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Still, We Thrive: Understanding How Gay, Bisexual, Transgender, And Other Men Who Have Sex With Men (Gbtmsm) Experience Structural Barriers & Facilitators To Wellness, Lucas Gergyek 2023 Wilfrid Laurier University

Still, We Thrive: Understanding How Gay, Bisexual, Transgender, And Other Men Who Have Sex With Men (Gbtmsm) Experience Structural Barriers & Facilitators To Wellness, Lucas Gergyek

Theses and Dissertations (Comprehensive)

Historically and concurrently, structural violence has been a significant force influencing the sexual health and broader health of gay, bisexual, transgender and other men who have sex with men (GBTMSM). Yet to date, the majority of projects exploring the health inequities facing GBTMSM have focused on intrapsychic and behavioural factors as most related to poor health outcomes. As well, these studies are sometimes deficits focused, and fail to evaluate how GBTMSM continue to thrive, and maintain positive health. As a result, the ways in which systems and policies underlie and perpetuate health inequities facing GBTMSM have been somewhat obscured. Connectedly ...


Patterns And Determinants Of Hiv Postexposure Prophylaxis In A Tertiary Health Facility In Nigeria, Onyinye H. Chime, Edmund O Ndibuagu, Wilfred O. Okenwa 2022 Department of Community Medicine, Enugu State University College of Medicine, Enugu

Patterns And Determinants Of Hiv Postexposure Prophylaxis In A Tertiary Health Facility In Nigeria, Onyinye H. Chime, Edmund O Ndibuagu, Wilfred O. Okenwa

International Journal of Health and Allied Sciences

Background: One of the targets of HIV prevention strategy is to ensure that 95% of the population access prevention services by 2030 with the aspiration of ending the AIDS epidemic by 2030. Methods: This is a record-based cross-sectional review. Data was extracted from the PEP registers and treatment folders from January 2017 to December 2021. Results: Non-occupational exposure (82.5%) was reported more than occupational (17.5%). Majority of cases (442) resulted from rape. Only 9.1% of the clients returned for follow-up and all were negative. Conclusion: Behavioral interventions designed to promote HIV risk reduction and protective behaviors should ...


Development Of Tlc Fingerprinting Profile Of Shadanga Paniya – An Ayurvedic Formulation To Treat Symptoms Of Covid-19, Mehta D. Mehul, Kunal M. Gohil, Krunal A. Doshi 2022 Institute of Teaching and Research in Ayurveda

Development Of Tlc Fingerprinting Profile Of Shadanga Paniya – An Ayurvedic Formulation To Treat Symptoms Of Covid-19, Mehta D. Mehul, Kunal M. Gohil, Krunal A. Doshi

International Journal of Health and Allied Sciences

BACKGROUND: Shadanga Paniya is a compound Ayurvedic formulation that contains six ingredients. Ayurvedic Physicians have been using Shadanga Paniya to treat fever for ages. Symptoms of COVID-19 are also being treated by Shadanga Paniya. However, the Shadanga Paniya has not reported standardisation.

AIMS: To prepare Shadanga Paniya as per the standard classical protocol. To carry out qualitative tests, standardisation and TLC profile development for Shadanga Paniya.

MATERIALS AND METHODS: All the ingredients of Shadanga Paniya wiz. Nagarmotha, Pittapapada, Khasa, Lal Chandana, Sugandhbala and Sunthi were taken in equal amounts. All these ingredients are heated over mild heat with water. The ...


Ten Years Of National Essential Public Health Services Programs Implementation: Challenges And Recommendations, Lili You, Xinyue Chen, Linghe Yang, Jinhong Zhao, Yuting Pan, Siqi Zhang, Yuanli Liu 2022 School of Health Management Policy Chinese Academy of Medical Sciences/Peking Union Medical College, Beijing 100730, China

Ten Years Of National Essential Public Health Services Programs Implementation: Challenges And Recommendations, Lili You, Xinyue Chen, Linghe Yang, Jinhong Zhao, Yuting Pan, Siqi Zhang, Yuanli Liu

General Practice in China

As an important measure to deepen the reform of the medical and pharmaceutical health system, the national essential public health services programs has been carried out for more than ten years. Therefore, it is of great significance to evaluate the effect and remaining problems of the programs over the decade of implementation period (2009-2019) and to further promote the country's basic public health services. With reference to Donabedian quality theory, this paper summarized and analyzed the key problems existing in China's basic public health services from the aspects of project objectives, project contents, operation mechanisms, implementation processes and ...


