Yvonne Heath a registered nurse since 1988, she has worked in the US and Canada in emergency, intensive care, delivery, chemotherapy, palliative care and hospice. Yvonne became disheartened by our societies reluctance to talk about, plan and prepare for grief, causing excessive suffering personally and professionally. She suffered too, not knowing how to do it differently.At age 50, she took a leap of faith, blazed a new trail to help create a culture of change. She became and author and Inspirational Speaker and shares her message with heart and humour as a Plenary Speaker, consultant, TV host, radio host and through social media. She has been featured in several books, newspapers and magazines, including Zoomer and Hospital News. Her book, Love Your Life to Death, is life-changing. She is travelling, creating change and helping non-profit organizations along the way. Yvonne is also excited to share the I Just Showed Up Movement: teaching people of all ages to show up for themselves and others, so they are empowered and resilient when grief arrives.
Dr Hadi Eltonsi a medical graduate trained in group psychotherapy , hypnosis, silva mind control, NLP, Reiki Master, Pranic Healing,Life Couch, Mantra Yuga meditation among others courses for psychic powers, family constellation thru his medical study and practice then as a diplomat and Ambassador. He performed many TV , Radio interviews and seminars apart of two short American films about his work or inspired by his skills which were shown in international film festivals, the second got an award in Venice 2017.
Health care technology is changing fast. It is the time to start using the great technology that is at our disposal and help the Staff spend less time doing manual labor. Artificial intelligence is in its infancy holds promise for patients today that wish to schedule doctor appointments based on the severity of symptoms. Few applications of AI are cerebro AI & Block chain for Health Care. Internet of Medical things. It refers to a connected infrastructure of medical devices and software applications that can communicate with various health care IT systems. Eg Fit &bit Patient engagement gaining popularity.Theglobal patient engagement solutionmarket is expected to grow. Hybrid closed Loop Insulin delivery system, Noninvasive diabetic and many other innovations are in market Information technology and mobile with different Apps devices are newer ventures. Advanced Nursing Educationis in the midst of revolutionary changes, NP/DNP/Ph.D. nursing are empowering nurses to lead the way in health care.The forces driving changes are increased focus on wellness, potability &mobility,EBP,emphasis on safety and quality. Personal Care Planning & Case Management requires competency for clinical Intervention.Scope for spiritual Care & End of life care widening.There are many areas of venture planning in Nursing such as Practice Based Care. Some of the Innovations in HealthCare, TeleNursing/ ForensicNursing/Space Nursing /Aviation. Accreditation has become the norm of health care institutions leading to accountability and visibility. DigitalTransformation/Information/Technology has become routine practice today. Advanced Nursing Education will empower Nurses to assume the newly evolved care practices.
Dr Jaya Kuruvilla has completed her Masters in Nursing from College of Nursing CMC Hospital , Vellore, India and Doctorate from Indian Board of Alternate Medicine Kolkatta. She is the Principal of P.D.Hinduja College of Nursing and President Of Critical Care NursesSociety(India)and RFCCN SAARC countries. Has published and presented more than 50 papers and in more than a dozen countries. She serves editorial number in many reputed journals and author of a book Essentials of Critical and Co author few of two other books. Commissioned many Nursing colleges and Surgical ICU at CMC Vellore. Pioneer in developing Critical Care Nursing practice standards with CCNS
Background: Metabolic syndrome (MetS) is a common public health problem associated with high risk of cardiovascular diseases, but obesity-related cardio-metabolic disorders can be prevented by lifestyle intervention. Aim: To determine the effectiveness of a community-based lifestyle intervention on MetS and its components. Methods: A two-arm randomized controlled 12-month trial was conducted among adults aged 19-65 years with MetS. Individuals from an outpatient clinic of a private Mission Hospital inNairobi were screened for MetS using the International Diabetes Federation criteria. Eligible participantswere randomly assigned into two equal groups (Control = 176) and (intervention = 176), of which 294 completed the study.The intervention group received comprehensive lifestyle intervention. Behavioral patterns as well as anthropometric/biometric markers were measured at baseline and at endline. Analysis with chi-square test and binary logistic regression for categorical and independent t-test and paired t-test for continuous variables were used to determine baseline and endlinedifferences. Results: At baseline, anthropometric/biometric and lifestyle characteristics of the two groups were not significantly different. At the end-line, all the components of MetS (central obesity, elevated BP, raised fasting blood glucose, hypertriglyceridemia and low high density lipoprotein cholesterol) were significantly (p < 0.05) improved in the intervention group compared to the control. The MetS prevalence was significantly (p < 0.001) reduced by 45.5% in the intervention group compared to15.9% in the control. The lifestyle intervention determined an absolute risk reduction of 29.6% after 12 months. Conclusions: A community-based lifestyle intervention in Kenyan adults was effective in reducing the prevalence of MetS and all its components, thus reduced the risks of cardiovascular diseases.
