Record Sheet Research Articles

Use of Apps to Promote Childhood Vaccination: Protocol for a Systematic Review.

BackgroundThe decline in the uptake of routine childhood vaccinations has resulted in outbreaks of vaccine-preventable diseases. Vaccination apps can be used as a tool to promote immunization through the provision of reminders, dissemination of information, peer support, and feedback.ObjectiveThe aim of this review is to systematically review the evidence on the use of apps to support childhood vaccination uptake, information storage, and record sharing.MethodsWe will identify relevant papers by searching the following electronic databases: PubMed, Embase by Ovid, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), ClinicalTrials.gov, and Education Resources Information Center (ERIC). We will review the reference lists of those studies that we include to identify relevant additional papers not initially identified using our search strategy. In addition to the use of electronic databases, we will search for grey literature on the topic. The search strategy will include only terms relating to or describing the intervention, which is app use. As almost all titles and abstracts are in English, 100% of these will be reviewed, but retrieval will be confined to papers written in the English language. We will record the search outcome on a specifically designed record sheet. Two reviewers will select observational and intervention studies, appraise the quality of the studies, and extract the relevant data. All studies will involve the use of apps relating to child vaccinations. The primary outcome is the uptake of vaccinations. Secondary outcomes are as follows: (1) use of app for sharing of information and providing vaccination reminders and (2) use of app for storage of vaccination information; knowledge and decision making by parents regarding vaccination (ie, risks and benefits of vaccination); costs and cost-effectiveness of vaccination apps; use of the app and measures of usability (eg, usefulness, acceptability, and experiences of different users: parents and health care professionals); use of technical standards for development of the app; and adverse events (eg, data leaks and misinformation). We will exclude studies that do not study an app. We anticipate a limited scope for meta-analysis and will provide a narrative overview of findings and tabular summaries of extracted data.ResultsThis project was funded by the Sir David Cooksey Fellowship in Healthcare Translation at the University of Oxford, Oxford, United Kingdom. We will submit the full systematic review for publication in the Journal of Medical Internet Research.ConclusionsThis review will follow, where possible, the Cochrane Collaboration and the Centre for Review and Dissemination methodologies for conducting systematic reviews. We will report our findings based on guidelines from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The review results will be used to inform the development of a vaccination app.International Registered Report Identifier (IRRID)PRR1-10.2196/16929

Ficha de registro odontológico con fines forenses

La presente investigación tuvo como objetivo desarrollar una ficha de registro odontológico para su uso en investigaciones forenses. Se realizó un estudio de tipo exploratorio, descriptivo y correlacional, de corte transversal, no experimental y de campo. Como técnicas de recolección de datos se aplicó la observación y sus instrumentos fueron la lista de cotejo y las historias clínicas de las cuales se analizó la consistencia del llenado; otra técnica utilizada fue la encuesta con el cuestionario como instrumento. La población de estudio estuvo constituida por 150 estudiantes de los cuales se seleccionó una muestra de 108. Los resultados observados indicaron que la información ingresada en el historial clínico fue medianamente satisfactorios en la sección de datos intraorales (60,2%), los datos extraorales no satisfactorio (51,9%), el registro de exámenes complementarios no satisfactorios (63%), pues presentaron debilidades en el llenado de todas estas secciones. A partir de los resultados obtenidos en las evaluaciones se pudo determinar características y datos adecuados para la implementación de una ficha de registro odontológico aplicable en investigaciones de tipo forense.

