Implementation of a Postfracture Care Program in a Private Hospital in Colombia

Purpose. To describe the implementation of a postfracture care program in a private hospital in Colombia, the results achieved after the program’s first year, and the challenges encountered. Methods. A cross-sectional descriptive study of the first year’s outcomes. The program was implemented following best practices described in the “Capture the Fracture” framework. We assessed the management of fractures before the launch of the program. A multidisciplinary group was established to collaborate on the diagnosis and treatment of patients with osteoporotic fractures. A full-time program coordinator was appointed. We analyzed the program’s clinical outcomes and limitations. Results. One-hundred and ninety patients were included in the study, with an average age of 76.7. Hip fracture was the most frequent one (33.6%). After the first year of implementing the program, 39.4% of patients received osteoporosis treatment, with an adherence rate of 73%. The incidence of subsequent falls was 5.8% and 1% for new fractures. Conclusions. The implementation of a program for patients’ care with fragility fractures is challenging for healthcare institutions. The role of a full-time coordinator is critical for the proper operation of such programs.

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Designing for Students: Creating a Robust Interdisciplinary First Year Course

Journal of the Scholarship of Teaching and Learning ◽

10.14434/josotl.v19i1.26781 ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Deborah E. Bordelon ◽

Colleen M Sexton ◽

Ann M Vendrely

Keyword(s):

General Education ◽

Course Design ◽

Natural World ◽

Assessment Process ◽

First Year ◽

Full Time ◽

First Year Students ◽

Underserved Students ◽

General Education Curriculum

Building a general education program from scratch for a population of first generation and underserved students provided both a challenge and opportunity. Faculty who had limited previous experience teaching and assessing first year students engaged in study of the best practices and research. Faculty designed a four-year general education curriculum that began with a robust First Year Seminar (FYS) course, the focus of this study. This required three-credit hour interdisciplinary humanities course (FYS) was designed to embrace the understanding of what it means to be human, including understanding oneself in relation to the natural world and to others. Full time faculty from all disciplines were selected through a competitive process to teach the FYS course with embedded High Impact Practices (HIPs). Four years of teaching FYS has provided qualitative and quantitative data on the effectiveness of the design, the role of faculty, and application of HIPs. Through the course assessment process and data analysis, faculty have expanded their repertoire of pedagogical strategies to engage the first year student, and as a result, positively influenced teaching in their other courses. This report offers insights on strategies for course design, the role of faculty, and the power of selected HIPs that may be replicated at other institutions.

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Career commitment and subjective career success: the moderating role of career-enhancing strategies

International Journal of Manpower ◽

10.1108/ijm-07-2018-0230 ◽

2020 ◽

Vol 41 (8) ◽

pp. 1287-1305

Author(s):

Emre Burak Ekmekcioglu ◽

Mahmure Yelda Erdogan ◽

Alptekin Sokmen

Keyword(s):

Career Success ◽

Career Commitment ◽

Full Time ◽

Cross Sectional ◽

Content Type ◽

Subjective Career Success ◽

High Level ◽

The Relationship ◽

Moderating Role

PurposeThe purpose of this study is to test the moderating role of career-enhancing strategies (CESs) in the relationship between career commitment (CC) and subjective career success (CS).Design/methodology/approachData were collected from 217 full-time employees working for three different sectors in Ankara, Turkey. The participants were asked to respond to a self-reported survey. The hypotheses were tested using a hierarchical regression analysis.FindingsThe results indicated that CC had a significant and positive effect on subjective CS. Furthermore, the positive relationship between CC and subjective CS was stronger for employees with a high level of self-nomination and for employees with a high level of networking. However, creating career opportunities did not moderate the effects of CC on subjective CS.Research limitations/implicationsBecause this study had a cross-sectional research design, causality cannot be established among the study variables.Practical implicationsThe findings suggest a better understanding of the way CC is able to affect subjective CS through the networking and self-nomination CESs.Originality/valueThis study is original, in that no previous studies have investigated the moderating role of CESs in the relationship between CC and subjective CS.

