Dental Students' Intent to Practice in Rural Communities Before and After Community‐Based Rotations in a Rural Area

2019 ◽  
Vol 83 (11) ◽  
pp. 1296-1303 ◽  
Author(s):  
Keith A. Mays ◽  
Donna Rae Scheffert ◽  
Meghan Maguire ◽  
Scott Lunos ◽  
Renee Johnson ◽  
...  
Keyword(s):  
Rural Communities ◽  
Rural Area ◽  
Dental Students ◽  
Community Based ◽  
Before And After

scholarly journals Exploration of the views of traditional healers regarding the Termination of Pregnancy (TOP) law

Curationis ◽  
2006 ◽  
Vol 29 (3) ◽  
Author(s):  
MA Rakhudu ◽  
AMM Mmelesi ◽  
CPH Myburgh ◽  
M Poggenpoel
Keyword(s):  
Rural Communities ◽  
Rural Area ◽  
Rural Areas ◽  
Traditional Healers ◽  
Termination Of Pregnancy ◽  
North West ◽  
The North ◽  
Educational Programmes ◽  
Before And After ◽  
Field Notes

The North-West Province is predominantly a rural area, and traditional healers remain the most important and influential members of the rural communities. A qualitative, explorative, descriptive and contextual research design was used. In-depth, individual focused and interactive interviews were held with eight traditional healers from the rural areas of Mmabatho-Mafikeng. In addition, field notes and observations were utilised. The objective of this article is to explore the views of the traditional healers regarding termination of pregnancy (TOP) law. The results reflected the following themes: termination of pregnancy is killing; a child is a precious gift from God and the ancestors; there are alternatives to TOP; people who had any type of abortion should be cleansed with “dipitsa” or herbs; TOP may be allowed only in case of rape and incest, rape and incest offenders should be severely punished; and the traditional healers were not consulted during formulation of the TOP Law. It is therefore recommended that traditional should be involved in TOP workshops and educational programmes to enable them to provide counselling before and after abortion.

scholarly journals EVALUATION OF COMPETITIVENESS FACTORS OF RURAL COMMUNITIES

2018 ◽  
Author(s):  
Biruta ŠVAGŽDIENĖ ◽  
Dalia PERKUMIENĖ
Keyword(s):  
Rural Communities ◽  
Rural Area ◽  
Rapid Development ◽  
Geographical Location ◽  
Document Analysis ◽  
Community Stability ◽  
Community Members ◽  
Community Based ◽  
Heritage Culture ◽  
Over Time

Competitiveness, which is inextricably linked to the notion of competition, remains the aim pursued by companies and countries because everyone wants to outsource others and, over time, enjoy the benefits. A successfully competing community based by providing of services has more opportunities to attract and retain visitors, the same time implementing and meeting the needs of community members and ensuring community stability. With the rapid development of innovations and technologies, reveals the necessary to analyse the determinants of competitiveness. The competitiveness of the rural area is reflected by factors such as investment attractiveness, living conditions, attractiveness for the population, geographical location, heritage, culture, the fostering of customs and traditions. In order to assess the factors determining the competitiveness of rural communities, an investigation was organized. Methods chosen for the study: document analysis, SWOT and interviews.

scholarly journals 139. Impact of Pharmacist Driven Outpatient Fluoroquinolone Stewardship Initiative in Community Based Setting

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S81-S81
Author(s):  
Sarah Norman ◽  
Sara Jones ◽  
Cara Acklin ◽  
Christian Cheatham
Keyword(s):  
Antimicrobial Stewardship ◽  
Healthcare Providers ◽  
Hospital Setting ◽  
Secondary Outcome ◽  
Quality Improvement Initiative ◽  
Oral Antibiotic ◽  
Ambulatory Care Setting ◽  
Community Based ◽  
Before And After ◽  
Physician Network

Abstract Background Antimicrobial stewardship initiatives and efforts have historically had a greater emphasis in the inpatient hospital setting. There is a need for outpatient stewardship, and additionally, accreditation standards are starting to require antimicrobial stewardship efforts in the ambulatory care setting. Fluoroquinolones are a target for antimicrobial stewardship based on their broad-spectrum activity, pharmacokinetics/pharmacodynamics, safety profile, downstream resistance, and risk of super infections. The objective of this study was to compare outpatient fluoroquinolone prescribing rates before and after pharmacist led initiative. Methods This was a prospective, quality improvement initiative between October 1, 2019 to June 1, 2020 at a community-based physician network across Indiana. The pharmacist initiative incorporated a live, educational presentation with intervention 1 and an informational letter to healthcare providers across the outpatient physician network with intervention 2. Data was collected from a computer-generated, prescription report. The primary outcome was fluoroquinolone prescribing rates at Central Indiana (CI) sites before and after pharmacist led interventions. Rate of fluoroquinolone prescribing was defined as total number of fluoroquinolone prescriptions per month. The secondary outcome included percentage of fluoroquinolone use at CI sites. Percentage of fluoroquinolone use was defined as monthly number of fluoroquinolones prescriptions compared to monthly number of all oral antibiotic prescriptions. Results There was a 29.8% decrease (382 vs 268 prescriptions) in outpatient fluoroquinolone prescriptions at CI sites after intervention 1 compared to same month of previous year. There was a 43.7% decrease (428 vs 241 prescriptions) in outpatient fluoroquinolone prescriptions at CI sites after intervention 2. There was an overall 2.4% decrease (4.9% vs 2.5%) in percentage of fluoroquinolone use compared to all oral antibiotics at CI sites after intervention 2 compared to same month of previous year. Conclusion These findings suggest the pharmacist led outpatient antimicrobial stewardship initiative successfully decreased fluoroquinolone prescribing rates across the network. Disclosures Christian Cheatham, PharmD, BCIDP, Antimicrobial Resistance Solutions (Shareholder)