Uso de servicios de salud por los adultos mayores en el Hospital Regional Hermilio Valdizán Medrano

La investigación tuvo el objetivo de describir el uso de los servicios de salud por los adultos mayores usuarios del Hospital Regional Hermilio Valdizán Medrano, 2019. Fue un estudio descriptivo, transversal y correlacional, cuya muestra probabilística la conformaron 138 adultos maduros. Se utilizó una guía de entrevista y una ficha de registro del uso de servicios de salud, previamente validada y confiables. Se aplicaron las consideraciones éticas para la investigación. Se realizó el análisis descriptivo y las hipótesis se contrastaron mediante la X2 para p≤0,05. Según los resultados, la mayoría de los adultos mayores eran continuadores [71.7%(99)], el principal motivo de consulta fue la enfermedad crónica de tipo degenerativa [37.0%(17), seguido de infecciones [28.3%(39)]. En 17.4% (24), la principal causa de hospitalizaron en el último episodio fue la Infección Respiratoria Aguda, en 15.2%(21) la diabetes mellitus y problemas cardiovasculares. Respecto a la utilización de los servicios de salud según características sociodemográficas, 26.1% (36) de los adultos masculinos utilizaban de forma continua, y en 39.1% (54) de las féminas fue discontinua. Un 19.6% (27) de los que tuvieron entre 70-79 años de edad; 37.0% (51) y 13.0% (18) de quienes no tenían nivel educativo y nivel primario respectivamente, 32.6% (45) cuyos ingresos fueron entre 500-799 soles y 30.4% (42) de ingresos ≤ 499 soles, utilizaban los servicios continuamente. Estas correlaciones fueron significativas (p ≤0.05) y se concluye que las variables sociodemográficas guardan relación con el uso de los servicios de salud por adultos mayores en el Hermilio Valdizán Medrano Regional Hospital.

Determinants of bottle feeding among 0-24 months children

Background: To study various determinants of bottle feeding like factors related to children, mother and other factors. Methods: cross sectional study done from February 2019 to November 2019. A total 390 children were included in this study. Children who were 0-24 months & anytime bottle fed during this period and who were attending pediatric department of G.G. Govt. hospital & One private hospital, were enrolled. Data collected by interviewer & entered in case record sheet. Results: M:F ratio is 1.56. Bottle feeding seen in all socio-economic classes with highest rate in upper socio-economic class I. History of NICU stay was found in 25.6%. Percentage of preterm, twins & congenital anomaly are 14.4,12.3 & 3.6 respectively. Most mothers are 20-34 age & nonworking. About 30.3% had history of LSCS. About 14.4% have breast problem & 69.7% mothers had belief of “Not enough milk”. Maternal death/non availability, hypothyroidism, chronic illness, smoking & psychosis seen in only 1.5,0.5,2.1,3.6 & 0.5 percentage respectively. 99.5% mothers don’t have proper knowledge of breastfeeding in antenatal period. 31.8% mothers got inputs from nearby circle to start bottle feeding. 28.79% have unsupportive father & 17.48% have unsupportive family.19.02% have >2 kids. 10.8% does not have proper spacing. 14.4% shows previous h/o bottle feeding. Conclusions: Improper maternal knowledge regarding breast feeding, mothers’ belief of “Not enough milk”, inputs to start bottle from nearby circle, LSCS delivery, Male child, NICU stay, Unsupportive father & >2 kids are most eminent factors. There is a strong need for lactation guidance during antenatal period & breast-feeding counseling to mother, father and close family members.

Effect of dietary components and nutritional status on the development of pre-school children.

The preschool period is a time of intensive changes: physical, motoric, cognitive, emotional and social development of the child. The diet should provide optimal energy andnutrient levels. Due to their properties, some of the dietary components may be particularly important in child development procesess. These include omega-3 fatty acids, B vitamins, vitamin D, antioxidants, iron, calcium, magnesium, zinc and copper. The aim of the study was to determine the effect of selected dietary components, the nutritional status and sleep duration in children at pre-school ages (3-6-years old) on their emotional sphere, as well as the cognitive, physical and social development. Anonymous research was carried out among 75 randomly selected children aged 3-6 years old in the Municipal Kindergarten in Ruciane-Nida. Research methods consited of a questionnaire, a 3-day food record, growth charts, and standardized development observation sheets. Software used for evaluation and analysis of obtained results was Diet 5.0. and Statistica 13. It was observed that the increase of the BMI percentile correlated with a lesser social development of children. Children who slept a recommended number of hours presented higher level of cognitive developmnent. High level of cognitive development was more common in children supplementing vitamin D. Higher intake of folates, vitamin D, vitamin E, magnesium, zinc and copper correlated positively with a higher level of cognitive development. Application of the proper nutrition and healthy lifestyle principles supports a proper child development. All dietary components should be balanced, however some nutrients are of especial significance during the childhood development and therefore their optimal intake is essential for this developmental period.

