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Articles 1 - 30 of 44
Full-Text Articles in Medicine and Health Sciences
Student Perspectives On Transition From Bachelor’S To Master’S Degree For Professional Athletic Trainers: Advantages And Disadvantages, Bobbi A. Severt, Michael B. Phillips, Janet Kesterson Isbell
Student Perspectives On Transition From Bachelor’S To Master’S Degree For Professional Athletic Trainers: Advantages And Disadvantages, Bobbi A. Severt, Michael B. Phillips, Janet Kesterson Isbell
Internet Journal of Allied Health Sciences and Practice
Purpose: The purpose of this study is to understand the perspectives of students interested in a career in athletic training on the degree change and what they perceive as advantages and disadvantages to pursuing a master's level professional degree in athletic training. Method: A case study was conducted using an interpretivism framework informed by a constructionism theoretical stance. A focus group of six current undergraduate pre-athletic training students and individual interviews of three pre-athletic training graduates along with current and historical documents were used to collect data. An inductive approach was used to analyze data along with reflexive thematic analysis …
Predicting Physical Therapy Student Clinical Reasoning In Practice Using Aligned Assessments In A Curricular Domain, Joy L. Moulton
Predicting Physical Therapy Student Clinical Reasoning In Practice Using Aligned Assessments In A Curricular Domain, Joy L. Moulton
Doctor of Education (Ed.D)
Clinical reasoning (CR) is a difficult concept to assess and is a leading cause of failure for outpatient clinical experiences for physical therapy (PT) students (Silberman et al., 2018). The purpose of this study was to determine to what degree didactic assessments of CR could predict CR in clinical practice utilizing Miller’s (1990) pyramid as a conceptual framework. Using a retrospective quantitative exploratory observational design, archived data were collected for graduates in the classes of 2022 and 2023 (N = 84) from a hybrid Doctor of Physical Therapy program. Each assessment pertained to the musculoskeletal domain of PT practice and …
Revisiting The Master Food Volunteer Program: Examining How To Enhance Nutrition Education In The United States, Stacey Viera, Lindsey Haynes-Maslow
Revisiting The Master Food Volunteer Program: Examining How To Enhance Nutrition Education In The United States, Stacey Viera, Lindsey Haynes-Maslow
The Journal of Extension
America’s diet-related illness crisis intersects with a lack of nutrition literacy, nutrition security, and systemic inequities. The Cooperative Extension Service’s (CES) national infrastructure could potentially provide equitable access to quality nutrition education in the US utilizing a Master Food Volunteer (MFV) model. This research brief examined preliminary evidence for the MFV model as a support for CES agents and paraprofessionals, and results show a paucity of evidence. Further research and a pilot program with pre-established measures for health-related knowledge and behaviors could elucidate the model’s potential to increase equitable access to evidence-based programming, nutrition, and implementation guidance.
Wound Care For Unhoused Youth, Diana Altman, Monse Villasenor, Grace Fry, Maddy Johnson, Matthew Messenger
Wound Care For Unhoused Youth, Diana Altman, Monse Villasenor, Grace Fry, Maddy Johnson, Matthew Messenger
Nursing Leadership in Community Engagement Projects
Wound Care For Unhoused Youth
Introduction
We partnered with a non-profit organization designed to serve the unhoused youth, ages 18-25, who have a day program as well as an overnight shelter. They have 30 beds and reserve 20 of those beds for individuals who are “residents,” who commit to staying for several nights and work towards finding more permanent options. The other 10 beds are for individuals to use for a single night, but these are not always guaranteed, you must sign up to save a spot. The day program has various activities ranging from painting to resume workshops and …
A Pilot Project For Tuberculosis Education In College Students, Sarah Williams
A Pilot Project For Tuberculosis Education In College Students, Sarah Williams
Doctor of Nursing Practice Final Manuscripts
Background: San Diego’s Tuberculosis (TB) incidence is more than double the national rate. The majority of cases of active TB are due to the progression of latent TB infection (LTBI).
Objectives: This evidence-based practice (EBP) project aimed to increase knowledge, awareness, and improve attitudes and practices regarding TB among college students.
Participants: Twenty Community College Students in San Diego participated in the project.
Methods: Students attended an in-person educational session. A pre-post knowledge, attitudes and practices (KAP) questionnaire measured the impact.
