Promotion Actions Research Articles

Sign balances and promotion order of Young-Fibonacci tableaux

In this paper we give two results on Young Fibonacci tableaux. First we establish identities about the sign balances of Young Fibonacci tableaux, analog to known results on standard Young tableaux. Then we investigate the promotion action on a Young Fibonacci tableau and determine the order of the action. In contrast with the fact that there is no general formula of the promotion order for a standard Young tableau, here we can determine the order completely.

“VIII rural veterinary, global health”: the extension as a dialogical apparatus between community and university

"Veterinary Rural, Global Health" is an extracurricular extension project that aims to provide health education through disease prevention and health promotion actions. It is a collective, transdisciplinary, and multiprofessional approach that involves professors, students, and veterinarians, among other professionals and members of the Tutorial Education Programs (PET) of the Federal Rural University of Rio de Janeiro (UFRRJ). Our goal is to disseminate scientific knowledge to the residents of Seropédica, Rio de Janeiro, Brazil. In addition, the project aims to strengthen partnerships between the academic community and the Municipal Health Department to support rabies vaccination for dogs and cats in the municipality. For eight editions, the project seeks to address issues related to animal, human, and environmental health through extensionism to encourage the debate of ideas about One Health with the population. In 2022, two stages of activities were conducted. The first stage focused on supporting the vaccination of dogs and cats against rabies in various parts of the city. The second stage took place in the main square of the municipality, where health education activities were organized for children, adults, and seniors. These activities included lectures, playful interactions, drawing and painting workshops, distribution of gifts, and exhibition of anatomical and vertebrate pieces of importance in public health, among others. All practices addressed issues related to One Health and provided integration between the academic community and its surroundings, highlighting the importance of the inseparability of animal, human, and environmental health to reduce diseases with zoonotic potential.

The advocacy process in Canadian community health nursing: A collaborative ethnography.

To shed light on the process of advocacy in the context of community health nursing, through a methodology inspired by the epistemologies of the South. We conducted a collaborative ethnography in a community health centre in Canada. de Sousa Santos' epistemologies of the South, a typology of advocacy and main themes from historic research informed the methodology. Data were collected between 2016 and 2018 through 420 h of fieldwork observations and three group discussions, including a collective process to co-construct interpretations with participants. Twenty-one nurses participated in the study. Nurses had sufficient work flexibility to practice advocacy actions focused on individuals and groups. They also engaged in attempts at policy reform in the form of defending access to appropriate care and changing the mode of care organization. However, these were curbed by bureaucracy and administrative rules, resulting in the eventual dismissal of health promotion actions and experiences of moral distress. Despite the political climate of their work environment impeding social justice agendas, nurses' advocacy practices showed a persistence of moral values and ideals in coherence with the regional nursing legacy. Acting at the organizational level and involving field nurses in decision making are potential avenues for increasing policy advocacy efficacy. Examining contexts through another epistemic lens and methods of research drawing on history and anthropology has shed light on a process of advocacy. This research shows that organizations need to equip themselves with mechanisms to promote the sharing of realities between nurses, thereby building collective advocacy. The research adheres to the EQUATOR guidelines with SRQR and COREQ methods. No patient or public contribution.

Elderly surgical hospitalizations in the municipality of Rio de Janeiro, 2020

It is estimated that, by 2025, around 14% of the country's population will be aged over 60. The increase in the population's life expectancy has encouraged scientific work in healthcare for the elderly. The profile of illness generates greater demand for hospital admissions, drug treatments and rehabilitation. The study sought a comprehensive assessment of the current state of health of the elderly, especially those undergoing surgical interventions. Objective: To analyze the recorded hospitalizations of elderly surgical patients in the municipality of Rio de Janeiro in 2020. Methods: Quantitative, cross-sectional, retrospective, and analytical with a focus on secondary data from the SUS Hospital Information System (SIH). Results: Of the total number of hospitalizations, 28,318 (48.9%) were female and 29,535 (51.1%) were male. The average age was 70.4 years (± 7.9) among elderly hospitalizations, and this average was higher in women 71.2 (± 8.4) compared to men 69.5 (± 7.4). Conclusion: The results show the importance of the health information system in the state of Rio de Janeiro as a tool for drawing up, planning, and monitoring diagnostic, preventive and health promotion actions aimed at the elderly population.

