Health education and care最新文献

{"title":"The dissection theatre of the future is already in routine operation","authors":"Franz A. Fellner","doi":"10.15761/hec.1000186","DOIUrl":"https://doi.org/10.15761/hec.1000186","url":null,"abstract":"","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67468842","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":"Genetic approach in personalized medicine in type 2 diabetes","authors":"A. Coppola, F. Pacifici, D. Pastore, D. Della-Morte, D. Lauro, G. Donadel","doi":"10.15761/hec.1000188","DOIUrl":"https://doi.org/10.15761/hec.1000188","url":null,"abstract":"Type 2 diabetes mellitus (T2DM) is a chronic metabolic disease characterized by hyperglycemia commonly associated with insulin resistance at high risk of renal, neurological and cardiovascular complications. It is defined as a multifactorial etiology disease where genetic predisposition and lifestyle play an important role in pathophysiology and onset. Recently, genome wide association studies (GWAS) have been widely used to identify deregulated expression of T2DM related genes and genetic risk factors that can contribute, together with environmental and behavior factors, to T2DM onset. Since its dual feature, anti-diabetic effective therapy need to acknowledge the genetic contribution to T2DM pathophysiology. The pharmacological treatment of T2DM depends on blood glucose levels and/or glycated hemoglobin (HbAc1): well-compensated patients with normal HbA1c levels are, generally, treated with oral hypoglycemic drugs, such as metformin, associated with a diet that limits carbohydrate intake. Conversely, the uncompensated patient, with high levels of HbAc1 is generally treated with insulin or other new generation drugs or a combination of them. Given the multifactorial nature of T2DM, recent studies have identified personalized therapy as a powerful means to refine the effectiveness of the therapy itself, paving the way for precision medicine.","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67469281","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":"How do clinical staff in a large metropolitan hospital respond to disclosures of family violence?","authors":"Nadine Rudd, K. Willis, K. Felmingham, Toni D Withiel, Caroline A. Fisher","doi":"10.15761/hec.1000187","DOIUrl":"https://doi.org/10.15761/hec.1000187","url":null,"abstract":"","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67468882","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":"Final year medical and social worker student's socio-political & religious backgrounds compared to the general public: The person-in-the-professional","authors":"C. Pritchard","doi":"10.15761/hec.1000189","DOIUrl":"https://doi.org/10.15761/hec.1000189","url":null,"abstract":"","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67469303","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":"From clinical guidelines to clinical care -- employee involvement makes a positive difference to implementation.","authors":"L. Kleve, L. Skarstein, I. Elgen","doi":"10.22541/au.159741542.25593058","DOIUrl":"https://doi.org/10.22541/au.159741542.25593058","url":null,"abstract":"Objectives Implementation of new knowledge into routine care is a complex endeavour. Involving employees in the change process, good planning and communication as well as a commitment to training has been highlighted as important factors for successful implementation. Acknowledging change as a process may also be helpful. The aim of this paper was to describe the initial phase of the implementation process in changing to evidence-based practisepractices within a child and adolescent mental health service. Method Prior to the five-year project, an external service evaluation was carried out. The employees expressed a need for a clear direction from management to guide their clinical practice. A vision and strategy for the service was developed. Employees participated in the process of developing clinical standards during the first phase of implementation. Results Fixsen’s four stage model and the PSDA circle were used to guide the implementation process. The employees developed a template for a clinical standard based on national and international clinical guidelines. During the period, 17 clinical standards were established and 10 new evidence-based methods were implemented. All service leads (13) and a group of senior clinicians (32) were invited to participate in an evaluation five years after the initial service evaluation. There was overall agreement that the mental health service was developing positively providing high quality services for children and adolescents. In addition, both groups agreed that the introduction of clinical standards was important in ensuring quality care. Conclusion Involving employees in the implementation process seemed to be an important factor in changing a mental health service.","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42999018","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":"Tackling childhood obesity in the community using a participatory action research project with local children and young people","authors":"K. Dharmarajah, M. Fawcett, S. Blackstock, A. Soni, M. Watson, M. Blair","doi":"10.15761/HEC.1000169","DOIUrl":"https://doi.org/10.15761/HEC.1000169","url":null,"abstract":"Introduction: Co-production of health services is becoming more routine with young people but such involvement in research lags behind, especially in the field of health promotion research. Our aim was to co-design and test a community intervention with parents and children focused on changing lifestyle behaviours which might contribute to childhood obesity on a deprived local housing estate in London. Methods: Within the context of an established integrated care collaborative, we supported parent and child volunteers to co-design and deliver a health and well- being intervention for local children. This was in the form of a 6-week “sprint” of exercise and healthy living activities. The subsequent evaluation was carried out by two children who were trained in basic qualitative and quantitative research methods by us. They designed, conducted and analysed data from intervention participants with repeat follow-up and analysis at 2 years. Results : Twenty-six children were recruited with 12 completing the programme and 7 followed up for 2 years. Young people aged 12 and older universally felt they could communicate their views better in a focus group led by a local young person with established trust and agency. We observed the value of our peer evaluator’s contribution to the design process and their insights during analysis. Post programme there were improvements in physical activity and nutrition scores in participants using validated scores, and themes relating to healthy living which were retained at 2 years. Discussion: The use of participatory evaluation in a citizen-driven intervention allowed us to breakdown barriers such as ?? within hard to reach communities, as well as enabling more meaningful results. We have demonstrated the desirability and