Support Management Programs Research Articles

Practices of Public Health Nurse in Health Management Support Program for Public Assistance Recipients

Practices of Public Health Nurse in Health Management Support Program for Public Assistance Recipients

The Effect of Menstrual Hygiene Management on Girl Child School Attendance at St Marys Girls Vocational School in Kamukuzi Division, Mbarara City

This study assessed the effects of menstrual hygiene management on school attendance among female adolescent students at St. Mary's Girls Vocational School in Kamukuzi Division, Mbarara City. The researchers employed systematic random sampling to select 45 respondents from Form One and Form Two, as these students were expected to have experienced their menstrual periods. The majority of the respondents were aged 13-14 years. While some girls used handkerchief cloths or hand towels as menstrual management materials, most of them used sanitary pads and disposed of them in the toilets. The researchers conducted a Pearson correlation coefficient analysis in SPSS to examine the relationship between menstrual hygiene management and school attendance. The analysis revealed a weak positive correlation coefficient of 0.210, indicating a weak relationship between menstrual hygiene management and school attendance. However, the p-value of 0.167 suggested that the results were not statistically significant. The study concluded that there is an impact of menstrual hygiene management on school absenteeism, as girls who experienced longer periods tended to miss more school days. However, the weak relationship and lack of statistical significance indicate that other factors may also contribute to school attendance among adolescent girls, and menstrual hygiene management alone may not be the sole determinant. This study provides valuable insights into the challenges faced by adolescent girls in managing menstruation and its potential impact on their school attendance. It highlights the need for comprehensive menstrual hygiene management education and support programs in schools to ensure that girls have access to appropriate materials and facilities. By addressing these challenges, schools can create a supportive environment that promotes regular attendance and educational opportunities for all female students, even during menstruation

Telephone navigation and health check attendance among public assistance recipients: Lessons from two-year effort in Toyonaka City

Objective Poverty is a significant health determinant. As public assistance recipients experience difficulties in health management, a healthcare management support program to provide health checks has been implemented by welfare offices in Japan since 2021. However, effective approaches to maximize health check rates are limited. This study aimed to identify the impact of telephone navigation on recipients' health check-receiving behaviors, using data from welfare offices in Toyonaka City.Methods This study included recipients aged 40-60 years who received telephone navigation for health check programs in 2021 and 2022. In 2021, telephone navigation was provided to eligible recipients. In 2022, the recipients were divided into two groups based on their household identification numbers (even/odd). We examined the difference in the health check rate in 2021 depending on whether the navigation system was connected. Additionally, we examined the differences across groups and navigation periods in 2022.Results In 2021, 32 (7.9%) recipients received health checks. Twenty-six (10.2%) of the 255 recipients and six (4.1%) of the 148 recipients in the navigated and non-navigated groups, respectively, underwent health checks. In the navigated group, health check rates were higher among recipients in their 50s (13.3% vs. 3.1%; P = 0.006), unemployed recipients (13.9% vs. 3.6%; P = 0.014), those who did not receive previous health checks (9.1% vs. 1.5%; P = 0.003), and those who did not receive regular medical consultations (8.3% vs. 0%; P = 0.012). In 2022, 247 and 225 patients were assigned to the odd- and even-numbered groups, respectively, with no differences in their characteristics. During the intervention period, four (1.6%) of the 247 recipients and 10 (4.6%) of the 219 recipients in the odd- and even-numbered groups, respectively, underwent health checks. During the non-intervention period, five (2.1%) and six (2.7%) recipients of the odd- and even-numbered groups, respectively, underwent health checks. Health check rates were higher toward the deadlines. The estimated conditional odds ratio for receiving the health checks by the navigation was 1.35 (95% confidence interval; 0.59-2.93, P = 0.503).Conclusion Telephone navigation may be effective in some recipients. Meanwhile, targeting recipients with attributes, such as "in their 50s," "unemployed," "received no previous health checks," and "received no regular medical consultations" may increase the response rate. Therefore, policymakers should consider using reliable telephone navigation methods and navigating near deadlines.