Home-Destination Spillover Effects in Health-Related Spa Activities: The Case of Thermal Baths

The spillover effects of tourists’ behavior from home to destination are relevant to understanding market preferences and to designing targeted promotion actions intended to improve tourists’ wellbeing. Thermal tourism is an important segment of health tourism. The present study addresses the extent to which people who make use of thermal baths at home continue to indulge in the same activity at tourism destinations. The theoretical framework is based on self-efficacy theory and the health belief model. This work provides evidence on home-destination spillover in thermal tourism. The findings show that health self-efficacy and the perceived health benefits of thermal baths influence this choice of activity at destinations, and suggest that these variables have an effect on home-destination spillover in health tourism. The implications for the management of health tourism destinations and the promotion of tourists’ health and well-being, as well as for the management of the pandemic crisis, are discussed.

EXPERIENCE REPORTE

This article aims to report the personal experience of the crew of the Mobile Intensive Care Unit – ICU, of a private company, in the center-west region of the state of Minas Gerais. The method used is the report of experiences lived in the last 15 months. It was noticed that the body mass index - BMI, was often not prioritized during removal requests in patients using an orotracheal tube in obese patients, as the majority of ventilators available on the market do not ventilate morbidly obese patients, generating a risk of barotrauma in bag-mask-valve ventilation. This generated in the institution a new protocol for assistance and reception by the attendant when it comes to intubated patients. As it is an Intensive Care Unit (mobile ICU) environment, it requires numerous prevention, stabilization and health promotion actions for the individual to be transported. This is a highly vulnerable vehicle for patients in transit and for the car’s crew. The article leads to reflection on the topic, providing the opportunity to have a broader view when it comes to transporting an obese patient. Despite being very specific and qualified assistance, the importance of disseminating information could awaken the community in general, as any human being could one day need this care and this type of transport. Among the ways to prevent transport complications, the measures taken include improving communication from the team leaving the support base until receiving the patient in the specialized bed with the best support.

Evaluating an integrated promotion and prevention bystander approach: Early evidence of intervention benefits and moderators

Bullying victimization remains a pressing concern to the health and development of U.S. adolescents. Victims of bullying face threats to their safety and education. Hence, interventions are needed to prevent bullying and equip others to intervene in bullying situations. Prior research has examined preventive interventions with little consideration of promotion-tailored, peace-encouraging, interventions. Further, there is a need to test whether people’s motives toward preventive and promotive actions may fit with certain intervention tracks. Here, we tested an upstander approach consisting of a universal assembly presentation with promotion-oriented education (Promote Caring) and prevention-oriented education (Say Something), as well as a tailored 150-minute workshop (Upstanding for Promotion-Prevention). High school students (n = 388; 53.9% girls) participated in the study with a control group (n = 335) and intervention group who self-selected to experience upstanding for peace promotion (n = 15) or upstanding for bullying prevention (n = 35). Students in the prevention-tailored track reported stronger safety beliefs (violence prevention beliefs and care promotion beliefs) than students in the control group and endorsed using more defending actions than control-group students. Students’ gain, non-gain, and loss motivations moderated ties between upstanding track involvement and post-test safety beliefs, barriers to upstanding, and defending behaviors.

