Dialogues in health最新文献

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Correlation between fall experience and life functions among community-dwelling older adults in Japan 日本社区老年人跌倒经历与生活功能之间的相关性
Dialogues in health Pub Date : 2024-11-08 DOI: 10.1016/j.dialog.2024.100198
Koshi Sumigawa , Yuji Koike
{"title":"Correlation between fall experience and life functions among community-dwelling older adults in Japan","authors":"Koshi Sumigawa ,&nbsp;Yuji Koike","doi":"10.1016/j.dialog.2024.100198","DOIUrl":"10.1016/j.dialog.2024.100198","url":null,"abstract":"<div><h3>Purpose</h3><div>This study investigated the correlation between the risk of falls and life functions, including motor function, cognitive function, and urinary disorders, among older adults residing in small cities in the metropolitan areas of Japan and evaluated the contents of fall prevention instructions.</div></div><div><h3>Methods</h3><div>Sixty-nine older adults residing at home participated in this case-control study conducted between September and October 2019. The survey items included questions pertaining to the history of falls; grip strength; the 30-s Chair Stand Test (CS-30), Functional Reach Test (FRT), and Timed Up and Go Test (TUG) scores; mental and cognitive functions [Test Your Memory-Japanese version test (TYM-J)]; living conditions; and urination status [Core Lower Urinary Tract Symptom Score (CLSS)].</div></div><div><h3>Results</h3><div>Participants with a history of falls had significantly lower CS-30 and FRT scores, and significantly higher TUG scores and CLSS than those with no history of falls. Grip strength bore significant correlations with the CS-30 and TUG scores. The CS-30 scores were correlated with the FRT and TUG scores. The FRT scores were correlated with the TUG and French State Activity Index (FAI) scores. The TUG scores were correlated with the TYM-J and FAI scores. The CLSS showed no significant correlations with the remaining items. The FRT scores and CLSS exerted a significant effect on the risk of experiencing falls.</div></div><div><h3>Conclusion</h3><div>Both balancing ability and micturition status affect fall risk and should be considered in treatment strategies for urinary disorders in fall prevention programs for older adults.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"5 ","pages":"Article 100198"},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142654195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Breaking barriers: A gender-based quota system in nursing school admission in Bangladesh 打破障碍:孟加拉国护理学校招生中基于性别的配额制度
Dialogues in health Pub Date : 2024-10-28 DOI: 10.1016/j.dialog.2024.100196
Shimpi Akter , Masuda Akter , Sopon Akter , Humayun Kabir
{"title":"Breaking barriers: A gender-based quota system in nursing school admission in Bangladesh","authors":"Shimpi Akter ,&nbsp;Masuda Akter ,&nbsp;Sopon Akter ,&nbsp;Humayun Kabir","doi":"10.1016/j.dialog.2024.100196","DOIUrl":"10.1016/j.dialog.2024.100196","url":null,"abstract":"","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"5 ","pages":"Article 100196"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142571500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Success rates and adherence to antiretroviral therapy among treatment-naïve patients in Davao City, Philippines: A ten-year retrospective cohort study 菲律宾达沃市未接受过治疗的患者抗逆转录病毒疗法的成功率和依从性:一项为期十年的回顾性队列研究
Dialogues in health Pub Date : 2024-09-24 DOI: 10.1016/j.dialog.2024.100195
Reigner Jay B. Escartin , Rvin John T. Servillon , Jesille Mae A. Legarta , Stephanie Kate G. Arriola , Princess Faiqah A. Brahim , Dennis Louis M. Braza , Aireen V. Salva , Alfredo A. Hinay Jr
{"title":"Success rates and adherence to antiretroviral therapy among treatment-naïve patients in Davao City, Philippines: A ten-year retrospective cohort study","authors":"Reigner Jay B. Escartin ,&nbsp;Rvin John T. Servillon ,&nbsp;Jesille Mae A. Legarta ,&nbsp;Stephanie Kate G. Arriola ,&nbsp;Princess Faiqah A. Brahim ,&nbsp;Dennis Louis M. Braza ,&nbsp;Aireen V. Salva ,&nbsp;Alfredo A. Hinay Jr","doi":"10.1016/j.dialog.2024.100195","DOIUrl":"10.1016/j.dialog.2024.100195","url":null,"abstract":"<div><h3>Background</h3><div>Antiretroviral therapy (ART) has significantly improved the prognosis and quality of life of HIV/AIDS patients. However, ART success is greatly influenced by patient adherence to the treatment regimens. This study aimed to assess the association between patient adherence to ART and the treatment success rate among antiretroviral-naïve patients in Davao City, Philippines.