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Knowledge and compliance from patients with postmenopausal osteoporosis treatment

Menopause International: The Integrated Journal of Postreproductive Health ◽

10.1258/mi.2009.009029 ◽

2009 ◽

Vol 15 (3) ◽

pp. 113-119 ◽

Cited By ~ 9

Author(s):

Santiago Palacios ◽

Rafael Sánchez-Borrego ◽

José Luis Neyro ◽

Francisco Quereda ◽

Francisco Vázquez ◽

...

Keyword(s):

Postmenopausal Osteoporosis ◽

Osteoporotic Fractures ◽

Treatment Compliance ◽

Osteoporosis Treatment ◽

Cross Sectional Study ◽

Concomitant Disease ◽

Cross Sectional ◽

Good Compliance ◽

Evaluation Test ◽

The Mean

Objective The aim of this study was to evaluate the knowledge, attitudes and expectations of patients receiving treatment for postmenopausal osteoporosis, analysing the factors related to good compliance with treatment. Methods A national, epidemiological, cross-sectional study collected information on personal medical history, family history, bone densitometry, and treatment and compliance of patients over 45 years who were receiving treatment for osteoporosis and provided their informed consent. The patients anonymously completed a questionnaire about their knowledge of osteoporosis and the Morisky and Green treatment compliance evaluation test. Results Three hundred and fifteen specialists in gynaecology participated, recruiting 1179 patients with postmenopausal osteoporosis. The mean age was 59.9 years (standard deviation [SD] = 7.5). Only 22.6% of the patients showed an acceptable knowledge of osteoporosis (the criterion established was correct response to 80% of the questions). Treatment compliance was evaluated using a combination of Morisky–Green and Haynes–Sackett criteria. Of the patients 39.2% were classified as compliant, 74.6% of the patients were very or quite concerned about their condition and 53.3%; described their health status as excellent or good. However, 63.6% of the patients indicated that they needed more information about osteoporosis. The factors related to good compliance were the existence of one or no concomitant disease (odds ratio [OR] = 1.38, P = 0.025) and the type of knowledge about their disease (acceptable knowledge: OR = 1.33, P = 0.043). Conclusions Correct knowledge about osteoporosis would increase the possibility of appropriate compliance with the prescribed treatment, thus reducing the risk of osteoporotic fractures.

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Best Qualities of Medical Facilitator, Students Perceptive View

10.53350/pjmhs2115113343 ◽

2021 ◽

Vol 15 (11) ◽

pp. 3343-3345

Author(s):

Farrukh Sarfraz ◽

Sobia Nawaz ◽

Nadeem Razaq ◽

Muhammad Saif Ullah ◽

Zahid Mahmood ◽

...

Keyword(s):

Medical Education ◽

First Year ◽

Age Group ◽

Cross Sectional ◽

Medical College ◽

Validated Questionnaire ◽

The One ◽

Day By Day ◽

Data Collection Procedure

Introduction: Medical education is blended day by day and there's a continuing need to assess the role of the facilitator in the field of medical education. A great medical facilitator is the one who clear the way within the making of our future clinicians. In this study we attempted to assess the qualities of best medical facilitator in basics and clinical sciences including all medical, surgical and their allied subjects from first year to final year MBBS Students Objective: To expedite the views of MBBS students at Azra Naheed Medical College about the best qualities of Medical facilitator Material and Methods Study design: quantitative cross sectional Settings: Azra Naheed Medical College Duration: Six months i.e. 1st January 2021 to 30th June 2021 Data Collection procedure: A well planned study was done at Azra Naheed medical college which includes all the MBBS students who participated after giving consent. The total numbers of participants in the study were 400. A validated questionnaire comprises of 12 leading statements regarding best qualities of medical facilitator was circulated. The collected data was analyzed by using SPSS version 23. Results: The total number of participants in the study is 400 in which 60% participants were females and 40% were males. The age group in the study is 18-24 years. In this study top five qualities of nest medical facilitator were highlighted. Conclusion: A great facilitator is somebody who is receptive, engaging and motivating, and who includes a sound knowledge of subject of what they are attempting to instruct. They too have the capacity to communicate well with students. Key words: Medical facilitator, Student, Medical, Qualities