Results: The intervention improved knowledge and attitudes. The average post-intervention TB knowledge score was 95.8% compared to 57% …
Reducing 30-Day Heart Failure Hospital Readmissions Through The Implementation Of A Telehealth Education And Screening Program, Madison Geib, Jo Loomis, Maria (Dupi) Gomez Cogan
Reducing 30-Day Heart Failure Hospital Readmissions Through The Implementation Of A Telehealth Education And Screening Program, Madison Geib, Jo Loomis, Maria (Dupi) Gomez Cogan
Doctor of Nursing Practice (DNP) Projects
Heart Failure (HF) is a difficult disease to manage. It requires knowledge on weight monitoring, diet, exercise, medications, and symptom management. With this difficulty, there is a high incidence of HF patient readmissions into the hospital, especially in the first 30-days after discharge, showing that patients are not well equipped to manage their HF on their own at home. A review of the available literature found that some of the most common reasons for readmission include poor discharge planning, a lack of continuation of care, as well as a lack of education and adherence to their medications (Mathew & Thukha, …
Evaluating Kentucky Advanced Practice Registered Nurses’ Confidence, Comfort, And Knowledge Levels Regarding Dermatology Care After A Web-Based Video Training, Victoria Hayden
DNP Projects
Background: It can take an average of 38.9 days to see dermatology from referral to initial appointment. As a result, delays in diagnosis and treatment of life-threatening conditions such as malignant melanoma could occur. Primary care providers frequently refer patients for benign conditions that can be appropriately managed in the primary care setting; often due to lack of knowledge or confidence in their clinical management skills. Educational resources equip providers with the knowledge and tools to feel confident in their management of various skin conditions in a primary care setting. Purpose: The purpose of this project was to …
Adolescent Thc Usage In Virginia: Post-Legalization Challenges And Strategies For Schools, David Naff, Meg Sheriff, Jill Flynn, Marzia Farhana, Kris Herakovich-Curtis, Gerron Scott, Fred Gatty, Priyadarshini Pattath, Diane Williams, Kiana Bradford, Reena Desai, Lauren Powell, Lisa Gwyn
Adolescent Thc Usage In Virginia: Post-Legalization Challenges And Strategies For Schools, David Naff, Meg Sheriff, Jill Flynn, Marzia Farhana, Kris Herakovich-Curtis, Gerron Scott, Fred Gatty, Priyadarshini Pattath, Diane Williams, Kiana Bradford, Reena Desai, Lauren Powell, Lisa Gwyn
MERC Publications
Recreational marijuana was legalized for anyone over the age of 21 in Virginia in 2021. This research and policy brief explores evidence of the impact of such legalization on Tetrahydrocannabinol (THC) usage in PK-12 aged youth, including smoking, vaping, edibles, and dabbing. It addresses the following questions: 1) What are the recent trends in marijuana usage among PK-12 aged youth? 2) What are the impacts of THC usage in schools, particularly after legalization? 3) How can schools and school systems effectively respond to THC usage? 4) What are relevant federal, state, and school division policies that guide responses to youth …
Telemedicine And Healthcare Implications For Central Virginia: A Systematic Review Of The Literature, Patricia A. Lynch, Charletta H. Barringer-Brown, Daniel N. Brown, Taneisha D. Brown
Telemedicine And Healthcare Implications For Central Virginia: A Systematic Review Of The Literature, Patricia A. Lynch, Charletta H. Barringer-Brown, Daniel N. Brown, Taneisha D. Brown
Journal of Research Initiatives
Background: Uncertainties and challenges associated with COVID-19 have affected the efficient delivery of health care in Central Virginia. Integrating and redesigning health systems could boost the quality and efficiency of care delivery. Telemedicine has been suggested as a viable solution to increase virtual access to patient advocacy healthcare education and training programs and has the potential to help facilitate the delivery of health services to rural and remote areas. It is projected that access to quality telehealth services can minimize the need for in-person hospital visitation amid the pandemic. The innovation also facilitates remote assessment of patients and monitoring of …