Progress And Achievements Of The Implementation Of National Essential Public Health Services Programs Over The Past Decade, Lili You, Jinhong Zhao, Xinyue Chen, Linghe Yang, Meicen Liu, Yuting Pan, Siqi Zhang, Yuanli Liu 2022 School of Health Management Policy Chinese Academy of Medical Sciences/Peking Union Medical College, Beijing 100730, China

Progress And Achievements Of The Implementation Of National Essential Public Health Services Programs Over The Past Decade, Lili You, Jinhong Zhao, Xinyue Chen, Linghe Yang, Meicen Liu, Yuting Pan, Siqi Zhang, Yuanli Liu

General Practice in China

As an important measure to deepen the reform of the medical and pharmaceutical health system, the national essential public health services programs has been carried out for more than ten years. Therefore, it is of great significance to evaluate the effect and remaining problems of the programs over the decade of implementation period (2009-2019) and to further promote the country's basic public health services. With reference to Donabedian quality theory, this paper summarized and analyzed the key problems existing in China's basic public health services from the aspects of project objectives, project contents, operation mechanisms, implementation processes and ...


The Significance And Experience Of Implementing National Essential Public Health Programs, Lili You, Yuanli Liu 2022 School of Health Management Policy, Chinese Academy of Medical Sciences/Peking Union Medical College, Beijing 100730, China

The Significance And Experience Of Implementing National Essential Public Health Programs, Lili You, Yuanli Liu

General Practice in China

The National Essential Public Health Services Programs (NEPHSP) is a systematic and overall basic public service system arrangement made by the Chinese government at the national level aiming at the main health problems existing in urban and rural residents and targeting at key population key diseases and the whole population. Year of 2019 is the tenth anniversary of the NEPHSP implementation. This article summarized the significance of implementing NEPHSP based on a 10-year evaluation of NEPHSP from four aspects: universal health coverage, Healthy China 2030 strategy, China's deepening health system reform and major institutional innovation. At the same time ...


Research Hotspots And Evolution On Hierarchical Diagnosis And Treatment System In China, Qinde Wu 2022 1.School of Economics and Management,Fuzhou University,Fuzhou 350116,China 2.Fujian Medical University Union Hospital,Fuzhou 350001,China

Research Hotspots And Evolution On Hierarchical Diagnosis And Treatment System In China, Qinde Wu

General Practice in China

Background The hierarchical diagnosis and treatment system has become the top priority of deepening medical reform at present, and it is particularly important to understand its research hotspots and evolution.ObjectiveTo systematically summarize the development trend and evolution process of hierarchical diagnosis and treatment system in China and grasp its knowledge base, research hotspots and development trends, in order to provide scientific reference for subsequent research.Methods China National Knowledge Infrastructure(CNKI) database was used as the data source and "hierarchical diagnosis" "hierarchical treatment" "ladder network of medical prevention" "hierarchical medical system and division of labor in blocks" "hierarchical medical ...


Prevention And Control Of Major Infectious Diseases In Primary Health Care Organizations:Experiences,Problems And Countermeasures From Case-Based Studies, Yi Qin, Yuanying Huang, Zhongchen He, Jian Zhang, Lan Luo, Guizhong Tang 2022 School of Public Health and Management,Chongqing Medical University,Chongqing 400016,China

Prevention And Control Of Major Infectious Diseases In Primary Health Care Organizations:Experiences,Problems And Countermeasures From Case-Based Studies, Yi Qin, Yuanying Huang, Zhongchen He, Jian Zhang, Lan Luo, Guizhong Tang

General Practice in China

As the providers of public health and essential medical and health services,primary health care organizations play an increasingly important role in the prevention and treatment of major infectious diseases. However,as revealed by actions in containing the 2003 SARS epidemic,2009 H1N1 pandemic and COVID-19 pandemic,their capacities in the containment of such diseases are unsatisfactory,with specific manifestations of imperfection of primary containment mechanisms for infectious diseases,insufficient primary health resources,oversights in preventive health education and low level of informatization. Hence,we proposed the following recommended solutions:further reforming the infectious diseases emergency preparedness and response mechanism ...