scholarly journals Low prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, Northwest Ethiopia: a community based cross-sectional study

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Kessete Ayelgn ◽  
Tadesse Guadu ◽  
Atalay Getachew
Keyword(s):  
Rural Communities ◽  
Associated Factors ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Active Trachoma ◽  
Study Participants

Abstract Background Trachoma is an infectious disease of the eye caused by Chlamydia trachomatis and transmitted via contact with eye discharge from infected persons and leading to blindness worldwide. Children less than 9 years of age affected more seriously. The disease is common where access to water and sanitation are limited. Objective To determine the prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, West Gondar Zone, Northwest Ethiopia. Method A community based cross-sectional study design was used to collect data from 792 children aged 1–9 years old in Metema district from April to May 2018. Multistage sampling technique was used to select the study participants. Pretested interviewer-administered structured questionnaire and eye examination using binocular loupe to differentiate trachoma cases was the data collection methods and tools. The bivariable and multivariable binary logistic regression model was employed for analysis. P-value < 0.05 was considered to declare statistical significance. Results A total of 752 children aged l-9 years were enrolled in this study with response rate of 94.9%. The overall prevalence of active trachoma among the study participants was 11.8% (95% CI, 9.5–13.9). Unprotected source of water (AOR = 4.7; 95% CI: 2.5–8.9), lower household water consumption (AOR = 2.8; 95% CI: 1.3–6.0), improper latrine utilization (AOR = 3.2; 95% CI: 1.5–6.7), and frequency of face washing once per day (AOR = 5.3; 95% CI: 1.2–26.6) were the factors significantly associated with active trachoma. Conclusion The current study revealed a lower overall prevalence of active trachoma (11.8%) than the WHO threshold prevalence (20%) used to declare it as a severe public health problem. All residents and health professional should collaborate on trachoma prevention by implementing the WHO SAFE strategy- surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement for further trachoma elimination.

scholarly journals Umbilical cord care through community-based distribution of chlorhexidine in rural Sindh, Pakistan

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Shah ◽  
Q Jamali ◽  
F Aisha
Keyword(s):  
Rural Communities ◽  
Data Collection ◽  
Umbilical Cord ◽  
Rural Areas ◽  
Health Workers ◽  
High Rate ◽  
Cord Care ◽  
Community Based ◽  
Sindh Province ◽  
At Home

Abstract Background Unsafe practices such as cutting umbilical cord with unsterilized instruments and application of harmful substances, are in practice in many rural areas of Pakistan, and associated with high risk of neonatal sepsis and mortality. Methods We conducted an implementation research in 2015 in Tharparkar district, in Sindh province of Pakistan to understand the feasibility and acceptability of community-based distribution of chlorhexidine (CHX) in rural Pakistan. For this cohort group-only study, 225 lady health workers (LHWs) enrolled 495 pregnant women. Enrolled women received 4% CHX gel and user’s instructions for newborn cord care. The LHWs also counseled women on the benefits and correct use of CHX. Study enumerators collected data from CHX receiving women 3 times: at around 2 weeks before delivery, within 24 hours after delivery, and on the 8th day after delivery. We implemented this study jointly in collaboration with Ministry of Health in Sindh province, Pakistan. Results Among enrolled participants, 399 women (81%) received only the first visit, 295 women (60%) received first two visits and 261 women (53%) received all three visits by enumerators. Among 399 women, who received CHX gel, counseling on its use and were respondent to the first round data collection, 78% remembered that the CHX gel to be applied to cord stump and surrounding areas immediately after birth; but less than a third (29%) forgot the need to keep the cord clean and dry. Among 295 respondents in the first two rounds of data collection, who delivered at home, 97% applied CHX to cord stump on the first day. Conclusions Community-based CHX distribution by LHWs, along with counseling to recipient women, resulted in a high rate of cord care with CHX among newborn delivered at home. Results from this study may help program implementers to consider expanding this intervention for improving newborn cord care on the first day of life in Pakistan. Key messages Community-based distribution of chlorhexidine for newborn cord care appears as highly acceptable and feasible in rural communities in Pakistan. Relevant program policy supporting community-based CHX distribution along with counseling by LHW may help expanding coverage of newborn cord care in rural communities in Pakistan.