Type Of Education And Life Experiencesin The Dual Career, Marek Graczyk, Anna Nawrocka, Paul Wylleman, Waldemar Moska, Tomasz Tomiak, Milena Lachowicz, Pawel Drobnik
Type Of Education And Life Experiencesin The Dual Career, Marek Graczyk, Anna Nawrocka, Paul Wylleman, Waldemar Moska, Tomasz Tomiak, Milena Lachowicz, Pawel Drobnik
Baltic Journal of Health and Physical Activity
Background:The objective of this study was to check whether the type of education is related to the development of a dual career in professional sport. Material and methods:This study used the Chi-square test of independence and Student’s t test to analyze 7 scenarios (not experienced and experienced) presented to the participants. A final survey-list, consisting of 38 items of competences (possession and importance) and completed by 243 young people: 218 (89.7%) athletes obtaining secondary education and 25 (10.3%) obtaining or having higher education. Results:There were statistically significant differences between people with higher education and secondary education in terms of possessed …
Obesity And Overweight Among Children And Adolescents In The Light Of Health Education Principles, Adam Wiek, Katarzyna Tkacz, Waclaw Mozolewski, Malgorzata E. Kusmierczyk, Sylwester Rybaczek
Obesity And Overweight Among Children And Adolescents In The Light Of Health Education Principles, Adam Wiek, Katarzyna Tkacz, Waclaw Mozolewski, Malgorzata E. Kusmierczyk, Sylwester Rybaczek
Baltic Journal of Health and Physical Activity
Pedagogical and educational institutions play an important role in health education. The proposed systemic principles should account for biological, environmental and cultural factors that determine the health of children and adolescents. Young people’s individual needs should constitute the framework of educational policy in the prevention of obesity and overweight. An analysis of health education practice in the Polish educational system indicates that the adopted measures, their practical applications and educational goals are adequate. Despite the above, the proposed systemic solutions are not always deployed or correctly implemented by the responsible institutions at various levels of local or social governance. The …
Pedagogical Aspects Of Child Health Promotion In The Context Of Pre-School Education, Ludmila Miklankova, Michaela Pugnerova, Zdenek Rechtik
Pedagogical Aspects Of Child Health Promotion In The Context Of Pre-School Education, Ludmila Miklankova, Michaela Pugnerova, Zdenek Rechtik
Baltic Journal of Health and Physical Activity
Background: Early childhood education, care and preschool care at kindergartens in the Czech Republic is geared towards acquiring key competencies in the area of health promotion and the prevention of civilization diseases. Effects of the curricular documents are formulated by the expected outputs. The aim of the submitted partial research is to determine the level of gross motor skills of pre-school age children and to analyze the level of their acquired movement skills in the context of the curriculum documents. Material and methods: The research group consisted of 115 pre-school children. The level of learned motor skills was monitored by …
Athletics Training Programme For Children Studying In Sports Schools In Poland, Marek Fostiak, Tomasz Frolowicz, Malgorzata Pogorzelska, Joanna Klonowska
Athletics Training Programme For Children Studying In Sports Schools In Poland, Marek Fostiak, Tomasz Frolowicz, Malgorzata Pogorzelska, Joanna Klonowska
Baltic Journal of Health and Physical Activity
The resolution of any dilemmas related to the implementation of the curriculum must take into account its objectives, generally speaking, developing the readiness of students to participate independently in health-motivated, sporting and aesthetically-motivated physical activity and to take health promoting measures. This article describes the assumptions of the original modular physical education programme for the first stage of education in the aspect of track and field. The physical education programme was designed for use in classes where the number of hours of compulsory physical education classes has been extended or for work with students with special physical abilities.