Treatment outcomes and associated factors of tuberculosis patients on directly observed treatment (short course) in a tertiary hospital in Port Harcourt, Nigeria

Introduction: Although concerted efforts have been implemented to achieve tuberculosis (TB) prevention and control, varying outcomes have been reported in several quarters, despite the implementation of the directly observed treatment short-course (DOTS) strategy in virtually all parts of the world. It was considered necessary to assess the treatment outcomes of TB patients on DOTS strategy and the associated factors against the World Health Organization (WHO) target at the University of Port Harcourt Teaching Hospital (UPTH) Port Harcourt, to stimulate improvements in efforts toward patients care in the hospital and elsewhere. Methods: A health facility-based review of patients' records (January 1, 2014–December 31, 2018) at the TB Clinic of UPTH was carried out using a validated data record sheet. Patients undergoing treatment were excluded. Data were analyzed with the SPSS software version 20. Outcome frequencies were summarized, and the Pearson's Chi-square test was used to determine the association between the outcome and independent variables at P ≤ 0.05 statistical significance level. Results: Overall, 174 (25.7%) had completed treatment, 181 (26.7%) were cured, 95 (14.0%) died, 70 (10.3%) transferred out, 45 (6.6%) defaulted, 49 (7.2%) were not evaluated, 44 (6.5%) were lost to follow-up, and 8 (1.2%) failed treatment. There was a 17.6% decline in the proportion of patients that completed treatment from 35.9% in 2014 to 18.3% in 2018. On the contrary, there was an increase in the proportion of patients that were cured, from 14.1% in 2014% to 26.1% in 2018. Conclusions: The treatment success rate for TB in the hospital was below the WHO benchmark of 85% cure rate throughout the period under review. Basic reforms in the service delivery processes that specifically targets groups at risk (male patients, sputum smear-negative TB patients, and patients with human immunodeficiency virus/TB co-infection) with drug adherence counselling, defaulter tracing arrangements, and emphasis on drug-susceptibility testing are recommended to improve treatment outcomes.

Surasadi Kadha(An Ayurvedic Decoction) -A Safe And Effective Formulation In Treatment Of COVID-19: A Single-Centered, Retrospective, Observational Study

COVID-19 has been declared as a pandemic and a global emergency. It has been spreading rapidly and has reached almost all the countries in the world. Confirmed cases are managed clinically but so far there have been no effective treatment or vaccine against it. Ayurveda has proved its potential in curing various kinds of diseases including viral infections. This study was aimed to observe and assess the safety and efficacy of an Ayurvedic decoction prepared from 10 selected Ayurvedic herbs on COVID-19 cases.94 patients of COVID-19 in a government hospital who received the Ayurvedic decoction twice a day, in addition to the ongoing conventional treatment, were observed in this study. Data were collected through official sources such as case record forms, nursing record sheets, etc. These patients included people of all age group, were in different stage of the disease and having various co-morbidities. Conversion to mortality was set as primary outcome of this study. Symptomatic relief, changes in vital parameters and assessing safety of the decoction were set as secondary outcomes. Out of 94 patients, 65 were pre-symptomatic and 29 were symptomatic in condition. Men constituted 75.9% of symptomatic patients. The disease was more prevalent in middle age group (50-60) which had 1 of every 3 patients in this study. 29.8% patients were co-morbid. HTN followed by DM were observed to be the leading co-morbidities. Fever, breathlessness and cough were most commonly observed among symptomatic patients. 93 out of 94 patients eventually recovered and discharged with average 10 days of stay in the hospital. A single patient was transferred to the higher center. Not a single patient succumbed to the disease thus keeping the mortality rate nil. Rapid recovery rate was observed in patients having signs and symptoms. Those who were in pre-symptomatic condition did not develop any symptom during their stay in the hospital. The decoction was observed to be safe for patients of all age group and all conditions as no side effects or adverse drug reactions were seen. The study has shown that the Ayurvedic decoction as an additional intervention was safe and effective against COVID-19.