Criteria For Setting Fever Sentinel Clinics In Primary Health Care Institutions: An Inductive Summary Based On Expert Discussions, Yunyun Yan, Tengyang Fan, Haitang Wang, Jianmin Zhang, Zhaohui Du, Xiaoming Sun 2022 Department of General Practice,Zhongshan Hospital,Fudan University,Shanghai 200030,China

Criteria For Setting Fever Sentinel Clinics In Primary Health Care Institutions: An Inductive Summary Based On Expert Discussions, Yunyun Yan, Tengyang Fan, Haitang Wang, Jianmin Zhang, Zhaohui Du, Xiaoming Sun

General Practice in China

Background Many countries have carried out sentinel surveillance programs to monitor infectious diseases. As containing COVID-19 has become normalized,the Department of Primary Health of the National Health Commission of the People's Republic of China recommends primary healthcare institutions to set up a fever sentinel surveillance clinic. Objective To develop a set of nationwide used standards for the establishment of a fever sentinel surveillance clinic in primary healthcare institutions with regional differences in healthcare level and medical resources taken into account,to surveil and contain possible regional epidemiology of COVID-19 and other infectious diseases in autumn and winter in ...


Reflections And Recommendations On Setting Up Fever Sentinel Surveillance Clinic In Primary Healthcare Institutions, Yi Ren, Yanli Liu, Li Ma 2022 Department of Education,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China

Reflections And Recommendations On Setting Up Fever Sentinel Surveillance Clinic In Primary Healthcare Institutions, Yi Ren, Yanli Liu, Li Ma

General Practice in China

In the system of public health emergency preparedness network,primary care plays an important role as the "bottom of the net". Establishing fever sentinel surveillance clinics in primary healthcare institutions is conducive to the realization of early detection,diagnosis,and isolation and timely reporting of public health emergencies,thus controlling the spread of an epidemic.Currently,China is stepping up efforts to construct fever sentinel surveillance clinics and fever clinics in primary healthcare institutions,but the construction standards and functions of such clinics are still preliminary exploration. According to the requirements of relevant regulations,the minimum standards of fever sentinel ...


Adult Day Services In Maine: Benefits, Challenges, And Opportunities, Elizabeth Gattine JD, Eileen Griffin JD, Kimberly I. Snow MHSA, BA 2022 University of Southern Maine, Catherine Cutler Institute

Adult Day Services In Maine: Benefits, Challenges, And Opportunities, Elizabeth Gattine Jd, Eileen Griffin Jd, Kimberly I. Snow Mhsa, Ba

Disability & Aging

In Maine and nationally, adult day services tend to be underfunded and underutilized compared to other types of long term services and supports (LTSS). In part, investment in adult day services is hampered by a lack of standardized data collection and limited research on issues of accessibility, cost-effectiveness, and the impact of adult day services on the broader health system. Lack of uniformity in state regulatory frameworks for licensing, program design, service delivery, and other administrative requirements further complicates cross-state comparisons. Considering these limitations, a key goal of this report is to provide a more detailed and comprehensive understanding of ...


Cross-Sectional Study On Overweight And Obesity Associated With Fast-Food Consumption In Bangladesh, Farhana Sultana, Shafayet Ahmed Siddiqui, Md. Ashraful Islam, Mohammad Hamid Al Muktadir, Md. Shalahuddin Millat, Muhammed Mohibul Islam, Abu Montakim Tareq, Nahida Afroz, Mahabuba Rahman, Mohammad Nurul Amin, Talha Bin Emran 2022 Department of Pharmacy, Atish Dipankar University of Science and Technology, Dhaka 1230, Bangladesh

Cross-Sectional Study On Overweight And Obesity Associated With Fast-Food Consumption In Bangladesh, Farhana Sultana, Shafayet Ahmed Siddiqui, Md. Ashraful Islam, Mohammad Hamid Al Muktadir, Md. Shalahuddin Millat, Muhammed Mohibul Islam, Abu Montakim Tareq, Nahida Afroz, Mahabuba Rahman, Mohammad Nurul Amin, Talha Bin Emran

Makara Journal of Health Research

Background: This study aimed to investigate the risk factors and status of fast-food consumption among students in Bangladesh.

