Health Education System Research Articles

A Fuzzy Qualitative Simulation Study of College Student’s Mental Health Status

The fuzzy qualitative approach used in this paper provides an in-depth study and analysis of the simulation of the mental health state of college students, which is continued from another perspective using structural equation modeling, in which sufficient conditions for the equation to satisfy local asymptotic stability, instability, and global attraction at the zero equilibrium point and sufficient conditions for the existence and instability of nonzero equilibrium points are discussed, respectively. In addition, the paper proves the boundedness of the solutions of the equation by mathematical induction and obtains sufficient conditions to ensure that the solutions are bounded. The intrinsic causes of college students’ psychological problems lie in the lack of social support in the family and outside the family and the influence of the overall social environment on college students. Finally, this paper puts forward some suggestions and countermeasures based on this research finding from three levels: family, school, and society, giving full play to the role of family support; schools should expand the main body of support, enrich the form of support, and provide comprehensive and multifaceted social support for college students. Finally, the simulation of the equation is carried out to verify the correctness of its conclusion. The rate of mental subhealth is 1.605 times that of college students admitted to ideal universities, which is consistent with our actual situation. At the level of condition guarantee, the hardware facilities, management system, and professional team of mental health education for college students are evaluated; from the specific content, the teaching work, educational activities, psychological counseling, and crisis intervention of mental health education for college students are evaluated; from the perspective of effect, the degree of goal achievement, social adaptation, and result satisfaction of the effect of mental health education for college students are evaluated. The final part analyzes and elaborates on the construction of evaluation indexes of mental health education for college students, the design of weight of guiding indexes, and the content and optimization path of the evaluation test. The results of the study show that personal ability and external pressure are important factors influencing college students’ mental health, and the influence of external pressure is greater. Logistic regression and structural equation modeling methods complement each other, and the findings of structural equation modeling are more comprehensive and integrated, while logistic regression illustrates the degree of each influencing factor.

Women's trajectories of postpartum depression and social support: A repeated-measures study with implications for evidence-based practice.

Postpartum depression is one of the most common psychological disorders of women after childbirth. Despite the importance of social support as an influencing factor, there have been few studies on the trends and characteristics of social support as it relates to postpartum depression. To explore the trends in postpartum depression and social support, to cross-analyze the correlation between the postpartum depression trajectory and the social support trajectory, and to investigate predictors of changes in postpartum depression trajectories. A prospective repeated-measure study and convenience sampling were used to recruit 230 women at 1, 3, and 6months after childbirth. Structured questionnaires were used for data collection. Trajectory analysis was used to explore the trajectories of postpartum depression and social support during the 6months after childbirth, and polynomial logistic regression was used to explore predictors of the trajectory of postpartum depression. Postpartum depression was at its most serious in the third month after childbirth, showing patterns of low-risk, moderate-risk, and high-risk trajectories. Social support also showed low, moderate, and high patterns, and the trajectory of postpartum depression was significantly related to the trajectory of social support. The predictors of moderate-risk and high-risk postpartum depression were also found in this study. Postpartum mental health education and online learning systems should be used to increase social support for women after childbirth and reduce the incidence of postpartum depression.

Double Face Mask Use for COVID-19 Infection Prevention and Control Among Medical Students at Makerere University: A Cross-Section Survey.

