scholarly journals Determining the role and responsibilities of the Australian epilepsy nurse in the management of epilepsy: a study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e043553
Author(s):  
Frances Rapport ◽  
Karen Hutchinson ◽  
Geoffrey K Herkes ◽  
Andrew Bleasel ◽  
Armin Nikpour ◽  
...  

IntroductionEpilepsy is a common neurological condition affecting between 3% and 3.5% of the Australian population at some point in their lifetime. The effective management of chronic and complex conditions such as epilepsy requires person-centred and coordinated care across sectors, from primary to tertiary healthcare. Internationally, epilepsy nurse specialists are frequently identified as playing a vital role in improving the integration of epilepsy care and enhancing patient self-management. This workforce has not been the focus of research in Australia to date.Methods and analysisThis multistage mixed-method study examines the role and responsibilities of epilepsy nurses, particularly in primary and community care settings, across Australia, including through the provision of a nurse helpline service. A nationwide sample of 30 epilepsy nurses will be purposively recruited via advertisements distributed by epilepsy organisations and through word-of-mouth snowball sampling. Two stages (1 and 3) consist of a demographic questionnaire and semistructured interviews (individual or group) with epilepsy nurse participants, with the thematic data analysis from this work informing the areas for focus in stage 3. Stage 2 comprises of a retrospective descriptive analysis of phone call data from Epilepsy Action Australia’s National Epilepsy Line service to identify types of users, their needs and reasons for using the service, and to characterise the range of activities undertaken by the nurse call takers.Ethics and disseminationEthics approval for this study was granted by Macquarie University (HREC: 52020668117612). Findings of the study will be published through peer-reviewed journal articles and summary reports to key stakeholders, and disseminated through public forums and academic conference presentations. Study findings will also be communicated to people living with epilepsy and families.

2020 ◽  
Vol 21 (2) ◽  
pp. 122-129
Author(s):  
Maria C K Nadjib ◽  
Alfetri N.P Lango ◽  
Paulus Un

The research, which was conducted in the village of Oepaha, Nekamese District, Kupang Regency, from June to July 2019, aims to identify marketing channels, capabilities and margins, and the share and benefits of celery marketing for farmers. The location of the research was determined using purposive sampling methods, considering that the location was the most important supplier area for celery in Kupang Regency. The population in this study was the farming community in Oepaha Village, Nekamese district, Kupang Regency,in the amount of 96 celery farmers. The sampling methods is carried out by simple random sampling according to the Slovenian formula, so that a sample of 49 celery farmers is obtained. Sampling for marketing institutions was determined by selecting the marketing institutions which directly involved in celery marketing using snowball sampling methods. In the end, respondents selected marketing institutes consisting of village collectors amounted to 4 people and retailers amounted to 4 people. The analysis of the data used in this study includes descriptive analysis, marketing margin analysis, farmer's share analysis and marketing profit analysis. The results showed that the marketing channel for celery carried out by farmers consisted of two channels, namely farmers directly to consumers and farmers to consumers through intermediaries, namely village collectors and retailers. Celery marketing functions that arise are the functions of sales, purchases, transport, standardization and financing and market information on the zero level channel,while sales, purchasing, transportation, storage, standardization, and financing, as well as market information, run on the second level channel. The marketing margin at zero level is Rp. 51.000,-, while the second level marketing channel is Rp. 17,000 at the collector and Rp. 34,000 at the retailer. The percentage of farmer’s share received by farmers is 25% at zero level and 25% at second level channel. The profit from celery marketing in the zero level marketing channel is Rp. 8.261 (farmers), the second level marketing channel is Rp. 16,688 (farmers), Rp. 15.267 (collectors' traders), Rp. 28,029 (retailers).


2021 ◽  
pp. 147797142110031
Author(s):  
Togtokhmaa Zagir ◽  
Helga Dorner

Competent adult learning facilitators play a vital role in improving the quality of adult learning programmes. This article thus explores common and core competences of adult learning facilitators from the perspective of key stakeholders, such as facilitators, adult learners and administrators. By synthesising previous international studies, we developed a survey and collected data in Mongolia ( n = 227). We identified adult learning facilitators’ common and core competences focusing on their teaching role. As found, areas of adult learners’ needs assessment, communication and motivation should be integrated in professional development programmes in order to aim for a better completion rate and higher participation of target audiences in adult learning programmes.