Mr. Tekeste is a Nurse lecturer at The Catholic University of Eastern Africa (CUEA), School of Nursing, Nairobi, Kenya. He has a bachelor degree in nursing from Asmara College of Health Sciences, Asmara, Eritrea and Master degree in community Health Nursing from the University of Nairobi, Nairobi, Kenya. Currently, he is pursuing his PhD in Nursing at the University of Nairobi, Kenya.He has published more than 10 papers in reputed journals and has been supervising students in research.
An exciting untapped resource for learning awaits our nursing students in long term care homes (LTCH). This project involves a quality improvement process and innovation in teaching project. York University nursing students in LTCH or interested in geriatrics when enrolled in the final practicum courses NURS 4527 and NURS 4150, advanced nursing practicum would have as a mentor and preceptor a Director of Care (DOC) and collaboratively decide upon learning opportunities available or of interest to the nursing student. A process that follows the twelve-week curriculum is described with room for variations. Nursing students would start off learning the role of the registered practical nurse (RPN), then registered nurse (RN), manager, associate directors roles, and how to work with the many government mandated programs in long term care. These government programs which are mandatory for all LTCH in Canada are a falls prevention program, promoting continence, skin and wound care and alternatives to restraints. There would also be opportunities to understand how the data collection tool called the resident assessment instrument (RAI MDS 2.0 model) functions. The nursing student could work along side nurse educators, various practice leads, outreach nurses, nurse practitioners, medical doctors and allied health professionals (occupational therapists, physiotherapists, dieticians, pharmacists and social workers) to further their understanding of interprofessional teams. Other important roles to learn for the nursing students would be the pain assessment and treatment program. Many opportunities for the nursing students would present themselves as leadership and management functions in the LTCH. The above is a minor synopsis of a more detailed plan.
BRENDA ORAZIETTI has been a nurse for over 26 years, specializing in critical care and education. She is a full time nursing faculty member at York University, delivering 7 different courses, with excellent ratings. She oversees clinical instructors, guiding and mentoring them in this role. Brenda has been a highly engaged employee, serving as Chair of the Faculty of Health, current Chair of the Faculty Development Committee, a member of the practicum committee and simulation committee. She has presented research studies internationally. She has been a critical care educator developing orientation programs, workshops, conferences, policies that are unit specific and hospital wide thereby improving unit performance of nurses. Brenda has taught clinical practice for Seneca College, George Brown College, Humber College and Ryerson University, in all 4 years of nursing, all nursing skills and in both the degree program and RPN program. She has been actively involved in committee work, dedicating time and energy to various projects. Brenda is a leader with the Sigma Theta Tau Honor Society of Nursing, and represents the membership committee, organizing 2 annual induction ceremonies per annum, obtaining the key note speaker and leadership event. Brenda represents an Ontario wide educational initiative, the Ontario Simulation Alliance Network, and sits on the administration, research and curriculum committee.
Palliative sedation is commonly used in clinical practice and is within all requirements of all legal and ethical worlds in opposition to physician assisted suicide (PAS) and euthanasia. However, many clinicians have difficulties understanding the differences between these processes and as a result there stills need to educate clinicians and patients and their families alike. There is need for rigorous screening of the patients that may require palliative sedation and this power point presentation will cover the basic criteria for the utilization of palliative sedation, some ethical issues surrounding palliative sedation and discuss some of the problems related to it. A case presentation will be included.
