Assessment of compliance with regulations on private medicine practice of specialised clinics in Viet Tri city, Phu Tho province, 2020

2021 ◽  
Vol 05 (03) ◽  
pp. 44-49
Author(s):  
Cam Viet Hoang ◽  
◽  
Thi Thuy Nguyen
Keyword(s):  
Professional Practice ◽  
Medical Practice ◽  
Waste Treatment ◽  
Legal Regulations ◽  
Cross Sectional ◽  
Transportation Equipment ◽  
Facility Conditions ◽  
Private Medicine ◽  
Main Factors ◽  
Depth Interviews

Objectives: To assess compliance with regulations on private medical practice and analyze some influencing factors at specialized clinics in Viet Tri city, Phu Tho province, by 2020. Research method: Cross-sectional descriptive study with analysis, combining quantitative with qualitative. Directly observed 30 private medical practice establishments, combined with in-depth interviews with professional responsible persons and 05 managerial staff. Results: The results showed that some facilities did not meet the criteria, including: 04/30 facilities did not meet the criteria for facility conditions; 10/30 facilities have not yet achieved medical waste treatment; 14/30 facilities lacked conditions of emergency transportation equipment; 13/30 facilities did not comply with the professional regulations as prescribed; There are two main factors that affect private medical practice: The irregular inspection and supervision and the person in charge of professional practice has not fully complied with the provisions of private medical practice. Conclusion: It is necessary to strengthen inspection, examination and propagation and dissemination of legal regulations to private medical practice facilities. Keywords: Private medical practice, private clinics, specialist clinics.

GAMBARAN INDEKS LARVA AEDES AEGYPTI DI BUFFER WILAYAH KERJA BANDARA SEPINGGAN BALIKPAPAN

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Abdurrakhman abdurrakhman Abdurrakhman
Keyword(s):  
Aedes Aegypti ◽  
Buffer Zone ◽  
Chi Square ◽  
Cross Sectional ◽  
Breeding Sites ◽  
Dengue Disease ◽  
Vector Borne Diseases ◽  
Transportation Equipment ◽  
Chi Square Test ◽  
Larvae Density

ABSTRACT : The House index and Container Index in the buffer area of ​​the working area of ​​Balikpapan Sepinggan Airport is still above 1%, so the potential for the spread of dengue disease. Mobilization of people, goods and transportation equipment will increasingly affect the transmission of disease in ports and airports, especially for vector-borne diseases. This study aims to analyze the risk factors associated with larvae density of Aedes aegypti and describe the larvae index in the buffer zone of the Sepinggan Balikpapan Airport This study was a descriptive study with a cross sectional design. The sample in this study was 121 houses with a proportionate stratified random sampling, the research location was in the buffer zone of Sepinggan Balikpapan Airport in November 2018. The variables studied were houses with positive larvae containers, breeding sites and PSN behavior and larvasidation. The data was analyzed using the chi square test. There was a relationship between houses with larvae positive Aedes aegypti, behavior of Mosquito Nest Eradication (PSN) and larvasidation with larvae density of Aedes aegypti but not for breeding sites (p = 0.00 and 95% CI = 0.64), and   (p = 0.00 and 95% CI = 0.34). The description of several Aedes aegypti larvae index, namely House Index (HI) = 57.02%, Container Index (CI) = 24.36%, Bruteau Index (BI) = 148.76, and Flick Free Numbers (ABJ) = 42.98 %. Houses with larvae of Aedes aegypti larvae and PSN and larvasidation behavior were associated with larvae density of Aedes aegypti. The index of HI, CI and BI larvae is of high value so there is a risk of DBD transmission

A gap between Law and Practice: A Community’s Perception of Unmarried Women’s Abortion Options in Nepal

