scholarly journals Health professionals' and service users' interpretation of screening test results: experimental study

BMJ ◽  
2006 ◽  
Vol 333 (7566) ◽  
pp. 468.1
2019 ◽  
Vol 23 (1) ◽  
pp. 23-29
Author(s):  
Laura Lea ◽  
Sue Holttum ◽  
Victoria Butters ◽  
Diana Byrne ◽  
Helen Cable ◽  
...  

PurposeThe 2014/2015 UK requirement for involvement of service users and carers in training mental health professionals has prompted the authors to review the work of involvement in clinical psychology training in the university programme. Have the voices of service users and carers been heard? The paper aims to discuss this issue.Design/methodology/approachThe authors update the paper of 2011 in which the authors described the challenges of inclusion and the specific approaches the authors take to involvement. The authors do this in the context of the recent change to UK standards for service user and carer involvement, and recent developments in relation to partnership working and co-production in mental healthcare. The authors describe the work carried out by the authors – members of a service user involvement group at a UK university – to ensure the voices of people affected by mental health difficulties are included in all aspects of training.FindingsCareful work and the need for dedicated time is required to enable inclusive, effective and comprehensive participation in a mental health training programme. It is apparent that there is a group of service users whose voice is less heard: those who are training to be mental health workers.Social implicationsFor some people, involvement has increased. Trainee mental health professionals’ own experience of distress may need more recognition and valuing.Originality/valueThe authors are in a unique position to review a service-user-led project, which has run for 12 years, whose aim has been to embed involvement in training. The authors can identify both achievements and challenges.


2021 ◽  
Vol 104 (2) ◽  
pp. 003685042110261
Author(s):  
Sungwoo Choi ◽  
Hyo Jeong Choi ◽  
Ho Jung Kim

The most common method for SARS-CoV-2 testing is throat or nasal swabbing by real-time reverse transcription polymerase chain reaction (RT-PCR) assay. In South Korea, drive-through swab test is used for screening system and community treatment centers (CTCs), which admit and treat confirmed COVID-19 patients with mild symptoms, are being used. This retrospective study was conducted on patients admitted to a CTC on March 6, 2020. A total of 313 patients were admitted. The nasal and throat swabs were collected from the upper respiratory tract, and a sputum test was performed to obtain lower respiratory samples. The positive rate of the first set of test, sputum test was higher than that of the swab test ( p = 0.011). In the second set of test, 1 week after the first ones, the rate of positive swab tests was relatively high ( p = 0.026). In the first set of test, 66 of 152 (43.4%) patients showed 24-h consecutive negative swab test results, when the sputum test results were considered together, that number fell to 29 patients (19.1%) ( p < 0.001). Also, in the second set of test, 63 of 164 (38.4%) patients met the discharge criteria only when the swab test was considered; that number fell to 30 (18.3%) when the sputum test results were also considered ( p < 0.001). Using the swab test alone is insufficient for screening test and discharge decision. Patients who may have positive result in the sputum test can be missed.


2021 ◽  
pp. bmjnph-2020-000159
Author(s):  
Lidia Ghirmai Teweldemedhin ◽  
Helen Gebretatyos Amanuel ◽  
Soliana Amanuel Berhe ◽  
Ghidey Gebreyohans ◽  
Zemenfes Tsige ◽  
...  

