scholarly journals The Experience and Perceived Consequences of the 2016 Fort McMurray Fires and Evacuation

2021 ◽  
Vol 9 ◽  
Author(s):  
Laura Thériault ◽  
Geneviève Belleville ◽  
Marie-Christine Ouellet ◽  
Charles M. Morin
Keyword(s):  
Posttraumatic Growth ◽  
Subjective Experience ◽  
Negative Consequences ◽  
Financial Loss ◽  
Online Questionnaire ◽  
Fort Mcmurray ◽  
Physical Conditions ◽  
Wide Range ◽  
Perceived Consequences ◽  
Data Collections

Few studies have examined the scope of the subjective experience during and after a natural disaster. This qualitative study explored the perceptions of persons affected by the wildfires and evacuation of Fort McMurray in 2016. The objectives were to document (1) the experience of the evacuation, and (2) the biopsychosocial consequences of the wildfires as perceived by evacuees from Fort McMurray 3 months and 3 years after evacuation. This study included two data collections, one from 393 evacuees 3 months after evacuation using an online questionnaire, and the other from 31 participants (among those who participated in the 3-month evaluation) interviewed by telephone 3 years after evacuation. Eight themes describing the evacuation experience emerged from the qualitative analysis: the preparation for evacuation, the perceived traumatic nature of the evacuation, problems encountered while on the move, assistance received and provided, vulnerability conditions, presence of physical discomfort, relocation and no problem/no response. Seven categories of negative consequences emerged: material and financial loss, emotional/mental health disorders, cognitive impairments, behavioral changes, spiritual/existential reflections, social alterations, and physical conditions. Four categories of positive consequences emerged: posttraumatic growth, resilience/absence of consequences, altruism and community cohesion. This study showed a wide range of perceived consequences of fires and evacuations by Fort McMurray residents. The results highlight the importance of tailoring responses to the needs of evacuees and providing assistance to victims over a long period of time.

scholarly journals Comparison of disclosure/concealment of medical information given to conversational agents or to physicians

2021 ◽  
Vol 27 (1) ◽  
pp. 146045822199486
Author(s):  
Nicholas RJ Frick ◽  
Felix Brünker ◽  
Björn Ross ◽  
Stefan Stieglitz
Keyword(s):  
Natural Language ◽  
Medical Information ◽  
Frame Of Reference ◽  
Future Research ◽  
Negative Consequences ◽  
Conversational Agents ◽  
Online Questionnaire ◽  
Computer Based

Within the anamnesis, medical information is frequently withheld, incomplete, or incorrect, potentially causing negative consequences for the patient. The use of conversational agents (CAs), computer-based systems using natural language to interact with humans, may mitigate this problem. The present research examines whether CAs differ from physicians in their ability to elicit truthful disclosure and discourage concealment of medical information. We conducted an online questionnaire with German participants ( N = 148) to assess their willingness to reveal medical information. The results indicate that patients would rather disclose medical information to a physician than to a CA; there was no difference in the tendency to conceal information. This research offers a frame of reference for future research on applying CAs during the anamnesis to support physicians. From a practical view, physicians might gain better understanding of how the use of CAs can facilitate the anamnesis.

Knowledge assessment and barriers to cancer screening among Ghanaian community pharmacists

2021 ◽  
pp. 107815522098341
Author(s):  
Kofi B Mensah ◽  
Adwoa Bemah Boamah Mensah ◽  
Peter Yamoah ◽  
Joseph Attakorah ◽  
Varsha Bangalee ◽  
...  
Keyword(s):  
Cancer Screening ◽  
Reliability And Validity ◽  
Community Pharmacists ◽  
Online Questionnaire ◽  
Screening Guidelines ◽  
Validity Assessment ◽  
Wide Range ◽  
Chi Squared ◽  
Primary Healthcare Provider ◽  
To Come