</div></div><div><h3>Methods</h3><div>This study utilized a 10-year retrospective cohort design, including 517 antiretroviral-naïve patients from an HIV treatment hub in Davao City, the Philippines. Using strict inclusion criteria, 183 antiretroviral-naïve patients were analyzed.</div></div><div><h3>Findings</h3><div>The study found significant associations between the type of ART (<em>p</em> <em>=</em> 0.011) and the timing of ART initiation (<em>p</em> = 0.006) with both patient adherence and the ART success rate. Specifically, patients who achieved sustained viral suppression were predominantly those who initiated ART early, with 71.6 % (<em>n</em> = 131) of them prescribed a regimen consisting of 2 NRTIs and 1 NNRTI. Moreover, 73.8 % of patients demonstrated good adherence (&lt;50 HIV copies/mL). Importantly, patient adherence to ART was strongly correlated with treatment success rate.</div></div><div><h3>Interpretation</h3><div>This study highlights the significance of adherence to antiretroviral therapy (ART) for successful treatment outcomes among antiretroviral-naïve patients living with HIV/AIDS. Early initiation of ART and consistent adherence to treatment regimens are essential for achieving sustained viral suppression and improving treatment effectiveness.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"5 ","pages":"Article 100195"},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142323139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An overlooked risk for skin health: Less availability and higher cost of sunscreen for people with melanated skin 被忽视的皮肤健康风险:皮肤黑色素沉着者使用防晒霜的机会更少、成本更高
Dialogues in health Pub Date : 2024-09-23 DOI: 10.1016/j.dialog.2024.100194
Emerson D. Basch , Grace C. Hillyer
{"title":"An overlooked risk for skin health: Less availability and higher cost of sunscreen for people with melanated skin","authors":"Emerson D. Basch ,&nbsp;Grace C. Hillyer","doi":"10.1016/j.dialog.2024.100194","DOIUrl":"10.1016/j.dialog.2024.100194","url":null,"abstract":"<div><h3>Background</h3><div>Sunscreen with a skin protection factor (SPF) of 30 or greater is recommended to reduce the risk of skin cancer and improve skin health for all people regardless of skin tone. Traditional sunscreen that creates a white cast on the skin is incompatible with melanated skin.</div></div><div><h3>Methods</h3><div>The number of products on the shelf, SPF level, application, coloration, and cost were recorded at three beauty supply chain stores and three pharmacy, health, and wellness stores in or near Harlem in New York City in the Spring of 2023. The number of skin tones for tinted sunscreen was visually matched to the Fitzpatrick Skin Phototypes scale.</div></div><div><h3>Results</h3><div>A total of 385 sunscreen products were identified; 78.7 % were traditional white sunscreen, followed by sheer (15.3 %) and tinted (6.0 %) products. Beauty supply stores offered more tinted sunscreen options than did pharmacy, health, and wellness stores (<em>n</em> = 17,15.3 % vs. <em>n</em> = 6, 2.2 %, <em>p</em> &lt; 0.001). Of the tinted sunscreen products, 19 brands offered only a single tone. Tinted sunscreen was significantly more expensive with an average cost of $24.59 [SD $14.71] per ounce vs. $6.85 [SD 8.66] for traditional, and $9.38 [SD 8.92] for sheer suncreen.</div></div><div><h3>Conclusions</h3><div>Sunscreen that is tinted or sheer and compatible with melanated skin is less available and more costly than traditional white sunscreen in beauty and pharmacy chain stores in NYC. Availability and affordability of sunscreen matching the spectrum of skin tones are essential for optimal sun protection and skin health.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"5 ","pages":"Article 100194"},"PeriodicalIF":0.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genomic analysis of the SARS-CoV-2 variants circulated in the Philippines, 2020–2024 2020-2024 年菲律宾流行的 SARS-CoV-2 变种的基因组分析
Dialogues in health Pub Date : 2024-09-12 DOI: 10.1016/j.dialog.2024.100193
Arnie Dimaano , Kiana Dominique Carreon , Giselle Sophia Camaya , Irvin Rondolo , Jarel Elgin Tolentino
