Journal of community medicine & health education最新文献

{"title":"Sleep Quality among Medical Students at King Abdulaziz University: A Cross-sectional Study","authors":"N. Ibrahim, Badawi Fa, Mansouri Ym, Ainousa Am, Jambi Sk, Fatani An, Andijani Ra","doi":"10.4172/2161-0711.1000561","DOIUrl":"https://doi.org/10.4172/2161-0711.1000561","url":null,"abstract":"Poor sleep quality and Excessive Daytime Sleepiness (EDS) can affect the performance of medical students, their future work as practitioners, and the whole health care system. The study was done to determine the prevalence and predictors of poor sleep quality among medical students in King Abdulaziz University (KAU), Jeddah, Saudi Arabia. A cross-sectional study was done among 576 medical students who were selected through multi-stage stratified random sample. A standardized, confidential, self-administered data collection sheet was utilized. Pittsburg Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and Hospital Anxiety and Depression Scale (HADS) were utilized. Descriptive, inferential statistics and multiple logistic regression analysis were done. Results revealed that prevalence of poor sleep quality and EDS among medical students were 70.4% and 37.3%, respectively. Poor sleep quality was associated with students’ gender, age, high-Grade Point Average (GPA), anxiety, depression, EDS and drinking caffeinated beverages. Students with poor sleep quality had low ability to attend educational sessions. After controlling confounding, the first predictor of poor sleep quality was having anxiety. Those with morbid anxiety were about 4 times more liable to have poor sleep quality compared to others (aOR=3.92; 95% CI: 2.46-6.24). The second predictor of poor sleeping was enrollment in the basic academic years. It is concluded that poor sleep quality was prevalent among medical students in KAU. Anxiety and enrollment in basic-years were the predictors. Screening programs for sleep disorders, anxiety, and depression among medical students are required. Sleep educational programs, stress management courses and lifestyles modifications are recommended.","PeriodicalId":73681,"journal":{"name":"Journal of community medicine & health education","volume":"7 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2017-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2161-0711.1000561","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41440432","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}

{"title":"Maximum Strength Estimate of Quadriceps and Brachial Biceps Muscles in Patients with Chronic Heart Disease","authors":"S. Scarpa","doi":"10.4172/2161-0711.1000560","DOIUrl":"https://doi.org/10.4172/2161-0711.1000560","url":null,"abstract":"Patients diagnosed with heart disease display diminished exercise tolerance, which can be attributed not only to a reduction in aerobic capacity but probably also to a strength deficit. The aim of this study was to estimate maximum dynamic strength of the quadriceps and the brachial biceps muscles in patients affected by chronic heart disease. Maximum strength was estimated by means of sub-maximal tests in 30 healthy sedentary volunteers and 140 male patients with chronic heart disease: 52 patients with coronary artery disease (CA D); 72 patients diagnosed with chronic heart failure (CHF); 16 patients who had undergone heart transplant (HT). Maximum strength estimate of the two muscles tested was significantly lower in patients diagnosed with heart disease compared to the control group. When patients were subdivided according to the type of disease, a clear trend among groups was displayed with maximum strength being higher in controls, followed by the CA D group, then the CHF group, and the HT group. In conclusion it seems possible to assert that maximum strength of both the muscle groups examined is significantly lower in patients diagnosed with cardiovascular disease than in control subjects. Moreover, chronic cardiovascular patients are characterized by a muscular impairment that parallels the history of the disease. This information should be kept in mind when planning a rehabilitation program.","PeriodicalId":73681,"journal":{"name":"Journal of community medicine & health education","volume":" ","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2017-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2161-0711.1000560","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45254568","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}

{"title":"Primary Care Provider Feedback of Training to Identify and Manage Pre-Diabetes","authors":"N. Sohler, Yelena Zubatov, J. Sill, Julian Botta, B. Matti-Orozco, Edwin Young, J. Albu","doi":"10.4172/2161-0711.1000557","DOIUrl":"https://doi.org/10.4172/2161-0711.1000557","url":null,"abstract":"Introduction: Disease-specific training to improve management of chronic diseases is essential in the context of the patient-centered medical home. Achieving provider and staff satisfaction with practices and training is critical for successful patient care. Models for assessing satisfaction in the context of diabetes management have been reported. Here we extend this work to diabetes prevention. Materials and methods: We administered a questionnaire to all provider and staff involved in a new pre-diabetes management program implemented in an inner city primary care network before, immediately after, and six months after a one-hour training session that was developed following American Diabetes Association guidelines. The questionnaire was adapted for pre-diabetes from the Provider Satisfaction Inventory, an instrument previously used to evaluate perceived ability to manage diabetes on four scales: chronic disease management, collaborative team practice, outcomes, and supportive environment. Results: Fifty-six attending physicians, 133 residents, and 28 office staff participated. Mean scores on two of the four scales (chronic disease management and supportive environment) improved significantly immediately after the training. Improvement was noted on the other scales, but the changes did not consistently reach statistical significance. Continued improvement in scores after six months was evident in most scales for the attending physicians and residents, but not for the office staff. Discussion: We successfully adapted a diabetes management satisfaction instrument to the evaluation of prediabetes management, and primary care providers and staff reported improved ability to manage pre-diabetes after our training. However, ongoing training after the initial session might be warranted for the office staff.","PeriodicalId":73681,"journal":{"name":"Journal of community medicine & health education","volume":"7 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2017-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2161-0711.1000557","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43233084","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}

