scholarly journals Use of Intranasal Analgesia in Military Setting: a French Cross Sectional Survey

Author(s):  
Romain MONTAGNON ◽  
Pierre-Julien CUNGI ◽  
Gabriel MORAND ◽  
Jérôme DESMOTTES ◽  
Pierre PASQUIER ◽  
...  

Abstract Background For military physicians, practice in tactical and austere environments, particularly during deployments, requires optimized pain management. Several recent studies have shown a definite interest in the intranasal (IN) route for analgesia. Few published series show efficacy and variable times of action depending on the drug used (ketamine, sufentanil and fentanyl), with exceptional side effects. The aim of this study is to evaluate the medical practice of the French Military Health Service (FMHS) physicians.Methods We carried out a declarative and multicentric survey from January 15, 2020, to April 14, 2020. The surveyed population was the physicians of the FMHS, 727 working in medical units and 55 in emergency departments (EDs) in France and overseas. Results In all, 259 responses were collected, giving a 33% return rate; 77.6% of physicians reported being familiar with the IN route for analgesia. However, only 18.4% had already used it. Physicians trained in emergency medicine and assigned to highly operational units were more familiar with this route and used it more frequently. The most common drug used was ketamine (51%). Finally, 90% of respondents expressed an interest in training and use of intranasal analgesia. ConclusionsIf a majority of physicians from the FMHS are familiar with IN analgesia, only few use it in practice. Therefore, specific training is suitable to improve this knowledge and homogenize guidelines. Having been the subject of numerous studies in progress in civilian and military medicine, the IN route seems to be a promising solution for remote and austere environments.


2021 ◽  
Vol 9 (5) ◽  
pp. 359-365
Author(s):  
Monica a ◽  
◽  
A. Abuh ◽  
Nwaba A. Attah ◽  
◽  
...  

Physics is among the significant science subjects taught at the secondary school level in Nigerias education system. There has been a growing concern about the poor performance in physics in Nigeria. The present study was aimed to determine teachers likability as a factor that could influence students attitudes towards physics. The study adopted a cross-sectional survey. The population of the survey includes secondary school students in the Kogi State of Nigeria. Participants comprised males and females senior secondary school students. They were mainly pooled from the science class. One hundred and thirty-nine students participated in the study. Data was collected using a Teachers Likability Scale and the Physics Attitude Scale (PAS). The result revealed that most of the respondents indicated a negative attitude toward the subject (M = 0.87, SD = 0.35), while few (M = 0.18, SD = 0.39) showed a positive attitude towards the subject. A linear regression model was conducted to test the study hypothesis.The result showed that teachers likability statistically significantly predicted attitude towards physics F(1,137), 124.617 P< .05. The study concluded that a teachers likability is a significant predictor of attitude towards physics. Thus, it is recommended that teachers should be more facilitators than strict instructors.



2021 ◽  
Vol 5 (2) ◽  
pp. 39-50
Author(s):  
Sri Andayani Mahdi Yusuf ◽  
Mohd. Aderi Che Noh ◽  
Khadijah Abdul Razak