scholarly journals Promoting Stair Climbing as an Exercise Routine among Healthy Older Adults Attending a Community-Based Physical Activity Program

Sports ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 23 ◽  
Author(s):  
Nobuko Hongu ◽  
Mieko Shimada ◽  
Rieko Miyake ◽  
Yusuke Nakajima ◽  
Ichirou Nakajima ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Muscle Strength ◽  
Daily Living ◽  
Stair Climbing ◽  
Community Based ◽  
Healthy Older Adults ◽  
Exercise Routine ◽  
Before And After ◽  
Leg Muscle

Stair climbing provides a feasible opportunity for increasing physical activity (PA) in daily living. The purpose of this study was to examine the daily walking and stair-climbing steps among healthy older adults (age: 74.0 ± 4.9 years; Body Mass Index (BMI): 22.3 ± 2.5 kg/m2). Participants (34 females and 15 males) attended a weekly 6-month community-based PA program. During the entire program period, daily walking and stair-climbing steps were recorded using a pedometer (Omron, HJA-403C, Kyoto, Japan). Before and after the 6-month program, height, body weight and leg muscle strength were assessed. After the 6-month program, the mean walking and stair-climbing steps in both women and men increased significantly (p ≤ 0.01). Daily stair-climbing steps increased about 36 steps in women and 47 steps in men. At the end of 6 months, only male participants had significant correlation between the number of stair steps and leg muscle strength (r = 0.428, p = 0.037). This study reported that healthy older adults attending the community-based PA program had regular stair-climbing steps during daily living. Promoting stair climbing as an exercise routine was feasible to increase their walking and stair-climbing steps.

scholarly journals Consumption Rates and Use Patterns of Firewood and Charcoal in Urban and Rural Communities in Yedashe Township, Myanmar

Forests ◽  
2018 ◽  
Vol 9 (7) ◽  
pp. 429 ◽  
Author(s):  
Zar Win ◽  
Nobuya Mizoue ◽  
Tetsuji Ota ◽  
Tsuyoshi Kajisa ◽  
Shigejiro Yoshida
Keyword(s):  
Rural Communities ◽  
Environmental Impact ◽  
South Asia ◽  
Urban Area ◽  
Rural Area ◽  
Urban Areas ◽  
Fuel Use ◽  
Urban Households ◽  
Use Patterns ◽  
Consumption Rates

There is concern over the environmental impact of charcoal use for cooking in urban areas; however, studies have mainly been limited to Africa and South Asia. This investigation aimed to evaluate woodfuel consumption rates and patterns in an urban area in Yedashe Township, Myanmar and compared them with results from a rural area in the same township. From interviews with 66 urban households, it was evident that firewood and charcoal consumption rates in the urban area were about one-third and one-fourth, respectively, of those in the rural area. These low consumption rates were because of multiple-fuel use (mainly woodfuel and electricity) in the urban area in contrast to single-fuel use in the rural area. We estimated the forest area required to meet woodfuel demand of the whole township to be 3738 ha; that could decrease by almost 40% (1592 ha) if the single-fuel use in the rural area switched to the multiple-fuel methods used in the urban area. This study confirms that urbanization with an “energy stack” in multiple-fuel use, rather than an “energy ladder” from firewood to charcoal, could largely reduce the environmental impact on forests.

Large-Scale Sport Events and Resident Well-Being: Examining PERMA and the Gold Coast 2018 Commonwealth Games

2021 ◽  
pp. 1-14
Author(s):  
Jason Doyle ◽  
Kevin Filo ◽  
Alana Thomson ◽  
Thilo Kunkel
Keyword(s):  
Large Scale ◽  
Positive Emotions ◽  
Well Being ◽  
Host Community ◽  
Social Psychological ◽  
Community Members ◽  
Community Based ◽  
Before And After ◽  
Sport Events ◽  
Commonwealth Games

Delivering community-based benefits is oftentimes cited to justify the high costs associated with hosting large-scale events. The current research is embedded in positive psychology to examine how an event impacts host community members’ PERMA domains, reflected through positive emotions, engagement, relationships, meaning, and accomplishment. Adopting a longitudinal approach, the authors interviewed 15 host community members before and after a large-scale sport event to determine if and how the event impacted their well-being. The findings uncovered evidence that the event activated positive emotions, relationships, and meaning across both phases, and evidence of accomplishment within the postevent phase. The findings contribute to the knowledge by examining the links between large-scale sport events and well-being throughout the event lifecycle. This research forwards implications for event bidding committees, event organizers, and host community officials to maximize community well-being through hosting large-scale events and to help justify associated expenses from a social–psychological perspective.

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