IntroductionThe second wave of COVID-19 greatly affected the health care and education systems in Uganda, due to the infection itself and the lockdowns instituted. Double masking has been suggested as a safe alternative to double-layered masks, where the quality of the latter may not be guaranteed. This study aimed to determine patterns of double mask use among undergraduate medical students at Makerere University, Uganda.MethodsWe conducted a descriptive cross-sectional study using an online questionnaire. All students enrolled at the College of Health Sciences; Makerere University received the link to this questionnaire to participate. Logistic regression analysis was used to assess factors associated with double mask use.ResultsA total of 348 participants were enrolled. The majority (61.8%) were male; the median age was 23 (range: 32) years. Up to 10.3%, 42%, and 4.3% reported past COVID-19 positive test, history of COVID-19 symptoms, and having comorbidities, respectively. Up to 40.8% had been vaccinated against COVID-19. More than half (68.7%) believed double masking was superior to single masking for COVID-19 IPC, but only 20.5% reported double masking. Participants with a past COVID-19 positive test [aOR: 2.5; 95% CI: 1.1–5.8, p = 0.026] and participants who believed double masks had a superior protective advantage [aOR: 20; 95% CI: 4.9–86.2, p < 0.001] were more likely to double mask. Lack of trust in the quality of masks (46.5%) was the most frequent motivation for double masking, while excessive sweating (68.4%), high cost of masks (66.4%), and difficulty in breathing (66.1%) were the major barriers.ConclusionVery few medical students practice double masking to prevent COVID-19. Coupled with inconsistencies in the availability of the recommended four-layered masks in Uganda and increased exposure in lecture rooms and clinical rotations, medical students may be at risk of contracting COVID-19.

Exploring the Dimensions and Components of Accountable Education for the Rehabilitation Sciences Curriculum in Tehran Universities of Medical Sciences: A Qualitative Content Analysis

Objective Training capable, committed and responsive graduates to the needs of society and the health system can be considered the most important mission of medical universities. In general, accountability to the community is one of the main priorities of the health education system, so if universities want to meet the needs of the community they cover, they must design their education system based on the needs and priorities of community health. The purpose of this study is to identify the dimensions and components of Accountable education for the rehabilitation sciences Curriculum in Tehran universities of Medical Sciences. Materials &amp; Methods This study was conducted with a qualitative approach to identify the dimensions and components of Accountable education in Tehran universities of Medical Sciences in 2021 with the participation of 25 experts in the field of rehabilitation and using the method of content analysis through purposeful sampling. In order to collect data, semi-structured interviews of experts were used. The interview lasted between 45 minutes and 60 minutes and before the interview, the purpose of the study was explained to the participants. Data analysis based on Granheim method and also in order to evaluate the accuracy and robustness of the data, four criteria of acceptability, reliability, transferability and Guba and Lincoln Results The mission of Accountable education is commitment to the direction of education, research and service delivery based on the priority needs and expectations of society, which is achieved by emphasizing the direct and continuous contact of students with society at various levels. After conducting the interviews, 6 dimensions and 21 components were identified as follows and were approved by experts in the form of brainstorming. Dimensions include: 1- Society 2- Higher health education system 3- University 4- Professor 5- Student 6- Curriculum and 21 components and 136 indicators were finalized Conclusion The present study showed 6 general dimensions 1- Society 2- Higher health education system 3- University 4- Teacher 5- Student6-Curriculum as dimensions Accountable education play an important role in fulfilling the missions of third and fourth generation universities. The results of this study are expected to be used by institutional policymakers in the field of rehabilitation sciences in order to institutionalize Accountable education in the field of higher education in order to be able to effectively guide Curriculum towards meeting the needs and expectations of society. It is suggested that due to the importance of responsive education, more extensive studies in this field should be conducted at the level of medical universities in the country.

The Mining Method of Ideological and Political Elements in University Public Mental Health Courses Based on Artificial Intelligence Technology.

Artificial intelligence technology has become an important part of the development of Internet technology. Artificial intelligence technology can help colleges and universities optimize the network ideological and political teaching system. Artificial intelligence technology provides more accurate data resources and rich and reliable educational technology means for online public mental health education in colleges and universities. This paper comprehensively uses a variety of methods such as qualitative and quantitative analysis, case and empirical analysis, literature analysis, and artificial intelligence technology. Artificial intelligence technology has been closely integrated with online public mental health education in colleges and universities. The model systematically analyzes the optimization methods of artificial intelligence technology methods for the online public mental health education system in colleges and universities, and constructs an innovation system for online public mental health education in colleges and universities. Based on the comprehensive analysis of artificial intelligence and public health in colleges and universities, this paper further proposes the application of artificial intelligence technology in online public mental health education in colleges and universities. On this basis, the model conducts an in-depth analysis of artificial intelligence technology and the online public mental health innovation system. The model supports the development of ideological and political teaching in colleges and universities through various forms such as idea innovation, path innovation, carrier innovation, and mechanism innovation.