Self-Efficacy Improvement in Diabetes Mellitus Patients After Implementing Discharge Planning Based on Diabetes Self Care Management Education in Inpatient Room, dr. Haryoto Hospital, Lumajang

Diabetes (DM) is a chronic disease and is characterized by high blood sugar (glucose) levels, diabetes that is not well controlled, can cause various complications that endanger the patient. One of the pillars of DM management is health education. Health education can increase the self-efficacy of patients so that diabetes management can be optimized. Diabetes Self Management Education (DSME) is a diabetes management education and support program that can be a place for diabetes patients to get education, support development and maintain the behavior of diabetes patients. The management that will be implemented is implementing DSME-based discharge planning and measuring self-efficacy before and after the intervention. The design of this scientific paper uses a case study design. The subjects used were two patients with diabetes mellitus. Data analysis was carried out using descriptive analysis. Self-efficacy in (Mrs. S) patients who were given DSME-based charge planning increased from an initial self-efficacy score of 58 in the low category to 87 in the high category, Meanwhile the self-efficacy of (Mrs. P) patients who were given charge planning not based on DSME experienced a difference from the initial self-efficacy score of 54 in the low category to 59 in the low category. There is a change in self-efficacy in diabetes mellitus patients (Mrs.S) after implementing DSME-based discharge planning and there was no change in self-efficacy in diabetes mellitus patients (Mrs.P) who applied non-DSME-based discharge planning inpatient RSUD. dr. Haryoto Lumajang.

FRAUD PREVENTION STRATEGIES IN INDONESIAN MSMEs: THE SIGNIFICANCE OF HONESTY AND INTERNAL CONTROL FACTORS

This study highlights the role of honesty and internal control in preventing fraud in Micro, Small, and Medium Enterprises (MSMEs) in Indonesia. MSMEs are an important pillar in the national economy, but face challenges such as poor management, limited human resources, and fraud. This study examines the impact of a culture of honesty and the implementation of effective internal controls to reduce fraud risk. The sample consisted of 150 MSMEs. Testing was performed using SmartPLS. The results show that honesty and good internal control can increase the reliability of financial information, operational efficiency, and consumer trust. In addition, the implementation of internal control, which includes risk assessment, control activities, and information and communication, has proven to be effective in mitigating the risk of fraud. To support MSMEs in moving up in class and achieving sustainable success, the government and other stakeholders must provide management guidance, training, and support programs that focus on increasing honesty and internal control. Thus, MSMEs can be better prepared to face business challenges, reduce the risk of fraud, and contribute more to national economic growth. Keywords: Fraud, Honesty, Internal Control, Micro Small and Medium Enterprises, MSMEs

Report on the Geospatial Insights for Landslide Mapping and Mitigation Training Program sponsored by ISRO’s Disaster Management Support Program (DMSP)

Report on the Geospatial Insights for Landslide Mapping and Mitigation Training Program sponsored by ISRO’s Disaster Management Support Program (DMSP)

A Study on the Influences of the COVID-19 Pandemic-Related Depression, Anxiety, Stress, and Treatment-Crisis on Quality of Life in Cancer Patients – A Secondary Publication

Objective: To investigate the factors affecting the quality of life of cancer patients by examining the degree of the COVID-19 pandemic-related depression, anxiety, stress, and treatment crisis. Methods: Data were collected from 132 cancer patients undergoing surgery, chemotherapy, radiotherapy, and hormone therapy at K University Hospital in D City using a structured questionnaire. The period of data collection was from May 6 to May 28, 2022. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation, and stepwise multiple regression. Results: The mean scores of quality-of-life, depression, anxiety, stress, and treatment crisis during the COVID-19 pandemic were 84.64 ± 29.09, 15.14 ± 6.49, 4.66 ± 5.27, 75.83 ± 17.70, and 78.52 ± 19.95, respectively. In terms of factors affecting the quality of life related to the COVID-19 pandemic, COVID-19 pandemic-related stress (β = 0.41, P < 0.001) appeared to have the greatest impact, followed by COVID-19 pandemic-related treatment-crisis (β = 0.28, P = 0.002), anxiety (β = 0.21, P = 0.002), and gender (β = 0.14, P = 0.009), with a total explanatory power of 67.6%. Conclusion: To improve the quality of life during the COVID-19 pandemic, COVID-19 pandemic-related stress, treatment-crisis, and anxiety should be periodically monitored and nursing interventions such as education on infection prevention, management, and emotional support programs should be provided to decrease the COVID-19 pandemic-related stress, treatment-crisis, and anxiety.