{"title":"Prevalence and Characteristics of Intimate Partner Violence (IPV) Among Pregnant Women Seeking Antenatal Care, Solomon Islands (2016)","authors":"Benjamin Koete, Pushpa Nusair, M. Mohammadnezhad, Sabiha Khan","doi":"10.4172/2161-0711.1000558","DOIUrl":"https://doi.org/10.4172/2161-0711.1000558","url":null,"abstract":"Introduction: Violence against women by partners during pregnancy is a major public health concern. As there is no studies done in the Solomon Islands to date on the prevalence of Intimate partner violence (IPV) specifically in the pregnant population, this study is aimed to understand the prevalence and characteristics of Intimate Partner Violence (IPV) among pregnant women seeking antenatal care, Solomon Islands (2016). Methodology: This cross-sectional descriptive study was conducted at the National Referral Hospital (NRH) in Solomon Islands. Data was collected in 2016 using a valid questionnaire. A purposive sampling was used. An interviewer administered structured questionnaire was used in health facilities after participants approval. Participants were given an open invitation and those who volunteered to take part in the study were provided with a participant information sheet. Written informed consent was obtained before administration of the questionnaire. Data were analysed using SPSS and the results were shown in table and graph. Results: 242 women met the study criteria. Participants’ age ranged from 16 to 44 years with a mean of 28 years. 55% have had one or more pregnancy and 222 (92%) had their antenatal booking in the second or third trimester. Out of the total participants, 136 (56%) reported experiencing IPV in pregnancy. The prevalence of emotional, sexual and physical IPV was 45%, 33% and 17% respectively. The results also showed that 92% of women who reported experiencing violence in the current pregnancy didn’t received any form of counseling. Conclusion: Demographic characteristics of participants and also high prevalence of IPV as shown in this study highlight this issue as an urgent health priority for the policy makers and health decision makers. Using the results of this study to develop an interventional study can be suggested.","PeriodicalId":73681,"journal":{"name":"Journal of community medicine & health education","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2161-0711.1000558","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49319573","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}

{"title":"Thalamic Bilateral Lesions Due to Occlusion of the Artery of Percheron","authors":"R. García, C. Pascual, L. Forcelledo, D. Escudero","doi":"10.4172/2161-0711.1000I101","DOIUrl":"https://doi.org/10.4172/2161-0711.1000I101","url":null,"abstract":"","PeriodicalId":73681,"journal":{"name":"Journal of community medicine & health education","volume":"7 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2017-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2161-0711.1000I101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49138596","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}

{"title":"Electronic Health Record Implementation: A Quality Assurance Assessment from a Free Clinic Perspective","authors":"A. Asmussen, Paiva Cj, E. Hepner, A. Garibay, McCarroll Ml","doi":"10.4172/2161-0711.1000556","DOIUrl":"https://doi.org/10.4172/2161-0711.1000556","url":null,"abstract":"Introduction: The Health Information Technology for Economic and Clinical Health Act (HITECH Act) in 2009, clinics across the United States have new incentive to ensure that the use of the electronic health record (EHR) works to improve patient access to care and health outcomes. \u0000Methods: As a quality improvement project for implementing a new EHR, four diagnoses were focused on from 1/1/2017 to 7/1/2017 to improve documentation compliance and follow-up diagnostic tests: diabetes (DM), hypertension (HTN), congestive heart failure (CHF) and chronic kidney disease (CKD). \u0000Results: A total of n=502 patient charts were reviewed. The compliance percentage in capturing/documenting the metrics were 100% for age, gender; 49% race/ethnicity; 16% education and employer information; 25% primary care providers; 59% weight and 70%-93% key outcomes based on each diagnosis on the first visit documented in the EHR. \u0000Conclusions: The EHR provided a consistent platform to establish quality metrics in a free clinic not previously acquired. By establishing these benchmarks, a free clinic can adapt and modify meaningful use expectations even though they are not required.","PeriodicalId":73681,"journal":{"name":"Journal of community medicine & health education","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2161-0711.1000556","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46616562","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}

