scholarly journals Determinants of Patient-Directed Citizenship Behaviors of Nurses in Thailand: A Motivation Model

2019 ◽  
Vol 15 (8) ◽  
pp. 94
Author(s):  
Ratana Somrongthong ◽  
Kanon Trichandhara
Keyword(s):  
Public Service ◽  
Structural Model ◽  
Cross Sectional Study ◽  
Transformational Leaders ◽  
Citizenship Behaviors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Multi Stage ◽  
Southern Border ◽  
Motivation Model

This cross-sectional study explored how transformational leaders and public service motives impacted patient-directed citizenship behaviors of the nurses in three southern border provinces of Thailand. The participants of 813 nurses were selected via multi-stage sampling. A questionnaire was employed as its instrument. The structural model analysis revealed a congruence between the hypothesized model and the empirical data where

scholarly journals Insulin resistance indices and coronary risk in adults from Maracaibo city, Venezuela: A cross sectional study

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 44 ◽  
Author(s):  
Juan Salazar ◽  
Valmore Bermúdez ◽  
Luis Carlos Olivar ◽  
Wheeler Torres ◽  
Jim Palmar ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Adult Population ◽  
Cross Sectional Study ◽  
Coronary Risk ◽  
Sectional Study ◽  
Predictive Capacity ◽  
Cross Sectional ◽  
Multi Stage ◽  
Risk Event ◽  
Hs Crp

Background: Insulin resistance (IR) is a metabolic disorder related to atherosclerosis. Its measurement is of great importance not only as a marker of diabetes but also for cardiovascular disease. The aim of this research study was to evaluate the relationship between various IR indices and coronary risk in an adult population from Maracaibo city, Venezuela. Methods: The Maracaibo City Metabolic Syndrome Prevalence Study is a descriptive, cross-sectional study with random and multi-stage sampling. In this sub study, 1272 individuals of both genders were selected with the measurement of basal insulin and coronary risk according to the Framingham-Wilson formula calibrated for our population. The insulin resistance indices evaluated were HOMA2-IR, triglycerides and glucose index (TyG) and triglycerides/HDL ratio (TG/HDL). The predictive capacity and association between each index and the coronary risk event in 10 years were determined. Results: Of the evaluated population, 55.2% were female, 34.8% had a coronary risk ≥5% in 10 years, with the TG/HDL and TyG indices showing the highest AUC 0.712 (0.681-0.743) and 0.707 (0.675-0.739), respectively; compared to HOMA2-IR. Both were also the indices most associated with increased coronary risk, especially TG/HDL ≥3 with a higher association [OR = 2.83 (1.74-4.61); p<0.01] after multivariable adjustment. Conclusions: TyG (≥4.5) and TG/HDL (≥3) indices showed a great predictive capacity of higher coronary risk, with being TG/HDL more associated even after adjusting for abdominal obesity and hs-CRP. Therefore, these represent useful tools for determining IR.

scholarly journals Acceptability of the Urban Family Medicine Project among Physicians: A Cross-Sectional Study of Medical Offices, Iran

2016 ◽  
Vol 8 (10) ◽  
pp. 257
Author(s):  
Elham Movahed Kor ◽  
Arash Rashidian ◽  
Mostafa Hosseini ◽  
Farbod Ebadi Fard Azar ◽  
Mohammad Arab
Keyword(s):  
Family Medicine ◽  
Urban Areas ◽  
Structural Model ◽  
Target Population ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Positive Effects ◽  
Urban Family ◽  
Fit Index

<p><strong>INTRODUCTION:</strong> It is essential to organize private physicians in urban areas by developing urban family medicine in Iran. Acceptance of this project is currently low among physicians. The present research determined the factors affecting acceptability of the Urban Family Medicine Project among physicians working in the private sector of Mazandaran and Fars provinces in Iran.</p><p><strong>METHODS: </strong>This descriptive-analytical and cross-sectional study was conducted in Mazandaran and Fars provinces. The target population was all physicians working in private offices in these regions. The sample size was calculated to be 860. The instrument contained 70 items that were modified in accordance with feedback from eight healthcare managers and a pilot sample of 50 physicians. Data was analyzed using the LISREL 8.80.</p><p><strong>RESULTS: </strong>The response rate was 82.21% and acceptability was almost 50% for all domains. The fit indices of the structural model were the chi-square to degree-of-freedom (2.79), normalized fit index (0.98), non-normalized fit index (0.99), comparative fit index (0.99), and root mean square error of approximation (0.05). Training facilities had no significant direct effect on acceptability; however, workload had a direct negative effect on acceptability. Other factors had direct positive effects on acceptability.</p><p><strong>CONCLUSION: </strong>Specification of the factors relating to acceptance of the project among private physicians is required to develop the project in urban areas. It is essential to upgrade the payment system, remedy cultural barriers, decrease the workload, improve the scope of practice and working conditions, and improve collaboration between healthcare professionals.</p>

