Tobacco Control in the 21st Century: A Critical Issue for the Nursing Profession

2005 ◽  
Vol 19 (1) ◽  
pp. 15-24 ◽  
Author(s):  
Linda Sarna ◽  
Stella Bialous

Tobacco control is central to reducing death and disability and improving quality of life worldwide and nursing action is imperative. This article addresses tobacco as a global health issue with implications for nursing practice, education, research, and policy development. The lack of knowledge and skills, lack of expectation for clinical intervention, limited research, an absence of professional policies, and minimal nursing leadership have diminished the critical role that nurses can play in confronting this epidemic. Swift action is needed to ensure that all nurses are prepared to effectively engage in activities to prevent tobacco use, provide evidence-based cessation interventions, and support efforts to prevent exposure to secondhand smoke. Increased opportunities are needed to support creative nursing research efforts that test interventions and strategies to reduce barriers to tobacco control within different cultures, subcultures, and countries.

Author(s):  
Elena Dellepiane ◽  
Francesco Pera ◽  
Paola Zunino ◽  
Maria Grazia Mugno ◽  
Paolo Pesce ◽  
...  

The aim of this study was to assess oral health related quality of life (OHRQoL) of patients before, during and after completion of implant-supported full-arch immediate loading rehabilitation according to the Columbus Bridge Protocol (CBP). 25 patients with compromised dentition were rehabilitated according to the CBP and were assessed for OHRQoL using 4 questionnaires specifically realized for this study and inspired to the OHIP (Oral Health Impact Profile) questionnaire. Patients assessed themselves before surgery, during the healing period (1 week and 2 months after surgery) and after definitive prosthodontic treatment (4 months after surgery). The questionnaires specifically investigated patients’ pain, confort, home oral hygiene habits, satisfaction related to esthetics, masticatory ability, phonetics and general satisfaction toward the treatment.Patients reported an improvement of OHRQoL after full-arch immediate loading rehabilitation. A statistically significant improvement in aesthetic and chewing ability was found. After 4 months 92% of the patients did not feel tense with their smile, 96% did not show problems to relate with other people or smiling, 92% did not show difficulty to eat some foods. Phonetics was found to be a critical issue, especially in the intermediate phase of healing. One week after surgery the percentage of patients who was very satisfied with phonetics slightly decreased from 48% to 36%. The assessment of patients' OHRQoL related to full-arch immediate loading implant therapy exhibited a significant improvement of their quality of life. The questionnaires herein presented could be an effective tool to evaluate patients' reaction to oral rehabilitation.


2013 ◽  
Vol 10 (1) ◽  
pp. 1261-1267
Author(s):  
Ali Medabesh

The quality of public services and the yield of organizations are not limited to the financial investment and innovation solely. Human capital plays a critical role in the growth and excellence in institutions, but its contribution remains dependent on several factors. Its role is not limited on quantitative and qualitative accumulating, because it should be coherent and integrated in the development process. The theories of endogenous growth contributed to account for the disparity in levels of development between countries, by assuming that the extent of human capital response or inversely lack of responsiveness the economic system. This inaction is usually the prime cause of the deterioration of the quality of service and lack of satisfaction of the citizens, in addition of the lack of employee satisfaction about the circumstances of his work. Hence, arose the significance of several research about the mechanisms of reducing non-enthusiasm for the job or complacency professional and indifference. Staff of Jazan University has been chosen as a context of the empirical investigation of this study. The data has been collected using a well designed questionnaire and analyzed by SPSS program.


2021 ◽  
Vol 13 (11) ◽  
pp. 5914
Author(s):  
Louis Meuleman

This article highlights four key reform challenges regarding the quality of public administration and governance (PAG), aimed at increasing ‘SDG-readiness’ at all levels of administration, in a nexus characterized by complexity, volatility, pluriformity and uncertainty. Based on others’ research into how EU Member States institutionalize the implementation of the SDGs, a critical review of SDG-governance approaches, as well as a review paper on the management of the SDGs, it is concluded that that four priority areas could guide research and policy development to accelerate implementation of the 2030 Agenda. Firstly, to recognize that creating an effective public administration and governance is an important strategic policy area. Secondly, to begin with mission-oriented public administration and governance reform for SDG implementation, replacing the efficiency-driven public sector reform of the past decades. Thirdly, to apply culturally sensitive metagovernance to design, define and manage trade-offs and achieving synergies between SDGs and their targets. Fourthly, to start concerted efforts to improve policy coherence with a mindset beyond political, institutional, and mental ‘silos’.


Author(s):  
Cordelia Estevez-Casellas ◽  
Mª Dolores Gómez-Medina ◽  
Esther Sitges

Emotional intelligence plays a critical role in adolescence since it involves a change towards psychological, social, and sexual maturity; a stage in which the foundations of intimate social relationships are established. Emotional competences regulate the quality of these relationships in adolescence and can provide protection against or facilitate the use of violence within them. Based on the above, this study aims to analyze the relationship between emotional intelligence and violence exercised, received, and perceived by adolescents in dating relationships. A sample of 254 subjects (43.1% men and 56.9% women) between 12 and 18 years old was analyzed through the Emotional Intelligence Questionnaires of BarOn ICE:NA and Violence Exercised Perceived and Received by Adolescents VERA. The results of the research have shown that there is a significant and inverse relation between the dimensions of emotional intelligence and the violence exercised by adolescents in their dating relationships, and a positive and significant relation between emotional intelligence and the perception of violent behavior. For this reason, the importance of educating people about emotional intelligence from childhood within both the academic and family sphere is highlighted. This is fundamental to preventing the appearance of such violent behaviors and promoting an adequate adaptation to the environment.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Jingyao Cai ◽  
Min Hu ◽  
Zhiyang Chen ◽  
Zeng Ling

AbstractLiver fibrosis occurs in response to any etiology of chronic liver injury. Lack of appropriate clinical intervention will lead to liver cirrhosis or hepatocellular carcinoma (HCC), seriously affecting the quality of life of patients, but the current clinical treatments of liver fibrosis have not been developed yet. Recent studies have shown that hypoxia is a key factor promoting the progression of liver fibrosis. Hypoxia can cause liver fibrosis. Liver fibrosis can, in turn, profoundly further deepen the degree of hypoxia. Therefore, exploring the role of hypoxia in liver fibrosis will help to further understand the process of liver fibrosis, and provide the theoretical basis for its diagnosis and treatment, which is of great significance to avoid further deterioration of liver diseases and protect the life and health of patients. This review highlights the recent advances in cellular and molecular mechanisms of hypoxia in developments of liver fibrosis.