2015 ◽  
Vol 7 (2) ◽  
pp. 51-56

ABSTRACT Introduction Acquired benign laryngotracheal stenosis is often preventable. A majority of such patients have a history of some airway intervention, ranging from a planned endotracheal intubation for the purpose of anesthesia, to an emergency tracheotomy in the setting of stridor. The primary aim of the first treating clinician is to secure the airway, and often these patients already have a tracheotomy at the time of initial presentation. Materials and methods We analyzed 80 patients that have been managed for varying grades and locations of acquired benign laryngotracheal stenosis presenting to a tertiary healthcare centre, and analyzed the impact of tracheotomy on the eventual outcome. Summary and conclusion Tracheotomies performed in patients suffering from stenosis in the airway pose technical challenges. If planned even in the most urgent situations, they can play a vital role in determining the eventual outcome of the definitive treatment. The site, technique and care of the tracheotomy are key factors in determining the eventual outcome. How to cite this article Hathiram BT, Khattar VS. The Impact of Tracheotomy on the Eventual Outcome of Surgery for Benign Laryngotracheal Stenosis in a Tertiary Health Care Setup. Int J Otorhinolaryngol Clin 2015;7(2):51-56.


2021 ◽  
Vol 9 (3) ◽  
pp. 57-66
Author(s):  
Serdar Özçeti̇n

This study aimed to determine the perceptions of teachers and administrators about the concept of uplifting leadership in depth through metaphors. In this study, phenomenology design, one of the qualitative research methods, was used. The study group of the research consists of 30 people, 15 administrators and 15 teachers who work in primary, secondary and high schools affiliated to Antalya Directorate of National Education and selected through snowball sampling, which is purposeful sampling methods. A structured questionary form was used as a data collection tool. Metaphors were used as a data collection method and the participants were asked to explain what they think uplifting leadership resembled with reasons. Descriptive analysis was used to analyze the data. The responses of the participants were classified and analyzed; the analysis was supported by direct quotations from the participants. NVivo package program was used to encode and classify the data. As a result of the study, it has been found that the metaphors produced by the participants contain features of the uplifting leadership by the changing management perception, such as being contemporary, constantly improving itself by following the innovations, trying to save organizations from the static structure, exciting employees for their improvement or institutional improvement, teaching them to dream, supporting different ideas, working in cooperation.


2020 ◽  
Vol 17 (1) ◽  
pp. 81-93
Author(s):  
Auliya Aenul Hayati ◽  
Dede Trie Kurniawan

Tingginya ketergantungan manusia akan tekhnologi turut menggeser popularitas permainan tradisonal. Sementara pemahaman terhadap kekayaan nilai budaya lokal pada setiap permainan berperan penting dalam upaya pembinaan nilai antikorupsi sejak usia dini. Peneliti meneliti bagaimana dolanan bocah Caruban Nagari mampu berperan sebagai upaya pembinaan antikorupsi pada siswa Sekolah Dasar. Yaitu bertujuan untuk menganalisis karakteristik permainan, mengkaji jenis-jenis permainan sebagai pendidikan antikorupsi, dan mengembangkan kecerdasan nilai-nilai kebajikan. Penelitian ini menggunakan pendekatan kualitatif dengan serangkaian metode deskriptif analisis. Pengumpulan data dengan cara observasi, wawancara, dan kuesioner. Teknik pengolahan dan analisis data menggunakan statistik deskriptif. Hasil penelitian menunjukkan: (1). Karakteristik pendidikan antikorupsi melalui permainan tradisional beracuan pada materi pelajaran, guru, proses pembelajaran, dan nilai-nilai, yang berkesinambungan menanamkan perilaku antikorupsi. (2). Nilai antikorupsi Dolanan Bocah Caruban Nagari yaitu nilai jujur, disiplin, tanggung jawab, kerja keras, mandiri, sederhana, adil, berani, dan peduli dengan tingkat perubahan sikap siswa tertinggi pada nilai kejujuran dan terendah pada nilai kemandirian.-----The high human dependence on technology has helped to shift the popularity of traditional games. While understanding the richness of local cultural values in each game plays a vital role in efforts to foster anti-corruption values from an early age. Researchers examine how the child caruban Nagari can play a role as an effort to foster anti-corruption in elementary school students. It aims to analyze the characteristics of the game, examine the types of games as anti-corruption education, and develop the intelligence of virtue values. This research uses a qualitative approach with a descriptive analysis methods Data collection by observation, interview, and questionnaire. Data processing and analysis techniques use descriptive statistics. The results showed: (1). The characteristics of anti-corruption education through traditional games refer to the subject matter, the teacher, the learning process, and values, which continuously instill anti-corruption behavior. (2). The anti-corruption value of kid caruban nagari is honest, discipline, responsibility, hard work, independent, simple, fair, brave, and caring with the highest level of change in student attitudes on honesty values and the lowest on self-sustained values.