Differential equation to verify the validity of the model of the whole-person mental health education activity in Universities

Abstract College students are prone to psychological changes and personality distortions under heavy pressure. It will lead to catastrophe if it is not promptly guided or improperly used to reduce stress and relax. Now we integrate holistic education into the construction of the mental health education system in colleges and universities. This is conducive to solving practical problems and improving the effectiveness of system construction. We set up a differential equation model (DCE) based on the discrete choice to study mental health due to practice. At the same time, we adopt the mutual influence model of penetrating dissemination of thoughts and public opinion and human behaviour, and establish the SEIR DCE with constant input and bilinear incidence rate. The experiment verifies the algorithm’s effectiveness on the model of whole-person mental health education activities in colleges and universities.

The Status of Chinese National Theoretical Discourse System and Its Correlation With Psychological Education of College Students.

In recent years, in the face of new situations and problems in society, the discourse system, academic concepts, and related research perspectives of Chinese national theory have been strongly impacted by Western thought, making the discourse mode of western national theory become the second discourse system outside the traditional Chinese national theory. In order to further promote the construction of the Chinese national discourse system in college students' mental health education systems, the study first starts with the concept of national theory and discourse system and then uses the literature method to consult the development status of the Chinese national theoretical discourse system and the mental health education of college students. The results show that students' grade is directly proportional to the satisfaction of students with mental health education, that is, with the increase of grade, students are more and more satisfied with mental health education. The attendance rates of college students, high school students, junior middle school students, and primary school students are about 98, 87, 81, and 78%, respectively. In addition, students who are willing to actively accept psychological education account for about 38% of the total number of students, those who do not refuse account for 51% of the total number of students, and those who are unwilling to accept account for 11% of the total number of students. Among these students, their acceptance of mental health education will not be affected by other factors. Furthermore, the satisfaction score of college students with mental health education is about 4.1, the satisfaction score of high school students is about 3.6, the satisfaction score of junior middle school students is about 2.9, and the satisfaction score of primary school students is about 2.1. It reveals that the degree of satisfaction with mental health education is also related to grade. While taking mental health education courses, students not only realize a comprehensive understanding of the theory of the Chinese nation, but also greatly improve their national self-confidence and psychological quality. Moreover, it also strengthened by disseminating the theoretical discourse of the Chinese nation. Therefore, the exploration is of great significance to the development of the Chinese national theoretical discourse system in the psychological education of college students.

Obrazovanjem do zdravlja. Zdravstveno prosvjećivanje mladih u Hrvatskoj od kraja Drugoga svjetskog rata do početka 1970-ih.

This paper shall examine the role and development of health education in the Socialist Republic of Croatia from the end of the Second World War to the beginning of the 1970s. Consideration shall be accorded to the public health priorities and measures that clarify the role of schooling in the health education of young people both within and outside of the school system, particularly in the 1960s within the context of political, economic and social change in the Socialist Republic of Croatia, when socialism was being systematically implemented at all levels and structural changes in society were under way. In this sense, it is noteworthy that the educational system was considered a vital area for anticipating changes in the spirit of the socialist self-management transformation. Improvement of the overall culture of health in society was accomplished by educating children about health through the school system. In this vein, instruction about preserving health and a healthy lifestyle and the prevention of infectious diseases was promoted through mandatory basic education from the earliest age. At the end of the 1960s, topics pertaining to health and sexuality were introduced into educational curricula with the aim of protecting the health of pupils. The Educational Advisory Board of the Socialist Republic of Croatia adopted the General Educational Curriculum and Programme for Primary Schools which contained components aimed at fostering personal responsibility for health. An analysis of the General Educational Curriculum and Programme will be employed to examine contemporary themes and demonstrate how the introduction of new educational content in the school system led to significant changes in the modes for the systematic health education of young people.