Methods: This cross-sectional study was conducted from March to November 2020. A total of 654 samples were collected from several schools, colleges, and universities during this study period.

Results: About 60.1% and 39.9% of the students were male and female, respectively. Of the students, 53.1% considered fast food as unhealthy (p < 0.001), but only 47.7% were leading a sedentary lifestyle. A significant outcome of overweight and pre-obesity was observed for student institutions, consumption frequency, daily fast-food consumption, and sedentary lifestyle (p < 0.001). In addition, positive association was observed for fast-food consumption more than three times and less than three times per week (OR and 95% CI: 11.13 [7.52–16.47], p < 0.001), higher social class and lower class (OR and 95% CI: 2.18 [1.31–3.62], p = 0.003), fast food preference and other foods (OR and 95% CI: 1.55 [1.11–2.15], p = 0.009), and sedentary and heavily ...


“High Spending, Poor Productivity Gains!” Assessing Public Health System (In)Efficiency And Hospital Performance In The State Of Kuwait: Would More Private Delivery Improve Healthcare?, Aljawhara Alsabah 2022 Touro College and University System

“High Spending, Poor Productivity Gains!” Assessing Public Health System (In)Efficiency And Hospital Performance In The State Of Kuwait: Would More Private Delivery Improve Healthcare?, Aljawhara Alsabah

NYMC Student Theses and Dissertations

The healthcare sector in the State of Kuwait has been nurtured for many decades by the government, where the majority of health services in the country are controlled by the Ministry of Health (MoH). Although healthcare services in public sector hospitals are at highly subsidized rates, causing private sector involvement in healthcare to be considerably low, the growing demands for private delivery of care burgeoned participation of private hospitals in Kuwait, and improving hospital efficiency and productivity is more critical and timelier than ever. This dissertation aims to analyze public health system efficiency and hospital performance in the State of ...


Efficacy Of Various Interventions For Achieving Target Hba1c Levels For Patients With Type Ii Diabetes Mellitus And On Exogenous Insulin, Caitlin S. Welch, Archie Troxel 2022 University of Tennessee Health Science Center

Efficacy Of Various Interventions For Achieving Target Hba1c Levels For Patients With Type Ii Diabetes Mellitus And On Exogenous Insulin, Caitlin S. Welch, Archie Troxel

Longitudinal Scholar's Project

Objective: To learn the rates at which patients at UT Family Medicine–St. Francis (UTFM–SF) with type II diabetes mellitus are being prescribed recommended medications—namely metformin, sodium-glucose cotransporter 2 (SGLT2) inhibitors, and glucagon-like peptide 1 receptor agonists (GLP1RAs)—whether these rates correspond to the severity of hyperglycemia (as indicated by HbA1C level). A secondary goal of the study was to investigate if HbA1C levels are being checked at recommended intervals.

Methods: A retrospective chart review was conducted using records of patients seen at the clinic in the previous four years between the ages of 18 and 65 who ...


Learning From Lived Experience: Substance Use Policies, Emergency Shelters, And Harm Reduction In London, On, Jesse Cram, Dena Salehipour 2022 Western University

Learning From Lived Experience: Substance Use Policies, Emergency Shelters, And Harm Reduction In London, On, Jesse Cram, Dena Salehipour

Undergraduate Student Research Internships Conference

Since 2018, the number of overdoses reported by London housing and emergency shelter agencies to the city of London has increased by 790%.These agencies currently have inconsistent overdose response policies that lack research-based support, and want to establish comprehensive best practices that support those involved at all levels.

Through a community based course, we initially collected and analyzed survey data from managers and staff from various London housing and emergency shelter agencies with the aim of understanding the limitations of the current approaches to the opioid crisis. Wanting to expand on this, our current project focuses on those who ...


