scholarly journals Increasing Medical Trainees’ Empathy Through Volunteerism and Mentorship

2017 ◽  
Vol 4 ◽  
pp. 238212051773799 ◽  
Author(s):  
Kathleen Bronson Dussán ◽  
Adam Leidal ◽  
Nicole Corriveau ◽  
Daniel Montgomery ◽  
Kim A Eagle ◽  
...  
Keyword(s):  
Traditional Education ◽  
Individual Responsibility ◽  
Medical Supply ◽  
Underserved Students ◽  
Service Programs ◽  
Medical Supplies ◽  
Before And After ◽  
Medical Relief ◽  
Motivation To Participate ◽  
Organization Intervention

Background: Within medical education, there have been recent calls for increased understanding and exposure to poverty to increase trainees’ empathy toward the underserved. Students participating in Michigan Cardiovascular Outcomes Research and Reporting Program research program volunteered at World Medical Relief (WMR) in Detroit, Michigan, a nonprofit organization which recycles medical equipment for developing countries and within greater Detroit. Participants’ perceptions of the underserved were measured before and after the experience. Methods: Preliminary questionnaires were given to participants prior to and after exposures at WMR. Questionnaires examined participants’ attitudes toward the underserved, knowledge of medical supply reuse, and their perceived ability to impact change. P values of <.025 were considered significant. Results: A total of 39 participants completed the survey, 77% previously volunteered, 33% had volunteered internationally. Participants were >4× more likely than previously to have knowledge of the variety of recycled medical supplies at WMR. Prior to volunteering, 48.7% of participants gave little thought to how excess medical supplies could be collected versus 0% after exposure. Participants were 1.5× more likely to agree that the experience was enhanced working with their peers and 2.7× more likely to consider starting their own organization/intervention for medical supply donations. Those participants that never previously volunteered were 1.3× more likely to do so with encouragement from a mentor. Conclusions: Encouraging exposure to such service programs resulted in enhanced knowledge of community resources and increased motivation to participate in outreach and belief of individual responsibility to care for the underserved. Incorporating volunteerism into traditional education programs offers the opportunity to build awareness and interest in students reaching out to the underserved.

scholarly journals Implementation of Low-Cost Obstetric Hemorrhage Simulation Training Models for Resident Education

2019 ◽  
Vol 184 (11-12) ◽  
pp. e637-e641 ◽  
Author(s):  
Abigail M Ramseyer ◽  
Monica A Lutgendorf
Keyword(s):  
Low Cost ◽  
Self Report ◽  
Rank Test ◽  
Temporary Abdominal Closure ◽  
Small Community ◽  
Obstetric Hemorrhage ◽  
Abdominal Closure ◽  
Medical Supplies ◽  
Pelvic Hemorrhage ◽  
Before And After

Abstract Introduction Simulation is beneficial training for low frequency high acuity events such as management of obstetric hemorrhage. Our objective was to evaluate perceived competency in management of obstetric and pelvic hemorrhage following training with low fidelity task trainers using inexpensive and common medical supplies. Materials and Methods This was a prospective observational study of training residents for management of obstetric and pelvic hemorrhage using a brief didactic instruction and low-cost task trainers with inexpensive common medical supplies. Participants practiced placement of a uterine tamponade balloon, uterine packing with gauze, pelvic parachute packing and temporary abdominal closure. Following training, participants completed a self-report survey regarding perceived competency with each technique. The Wilcoxon Signed-Rank Test was used to compare results before and after training. Results Eighteen of 23 residents completed the training and completed the survey on perceived competencies. There was a statistically significant improvement in perceived competency for all participants before and after training, with scores improving by 1.5 points for Bakri placement, from 1.94 to 3.44 (p &lt; 0.001), improving by 1.67 points for uterine packing, from 1.78 to 3.44 (p &lt; 0.001), improving by 1.95 for pelvic parachute packing, from 1.16 to 3.11 (p &lt; 0.001), and improving by 1.89 for temporary abdominal closure, from 1.22 to 3.11 (p &lt; 0.001). Conclusions Low-cost supplies and task trainers can be utilized to simulate postpartum hemorrhage and improve perceived competency in managing obstetric and pelvic hemorrhage. Similar training programs can be used in small community programs with limited resources.