2014 ◽  
Vol 12 (2) ◽  
pp. 24-30
Author(s):  
Simone Christensen Hald ◽  
Ditte Aagaard Sondergaard
Keyword(s):  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Safe Abortion ◽  
Community Attitudes ◽  
Abortion Law ◽  
Premarital Sexual Activity ◽  
Premarital Sexual ◽  
The Right ◽  
Changing Attitudes ◽  
Depth Interviews

Background In 2002, the Nepalese abortion law went from being highly restrictive to fully liberal. This study aimed to explore a local community’s perception of the situation for unmarried Nepalese women wanting to practice their legal right to abortion.Methods The study comprised a cross-sectional survey and in-depth interviews with men and women above the age of 16 years living in the Makwanpur District, Nepal. The final data included 55 questionnaires and 16 interviews. The questionnaire data was univariate analysed, while a condensation of meaning analysis was carried out on the interviews.Results The overall awareness of abortion being legal was high, although the extent of knowledge of the specific legal grounds varied. Unmarried women were believed to have access to abortion services, although they risked stigmatisation due to their marital status. The community attitude towards these women having abortions was very negative, hence it differed from the legal acceptance of all women having the right to abortion. This was explained by societal norms on premarital sexual activity. Generally, the participants felt that changing attitudes would be difficult but possible over time.Conclusion A considerable gap exists between the legal acceptance of abortion and community attitudes when it comes to unmarried women as this group encounters barriers when wanting to practice their right. Therefore, these barriers need to be addressed to allow unmarried Nepalese women access to safe abortion services without the risk of being stigmatised.One possible alternative is educational initiatives such as disseminating information vigorously through mass media to create awareness.DOI: http://dx.doi.org/10.3126/hprospect.v12i2.9869 Health Prospect Vol.12(2) 2013: 24-30

scholarly journals Adherence to treatment in paediatric patients – results of the nationwide survey in Poland

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Przemyslaw Kardas ◽  
Marek Dabrowa ◽  
Konrad Witkowski
Keyword(s):  
Professional Practice ◽  
Patient Adherence ◽  
Nationwide Survey ◽  
Full Potential ◽  
Strongly Correlated ◽  
Adherence To Treatment ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Paediatric Patients ◽  
High Prevalence

Abstract Background Due to high prevalence, non-adherence to prescribed treatment seriously undermines the effectiveness of evidence-based therapies in paediatric patients. In order to change this negative scenario, physicians need to be aware of adherence problem, as well as of possible solutions. Unfortunately, full potential of adherence-targeting interventions is still underused in Poland. Therefore, the aim of this study was to assess the knowledge, attitudes and behaviours toward non-adherence in Polish paediatricians. Methods An anonymous cross-sectional nationwide survey was conducted in the convenience sample of Polish doctors providing care to paediatric patients. The survey focused on the prevalence of non-adherence, its causes, and interventions employed. Primary studied parameter was perceived prevalence of non-adherence in paediatric patients. Reporting of this study adheres to STROBE guidelines. Results One thousand and thirty-three responses were eligible for analysis. Vast majority of respondents were female (85.9%), most of them worked in primary care (90.6%). The respondents represented all 16 Polish Voivodeships, with the biggest number coming from the Mazowieckie Voivodeship (n = 144, 13.9%). Survey participants believed that on average 28.9% of paediatric patients were non-adherent to medication. More than half of the respondents (n = 548, 53.0%) were convinced that their own patients were more adherent than average. Duration of the professional practice strongly correlated with a lower perceived prevalence of non-adherence. Professionals with more than 40 years of practice believed that the percentage of non-adherent patients was <=20% particularly often (OR = 3.82 (95% CI 2.11–6.93) versus those up to 10 years in practice). Out of all respondents, they were also most often convinced that their own patients were more adherent than the general population (P < 0.01). Consequently, they underestimated the need for training in this area. Conclusions Physicians taking care of Polish paediatric patients underestimated the prevalence of medication non-adherence and believed that this was a problem of other doctors. This optimistic bias was particularly pronounced in older doctors. These results identify important barriers toward improving patient adherence that are worth addressing in the pre- and post-graduate education of Polish physicians. They also put some light over the challenges that educational activities in this area may face.

