年的过渡过程加快了。在加速这一过渡发展阶段的过程中,十几岁的父母被推入了紧急成人的角色。在有效地支持这些年轻父母时,应考虑社区保健专业人员认识到青少年父母在从青少年角色向成人角色转变的过程中所面临的挑战。
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引用次数: 3
Excerpt from the Mindful Nurse: Using the Power of Mindfulness and Compassion to Help you Thrive in your Work 节选自《正念护士:运用正念和同情心的力量帮助你在工作中茁壮成长》
Pub Date : 2017-02-28 DOI: 10.4172/2471-9846.1000161
C. Sheridan
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引用次数: 3
Contraceptive Use and Family Size Preferences among Married Women of Reproductive Age in Jimma Arjo District of Eastern Wellega Zone in Oromia, Ethiopia 埃塞俄比亚奥罗米亚州韦勒加东部Jimma Arjo区育龄已婚妇女的避孕药具使用和家庭规模偏好
Pub Date : 2017-02-23 DOI: 10.4172/2471-9846.1000179
Tadele Amente, Tariku Tesfaye, Mesfin Addise
Background: Ethiopia is one of Sub-Saharan Africa countries in which high fertility (5.4 births per woman) is observed. Family planning programs have always been considered as the interventions of choice for slowing population growth and family size preference is useful in suggesting its demand. Objective: The objective of this study was to assess contraceptive use and family size preferences among currently married women of reproductive age in Jimma Arjo district. Methods: Community based cross sectional study design was conducted from January to February 2011. A total of five kebeles were selected by lottery method from 22 kebeles in Jimma Arjo district, Oromia, Ethiopia and a total of 475 married women were interviewed using systematic random sampling technique. Results: The result indicated that 57.1% of married women were using modern contraceptive methods. Average number of children a woman had during the survey excluding current pregnancy was 3.8. In the logistic regression, women of age 35-49 years (AOR: 5.54 (1.8-17.04), 95% CI) and women who have had at least one child death (OR 0.45 (0.3-0.67) 95% CI) were determinant factors for limiting child birth. Conclusion: The use of long acting and permanent methods was seen to be very low and women those desired to limit child bearing in this study area are lower compared to other studies. As a result, any program aimed at promoting family planning in this area should look for ways and means of reducing the intension of having many children.
背景:埃塞俄比亚是撒哈拉以南非洲地区生育率高(每名妇女生育5.4个孩子)的国家之一。计划生育项目一直被认为是减缓人口增长的首选干预措施,家庭规模偏好有助于表明其需求。目的:本研究的目的是评估Jimma Arjo区育龄已婚妇女的避孕药具使用情况和家庭规模偏好。方法:2011年1月至2月进行基于社区的横断面研究设计。采用抽签法从埃塞俄比亚奥罗米亚州Jimma Arjo区的22个kebele中选出5个kebeles,并采用系统随机抽样技术对475名已婚妇女进行了访谈。结果:57.1%的已婚妇女采用了现代避孕方法。在调查期间,妇女平均生育的孩子数为3.8个,不包括目前的怀孕情况。在逻辑回归中,35-49岁的女性(AOR:5.54(1.8-17.04),95%置信区间)和至少有一个孩子死亡的女性(OR 0.45(0.3-0.67),95%可信区间)是限制孩子出生的决定因素。结论:与其他研究相比,长期和永久性方法的使用率非常低,并且希望在该研究领域限制生育的女性人数也较低。因此,任何旨在促进这一领域计划生育的计划都应该寻找减少多生孩子的方式和方法。
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引用次数: 4
期刊
Journal of community & public health nursing
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