Teaching a Health Equity Course at a Midwestern Private University—A Pilot Study

2019 ◽  
Vol 40 (3) ◽  
pp. 201-207
Author(s):  
Rob Braun ◽  
Mariah Nevels ◽  
Meredith C. Frey
Keyword(s):  
Health Disparities ◽  
Health Equity ◽  
Undergraduate Students ◽  
Private University ◽  
Individual Responsibility ◽  
Attitudes And Beliefs ◽  
The Social ◽  
Before And After ◽  
Significant Change ◽  
Students Attitudes

Teaching about health disparities and health equity at a 4-year institution is imperative. Unfortunately, there is a lack of empirical research demonstrating this concept and the proper way to develop a course. As a result, this research attempted to assess the effectiveness of developing and teaching this course centered on the social determinants of health (SDH). Using a 30-question Attribution of Health Disparities Assessment, data were collected on students’ attitudes and beliefs about the relevancy of these two concepts before and after they took the health equity course. All participants ( n = 42) were seniors, 80% self-identify as Caucasian and 66% were female. Overall, there was a statistically significant change in attitudes and beliefs about health disparities and the relevancy of these issues. It appears that in the eyes of the students, the SDH are more relevant and related to these issues than a person’s individual responsibility. As a result, the relevancy of many of the SDH discussed in class had a profound effect on the students who took this course as indicated by their statistically significant change. Finally, our research demonstrates how a health equity course could be taught to effectively change undergraduate students’ views on issues related to the SDH.

Medical Relief Personnel in Complex Emergencies: Perceptions of Effectiveness in the Former Yugoslavia

2001 ◽  
Vol 16 (3) ◽  
pp. 145-149 ◽  
Author(s):  
Michael J. VanRooyen ◽  
M. James Eliades ◽  
Jurek G. Grabowski ◽  
M.E. Stress ◽  
Josip Juric ◽  
...  
Keyword(s):  
Health Workers ◽  
Humanitarian Assistance ◽  
Epidemiological Models ◽  
Mortality And Morbidity ◽  
Complex Emergencies ◽  
Medical Supplies ◽  
Medical Materials ◽  
Personnel Needs ◽  
Medical Relief ◽  
Related Mortality

AbstractHumanitarian medical assistance and intervention during the civil war in Bosnia and Croatia was felt by national health workers to be relatively ineffective (2.8 on a 5-point Likert scale), compared to other forms of humanitarian assistance such as medical supplies (4.4/5) and non-medical materials (3.9/5). Bosnian physicians treating civilians noted that the most helpful types of personnel were surgeons and emergency physicians. This study suggests that assessment of personnel needs at the recipient level, in addition to standard relief assessments, is required early in models of complex emergencies. This study supports existing epidemiological models of complex emergencies, especially when high trauma-related mortality and morbidity are likely to occur.

scholarly journals (P1-63) Post-Tsunami Hospital Evacuation Preparedness Improved by Development of Portable Medical Supply Caches

2011 ◽  
Vol 26 (S1) ◽  
pp. s119-s119
Author(s):  
D.B. Bouslough ◽  
E. Peters ◽  
C. Peters ◽  
S. Tuato'o
Keyword(s):  
Emergency Preparedness ◽  
Hospital Setting ◽  
American Samoa ◽  
Lessons Learned ◽  
Field Hospital ◽  
Medical Supply ◽  
Preparedness Planning ◽  
Hospital Units ◽  
Hospital Leadership ◽  
Medical Supplies

BackgroundOn September 29, 2009, an earthquake-caused tsunami struck American Samoa with only 20 minutes warning. Personnel successfully evacuated patients from the hospital within 20 minutes. The organization and transportation of medical supplies required for patient care took 90 minutes.ObjectiveTo describe a hospital evacuation exercise designed to identify critical medical supplies, and test their transport, and use in a field-hospital setting.MethodsA retrospective review of hospital emergency preparedness and Boy Scout Eagle Project minutes, participant surveys, and key-informant interviews was performed. Descriptive statistics were used to evaluate data.ResultsUnit supervisors hospital-wide were tasked with designing portable supply caches for the care of typical unit patients for 72 hours. Nine hospital units participated (ED, Surgery, Medicine, Pediatrics, Labor & Delivery, Maternity, Nursery/NICU, ICU, Hemodialysis) in the exercise. Unit evacuation teams (1 physician & 2 nurses) carried caches by foot to a nearby field clinic site (1/4 mile). Cache transport times ranged from 3 minutes (maternity ward) to 15.5 minutes (hemodialysis), averaging 11.2 minutes. Hospital leadership arrived in 4 minutes, and maintenance staff with portable power and oxygen in 23 minutes. Fifty-seven community volunteers (age 9 months – 60 years) under Eagle Scout candidate leadership were prepared as moulaged mock patients. Unit teams used evacuated supplies to provide medical care for 6 mock patients each, listing missing or insufficient supplies at exercise end. Cache supply deficits noted by participating teams included: portable oxygen (66%), blood pressure cuffs (44%), thermometers (44%), select pharmaceuticals (44%), and others. Reported cache deficits and exercise lessons learned were reported hospital-wide for incorporation into preparedness planning.ConclusionThe hospital unit medical supply cache exercise was effective in addressing prior evacuation deficits. Hospital collaboration with community service volunteers provides exercise realism for participants and increases community awareness for emergency preparedness.

