The Impact of Travel Acquired Illness on the World Traveller and Family Doctor and the Need for Pre-Travel Health Education

1994 ◽  
Vol 39 (2) ◽  
pp. 40-44 ◽  
Author(s):  
I.B. McIntosh ◽  
J.M. Reed ◽  
K.G. Power
Keyword(s):  
Family Doctor ◽  
Self Report ◽  
Travel Health ◽  
Insurance Cover ◽  
The Family ◽  
Stratified Sample ◽  
Return Home ◽  
One Year ◽  
The Uk ◽  
The Impact

This retrospective study involved a 20% quota, age and sex stratified sample of people over 16 years of age, presenting to a group medical practice over a period of one year (N = 1568). A standardised, computer-scored, self-report questionnaire was administered. The response rate was 98.3%. 42% of respondents had travelled outwith the UK in the previous year. Of those, 42% had become ill whilst abroad. In 20.5% of cases the illness settled without treatment. However, 26% of the patients required consultation with a doctor whilst abroad and 48.4% of those becoming ill required further attention from the family doctor on return home. 5% of ill travellers were admitted to hospital abroad. 8% of all travellers did not have medical insurance cover. A large and significant population of travellers become ill whilst abroad, and travel-acquired illness has a large impact on general practice, with 1 in 5 travellers seeking GP consultation on return home. Improved practice-generated pre-travel health advice might decrease this burden on primary care.

The Newborn Addict, Ante- and Postnatal Care

1983 ◽  
Vol 11 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Iwan Mark
Keyword(s):  
Pregnant Woman ◽  
Postnatal Care ◽  
Family Doctor ◽  
Family Care ◽  
School Age ◽  
Special Cases ◽  
The Family ◽  
Return Home ◽  
Discharge From Hospital ◽  
Obstetric Clinic

An investigation is presented of 87 Danish infants born to 62 drugaddicted mothers who had been pregnant altogether 145 times. In Denmark all pregnant women are offered prophylactic examinations, sometimes by their family doctor, sometimes by the midwife and in special cases by the obstetric clinic. Despite the fact that this antenatal care is considered especially important, not least for the addicted, pregnant woman, these offers were only poorly utilised. There were four perinatal deaths, of which two were stillbirths, further 3 infants died later as a result of abuse or neglect. After discharge from hospital only 43 infants lived at home with their mothers. The rest were either voluntarily or compulsorily placed with the mothers' parents, in family care, or in a childrens home. Only 2 infants were adopted. After their return home from the labour wards the mothers took little advantage of the prophylactic paediatric examinations and the vaccination program which are offered free by the family doctor to all children of pre-school age. The same was true regarding domiciliary visits by the health visitor.

scholarly journals Increasing Water Intake of Children and Parents in the Family Setting: A Randomized, Controlled Intervention Using Installation Theory

2015 ◽  
Vol 66 (Suppl. 3) ◽  
pp. 26-30 ◽  
Author(s):  
Saadi Lahlou ◽  
Sabine Boesen-Mariani ◽  
Bradley Franks ◽  
Isabelle Guelinckx
Keyword(s):  
Water Consumption ◽  
Developed Countries ◽  
Plain Water ◽  
Children And Parents ◽  
Dietary Record ◽  
The Family ◽  
One Year ◽  
Family Setting ◽  
The Impact ◽  
Consumption Habits

On average, children and adults in developed countries consume too little water, which can lead to negative health consequences. In a one-year longitudinal field experiment in Poland, we compared the impact of three home-based interventions on helping children and their parents/caregivers to develop sustainable increased plain water consumption habits. Fluid consumption of 334 children and their caregivers were recorded over one year using an online specific fluid dietary record. They were initially randomly allocated to one of the three following conditions: Control, Information (child and carer received information on the health benefits of water), or Placement (in addition to information, free small bottles of still water for a limited time period were delivered at home). After three months, half of the non-controls were randomly assigned to Community (child and caregiver engaged in an online community forum providing support on water consumption). All conditions significantly increased the water consumption of children (by 21.9-56.7%) and of adults (by 22-89%). Placement + Community generated the largest effects. Community enhanced the impact of Placement for children and parents, as well as the impact of Information for parents but not children. The results suggest that the family setting offers considerable scope for successful installation of interventions encouraging children and caregivers to develop healthier consumption habits, in mutually reinforcing ways. Combining information, affordances, and social influence gives the best, and most sustainable, results.