Determinants of health-related quality of life in patients with hypertension

Background: Health-related quality of life (HRQOL) is emerging as an important outcome in hypertension and can be adversely affected by hypertension itself and side effects of antihypertensive drugs. Aim and Objective: The aim of the study was to analyze the HRQOL of hypertensive patients and to identify the factors affecting HRQOL, especially drug related factors. Materials and Methods: A total of 254 patients, who fulfilled the selection criteria, were enrolled for the study. Patients were approached after they finished consultation with the physician and their case record sheets were reviewed for gathering the necessary information as per case record form. Patients’ HRQOL was assessed using MINICHAL scale. Results: Among total 254 patients, patients with pre-hypertension, Stage 1, and Stage 2 of hypertension were 152, 73, and 29, respectively. Blood pressure (BP) controlled was achieved in only 31.5% of patients with drug therapy. The average scores in mental and somatic domains of MINICHAL scale were 2.5 ± 2.6 (95% confidence interval [CI]: 2.3–2.9) and 3.1 ± 3.5 (95% CI: 3.0–4.0), respectively, with mean total score of 5.5 ± 5.3 (95% CI: 4.6–6.0). Males have significantly lower MINICHAL score (P < 0.01) than females. Patients, who were living with family (P < 0.046), with illiterate (P = 0.001), with regular physical exercise (P = 0.004), and with controlled BP (P < 0.05), have significantly lower MINICHAL score. HRQOL was not significantly different in patients of any age, number of drugs prescribed, severity and duration of hypertension, concomitant disease, salt restriction, and selection of drugs, coprescription of antiplatelet, or statins or development of adverse drug reactions. Conclusion: This study has shown the lower HRQOL among hypertensive patients, and it was associated with gender, education, physical exercise, and BP control achieved.

The Study of Learner's Idea Search Process in Technological Problem Solving Based on Grounded Theory