The Value Of Education And Work In The Representatives Of Gymnasts’ Opinion, Anna Perzynska-Biskup, Stanislaw Sawczyn
The Value Of Education And Work In The Representatives Of Gymnasts’ Opinion, Anna Perzynska-Biskup, Stanislaw Sawczyn
Baltic Journal of Health and Physical Activity
Background: Sports professional activity has been an unusually absorbing domain of human life. This is particularly noticeable in so-called sports of early specialization, including gymnastics. The specialization in gymnastics occurs at the moment of girls’ acquisition of knowledge and preparation for future professional careers. Therefore, the authors decided to look further into the process of combining school and sports duties and to reveal possible conflicts. Material/Methods: Research material was a group of 482 athletes who are professionally involved in three gymnastics disciplines: artistic gymnastics, rhythmic gymnastics and acrobatic gymnastics in Polish clubs. Results: An analysis of the results revealed that …
Bridging Mental Healthcare, Kristin L. White
Bridging Mental Healthcare, Kristin L. White
MSN Capstone Projects
Nurses have an important role in the care given to mental health patients presenting to the emergency department (ED). Without expectations or encouragement toward growth or continued education, the quality of care and the therapeutic ability for care are crippled, as evidenced by nurses' knowledge/competency deficits and negative attitudes. Through ongoing/continued education, the cultivation of a therapeutic culture toward patients that present to the ED for mental health complaints could result. Additionally, these improvements in care, in turn, could promote not only the closure of gaps that exist for quality mental healthcare but may also lead to an increase in …
Can Learning Be Enhanced With Active Seating?, Judy Beard, Kirk Mathias
Can Learning Be Enhanced With Active Seating?, Judy Beard, Kirk Mathias
All Faculty Scholarship for the College of Education and Professional Studies
Overweightness continues to increase at an exponential rate in children. This coupled with the demand to increase academic time in elementary schools has contributed to efforts to discover solutions that meet both challenges. Potential solutions are movement curricula and active seating options. However, little has been published relative to best practices of their implementation. Therefore, the purpose of this paper is to discuss the lessons learned while utilizing pedal desks in first and second grade classrooms as stations and whole class seating. Additionally, two different types of heart rate monitors (Polar Oh1 and IHT Spirit) were employed, in an attempt …
Examining The Use Of Immersive Clinical Experiences In Athletic Training Education, Bailey Christine Jones
Examining The Use Of Immersive Clinical Experiences In Athletic Training Education, Bailey Christine Jones
Health Services Research Dissertations
Clinical experiences are an essential aspect of athletic training education that offer students opportunities to practice their skills and engage in a variety of settings. The Commission on Accreditation of Athletic Training Education (CAATE) sets accreditation standards for athletic training programs to meet, including clinical education standards. In fall 2020, new standards took effect that include a few additions to the standards surrounding clinical education; these additions require programs to afford students opportunities to engage in immersive clinical experiences (ICEs), implement behaviors associated with core competencies, and identify strategies that account for patients’ social determinants of health. Educators believe ICEs …
Knowledge And Beliefs Of Adolescents About Acne: Baseline And Post-Intervention Assessments Using An Interactive Educational Tool, Mohammed Mehanna, May Saab
Knowledge And Beliefs Of Adolescents About Acne: Baseline And Post-Intervention Assessments Using An Interactive Educational Tool, Mohammed Mehanna, May Saab
BAU Journal - Health and Wellbeing
Acne vulgaris is a common inflammatory skin condition affecting teenagers around the globe. Lack of knowledge and false beliefs about acne are factors contributing to non-adherence to acne treatment that would result in treatment failure. Since acne is a highly prevalent skin condition in Lebanon, educating Lebanese adolescents about acne is vital to achieve a better treatment outcome. The aim of the present study is to assess the baseline knowledge of a sample of Lebanese adolescents using a self-administered questionnaire, and increase the level through an educational intervention (interactive audio-visual presentation). The knowledge score was assessed before and after the …
Reconciling Taking The "Indian" Out Of The Nurse, Andrea Kennedy, Danielle H. Bourque, Domonique E. Bourque, Samantha Cardinal, R. Lisa Bourque Bearskin
Reconciling Taking The "Indian" Out Of The Nurse, Andrea Kennedy, Danielle H. Bourque, Domonique E. Bourque, Samantha Cardinal, R. Lisa Bourque Bearskin
Quality Advancement in Nursing Education - Avancées en formation infirmière
Currently, we are faced with an important equity gap and opportunity for nursing in higher education related to Indigenous Peoples and health. While Westernized higher education often marginalizes Indigenous Peoples, there is an important opportunity to respectfully engage with Indigenous Knowledges. Furthermore, broadening perspectives beyond a dominant Westernized worldview has the potential to advance higher education for Indigenous and non-Indigenous learners alike. We are concerned that ongoing assimilation of Indigenous learners poses a profound risk of social injustice that is contrary to the aim of higher education. In our effort to reconcile nursing education in this context, we offer this …
Raw And Pure Education In The Society, Iwasan D. Kejawa Ed.D
Raw And Pure Education In The Society, Iwasan D. Kejawa Ed.D
Department of Educational Administration: Dissertations, Theses, and Student Research
What does education mean to individuals in the world today? Education is a way one can attain or improve his or her ability to lead and survive in the society of ours. Without educational training of the mind, it may be impossible to realize the importance of adaptability of living in the environment. Without education, It may also be difficult to embellish the use of both the mental and physical attributes possessed by individual beings.