acceptability of participatory research with children and young people. This intervention also reinforces that small, community–designed and delivered initiatives have the power to effect behaviour change sustained at 2 years.","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48620468","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":"International medical graduates (imgs) in Canada and the Netherlands: Can the Dutch learn from Canadian experiences? A survey among academic stakeholders in Canada","authors":"P. Herfs, S. Bhuiyan","doi":"10.15761/HEC.1000170","DOIUrl":"https://doi.org/10.15761/HEC.1000170","url":null,"abstract":"International Medical Graduates (non-Canadians with medical degrees obtained outside Northern America) often face challenges in securing employment as medical doctors when entering a new country. By exploring the policy of Canadian authorities in dealing with IMGs, the researchers tried to learn lessons for IMG policies in the Netherlands. In the Spring of 2016 a Dutch researcher specialized in migration of non-European doctors in the Netherlands visited selected medical schools in Canada (Quebec, Ontario, Alberta, British Columbia) and the Medical Council of Canada. The purpose of this visit was to explore the opportunities for International Medical Graduates (IMGs) to continue practice in their medical profession after migration to Canada. Canada is well known for the way it deals with highly skilled migrants. The research question was: What best practices or policies about IMGs in Canada could possibly be adopted by the Netherlands?","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44125562","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":"\"7C\" principle and \"Alcohol\" method towards persevering control of COVID-19 infection in China","authors":"Linghang Wang","doi":"10.15761/HEC.1000171","DOIUrl":"https://doi.org/10.15761/HEC.1000171","url":null,"abstract":"2020 spring festival was and will be the most impressive festival to all Chinese people, due to the bitter memories but extraordinary courage to fight against the PHEIC announced by WHO on Feb 4th. Chinese scientists confirmed the pathogen in a very short time and Chinese government take enormous efforts to control the epidemic, locking down Wuhan and Hubei Province, dispatching thousands of medical doctors and nurses to Hubei to reduce the disease burden on local medical system. Many of them on the ground level work seven days a week without a break; the happy time accompanying with “alcohol” seems far away from their daily life, even COVID-19 cannot tolerate 75% ethanol.","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67468758","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":"Should didactic methods be subject of institutional policy? Reflections of a retired teacher","authors":"Jochanan Benbas","doi":"10.15761/HEC.1000168","DOIUrl":"https://doi.org/10.15761/HEC.1000168","url":null,"abstract":"Background: Medical schools are replacing the traditional \"teacher-centered\" instruction that casts students as passive recipients of lectures by \"learner-centered\" methods that entail student involvement. Some schools have adopted learner-centered methods as institutional policy. Objective: To describe the author's teaching approaches at two Israeli medical schools in the 1970s - 1990s, and explore the pros and cons of a policy that requires from faculty to use a single teaching method. Observations: Students were interested in lectures that summarized clinical knowledge and in experiences aimed at imparting clinical skills . However, students appeared to be bored by lectures that they perceived as clinically irrelevant , or as preaching values . In such domains challenging small groups of students to cope with a specific task was more effective in achieving the learning objective. Implications: Different topics may require different teaching methods. The author proposes to familiarize faculty with the strengths and weaknesses of lectures, flipped classrooms, problem- and inquiry-based learning; develop guidelines for assessing the effectiveness of these teaching methods; and encourage faculty to choose the method with which they feel comfortable, and which they consider optimal for the subject to be taught.","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67468650","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":"Knowledge, attitude and practice of Saudi citizens towards complementary and traditional medicine","authors":"A. El-Olemy, Tamer Aboushanab, M. Alqaed","doi":"10.15761/HEC.1000172","DOIUrl":"https://doi.org/10.15761/HEC.1000172","url":null,"abstract":"Background : The use of complementary and traditional medicine (C&TM) is rising among public around the world, and this epidemiological trend is attributed to diverse cultural belief systems. C&TM in the Kingdom of Saudi Arabia (KSA), like the rest of the world, is widely used among members of society. Objective: The aim of this study was to explore knowledge, attitudes and practice (KAP) of Saudi citizens towards C&TM. Methods : A cross-sectional study enrolled a random sample of 1116 Saudi citizens from different regions of KSA during January, 2020. Their responses were recorded on a self-designed and self-administered structured questionnaire consists of 14 questions. Results : 48% of the studied subjects reported that they have knowledge of the treatments used in C&TM. Herbal remedy, cupping, cautery, roquia and therapeutic medical massage were the commonest therapies used in the following order. 52% of participants relied on family and friends as a source of C&TM information, followed by the internet, study, reading and social media. 87% of community members reported that they didn’t have confidence in everything that is published on social media about C&TM. 82% of participants support the opening of C&TM clinics in primary health care centers. 47% of the society believes that awareness and educational campaigns about C&TM treatments are weak. 64% confirmed that they or one of their family members previously used one of the C&TM treatments, while 60% do not consult a specialist or pharmacist before using any of these treatments. 46% believe that C&TM is safe and medically effective, with 87% of individuals who have previously used C&TM reporting that they have not experienced any complications while using complementary therapies. 50% of participants indicated that C&TM helped treat some incurable diseases, most important of which are strokes, infections, joint pain, sciatica, bone fractures, and mental illnesses. Conclusion : Overall, majority of participants showed good knowledge and favourable attitudes towards T&CM along with its good practice. They rely on family and friends as a source of information. They reported that C&TM helped treat some incurable diseases. T&CM needs its integration into conventional medicine along with mandatory awareness and educational campaigns to further improve their KAP.","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67468801","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}