이 연구의 목적은 근거이론에 의한 사례 분석에 기초하여 기술적 문제해결의 두 번째 단계인 아이디어 탐색 단계에서 학습자가 아이디어를 탐색하는 과정에 관한 이론을 도출하는 것이었다. 이를 위해, 학습자 60명이 기술적 문제해결 활동 후 작성한 과정 기록지를 분석하여 개방코딩, 축코딩, 선택코딩한 후 상황모형을 구성하였다. 코딩 결과, 아이디어 탐색 과정은 시작, 전개, 종료의 순으로 진행되었으며 시작의 단계에서는 문제 이해 단계의 결과인 문제해결 자신감과 문제해결 접근 성향의 영향으로 그에 따른 아이디어 탐색 자신감과 아이디어 접근 성향을 가지고 출발하였다. 전개의 단계에서는 스스로 아이디어 탐색 목표를 설정하였으며 아이디어 생성과 선정의 과정이 진행되었다. 이때, 학습자의 아이디어 표현 능력도 주요한 영향을 미쳤다. 종료 단계에서는 시작과 전개 과정의 결과로 실현 자신감이 형성되었고 이를 바탕으로 다음 단계인 실현 과정이 진행되었다. 이 연구의 결과를 통하여 얻은 결론은 다음과 같다. 첫째, 학습자의 아이디어 탐색 과정은 이전 단계인 문제 이해 과정의 결과에 영향을 받고 있었다. 이를 통해, 학습자의 세부 활동 내용에 따라 구분된 기술적 문제해결의 각 단계는 유기적으로 연관되어 있음을 알 수 있었다. 둘째, 근거이론에 의한 사례 분석을 통하여 아이디어 탐색 과정에서 학습자의 내면적 과정을 세밀하게 분석할 수 있었다. 이 연구에서는 패러다임 모형과 상황모형을 구성함으로써 아이디어 탐색의 중심현상인 아이디어 생성에 작용하는 인과적 조건, 맥락적 조건 그리고 아이디어 생성에 대한 중재적 조건과 작용 전략 등의 세부 요인을 파악할 수 있었다. 이를 통해, 아이디어 탐색에서 어떠한 학습자의 내적 요인 및 능력이 작용하는지를 명확히 하였으며 결과적으로 교수·학습 과정에서 교수자가 고려해야 할 학습자의 특성을 가시적으로 확인할 수 있게 하였다. 이 연구의 결과를 바탕으로 다음과 같이 제언한다. 첫째, 도출된 이론을 통하여 실제 수업에서 학습자의 아이디어 탐색 과정에 도움을 줄 수 있는 수업 전략 개발에 관한 후속 연구가 요구된다. 둘째, 아이디어 탐색 이후의 각 단계에 대하여 근거이론적 접근 분석이 필요하다.The purpose of this study was to derive a theory about the process of the learner searching for ideas in the idea search stage, which is the second stage of technological problem solving, based on case analysis in light of grounded theory. To do this, 60 learners analyzed the process record sheets which were created after technological problem solving activities, and then constructed the situation model after open coding, axis coding, and selective coding. As a result of the coding, the idea search process proceeded in the order of starting, developing, and ending, and at the beginning, it started with the confidence of searching for ideas and the tendency of approaching ideas due to the influence of problem solving confidence and problem solving attitude which are the result of problem understanding stage. At the stage of development, the goal of the idea of search was set on its own, and the process of generating and selecting ideas proceeded. At this time, students’ ability to express ideas also had a major influence. In the final phase, realization confidence was formed as a result of the start-up and deployment process. The conclusions from this study are as follows. First, through the case analysis based on the grounded theory, the internal process of learners could be analyzed in detail in the process of searching for ideas. Second, the learner s idea search process was influenced by the result of the previous problem understanding process. Through this, it was found that each stage of technological problem solving divided according to learner s detailed activities is organically related. Third, since the ability to express ideas influenced the development of idea search, it would be necessary to apply appropriate teaching and learning methods for learners who are burdened with the expression of ideas. Based on the results of this study, the following suggestions are made. First, follow-up research is needed to develop instructional strategies that can help learner in their search for ideas in actual class through the derived theory. Second, we need a grounded theory approach analysis for each step after idea search.

АНАЛІЗ МЕТОДИЧНИХ ПІДХОДІВ ДО ОЦІНЮВАННЯ НАДІЙНОСТІ АВІАЦІЙНОЇ ТЕХНІКИ ДЕРЖАВНОЇ АВІАЦІЇ ЗА ЕКСПЛУАТАЦІЙНИМИ ДАНИМИ

Розглянуто методичні підходи, що пропонуються для оцінювання надійності авіаційної техніки за експлуатаційними даними. Представлено результати оцінювання показників надійності вертольотів та їх функціональних систем за експериментальною методикою. Запропоновано напрями подальших досліджень з метою удосконалення даною методикою оцінювання надійності та підвищення безпеки польотів при переведенні військової авіаційної техніки на експлуатацію за технічним станом.

FEMINISME DALAM NOVEL SAMAN KARYA AYU UTAMI DAN IMPLEMENTASINYA DALAM PEMBELAJARAN TEKS NOVEL KELAS XII SMA

ABSTRACT The purpose of this study is to describe and analyze the forms of feminism and their implementation in the learning of novel texts in class XII of high school. This type of research is qualitative research with descriptive methods. The data source in this study is Ayu Utami's Saman novel. The data in this study are words, phrases, clauses, and sentences that show the form of feminism in the novel. The subject of this research is the researcher himself with the help of other instruments in the form of a recording sheet. The data collection technique, which is reading and understanding Ayu Utami's Saman novel, conducts literature studies related to research problems, and searches and records data relating to research problems contained in the novel. The data validation technique uses triangulation techniques. The results of the study were found as participants. First, there are two forms of feminism in Ayu Utami's Saman novel, namely verbal and nonverbal forms. Verbal form is a form of the character's struggle through verbal utterances by the characters. And nonverbal forms are physical actions of characters. Second, the application of feminism in Ayu Utami's Saman novel in 2013 class XII high school text learning curriculum with basic competencies related to three aspects of assessment, namely the assessment of knowledge, attitudes, and skills. Kata Kunci: feminisme, pembelajaran teks novel