This study aims to measure the level of teacher practice in teaching the subject of Maharat al-Quran Integrated Curriculum Tahfiz (KBT). A total of 621 teachers were made respondents in this study. This study is in the form of a cross-sectional survey involving teachers from KBT secondary schools throughout Malaysia. While the sampling method of this study uses stratified random sampling method. Data were analyzed using IBM Statistical Package for Social Science (SPSS) software version 25.0 Descriptively to determine the mean value, standard deviation and percentage. The findings of the study show that the level of teacher practice in teaching the subject of Maharat al-Quran KBT is at a high level. In conclusion, this study successfully highlights the uniqueness of the findings that teachers in secondary schools who implement KBT practice well the teaching of tajwid law, manners of the Quran, recitation, knowledge of Qiraat, practice of Qiraat and Rasm Uthmani in the subject of Maharat al-Quran. The science of tajwid is the main teaching emphasized by the teacher to enable students to learn the Quran. The implication is that tahfiz teachers have a role to teach Quranic skills because teachers are the driving force behind a built curriculum. Abstrak Kekurangan pengetahuan terhadap subjek yang diajar akan mengganggu kelancaran proses pengajaran dan pembelajaran (PdP). Kegagalan memahami isi kandungan pelajaran dapat menjejaskan kaedah PdP yang dirancang dan akan memberikan impak negatif kepada pendidikan itu sendiri. Kajian ini bertujuan untuk mengukur tahap amalan guru dalam pengajaran subjek Maharat al-Quran Kurikulum Bersepadu Tahfiz (KBT). Seramai 621 orang guru dijadikan responden dalam kajian ini. Kajian ini berbentuk tinjauan rentas silang (cross-sectional) yang melibatkan para guru dari sekolah menengah KBT di seluruh Malaysia. Manakala kaedah pensampelan kajian ini menggunakan kaedah pensampelan rawak berstrata (stratified random sampling). Data telah dianalisis menggunakan perisian IBM Statistical Package for Social Science (SPSS) versi 25.0 secara deksriptif untuk mengetahui nilai min, sisihan piawai dan peratusan. Dapatan kajian menunjukkan bahawa tahap amalan guru dalam pengajaran subjek Maharat al-Quran KBT berada pada tahap tinggi. Kesimpulannya, kajian ini berjaya menonjolkan keunikan dapatan bahawa guru di sekolah menengah yang melaksanakan KBT mengamalkan dengan baik pengajaran hukum tajwid, adab al-Quran, tilawah, ilmu Qiraat, amali Qiraat dan Rasm Uthmani di dalam subjek Maharat al-Quran. Ilmu tajwid merupakan pengajaran utama yang ditekankan oleh guru untuk membolehkan murid mempelajari al-Quran. Implikasinya, Guru Tahfiz mempunyai peranan untuk mengajarkan kemahiran al-Quran kerana guru merupakan penggerak sesebuah kurikulum yang dibina



2020 ◽  
Author(s):  
Xiao Pan ◽  
Ying Xiao ◽  
Ding Ren ◽  
Zhengmei Xu ◽  
Qian Zhang ◽  
...  

Abstract Background China has been severely affected by COVID-19 (Coronavirus Disease 2019) since December 2019.In the combat against COVID-19, military health workers in China suffered from many pressures. This study aimed to investigate the current psychological status and risk factors of the military health workers.Methods Using a web-based cross-sectional survey, we collected data from 194 military health workers from three inpatient wards in two COVID-19 specialized hospitals. The survey questions consisted of demographic information, Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-15 (PHQ-15). Hierarchical regression analysis was used to explore potential risk factors for mental health problem.Results The overall prevalence of depressive symptoms, generalized anxiety and somatic symptoms were37.6%, 32.5% and 50%, respectively. Severe depression, generalized anxiety and somatic symptoms was 5.2%, 3.6% and 15.5%. In 22.7% of cases, comorbidities existed between depression, generalized anxiety and somatization. Junior-grade professional title was associated with depression, older age was associated with generalized anxiety and somatization, and less sleep duration and poor sleep quality were associated with all three symptoms.Conclusion The prevalence of depression, generalized anxiety and somatic symptoms were high in military health workers of COVID-19 specialized hospitals during the COVID-19 outbreak. Junior-grade professional title, older age, less sleep duration, and poor sleep quality have significant effects on the mental health of military health workers. Continuous surveillance and monitoring of the psychological consequences of the COVID-19outbreak should become routine to promote the mental health of military health workers.



2002 ◽  
Vol 36 (3) ◽  
pp. 343-349 ◽  
Author(s):  
Edméa Rita Temporini ◽  
Newton Kara Junior ◽  
Newton Kara José ◽  
Nilo Holzchuh

OBJECTIVE: To identify popular beliefs regarding the treatment of senile cataract in patients enrolled in the community health programs on eye rehabilitation. METHODS: A cross-sectional survey was carried out using an interview questionnaire that was applied to 776 subjects drawn from a non-probabilistic sample in five cities of the state of São Paulo. The sample was made up of 47.2% males and 52.8% females, aged 50 to 96 years (average age 71.6 years). RESULTS: Of the total of subjects studied, 41.9% had never attended school, and 78.5% were no longer in the employment market. Most (85.1%) credited the sight restoration to cataract surgery. Among those unconvinced, 47.4% asserted that sight restoration depended only on God's will. A greater proportion of women than men (p 0.0000) believed in the association of cataract and menopause, maternity, and menstrual periods and they admitted using herbal and rose teas for treating cataract. CONCLUSIONS: Misbeliefs related to the causes and treatment of senile cataract were identified, most probably of sociocultural basis, indicating the need of education on the subject.