Associações entre as características sociodemográficas e de saúde dos trabalhadores do Ministério da Saúde e COVID-19

Abstract The present study aimed to describe sociodemographic and health characteristics of Ministry of Health workers and possible associations with work affected by COVID-19. This was an observational, descriptive, and cross-sectional study, conducted between July and October 2021. This study counted on the participation of 821 workers (67.6% women and 32.4% men), 53.3% of white race/color, 66.7% with a postgraduate degree, 38.7% with an income of 5 to 10 minimum wages. In addition, 65.4% reported having some form of disease, 69.2% had health insurance, 64.5% consumed alcohol, 6.1% were smokers, 67.4% practiced physical activity, and 53.8% and 52.2%, respectively, considered their physical and mental health to be good. For 81.8%, work was affected by the pandemic. Factors associated with work affected by the pandemic, after controlling for confounding variables, were level of education and mental health. According to 55%, the emotional aspects represent the variable that most affected their work. The results pointed out characteristics of Ministry of Health workers that can contribute to the planning of health protection and promotion actions. Investment in future studies is warranted, especially as regards the issue of health workers that are not directly in the “frontline” of COVID-19 but who are essential for crisis management during a pandemic.

Healh as a rignht: acesso f the street population to healts services

This study aimed to: Describe, through a literary survey, the perception of homeless people in relation to the provision of health services and the accessibility process in the search for health care. Thus, the methodological design was chosen: an integrative review, conducted according to the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Anslyses (PRISMA) protocol. We used as inclusion criteria primary studies that addressed the access to health services offered by public health institutions to homeless people, published from 2011 to November 2021 in any language. Databases: Medical Literature Analysis and Retrieval System Online (MEDLINE), via PubMed; Latin American and Caribbean Literature on Health Sciences (LILACS), via the Virtual Health Library (VHL) and the Spanish Bibliographic Index on Health Sciences (IBECS), also through the VHL. A total of 08 studies were obtained as results. It can be concluded that: there is a fragmentation in the accessibility process of homeless people to enter health services, such individuals permeate social stigmas, prejudice, inhumane situations and even the devaluation of their health problems. Inferring when their perception is that they are unattended by public policies and without direct health promotion and prevention actions.

O.6.3-8 The challenge of participatory projects for physical activity promotion: what to scale and how to scale?

Abstract Purpose Effective pilot interventions for physical activity (PA) promotion should be scaled up, i.e. transferred to broader contexts while permanently integrating them into policies or systems (WHO, 2010). This study explores the scale-up strategies of four German projects that developed actions for PA promotion based on a participatory approach (Gelius et al., 2021), highlighting the challenges encountered while transferring the participatory approach to other contexts and reaching other population groups. Methods We conducted a qualitative study based on document analysis and 15 semi-structured focus group interviews with each of the projects’ research teams. The ExpandNet framework (WHO, 2010) was used to retrospectively analyze the scale-up strategies as well as key elements (i.e., innovation, user organization, environment) utilized in the projects. Results The projects succeeded in transferring effective pilot interventions to a total of 16 new sites (“horizontal” scale-up). At some sites, the process ran smoothly, while at others, the employed scale-up strategies differed from the initial plan. As a result, some projects scaled the participatory component, while others the specific actions previously developed in the pilot project. Also, in some projects, political support and other favorable circumstances allowed for institutionalizing PA promotion actions on a higher organizational level (“vertical” scale-up). Conclusions When participatory approaches are used as mechanisms to co-create an agenda for PA promotion jointly with researchers, population groups, and relevant stakeholders, it seems that multiple strategies may be employed for scale-up. Participatory projects can be scaled-up horizontally or vertically, i.e. by focusing either on the participatory approach as a whole or on specific actions developed using the participatory approach in a previous pilot project. There is a need to develop novel theoretical concepts of scalability that capture the diversity of approaches observed in our study. Note This study was conducted within the Capital4Health, a consortium funded by the German Federal Ministry of Education and Research [01EL1821A-F].