2021 ◽  
Author(s):  
Bushra Zarin Islam ◽  
Mir Raihanul Islam ◽  
Samiun Nazrin Bente Kamal Tune ◽  
Syed Masud Ahmed

Abstract Background: Front-line health workers (FLWs) are always at a very high risk of being infected by COVID 19 due to their close contact with patients; thus, proper protection is critical. Concerning the FLWs' safety, Bangladesh's haphazard health system preparedness response on the eve of the pandemic triggered an uncoordinated management crisis, making the FLWs even more vulnerable. This study aims to elicit FLWs' perceptions and experiences regarding personal safety against COVID-19 while attending suspected/confirmed cases in the pandemic's early days. Methods: A mixed-methods quick telephone survey of a cross-sectional design was conducted during April and May 2020. 60 FLWs of various categories and levels from 14 districts and 43 institutions participated in the study in two rounds (initial and follow up) by four weeks apart. The participants were chosen using a combination of purposive sampling and the snowball sampling method and responded to a semi-structured questionnaire. Descriptive analysis was done for quantitative data, and qualitative data were thematically analysed.Results: The FLWs were obvious about the necessity of using Personal Protective Equipment (PPEs) for suspected/confirmed COVID-19 cases with suspected/asymptomatic patients. All types and levels of FLWs did not get the needed formal training on COVID-19 management and prevention. During the initial round, only 75% and 57% FLWs received PPEs and training for their proper use, respectively. Concerns about spreading the infection to family members precipitated mental health problems for the FLWs, so they recommended some safety measures, e.g. separate accommodation, transport, modified duty roaster during COVID placement. After almost a month, the follow-up round showed that a total of 76% FLWs received PPEs, but only 20% received training about them during the last month. The recommended measures were found to be more beneficial for physicians than the other FLWs. Conclusion: COVID 19 highlighted the shortcomings of Bangladesh's health systems and the low priority given to public health. This hampered the COVID 19 response, which was late, fragmented, and poorly coordinated, putting the FLWs at risk even more. Nonetheless, a coordinated, integrated approach involving all relevant authorities is required, and the health ministry should direct an efficient and inclusive COVID response.


2020 ◽  
Vol 19 (01) ◽  
pp. 2040012
Author(s):  
Dalal Saad ALShaer ◽  
Allam Hamdan ◽  
Anjum Razzaque

This study aims to investigate the role of social media on consumer behaviour in the restaurants industry of Bahrain. The objectives of this research were to assess importance of social media as a marketing tool for Bahrain’s restaurants for influencing consumer purchase decision-making. Such an objective was reached by the scholars who randomly collected data from 224 respondents in Bahrain, who use social media, using a survey instrument. The findings of the descriptive analysis revealed that social media affects consumers’ decision-making, such that the consumers use the social media to study new products, services, and particularly new brands. Also, ongoing consumer discussions reveal how social media exposes the pros and cons of products, services, and brands, so consumers are comfortable with their online decisions, since they can select broads before settling on what is the best price, quality, etc. Moreover, the social media speeds the spread of information unlike any other mass media; ensuring that new knowledge reaches consumers, hence enhancing competition among retailers in the restaurant industry. This study concludes that social media plays a vital role in promoting consumer welfare and decision-making.