{"title":"Genomic analysis of the SARS-CoV-2 variants circulated in the Philippines, 2020–2024","authors":"Arnie Dimaano ,&nbsp;Kiana Dominique Carreon ,&nbsp;Giselle Sophia Camaya ,&nbsp;Irvin Rondolo ,&nbsp;Jarel Elgin Tolentino","doi":"10.1016/j.dialog.2024.100193","DOIUrl":"10.1016/j.dialog.2024.100193","url":null,"abstract":"<div><h3>Purpose</h3><p>Genomic sequencing has been an invaluable tool to determine the evolution of SARS-CoV-2. In the present study, we provided a comprehensive description of the SARS-CoV-2 variants circulated in the Philippines.</p></div><div><h3>Methods</h3><p>The dataset from the human COVID-19 infections was acquired by downloading the sequences and their associated metadata spanning from March 2020 to April 2024. Then, we executed several filtering criteria to acquire the final dataset for the Philippine samples and performed spatial distribution analysis and phylogenetic tree construction of the reported SARS-CoV-2 sequences.</p></div><div><h3>Results</h3><p>A total of 16,679,203 SARS-CoV sequences were obtained, of which 17,393 (0.10 %) were sampled in the Philippines. Western Visayas reported the highest SARS-CoV-2 sequences (21.33 %), while the Bangsamoro Autonomous Region in Muslim Mindanao reported the least (0.48 %). The phylogenetic tree revealed the evolution of the detected SARS-CoV-2 variants circulating in the Philippines with 19 A as the first reported case (based on the GISAID submission), and 24 A (JN.1) as the currently circulating variant. Omicron variants have dominated the Philippines with 21 L (Omicron, BA.2) having 5102 cases (29.33 %), followed by 22B (BA.5) having 2184 cases (12.57 %). Using Pearson's Chi-square test of independence, we showed that there is a significant association between the age-groups and gender with the detection years.</p></div><div><h3>Conclusion</h3><p>Altogether, this analysis showed the updated epidemiological trends of the reported SARS-CoV-2 variants in the Philippines. This increases the importance of conducting surveillance on viral infectious diseases such as COVID-19 to provide the scope and trajectory of viral spread in a country.</p></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"5 ","pages":"Article 100193"},"PeriodicalIF":0.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772653324000297/pdfft?md5=c2d3976b5c454541656dc2dae68e0f59&pid=1-s2.0-S2772653324000297-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Open-sourced modeling and simulating tools for decision-makers during an emerging pandemic or epidemic – Systematic evaluation of utility and usability: A scoping review update 在新出现的大流行病或流行病期间为决策者提供开源建模和模拟工具--对实用性和可用性进行系统评估:范围审查更新
Dialogues in health Pub Date : 2024-09-03 DOI: 10.1016/j.dialog.2024.100189
Rebecca Sophia Lais , Julia Fitzner , Yeon-Kyeng Lee , Verena Struckmann
{"title":"Open-sourced modeling and simulating tools for decision-makers during an emerging pandemic or epidemic – Systematic evaluation of utility and usability: A scoping review update","authors":"Rebecca Sophia Lais ,&nbsp;Julia Fitzner ,&nbsp;Yeon-Kyeng Lee ,&nbsp;Verena Struckmann","doi":"10.1016/j.dialog.2024.100189","DOIUrl":"10.1016/j.dialog.2024.100189","url":null,"abstract":"<div><h3>Introduction</h3><p>The COVID-19 pandemic had devastating effects on health systems globally. Emerging infectious diseases and pandemics will persist as a global health threat and preparedness for an evidence based response becomes challenging for decision makers. Epidemiological modeling can and has supported decision-making throughout pandemics. This study provides an update of the review “Publicly available software tools for decision-makers during an emergent epidemic—Systematic evaluation of utility and usability”<sup>1.</sup></p></div><div><h3>Research question</h3><p>What epidemiological modeling tools for decision-makers are open-sourced available for the usage in emerging epidemics or pandemics and how useful and user-friendly are these tools?</p></div><div><h3>Methods</h3><p>A scoping review was conducted. We identified relevant studies through a search of peer-reviewed (Medline Ovid, Embase Ovid, PubMed, Cochrane) and gray literature databases, search engines such as Google, searches through stakeholder websites as well as expert consultations.</p></div><div><h3>Results</h3><p>Of the 66 identified epidemiological modeling tools, 29 were included and qualitatively assessed using five-point-rating scales. The tools showed a good baseline of user-friendliness with variations in assessed components, features and utility. Room for improvement was found, specifically the capability to incorporate external data sources, detailed population descriptions, and geographic resolution.