scholarly journals Pemberdayaan Kader Kesehatan dalam Mengkaji Self-Care pada Pasien Hipertensi

2021 ◽  
Vol 4 (4) ◽  
pp. 962-968
Author(s):  
Eka Afrima Sari ◽  
Ristina Mirwanti ◽  
Yusshy Kurnia Herliani
Keyword(s):  
Quality Of Life ◽  
Chronic Disease ◽  
Community Service ◽  
Self Care ◽  
Hypertensive Patients ◽  
Service Programs ◽  
Work Area ◽  
Before And After ◽  
Community Service Programs

 ABSTRAK Hipertensi merupakan merupakan penyakit kronis yang dapat dikendalikan salah satunya dengan perawatan diri (self-care). Sehingga diharapkan dengan self-care akan meningkatkan derajat kesehatan dan kualitas hidup. Untuk mencapai keberhasilan dalam mengendalikan hipertensi, diperlukan keterlibatan unsur masyarakat, salah satunya kader kesehatan. Kader kesehatan dapat berperan serta dalam mendampingi dan men-support pasien hipertensi dalam self-care hipertensi. Namun, belum ada program yang secara khusus melatih kader kesehatan dalam mengkaji self-care hipertensi. Sehingga program pengabdian masyarakat yang berorientasi pada pemberdayaan kader kesehatan dalam self-care hipertensi diperlukan guna mencegah komplikasi dan meningkatkan kualitas hidup pasien hipertensi. Kegiatan ini bertujuan meningkatkan pengetahuan kader dalam mengkaji self-care pada pasien hipertensi. Metode kegiatan berupa pendidikan masyarakat yaitu pelatihan kader kesehatan dalam mengkaji self-care pasien hipertensi. Target dan sasaran pada kegiatan ini adalah kader kesehatan di wilayah kerja Puskesmas Pasundan Kota Bandung sebanyak 37 orang. Luaran kegiatan ini adalah peningkatan pengetahuan kader dalam mengkaji self-care pada pasien hipertensi. Evaluasi dilaksanakan dengan mengukur pengetahuan kader kesehatan sebelum dan setelah dilakukan pelatihan. Hasil kegiatan didapatkan bahwa terdapat perbedaan pengetahuan (α 0.000) setelah mengikuti pelatihan. Kegiatan pengabdian pada masyarakat berupa pelatihan kader kesehatan dalam mengkaji self-care hipertensi ini efektif dalam meningkatkan pengetahuan kader kesehatan mengenai hipertensi dan self-care hipertensi. Kata Kunci: Hipertensi, Kader Kesehatan, Self-Care  ABSTRACT Hypertension is a chronic disease that can be controlled by self-care. It is hoped that self-care will improve the health and quality of life. To achieve success in controlling hypertension, it is necessary to involve one element of the community (health cadre). Health cadres can participate in assisting and supporting hypertensive patients in self-care hypertension. However, there is no program that specifically trains health cadres in assessing hypertension self-care. So that community service programs oriented to empowering health cadres in hypertension self-care are needed to prevent complications and improve the quality of life for hypertensive patients. The purpose of this activity is to increase health cadre knowledge in assessing self-care in hypertensive patients. The method of activity is the training of health cadres in assessing self-care for hypertensive patients.  The target of this activity was 37 health cadres in the work area of Pasundan Health Center in Bandung City. The outcome of activities is an increase in cadre knowledge in assessing self-care in hypertensive patients. Evaluation is seen from the knowledge of health cadres before and after training. The result of the activity was that there were differences in knowledge of health cadres (α 0.000) after attending the training. Health cadre training in assessing hypertension self-care is effective in increasing health cadres’ knowledge about hypertension and hypertension self-care. Keywords: Health Cadres, Hypertension, Self-Care

scholarly journals Studying the state of readiness of institutions and units of medical supply of the armed forces of Ukraine for the implementation of logistics information system