What really is education? Education is the training of the mind to perform desire functions or to perpetuate the modality of obtaining an end or …
Teaching Foundational Aquatic Skills To Children In Open Water Environments, Chris Button, Angela J. Button, Anne-Marie Jackson, Jim D. Cotter, Brian Maraj
Teaching Foundational Aquatic Skills To Children In Open Water Environments, Chris Button, Angela J. Button, Anne-Marie Jackson, Jim D. Cotter, Brian Maraj
International Journal of Aquatic Research and Education
Learning to swim in a swimming pool might not prepare water competence sufficiently for different aquatic environments. The aim of this study was to assess the effectiveness of teaching children water safety knowledge and skills in open water environments (i.e., harbor, river, and surf). The aquatic knowledge and skills of 98 children (7-11 years old) were tested in a swimming pool before, immediately after, and three months after receiving a three-day intensive education program. At pre-test, typically fewer than 50% of children achieved a high level of water safety competence. After the program, competency in each of the six tasks …
The Ocean Lifeguard Intervention Continuum: A Cognitive Aid For Surf Lifeguard Education, William A. Koon, Ryan M. Gates, Shane Scoggins, Paul Andrus, Jack A. Futoran
The Ocean Lifeguard Intervention Continuum: A Cognitive Aid For Surf Lifeguard Education, William A. Koon, Ryan M. Gates, Shane Scoggins, Paul Andrus, Jack A. Futoran
International Journal of Aquatic Research and Education
Ocean lifeguards are constantly engaged in beach risk analysis, required to efficiently evaluate a variety of environmental and other factors quickly in order to triage and prioritize who needs help. Teaching these skills is a challenge for introductory training programs. We sought to improve new lifeguards’ understanding of the interaction of various risk components in the beach environment and aid decision-making related to when a lifeguard should intervene in a situation. We developed a two-part cognitive aid for introductory ocean lifeguard education depicting individual and interacting elements of a beach goer’s risk of drowning or injury and the process by …
Using The Fitness Challenge To Teach The Principles Of Conditioning And Improve Campus Physical Activity, Shawn R. Simonson
Using The Fitness Challenge To Teach The Principles Of Conditioning And Improve Campus Physical Activity, Shawn R. Simonson
Kinesiology Faculty Publications and Presentations
The goal of KINES 432 Conditioning Procedures is for students to develop the skills to appropriately prescribe exercise and conditioning that will enhance the student’s ability as a practitioner to help others improve conditioning and achieve their health, fitness, and performance goals. The focus is on program objectives, planning, exercise analysis, and prescription as well as the supporting theories, rationale, and research. Application of concepts occurs via projects, service-learning and laboratory experiences. KINES 432 is also designated a university Finishing Foundations course. Boise State University’s Foundational Studies Program provides undergraduates with a broad-based education that spans the entire university experience. …
Training Evaluation For Introductory Ocean Lifeguard Instruction: A Practical Example From California, William A. Koon, Ryan M. Gates, Jack Futoran
Training Evaluation For Introductory Ocean Lifeguard Instruction: A Practical Example From California, William A. Koon, Ryan M. Gates, Jack Futoran
International Journal of Aquatic Research and Education
Ocean lifeguards have several responsibilities that require precise training. California State Parks is one of the largest providers of open water lifeguard services in the United States, and trains approximately 200 new lifeguards per year. As part of our lifeguard training section’s quality improvement efforts, we conducted a training needs assessment to help determine how well our introductory ocean lifeguard training curriculum prepared lifeguards to perform job related tasks upon successful completion of the training program. We surveyed both first year and seasoned lead lifeguards on operational needs, training gaps, and specific subject areas. We identified several areas where our …
The Influence Of End Of Life Education On Stress, Anxiety, And Attitude Of The Healthcare Profession Student, Chiquesha Davis
The Influence Of End Of Life Education On Stress, Anxiety, And Attitude Of The Healthcare Profession Student, Chiquesha Davis
DNP Final Reports
Providing comfort and support to the dying patient is a significant part of the dying process. When soothing a patient, who is dying, the goal is to prevent or relieve suffering as much as possible. Respecting the patient's health and quality of life goals and decisions is essential. Healthcare profession students can experience multiple levels of anxiety, stress, and a negative attitude while taking care of the dying patient. The implementation of a successful intervention is at the cornerstone of helping reduce stress, anxiety, and attitude change in healthcare profession students. The application can also have a positive impact on …
Enhancing Nutrition Education For School Aged Children; A Preventive Health Measure And Quality Improvement Project, Fanny M. Powell
Enhancing Nutrition Education For School Aged Children; A Preventive Health Measure And Quality Improvement Project, Fanny M. Powell
Doctor of Nursing Practice (DNP) Projects
Objective: The purpose of the DNP project was to improve nutritional knowledge of the adolescents at Kings Canyon Unified School District while also improving their perceived ability to choose healthy food. This project was enveloped in a larger community outreach mission utilizing a free school-based clinic for the purposes of providing sports physicals to students and health screening and physicals to the community. Additionally, nurse practitioner students engaged in a cultural immersion experience through clinical rotations in Central Valley.