</p></div><div><h3>Discussion</h3><p>Development efforts should prioritize clear communication of uncertainties and expert review processes. Trainings for specific tools should be considered.</p></div><div><h3>Conclusion</h3><p>Tool usage can enhance decision-making when adapted to the user's needs and purpose. They should be consulted critically rather than followed blindly.</p></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"5 ","pages":"Article 100189"},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277265332400025X/pdfft?md5=90fc57683593d597334ea8e8daddfe2e&pid=1-s2.0-S277265332400025X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The benefits of nursing professional governance nursing research and evidenced-based practice councils for new graduate nurses 护理专业管理护理研究和循证实践理事会对新毕业护士的益处
Dialogues in health Pub Date : 2024-09-02 DOI: 10.1016/j.dialog.2024.100192
Cheryl Green, John Brennan, Lauren Koscal, Emma Sears, Jessica Munoz, Evelyn Jacovino, Lauren Thayer, Todd Allen Lane, Elizabeth Dos Santos
{"title":"The benefits of nursing professional governance nursing research and evidenced-based practice councils for new graduate nurses","authors":"Cheryl Green,&nbsp;John Brennan,&nbsp;Lauren Koscal,&nbsp;Emma Sears,&nbsp;Jessica Munoz,&nbsp;Evelyn Jacovino,&nbsp;Lauren Thayer,&nbsp;Todd Allen Lane,&nbsp;Elizabeth Dos Santos","doi":"10.1016/j.dialog.2024.100192","DOIUrl":"10.1016/j.dialog.2024.100192","url":null,"abstract":"<div><p>New graduate nurses are an untapped population for nursing professional governance and nursing research and evidenced-based practice councils. New graduate nurses can offer new insights into the management of patient care and nursing workflow. By educating new graduate nurses about the benefits of nursing research and evidence-based practice councils at the start of their careers, an early standard of excellence in the empowerment of applying evidenced-based practice principles to improve patient care quality can occur. This narrative literature inquiry explores new graduate nurses perspective of research and evidence-based practice councils, with the targeted goal of engagement for professional and personal growth as a nurse leader.</p></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"5 ","pages":"Article 100192"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772653324000285/pdfft?md5=db19ceee03a79b9ffa73856154636d0e&pid=1-s2.0-S2772653324000285-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142240408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Measuring progress towards universal health coverage in 22 Middle East and North African countries 衡量 22 个中东和北非国家实现全民医保的进展情况
Dialogues in health Pub Date : 2024-09-02 DOI: 10.1016/j.dialog.2024.100191
Ahmed Hamood Alshehari , Abdulhakim Ali Al-Selwi , Sergius Alex Agu , Mohammed Amine Younes
{"title":"Measuring progress towards universal health coverage in 22 Middle East and North African countries","authors":"Ahmed Hamood Alshehari ,&nbsp;Abdulhakim Ali Al-Selwi ,&nbsp;Sergius Alex Agu ,&nbsp;Mohammed Amine Younes","doi":"10.1016/j.dialog.2024.100191","DOIUrl":"10.1016/j.dialog.2024.100191","url":null,"abstract":"<div><h3>Purpose</h3><p>Monitoring progress towards universal health coverage (UHC) has become increasingly important, especially given the centrality of UHC in achieving the sustainable development goals. We sought to estimate the progress towards UHC in the 22 Middle East and North Africa (MENA) countries.</p></div><div><h3>Methods</h3><p>Employing the Joint World Bank and World Health Organization Framework for Monitoring UHC, we estimated the UHC index for MENA countries using both service coverage and financial protection indicators. We also explored the correlation between the UHC index with government expenditure/investment in health.</p></div><div><h3>Results</h3><p>The 2021 UHC index ranged from 48.2 (Somalia) to 90.3 (United Arab Emirates) with a mean, median, and standard deviation of 74.9, 77.4, and 11.1, respectively, with significant differences between low-income and high-income countries. Service coverage lags behind financial protection in most MENA countries. There is a significant positive relationship between UHC and government health spending/investments.</p></div><div><h3>Conclusion</h3><p>The majority of MENA countries are yet to achieve UHC. There is a need to expand healthcare services, especially PHC services, and adopt strategies that address concerns related to financial protection.</p></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"5 ","pages":"Article 100191"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772653324000273/pdfft?md5=b9ff20d1ffd9dc94b65f13f60383aae7&pid=1-s2.0-S2772653324000273-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142162331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Indigenous-led buprenorphine-naloxone treatment program to address opioid use in remote Northern Canada 土著人主导的丁丙诺啡-纳洛酮治疗计划,解决加拿大北部偏远地区阿片类药物使用问题