Introduction Though there are controversies, cancer screening has been suggested to decrease mortality. Over the years, the most accessible primary healthcare provider; the community pharmacist, has developed an interest in being part of cancer screening activities and prevention of a wide range of other non-communicable diseases. To achieve this, community pharmacists need a working knowledge of the basic screening test and recommendations. Also, it’s important to acknowledge the barriers that may prevent the implementation of cancer-screening efforts at the community pharmacy. This study aims to determine the knowledge and barriers to cancer screening among Ghanaian community pharmacists. Methodology Knowledge and barriers to cancer screening was assessed using an online questionnaire in 435 community pharmacists. Descriptive statistics and Pearson's chi-squared tests were used to analyze the data. Results The reliability and validity assessment of the questionnaire after data collection revealed a Cronbach’s alpha value of 0.82 for knowledge on cancer screening. The SD and mean age of study participants were 2.48 ± 20.08. Only 25.7% of the participants had good knowledge. The most identified barrier was the lack of established guidelines (60.9%). There was no association between participants' demographics and their knowledge scores. Conclusions Community pharmacists can potentially have a large impact on early detection of cancer through screening. However, they have to improve their knowledge on general screening guidelines and be aware of available educational resources to increase their knowledge. It is also important for all stakeholders to come together to establish local screening modalities and recommendations for the country.

scholarly journals The #orthorexia community on Instagram

2021 ◽  
Author(s):  
Martina Valente ◽  
Sophie Renckens ◽  
Joske Bunders-Aelen ◽  
Elena V. Syurina
Keyword(s):  
Content Analysis ◽  
Sense Of Belonging ◽  
Mixed Methods Study ◽  
Therapeutic Interventions ◽  
Negative Consequences ◽  
Online Questionnaire ◽  
Level Of Evidence ◽  
Helping Others ◽  
The Relationship ◽  
Share Information

Abstract Purpose This mixed-methods study delved into the relationship between orthorexia nervosa (ON) and Instagram. Methods Two quantitative data sources were used: content analysis of pictures using #orthorexia (n = 3027), and an online questionnaire investigating the experience of ON and the use of Instagram of people sharing ON-related content on Instagram (n = 185). Following, interviews (n = 9) were conducted with people posting ON-related content on Instagram and self-identifying as having (had) ON. Results People who share ON-related content on Instagram were found to be primarily young women (questionnaire = 95.2% females, mean age 26.2 years; interviews = 100% females, mean age 28.4 years), who were found to be heavy social media users and favor Instagram over other platforms. Questionnaire respondents agreed in defining ON as an obsession with a diet considered healthy, with bio-psycho-social negative consequences, though those who self-identified as having (had) ON were more likely to point out the negative impairments of ON. Interviewees deemed Instagram partially responsible for the development of ON. Instead, they agreed that Instagram encourages problem realization. Content analysis showed that ON is encoded in pictures of ‘food’, ‘people’, ‘text’ and ‘other.’ Interviewees revealed that they started posting to recover, share information, help others, and they felt inspired to post by other accounts. A sense of belonging to the #orthorexia community emerged, where people share values and ideals, and seek validation from others. Conclusion Conversations around #orthorexia on Instagram generate supportive communities aiding recovery. Individuals use Instagram for helping others and themselves recovering from ON. Understanding how people help each other, manage their health, cope with symptoms, and undertake recovery can inform the implementation of therapeutic interventions for ON. Level of evidence Level III, evidence obtained from well-designed cohort or case–control analytic studies.

scholarly journals Healthcare Providers’ Perceptions of Challenges with Frequent Users of Emergency Department Care in Switzerland: A Qualitative Study

2021 ◽  
Vol 58 ◽  
pp. 004695802110281
Author(s):  
Patrick Bodenmann ◽  
Miriam Kasztura ◽  
Madison Graells ◽  
Elodie Schmutz ◽  
Oriane Chastonay ◽  
...  
Keyword(s):  
Online Survey ◽  
Emergency Services ◽  
Healthcare Providers ◽  
Negative Consequences ◽  
Emergency Department Care ◽  
Frequent Users ◽  
Complex Needs ◽  
Wide Range ◽  
Ed Overcrowding ◽  
Ed Visits

