scholarly journals The Linguistic Landscape of Regional Hospitals in Tanzania: Language Choice on Signage

2021 ◽  
Vol 5 (4) ◽  
pp. p70
Author(s):  
Generatha BENEDICTO ◽  
Eustard R. TIBATEGEZA
Keyword(s):  
Medical Care ◽  
Choice Theory ◽  
National Policy ◽  
Hospital Management ◽  
Language Choice ◽  
Qualitative Approach ◽  
Linguistic Landscape ◽  
Care Providers ◽  
Interview Methods ◽  
Regional Hospitals

The study aimed at identifying the language choice on the signage and assessing the outpatients and their aides’ views on the language choice on the signage in regional hospitals, namely Bukoba and Sekou Toure. The study was guided by language choice theory on the signage where qualitative approach was employed. Data were gathered through observation and interview methods. Thirty-six respondents who were hospital management teams, medical care providers, patients and their aides were involved. The study findings reveal that there were two languages on the signage including Kiswahili and English where Kiswahili was predominant. This indicates the linguistic landscape of the selected hospitals suits the targeted people though it excludes some clients who cannot understand Kiswahili. The study recommends that there is a great need of using two languages on the signage and establishing a clear national policy on language choice on the signage. This will help to direct, inform, educate, warn and instruct the clients around the hospital surroundings.

The Special Perils of Being Old and Sick in Prison

2020 ◽  
Vol 32 (5) ◽  
pp. 276-284
Author(s):  
William J. Jefferson
Keyword(s):  
United States ◽  
Health Care ◽  
Medical Care ◽  
Health Care Providers ◽  
The United States ◽  
United States Constitution ◽  
Care Providers ◽  
Medical Practitioners ◽  
Medical Needs ◽  
Access To Medical Care

The United States Supreme Court declared in 1976 that deliberate indifference to the serious medical needs of prisoners constitutes the unnecessary and wanton infliction of pain…proscribed by the Eighth Amendment. It matters not whether the indifference is manifested by prison doctors in their response to the prisoner’s needs or by prison guards intentionally denying or delaying access to medical care or intentionally interfering with treatment once prescribed—adequate prisoner medical care is required by the United States Constitution. My incarceration for four years at the Oakdale Satellite Prison Camp, a chronic health care level camp, gives me the perspective to challenge the generally promoted claim of the Bureau of Federal Prisons that it provides decent medical care by competent and caring medical practitioners to chronically unhealthy elderly prisoners. The same observation, to a slightly lesser extent, could be made with respect to deficiencies in the delivery of health care to prisoners of all ages, as it is all significantly deficient in access, competencies, courtesies and treatments extended by prison health care providers at every level of care, without regard to age. However, the frailer the prisoner, the more dangerous these health care deficiencies are to his health and, therefore, I believe, warrant separate attention. This paper uses first-hand experiences of elderly prisoners to dismantle the tale that prisoner healthcare meets constitutional standards.

scholarly journals Sex Differences in the Medical Utilization for Ischemic Heart Disease Among Newly Diagnosed Hypertensive Korean Patients (P04-170-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Jiae Shin ◽  
Dongwoo Ham ◽  
Seoeun Ahn ◽  
Hee-Young Paik ◽  
Hyojee Joung
Keyword(s):  
Medical Care ◽  
Medical Cost ◽  
Medical Utilization ◽  
Care Utilization ◽  
Newly Diagnosed ◽  
Care Providers ◽  
Men And Women ◽  
Hypertensive Patients ◽  
Medical Care Utilization ◽  
The Mean

Abstract Objectives This study aimed to investigate sex differences in the medical utilization for ischemic heart disease (IHD) among newly diagnosed hypertensive patients using a cohort data of South Korea. Methods We analyzed the National Sample Cohort version 2.0 of the National Health Insurance Service. Newly diagnosed hypertensive patients aged 40–84 were extracted from the baseline population, who received health examinations during 2003–2006 without pre-existing type 2 diabetes or circulatory diseases. Propensity score was applied to match men to women with the same ratio of body mass index (BMI) and fasting blood glucose (FBG) among the patients. Men and women (each 10, 110) were selected for analyses and followed until the end of 2015. Person-year was defined as the period from the diagnosis of hypertension to the incidence of IHD. Associations between IHD and the medical care utilization such as the mean of medical care visit, the mean medical cost, and the type and the location of medical care providers were investigated using Cox proportional hazard model. Hazard ratios (HR) of IHD according to medical care utilization were adjusted for age, income, BMI, FBG, smoking, and alcohol consumption. Results Incidence rates (per 1000 person-years) of IHD were 43.1 in men and 43.0 in women. The mean follow-up period was 5.2 person-years. The HRs of IHD were significantly higher in the subjects with a high mean medical cost (T3) (men, HR = 1.39, 95% CI 1.25–1.54; women, HR = 1.33, 95% CI 1.20–1.48) than in those with a low mean medical cost (T1). However, the subjects visiting medical care providers more (T3) had lower HRs than those visiting less (T1) (men, HR = 0.80, 95% CI 0.72–0.89; women, HR = 0.79, 95% CI 0.71–0.88). Conclusions Hypertensive patients in Korea showed an increased risk of IHD when they paid medical cost more and visited medical care less per person-year in both men and women. Funding Sources This research was supported by Support Program for Women in Science, Engineering and Technology through the National Research Foundation of Korea funded by the Korea government (MSIT). (No.2016H1C3A1903202). Supporting Tables, Images and/or Graphs