Cultivation of Health Attainments for Students Majoring in Physical Education in Hunan Province

As society enters a new era, social progress and the rapid development of higher education have brought huge development potential and challenges to the physical education industry. For some higher physical education systems, the physical education of students is one of the important teaching links to cultivate health literacy. The cultivation of health education is the main link in the field of talent cultivation in colleges and universities, reflecting the integration of science and sports. In the context of the development of China's socialist market system, how to create talents with the best sports and health education system to meet China's growing social needs and meet the needs of social development for talents is an urgent problem to be solved. Critical working conditions are the main issues that need to be resolved quickly. This article aims to cultivate the health literacy of students majoring in physical education in Hunan Province. This article conducted a sample survey on the health literacy of students majoring in physical education in Hunan Province. Three cities were randomly selected in Hunan Province, and then three universities were randomly selected from these three cities. Can be used as a research object. With reference to the document of the Chinese Citizens’ Health Literacy Survey, the calculation formula of the sample size and the collected data were substituted into the formula, and then the corresponding data was obtained through calculation. Then through the comparison of the data obtained in the reference and the Internet, the analysis concluded that the health literacy of the physical education students of Hunan University is relatively low, and the health literacy of the physical education students of Hunan University is relatively low. The level of physical education students in other regional universities is at a medium level, not very good, and it is not very bad for other universities. Use the data obtained from data practice to prove the authenticity and feasibility of this investigation. According to the questionnaire survey in this article, the students majoring in physical education at Hunan University have more or less mastered one or two emergency techniques, indicating that the corresponding health literacy has been established, but the possession rate is still low. According to the survey, 50.8% of the 1783 physical education students have mastered the heartbeat and pulse detection methods, but 16.8% of the students said they did not understand the methods, indicating that the popularization is not yet in place.

Chicken or egg: A dual diagnosis narrative

WHAT IS KNOWN ON THE SUBJECT?: Dual diagnosis is a term used to describe persons who have a co-occurring mental health and substance misuse disorders. It is the cause of significant economic burden to health care, justice and educational systems. It is well reported that to date dual diagnosis is under-diagnosed and poorly treated within the confines of mental health services WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: It demonstrates that the need for service reform where all services are equipped with the necessary tools required to adequately support a person with dual diagnosis. WHAT ARE THE IMPLICATIONS FOR MENTAL HEALTH NURSING?: The narrative provides a real-life, candid description of how trauma in early childhood can cause significant challenges when one becomes older. The narrative identifies the dangers of not diagnosing a dual diagnosis early, resulting in only treating half the presenting issues. This narrative also offers hope to individuals in current distress, as well as for those supporting such individuals, as it clearly demonstrates that with the right supports and encouragement, recovery is possible. ABSTRACT: Introduction Dual diagnosis describes when a person has two co-occurring disorders. It is often difficult to diagnose and this can lead to prolonged suffering on behalf of the individual. Aim To provide a lived experience narrative of the early recovery journey of a person with a dual diagnosis. Method This aim was achieved through the use of a narrative based methodology. Results The journey of life leading to a dual diagnosis and beyond is described under the following headings: Formative Years, Substance Misuse, When Life gives you Lemons, They Say Nothing lasts Forever, From the Ashes, Early Recovery and Luck or Fate? DISCUSSION: The narrative presented describes a first hand experience of the struggles leading to a dual diagnosis and how receiving the diagnosis has supported the recovery journey of the first author.

Oral Health Literacy and Oral Health Behavior among Adolescents in Babol 2019

Background: The process of obtaining oral health information, evaluating its concepts and using appropriate prevention and treatment processes in the field of Oral health literacy (OHL) is within the scope of health literacy and is the link between culture and society, health system, education system, and oral health consequences. The purpose of the current study was to investigate OHL in first-grade high school students in Babol.&#x0D; Materials and Methods: The present study was a cross-sectional study on 383 high school students in Babol 2019 using the multi-stage cluster sampling method in the first stage of school selection and in the second stage of class selection. The data were collected using demographic, oral health behaviors assessment, and Oral Health Literacy Questionnaire. OHL questionnaire has 17 questions in four sections of reading comprehension, numeracy, listening, and decision making. Regression analysis, ANOVA, T-test, and chi-square test were used for data analysis (SPSS 23).&#x0D; Findings: The mean score of students' OHL was 8.33 ± 2.004, and 11.7%, 26.1%, and 61.9% of the students were with adequate, borderline, and inadequate levels of OHL, respectively. According to the analysis, OHL had a significant relationship with income, father’s education, tooth brushing, and use of beverage foods.&#x0D; Conclusion: The results showed that OHL was insufficient among students, and more efforts and interventions were required to improve oral health and increase oral health literacy among student.