Frequent users of emergency departments (FUED; ≥ 5 ED visits/year) commonly cumulate medical, social, and substance use problems requiring complex and sustained care coordination often unavailable in ED. This study aimed to explore ED healthcare providers’ challenges related to FUED care to gain insight into the support and resources required to address FUED complex needs. An online survey was sent to all general adult emergency services within Switzerland (N = 106). Participants were asked to indicate the extent to which they perceived that FUED represented a problem and to describe the main challenges encountered. In total, 208 physicians and nurses from 75 EDs (70.7%) completed the survey. Among the 208 participants, 134 (64%) reported that FUED represented a challenge and 133 described 1 to 5 challenges encountered. A conventional content analysis yielded 4 main categories of perceived challenges. Negative consequences in the ED secondary to FUED’s presence (eg, ED overcrowding, staff helplessness, and fatigue) was the most frequently reported challenge, followed by challenges related to FUEDs’ characteristics (eg, mental health and social problems) leading to healthcare complexity. The third most frequently encountered challenge was related to the ED inappropriateness and inefficiency to address FUEDs’ needs. Finally, challenges related to the lack of FUED healthcare network were the least often mentioned. ED healthcare providers experience a wide range of challenges related to FUED care. These findings suggest that currently EDs nor their staff are equipped to address FUEDs’ complex needs.

scholarly journals Lack of Informations about COVID-19 Vaccine: From Implications to Intervention for Supporting Public Health Communications in COVID-19 Pandemic

2021 ◽  
Vol 18 (11) ◽  
pp. 6141
Author(s):  
Silva Guljaš ◽  
Zvonimir Bosnić ◽  
Tamer Salha ◽  
Monika Berecki ◽  
Zdravka Krivdić Dupan ◽  
...  
Keyword(s):  
Vaccine Efficacy ◽  
Health Belief ◽  
Ordinary Least Squares ◽  
Vaccine Hesitancy ◽  
Equal Proportion ◽  
Least Squares Regression ◽  
Online Questionnaire ◽  
Demographic Groups ◽  
Population Immunity ◽  
Wide Range

Lack of knowledge and mistrust towards vaccines represent a challenge in achieving the vaccination coverage required for population immunity. The aim of this study is to examine the opinion that specific demographic groups have about COVID-19 vaccination, in order to detect potential fears and reasons for negative attitudes towards vaccination, and to gain knowledge on how to prepare strategies to eliminate possible misinformation that could affect vaccine hesitancy. The data collection approach was based on online questionnaire surveys, divided into three groups of questions that followed the main postulates of the health belief theory—a theory that helps understanding a behaviour of the public in some concrete surrounding in receiving preventive measures. Ordinary least squares regression analyses were used to examine the influence of individual factors on refusing the vaccine, and to provide information on the perception of participants on the danger of COVID-19 infection, and on potential barriers that could retard the vaccine utility. There was an equal proportion of participants (total number 276) who planned on receiving the COVID-19 vaccine (37%), and of those who did not (36.3%). The rest (26.7%) of participants were still indecisive. Our results indicated that attitudes on whether to receive the vaccine, on how serious consequences might be if getting the infection, as well as a suspicious towards the vaccine efficacy and the fear of the vaccine potential side effects, may depend on participants’ age (<40 vs. >40 years) and on whether they are healthcare workers or not. The barriers that make participants‘ unsure about of receiving the vaccine, such as a distrust in the vaccine efficacy and safety, may vary in different socio-demographic groups and depending on which is the point of time in the course of the pandemic development, as well as on the vaccine availability and experience in using certain vaccine formulas. There is a pressing need for health services to continuously provide information to the general population, and to address the root causes of mistrust through improved communication, using a wide range of policies, interventions and technologies.