Electronic cigarettes: a new social practice and the challenge of tobacco control policies

Smoking is a chronic disease and is considered a serious public health problem and has been the target of many preventive and health promotion actions over time. The most consumed tobacco product among adults and young people is the conventional cigarette, however, the consumption of smokeless tobacco or other smoked tobacco products, such as electronic cigarettes, has been observed on an increasing basis in the world. Electronic smoking devices (EFD), which have increasingly attracted the attention of young consumers, involve different equipment and technologies. Based on the precautionary principle, since 2009, Brazil has prohibited the sale, importation and advertising of all types of DEF that offer the replacement of cigarettes, cigarillos, cigars, pipes and the like or that aim at an alternative to the treatment of smoking, through RDC n 46, of August 28, 2009. Even though it is prohibited in Brazil, the use of electronic cigarettes as an alternative is evident, revealing a new challenge to be faced by tobacco control policies. The knowledge gaps inherent to a new social practice, as well as the need to build references that contribute to better decision-making, whether in the scope of professional intervention or the management of public policies, with a view to protecting the health of the population, for itself already makes the expansion of knowledge about this theme relevant. However, it is necessary to understand that prevention, promotion and control actions must be understood in a transversal and interdisciplinary way, so that one can reflect on the processes that involve political, socioeconomic and cultural aspects that interact directly with the health process -illness. Thus, based on the problem presented and considering the relevance of the issue in question, as a field little faced in this area, it is emphasized that the expansion of investigations and the deepening of discussions about it, will allow a better understanding and visibility of the problem.

Addressing resistance to adopting relevant health promotion recommendations with strategic health communication

Health promotion is a complex communication process that involves identifying and recommending adoption of the best available evidence-based guidelines for addressing the most dangerous health risks confronting modern society. Despite the steady proliferation of major scientific advances in knowledge about the best available strategies for preventing and responding to many of these health risks, it has been frustratingly difficult to mobilize widespread adoption of recommended evidence-based health promotion guidelines by at-risk populations around the globe. Even worse, there has been a growing number of frustrating instances of active public resistance to adopting evidence-based public health guidelines concerning participation in screening efforts for detecting dangerous health risks as early as possible (when many health risks are most responsive to treatment), getting vaccinated help build public immunity to deadly infectious diseases, actively seeking needed health care to address health problems, following health care recommendations (including adhering with prescribed medications and treatment regimens), as well as integrating important behavioral practices into daily living, such as good nutrition, regular exercise, and strategies to prevent the spread of disease (like social distancing and wearing protective masks in public settings to reduce the spread of airborne infectious diseases). Effective health communication is needed to help members of the public, especially those who are at greatest risk for poor health outcomes (such as elderly, homeless, disenfranchised, disabled, immigrant, and those suffering from multiple co-morbidities) to recognize the seriousness and salience of public health threats, engage in recommended actions to minimize the likelihood of contracting these health problems, and to respond effectively when they encounter serious health risks. This article examines the significant challenges to communicating relevant health information to those who are confronting serious health risks, especially to members of the most vulnerable populations, and suggests strategies for effectively using communication messages and media for promoting adoption of recommended health promotion actions.

Promotion and growth diagrams for fans of Dyck paths and vacillating tableaux

We construct an injection from the set of r-fans of Dyck paths (resp. vacillating tableaux) of length n into the set of chord diagrams on [n] that intertwines promotion and rotation. This is done in two different ways, namely as fillings of promotion matrices and in terms of Fomin growth diagrams. Our analysis uses the fact that r-fans of Dyck paths and vacillating tableaux can be viewed as highest weight elements of weight zero in crystals of type Br and Cr, respectively, which in turn can be analyzed using virtual crystals. On the level of Fomin growth diagrams, the virtualization process corresponds to the Roby–Krattenthaler blow up construction. One of the motivations for finding rotation invariant diagrammatic bases such as chord diagrams is the cyclic sieving phenomenon. Indeed, we give a cyclic sieving phenomenon on r-fans of Dyck paths and vacillating tableaux using the promotion action.

Canine Support Program: Student perceptions and preferences at a regional university and implications for health, well-being, and student support enhancements.