scholarly journals The construction of leadership practice: Making sense of leader competencies

Leadership ◽  
2021 ◽  
pp. 174271502199649
Author(s):  
Dag Jansson ◽  
Erik Døving ◽  
Beate Elstad
Keyword(s):  
Professional Practice ◽  
Leadership Competencies ◽  
The Self ◽  
Leadership Practice ◽  
Choral Conductors ◽  
Making Sense ◽  
Sensemaking Process ◽  
The Face ◽  
Depth Interviews ◽  
Selection Of

The notion of leadership competencies is a much-debated issue. In this article, we propose that how the leader makes sense of his or her competencies is key to leadership practice. Specifically, we look at how leaders reconcile discrepancies between the self-perceived proficiency of various competencies and their corresponding importance. Empirically, we study leaders within the music domain – how choral conductors make sense of their competencies in the shaping of their professional practice. We investigated how choral leaders in Scandinavia ( N = 638) made sense of their competencies in the face of demands in their working situations. A mixed methodology was used, comprising a quantitative survey with qualitative comments and in-depth interviews with a selection of the respondents. The results show that when choral leaders shape their practice, they frequently face competency gaps that compel them to act or adjust their identity. The key to this sensemaking process is how they move competency elements they master to the foreground and wanting elements to the background. The concept of ‘sensemaking affordance’ is introduced to account for how various leader competency categories are negotiated to safeguard overall efficacy.

scholarly journals Voltage Variations and Their Reduction in a Rural Low-Voltage Network with PV Sources of Energy

Electronics ◽  
2021 ◽  
Vol 10 (14) ◽  
pp. 1620
Author(s):  
Agata Szultka ◽  
Seweryn Szultka ◽  
Stanislaw Czapp ◽  
Ryszard Zajczyk
Keyword(s):  
Low Voltage ◽  
Power Production ◽  
Legal Regulations ◽  
Sectional Area ◽  
Overhead Line ◽  
Power Networks ◽  
Cable Line ◽  
Cross Sectional ◽  
Voltage Level ◽  
Wide Scale

Renewable sources of energy (RES), especially photovoltaic (PV) micro-sources, are very popular in many countries. This way of clean power production is applied on a wide scale in Poland as well. The Polish legal regulations and tariffs specify that every prosumer in a low-voltage network may feed this network with a power not higher than the maximum declared consumed power. In power networks with RES, the voltage level changes significantly along the power line and depends on the actually generated as well as consumed power by particular prosumers. There are cases that prosumers connected to this line cannot produce and inject the full permissible power from PV sources due to the level of a voltage higher than the technically acceptable value. In consequence, it leads to the lack of profitability of investments in installations with PV sources. In this paper, voltage variations in a real rural low-voltage network with PV micro-sources are described. The possible two general solutions of voltage levels improvement are discussed—increase in the cross-sectional area of the bare conductors in the existing overhead line as well as the replacement of the overhead line with a cable line. The recommended solution for the analyzed network, giving the best reduction of voltage variations and acceptable cost, is underlined. Such a recommendation can also be utilized in other rural networks.

Tourism and Commoditization of Traditional Cultures among the Himba People of Namibia

2020 ◽  
Vol 2 (1) ◽  
pp. 187-196
Author(s):  
Anna Shilongo
Keyword(s):  
Value Theory ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Tourist Destinations ◽  
Research Designs ◽  
Traditional Cultures ◽  
Sampling Procedures ◽  
Depth Interviews ◽  
Local Leaders