독일, 영국 및 한국의 사례분석을 통한 학교보건교육의 개선방안

Objectives: The purpose of this study was to compare the status of school health education of Germany, United Kingdom and Korea and to provide recommendations for school health education to improve the students’ health behavior practices in Korea. Methods: For this study, literature reviews were done with published articles and statistics reports. In-depth interviews with three health education experts from European countries were conducted. Results: The school health education of Germany, United Kingdom and Korea were compared. Differences were found in the subjects, obligation and evaluation system of school health education. Also, while Germany and United Kingdom focused on why and how they should behave healthy, Korea focused on the knowledge of health. Conclusion: School health education should be focused on developing life skills and there should be a government agency in local areas to support school health education practices including a training system for the health teacher, and to provide educational curriculum and evaluation.

Effectiveness of a nurse-led online educational programme based on basic insulin therapy in patients with diabetes mellitus: A quasi-experimental trial.

To evaluate the effectiveness of a nurse-led online educational programme based on patients with diabetes mellitus treated with initial basal insulin therapy. Patients with type 2 diabetes mellitus (T2DM) need to be treated with insulin to control hyperglycaemia and reduce the risk of diabetic complications when oral hypoglycaemic drugs are not effective or contraindicated. Current practices emphasise the leading role of nurses in patients treated with initial basal insulin therapy after discharge. The introduction of nurse-led online education within this area is a relatively new programme. This study was a quasi-experimental, nonequivalent, two-group, comparison group design. The study selected 800 patients with T2DM hospitalised in the Department of Endocrinology at a Chinese hospital from July 2018 to June 2020 who were initially treated with insulin. According to the time sequence, 400 patients from July 2018 to June 2019 were divided into the control group and 400 patients from July 2019 to June 2020 into the intervention group. The control group received routine health education and doctor-led follow-up based on routine health education. The intervention group received systematic health education and online insulin injection activities led by nurses. The effects were evaluated after 3 and 6months of intervention. The TREND checklist was followed to ensure rigour in the study. In total, 339 patients were enrolled in the intervention group and 333 patients within the control group. According to the analysis, 3months after the intervention, the compliance rate of fasting blood glucose (FBG) (rate difference: 0.078, 95% CI: 0.006-1.150, p<.05) and HbA1c (%) (rate difference: 0.070, 95% CI: 0.001-0.137, p<.05) between the intervention and control groups were statistically significant; 6months after the intervention, the compliance rate of FBG (rate difference: 0.077, 95% CI: 0.007-0.14, p<.05) and HbA1c (%) (rate difference: 0.106, 95% CI: 0.324-0.180, p<.01) between the intervention and the control groups were statistically significant. The total score of the 'My Opinion on Insulin' scale in the intervention group was (80.18±6.68), and in the control group was (71.15±8.17), there was a significant difference in the scale between the two groups (mean difference: 9.03, 95% CI: 7.900-10.160, p<.01). Through a multivariable regression model, in order to correct the important baseline characteristics, the daily insulin dosage, and the total score of the 'My Opinion on Insulin' scale after 6months of intervention were independent risk factors for the two intervention methods in diabetic patients treated with initial basal insulin therapy (p<.05). A nurse-led online programme was feasible and effective for patients with diabetes mellitus treated with initial basal insulin therapy. This programme could effectively be used to reduce the patient's daily insulin dose, as well as improve the patients' compliance using insulin therapy. Nurse-led online education has a role in implementing a safe, standardised, and sustained approach to patients with diabetes mellitus treated with initial basal insulin therapy during follow-up after discharge.

'Doctor Brides': A narrative review of the barriers and enablers to women practising medicine in Pakistan.