Effectiveness of the Nurse-led Self and Family Management Support Program among Adults with Early-stage Chronic Kidney Disease: A Randomized Controlled Trial

Chronic kidney disease is a significant health problem that leads to severe complications and premature death. Adults with early-stage chronic kidney disease need to maintain renal function and prevent the progression, which can be achieved through effective self-management. This randomized control trial with a two-arm pre-post-test aimed to investigate the effectiveness of the Nurse-led Self and Family Management Support Program for increasing disease knowledge and self-management among adults with early-stage chronic kidney disease. The sample consisted of dyads of 64 adults with the disease and their family members. The dyads were randomly assigned to the experimental arm (n = 32) and the control arm (n = 32). The experimental arm received the Nurse-led Self and Family Management Support Program, while the control arm received only usual care. Data was collected using a demographic data recording form, the Disease Knowledge Scale, and the Chronic Kidney Disease Self-Management Scale. Data analysis was undertaken using descriptive statistics, two-way repeated ANOVA with post hoc test, and independent t-test. From the results, the participants in the experiment arm had better disease knowledge and self-management than the control group at 4, 8, and 12 weeks after the program and were better than before the program. Nurses can apply this program to encourage individuals and family members to be involved in providing all aspects of support for self-management for adults with early-stage chronic kidney disease. However, further testing in other settings is needed.

Alarming use of Psychoactive Drugs Amongst Medical Under and Post Graduate Students

Objective: The purpose of this study was to assess the prevalence and factors associated with the use of psychoactive drugs amongst medical undergraduate and postgraduate students. Study Design: A cross-sectional study was conducted using a self-administered questionnaire to obtain information on the consumption patterns of psychoactive substances. Study Place and Duration: The study was carried out at Department of Psychiatry, Khyber Teaching Hospital Peshawar, Khyber Pakhtunkhwa, over a period of twelve months from January, 2022 to December, 2022. Methods: A total of 2,500 medical students, comprising 1,800 undergraduates and 700 postgraduates, were randomly selected from the participating institution. The questionnaire collected data on demographics, academic performance, substance use, and factors contributing to the consumption of psychoactive drugs. Data were analyzed using descriptive statistics, chi-square tests, and logistic regression models. Results: The overall prevalence of psychoactive drug use among the medical students was found to be 35.8%, with a higher rate among postgraduate students (42.1%) compared to undergraduates (32.6%). The most commonly used substances were stimulants, followed by opioids and sedatives. Factors significantly associated with psychoactive drug use included high levels of stress, academic pressure, and peer influence. Students who reported using psychoactive drugs had a higher incidence of poor academic performance and mental health issues. Gender differences were also observed, with male students showing a higher prevalence of substance use than female students. Conclusion: The study highlights the alarming prevalence of psychoactive drug use among medical undergraduate and postgraduate students, which can adversely impact their academic performance, mental health, and future professional lives. It is imperative for educational institutions and policymakers to implement targeted interventions to address the underlying factors contributing to substance use, such as stress management and peer support programs. Furthermore, fostering a culture of open dialogue and increasing awareness about the consequences of psychoactive drug use can help mitigate this growing public health concern. Keywords: psychoactive drugs, medical students, undergraduate, postgraduate, prevalence, substance use, academic performance, stress, mental health.

Reducing Surgical Complications in Spine Patients Through a Medication Management Support Program.