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Self-efficacy and workplace well-being: moderating role of sustainability practices

Benchmarking An International Journal ◽

10.1108/bij-07-2018-0219 ◽

2019 ◽

Vol 26 (6) ◽

pp. 1692-1708 ◽

Cited By ~ 12

Author(s):

Sanjay Kumar Singh ◽

Rabindra Kumar Pradhan ◽

Nrusingh Prasad Panigrahy ◽

Lalatendu Kesari Jena

Keyword(s):

Self Efficacy ◽

Research Work ◽

Well Being ◽

Full Time ◽

Cross Sectional ◽

Content Type ◽

Sustainability Practices ◽

High Level ◽

Moderating Role

Purpose How psychological variables especially self-efficacy plays significant role to attain workplace well-being is yet to be explained. The extant literature calls for further research works in the field of sustainability practices to bridge the gap between self-efficacy and workplace well-being. The purpose of this paper is to extend the literature of workplace well-being while scientifically examining the moderating role of sustainability practices. Design/methodology/approach The study collected data from 527 full-time executives of Indian public and private manufacturing industries. The authors performed moderated regression analysis through a series of hierarchical models to test the hypotheses of the study. Findings The result indicates positive relationship between self-efficacy and workplace well-being. Furthermore, the result suggests that the relationship between self-efficacy and workplace well-being was stronger among executives with high level of sustainability practices and vice versa. Research limitations/implications The cross-sectional sample of executives employed in Indian manufacturing organizations limits the generalizability of the findings. Practical implications HR functionaries and senior management may benefit by closely examining their sustainability practices along with their employees perceived ability to address workplace well-being. Originality/value The study contributes to extend the literature on self-efficacy and workplace well-being. This research work is one of the first few studies to examine the moderating effect of sustainability practices.

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Spinal Orthoses Prescription for Vertebral Fragility Fractures by Italian Physical and Rehabilitation Medicine Physicians: The SPIN-VER Survey

Healthcare ◽

10.3390/healthcare9070892 ◽

2021 ◽

Vol 9 (7) ◽

pp. 892

Author(s):

Alessandro de Sire ◽

Antonio Ammendolia ◽

Alessandra Gimigliano ◽

Roberto Tiberi ◽

Carlo Cisari ◽

...

Keyword(s):

Osteoporotic Fractures ◽

Fragility Fractures ◽

Rehabilitation Medicine ◽

Cross Sectional Survey ◽

High Quality Research ◽

Cross Sectional ◽

Physical And Rehabilitation Medicine ◽

Common Clinical Practice ◽

Spinal Orthosis ◽

Spinal Orthoses

Vertebral fragility fractures (VFFs) are the most common type of osteoporotic fractures, related to pain and disability. In this scenario, physical and rehabilitative medicine (PRM) physicians prescribe a patient-tailored rehabilitation plan, including spinal orthoses. However, there is a high heterogeneity in the clinical indications of spinal orthoses. Thus, the aim of this survey was to investigate common clinical practice in terms of the prescription of spinal orthoses. This nationwide cross-sectional survey recruited Italian PRM physicians commonly involved in the management of patients with VFFs. One hundred twenty-six PRM physicians completed the survey. The results showed that most PRM physicians prescribe spinal orthoses in outpatients suffering from VFFs (n = 106; 83.9%). The most prescribed spinal orthosis for acute VFF patients was the three-point rigid orthosis (n = 64; 50.8%), followed by the semirigid thoraco-lumbar orthosis (n: 20; 15.9%). However, most PRM physicians prescribed dynamic orthoses in outpatients with chronic VFFs (n = 66; 52.4%). Albeit that a correct management of VFFs is mandatory to improve pain and reduce disability, our findings highlighted uncertainty in the type of spinal orthosis prescription in both the acute and chronic VFF phase. Therefore, high-quality research trials are warranted to provide clear recommendations for the correct clinical management of VFF.