Canine Support Programs (CSPs) are a potential solution to growing university student support demands. While current studies focus on the impacts of CSPs, there is limited understanding of the views and expectations of tertiary students about CSPs. This study explored the perceptions and preferences of students in an Australian regional university about CSPs. A questionnaire with multiple choice and open-ended questions surveyed residential students' perspectives about CSP. Data were analysed using descriptive statistical tests and thematic analysis for open responses. Majority (98%) of participants (sample n = 48) would support a CSP on campus. Frequent, small-group interactions of ≥15 min involving physical contact were preferred. Dog disposition, welfare-trained handlers, and veterinary certification were important aspects of program safety. Participants strongly agreed a CSP would improve mental health and well-being, relieve stress, reduce feelings of homesickness, provide support, comfort, and enable social interactions. There is strong support among the study population for CSP to be established on campus. This study supports earlier research that CSP has benefit potential for new, stressed, and/or students who love dogs. The preferences of students should inform program design to enhance utility and impact. This aligns with Health Promoting Universities and College's Okanagan Charter principle of 'engaging student voices'. More institutional awareness and support for CSPs will be necessary for integration. SO WHAT?: This study reveals the need for tailored and creative student support beyond traditional offerings including those that focus on student well-being and social initiatives. CSPs can be utilised as an advocate, enabler, and medium for mental health promotion action and well-being support for tertiary students; thereby, contributing to the 'Health Promoting University' agenda in Australia. It also reinforces the need for a Health in All Policies approach to be incorporated into our tertiary education sector. Future actions should focus on improving institutional awareness, support, and sector implementation.

Pd-Catalyzed C-7 Arylation of Indolines with Aryltriazenes under Mild Conditions.

A palladium-catalyzed direct C-H arylation of indolines at C-7 position has been achieved at near-ambient temperature. The reaction was carried out with aryltriazene as a stable aryl source and electron shuttle to sustainably release aryl radical in situ under the action of promoter, and pyrimidine as a detachable directing group for the synthesis of 7-arylindolines under oxidant- and ligand-free conditions. Notably, this catalytic system can also be applied to the direct and site-selective arylation of tetrahydroquinolines (C-8) and carbazoles (C-1).

The impact of health policies and the COVID-19 pandemic on exclusive breastfeeding in Chile during 2009–2020

In 2011, Chile added 12 mandatory extra weeks of maternity leave (ML). In January 2015, a pay-for-performance (P4P) strategy was included in the primary healthcare system, incorporating exclusive breastfeeding (EBF) promotion actions. The COVID-19 pandemic led to healthcare access difficulties and augmented household workloads. Our aim was to evaluate the effect of a 24-week ML, the P4P strategy, and COVID-19 on EBF prevalence, at 3 and 6 months in Chile. Aggregated EBF prevalence data from public healthcare users nationwide (80% of the Chilean population) was collected by month. Interrupted time series analyses were used to quantify changes in EBF trends from 2009 to 2020. The heterogeneity of EBF changes was assessed by urban/setting and across geographic settings. We found no effect of ML on EBF; the P4P strategy increased EBF at 3 months by 3.1% and 5.7% at 6 months. COVID-19 reduced EBF at 3 months by − 4.5%. Geographical heterogeneity in the impact of the two policies and COVID-19 on EBF was identified. The null effect of ML on EBF in the public healthcare system could be explained by low access from public healthcare users to ML (20% had access to ML) and by an insufficient ML duration (five and a half months). The negative impact of COVID-19 on EBF should alert policy makers about the crisis's effect on health promotion activities.