Problematic elements in the graphomotor skills of pupils in the early adolescence

Graphomotor skills (handwriting) are obviously required for full participation in school activities since students spend up to half of their classroom time engaged in paper and pencil tasks daily. The objective of the presented paper is to quantify the prevalence of graphomotor problems of early adolescent pupils, based on their graphomotor skills coding during the primary school attendance. The research was designed as a quantitative cross-sectional study. As the basic research method was used, the assessment scale and the assessment record sheet. The research sample included pupils in the early adolescence period, namely, ninth grade pupils (14–16 years old), sample group size n = 22. The results of the research showed that the problem with the visual–motor memory prevails in the sample group of pupils. This problem can be solved, for example, by presenting relevant models to pupils, who are diagnosed with a graphomotor disorder.&#x0D; Keywords: Graphomotor skills, graphomotor problems, early adolescence, visual-motor memory

Impact of Nursing Care Hours on Hospital Cost and Patient Satisfaction in Emergency Department

Abstract Background: Nurse can play an important role in helping reduce costs based on the unit census and patient acuity. Actually when nursing hours exceed the needed hours by patients, nurse managers typically are required to submit a report explaining the reason. Nurses can help make a difference in their unit budgets by not overstaffing their unit, avoiding excessive use of unscheduled leave and monitoring the use of supplies. Aim of Study: To explore the impact of average nursing care hours on hospital cost and patient satisfaction in Emer-gency Department. Material and Methods: Design: Descriptive, exploratory, correlational design was utilized to carry out the study. Setting: The study was conducted in Emergency Depart-ment at Soud Kafafi University Hospital. Sample: Convenient sample included twenty-five nursing staff worked in Emergency Department and random sample of Emergency Department conscious patients, the number of study sample was one thousand patients. Tools: Four tools were utilized for data collection, the first tool was patients triage level assessment; the second was financial record sheet, the third Nursing Care Hours Cost and the fourth was patient satisfaction questionnaire. Results: The study findings revealed that there was highly significant statistical strong positive effect between nursing care hours and hospital cost (Adj R2=.925, B=.385, p=.000). While, there is no statistical significant correlation between nursing care hours with patient satisfaction. Conclusion: The study concluded that positive effect between nursing care hours and hospital cost while no statistics effect was found between nursing care hours and patient satisfaction. Also, patients with highly acuity level consuming high nursing care hours and hospital cost. Recommendations: It is recommended that the head nurse should measure nurses direct care hours costs per patient in order to find out patient level nursing costs/intensity, the study recommend to develop strategies to measure nursing at nurse-patient encounter for developing nursing business intelligence by optimizing care vs costs and matching right nurse care provider.

Application study of muscle strength assessment record for patients with spinal cord injury based on color separation Symbol Marking Method

Objective To explore the application effects of the clinical nursing muscle strength assessment record for patients with spinal cord injury based on the color separation Symbol Marking Method. Methods According to the neural classification standard of spinal cord injury formulated by the American Spinal Cord Injury Association, the main 10 groups of key muscles innervated by the motor function of spinal cord were sequentially set from top to bottom and from left to right. Different colors were used to distinguish the base plates of left and right limbs, and a special muscle strength evaluation record sheet was designed and made for patients with spinal cord injury. A total of 40 nurses for the Spinal Surgery Department of He'nan People's Hospital were recruited as the research subjects, and divided into study group and control group with 20 cases in each. 60 patients with spinal cord injury who were admitted to the spinal ward from June 2016 to December 2016 in this department were selected as the objects of assessment. The self-made muscle strength assessment record was applied in the study group, while the conventional writing method were applied in the control group. The rate of error evaluation, the rate of missing evaluation, the time of evaluation record were compared between the two groups, evaluate the satisfaction of study group nurses. Results In the study group, the rate of missing evaluation was lower than that in the control group (P 0.05) . 95% of nursing staff in the study group were willing to use muscular strength assessment record, with a high satisfaction. Conclusions Muscle strength assessment records based on the color separation area symbol method can reduce the error rate, save the recording time, and improve the satisfaction of nurses. It also standardizes the working process and recording standards of nurses. Key words: Spinal cord injuries; Muscle strength assessment; Color separation; Symbol marking method; Recording tool; Workload