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Osteoporosis and osteoporotic fractures risk factors in men aged 50 years and older

Osteoporosis and Bone Diseases ◽

10.14341/osteo201717-11 ◽

2017 ◽

Vol 20 (1) ◽

pp. 7-11 ◽

Cited By ~ 1

Author(s):

Oksana A. Nikitinskaya ◽

Natalya V. Toroptsova

Keyword(s):

Risk Factors ◽

Calcium Intake ◽

Osteoporotic Fractures ◽

Fragility Fractures ◽

Individual Risk ◽

Cross Sectional ◽

Random Samples ◽

Federal Districts ◽

Proximal Forearm ◽

Individual Risk Factors

Cross-sectional screening of random samples of men aged 50 years and older living in five cities (Arkhangelsk, Murmansk, Tyumen, Krasnoyarsk, and Chelyabinsk) from three Federal Districts (FD) of the Russian Federation was conducted to evaluate the frequency of individual risk factors (RF) of osteoporotic fractures among them. Total 1330 men were included in the study. We found that the most common were the following RF: smoking, prior fragility fractures after age 40, secondary causes of OP, insufficient calcium intake. Significantly more smokers were among males in Siberian (S) FD and North –Western (NW)FD compared with those from Ural (U) FD (p=0,0011 and p=0,047, respectively), the frequency of other RF did not differ depending on region. The рprevalence of osteoporosis according to peripheral x-ray densitometry of the proximal forearm was higher among residents of the UFD (26%) than among men in the NWFD (17%) and SFO (19%). More than 50% of men in each region had 2 or more RF, while those with 3 or more RF were significantly more in the UFD at any age, and at the age of 50-59 years - in the NWFD. Calcium intake was inadequate in 85% of the respondents in these regions.

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Role of family support and self-care practices in blood pressure control in individuals with hypertension: results from a cross-sectional study in Kollam District, Kerala

Wellcome Open Research ◽

10.12688/wellcomeopenres.16146.1 ◽

2020 ◽

Vol 5 ◽

pp. 180 ◽

Cited By ~ 1

Author(s):

Susanna Chacko ◽

Panniyammakal Jeemon

Keyword(s):

Blood Pressure ◽

Family Support ◽

Self Care ◽

Cross Sectional Study ◽

Activity Level ◽

Adherence Rate ◽

Sectional Study ◽

Cross Sectional ◽

Dash Diet

Background: Despite the availability of effective drugs, blood pressure (BP) control rate is sub-optimal in individuals with hypertension in low- and middle-income countries (LMICs). The role of self-care in the management of BP is less studied in LMIC settings. Methods: We conducted a community-based, cross-sectional study in individuals with hypertension in Kollam district, Kerala. A multistage cluster sampling method was used for the selection of study participants. We measured self-care by using an adapted Hypertension Self-Care Activity Level Effects (H-SCALE) scale. Descriptive statistics were used to summarise the data and logistic regression analysis was conducted to identify factors associated with BP control. Results: In total, 690 individuals with hypertension (women=60%) and a mean age of 57±8 years participated in the study. More than half (54%) of the participants were adherent to anti-hypertensive medications. However, the adherence rate was much lower for the dietary approach to stop hypertension (DASH) diet (12.8%), recommended level of physical activity (24%) and weight management (11.4%). Overall BP control was achieved in two of five individuals (38.4%, 95% CI: 34.7-42.0%). Among self-care activities, adherence to medications (AOR: 1.8, 95% CI: 1.3-2.5), DASH diet (AOR: 1.5, 95% CI: 1.0-2.4), and non-smoking status (AOR: 3.3, 95% CI: 1.7-6.4) were associated with control of BP. Additionally, good family support to self-care (AOR: 1.9, 95% CI: 1.1-3.1) was associated with better control of BP. Conclusion: In individuals with hypertension, the BP control rate is achieved in two of five individuals. Adoption of self-care activities are sub-optimal. Both family support and adherence to self-care activities are associated with BP control. Family based interventions to improve adherence to self-care activities could have a significant public health impact in achieving better population-level BP control rates in Kerala, India.