A hospital-wide medication management program was implemented to ensure that high-risk patients would systematically pause antiplatelet and anticoagulant medications. We analyzed complications before and during the implementation of this program. The goal of the study was to determine if a medication management support program was effective for reducing perioperative complications, including hemorrhage, myocardial infarction, stroke, pulmonary embolism, and deep vein thrombosis. Using data from the National Surgical Quality Improvement Program database, we examined the presence of 5 complications before and during the implementation of a medication management support program. There were 9732 patients in the clinic population who underwent elective spine surgery between 2011 and 2020 and were included in this analysis. Of those 9732 patients, 7205 had surgery before the introduction of the program, whereas 2527 had surgery at some point after the program was introduced. We conducted a series of Pearson's χ 2 tests to determine the relative frequencies of the complications before and during the program. Results showed that during the implementation of the program, patients were relatively less likely to experience hemorrhage (3.16% vs. 1.11%; P <0.001). The reductions in thrombotic complications were clinically significant: myocardial infarction (0.12% vs. 0.00%), stroke (0.10% vs. 0.04%), pulmonary embolism (0.33% vs. 0.28%), and deep vein thrombosis (0.36% vs. 0.28%). These P values ranged from P =0.08 for myocardial infarction to P =0.67 for pulmonary embolism. The use of this medication management support program appears effective for reducing the need for blood transfusions and thrombotic complications. While promising, the results should be interpreted with caution as we do not know whether this type of program will be effective for other hospital systems.

Effectiveness of a Self- and Family Management Support Program among Older People with Diabetic Retinopathy and Visual Impairment: A Randomized Controlled Trial

Diabetic retinopathy is a microvascular complication of diabetes resulting in visual impairment. Controlling the progression of diabetic retinopathy and living with visual impairment are crucial tasks and skills for older people with diabetic retinopathy and visual impairment. This randomized controlled trial investigated the effects of a self- and family management support program on health outcomes of Thai older people with diabetic retinopathy and visual impairment who lived with family members in the community and on family satisfaction. Eighty-four participants were recruited at an eye-specialized hospital in a central province of Thailand and randomly assigned to either the experimental group (n = 42) or the comparison group (n = 42). The experimental group received the intervention program plus usual care, while the comparison group received only usual care. Instruments for data collection included a Demographic Data Form, the Perceived Security in Performance of Daily Life Activities Questionnaire, the Self-Management Behavior Questionnaire, the Sirindhorn National Medical Rehabilitation Center Functional Assessment, the Thai Visual Function Questionnaire 28, and the Family Satisfaction Questionnaire. Data analyses were performed using descriptive statistics, t-test, chi-square, two-way repeated measures ANOVA, and ANCOVA. Results showed that the experimental group had significantly more improved perceived security, self-management behavior, HbA1c, visual-related quality of life: performing activities dimension, and family satisfaction than the comparison group at Week 16. However, no significant differences in perceived security, self-management behavior, functional ability, and overall visual-related quality of life were found between the two groups at Week 8. This program be further tested before being implemented into practice. However, it has a potential for healthcare providers to create an intervention program encompassing disease control and skill training for older people with diabetic retinopathy and visual impairment and encourage their families to support them.

Analisis Faktor-Faktor Yang Mempengaruhi Kinerja Sistem Informasi Akuntansi Studi Kasus Kantor Kecamatan Sawit, Boyolali

This study aims to determine the influence of accounting information system factors on the system implemented in the Sawit District Office, Boyolali. This study uses primary data consisting of several independent variables including the influence of user involvement, personal capabilities, top management support, education and training programs and organizational size which will be examined whether it influences the performance of accounting information systems as the dependent variable. This research is a type of quantitative data. The population in this study amounted to 50 employees involved in accounting information systems, so the entire population was used as a sample. This research method includes data analysis methods using data quality tests, classic assumption tests and multiple regression analysis with results showing user involvement, personal capabilities, top management support, education and training programs, organizational size partially or simultaneously affect information system performance accountancy.