scholarly journals Geographic Concentration Of Home-Based Medical Care Providers

2016 ◽  
Vol 35 (8) ◽  
pp. 1404-1409 ◽  
Author(s):  
Nengliang Yao ◽  
Christine Ritchie ◽  
Fabian Camacho ◽  
Bruce Leff
Keyword(s):  
Medical Care ◽  
Care Providers ◽  
Geographic Concentration ◽  
Home Based

scholarly journals M-health for maternal health- bridging the gaps!!

2017 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Sheeba Marwah ◽  
Pratima Mittal
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Maternal Health ◽  
Medical Care ◽  
Health Care Providers ◽  
Mobile Technology ◽  
Clinical Applications ◽  
Obstetrics And Gynecology ◽  
Care Providers ◽  
Effectiveness Data

This article reviews significance, potential and principles to consider when setting up a telemedicine (TM) program to provide care to women in the field of obstetrics and gynecology, essentially deploying mobile technology. There are various benefits of such TM clinical applications. The consensus among patients and health care providers is that this technology is convenient to provide needed subspecialty medical care, even when it is not available locally. Such innovations are clinically successful, but economic and cost-effectiveness data are lacking.

scholarly journals A IMPLANTAÇÃO DE PROGRAMAS E AÇÕES INCLUSIVAS EM UM MUNICÍPIO DO OESTE PAULISTA: PDDE ACESSIBILIDADE

2018 ◽  
Vol 15 (Especial 2) ◽  
pp. 57-69
Author(s):  
Ana Mayra Samuel da Silva ◽  
Elisa Tomoe Moriya Schlünzen ◽  
Danielle Aparecida do Nascimento dos Santos ◽  
Ana Virginia Isiano Lima
Keyword(s):  
Inclusive Education ◽  
Participant Observation ◽  
School Context ◽  
National Policy ◽  
School Management ◽  
Qualitative Approach ◽  
Management Team ◽  
Ministry Of Education ◽  
The West

In order for all to be included according to their needs and specificities, the objectives proposed by school education must be directed to the recognition and problematization of differences. The objective of this study was to analyze the implementation of programs and actions proposed in the scope of the National Policy of Special Education from the perspective of Inclusive Education (BRASIL, 2008), in a school located in a small municipality in the west of São Paulo. The methodology consisted of formative intervention on public educational policies, programs and actions in an inclusive perspective, and participant observation to follow the actions developed by the school management team, based on a qualitative approach. The programs and actions of the Ministry of Education are effective, since they aim to contribute and help with the guarantee, not only of access, but also of the permanence with the quality of students in the school context.

scholarly journals NILAI KEPAHLAWANAN DALAM TANGON TERPILIH SUKU KIMARAGANG DI SABAH

2021 ◽  
Author(s):  
JAMAIL MASADOR ◽  
ABDUL HALIM ALI ◽  
AZHAR WAHID
Keyword(s):  
Field Work ◽  
Self Esteem ◽  
Qualitative Approach ◽  
The Past ◽  
Fighting Spirit ◽  
Interview Methods ◽  
Younger Generation

