Effectiveness of Leader Village Health Volunteers Training Program on Preventing Cholangiocarcinoma in Thailand: Advantages for High-Risk Area with Limited Public Health Personnel

Author(s):  
Nopparat Songserm ◽  
Somkiattiyos Woradet ◽  
Onanong Bureelerd ◽  
Comsun Thongchai ◽  
Sumaporn Thongprung ◽  
...  
2021 ◽  
Author(s):  
Ana Karina Gutierrez Alvarez ◽  
Alexis Lorenzo Ruiz ◽  
Israel Mayo Parra

The current COVID-19 pandemic has caused significant effects on the mental health of health personnel, which has emphasized the need to protect them, for this, Psychological Safety is a useful concept that needs to be contextualized in health emergency situations. Objective: to identify the personological configurations that participate in the conformation of the Psychological Safety of the subjects who work in the hospital high-risk area during the health emergency due to Covid-19. The personological approach is used from the configurational perspective in a multiple case study where Grounded Theory and Analytical Induction were applied. As results, the concepts of three states of Psychological Safety were enunciated. It is concluded that the personological perspective of Psychological Safety may be relevant for the design of prevention strategies at the organizational level during the health emergency. Along with this, it is substantiated that the concept of psychological safety for medical staff remains incomplete at the individual level. The analysis was performed model of organizational behavior allowed to assess the process of transformation from one state to another, in relation to the health emergency and how this change may affect the mental and psychosocial health of the subject, the results of the working group and the goals of the organization. It is emphasized that the retention of medical personnel working in high-risk areas, psychological safety should be a central goal in organizational management processes, especially during the current COVID-19 emergency, to which this study helps personal vision as a starting point for mental health prevention. and psychosocial health.


2020 ◽  
Author(s):  
Gobi Hariyanayagam Gunasekaran ◽  
Sera Selvanthansundram Gunasekaran ◽  
Shargunan Selvanthan Gunasekaran ◽  
Fouzia Hanim Bt Abdul Halim ◽  
Nur Syafina Insyirah Binti Zaimi ◽  
...  

AbstractBackgroundHealthcare authorities have generally advised against wearing glove by the general population. However, the use of gloves has become a common sight in public places raising the question of the necessity of glove wearing practice by the general populationObjectiveThis study aims to investigate the prevalence and types of glove used as well as the acceptance of the glove practice by individuals visiting the high-risk area during Covid-19 pandemic.SettingThis prospective observational study was conducted among individuals visiting a wet market and district specialist hospital During Covid-19 pandemic. The required data was recorded based on observation by trained data collectors who were stationed at the strategic entry point.MethodsIndividuals entering through dedicated entry point were observed for the type, category and practice of wearing personal protective equipment. Inclusion criteria for this study were any individuals entering the facilities from entry points without respiratory symptoms. Exclusion criteria for this study were individuals less than 2 years old, visiting the emergency department, facility staff, individuals who are suspected of multiple entry and individuals who are exiting the treatment facility entrance. Patients were categorized into two groups of acceptable and unacceptable glove practice. The Pearson chi-square was used to test for differences in investigated variables in the univariate setting.Main outcome measurePrevalence, acceptance of glove wearing practice.ResultsA total of 75 individuals (2.3%) compromising of 45 (60.0%) individuals from hospitals and 30 (40.0%) individuals from wet markets were seen wearing glove amongst 3322 individuals observed during the data collection period. A higher proportion of individuals visiting wet market (30.0%) were observed with unacceptable glove practice compared to individuals visiting the hospital (8.9%), χ2 (1) = 5.60, p = .018. Similarly, a Higher proportion of glove use among non-Malay (53.3%) compared to Malay (46.7%) was observed in hospital compared to a higher proportion of glove use among Malay compared to non-Malay (16.7%) visiting wet market, χ2 (1) = 10.20, p = .001. As for glove use, we found that male were using more medical-grade glove (78.8%) compared to non-medical grade glove (21.2%) while an equal amount of medical (50.0%) and non-medical grade glove (50.0%) was used among female, χ2 (1) = 6.546, p = .011. Besides, we found that higher proportion of individual using medical-grade glove was using medical grade facemask (68.3%) which was similar to the proportion of individuals using non-medical glove was using non-medical facemask (66.7%), χ2 (1) = 5.25, p = .022.ConclusionWe present the prevalence and characteristics of glove wearing practice in high-risk location during the current COVID-19 outbreak in Malaysia. Facing a worldwide public health emergency with limited effective clinical treatment, the role of glove-wearing in mitigating COVID-19 transmission is questionable. If needed, the compliance to proper glove-wearing could be improved through targeted public health education