This literature review explores the current issues and historical aspects of the problems faced by female medical students and doctors in Pakistan. The literature search comprised PubMed, Education Resources Information Centre and Google Scholar databases to look for resources from education as well as from health sector from 2009 to 2020. Due to lack of local literature on the subject, it was tried to make sense of the career barriers and enablers they face considering the underlying theory and evidence from other countries. Keeping the Pakistani context in view, it explored the interventions adopted in other countries to help reduce the gender-based issues which have resulted in the facilitation of women in health education and healthcare systems. The major gender issues identified were unequal representation of female doctors in leadership positions and in some specialties, work-life imbalances, socio-cultural norms and lack of professional development opportunities.

Oral health status and behaviors of pregnant migrant workers in Bangkok, Thailand: a cross-sectional study

BackgroundThere is evidence to show that immigrants have poorer oral health status than their local counterparts, and low-skilled migrant workers may also be more prone to poor oral health. This study aims to evaluate the oral health status and oral health behaviors of pregnant migrant workers compared to those of local pregnant women.MethodsA hospital-based cross-sectional study was conducted in a public general hospital in Bangkok. Pregnant migrant workers who attended the antenatal clinic were randomly enrolled at their first antenatal booking; local pregnant women were also randomly included to form a comparison group. Oral health status of all eligible pregnant women was evaluated according to the World Health Organization (WHO) protocol, and their oral health behaviors were assessed using a structured questionnaire. Oral health status and behaviors of the two pregnant groups were compared using Chi-Square test, Student’s t test, Mann–Whitney U test, Fisher’s exact test and multiple logistic regression analysis.ResultsA total of 208 pregnant migrant workers and 210 local pregnant women were included. Pregnant migrant workers had significantly more dental disease than local pregnant women (DMFT mean (SD) = 5.8 (4.4) vs 4.8 (4.0), p = 0.014) with significant more dental decay (D mean (SD) = 5.5 (3.6) vs 3.8 (2.9), p < 0.001; adjusted OR 3.56 (95%CI 1.74–7.27)). Pregnant migrant workers suffered greater periodontal disease with mean (SD) CPI of 2.9 (0.6) vs 2.2 (0.5), p < 0.001. CPI = 3 or 4 occurred in 74.5% of migrants compared to only 22.4% of local pregnant women (adjusted OR 6.39: 95%CI 3.53–11.58). A significant greater percentage of pregnant migrants had a CPI of 4 (11.1% vs 0.5%). Pregnant migrant workers tended not to use fluoride toothpaste or dental floss and despite having 76.0% healthcare coverage, they made significantly fewer dental visits compared to local women; furthermore, the majority of them (74.5%) were under the misconception that dental treatment was prohibited during pregnancy.ConclusionPregnant migrant workers experienced more dental caries and periodontal disease, had less access to oral health facilities, had less knowledge of healthy oral hygiene, and had poorer oral health practices than local pregnant women. Comprehensive oral health screening and treatment during antenatal visits, together with appropriate systematic antenatal health education, could play a crucial role in improving their oral health.

Parasitological and bacteriological survey of liquid wastes from Naze industrial clusters in Owerri, Imo state

Liquid wastes are known to be highly contaminated and pose great public health risk, especially when indiscriminately discharged to the environment. The parasitological and bacteriological survey of liquid wastes from Naze industrial clusters in Owerri metropolis was carried out. Sewage wastewater and laundry wastewater were used as study samples. 100mls each of the samples were collected from the drainage sites with sterile screw-capped specimen bottles, and sent to the laboratory for analysis. The liquid wastes were filtered and the filtrates were used for the analysis. Parasitological analysis employed Zinc Sulphate Centrifugal Flotation Technique and Modified Ziel-Nielsen stain (Acid-Fast Staining). Parasitic ova, cysts, larva and oocysts isolated were identified using standard morphological and taxonomic keys. Bacterial isolates were identified using standard microbiological techniques and biochemical characteristics where necessary. Parasites such as Ascaris lumbricoides, Strongyloides stercoralis, Trichuris trichiura, Enterobius vermicularis, Schistosoma mansoni, Hymenolepsis nana, Entamoeba histolytica, Gardia lamblia, Balantidium coll and Isospora belli were isolated from the liquid wastes. Bacteria species isolated included Erwinia amylovora, Listeria monocytogens, Escherichia coli, Salmonella typhi, Bacillus cereus, Staphylococcus aureus and Proteus vulgaris. The results showed that the most prevalent parasite and bacteria isolated were Ascaris lumbricoides 49(37.6%) and Salmonella typhi (3.38x104 CFU/mL) respectively. These potentially pathogenic parasites and bacteria detected in these liquid wastes, pose serious threat to public health. Interventive measures such as public health education, adequate drainage and waste disposal system, regular and monitored environmental sanitation, and provision of safe and portable water supply to the study area, are recommended.