The objective of the study was to investigate the Tourism and Commoditization of Traditional Cultures among the Himba People of Namibia. Globalization theory by Greg Richards and the use value theory by Marx was linked with this study. A mixture of methods comprising of descriptive cross-sectional survey, phenomenology and ethnographic research designs was employed to assess the effect of commoditization of traditional cultures among the Himba people through tourism. The study employed two principal data collection techniques: questionnaires and in-depth interviews. Stratified sampling and purposive sampling procedures were used. Purposive sampling was used as a non-probability sampling method in the sampling of key informants such as tour-guide, local leaders and museum employees. The study took place in two sampled villages in the Opuwo rural constituency, namely, Ohunguomure Village and Okatutura ka Vinjange, which form the major cultural tourist destinations. The sample size of this study was 98. Data was analysed using qualitative and quantitative approaches. Quantitative analysis was applied to close-ended questions, and the data were analysed in terms of frequencies and percentages using the Statistical Package for Social Sciences (SPSS) version 21. Qualitative data obtained from open-ended questions and interviews were analysed thematically. The study concludes that commoditization of culture is diluting culture and destroys the originality of the culture. The study recommends the need for this Ministry to have a component or department that specifically works towards the issue of commoditization of the Himba culture in the Kunene Region.

FACTORS AFFECTING THE PROVISION OF SOCIAL WORK SERVICES FOR CANCER PATIENTS AT THE VIETNAM NATIONAL CANCER HOSPITAL

2020 ◽  
Vol 65 (11) ◽  
pp. 132-143
Author(s):  
Nam Pham Tien
Keyword(s):  
Social Work ◽  
Cancer Patients ◽  
Cross Sectional Study ◽  
Group Discussions ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Policy Regimes ◽  
Financial Factor ◽  
Cancer Hospital ◽  
Depth Interviews

The provision of social work service for cancer patients is facing many challenges. Therefore, this study aims to explore factors affecting the provision of social work services for cancer patients at the Vietnam National Cancer Hospital. This is a cross-sectional study that used 10 in-depth interviews, and three focus group discussions to collect data. Our findings showed that the factors such as specialized qualifications of social workers, available facilities, the network of social work collaborators, finance, and policy regimes hindered the provision of social work services for cancer patients at the hospital. Meanwhile, the financial factor contributed to promote social work services for cancer patients at the hospital. Besides, the demands for the provision of social work services for cancer patients were one of the factors that should be considered in the coming time. Our study suggested stakeholders pay more attention to these factors.

scholarly journals Isoniazid preventive therapy utilization rate and associated factors in adult HIV/AIDS patients in Jimma University Specialized Hospital ART clinic, Oromia Region, Ethiopia: A cross-sectional study.

2019 ◽  
Author(s):  
Gudeta Imana Jaleta ◽  
Vinodhini Rajamanickam ◽  
Kifle Woldemichael
Keyword(s):  
Cross Sectional Study ◽  
Preventive Therapy ◽  
Hiv Care ◽  
Utilization Rate ◽  
Sectional Study ◽  
Cross Sectional ◽  
Specialized Hospital ◽  
Depth Interviews ◽  
Jimma University

Abstract Background: Tuberculosis (TB) is the most frequent life-threatening infection and a common cause of death for people living with HIV (PLHIV). The influence of TB and HIV infection has enhanced the magnitude of both epidemics. Several clinical interventions recommended early diagnosis in PLHIV and treating latent TB infection (LTBI) with Isoniazid preventive therapy (IPT) along with antiretroviral therapy (ART). IPT is one of the key interventions recommended by the world health organization (WHO) for the prevention of TB in patients infected with HIV. Hence, this study aimed to determine IPT utilization rate among adult HIV infected patients enrolled in HIV care and qualitative analysis, which explore the factors that influence IPT use among PLHIV under follow-up, Health care providers (HCPs) and TB/HIV coordinators working in Jimma University Specialized Hospital (JUSH) ART clinic. Methods: An Institution based mixed cross-sectional study was conducted in JUSH ART clinic. Adult HIV infected patients were enrolled by a systematic sampling technique from the registered medical records of JUSH HIV care. PLHIV who were on follow-up and eligible for IPT during the study period, permanent HCPs and TB/HIV coordinators working in ART clinic were included in the qualitative investigation using semi-structured questioners and in-depth interviews. All statistical analysis was compiled by Epi data 3.1 and SPSS 20. Results: Demographic and clinical factors are not significantly associated with IPT use but ethnicity (P≤ 0.02**) was highly significant with IPT use in logistic regression model. Overall, 59.2% of the patients have been prescribed and taken at least one-month course of IPT. The results of in-depth interviews are grouped into three core categories as patient perceptions, HCPs and TB/HIV coordinator perspectives. Discussion and conclusion: PLHIV, HCPs and TB/HIV coordinators suggested their overall response as periodic counseling for target groups, educating the benefits of IPT and increasing public awareness on TB prophylaxis in PLHIV will increase the acceptance and implementation of IPT in large scale. Higher attention should be provided in linking all HIV patients to the nearest health facilities for receiving free service packages and medical care. Key words: IPT, TB /HIV, PLHIV, ART, INH prophylaxis