Author(s):  
Ni Ketut Sri Lestari ◽  
I Made Ady Wirawan ◽  
Pande Putu Januraga

Environment, a variable that often gets special attention in assessing public health and environmental health, is an effort to prevent disease. Environmental Health Risk Assessment (EHRA) is a comprehensive study about sanitation facilities' conditions and risky behaviors on public health. Abiansemal District is one of the tourist destinations that has a very complex impact, especially on environmental health aspects. Behavior is a highly potential factor for health status, clean and healthy behavior is strongly influenced by the availability of sanitation facilities in order to control physical environmental factors that can harm health. This study determines the Health Risk Index and obtains an overview of the sanitation facilities condition and community behavior that has a risk for environmental health in Abiansemal District, Badung Regency. This study used stratified random sampling using a sample in the Abiansemal sub-district which has been determined as the target study area. Households to be visited in each village were selected randomly by stratified random sampling. After finding the first household visited, an interview was conducted according to the available questionnaire and after it was completed it was forwarded to neighbors until it found 40 houses per village. SPSS 20.0 is used for the data analysis. The description of sanitation facilities and community behavior that poses a risk to health in strata 1 has the main problem in domestic waste with the highest score of 36, while strata 2 has the main problem in solid waste with a score of 43 and strata 3 has the main problem in domestic wastewater with a score of 45. Analysis results of the sanitation risk index for the category of low risk/less risky area for strata 1 (1 village), the category of high-risk area for Strata 2 (11 villages), and the category of moderate risk area is in Strata 3 (6 villages). The high-risk area is found in Strata 2 (11 villages). Keywords: EHRA; Environmental health; Abiansemal; Badung.


2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
K Suseeharan ◽  
T Vedutla

Abstract Background The Royal College of Physician guidelines (2011) identified handover as a “high risk step” in patient care, especially in recent times within the NHS where shift patterns lead to more disjointed care with a high reliance on effective handover by all staff members. Introduction At Cannock Chase hospital, Fairoak ward is an elderly care rehabilitation ward where there is a large multi-disciplinary team. While working on the ward as doctors we noticed that handover between the MDT was poor. Anecdotal evidence from both doctors and nurses felt that this was a high risk area in need of improvement. Aim to improve handover between doctors and nurses on this elderly care ward. Method To measure the quality of current handover practice we did a questionnaire. A total of 12 questionnaires were completed which showed that 92% of staff felt that handover on the ward was very poor and 50% preferred both written and verbal handover. We measured the number of tasks verbally handed over between doctors and nurses over 3 days. On average 65% of the tasks were completed. We then made the below interventions and re-audited to see if there was any improvement. Interventions over 3 week period: Results Questionnaire: Measuring task completion after interventions; Conclusion This project has made a positive change qualitatively and quantitatively to the ward handover practice. Staff satisfaction regarding handover has improved and the number of “handed over” tasks completed daily has significantly improved. The written handover sheet had poor utilisation by staff but in 4 months we are going to re-audit and trial the handover sheet again to further improve service delivery. We hope this improvement will have a positive impact on patient care on this elderly care ward.


2008 ◽  
Vol 134 (4) ◽  
pp. A-301 ◽  
Author(s):  
Farhad Islami ◽  
Farin Kamangar ◽  
Dariush Nasrollahzadeh ◽  
Masoud Sotoudeh ◽  
Christian C. Abnet ◽  
...  

2020 ◽  
Vol 144 ◽  
pp. 136-141
Author(s):  
Aleksei F. Renkel’ ◽  

At present the education system in the Russian Federation does not include any program teaching the basics of patent law on inventions, therefore protection of copyright holders in courts is very problematic. The article analyzes foreign experience of patent law on inventions, provides examples of implementing research and development results.


2013 ◽  
Vol 8 (1) ◽  
pp. 87 ◽  
Author(s):  
Ana M. Vicedo-Cabrera ◽  
Annibale Biggeri ◽  
Laura Grisotto ◽  
Fabio Barbone ◽  
Dolores Catelan

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