Tangon (cerita rakyat) sering diperdengarkan dalam masyarakat suku Kimaragang. Pada umumnya, cerita-cerita rakyat (tangon) suku Kimaragang melambangkan sosiobudaya, falsafah dan gambaran nilai kepahlawanan bagi masyarakat tersebut. Namun, dewasa ini, nilai-nilai yang terkandung dalam tangon sering dilupakan, terutama oleh generasi muda. Oleh itu, kajian ini memberi perhatian pada nilai-nilai kepahlawanan yang terkandung dalam cerita rakyat suku Kimaragang di Sabah. Kajian ini menggunakan pendekatan kualitatif yang melibatkan kaedah kajian lapangan dan temu bual untuk mendokumentasi tangon. Seterusnya, data akan dianalisis menggunakan pendekatan Alamiah salah satu pendekatan dalam teori Pengkaedahan Melayu yang dikemukakan oleh Hashim Awang bagi memahami aspek-aspek kepahlawanan seperti keberanian, rela berkorban, semangat juang dan keterbukaan yang terkandung dalam cerita rakyat. Dapatan kajian ini membuktikan bahawa elemen kepahlawanan penting dikuasai, terutama dalam norma masyarakat yang kucar-kacir demi mengangkat martabat diri dan menjaga kehormatan. Sememangnya, masyarakat suku Kimaragang pada masa lampau mengamalkan nilai-nilai kepahlawanan dalam kehidupan untuk memastikan sebuah kehidupan yang aman dan sejahtera. Mengaplikasi nilai-nilai kepahlawanan dalam kehidupan masa kini merupakan suatu daripada usaha untuk mengupaya dan mengekalkan warisan yang semakin dilupakan. The telling of ‘tangon’ (folklore) is a common practice in the Kimaragang community. In general, the ‘tangon’ of the Kimaragang symbolises the socio-culture, philosophy and description of the heroism values for the community. However, nowadays, the values in ‘tangon’ are often forgotten, especially by the younger generation. This study thereforefocused on the heroism values as portrayed in the folklore of the Kimaragang. Using a qualitative approach, the field work and interview methods were utilised to document the ‘tangon’. Data was analysed using the Alamiahapproach, one of the approaches in the ’Pengkaedahan Melayu’ theory by Hashim Awang as a means to understand heroism aspects such as bravery, sacrificial spirit, fighting spirit, and openness as embodied in the folklore. The findings of this study prove that the element of heroism is important to master especially in the norms of a chaotic society in order to improve self-esteem and maintain honour. Indeed, the Kimaragang in the past practised heroism values to ensure a peaceful and prosperous life. Applying these values in life today is one of the efforts to activate and sustain an increasingly forgotten heritage.

scholarly journals Perception of Family Careers about Microcephalia: an Analysis through Adaptation Theory

2020 ◽  
Vol 22 (4) ◽  
pp. 281-285
Author(s):  
Ana Paula de Sousa Suassuna ◽  
Luanna Gomes da Silva ◽  
Izabel Cristina Santiago Lemos de Beltrão ◽  
Maria Eugênia Alves Almeida Coelho ◽  
Célida Juliana de Oliveira ◽  
...  
Keyword(s):  
Data Analysis ◽  
Medical Care ◽  
Family Caregivers ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Family Caregiver ◽  
Qualitative Approach ◽  
Adaptive Responses ◽  
Adaptation Theory ◽  
Research Participants

Abstract Ultimately, there has been an increase in the number of cases of newborns affected by microcephaly, knowledge of the caregiver's perceptions regarding the child with microcephaly may promote the construction of therapeutic plans by health professionals that meet the expressed current needs of the child and caregivers. Thus, the aim of the present study is to describe the perception of family caregivers about microcephaly, using Callista Roy's adaptation theory. The research is descriptive, exploratory and with qualitative approach and was conducted at a School Clinic, located in the municipality of Juazeiro do Norte. The research participants were family caregivers of children diagnosed with microcephaly. Minayo's thematic analysis was used, supported by Roy's adaptation theory. Through data analysis two categories emerged: Knowledge and perception of family caregivers about microcephaly and family as support to cope with difficulties. It was observed that mothers, faced with the condition of their son with microcephaly, tend to develop a certain level of adaptation to make the situation less traumatic, making use of available social, medical care and family devices. Therefore, it is emphasized that health professionals need to act effectively in care, facilitating and strengthening effective adaptive responses. Keywords: Microcephaly, child, family caregiver, Nursing Theories. Resumo Nos últimos anos, o número de casos de recém-nascidos acometidos por microcefalia aumentou vertiginosamente, o conhecimento das percepções do cuidador em relação à criança com microcefalia pode fomentar a construção de planos terapêuticos por parte dos profissionais de saúde que atendam às necessidades vigentes expressas da criança e dos cuidadores. Assim, objetivo do presente estudo é descrever a percepção dos cuidadores familiares acerca da microcefalia, à luz da teoria da adaptação de Callista Roy. A pesquisa é descritiva, exploratória e com abordagem qualitativa. A pesquisa foi conduzida em uma Clínica Escola, localizada no município de Juazeiro do Norte. Os participantes da pesquisa foram cuidadores familiares de crianças com diagnóstico de microcefalia. Utilizou-se a análise temática de Minayo, sendo sustentada pela teoria da adaptação de Roy. Através da análise dos dados surgiram duas categorias: Conhecimento e percepção dos cuidadores familiares sobre a microcefalia e a família como apoio no enfrentamento das dificuldades. Observou-se que as mães, frente à condição do filho com microcefalia, tendem a desenvolver certo nível de adaptação para tornar a situação menos traumática, valendo-se dos dispositivos sociais, assistenciais e familiares disponíveis. Destaca-se, portanto, que os profissionais da saúde precisam atuar de forma eficaz na assistência, facilitando e fortalecendo as respostas adaptativas eficazes. Palavras-Chave: Microcefalia, criança, cuidador familiar, Teorias de Enfermagem