Methods: Adolescent students who registered for the clinic watched a nine-minute nutrition video, created by the DNP student, while waiting …
The Effect Of An Educational Video On Device-Related Concerns In A Single-Center Left Ventricular Assist Device Population, Devan Costelle
The Effect Of An Educational Video On Device-Related Concerns In A Single-Center Left Ventricular Assist Device Population, Devan Costelle
DNP Projects
PURPOSE:The purpose of this study is to evaluate the prevalence of various concerns among left ventricular assist device (LVAD) patients and evaluate the effect of an educational video intervention on reducing those concerns in a single-center adult LVAD population.
METHODS:A 15-point LVAD Concerns Scale was created to evaluate the prevalence of specific device-related concerns. An educational video was created to address the concerns presented in the LVAD Concerns Scale. Data collection took place from November 2018 to February 2019. A cross-sectional, pre- post-test implementation study design was used to both identify various device-related concerns that exist among LVAD patients and …
Stroke Clinical Order Pathway Education (Scope) For Apns, Varsha Singh
Stroke Clinical Order Pathway Education (Scope) For Apns, Varsha Singh
Seton Hall University DNP Final Projects
More than 795,000 American adults have a stroke annually. About 610,000 are first or new strokes. Almost 140,000 Americans of all ages die of a stroke every year (Centers for Disease Control and Prevention [CDC], 2017). Stroke requires emergent treatment and an exact clinical order pathway to ensure better patient outcomes and compliance with the standards of care defined by regulatory bodies such as the Joint Commission (TJC) and the Centers for Medicare and Medicaid Services (CMS). While stroke management teams often include an Advanced Practice Nurse (APN), there is a lack of a standardized protocol across New Jersey (NJ) …
Factors Associated With Academic Performance Among Second-Year Undergraduate Occupational Therapy Students, Tore Bonsaksen, Brian J. Ellingham, Tove Carstensen
Factors Associated With Academic Performance Among Second-Year Undergraduate Occupational Therapy Students, Tore Bonsaksen, Brian J. Ellingham, Tove Carstensen
The Open Journal of Occupational Therapy
Background: Research into occupational therapy education and its outcomes for students is growing. More research is needed to determine the factors of importance for occupational therapy students’ academic outcomes. This study aimed to investigate factors associated with academic performance among second-year undergraduate occupational therapy students in Norway.
Methods: Occupational therapy students (n = 111) from two education programs completed questionnaires asking for sociodemographic, work-related, and education-related information. Hierarchical linear regression analysis was used to examine factors independently associated with the students’ academic performance.
Results: A higher age was associated with better average academic performance among the students, whereas having …
The Relationship Between Healthcare And Education And Their Impact On Global Health, Anna Pappas
The Relationship Between Healthcare And Education And Their Impact On Global Health, Anna Pappas
HON499 projects
There is often a direct correlation between the access , affordability, and quality of healthcare and quality of education , which can be seen on an international scale. Education, defined both in terms of formal classroom education , as well as patient education conducted by physicians and hea lth care providers, consistent ly relates to the accessibility and qu ality of healthcare globally . The relationship between healthcare and education often results a cycle in which individuals experience little to no accessibility and affo rdability to either of these basic rights . Further, in cases in which one system is …