Strong governance: a result of evolutionary and revolutionary processes

2014 ◽  
Vol 4 (2) ◽  
pp. 99-109 ◽  
Author(s):  
Lorna Collins ◽  
Ken McCracken ◽  
Barbara Murray ◽  
Martin Stepek
Keyword(s):  
Family Business ◽  
Best Practice ◽  
Family Dynamics ◽  
Family Businesses ◽  
Formal Structure ◽  
Governance Mechanisms ◽  
Content Type ◽  
The Family ◽  
The Uk ◽  
The Impact

Purpose – This paper is the first in a regular series of articles in JFBM that will share “a conversation with” thought leaders who are active in the family business space. The world of family business is, like many other arenas, constantly evolving and as the authors learn more about how and why families “do business” the approaches and tools for working with them also evolve. The purpose of this paper is to stimulate further new research in areas that practically affect family businesses and to “open the door” to practical insights that will excite researchers and provide impetus for new and exciting study. The specific purpose of this paper is to explore “what is strong governance.” There has been much interest in governance lately yet there is a tendency to treat governance in a formulaic way such that, at the moment, the notion that every family business must have a family council or a formal structure in order to be considered “effective” and “successful” predominates. The authors’ panel challenges and discusses this notion drawing on the experience and knowledge as family business advisors, consultants and owners. Design/methodology/approach – The impetus for this particular conversation is a result of a brainstorming conversation that Lorna Collins and Barbara Murray held in February 2014 where they focussed on “how JFBM can encourage and stimulate researchers to engage in aspects of research that makes a difference to the family business in a practical way.” This paper reports a conversation between Barbara Murray (Barbara), Ken McCracken (Ken) and Martin Stepek (Martin), three leading lights in the UK family business advising space, all of whom have been involved in running or advising family businesses for more than three decades, held in August 2015. The conversation was held via telephone and lasted just over 60 minutes. Lorna Collins acted as moderator. Findings – Strong governance is not just about instituting a “family council” or embedding formal governance mechanisms in a family business. Evolutionary adaption by family members usually prevails such that any mechanism is changed and adapted over time to suit and fit the needs of the family business. Many successful family businesses do not have recognized “formal” governance mechanisms but, it is contended, they are still highly successful and effective. Future areas of research in governance are also suggested. Originality/value – This paper contributes to the family business discourse because the debate it reports challenges the basic assumptions upon which much consulting and advisory practice is conducted. It also challenges the notion of “best practice” and what is “new best practice” and how is it that any “best practice” is determined to be “best.” Furthermore, the panel provides insights in to the “impact of family dynamics on governance” and “the impact of family dynamics on advisors.” The paper content is original in that it provides an authentic and timely narrative between active family business practitioners who are also scholars and owners.

scholarly journals Psychological distress and resilience in a sample of Adolescents and Young Adults with cancer during the COVID-19 pandemic

2021 ◽  
Author(s):  
Clare Jacobson ◽  
Rebecca Mulholland ◽  
Nicola Miller ◽  
Laura Baker ◽  
Daniel Glazer ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Cancer Treatment ◽  
Online Survey ◽  
Protective Factor ◽  
Care Delivery ◽  
Self Report ◽  
Patient Health ◽  
The Uk ◽  
The Impact

AbstractBACKGROUNDAdolescents and young people (AYA) with cancer are at greater risk of psychological distress which can impact treatment. COVID-19 has resulted in changes to cancer care delivery and AYA have been disproportionately affected by economic and educational effects of COVID-19, potentially impacting on mental health. Understanding the impact of COVID-19 on AYA with cancer is important to inform care.METHODSOnline survey of 16-24 year olds receiving cancer treatment at 8 cancer centres in the UK in December 2020. We measured: self-perceived increased anxiety since COVID-19, impact of COVID-19 on treatment, life and relationships and used the 8-item Patient Health Questionnaire(PHQ-8), 7-item Generalised Anxiety Disorder Scale(GAD) and the 2-item Connor-Davidson Resilience Scale(CD-RISC).RESULTS112 AYA participated (17.8% of total eligible). 62.8% were female, 67.3% were 21-24 years. 83% were white. 59.8% had previously experienced mental health difficulties. 67.9% received cancer treatment during the pandemic and 33.9% were diagnosed during the pandemic. 78.6% reported COVID-19 having a significant impact on their life, 55.4% on their key relationship and 39.3% on their treatment. 79% reported experiencing some degree of increased anxiety since COVID-19.43.4% had moderate-severe PHQ-8 scores and 37.1% for GADS-7. Self-report of impact on life was associated with greater anxiety during COVID-19 and moderate-severe PHQ-8 score (OR 3.64, 95% CI 2.52 to 19.40, p <0.01; OR 5.23, 95%CI 1.65 to 16.56, p < 0.01). Impact on relationships was associated with greater anxiety and moderate-severe GADS-7and PHQ-8 score (OR 2.89, 95% CI 1.11 to 7.54, p = 0,03; OR 3.54, 95% CI 2.32 to 15.17, p<0.01; OR 2.42, 95% CI 1.11 to 5.25, p =0.03). Greater CD-RISC score was associated with lower risk of anxiety and mod-severe GADS-7and PHQ-8 scores (OR 0.58, 95%CI 0.41 to 0.81, p <0.01; OR 0.55 95% CI 0.4 to 0.72, p <0.01; OR 0.52, 95% CI 0.38 to 0.69, p <0.01)CONCLUSIONSWe found high levels of psychological distress in AYA with cancer, which is important knowledge for clinical teams working with this age group. Perceived impact of COVID-19 on relationships and life was predictive of poorer mental health, with resilience a potential protective factor.