2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Sita Chhetri ◽  
Rajani Shah ◽  
Laxmi Rajbanshi

Background. Postnatal period is six weeks after birth. It is critical but is the most neglected period. A large proportion of maternal and neonatal deaths occur during 48 hours following childbirth. The utilization of the recommended three postnatal checkups within seven days after delivery, which plays a vital role in preventing maternal and neonatal deaths, is low in Nepal. Objective. This study is aimed at identifying the factors associated with the utilization of complete postnatal care (PNC) among mothers. Method. A cross-sectional study was carried out among 318 mothers in wards 1, 2, 3, and 4 of Baglung municipality, Nepal. Data was collected by semi-structured interviews. Descriptive analysis and comparison of characteristics of women/families with complete vs. partial postnatal checkups using multivariable logistic regression were done. Results. Among 314 respondents receiving at least one PNC, 78% had partial and 22% had complete PNC. Relatively advantaged caste/ethnicity- Brahman/Chhetri (aOR=3.18, 95% CI: 1.24-8.12) and Janajati (aOR=2.87, 95% CI: 1.09-7.53) - compared to Dalits, husbands working as a job holder in Nepal (aOR=3.49, 95% CI: 1.50-8.13), and delivery in a private hospital (aOR=11.4, 95% CI: 5.40-24.2) were associated with having complete PNC. Conclusion. Although PNC attendance at least once was high, utilization of complete PNC was low. More focus to mothers from disadvantaged caste/ethnicity, those whose husbands are in foreign employment, and improvement in quality of care in government health facilities may increase the use of complete PNC.


1992 ◽  
Vol 2 (3) ◽  
pp. 222-228 ◽  
Author(s):  
Cleonice de Carvalho Coelho Mota ◽  
Zilda Maria Alves Meira ◽  
Rosangela Nicoli Graciano ◽  
Marly Conceição Silva

AbstractWe have conducted, in two stages, a descriptive and comparative analysis of the diagnostic and evolutionary clinical aspects of rheumatic fever. The descriptive analysis was based on a sample of 226 patients seen between 1976–1986. The forms and frequency of the manifestations of rheumatic fever were studied, as well as the difficulties encountered in diagnosing mild cases and the risk of making a hasty diagnosis due to the high prevalence of the disease. Subsequent to the establishment of an outpatient clinic for referral of patients with rheumatic fever, as part of a study and control program for the disease, 98 patients were seen in the period 1988–1991. In order to compare the profile of the manifestations in the acute phase with evolutionary aspects over the course of the disease, a subgroup of 61 children, treated in the period 1983–986 was selected to obtain equivalence in size of sample and time of follow-up (p = 0.08). The comparative analysis revealed that no modifications have occurred over the period of study in the profile of the manifestations during the acute phase, and no statistically significant differences have occurred in age at first attack, severity ofcarditis, or in the type ofvalvar and articular involvement. Evolutionary data after rigid control of primary and secondary prevention, however, showed a marked reduction in the incidence of recurrence (p = 0.036), the frequency of hospital admission (p = 0.001) and deaths (p = 0.024). The main factors modifying the evolution of the disease were analyzed. The action of the health team had a fundamental importance in the control of recurrence. This fact is especially important for developing countries, where a reduction of the prevalence of the disease can only be achieved through major structural socioeconomic changes in the community.


2009 ◽  
Vol 13 (1) ◽  
pp. 111-115
Author(s):  
Ruslan Seferbekov

AbstractMaskers play a vital role in the ritual and social ceremonies of Dagestan. With sceptre in hand, the maskers' part in folk traditions has preserved this previously sacral iconography in a profane form. This paper seeks to illuminate the role of the maskers and the mythological symbolism of the sceptre through descriptive analysis of festive ceremonies in Dagestan, while comparing its function to other Caucasian communities.


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