2020 ◽  
pp. 39-48
Author(s):  
M. V. Bilous ◽  
O. A. Ryzhov ◽  
O. P. Shmatenko
Keyword(s):  
Information System ◽  
Armed Forces ◽  
Supply System ◽  
The State ◽  
Expert Survey ◽  
Medical Supply ◽  
Logistics Information System ◽  
Medical Supplies ◽  
Computer Equipment ◽  
Logistics Information

The problem of implementing an information system to implement effective logistic management of streaming processes in the medical service of the Armed Forces of Ukraine and gaining functional compatibility with the medical services of the Armed Forces of the NATO member countries is relevant and requires detailed study. The aim of the work is study of the state of readiness of institutions and units of medical supply of the Armed Forces of Ukraine for the implementation of the logistics information system by expert survey. The analysis of domestic and foreign scientific literature, the current regulatory framework of Ukraine, the results of the expert survey was conducted to achieve the aim of the study. During the research, methods of information retrieval, systematization, content analysis, expert survey, comparison, generalization, mathematical-statistical and graphical modeling were used. The article analyzes the results of an expert survey on certain aspects of the practical implementation of information logistics in managing the medical supply of the Armed Forces of Ukraine. The experts were medical servicemen and employees of the Armed Forces of Ukraine, who are involved in the medical supply system of the troops. The analysis showed that currently the documents of the movement and accounting of medical supplies in institutions and units of medical supply of the Armed Forces of Ukraine is carried out both in paper and electronic format. Experts noted that for certain forms there is a duplication of documents, so the extra time is used. At those workplaces where paper work takes place (45%), there are no computers at all. Computers located at expert workplaces are connected to local networks or have Internet access only in 48% of respondents. It is established that in the functioning of institutions and units of the medical supply of the Armed Forces of Ukraine there is not automatic identification technology –  RFID. It was found that 79% of respondents lack professional automated control systems (ACS). Some institutions and units of the medical supply of the Armed Forces of Ukraine have an automatic control system «Dnipro». However, it is emphasized that computers and ACS are unstable. An analysis of the results of the expert survey made it possible to determine that the primary task in the context of introducing the logistics information system is to provide modern computer equipment for the institutions and units of the medical supply of the Armed Forces of Ukraine. At the same time, there is a need to increase the level of skills in working with computer equipment of the personnel of the medical supply system of the Armed Forces of Ukraine, who are involved in using computer technologies. The need for the development of modern decision support software for managing streaming processes in the medical supply system of the Armed Forces of Ukraine is established. As well as the introduction of a program for the automatic accounting of medical supplies, which will be synchronized with the Medical Forces Command, institutions and medical supply units of the Armed Forces of Ukraine. At the same time, the specified software should have a single interface with the Armed Forces of NATO member states.

scholarly journals PENERAPAN PENDEKATAN KONSELING RASIONAL EMOTIF TERHADAP PENINGKATAN MOTIVASI BELAJAR SISWA DI MA DDI KAB. PANGKEP

2018 ◽  
Vol 8 (1) ◽  
pp. 51-60
Author(s):  
Muhammad Syahrul ◽  
Martini Martini
Keyword(s):  
Quantitative Research ◽  
Sampling Technique ◽  
T Test ◽  
Average Value ◽  
Before And After ◽  
Motivation Level ◽  
The Difference ◽  
Level Of Significance ◽  
Motivation To Participate ◽  
Descriptive Statistical Analysis

The purpose of this research is to recognize the difference of students' learning motivation in taking mathematics lesson before and after the application of Emotive Rational Counseling. This research includes quantitative research. Sample of the research was 30 students. It was selected by purposive sampling technique. Data was collected by questionnaire. It was then analyzed using descriptive statistical analysis and t-test. The result of this research obtained an experimental subject before taking Emotive Rational counseling of which average value was equal to 61,03. It indicates that the level of student's motivation to participate in math lesson is in low category. After the treatment of Emotive Rational counseling, it obtained an average result of 82.86. It denotes that the students' motivation level is in high category. From the t-test it obtained the value of tcount of 14.620, while the ttable value at the level of significance is 5 percent with dk = 29 of 2.045. It states that the research hypothesis was accepted.