scholarly journals The Politics of Security Deployment of Security Operatives to Jos Metropolis, Plateau State, Nigeria 2001-2014

2017 ◽  
Vol 17 (1) ◽  
pp. 95-132
Author(s):  
Umar Dantani ◽  
Peter Nungshak Wika ◽  
Muhammad Maigari Abdullahi
Keyword(s):  
Ethnic Groups ◽  
Task Force ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Security Personnel ◽  
Key Informant ◽  
Plateau State ◽  
High Degree ◽  
Depth Interviews

Abstract The paper examines the politics of security deployment by the Federal Government of Nigeria to Jos, metropolis. A cross-sectional study was conducted and Public Opinion Theory adopted. Methodologically, mixed methods of data collection were conducted that involved the administration of 377 questionnaires to adult respondents, six In-Depth Interviews with religious and community leaders while three Key Informant Interviews with security personnel working with Special Task Force. The survey reveals that, the deployment of Mobile Police from 2001-2010 and the formation of Special Task Force in 2010 has generated mixed reactions and divergent perceptions among the residents of Jos metropolis. Majority of the ethnic groups that are predominantly Christians were more contented with the deployment of the Mobile Police whereas ethnic groups that are dominantly Muslims questioned the neutrality, capability, performance and strength of the Nigerian Police Force in managing the crises. The study recommends that, security personnel should display high degree of neutrality in order to earn the confidence of the residents and change their perceptions.

scholarly journals A prevalence study on hypertension among practising advocates in Madurai

2018 ◽  
Vol 6 (1) ◽  
pp. 360
Author(s):  
P. Praveena ◽  
Shanthi Edward
Keyword(s):  
Care Management ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
District Court ◽  
Sectional Study ◽  
Cross Sectional ◽  
Work Pressure ◽  
Main Factors ◽  
And Control ◽  
Health Counsellor

Background: In recent years, the practice of law is demanding and exceedingly stressful occupation. Main factors concerned are, being overloaded with work, unsupported, lack of appreciation, long hours, unattainable targets. Even the most balanced and well-adjusted advocates at some point eventually succumbs to the pressures of working in the legal field. It causes hypertension and a great impact on ones’well being. Hence the main objective of the study is to find out the prevalence of hypertension among practising advocates, thereby effective measures can be taken to prevent and control hypertension and its complications.Methods: : A cross-sectional study was conducted in a sample of 300 practising advocates at Madurai district court for a period of 1 year by simple random sampling method.Results: The overall prevalence of hypertension among the practising advocates was found to be 41% (123). Among the 123 hypertensives, 56 (18.7%) were known hypertensives and 67 (22.3%) were newly detected hypertensives.Conclusions: The cause for hypertension among the advocates may be due to hectic work pressure. Advocates being professionals are well educated and informative. Regular adoption of basic life style modification practices, short vacations, arrangement of health camps in court premises with guidance of bar council association, recruitment of health counsellor in Bar Council Association for health educating and counselling the advocates, regular monitoring of health status by self-care management can control and prevent hypentension.

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