2000 ◽  
Vol 10 (3) ◽  
pp. 245-259 ◽  
Author(s):  
Heather L. Sheppard ◽  
Sneha M. Raichada ◽  
Kellie M. Kouri ◽  
Lena Stenson-Bar-Maor ◽  
J. David Branch

A survey was used to collect anonymous cross-sectional data on demographics, exercise habits, and use of creatine and other supplements by exercisers in civilian (C) and military (M) health clubs. M (n = 133) reported more aerobic training and less use of creatine and protein supplements than C(n = 96, p < .05). Supplement users (SU, n = 194) and nonusers (SNU, n = 35) engaged in similar frequency and duration of aerobic exercise, as well as number of resistance exercise repetitions, but SU completed more sets for each resistance exercise (x̄ ± SE, 5 ± 1) than SNU (3 ± 1, p ≤ .05). Significant (p ≤ .05) associations were observed between SU and resistance training goal of strength (as opposed to endurance), as well as greater frequency of resistance training. Male gender, resistance training goal of strength, lower frequency and duration of aerobic training, and use of protein, ß-hydroxy-ß-methyl butyrate, and androstenedi-one/dehydroepiandrosterone supplements were all associated with creatine use (p < .05). For creatine users, the dose and length of creatine supplementation was 12.2±2.7g•day·1 for 40 ± 5 weeks. Popular magazines were the primary source of information on creatine (69%) compared to physicians (14%) or dietitians (10%, p ≤ .0001). This study underscores two potential public health concerns: (a) reliance on popular media rather than allied-health professionals for information on creatine, and (b) use of creatine, a popular supplement with unknown long-term effects, in combination with other anabolic supplements of questionable efficacy and/or safety.



Author(s):  
Lamhot Naibaho

This study deals with language acquisition which investigates the phonological acquisition of a child suffering from language delay. A case study design with cross-sectional survey type is used and it was conducted at Jl. Ujung Serdang, Komp. Cendana Asri No 21 Tanjung Morawa Medan, North Sumatera Indonesia, where a five year old child was chosen to be the subject. In collecting the data, this study applies documentation with audio visual recorder as the instrument of collecting data and the technique of data analysis used in this study was descriptive technique, then the data were described through the process of transcribing and reducing the data by the process of selecting, focusing, simplifying, transforming the transcripts of the data, then displaying the data and finally drawing the conclusions. The findings indicate that the subjects of this study who suffers from language delay in his five year old had mastered vocabularies covering noun, adjective, verb, and adverb, and the data show that he acquired more noun comparing to adjective, verb and adverb. In case of phonological acquisition, seven phonological processes were found: stopping process, fronting process, voicing process, clustering reduction process, deleting of final consonant process, deleting of unstressed process and reduplicating process. In expressing the language in his daily life, sometimes he used the body language to help him deliver the message.



Author(s):  
Caroline Bradbury-Jones ◽  
Nutmeg Hallett ◽  
Dana Sammut ◽  
Helen Billings ◽  
Kelsey Hegarty ◽  
...  

Health and social care professionals are well placed to identify and respond to those affected by gender-based violence; yet students across a range of health disciplines describe a lack of knowledge, preparation and confidence in dealing with the issue. Our study aimed to explore health and social care students’ perceptions of their own knowledge and confidence on the subject of gender-based violence, recollections of gender-based violence learning opportunities through university and clinical placements, and opinions about the content of future e-learning curricula on the subject. We designed and implemented a multinational, cross-sectional survey across six universities from five countries: Australia, Canada, England, New Zealand and Scotland. Responses were obtained from 377 students across seven health and social care disciplines. Principally, the study found that students were underprepared in their professional programmes in terms of dealing with gender-based violence. Many students had witnessed or heard about cases of gender-based violence on clinical placement, but reported feeling generally unconfident in dealing with the issue. Regarding future e-learning, students indicated that content should be inclusive and relate directly to clinical practice. We argue that there is a universal need for health care education programmes to include the issue of gender-based violence in curricula.<br /><br />Key messages<ul><li>Future generations of health and social care professionals are being insufficiently prepared to deal with gender-based violence.</li><br /><li>Students indicated that they would like gender-based violence learning to be practice-focused, patient-focused, inclusive and intersectional.</li><br /><li>Higher education institutions globally need to embed the subject of gender-based violence in health and social care curricula so that future professionals are sufficiently prepared to address this pervasive issue.</li></ul>