Pengaruh Dukungan Manajemen Puncak, Kemampuan Teknik Personal, Program Pendidikan Dan Pelatihan Terhadap Kinerja Sistem Informasi Akuntansi

The purpose of this study is to determine the Effect of Top Management Support, Personal Engineering Ability, Education and Training Programs on the Performance of Accounting Information Systems. This research was conducted on all agencies in the Tabanan Regency Local Government.. primary data obtained using questionnaires. The population in this study was 5,006 employees in the Tabanan Regency Local Government Office. The sampling technique used in purposive sampling with 63 respondents. The analysis technique used is Multiple Linear Regression. Result show that the Influence of Top Management Support, Personal Ability, Education and Training Programs has a positive and significant effect on the Performance of Accounting Information Systems.

민간부문 긴급복지지원사업 사례연구

Emergency assistance program (EAP) is not only operated separately from public welfare system for the low-income vulnerable, but also distinguished from disaster management support program, which is designed to respond to natural disasters such as hurricane, tornado, and COVID-19, etc. EAP is usually targeting to support all vulnerable populations at crisis, who are on the borderline of blind spots in public welfare system. In addition to public sector, private sector has also carried out EAPs. However, little research has been conducted in this field. The purpose of this study is to analyze the outcome of A Foundation’s ‘SOS Emergency Welfare Support Program’, and deduce explanatory implications. Thus, this study is a kind of program outcome evaluation research. The research method consists of content analysis and related literature review. As data sources, this study used two types of reports: the ‘On-site Verification Report’ and ‘Support-Result Report’ for the program. After analyzing the contents of those reports, the cases were quantitatively converted for analysis. A total of 657 cases were analyzed for three years, from 2018 to May 2021. One of findings is that economic and housing problems were the main reasons for crisis. Many cases had complex problems such as mental health issues and domestic violence. As for performance indicators, problem-centered target efficiency, client-centered target efficiency, contribution to problem-solving, speed of the process, and positive side effects were measured. They present the program has positive outcomes. Based on the results, the future direction of EAP has been discussed even in relation to the public sector.

Randomised, pragmatic, waitlist controlled trial of cannabis added to prescription opioid support on opioid dose reduction and pain in adults with chronic non-cancer pain: study protocol

IntroductionChronic, non-cancer pain impacts approximately 50 million adults in the USA (20%), approximately 25% of whom receive chronic prescription opioids for pain despite limited empirical efficacy data and strong dose-related...

Effectiveness of patient education on total knee arthroplasty: A systematic review and meta-analysis.

This study was designed to examine the contents and methods of patient educational interventions about total knee arthroplasty (TKA) and their effectiveness in reducing postoperative pain and enhancing range of motion (ROM) in the literature. Patient education has been provided to facilitate recovery after TKA; however, little is known about the contents and methods of the interventions and their effectiveness in reducing postoperative pain and enhancing ROM. This is a systematic review and meta-analysis of randomised controlled trials (RCTs). Published studies from June 1998-June 2021 were identified from electronic databases. Two independent investigators assessed the quality of the studies by using the revised Cochrane risk-of-bias tool. Meta-analyses with random-effects models were conducted to assess the effectiveness of the interventions using the Comprehensive Meta-Analysis Software. The study was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline. Among 12 articles that met the inclusion criteria, three interventions provided education on pain management and mobility/exercises. The most common educational methods were the combinations of oral explanation, written materials, and audiovisual materials, group discussion, while four studies used information technology (IT) devices. The meta-analysis demonstrated that the educational interventions using IT devices were effective in improving pain and ROM, but not the interventions that did not use IT devices. Structured education for pain management, communication and/or exercise support programs utilising diverse methods have been provided to patients undergoing TKA. Using IT devices could successfully enhance the effectiveness of educational interventions for patients undergoing TKA. Integration of postoperative pain management and mobility/exercises with the use of IT devices should be actively considered in providing patient education in clinical nursing practice.