scholarly journals The impact of cycle proficiency training on cycle-related behaviours and accidents in adolescence: findings from ALSPAC, a UK longitudinal cohort

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Alison Teyhan ◽  
Rosie Cornish ◽  
Andy Boyd ◽  
Mary Sissons Joshi ◽  
John Macleod
Keyword(s):  
Hospital Admissions ◽  
Self Report ◽  
School Level ◽  
Individual Level ◽  
Parents And Children ◽  
Cycle Training ◽  
The Uk ◽  
Serious Injuries ◽  
Minor Cycle ◽  
The Impact

ABSTRACT ObjectivesIn the UK, some children undertake National Cycle Proficiency Scheme [NCPS]/Bikeability training in primary school. It aims to promote cycling and safe cycling behaviours but there has been little scientific evaluation of its effectiveness. We aimed to examine the impact of cycle training on cycle-related behaviours and accidents in adolescence using self-report and hospital episode statistics (HES) data. ApproachThe sample (n=5415) were participants in the Avon Longitudinal Study of Parents and Children who reported whether or not they had received NCPS training. Self-reported outcomes at 14 and 16 years included: cycling to school, ownership of cycle helmet, use of cycle helmet and high-visibility clothing on last cycle, and involvement in a cycle accident. Hospital admittance due to a cycle accident from 11-16 years was also included for a subsample (n=2222) who have been linked to HES. The association between cycle training and each of the outcomes was analysed using multilevel logistic regression (individual level 1, school level 2 [pseudo-ID of school attended obtained from linkage to National Pupil Database]), adjusted for a range of potential confounders. ResultsApproximately 40% had received NCPS training. At 14 and 16 years, trained children were more likely to cycle to school (at 16 years: adjusted OR 1.56, 95% CI 1.20-2.02) and to own a helmet (16 years: 2.03, 1.72-2.41) than those who had not attended a course. They were also more likely to have worn a helmet on their last cycle at age 14 (1.26, 1.07-1.49), and to have worn high-visibility clothing at age 16 (1.70, 1.22-2.39). Training was not associated with self-reported involvement in a cycle accident, and only six participants with HES data had been admitted to hospital due to a cycle accident. Irrespective of training, results indicate very low use of high-visibility clothing (5%), very few girls cycling to school (<2%), and less than half of helmet owners wearing one on their last cycle. Ownership and use of helmets was particularly low in children from lower socio-economic position families. ConclusionCycle training for children can have benefits that persist into adolescence. However, the low use of cycle helmets and high-visibility clothing indicate the further potential for interventions to encourage safe cycling behaviours in young people. Our hospital admissions outcome only captures individuals who sustained serious injuries; more minor cycle injuries would have been treated in A&E but a lack of detail in admission codes precludes analysis of such data.

scholarly journals Selection of high-yielding varieties and hybrids of pan patty squash, determining their most favorable planting dates

2021 ◽  
Vol 258 ◽  
pp. 04024
Author(s):  
Shavkat Durkhodjaev ◽  
Sohibjon Islamov ◽  
Tulganoy Kenjaeva ◽  
Abdulaziz Tojiboyev
Keyword(s):  
Seed Germination ◽  
Weather Conditions ◽  
Climatic Conditions ◽  
High Yield ◽  
Planting Dates ◽  
Average Temperature ◽  
The Family ◽  
High Yielding Varieties ◽  
One Year ◽  
The Impact

In this article, the results of research on the cultivation of patty pan squash in the climatic conditions of Uzbekistan, Planting for different periods and its growth, development, yield, as well as the impact of weather conditions were presented. Squash is a one-year plant of the family of zucchini, mainly shrub, rarely found in the form of a whip. The results showed that average yield of “White-13” control was 16 tons/ha, and it was 17 tons/ha in “Solnyshko”. Furthermore, “NLO White” and “Umberall” had a high yield compared to the other varieties and hybrids, accounted for 15 tons/ha and 15.1 tons/ha, respectively. The highest average temperature during seed germination was found in 16 august, which was 30.3°C, whereas the lowest average temperature was 18.6°C in 1st April. The results showed that 4 days were required to reach 10% of seed germination in the period April 16 and May 1, however, 10% of seed germination in July 1 and 16th took 6 days. Furthermore, the least days for 75% of seed, germination was observed in the period of May 1, accounted for 8 days, and the rest of the period was the same.