Author(s):  
Christopher Boachie

Currency crises have been the subject of an extensive economic literature, both theoretically and empirically. The purpose of this chapter is to examine and investigate the causes of currency and associated crises, evaluates the accuracy of empirical models in predicting crises, and review works on measuring the consequences of crises on the real economy. It is a cross sectional survey study and used of secondary data on the causes of currency and associated crises, and challenges in avoiding these crises. The study reveals that reduce output, financial liberalization, capital and current accounts, the real economy and macroeconomic conditions are some of the indicators of currency crisis. A key cost of currency crisis is forgone output. EWS models estimate probabilities of crises to occur. The implications are that currency crisis negatively affects the economy needs to be predicted and managed appropriately.



2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Noora Aburahima ◽  
Iyad Hussein ◽  
Mawlood Kowash ◽  
Anas Alsalami ◽  
Manal Al Halabi

Aim. Paediatricians’ oral health knowledge is essential for early detection of disease, appropriate advice, and proper referral. Therefore, this study aimed to evaluate the knowledge, behaviour, and attitude of paediatricians practicing in the United Arab Emirates (UAE) regarding children’s oral health. Study Design. Cross-sectional survey. Methods. A questionnaire consisting of 16 questions was completed after piloting by a sample of randomly selected registered UAE paediatricians. Scores of knowledge (out of 9), behaviour (out of 4), and attitude (out of 3) were calculated. Statistical analysis was performed using Shapiro–Wilk, Mann–Whitney U, and Kruskal–Wallis tests. Statistical significance was set as P<0.05. Results. A total of 185 surveys were completed. Nearly half of the paediatricians (95 (51.4%)) identified the appropriate age for child’s first dental visit; while 88 (47.6%) believed that the appropriate age to start brushing was after the eruption of the primary molars (2-3 yrs), and 132 (71.4%) believed that the ideal time to give sugary snacks is in between meals. 123 (66.5%) participants said that they would prescribe antibiotics to treat local dental sepsis without fever. Experienced paediatricians and those trained in Western countries had significantly better knowledge about oral health (P values 0.040 and 0.031 consecutively). The scores of attitude, behaviour, and knowledge were correlated, and a positive relationship between the scores of knowledge and behaviour was found (r = 0.241, P=0.001) and between scores of attitude and behaviour (r = 0.197, P=0.007). Conclusions. The results demonstrated a general lack of knowledge of oral health aspects by UAE paediatricians. Furthermore, continuous education in the subject is recommended.



2014 ◽  
Vol 36 (4) ◽  
pp. 333-353 ◽  
Author(s):  
Stefan Strohmeier ◽  
Ruediger Kabst

Purpose – The purpose of this paper is to investigate types, contexts and consequences of electronic HRM (e-HRM) configurations to get a deeper understanding of the reasons, kinds and success of different e-HRM types. Design/methodology/approach – The paper uses a cross-sectional survey of senior HR persons and analyses data with exploratory methods, i.e. cluster analysis, classification tree analysis and analysis of variance. Findings – The results show that actually three configurations of e-HRM – “non users”, “operational users” and “power users” – exist. These can be explained by a sparse, yet meaningful set of contextual variables. All three configurations markedly contribute to organisational success, whereas the “power user”-configuration exceeds the other configurations. Research limitations/implications – The employed e-HRM typology shows a precursory status and the empirical study is exploratory in nature. Thus, searching for a clearer theoretical foundation, improving the hypothesising of variables and undertaking further empirical studies to replicate the findings are necessary future steps. Practical implications – Not always a maximum of electronic support seems to be indicated. Depending on the respective organisational context, even no electronic support, or else, a merely operational electronic support appears to be admissible; while, however, in larger and strategic-oriented organisations full electronic support outperforms other configurations. Originality/value: –The paper focuses on different e-HRM types and gives some first insights into reasons, kinds and success of different configurations. This should lead to a refined understanding of e-HRM and evoke further research on the subject.



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