Sorin Buga MD is an Associate Clinical Professor in the Department of Supportive Care Medicine at City of Hope, Duarte, California. He is board certified in internal medicine and hospice and palliative medicine and a fellow of the American College of Physicians and of the American Academy of Hospice and Palliative Medicine. He completed his fellowship in palliative medicine at H. Lee Moffitt Cancer Center in Tampa, Florida. He is the City of Hopes representative on the NCCN Adult Cancer Pain Panel and an active member of the American Academy of Integrative Pain Management, the American Academy of Hospice and Palliative Medicine, the International Association for Hospice and Palliative Care and International Association for the Study of Pain. He has published in the peer review literature and is often invited to speak at scientific meetings.
The aim of this presentation is share the experience of Changhua Christian Hospital a medical center in Taiwan. To share how to plan and develop the nursing care information system for improving clinical patient care since 2010. There are 12 nursing projects developed through 2010 to 2017, including mobile nursing handover system, medication system, blood transfusion system, nursing assessment system, electronic nursing records, wheelchair management system, electronic whiteboard, and bed cleaning system, etc.. The nursing manual work and related work risks are reduced. The near miss of blood transfusion is decreasing. The nursing turnover rate is also decreasing. The patientsâ€™ satisfaction is increasing. In conclusion, the nursing work effectiveness, and patients care outcomes are increased through the developing of nursing information system.
Shu-Chen Chang has completed her PhD from School of Nursing, in Kaohsiung Medical University, Taiwan. She is the Director, Department of Nursing, Changhua Christian Hospital, and Assistant Professor, College of Nursing and Health Sciences, Dayeh University, Changhua, Taiwan
The maternal mortality in the Kingdom of Saudi Arabia has been substantially reduced within a reasonably short period. The maternal mortality rate in the year 1990 was 40 per 100,000 live births but it was drastically reduced to 12 in the year 2015. This is an example to many countries with unacceptably high maternal deaths. The leading causes of maternal death and disability are closely linked to poor maternal health during pregnancy, inadequate care during delivery, and lack of care of the new born. Preeclampsia is one of the leading causes of maternal and perinatal morbidity and mortality worldwide and it is a hypertensive disorder which usually occurs after 20â€‰weeks of gestation. Pre eclampsia is a rapidly progressive condition characterized by elevated blood pressure and protein in the urine. It is a cause of severe morbidity, long term disability and death among both mothers and their babies. According to studies, The prevalence of preeclampsia in developing countries ranges from 1.8 to 16.7%. In the study made by Ahmed Hussein et al, in King Abdulaziz University Hospital, The most prevalent subtype of HDP in their institution was preeclampsia (54.9%) while 29.5% of the women had gestational hypertension, and 8.0% had eclampsia. Pre Eclampsia has been linked to adverse perinatal outcomes for the mother and fetus as well as increased maternal blood pressure and other cardiovascular risks later in life. Women with a history of preterm Pre Eclampsia have a seven- to eight-times increased risk of coronary heart disease morbidity and mortality. The aim of the study is to assess the prevalence and associated factors of preeclampsia among pregnant women in Maternity and Children Hospital in Makkah Saudi Arabia.