Prevention of Alcohol Misuse: A Review of Health Promotion Efforts among American Indians

1995 ◽  
Vol 9 (4) ◽  
pp. 288-299 ◽  
Author(s):  
Philip A. May ◽  
James R. Moran
Keyword(s):  
Health Promotion ◽  
Native American ◽  
American Indian ◽  
American Indians ◽  
Local Community ◽  
Alcohol Misuse ◽  
Heavy Drinking ◽  
Community Empowerment ◽  
Negative Consequences ◽  
Wide Range

Purpose. The purpose of this review is to provide an overview of a wide range of potentially useful strategies to address the prevention of alcohol misuse among American Indians. This broad approach to the review is useful because the extreme heterogeneity of the American Indian population requires that health promotion professionals explore many options and tailor their activities to specific communities. Search Method. A literature search was initiated through MEDLINE using the following key words: prevention, alcohol, substance abuse, American Indian, and Native American. The search yielded 29 articles from the years 1982 through 1994. These articles, along with 45 previously identified in three overview articles, form the basis of the review and discussion in this paper. Summary of findings. As a group, American Indians experience many health problems that are related to alcohol misuse. Comparison of Indians to non-Indians shows that the age of first involvement with alcohol is younger, the frequency and amount of drinking is greater, and negative consequences are more common. Health promotion programs that address these issues must take into account American Indian heterogeneity and should use a comprehensive approach that addresses both heavy drinking and the sequelae of problems related to alcohol misuse. Major Conclusions. Important concepts for providing health promotion services to this population are: cultural relevance must be carefully planned and monitored; individuals in the local community must be involved; the drunken Indian stereotype must be addressed; and community empowerment should be an important goal.

scholarly journals Verbal abuse facing Saudi nurses during internship program

2021 ◽  
Vol 12 (3) ◽  
pp. 75
Author(s):  
Maram Banakhar ◽  
Maha Alzahrani ◽  
Amani Omar Essa ◽  
Asal Fathi Al-dhahry ◽  
Rahma Farooq Batwa ◽  
...  
Keyword(s):  
Workplace Violence ◽  
Negative Impact ◽  
Care Delivery ◽  
Cross Sectional Study ◽  
Verbal Abuse ◽  
Negative Consequences ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Staff Members ◽  
Night Shifts

Background: Verbal abuse, in the context of workplace violence, is increasing, with nurses at high liability of being subjected to it since they are the first line of care delivery. This phenomenon is now receiving greater recognition due to its negative impact on nurses. This study aims to assess the prevalence of verbal abuse faced by Saudi nursing intern students in Jeddah, Saudi Arabia.Methods: A cross-sectional study was conducted via a modified online questionnaire completed by Saudi intern nurses in Jeddah in March 2020. Descriptive statistical analysis was executed using statistical software SPSS Version 21.Results: From a total of 132 nurses, 94 participants met the study criteria. The findings show that 39.4% of Saudi intern nurses have experienced verbal abuse. The common perpetrators are patient/client (73%) and other staff members (73%), followed by patients’ relatives (45.9%). 48.6% of the participants did not report incidences of verbal abuse, commonly citing fear of the negative consequences (51.4%) and not knowing who to report it to (45.9%). A significant relation between working night shifts (6 pm to 7 am) and being verbally abused was found.Conclusions: Saudi nursing interns are vulnerable to verbal abuse. This study’s results highlight the possible risk to nursing interns, which may be diminished by modifying perceptions of verbal abuse and by clarifying the rules and regulations for both nursing interns and suspected perpetrators. We recommend future studies of verbal abuse are conducted in larger groups of nurses across different provinces in Saudi Arabia.

scholarly journals Protection as a Mean to Increase the Sustainability of Wood Structures

2012 ◽  
Vol 69 (2) ◽  
Author(s):  
Calin CORDUBAN ◽  
Giovanna BOCHICCHIO ◽  
Andrea POLASTRI ◽  
Ario CECCOTTI
Keyword(s):  
Fire Protection ◽  
Building Material ◽  
Building Materials ◽  
Sustainability Assessment ◽  
Financial Loss ◽  
Wood Structures ◽  
Fire Propagation ◽  
Wide Range ◽  
Timber Constructions ◽  
Materials Used