Author(s):  
Chiu-Yueh Hsiao ◽  
Huei-Lan Lu ◽  
Yun-Fang Tsai

Background: Although caregivers are a crucial support in the recovery of patients with schizophrenia, little is known about how mutuality is related to health-related quality of life within the dyadic (patient and caregiver) context. This study aimed to investigate the dyadic relationship between mutuality and health-related quality of life in patients with schizophrenia and caregivers. Methods: A cross-sectional, correlational study was conducted with a sample of 133 dyads of patients with schizophrenia and caregivers. Structured questionnaires were used to collect data. Data were analyzed using descriptive statistics, paired sample t-tests, Pearson’s product-moment correlations, and the Actor–Partner Interdependence Model. Results: Mutuality of patients was significantly higher than that of caregivers. Compared with caregivers, patients had significantly lower total scores for health-related quality of life. Patients’ and caregivers’ mutuality was related to their own health-related quality of life (actor effect) and their partners’ health-related quality of life (partner effect). Conclusion: Mutuality plays a critical role in health-related quality of life in dyads of patients with schizophrenia and caregivers. Viewing a dyad as a unit of nursing care reveals a promising approach for developing recovery-oriented modalities targeted at stimulating mutuality that may enhance health-related quality of life for both patients and caregivers.


MRS Bulletin ◽  
1992 ◽  
Vol 17 (9) ◽  
pp. 18-21 ◽  
Author(s):  
R. Abbaschian

Materials science and engineering (MSE), as a field as well as a discipline, has expanded greatly in recent years and will continue to do so, most likely at an even faster pace. It is now well-accepted that materials are crucial to the national defense, to the quality of life, and to the economic security and competitiveness of the nation. Mankind has recognized the importance of manmade materials to the quality of life for many centuries. In many cases, the security and defense of tribes and nations have substantially depended on the availability of materials. It is not surprising that historical periods have been named after materials—the Bronze Age, the Iron Age, etc. The major requirements from materials in those days were their properties and performance. Today, in this age of advanced materials, the importance of materials to defense and quality of life has not changed. However, the critical role of materials has taken an additional dimension: it has become essential to enhancing industrial competitiveness.The knowledge base within MSE has also expanded vastly throughout these years and continues to do so at an increasing rate. We are constantly gaining a deeper understanding of the fundamental nature of materials, developing new ways to produce and shape them for applications extending from automobiles to supersonic airplanes, optoelectronic devices to supercomputers, hip implants to intraocular lenses, or from household appliances to gigantic structures. We are also learning that, in many of these applications, we need to depend on the combinations or composites of different classes of materials (metals, ceramic, polymers, and electronic materials) to enhance their properties.


1991 ◽  
Vol 2 (3) ◽  
pp. 405-414 ◽  
Author(s):  
Maureen E. Shekleton

Normal ventilatory function depends on a balance between ventilatory demand and ventilatory capacity. The respiratory muscles play a critical role in achieving this balance. For patients experiencing ventilatory dysfunction, interventions that improve respiratory muscle function and therefore increase ventilatory capacity may be one way of restoring the balance and promoting ventilatory function. Respiratory muscle conditioning, or training the muscles to improve their strength and endurance, may be a useful clinical intervention in the weaning patient. Results of research show that muscle training may increase the ability of some patients to resume spontaneous ventilation. Continued research is needed to identify the appropriate training protocols for patients experiencing an acute imbalance between ventilatory demand and capacity


2020 ◽  
Vol 10 (1) ◽  
pp. 56-64 ◽  
Author(s):  
Neeti Kashyap ◽  
A. Charan Kumari ◽  
Rita Chhikara

AbstractWeb service compositions are commendable in structuring innovative applications for different Internet-based business solutions. The existing services can be reused by the other applications via the web. Due to the availability of services that can serve similar functionality, suitable Service Composition (SC) is required. There is a set of candidates for each service in SC from which a suitable candidate service is picked based on certain criteria. Quality of service (QoS) is one of the criteria to select the appropriate service. A standout amongst the most important functionality presented by services in the Internet of Things (IoT) based system is the dynamic composability. In this paper, two of the metaheuristic algorithms namely Genetic Algorithm (GA) and Particle Swarm Optimization (PSO) are utilized to tackle QoS based service composition issues. QoS has turned into a critical issue in the management of web services because of the immense number of services that furnish similar functionality yet with various characteristics. Quality of service in service composition comprises of different non-functional factors, for example, service cost, execution time, availability, throughput, and reliability. Choosing appropriate SC for IoT based applications in order to optimize the QoS parameters with the fulfillment of user’s necessities has turned into a critical issue that is addressed in this paper. To obtain results via simulation, the PSO algorithm is used to solve the SC problem in IoT. This is further assessed and contrasted with GA. Experimental results demonstrate that GA can enhance the proficiency of solutions for SC problem in IoT. It can also help in identifying the optimal solution and also shows preferable outcomes over PSO.


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