Sign-genres, authentication, and emplacement

2021 ◽  
Author(s):  
Jannis Androutsopoulos ◽  
Akra Chowchong
Keyword(s):  
Language Choice ◽  
Linguistic Landscape ◽  
Discourse Function ◽  
Multimodal Analysis ◽  
Semiotic Resources ◽  
The City ◽  
Secondary Signs

Abstract This paper asks how language and other semiotic resources are deployed in the semiotic landscape of Thai restaurants in the city of Hamburg, Germany. Based on detailed multimodal analysis of signage in twelve restaurants, this study draws on both established and underexplored topics in Linguistic Landscape scholarship, including the analysis of sign-genres, the distinction between communicative and symbolic functions of signs, the role of language choice in authenticating place, and the emplacement of signs in the semiotic landscape. A scheme for the classification of restaurant signs by discourse function and emplacement is proposed. The findings suggest that the analytical distinctions between inside and outside space as well as primary and secondary signs are useful for the study of restaurants and other commercial semiotic spaces.

Psychological, Social and Technical Factors Influencing Electronic Medical Records Systems Adoption by U.S. Physicians: A Systematic Model

2020 ◽  
Author(s):  
Raghid El-Yafouri ◽  
Leslie Klieb ◽  
Valérie Sabatier
Keyword(s):  
United States ◽  
Health Care ◽  
Medical Care ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Service Providers ◽  
Financial Burden ◽  
The United States ◽  
Care Providers ◽  
Intention To Adopt

Abstract Background: Wide adoption of electronic medical records (EMR) systems in the United States can lead to better quality medical care at a lower cost. Despite the laws and financial subsidies by the U.S. government for service providers and suppliers, the adoption has been slow. Understanding the EMR adoption drivers for physicians and the role of policymaking can translate into increased adoption rate and enhanced information sharing between medical care providers. Methods: Physicians across the United States were surveyed to gather primary data on their psychological, social, and technical perceptions toward EMR systems. This quantitative study builds on the Theory of Planned Behavior, the Technology Acceptance Model, and the Diffusion of Innovation theory to propose, test, and validate an innovation adoption model for the health care industry. 382 responses were collected and data were analyzed via linear regression to uncover the effects of 12 variables on the intention to adopt EMR systems.Results: Regression model testing uncovers that government policymaking or mandates and other social factors have little or negligible effect on physicians’ intention to adopt an innovation. Rather, physicians are directly driven by their attitudes and ability to control, and indirectly motivated by their knowledge of the innovation, the financial ability to acquire the system, the holistic benefits to their industry, and the relative advancement of the system compared to others.Conclusions: A unidirectional mandate from the government is not sufficient for physicians to adopt an innovation. Government, health care associations, and EMR system vendors can benefit from our findings by working toward increasing the physicians’ knowledge of the proposed innovation, socializing how medical care providers and the overall industry can benefit from EMR system adoption, and solving for the financial burden of system implementation and sustainment.

Telemedicine as a tool for remote interaction with regional hospitals: 5-year experience of the National Research Center for Hematology

2020 ◽  
pp. 68-77
Author(s):  
K. A. Lukina ◽  
◽  
D. A. Zaytcev ◽  
T. T. Garmaeva ◽  
L. P. Mendeleeva ◽  
...  
Keyword(s):  
Medical Care ◽  
Legal Regulation ◽  
Progressive Increase ◽  
Research Center ◽  
Blood Disorders ◽  
Federal Districts ◽  
Regional Hospitals ◽  
Patient Referrals ◽  
Timely Treatment

Significant expansion of telemedicine technologies was made possible by the adoption of the necessary legal regulation and initiation of the national program “Healthcare”. National research centers were assigned a mission to provide advisory and methodological support to the regional hospitals. The manuscript describes the experience of the National Research Center for Hematology in application of telemedicine technologies in order to improve the quality of specialized medical care. Progressive increase in the number of requests for telemedicine consultations was observed during the last 5 years, also due to the activities aimed at expansion of geographical coverage of telemedicine technologies and involvement of the regional doctors. In 2019 1380 requests were received from 80 regions of the Russian Federation. The largest number of requests came from the hospitals of the Central (28%) and Siberian (25%) Federal Districts. Distribution of consultations by aim, disease, regions of origin is presented in the manuscript. Telemedicine consultations significantly contribute to the implementation of precise diagnostics and monitoring of patients with blood disorders, shortening of the time of diagnosis, timely treatment initiation, help to organize correct patient referrals, ultimately reducing the risks of treatment failure, complications and lethal outcomes. Analysis of the data accumulated in the consulting National research center allows to assess the quality and effectiveness of medical care in the regional hospitals.

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