Relajación de jacobson para disminuir la ansiedad originada por evaluaciones e incremento del rendimiento académico en estudiantes de psicología de una universidad privada de Lima Metropolitana

&nbsp;This research brings up that anxiety is a factor commonly experienced by students in times of exams, and that it has negative influence on the grades obtained. Consequently, this study aims at verifying the effectiveness of the progressive muscle relaxation technique in order to reduce anxiety during exams and increased academic performance. For this purpose, 292 Psychology students from a university in Metropolitan Lima were selected, one and then divided randomly into one experimental group (136) and control group (156). A record sheet was used to log their pulse, as well as to register subjective units of distress, before and after the technique was applied. The results show the effectiveness of the technique to reduce anxiety by 78.4%. In addition, an inverse correlation was found between anxiety and academic performance, albeit not significant.

Activity and advanced cancer: A grounded theory

Background: Cancer-related fatigue and loss of physical functioning are distressing symptoms which negatively impact the quality of life of people with advanced cancer. Physical activity has been shown to have positive effects on these symptoms in early-stage cancer, but previous research demonstrated an incongruence between people with advanced cancer’s expressed interest and actual participation in a physical activity intervention. Aim: To gain an in-depth understanding of the experience of activity and quality of life in people with advanced cancer, using a classic grounded theory approach. Design: Through the post-positivist lens of subtle realism, and informed by classic grounded theory methods, a two-phase, cross-sectional, qualitative study was conducted. For 7 days duration, participants wore an activPAL™ activity monitor and completed a daily record sheet, which were then used as qualitative probes for face-to-face, semi-structured interviews. Setting/participants: A total of 15 people with advanced cancer, aged 18 years or older, and with a median survival of 100 days from time of study consent, were recruited from an outpatient department of a tertiary cancer centre in Alberta, Canada. Findings: Maintaining their responsibilities, no matter how small, was the prime motive for participants’ behaviour. For people with advanced cancer, the minimum level of responsibility was dynamic and unique. It was achieved through a multifaceted interaction between the perceived benefits, prevailing conditions and mechanisms. Conclusion: This grounded theory enables understanding of activity as a mechanism through which responsibility is managed and may inform future behavioural interventions in people with advanced cancer.

Chapter 9: Acidic Beverages and Foods Associated with Dental Erosion and Erosive Tooth Wear.

Dental erosion is the partial demineralisation of the tooth surface caused by repeated exposure to acids. The loss of surface tissue, which results from simultaneous and/or subsequent exposure to mechanical forces is known as erosive tooth wear (ETW). Excessive consumption of acidic beverages and foods has been the main focus of research into erosion. Enamel dissolution is significantly associated with chemical parameters: pH, buffer capacity, titratable acidity, viscosity, as well as calcium, phosphate and fluoride concentrations in the beverages and foods. Some of these parameters are used to calculate the degree of saturation of a given substance, which represents its driving force to demineralise dental hard tissues. Undersaturated substances with low pH and high titratable acidity and high buffer capacity have greater erosive potential, while substances with high concentrations of Ca2+ and phosphate cause less demineralisation. Other physical parameters also modulate the demineralisation processes. Swishing drinks in the mouth tends to cause more erosion, since the Nernst layer is continuously renewed and does not reach saturation. Recent systematic reviews confirm that frequent consumption of carbonated/soft drinks are the main dietary factor associated with ETW. Vitamin C and frequent consumption of natural fruit juices and acidic snacks or sweets are also significantly associated with more ETW; whereas higher consumption of milk and yoghurt is a protecting factor. Patients presenting with ETW should have their dietary habits assessed by recording their complete dietary intake in a diet record sheet. Dentists should assess the erosive potential of the different beverages and foods, as well as the frequency of ingestion, then elaborate specific preventive measures and dietary interventions individually tailored to each patient.