Flood susceptibility modeling based on new hybrid intelligence model: Optimization of XGboost model using GA metaheuristic algorithm

Flood is the most common natural hazard that causing unprecedented loss of life and property in the world. In recent years, flood damage has increased due to human intervention and land use and climate changes. The purpose of this study is to predict flood susceptibility in Tafresh watershed in Markazi Province, Iran based on K-nearest neighbor (KNN), Extremely Gradient Boosting (XGB) machine learning models and evaluate the performance of hybrid genetic algorithm (GA) optimization method and XGB model. For this purpose, 14 independent variables affecting flood susceptibility were prepared, also, 227 flood locations were identified as independent variables based on available information and field survey. In order to evaluate the efficiency of the models, receiver operating characteristic (ROC) parameters were used. Evaluating the efficiency of the models based on the AUCs of testing dataset showed the higher efficiency of the GA-XGB hybrid model in modeling flood susceptibility in the Tafresh watershed is compared to KNN and XGB models, and the AUC in KNN, XGB, and GA-XGB models are 0.82, 0.85, and 0.87, respectively. So using the genetic algorithm as an optimizer for determining the best parameters in the XGB model increases efficiency in this model. The results of determining the relative importance of independent variables in flood susceptibility modeling showed that the independent variables considered in each model have different effects. Distance from road and distance from river in all three models had significant importance in modeling flood hazard in the Tafresh watershed. The optimization method in this study can be used as a powerful method in other spatial modeling studies. The results of this study also support management programs to reduce flood risks in the study area.

Expectations and problems of the healthcare management support program for public assistance recipients

Objectives In recent years, the importance of healthcare support for public assistance recipients has been recognized, and healthcare support measures have been implemented for them. This study aimed to investigate the expectations and problems of welfare offices, as well as their requests to the central government and prefectures about the healthcare management support program for public assistance recipients, which has been mandated since 2021.Methods In November 2019, snowball sampling was used to select 23 welfare offices for sending self-administered questionnaires about the healthcare management support program. Respondents were asked open-ended questions about their expectations and problems regarding the program, as well as their requests to the central government and prefectures. A subsequent interview survey was conducted from November 2019 to February 2020, gathering additional information on the questionnaire survey.Results We received consent for the questionnaire survey and interview survey from 16 welfare offices (response rate 69.6%). It was revealed that the staff in charge of the healthcare management support program at the welfare office expected the program to improve recipients' health awareness and condition and for it to be applied to other residents in the community. They reported difficulty in developing the implementation system, setting up the indicators and target population, and retaining health professionals. They requested the central government and prefectures to clarify the indicators and the criteria for evaluation, provide reference materials, introduce precedents, communicate and coordinate with welfare offices and related organizations in the community, hold meetings to share information, and secure financial resources.Conclusion Findings from our study suggest a need to strengthen the cooperation between the central government, prefectures, and local governments and to establish a multilayered system to implement the healthcare management support program effectively in welfare offices.

Management Strategies to Mitigate Anthropogenic Impacts in Estuarine and Coastal Marine Environments: A Review

A wide range of anthropogenic activities impacts estuarine and coastal marine environments including interactive climate and non-climatic drivers of change that can significantly degrade biotic communities and habitats. Many of these environments are in decline due to changes in ecosystem structure and function resulting from multiple stressor effects. In addition, inadequate governance has supported a patchwork of single issues or sectoral approaches rather than integrated management of multiple human uses and activities to maintain healthy, productive, resilient, and sustainable ecosystems and the provision of goods and services. Ecosystem-based marine spatial planning is a viable framework for a more effective governance structure and management of these vital coastal environments. An important component of this approach is a holistic effort to assess the environmental, economic, and societal impacts of anthropogenic activities. Thus, a multidisciplinary integrated approach is preferred that links ecological, physical, and socio-economic systems, increasing the protection of resources and societal benefits. For degraded estuarine and coastal marine ecosystems, restoration and rehabilitation initiatives are important intervention strategies used to reverse the loss of habitats and biotic resources and to support management programs. Marine Protected Areas (MPAs) are an integral element of marine management plans to conserve and sustain estuarine and coastal marine environments by protecting threatened ecosystems and their resources from anthropogenic activities. National and international regulatory frameworks and directives are also in place to protect and conserve these environments.

Prevalence of type 2 diabetes by age, sex and geographical area among two million public assistance recipients in Japan: a cross-sectional study using a nationally representative claims database

BackgroundRecognising the importance of the social determinants of health, the Japanese government introduced a health management support programme targeted at type 2 diabetes (T2D) for public assistance recipients (PAR) in...