Artificial intelligence is a hot topic in healthcare, sparking ongoing debate about the ethical, clinical, and financial pros and cons of relying on algorithms for patient care. It could revolutionize healthcare over the next few decades, but only if stakeholders focus on building the right data-driven foundations now.It is also poised to become a transformational force in healthcare. How will providers and patients benefit from the impact of AI-driven tools?At the recent World Medical Innovation Forum (WMIF) on Artificial Intelligence presented by Partners Healthcare, a leading researchers and clinical faculty members showcased the Twelve technologies and areas of the healthcare industry that are most likely to see a major impact from Artificial Intelligence within the next decade.Brain-computer interfaces (BCIs) - backed byArtificial Intelligence could restore those fundamental experiences to those who feared them lost forever, in Neurological diseases and Trauma to Nervous system.Radiology Tools - Artificial Intelligence will enable the next generation of radiology toolsthat are accurate and detailed enough to replace the need for tissue samples/biopsies in some cases.Shortage - Artificial Intelligence could help mitigate the impacts of deficit of Healthcare Personnel, in Underserved and developing regions.Electron Health Record- developers are now using Artificial Intelligence to create more intuitive interfaces and automate some of the routine processes that consume so much of a Doctors and Nurses time.Infection Patterns - Electronic Health Record data with Artificial Intelligence can help to Identify Infection Patterns and highlight patients at risk before they begin to show symptoms. Digital Pathology- and Artificial Intelligencecan deliver accurate and faster diagnosis with extremely large digital images can allow providers to identify minor details that may escape the human eye. Medical Devices - In the Medicine environment, Smart Devices are critical for monitoring patients in the ICU and elsewhere.Inserting Artificial intelligencealgorithms into these devices can reduce cognitive burdens for physicians while ensuring that patients receive care in as timely a manner as possible.Immune Therapy- Artificial Intelligence algorithms and their ability to synthesize highly complex datasets may be able to illuminate new options for targeting therapies to an individuals unique genetic makeup. Reliable Predictor -Artificial Intelligenceanalytics have produced many successful Risk Scoring and Stratification Tools, especially when researchers employ Deep Learning techniques to identify novel connections between seemingly unrelated datasets. Wearables - Artificial Intelligence will play a significant role in extracting actionable insights from this large and varied treasure of data. Smart Phones - The quality of cell phone cameras is increasing every year and can produce images that are viable for analysis by Artificial Intelligence algorithms. In this Dermatology and Ophthalmology are early beneficiaries of this trend.Bedside Monitors -Artificial intelligencecan provide earlier warnings for conditions like Seizures or Sepsis, which often require intensive analysis of highly complex datasets. Early alerting is one of the most promising areas of development for this revolutionary approach to data analysis.
Dr Bhagvanth R Gunna is Surgeon by Profession working in Canada. He studied Medicine (MBBS) in KMC, Warangal, India and graduated in 1978. After Graduation, he was trained in Jamaica, Ireland and United Kingdom in Surgery and Surgical Specialties and obtained his FRCS from Royal College of Glasgow in 1987. After surgical training, he worked as Consultant Surgeon in Ireland for almost 5 Years till 1995. Later he returned to Hyderabad, India and worked as Laparoscopic Surgeon and Surgical Gastroenterologist at Apollo Hospitals, Jubilee Hills, Hyderabad, till 2008. In 2009, he got an offer from LG Health, NL, Canada and moved there. Presently he is working in Canada as a Laparoscopic Surgeon and Surgical Gastroenterologist. In 2001, he was awarded Fellowship (FRCS) without Examination by Royal College of Surgeons of Edinburgh, UK. He was then appointed as Examiner and Surgical Tutor for MRCS, by Royal College of Surgeons of Edinburgh. He was also Inspector for National
In the developing countries four-fifth of all the illnesses are caused by water-borne diseases with diarrhoea leading to dehydration being the leading cause of childhood death. Cholera, typhoid fever and hepatitis A are caused by bacteria, and are among the most common diarrheal diseases. Other illnesses, such as dysentery, are caused by parasites that live in water contaminated by the faeces of sick individuals. The most common manifestations and causes of mortality in water borne diseases were as a result of dehydration due to loss of copious amounts of electrolytes either in vomiting or diarrhoea. The research question for the study was: What knowledge do households in Bamendankwe village possess in the practice of the prevention of water-borne diseases and what measures are employed in the prevention of the occurrence of water-borne diseases? The general objective was to assess the knowledge and practices of households in Bamendankwe village in the prevention of the occurrence of water-borne diseases; identify the problems encountered in its prevention and ascertain practical measures to be employed to resolve their occurrence. The specific objectives were: to assess the knowledge of households on the causes of water borne diseases; to determine the practical measures put in place to prevent the occurrence of water borne diseases; to identify the problems they face in the practice of the preventive measures against water