Analisis Kelengkapan Rekam Medis Rawat Inap Rumah Sakit Ganesha Di Kota Gianyar Tahun 2019

Hospital is an organization engaged in services, therefore it is obliged to hold a medical record for the achievement of good administration. Registration, data filling, processing and analysis as well as documentation, this is the process of organizing medical records. Filling in the medical record is said to be good if each item on the medical record sheet is filled with complete data. A complete medical record is a quality image of a hospital. Based on the above background, the researcher wants to find out the percentage of completeness of medical record filling in the inpatients of Ganesa hospital in the city of Gianyar. This type of research is a descriptive study with a cross-sectional design. The sample in this study was 95 inpatient medical record files. Percentage of completeness for RM Patient identity is 100%, doctor's identity is 96.8%, nurse's identity is 85.3%, informed consent is 95.8%, anesthesia is 43.2%, resume is 100%, diagnosis is 100%, abbreviations of 66.3%, readability of 76.8%, rectification of 23.2% and structuring of 100%. The incompleteness in filling the inpatient medical record at the Ganesha Gianyar Hospital was highest in the correction item.

Challenges in Providing Immunization Services amongst Community Pharmacists in South-south, Nigeria: A Cross-sectional Study

Background: The primary aim of Community Pharmacists’ participation in immunization is to contribute towards mitigating deaths associated with vaccine preventable diseases as well as expanding access to immunisation services. However, with the increasing Nigerian population, the global targets of reducing child mortality can significantly be achieved by periodically reviewing health systems performance to identify and address existing gaps.&#x0D; Objective: The general objective of the study is to identify the challenges encountered by Community Pharmacists in providing immunisation services in Calabar Metropolis of Cross River State.&#x0D; Method: A descriptive cross sectional study design was adopted for the study. Data were collected using a pre-tested semi-structured questionnaire from 68 community pharmacists which were selected using the purposive sampling technique. Data generated were synthesised and analysed using SPSS (version 20.0) and results were presented in frequency tables and charts. Fisher Exact test was used to test for association between variables at 0.05 alpha level.&#x0D; Results: Results showed that most community pharmacies have the resources to participate in immunization, only a few however had immunization administration record sheets 7(11.3%) and immunization record cards for patients 4 (6.5%). The finding also showed that lack of training 55 (88.7%); low awareness by the public of immunization services provided by the community pharmacist 44 (70.9%) and storage of vaccines 39 (62.9%) were the prominent perceived challenges to providing immunization in the community pharmacy. The association between lack of time (p =1.000, Fisher’s Exact test) and provision of immunization services was statistically not significant.&#x0D; Conclusion: Addressing identified challenges is pivotal to increasing and expanding accessibility and utilisation of immunisation services especially amongst the populace in resource limited settings.

Tiempo de compromiso motor en educación primaria

Introduction: the motor commitment time according to Gomez and Sanchez (2014), is that time in which the students dedicate it to a motor activity, considered as a measure of teacher effectiveness as it is the time in which more learning occurs in a class of Physical Education. Material and methods: in this work the main objective has been to assess the time of motor commitment of the students, so I have registered a sample of 20 students of the first cycle of primary education over 4 weeks (1 month), at different times of the day. The tool used was a chronometer and a record sheet where the moments of motor activity of the students during the session were collected. Results: we obtained an average of 54.29% of motor engagement time in physical education sessions. Conclusions: it has been concluded that the motor commitment time is much higher in the session after recess, with the shortest time during the first session.