Improving Governance In Ontario Health Teams, Mausam Vadakkayil 2022 Western University

Improving Governance In Ontario Health Teams, Mausam Vadakkayil

Undergraduate Student Research Internships Conference

The aim of this research brief is to provide recommendations on how Ontario Health Teams (OHTs) can incorporate the three key functions of successful health systems, priority setting, performance monitoring, and accountability, within their governance structure.


Identifying Critical Aging Care Challenges And Opportunities In High-Income Countries: A Cross-Country Comparison Of Denmark, Germany, And The United States, Cassandra Martin 2022 SIT Graduate Institute/SIT Study Abroad

Identifying Critical Aging Care Challenges And Opportunities In High-Income Countries: A Cross-Country Comparison Of Denmark, Germany, And The United States, Cassandra Martin

Capstone Collection

Despite the rapid growth in the aging population in the United States, insufficient resources and attention are invested in improving the support systems this population relies on. This discussion explored the question of how the United States as a high-income country fails to operate an aging care support infrastructure that has comparable comprehensiveness, availability, affordability, and overall quality to other high-income countries. Comparing financing structures, long-term care models, and various aging care supports is important for answering this question. This paper approached exploring this question by analyzing specified indicators from publicly available data across the United States, Germany, and Denmark ...


Interventions To Support Teen Mothers In California And Reduce The Disparities Related To The Effects Of Teen Pregnancy, Shanelle Christine Sanchez 2022 The University of San Francisco

Interventions To Support Teen Mothers In California And Reduce The Disparities Related To The Effects Of Teen Pregnancy, Shanelle Christine Sanchez

Master's Projects and Capstones

The US teen birth rate has slowly been declining; however, teenage pregnancy is still prevalent. In 2018 the US teen birth rate was 17.4 births per 1,000 girls aged 15-19 years, totaling 179,871 births (National Vital Statistic Report). California’s most recent birth rate was 13.6 births per 1,000 girls aged 15-19 years in 2020 (CDC, 2020). Few studies focus on teen mothers’ health, life needs, and outcomes as a result of adolescent pregnancy and subsequently, adolescent parenting. Additionally, few studies have looked at the cultural differences and views of adolescent pregnancy and parenting within ...


Visual Factors Associated With Physical Activity In Schoolchildren, Síofra Harrington, John Kearney Prof, Veronica O'Dwyer Dr 2022 Technological University Dublin

Visual Factors Associated With Physical Activity In Schoolchildren, Síofra Harrington, John Kearney Prof, Veronica O'Dwyer Dr

Articles

Clinical relevance Physical activity is an essential part of childhood physical and mental development. Recent research identified visual problems associated with a sedentary lifestyle in children in Ireland.

Background This study explored the association between visual function in children and their engagement with physical activities outside school.

Methods Participants were 1,626 schoolchildren (728 aged 6–7 years, 898 old 12–13 years) in randomly selected schools in Ireland. Before data collection, parents/legal guardians of participants completed a standardised questionnaire reporting physical activity as no activity (mostly on screens), light activity (occasional walking/cycling), moderate activity (/week engaged in ...


Improving Knowledge, Attitude, And Compliance Of Hand Hygiene Of Iranian Healthcare Workers: A Pilot Study Using Reminder Card, Zahra Chegini, Ifeoluwapo Kolawole, Prashant Singh, Farzaneh Alikhah, Yalda Rasti, Zahra Motazedi 2022 Chulalongkorn University

Improving Knowledge, Attitude, And Compliance Of Hand Hygiene Of Iranian Healthcare Workers: A Pilot Study Using Reminder Card, Zahra Chegini, Ifeoluwapo Kolawole, Prashant Singh, Farzaneh Alikhah, Yalda Rasti, Zahra Motazedi

Journal of Health Research

Background: Compliance rate of hand hygiene practice by healthcare workers has been observed to be universally low despite its importance, simplicity and cost-effectiveness in preventing the spread of infectious diseases in the healthcare settings. This study aimed to improve healthcare workers’ knowledge, attitudes, and compliance with hand hygiene by using reminder cards displayed by patients.

Method: This before-after interventional study was carried out in 2019 among healthcare workers of a hospital in Tabriz, Iran. The intervention was a ‘Reminder Card’ showed by patients to remind healthcare workers to clean their hands. Participants' knowledge and attitude about hand hygiene and compliance ...


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