borne diseases and to ascertain opinions of households on how to resolve difficulties/constraints in the implementation of preventive measures against water borne diseases. The descriptive cross-sectional study design was employed for the study where-in primary data was collected at one point in time from inhabitants of Bamendankwe municipality in order to collect responses on their knowledge and practices in the prevention of waterborne diseases as well as the constraints encountered in the prevention of its occurrence. The target population for this study comprised of youths, men and women who have lived in this village within the past 6 months irrespective of their sex, religion, occupation, nationality and socio-economic status. They gave diverse responses as to the different types of waterborne diseases; with 18% out of the 60 knew of typhoid, 25% named cholera, 20% talked of diarrhea, 17% point out malaria and 8% of the 60 knew of dysentery. Concerning the complications that ensue from waterborne pathologies, 33.3% of them said severe dehydration can result as a complication of water borne diseases, 26.6% said death can result while 6.6% said it can result to hypovolemia. Thirty percent of respondents both faced financial and educational constraints in the prevention of water diseases, 25% said they lack time, and 15% said it was difficult due to lack of a community water project. Diverse proposal were made to salvage the encountered problems; 20% proposed frequent hand-washing, 25% proposed keeping containers always clean, 22% proposed the construction of pipe-borne stand-pipes, 17% proposed health educational lectures on waterborne diseases while 6% wished water filters be provided in homes. From the data collected, and analysis made it be can be concluded that there exist knowledge deficit on the causes of water-borne diseases as well as the practical measures employed in the prevention of their occurrence as evidenced by the diverse responses gotten from them. Their understanding of the notions of hygiene and sanitation, the knowledge and practices on the prevention of water-borne diseases were not based on the level of education but on how much information they got via public health education concerning the causes and preventive measures of water-borne diseases.
An experienced Public Health Expert; researcher, consultant, health manager and mentor with over twelve years of public health experience. Looking forward to inject these expertises in curriculum development, health systems strengthening,healthcare financing, consulting, program management to enhance societal growth. Possess expertise in Sexual Reproductive Health, Malaria, HIV/AIDS, Nutrition, Maternal-Newborn-Child Health including quality management strategies; demonstrated leadership in partnership building, development of joint programs and programming. Freelance Consultant specialized in program management and development-oriented research, including needs assessment and program evaluation; as well as program design, health systems strengthening/reforms, health systems and policy analysis, monitoring and evaluation, research and evaluations, strategy development and management, social marketing, project and program management and monitoring systems, in health sector reform, reproductive health.
Holistic elderly approach referred to a dimension of interprofessional elderly care in the aged society via digital media; such open learning regardless of unlimited time, place and number of learners. This learning approach is therefore considered truly applicable to healthcare personnel who interested in promoting healthy aging. ADDIE model was used in the methodology for the research and development of a massive open online course (MOOC) on Holistic elderly approach. It has five phases namely; 1) analyzing elderly needs to outline the course, identify modules and related contents; 2) designing by planning learning, identifying learning outcomes, instructional activities, instructional media and evaluation; 3) developing each module resources and review in terms of complete coverage, correction including inspection of the open online system from step 1-3, by purposive sampling, informants and developers of the interprofessional team comprised a number of 9 elderly experts in elderly i.e. nursing, law, nutrition, economy, universal design, educational evaluator and a number of 10 experts in online instructional design to check modules contents preciseness by contents analysis; 4) implementing by using the course that enabling learners to learn independently at Thailand Cyber University and; 5) evaluating before, in learning period by monitoring/giving feedback through web board and after learning. Findings: The MOOC composed of 9 modules i.e. quality life, promoting health, nutrition and healthy food, nursing care of elderly with common health problems, elderly care at home, financial management for elderly, law and benefits for elderly, safety health and environment management including innovation elderly care. The developed online course could well support learnersâ€™ lifelong learning in 21st century.
Boontip Siritarungsri has completed her PhD from Charles Sturt University, Australia. She is a Professor of Nursing, Sukhothai Thammathirat Open University (STOU), Thailand that provides distance education, then 1985. Throughout 35 years in academic journey, she has significantly demonstrated her leadership in distance education, especially in nursing distance education, conducted a number of researches in innovative distance education particularly developing a successful short course training program. She has published more than 30 papers in reputed journals and has been serving as an editorial board member of repute.