{"title":"A Contraceptive Review and Update","authors":"M. Marnach","doi":"10.4172/2161-0711.1000554","DOIUrl":"https://doi.org/10.4172/2161-0711.1000554","url":null,"abstract":"There are many effective, well-tolerated, safe and readily reversible contraceptives. Clinicians should remain informed regarding contraceptive methods, including emergency contraception. The following is a concise summary of the important aspects of various contraceptives, including current recommendations for options that may be tailored to the unique needs of individual women.","PeriodicalId":73681,"journal":{"name":"Journal of community medicine & health education","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2161-0711.1000554","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45080980","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}

{"title":"Consider: The Ramification of Female Age on Reproductive Health","authors":"Eva Monson, E. Louden, L. Gavrilova-Jordan","doi":"10.4172/2161-0711.1000555","DOIUrl":"https://doi.org/10.4172/2161-0711.1000555","url":null,"abstract":"Female-factor infertility is an emotional, physical, social and financial stress on couples as they try to conceive children. One cause of female infertility, and one seen more commonly, is age-related decreased fertility. Clinicians within and outside the specialty of Obstetrics and Gynecology can provide a vested discussion with patients who are delaying childbearing for social or ethical reasons to consider fertility preservation. The medical profession is obligated to consider their patients’ health status, age and treatments in counseling for future reproductive health and satisfaction. With the advent of ART many advances are available such as social freezing of oocytes, fertility preservation in patients undergoing treatments that can alter oocyte quality, Intrauterine Insemination (IUI) and the extreme end of management with Invitro fertilization (IVF). Unfortunately, those patients who present with diminished ovarian reserve or premature ovarian failure may not be ideal candidates for these services, but we can offer hope. The focus of the evaluation is to determine the goal of each patient, whether having a biological child, experiencing pregnancy, or the nurturing capacity of parenting. Through Reproductive Endocrinology and Infertility specialists, hope is provided for patients who may have neglected or overlooked the aging effects on oocyte quantity and, even more importantly, quality. Nevertheless, the future is optimistic and the goal is to provide women with the best care which starts through educating on reproductive health.","PeriodicalId":73681,"journal":{"name":"Journal of community medicine & health education","volume":" ","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2161-0711.1000555","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48517991","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}

{"title":"Poilo Eradication from Pakistan: Our Fears and Favors at Field Site","authors":"Naurin Abdul Karim, Arjum, sohalia, N. Muhammad","doi":"10.4172/2161-0711.1000553","DOIUrl":"https://doi.org/10.4172/2161-0711.1000553","url":null,"abstract":"Poilo is among the three last countries Afghanistan, Nigeria and Pakistan. Where the virus is still the endemic, more or less the same number are reported which seems to be astonished and annoyed situations for the health care system and at government level. This could be only night mare for Pakistan to be polio free country where to hold a strong religious belief, and cultural misconception and myths creating the hurdles and failures in the polio campaigns. On the other hand, strong development of policies, awareness programs, telecommunication services, radio talks, media advertisement and IPC interpersonal communication campaigns made significant acceptance among the community.","PeriodicalId":73681,"journal":{"name":"Journal of community medicine & health education","volume":"7 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2161-0711.1000553","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42927432","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}

{"title":"Assessing Competences in Medical Students with a Newly Designed 360- Degree Examination of a Simulated First Day of Residency: A Feasibility Study","authors":"S. Harendza, P. Berberat, M. Kadmon","doi":"10.4172/2161-0711.1000550","DOIUrl":"https://doi.org/10.4172/2161-0711.1000550","url":null,"abstract":"Abstract \u0000Background: Many medical schools worldwide are in the process of curricular change towards competencebased undergraduate medical education to ease the transition to residency. Aspects of patient management, interprofessional interaction and the concept of entrustable professional activities are in the focus of medical educators. Such curricular changes require an assessment with valid and reliable measurements of competences feasible for large numbers of medical students. \u0000Methods: Seventy medical students from three German medical schools (Hamburg, Oldenburg, and Munich) participated in our newly designed 360-degree examination based on selected competences relevant for first year residents. A consulting hour with five simulated patients is followed by a patient management phase of 2.5 hours with interprofessional disturbances, followed by a 30-minutes handover of the patients to a resident. Different competences are assessed by the supervisors, simulated patients, nurses, residents, and by the participants themselves. All participants and research assistants evaluated the assessment regarding aspects of organization and content. \u0000Results: All participants, assessors, and research assistants were satisfied with the process, technical equipment, and organization of the assessment. All assessors and research assistants stated that their respective training prepared them well for their role in the assessment. The participating students felt satisfied with the content of the assessment. They considered the patient cases to be very realistic. While there was no difference between students in their final year and students below semester 11 with respect to feeling confident during history taking and handover, final year students felt significantly more confident (p=0.02) during the patient management phase. \u0000Conclusion: It is feasible to implement a competence-based 360-degree assessment for a large group of students. Further analysis of the data will provide evidence whether students from medical schools with different undergraduate curricula perform differently with respect to competences relevant for first year residents.","PeriodicalId":73681,"journal":{"name":"Journal of community medicine & health education","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2161-0711.1000550","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45228735","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}