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Testing Our Assumptions

Journal of College Student Retention Research Theory & Practice ◽

10.1177/1521025115611620 ◽

2015 ◽

Vol 19 (2) ◽

pp. 161-175 ◽

Cited By ~ 5

Author(s):

Janet Callahan ◽

Marcia Belcheir

Keyword(s):

Student Persistence ◽

Quantitative Research ◽

First Year ◽

Full Time ◽

High Grade ◽

Freshman English ◽

Science Technology ◽

First Time ◽

Level Effect

Methods that provide an early indicator of factors that affect student persistence are important to colleges and universities. This quantitative research focused on the role of level of entry mathematics and English and also on grades earned in those classes, as they relate to persistence after 1 year. The research showed that by far, the variable most predictive of first-time, full-time students enrolling 1 year later was earning a grade of “A” in English. Compared with those who did not pass their first English course, students who earned an “A” were 3 times more likely to persist. The variables which at least doubled the likelihood of persistence included earning an “A” or a “B” in mathematics, a “B” in English, and taking an English course beyond freshman English. While course level taken was significant, the course level effect paled compared with grades earned as a predictor. This effect—of grade earned being more important than course level—included remedial coursework in mathematics and English. In addition, obtaining a high grade in English was equally important for both science, technology, engineering and math and non-science, technology, engineering and math majors. Finally, students who took both mathematics and English courses during their first year were more likely to persist than students who did not take both subjects.

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Trait Emotional Intelligence and Its Correlates with the Level of Burnout Syndrome among First-year Resident Physicians in Oman

10.21203/rs.3.rs-34483/v1 ◽

2020 ◽

Author(s):

Salim Al Huseini ◽

Mohammed Al Alawi ◽

Naser Al-Balushi ◽

Hamed Al Sinawi ◽

Hassan Mirza ◽

...

Keyword(s):

Emotional Intelligence ◽

Marital Status ◽

Maslach Burnout Inventory ◽

Personal Accomplishment ◽

Burnout Syndrome ◽

First Year ◽

Trait Emotional Intelligence ◽

Occupational Burnout ◽

Cross Sectional

Abstract Background:Existing literature is replete of the magnitude of occupational burnout among physicians and the role of emotional intelligence in moderating poor coping among physicians. However, these domains have not been explored in physicians in the Arabian Gulf countries. The study aims to quantify the rate of the presence of occupational burnout and trait emotional intelligence, the relationship between trait emotional intelligence and domains of occupational burnout, and demographic factors associated with occupational burnout.Methods:This was a cross-sectional, observational study conducted between June to August 2018 among first-year residents in Oman. The outcome measure included indices of composite and subscale (emotional exhaustion-EE, depersonalization -DP and personal accomplishment -PA) of Abbreviated Maslach Burnout Inventory (aMBI) and a composite score of Trait Emotional Intelligence Questionnaire (TEI) and its subscales (Self-control, Sociability, and Emotionality).Results:The overall rate of high burnout was 25.8.%, with 57.5% residents reporting high levels of EE, 50.8% high DP, and 49.2% reporting a low sense of PA. Age was significantly associated with DP and PA (P < 0.003) and (P < 0.0001) respectively. Marital status was the only variable associated with EE (p = 0.001). EE was significantly lower in single residents compared with married (P = 0.001). The global mean (± SD) of the TEI was 4.77. A statistically significant relationship was between PA and EI (r = 0.203, P = 0.026). The role of age and marital status were also significant.Conclusion:Among first-year medical trainees in Oman, the prevalence of burnout was 25.8%. This collaborates the trend in the existing literature that occupational burnout is common among tomorrow’s doctors. From this cross-cultural population, TEI did not impact the variation in aMBI, therefore, suggesting orthogonality of such domains.

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