BackgroundHealthy pregnancy and birth outcomes are greatly influenced by the intake of adequate and balanced nutrition. Pregnant women’s nutritional knowledge and practice have been identified as an important prerequisites for their proper nutritional intake. The antenatal period with the opportunities for regular contact with health professionals appears to be the ideal time and setting to institute the intervention which could maximise pregnant women’s outcome and that of their baby by motivating them to make nutritional changes.ObjectiveTo assess the effect of nutrition education on the appropriate nutritional knowledge and practice of pregnant women.MethodologyA facility-based single-group pre–post quasi-experimental study design was employed in five health facilities providing antenatal care (ANC) service in Asmara on 226 pregnant women. A predesigned and pretested questionnaire was used to collect data regarding nutritional knowledge via interview by trained data collectors during the pretest, immediate post-test and 6 weeks later. The practice was assessed at pre-intervention and 6 weeks later only. Repeated measures analysis of variance and paired t-test were used to make comparisons in knowledge and practice scores, respectively, using SPSS (V.22).ResultsTraining provided to pregnant women resulted in a significant increase on the mean scores of their knowledge from 29.01/47 (SE=0.35) pre-intervention to 42.73/47 (SE=0.24) immediate post-intervention. However, the score declined significantly from immediate after intervention to 6-week follow-up by 1.79 (SE=0.22). Although the score declined, knowledge at 6-week follow-up was still significantly greater than that of pre-intervention (p<0.0001). Health professionals (70.2%) were the primary source of information for pregnant women. The pregnancy-specific dietary practice score at 6-week follow-up (M=13.13/16, SE=0.09) was significantly higher than that of pre-intervention (M=12.55/16, SE=0.16). There was no significant interaction between the categories of demographic characteristics and change in practice and knowledge.ConclusionThis study has shown that the nutrition messages given to pregnant women by trained health professionals using a holistic approach in a sustained manner played a huge role in increasing their knowledge and in introducing positive dietary practices among them. Thus, ANC clinics must play a leading role in coordinating the effort of awareness creation regarding nutrition during pregnancy.


2018 ◽  
Vol 53 ◽  
pp. 04021
Author(s):  
SHAO Yong ◽  
LIU Xiao-li ◽  
ZHU Jin-jun

Industrial alkali slag is the discharge waste in the process of alkali production. About one million tons of alkali slag is discharged in China in one year. It is a burden on the environment, whether it is directly stacked or discharged into the sea. If we can realize the use of resources, it is a multi-pronged move, so alkali slag is used to improve solidified marine soft soil in this paper. The test results show that the alkali residue can effectively improve the engineering properties of marine soft soil. Among them, the unconfined compressive strength and compressive modulus are increased by about 10 times, and the void ratio and plasticity index can all reach the level of general clay. It shows that alkali slag has the potential to improve marine soft soil and can be popularized in engineering.


2015 ◽  
Vol 60 (4) ◽  
pp. 2821-2826 ◽  
Author(s):  
A. Wierzba ◽  
S. Mróz ◽  
P. Szota ◽  
A. Stefanik ◽  
R. Mola

The paper presents the results of the experimental study of the three-layer Al-Mg-Al sheets rolling process by the ARB method. The tests carried out were limited to single-pass symmetric and asymmetric rolling processes. An Al-Mg-Al package with an initial thickness of 4 mm (1-2-1 mm) was subjected to the process of rolling with a relative reduction of 50%. To activate the shear band in the strip being deformed, an asymmetry factor of av=2 was applied. From the test results, an increase in the tensile strength of the multi-layer Al-Mg-Al sheets obtained from the asymmetric process was observed. Microhardness tests did not show any significant differences in aluminium layer between respective layers of sheets obtained from the symmetric and the asymmetric process. By contrast, for the magnesium layer, an increase in microhardness from 72 HV to 79 HV could be observed for the asymmetric rolling. The analysis of the produced Al-Mg-Al sheets shows that the good bond between individual layers and grain refinement in the magnesium layer contributed to the obtaining of higher mechanical properties in the multi-layer sheets produced in the asymmetric process compared to the sheets obtained from the symmetric process.


2010 ◽  
Vol 97-101 ◽  
pp. 1863-1866
Author(s):  
Liang Yang ◽  
Li Xu

Performance of tool has always been a puzzle in the course of high manganese steel drilling. In this paper, improvement of drill tool is been done on drill bit structure and parameters of cutting tip by means of analyzing geometric parameter. By utilizing simulation method correctly, the influence of bit parameter on drilling force is analyzed. Meanwhile, by adopting the way of dividing into groups, comparison experiment between improved and no improved has been done. The comparison analysis of test results is carried out including tool life, wear and drilling force. The conclusion showed that the improved bit has better performance.


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