ROMANIA AS A DESTINATION FOR CULTURAL AND HERITAGE TOURISM

Romania possesses a consistent heritage including cultural, historical and folkloric resources with a high potential for tourism valorization. Despite of this valuable heritage, the development of cultural tourism is still limited and more actions are needed to be undertaken for a better promotion and attraction of tourist flows in the most important cultural areas. Due to this potential and to recent massive operations of restoration and renovation of historical buildings, but also due to the improvement of services and education, Romania has succeeded to improve its supply for heritage tourism. In this paper we analyze the main issues related to the competitiveness of Romania as a cultural destination, we assess its place among other countries in Central and Eastern Europe, but also which were the recent developments on this topic. A detailed investigation has been performed regarding the main attractions and destinations for heritage tourism in Romania, including the cultural and intangible cultural heritage sites from Romania included on the UNESCO World Heritage list. Our conclusions go to the actions necessary for improving Romania’ s place on the market of cultural and heritage tourism, such as: improvements in the infrastructure for increasing the accessibility of the most important destinations, a more focused vision and enhanced strategy for the development and management of tourist attractions, more efficient actions for internal and international promotion, the adoption of appropriate management and marketing tools to make these objectives known, especially to international tourists etc.

Making co-creation a trustworthy methodology for closing the implementation gap between knowledge and action in health promotion: the Health CASCADE project.

Making co-creation a trustworthy methodology for closing the implementation gap between knowledge and action in health promotion: the Health CASCADE project.

Factors associated with suicidal intent in economically active patients diagnosed with major depression

IntroductionEvery 40s, one person in the world commits suicide. As such, suicide is considered a public health problem, and prior suicide attempt is one of the risk factors associated with completed suicide. Despite the strategies implemented and the studies carried out, in Colombia suicide figures are on the rise, more markedly in the economically active population. ObjectiveTo identify the sociodemographic, family, personal, economic and religious factors associated with suicide attempt in patients of productive age (18–62 years old) in a mental health institution in Bogota, Colombia. MethodsAn analytical prevalence study was conducted at the Nuestra Señora de la Paz mental health clinic in Bogota. To explore the relationship between the factors described and suicide attempt, a review of 350 medical records of the selected population was carried out. ResultsIn total, 37.7% of the sample presented a suicide attempt. Associations were found between the suicide attempt and higher education than primary school (PR=0.47 [0.23−0.97]), no economic income (PR=1.72 [1.13−2.61]), no partner (PR=2.10 [1.33−3.32]), alcohol consumption (P=.045), hallucinogen use (PR=2.39 [0.97−3.43]) and the presence of personality disorder (PR=1.93 [1.11−3.34]). ConclusionsThe results of the study are similar to those previously described in other studies around the world. There is a need to recognise and address various factors associated with suicide attempt in depressed patients in order to implement promotion and prevention actions, early identification and specific interventions that have an impact on the numbers of completed suicide in the country.

Main results and public health implications of the National School Health Survey (ENSE), Colombia 2017.

The school population represents a fundamental group for health promotion actions, given that the foundations of healthy behaviors in adult life are established in children and adolescents, who can be greatly influenced by the school. To describe the health-related behavioral factors of schoolchildren between 13 and 17 years of age in secondary and middle school in Colombia. A national cross-sectional study was conducted (i.e., School Health Survey -ENSE-) that recorded information on dietary practices, physical activity, alcohol and drug consumption, injuries and bullying, and oral, visual and hearing health. Sampling was probabilistic, cluster and multistage. Schoolchildren have low consumption of fruits, vegetables (13.1%) and dairy (76.5 %), high consumption of ultra-processed foods (82.4 %), sugary drinks (74.0 %) and fast foods (14.8 %), frequent addition of salt at the table (43.3 %), low compliance with physical activity recommendations (15.0 %) and high sedentary lifestyle (46.3 %), frequent consumption of alcohol (44.7 %) and psychoactive substances (14.7 %), in addition to prevalent situations of bullying (15.4 %), rejection (8.2 %) and verbal aggression (42.7 %). The ENSE shows critical inequalities by gender, ethnicity and social class, throughout the country. The indicators observed in schoolchildren are precursors of various chronic and degenerative diseases and mental illness, which requires the urgent attention of the different social actors in the country.