Timber has been rediscovered as the building material of choice in recent years, especially in industrialised countries, with the shift of focus on attitudes towards sustainability that include use of natural resources and reduction of CO 2 emissions in manufacturing building materials. The environmental qualities of wood (energy-efficiency, healphy building material, ability to be recycled) are matched by few materials used in constructions nowadays, makeing it suitable for a wide range of applications. The combustibility of wood is limiting its use in construction, an important weakness in terms of sustainability, as health and cost issues constitute essential conditions in sustainability assessment methods. Arguably, fire safety constitutes the foremost precondition in choosing wood as the building material. In the case of fire, wood burns on the surface, releases energy and contributes to the fire propagation and spread of smoke. In order to insure greater safety for timber constructions, both passive and active measures of fire protection can be implemented, with the main objectives of improving the security of occupants, limitations of financial loss, protection of the environment in the case of fire. Despite the fear of using wood, the material has a better behavior in terms of fire than assumed, and even with structures more susceptible at fire risks, such as platform framing, measures can be taken in order to improve safety, as further explained in the article. The article analyses the concept of sustainability and the extent to which timber constructions observe these criteria, focusing on the means of increasing safety by fire protection methods with respect to the environment.

scholarly journals Organisational Strategies for Competitive Advantage in the Construction Industry: Chinese Dominance in Southern Africa

2020 ◽  
Vol 25 (2) ◽  
pp. 1-38
Author(s):  
Daniel Soares Fernandes ◽  
George Joseph
Keyword(s):  
Competitive Advantage ◽  
Easy Access ◽  
African Region ◽  
Online Questionnaire ◽  
Chinese Enterprises ◽  
Construction Market ◽  
Local Resources ◽  
Southern African Region ◽  
Wide Range ◽  
Construction Services

Chinese enterprises are presently dominating various sectors of businesses abroad, offering a wide range of low to high-end quality products and services. The construction sector in Africa is now being dominated by Chinese multinational contractor companies, who find in Africa their next preferable market to grow. The available literature on the field has serious gaps in explaining which organisational strategies increase the competitive advantage and the market dominance of Chinese multinational contractors, especially in the Southern African region. This research aims to uncover the organisational strategies, implemented by Chinese multinational contractors operating in the Southern African region, who have paved the way and consolidated their success in the region. Through a mixed methods process, qualitative and quantitative data are obtained. The construction markets of the Southern African region are analysed (environmental analysis) and the main multinational Chinese contractors are identified, through a literature review and organisational analysis. Several organisational strategies are shortlisted and, finally, through an online questionnaire, the opinions of the participants to rank the organisational strategies previously identified in terms of contribution to the actual success, copying capability, etc., are carried out. The findings revealed that the capability to offer a lower price for construction services, the easy access to loans and funds from the organisation's home government and the capability to trade debt for local resources, such as wood, land and minerals are the organisational strategies that mostly contributed to the recent Chinese contractor dominance in the Southern African construction market.

scholarly journals The Mechanism of Governments’ and Individuals’ Influence on Protective Behaviors during the Second Wave of COVID-19: A Multiple Mediation Model

2021 ◽  
Author(s):  
Bibing Dai ◽  
Xiaoya Zhang ◽  
Guangteng Meng ◽  
Ya Zheng ◽  
Kesong Hu ◽  
...  
Keyword(s):  
Posttraumatic Growth ◽  
Positive Emotions ◽  
Government Intervention ◽  
Individual Factors ◽  
Protective Behaviors ◽  
Multiple Mediation ◽  
Indirect Pathway ◽  
Online Questionnaire ◽  
Perceived Efficacy ◽  
Second Wave

Abstract The SARS-CoV-2 virus continues to spread and resurge globally with signs of a second wave, despite actions by governments to curb the COVID-19 pandemic. However, evidence-based strategies to combat COVID-19 recurrence are poorly documented. To reveal how governments and individuals should act to effectively cope with future waves, this study proposed a preventive model of COVID-19 epidemic resurgence. To verify the model, we conducted an online questionnaire survey assessing government intervention, perceived efficacy, positive emotions, posttraumatic growth (PTG) and protective behaviors among 1137 residents in Beijing, where the epidemic reoccurred. Data analysis revealed that during COVID-19 epidemic resurgence, government intervention could directly and indirectly influence protective behaviors through individual factors (i.e., perceived efficacy, positive emotions), and PTG could mediate the indirect pathway to protective behaviors. These findings implied that government intervention needs to be integrated with individual factors to effectively control repeated COVID-19 outbreaks.

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