Nursing has made phenomenal achievements in the last century, which has lead to the recognition of nursing as an academic discipline. Nursing is a profession focused on assisting individuals, families, and communities to attain, recover, and maintain optimum health along with all functions from birth to old age. Nursing care involves number of activities, from carrying out complicated technical procedures to something as seemingly simple as holding a hand. The hospital environment is a never ending challenge for its medical staff and it requires a stable mindset for them in order to meet the challenges effectively and diligently. The present study was aimed to understand the role of personality and metacognition in the general well-being and job satisfaction of the staff nurses. For the present study the sample comprised of 600 staff nurses working in Government and Private Hospitals, Patiala (Punjab). In order to collect the data systematically, four standardized questionnaire were selected by the investigator. The tests used in the study were Job Satisfaction Scale (Basson, 1994); PGI General Well-being Measure (Verma & Verma, 1989); NEO-FFI Personality Inventory, (NEO PI-R, Costa. T. Paul; McCrae, 1992) and Metacognitive Awareness Inventory, (MAI, Schraw & Dennison, 1994). The findings of the study suggested highly significant correlations. The indices of personality and job satisfaction of the staff nurses showed the significant correlations between general satisfaction with extraversion and conscientiousness. Openness to experience found to possess a significant positive relationship with opportunity to develop, Conscientiousness was found to be positively correlated with responsibility of employees but significantly negatively associated with neuroticism. Overall job satisfaction was found to be significantly and negative correlated with neuroticism personality trait. Job satisfaction was obtained to have significant positive association with metacognitive skills i.e. with planning, comprehension monitoring, debugging strategies and evaluation. In the same way, job satisfaction was found to be positively associated with declarative knowledge, procedural knowledge and conditional knowledge of metacognition. The metacognitive strategies such as planning, debugging strategies and conscientiousness depict a positive contribution towards the job satisfaction among nurses whereas neuroticism and extraversion revealed a negative contribution in the job satisfaction. The comprehension monitoring, declarative knowledge and agreeableness showed a positively contribution to the well-being among nurses whereas neuroticism revealed a negative contribution in the well-being.
Dr. Kirandeep Kaur Dhaliwal has completed her Ph.D. Nursing in Feb. 2017. She has 17 years of clinical experience and 10 years of teaching experience on each and every post of nursing in Govt. sector. She has published 07 papers in reputed journals and has been serving as an editorial board member of repute. She is member of Punjab State Mental Health Authorities and in examination panel of six Universities in India. Now working as professor in department of Psychiatric Nursing at MM institute of Nursing, Mullana (Haryana).
Introduction: MS disease is one of the chronic diseases that greatly affect the patient's quality of life due to physical and psychological problems. Therefore, studying the quality of life of these patients through interventional programs can help psychotherapists and nurses to implement the program of treatment for these patients. The purpose of this study was to investigate the effect of spiritual education on quality of life in patients with multiple sclerosis in Ahwaz. Method: The research with the examination group was half experimental, control and follow-up. The statistical population included members of the Ahwaz, MS Society's patients with multiple sclerosis, who had no other illness other than MS, and were not in the acute phase of the disease. The sample size consisted of 80 MS patients who were targeted in two groups of experimental (40persons) and control (40 persons). The research instrument was Msis-29 questionnaire and Pulotsin and Ellison's (1982) mental health questionnaire. Data analysis was performed using descriptive statistics (frequency, mean, standard deviation) and inferential statistics (independent t test, paired t test ANCOVA) using SPSS software version 19. Results: The findings of the study showed that the mean of quality of life and spiritual well-being of the patients were moderate. The average score of the physical dimension of quality of life was higher than the mean mental dimension. There was a significant difference between the physical and mental dimensions of quality of life and spiritual well-being of the experimental and control group (P <0.05) in the post-test and follow up stages. Conclusion: This study showed that spiritual education can be effective in improving the quality of life and mental health of MS patients.
Nasrin Elahi, PhD, is Assistant Professor, Nursing Care Research Center in Chronic Disease, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Her research areas include nursing care, patient education, and qualitative studies.