노인 임플란트 보험 급여화 후 일부 치과위생사의 근무환경 및 구강보건교육의 변화

Objectives: This study was conducted to confirm the changes in the dental hygienist's working environment and oral health education after insurance coverage for elderly implants. Methods: This study surveyed 215 dental hygienists with clinical experiences of more than 4 years of working in dental hospitals (SPSS ver. 23.0, p&lt;0.05). Results: There was no significant change in the dental hygienist's work environment after the elderly implant insurance coverage, and most dental hygienists responded positively to the implant insurance coverage. Regardless of the benefits of elderly implant insurance, the contents of knowledge transfer related to implants did not change and were evenly covered. Conclusions: In the future, as the proportion of the elderly population is increasing, an effective oral health education system using various oral health education media should be prepared.

Indonesian Authors in Geneeskundige Tijdschrift voor Nederlands Indie as Constructors of Medical Science

Access to the publication Geneeskundig Tijdschrift voor Nederlandsch-Indië (GTNI), a Dutch Indies medical journal, was limited to European doctors. Although Stovia (School ter Opleiding van Inlandsche Artsen) was established to produce indigenous (Bumiputra) doctors, its students and graduates were not given access to GTNI. In response, educators at Stovia founded the Tijdschrift Voor Inlandsche Geneeskundigen (TVIG) as a special journal for indigenous doctors. Due to limited funds, TVIG – the only scientific medical publication for indigenous doctors – ceased publication in 1922. The physicians formed Vereeniging van Inlandsche Geneeskundigen (VIG) an association for pribumi (native) doctors to express various demands for equal rights, one of which was the right to access GTNI. The protests and demands of the bumiputra doctors resulted not only in being granted reading access rights but also being able to become writers for GTNI. Bumiputra doctors who contributed to GTNI included Bahder Djohan and Johannes Leimena. However, they were not the only authors who contributed to GTNI during the Dutch East Indies era. After Indonesia became independent, both doctors played major roles in laying the foundation for Indonesia’s health education system and implementing village-based health policies. This article is part of a research project on Indonesia’s health history using the archives of the GTNI, TVIG and books written by doctors who contributed to GTNI which were published from the early twentieth century onwards. This paper reconstructs the role of GTNI writers in building Indonesian health knowledge.

University Students' Mental Health Education System Based on Big Data and Network Public Opinion

University Students' Mental Health Education System Based on Big Data and Network Public Opinion

Black Men's Experiences With Health care: Individuals' Accounts of Challenges, Suggestions for Change, and the Potential Utility of Virtual Agent Technology to Assist Black Men With Health Management.

Black men have the highest age-adjusted death rate of any major race-gender group in America. Understanding their perceived barriers to accessing health care may benefit future interventions working to increase Black men's health care engagement. Data collected from focus groups of Black men(N = 67), key informant interviews(N = 12), and interviews(N = 5) with participants who pilot tested an online health education system (called "Gabe") were analyzed to explore their health care experiences and how computer-based health programs might better assist Black men. Concerns pertaining to health care systems' failure to recognize the diversity among Black men, and physicians' lack of sociocultural awareness about the challenges they regularly face, were most salient. Building trust with providers was cited as being central to engagement, with Gabe users perceiving the system to be both trustworthy and accessible. Participants reported an openness to technology assisting with health management and provided suggestions of how online systems can meet the needs of Black men.