Dialogues in health Pub Date : 2024-09-01 DOI: 10.1016/j.dialog.2024.100190
Aleksandra M. Zuk , Fatima Ahmed , Nadia A. Charania , Celine Sutherland , Gisele Kataquapit , Robert J. Moriarity , Nicholas D. Spence , Leonard J.S. Tsuji , Eric N. Liberda
{"title":"An Indigenous-led buprenorphine-naloxone treatment program to address opioid use in remote Northern Canada","authors":"Aleksandra M. Zuk ,&nbsp;Fatima Ahmed ,&nbsp;Nadia A. Charania ,&nbsp;Celine Sutherland ,&nbsp;Gisele Kataquapit ,&nbsp;Robert J. Moriarity ,&nbsp;Nicholas D. Spence ,&nbsp;Leonard J.S. Tsuji ,&nbsp;Eric N. Liberda","doi":"10.1016/j.dialog.2024.100190","DOIUrl":"10.1016/j.dialog.2024.100190","url":null,"abstract":"<div><h3>Background/purpose</h3><p>In response to the opioid use challenges exacerbated from the COVID-19 pandemic, Fort Albany First Nation (FAFN), a remote Cree First Nation community situated in subarctic Ontario, Canada, implemented a buprenorphine-naloxone program. The newly initiated program was collaboratively developed by First Nations' nurses and community leaders, driven by the community's strengths, resilience, and forward-thinking approach. Using the First Nations Information Governance Centre strengths-based model, this article examines discussions with four community leaders to identify key strengths and challenges that emerged during the implementation of this program.</p></div><div><h3>Methods</h3><p>this qualitative study amplify the positive aspects and community strengths through the power of oral narratives. We conducted 20 semi-structured face-to-face interviews with community members who helped lead FAFN's COVID-19 pandemic response. Utilizing the Medicine Wheel framework, this work introduces a holistic model for the buprenorphine-naloxone program that addresses the cognitive, physical, spiritual, and emotional dimensions of well-being.</p></div><div><h3>Results</h3><p>Recommendations to support this initiative included the need for culturally competent staff, customized education programs, and the expanding of the program. Additionally, there is a pressing need for increased funding to support these initiatives effectively and sustainably. The development of this program, despite challenges, underscores the vital role of community leadership and cultural sensitivity to address the opioid crisis in a positive and culturally safe manner.</p></div><div><h3>Conclusion</h3><p>The study highlights the successes of the buprenorphine-naloxone program, which was developed in response to the needs arising from the pandemic, specifically addressing community members suffering from opioid addiction. The timely funding for this program came as the urgent needs of community members became apparent due to pandemic lockdowns and isolation. Holistic care, including mental health services and fostering community relations, is important. By centering conversations on community strengths and advocating for culturally sensitive mental health strategies that nurture well-being, resilience, and empowerment, these findings can be adapted and expanded to support other Indigenous communities contending with opioid addiction.</p></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"5 ","pages":"Article 100190"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772653324000261/pdfft?md5=32eda085a6937338d6b85f85b39dfcf2&pid=1-s2.0-S2772653324000261-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142151553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thriving beyond the stethoscope: Unveiling positive mental health among medical students at a University in South Africa 听诊器之外的茁壮成长:揭开南非一所大学医学生积极心理健康的面纱
Dialogues in health Pub Date : 2024-08-31 DOI: 10.1016/j.dialog.2024.100188
Rajesh Vagiri , Mabitsela Mphasha , Varsha Bangalee , Wandisile Grootboom , Letlhogonolo Makhele , Neelaveni Padayachee
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