The issue of school privatisation in Côte d'Ivoire

2020 ◽  
Vol 7 (11) ◽  
pp. 401-415
Author(s):  
N’Guessan Claude KOUTOU ◽  
Zamble Théodore GOIN BI
Keyword(s):  
Public Schools ◽  
Secondary School ◽  
Public Service ◽  
Structural Adjustment ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Private Partnership ◽  
The Public ◽  
Structural Adjustment Programmes

The Ivorian state has been involved in the construction of public schools given their importance for development. Since the 1980s, there has been a reduction in funding linked to the economic crisis and structural adjustment programmes. Thus, by a convention the State will concede the public service of education to the private sector. The results of this research on the conditions of access to private schools in the Abidjan district were analysed through a cross-sectional study with descriptive and analytical aims. This has led to disparities in costs between municipalities. 40,000 FCFA for minima and 1, 922,000 FCFA for maxima, a multiplication order of 48. In secondary school, the minimum is 43,000 FCFA and the maximum is 2, 706,000 FCFA, a multiplication order of 63. In higher education there are less disparities. In total, there are many differences in the costs of schooling from one school to another. While the public-private partnership has encouraged more children to attend school, it has also created a challenge to access because of the expensive costs of attending school.

scholarly journals High vaccination coverage and inadequate knowledge: Findings from a community-based cross-sectional study on Japanese Encephalitis in Yangon, Myanmar

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 6
Author(s):  
Pyae Phyo Kyaw ◽  
Hemant Deepak Shewade ◽  
Nang Thu Thu Kyaw ◽  
Khaing Hnin Phyo ◽  
Htar Htar Lin ◽  
...  
Keyword(s):  
Japanese Encephalitis ◽  
Vaccination Coverage ◽  
Vaccine Coverage ◽  
Specific Treatment ◽  
Case Fatality ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Multi Stage

Background: Japanese encephalitis (JE) is a mosquito-borne disease with high case fatality and no specific treatment. Little is known about the community’s (especially parents/guardians of children) awareness regarding JE and its vaccine in Yangon region, which bears the highest JE burden in Myanmar. Methods: We conducted a community-based cross-sectional study in Yangon region (2019) to explore the knowledge and perception of parents/guardians of 1-15 year-old children about JE disease, its vaccination and to describe JE vaccine coverage among 1-15 year-old children. We followed multi-stage random sampling (three stages) to select the 600 households with 1-15 year-old children from 30 clusters in nine townships. Analyses were weighted (inverse probability sampling) for the multi-stage sampling design. Results: Of 600 parents/guardians, 38% exhibited good knowledge of JE, 55% perceived JE as serious in  children younger than 15 years and 59% perceived the vaccine to be effective. Among all the children in the 600 households, the vaccination coverage was 97% (831/855). Conclusion: In order to reduce JE incidence in the community, focus on an intensified education program is necessary to sustain the high vaccine coverage in the community.

scholarly journals Ethnic Variation and its Association with Malaria Awareness: A Cross-sectional Study in the East Nusa Tenggara Province (Indonesia)

2021 ◽  
Author(s):  
Robertus Dole Guntur ◽  
Jonathan Kingsley ◽  
Fakir M A Islam
Keyword(s):  
Economic Status ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Education Level ◽  
Ethnic Variation ◽  
Sectional Study ◽  
Cross Sectional ◽  
Multi Stage ◽  
Education Levels ◽  
Logistic Regression Method

Objectives: This study aims to investigate ethnic variation and its association with malaria awareness in the East Nusa Tenggara Province (ENTP), Indonesia. Methods: A community–based cross–sectional study was conducted upon 1495 adults recruited by multi –stage cluster random sampling technique. A malaria awareness related questionnaire was used to collect data alongside a malaria awareness index (MAI). A logistic regression method was applied to quantify the strength of associations of factors associated with the awareness index. Results: Of total participants, 33% were from Manggarai, 32.3% were from Atoni, 30.2% from Sumba ethnicity. The level of MAI was significantly different between these groups with the highest in Manggarai ethnicity (65.1%, 95% confidence interval (CI): 59.9 — 70.3) and the lowest in Sumba ethnicity (35%, 95% CI: 27.6 — 42.4). The most prominent factors influencing the MAI in Sumba and Manggarai ethnicity were education level, whilst it was socio–economic status (SES) in Atoni ethnicity. The level of MAI was significantly higher for adults with diploma or above education level (adjusted odds ratio (AOR): 21.4, 95% CI: 3.59 — 127.7- for Manggarai; AOR: 6.94, 95% CI: 1.81 — 26.6 for Sumba). The level of MAI was significantly higher for adults living in high SES in Atoni (AOR 24.48, 95% CI: 8.79 — 68.21). Conclusions. Poorer education levels and low SES were more prominent factors contributing to lower levels of MAI in rural ENTP. Interventions should focus on improving malaria awareness to these groups to support the national commitment of the Indonesian government to achieve a malaria elimination zone by 2030.

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