Medical Relief Mission to Bosnia/Hercegovina: A Case Report

1997 ◽  
Vol 12 (2) ◽  
pp. 96-101 ◽  
Author(s):  
James R. Tryon
Keyword(s):  
Disaster Medicine ◽  
Regional Hospital ◽  
General Anesthetic ◽  
Industrial City ◽  
The Past ◽  
Anesthetic Agents ◽  
Medical Supplies ◽  
Private Organization ◽  
Medical Relief ◽  
The U.S

AbstractWorld attention has been focused on Bosnia/Hercegovina, where war erupted in 1992. The regional hospital of Mostar, an industrial city with a population of 100,000, operated -with chronic shortages of medical supplies including general anesthetic agents. In February 1992, just prior to the referendum for independence in that republic, a shipment of medical supplies with anesthesics, food, and clothing was delivered safely to Ljubuski, a village near Mostar, for Mostar hospital and surrounding clinics by a small, private organization from Birmingham, Alabama. No difficulties were encountered in delivering the supplies despite warnings from the U.S. State Department, the lengthy transit from Austria through Croatia to Bosnia, an active black market, and the inexperience of the relief agency. This disaster relief effort by a small, private sponsor was representative of both the positive aspects of such a project, as well as typical negative aspects. These efforts had been discouraged in the past, but as disaster medicine matures, there may be room for such endeavors, if properly directed.

scholarly journals Overdose-Associated Admissions Among People Who Inject Opioids at a County Safety-Net Hospital Following Implementation of a Syringe Services Program

2020 ◽  
Author(s):  
Kasha Bornstein ◽  
Austin Coye ◽  
Joan St. Onge ◽  
Hua Li ◽  
Amanda Muller ◽  
...  
Keyword(s):  
Hospital Admissions ◽  
Safety Net ◽  
Injection Drug ◽  
Dade County ◽  
Opioid Use ◽  
Service Programs ◽  
Florida Department ◽  
Safety Net Hospital ◽  
Before And After ◽  
Icd 10

Abstract Background Syringe service programs (SSPs) are an evidence-based harm reduction strategy that reduce dangerous sequelae of injection drug use among people who inject drugs (PWID) such as overdose. SSP services include safer injection education and community-based naloxone distribution programs. This study evaluates differences in overdose-associated hospital admissions following implementation of the first legal SSP in Florida, based in Miami-Dade County. Methods We performed a retrospective analysis of hospitalizations for injection drug-related sequelae at a county hospital before and after the implementation of the SSP. An algorithm utilizing ICD-10 codes for opioid use and sequelae was used to identify people who inject opioids (PWIO). Florida Department of Law Enforcement Medical Examiners Commission Report data was used to analyze concurrent overdose death trends in Florida counties. Results Over the 25-month study period, 302 PWIO admissions were identified; 146 in the pre-index vs. 156 in post-index. A total of 26 admissions with PWIO overdose were found; 20 pre-index and 6 post-index (p=0.0034). Conclusions Declining overdose-associated admissions among PWIO suggests early impacts following SSP implementation.

A Stochastic Programming Model for Decision-Making Concerning Medical Supply Location and Allocation in Disaster Management

2017 ◽  
Vol 11 (6) ◽  
pp. 747-755 ◽  
Author(s):  
Samad Barri Khojasteh ◽  
Irfan Macit
Keyword(s):  
Stochastic Programming ◽  
Disaster Management ◽  
Programming Model ◽  
Optimization Approach ◽  
Medical Supply ◽  
Earthquake Scenarios ◽  
Medical Supplies ◽  
Storage Location ◽  
Stochastic Programming Model

AbstractWe propose a stochastic programming model as a solution for optimizing the problem of locating and allocating medical supplies used in disaster management. To prepare for natural disasters, we developed a stochastic optimization approach to select the storage location of medical supplies and determine their inventory levels and to allocate each type of medical supply. Our model also captures disaster elaborations and possible effects of disasters by using a new classification for major earthquake scenarios. We present a case study for our model for the preparedness phase. As a case study, we applied our model to earthquake planning in Adana, Turkey. The experimental evaluations showed that the model is robust and effective. (Disaster Med Public Health Preparedness. 2017;11:747–755)

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