The growing number of elderly people has led to an increase in the number of people with dementia. This calls for awareness of the information behaviour of their relatives, who act as informal caregivers, and how they assist people at using information for their own advantage. The paper will report from a qualitative study about the information behaviour of informal caregivers of patients with dementia. The focus will be on the time from when they begin to notice signs of the disease, until the conclusions that professional health attention is needed has been reached. Open interviews, addressing a broad range of issues related to the caregivers information behaviour, their information needs, how they provided the support and their experience as informal caregivers, supporting their relatives with information, were conducted with 21 caregivers. The period leading up to the decision to seek medical advice can be particularly difficult for the caregivers, as it may be filled with uncertainty and concern about what is happening to their family member. At the same time, the benfits of having dementia diagnosed at an early stage have been stressed. The findings indicate that their information behaviour went through a sequence of three stages, in line with Holly Skodol Wilsons temporal model (1) Information about the disease is noticed (2) Interpretation of information: Normalizing and discounting (3) Suspecting: Purposive information seeking begins. The second stage was particularly complicated as the caregivers misinterpreted the information about dementia that they came across as signs of something else.
Agusta Palsdottir is Professor of Information Science, University of Iceland (UoI). She completed her PhD from Abo Akademi University, Finland. Besides services at UoI, she has been a visiting professor at Transilvania University of Brasov, University of Latvia, and Ã…bo Akademi University. She has organised international PhD workshops, acted as pre-reviewer of doctoral dissertations, participated in international evaluation committees for academic positions, and a chair of expert committee for quality assessment of university programs. Her main field of research is health information behaviour and media and health information literacy, particularly senior citizens, and she has authored several articles on this topic.
United States is currently experiencing an opioid related healthcare crisis where drug overdose became one of the leading causes of injury-related deaths. However, the opioid related deaths represent just the tip of the iceberg with far more cases of opioids related hospitalizations and especially opioids abuse, misuse or diversion.The state regulators and various pain management groups believe that the opioid epidemic is related, at least partially, to an increase of opioids prescriptions by over 300% in the past 20 years. As a result, several state medical boards and CDC developed guidelines targeted at educating the prescribing physiciansin regard to safe opioid prescribing. The following lecture is aimed at covering a few of these safe practices such as educating patients on opioids use, screening patients to early detect possible aberrant behavior, introducing opioid agreements to enhance the patients compliance, urine drug screening, implementation and utilization of State Prescription Drug Monitoring Programs andprescribing Naloxone to patients considered at high risk for an accidental overdose.
Healthcare system generally in Nigeria is at such a state of where the lives of the individual is always at risk due to inadequate handling and maintenance of not just the technological or technical structures but also the non-availability of the right personnel responsible for providing the services. Primary Healthcare services was first established in the 80s by the then minister of Health, Professor Olikoye Ransom-Kuti starting with about 52 local government areasas a prototype for its practice and establishment. As such, different national bodies were created and saddled with overseeing the project. But as it is today, it is hard to point out any scheme or organizational structure in Nigeria that points to the existence of this foundational healthcare provider and as such, endangering the lives of the Nigerian citizen. This article therefore focuses on the problems facing Primary healthcare system in Nigeria with special focus on Ojo Local Government area of Lagos State Nigeria. Similarly, it seeks to recommend methods and policies to reviving the primary healthcare system in Nigerian from a health giver perspective, in semblance with acceptable world standard. In view of this, databases shall be explored with appropriate keywords to understand from literature the functionality of primary healthcare services, the role of the government in the provision of such services and the expected responsibilities of the individual in sustaining primary health care system in Ojo Local Government in Nigeria.
The term "patient's rights" refers to the application of human rights principles that require that patients services meet the standards defined in the rules of a number of international instruments and agreements, as well as in local ones. The obligation to protect the right to health includes the obligation of states to ensure that the medical care provided complies with current medical standards, that the medical establishments in the country comply with local legislation and that doctors and other medical professionals comply with the relevant ethical codes of conduct. According to the Law on Health in the Republic of Bulgaria, Article 84 (1), a patient is any person who has sought or is in need of medical care. The same law mentions the rights of the patient as well as his duties as the rights and obligations of a subject are in a correlation relationship. A number of patient protection organizations are registered and operated in the territory of the country. The legitimacy of these organizations is confirmed by the Minister of Health in the country. A national health care system has been set up in Bulgaria. Under the Health Act, the protection of citizens' health as a state of complete physical, mental and social well-being is a national priority and is guaranteed by the state.