The Spiral Effect of Incarceration

2016 ◽  
pp. 138-150
Author(s):  
Ekunwe Ikponwosa ◽  
Stephen Egharevba
Keyword(s):  
Negative Impact ◽  
Participant Observation ◽  
Waiting Times ◽  
The United States ◽  
Prison Sentence ◽  
Remote Locations ◽  
The Family ◽  
One Year ◽  
The Impact ◽  
Latent Function

The discussions surrounding imprisonment in response to crime in society has traditionally been on deterrent. A latent function of incarceration is the impact that a prison sentence has on the family of prisoners. Not much attention has been given to the spiral effect on families during incarceration. For example, in the United States, with increasingly harsh sentences being served in prisons in remote locations, severe hardships fall upon inmates and their families. The present study explores the ways in which Finland has sought to reduce the negative impact of a prison sentence on both inmate and family members. The study is based on one year of participant observation in an “open prison” in Finland, and interviews and observations with inmates and their families (numbers of inmates and families observed). Two questions that guide this research are: 1) What problems arise due to the incarceration of a family member? 2) What strategies are employed to respond to these problems? For example, having served times in prison reduces ex-prisoners' marriages as marriages does prevent recidivism. In other words, wives often instilled discipline in their partners in such a way to avoiding deviant behaviour. The open prison in Finland does reduces ill-mannered treatment of inmate partners by prison staffs during visits, reduces expensive collect calls, and the long waiting times for visitations, etc.

scholarly journals Gender and obesity interaction in quality of life in adults assisted by family doctor program in Niterói, Brazil

2016 ◽  
Vol 21 (5) ◽  
pp. 1617-1624 ◽  
Author(s):  
Karla Dala Paula Torres ◽  
Maria Luiza Garcia Rosa ◽  
Samuel Datum Moscavitch
Keyword(s):  
Quality Of Life ◽  
Family Doctor ◽  
Cross Sectional Study ◽  
Obese Women ◽  
Cross Sectional ◽  
Primary Care Settings ◽  
Sf 36 ◽  
The Family ◽  
The Impact

Abstract Obesity impacts the quality of life (HRQL). Studies about the effects of a possible interaction between gender and body mass are rare. The objective of the present paper is to estimate the biological interaction between gender and obesity on HRQL. This was a cross-sectional study based on data from CAMELIA study with population assisted by the Family Doctor Program of Niteroi visited between June 2006 and December 2007. HRQL was assessed by the SF-36. The exposure categories were: obese women, non-obese women, obese men and non-obese men, the reference category. Obese women showed higher percentages of low overall, physical and mental quality of life with the largest associations in the physical component. The excess risk due to interaction was statistically significant in physical dimension: RERI = 1.97 (0.40-3.52) and RERIa = 1,97 (0.40-1.7). Among the Brazilian population aged 20–64 years, obesity was independently associated with low HRQL. This association differed by gender, being significant for women. The possibility of the combined effect takes greater importance in the context of increasing incidence of obesity globally. Healthcare professionals in primary care settings should pay attention to gender differences in the impact of obesity on HRQL.

Family Relations, Stressful Events and Internalizing Symptoms in Adolescence: a Longitudinal Study

2013 ◽  
Vol 16 ◽  
Author(s):  
Adriana Raquel Binsfeld Hess ◽  
Maycoln Leoni Martins Teodoro ◽  
Denise Falcke
Keyword(s):  
Peer Influence ◽  
Family Relationships ◽  
Behavioral Problems ◽  
Internalizing Symptoms ◽  
Explanatory Power ◽  
Stressful Events ◽  
Self Report ◽  
Emotional And Behavioral Problems ◽  
The Family ◽  
One Year

AbstractThis study aimed to examine how emotional and behavioral problems of parents and children and the characteristics of family relationships can be predictors of internalizing symptoms manifested by children after one year. This was a quantitative research study, of the longitudinal type, with a one year interval between the first and second evaluation. Participants were 139 adolescents, and their parents, with ages ranged from 11 to 16 years (Mage = 12.90, SD = 1.07). The instruments used were: a Socio-Demographic Data Sheet, Youth Self-Report of 11 to 18 years old (YSR), Adult Self-Report of 18 to 59 years old (ASR), Familiogram (FG), the Family Climate Inventory (FCI) and Inventory of Stressful Events in Adolescence (ISEA). Results indicated that family relationships did not have a significant explanatory power in relation to internalizing symptoms of the adolescent after a year. Based on this study, it is possible to think that during adolescence, the power of the family to influence becomes more restricted in comparison with social and peer influence.

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