Background: PCOS is an endocrine disorder which affects the adolescent female by about 5 -10% of them in their reproductive age. Awareness and screening is the first step of management PCOS as it improves the quality of life of the patient. Aim: The study was conducted to assess awareness and screening in relation to polycystic ovary syndrome among female students. Methods: This survey was conducted on 900 female students of childbearing age at the faculties of Zagazig University, Egypt. The study population was selected by simple random sampling technique. Students with thyroid or adrenal abnormalities were excluded from the study. Data were collected from students using a structured questionnaire. Participants were also screened for PCOS based on anthropometric measurements, as well as Rotterdam criteria (such as hirsutism, acne and alopecia). Results: A total of 900 students with the mean age of 19.01Â±0.7 years. More than three-quarters (76.7%) of them had no information on PCOS. Conclusions: This study revealed that students have a high percentage of PCOS criteria. Recommendations: Comprehensive awareness and advice should be included in the curriculum that will provide awareness about PCOS. Early screening at an early age may be the key to controlling PCOS.
Only a few patients with diabetes achieve international treatment goals measured by glycated hemoglobin (HbA1c) for self -care. However, changes in patients self-care ability and practices, which have been found critical in properly managing the disease. New strategies that are better attuned to people to improve support of patients self-management of diabetes need to be tested and evaluated. Objective: The study evaluates the system's effectiveness in patients self-care behavior and efficacy. Method: This randomized clinical trial was conducted on 60 patients' diabetic type 2 who referred to diabetic clinic of Ahvaz University of Medical Sciences. Initially, patients were divided into two groups of homogeneous mobile-based and control group on individual characteristics. participated in the nine-week intervention. Questionnaires were used to measure their changes before and after the intervention. Results: The results indicate that the mobile system enhanced the patient's self-care knowledge and behavior (P = 0.001). The majority of the participants have enjoyed using the system. Remarks on the biggest advantages of using the system include portability, convenience in maintaining and accessing personal records, and flexibility in learning necessary information. Conclusion: Participants reported an increased understanding of applied knowledge, which seem to positively affect diabetes self-care. Integrating mobile technology with patient education and support services bears great potential in combating the global burden of chronic diseases. Keywords: Type 2 diabetes, Mobile based ,education, Self-care.
Previous research on periodontal structure and function has shown a significant relationship between periodontal tissue and teeth. This study assessed dentist's beliefs about the relative efficacy of the health of periodontal tissue. A total of 505 patients in general pracrice were asked to respond to a list of 25 obligatory nourishment for a child while going to have the first teeth, for its effectiveness in dealing with patient's periodontal health especially include chewing hard food. They were also asked to select the three most effective nutrition for periodontal tissue. The imdices of patient perceived importance of the periodontal health were derived and each compared with actual effectiveness as determined from a sample of 250 patients. Although the majority of patient's rated 18 of 25 nutrition as being very effective, there was no significant association between patient perceived nourishment effectiveness and actual effectiveness. The implications for patient training are discussed. This study supported by only me and my supervisor Alla grigorivna demitrova.
Background: The preterm infant needs must be met for a normal growth and development. Discharging the infants from the NICU requiresparents empowerment and this is only possible by preparing a comprehensive and effective plan of discharge. This study is aimed toinvestigatethe effects of the planon empowering the parents to take care of their infants at home. Methods: The intervention was a clinical trial studyconducted on 60 mothers and 6 fathers of hospitalized preterm infants in the Neonatal Intensive CareUnits of educational hospitals in Iran. Date was gathered byuse of a checklist before and after the discharge of infants, and analyzed using SPSS 18 through descriptive and inferential statistics Results: Mean enabling score had no significant differences between the two groups in usual care before intervention but it wassignificantly higher at the discharge (P< 0.001) and 3 to 5 days after the discharge (P< 0.001) in the experimental group than the control group. The mean score of empowerment in specialized care was significantly higher in the experimental group compared to the control group. Conclusion: The results of this study showed that the discharge plan has positiveeffects onempowering mothers and fathers of discharged infants.