Abstract: High grade ovarian epithelial cancer (OEC) is the most fatal gynecological cancer and poor prognosis of this entity is closely related to considerable intratumoral genetic heterogeneity. By examining imaging data, it is possible to assess the heterogeneity of tumorous tissue. This study presents a methodology for aligning, segmenting and finally visualizing information from various magnetic resonance imaging series, in order to construct 3D models of heterogeneity maps from the same tumor in OEC patients. The proposed system may be used as an adjunct digital tool by health professionals for personalized medicine, as it allows for an easy visual assessment of the heterogeneity of the examined tumor.
Abstract: The development of the information technology and Internet has been transforming the healthcare industry. The internet is continuously accessed to seek for health information and there are variety of sources, including search engines, health websites, and social networking sites. Providing more and better information on health may empower individuals, however, ensuring a high quality and trusted health information could pose a challenge. Moreover, there is an ever-increasing amount of information available, but they are not necessarily accurate and up to date. Thus, this paper aims to provide an insight of the models and frameworks related to online health information seeking of consumers. It begins by exploring the definition of information behavior and information seeking to provide a better understanding of the concept of information seeking. In this study, critical factors such as performance expectancy, effort expectancy, and social influence will be studied in relation to the value of seeking health information. It also aims to analyze the effect of age, gender, and health status as the moderator on the factors that influence online health information seeking, i.e. trust and information quality. A preliminary survey will be carried out among the health professionals to clarify the research problems which exist in the real world, at the same time producing a conceptual framework. A final survey will be distributed to five states of Malaysia, to solicit the feedback on the framework. Data will be analyzed using SPSS and SmartPLS 3.0 analysis tools. It is hoped that at the end of this study, a novel framework that can improve online health information seeking is developed. Finally, this paper concludes with some suggestions on the models and frameworks that could improve online health information seeking.
Abstract: Health information technologies promise higher quality, safer care and much more for both patients and professionals. Despite their promise, they are costly to develop and difficult to implement. On the other hand, user acceptance and usage determine the success of implemented information technology in healthcare. This study provides a model to understand health professionals’ perception and expectation of health information technology. Extensive literature review has been conducted to determine the main factors to be measured. A questionnaire has been designed as a measurement model and submitted to the personnel of an in vitro fertilization clinic. The respondents’ degree of agreement according to five-point Likert scale was 72% for convenient access to data and 69.4% for the importance of data security. There was a significant difference in acceptance of electronic data storage for female respondents. Also, other significant differences between professions were obtained.
Abstract: The Quality of Life (QoL) paradigm is multidimensional, dynamic and modular and its definition differs across the cancer continuum. The challenge in the interpretation of QoL data in clinical research is that QoL is influenced by psychological phenomena such as adaptation to illness. This research aims to obtain a valid and sensitive assessment of QoL change over the continuum disease, and to evaluate a rehabilitation programme aimed at inverting the observed decrease in QoL when patients return to daily living activities. The sample comprised 66 men. Patients were first assessed to establish a baseline (P1-diagnosis). This was followed by a post-test (P2-discharge) and a then-test measurement (P3-retrospective evaluation) and after returning home patients were randomized in experimental and control groups. The experimental group attended a rehabilitation programme over 24 weeks (P4). Results show that from baseline to post-test, QoL decreased significantly. The recalibration then-test confirmed a low QoL in all periods evaluated. Significant differences between the experimental and control groups prove the positive effect of the Exercise Rehabilitation Programme (ERP) on QoL. Understanding the real dynamic of QoL over time would help to adapt rehabilitation programmes by improving sensitivity and efficacy and provide professionals with a more accurate perception of the impact of treatment and side effects on patients’ QoL. Our results underline the importance of changing the approach adopted by health professionals towards one of watchful waiting on patients’ QoL until their complete recovery in daily life.
Abstract: In recent years, cancer has been at the top of diseases that cause death in children. Adequate and balanced nutrition plays an important role in the treatment of cancer. Cancer and cancer treatment is affecting food intake, absorption and metabolism, causing nutritional disorders. Appropriate nutrition is very important for the cancerous child to feel well before, during and after the treatment. There are various difficulties in feeding children with cancer. These are the cancer-related factors. Other factors are environmental and behavioral. As health professionals who spend more time with children in the hospital, nurses should be able to support the children on nutrition and help them to have balanced nutrition. This study aimed to evaluate the importance of nursing approaches in the nutrition of children with cancer. This article is planned as a review article by searching the literature on this field. Anorexia may develop due to psychogenic causes or chemotherapeutic agents or accompanying infections and nutrient uptake may be reduced. In addition, stomatitis, mucositis, taste and odor changes in the mouth, the feeling of nausea, vomiting and diarrhea can also reduce oral intake and result in significant losses in the energy deficit. In assessing the nutritional status of children with cancer, determining weight loss and good nutrition is essential anamnesis of a child. Some anthropometric measurements and biochemical tests should be used to evaluate the nutrition of the child. The nutritional status of pediatric cancer patients has been studied for a long time and malnutrition, in particular under nutrition, in this population has long been recognized. Yet, its management remains variable with many malnourished children going unrecognized and consequently untreated. Nutritional support is important to pediatric cancer patients and should be integrated into the overall treatment of these children.
Abstract: In this study, due to the recurrence of bovine tuberculosis, in the same areas, the risk factors for the disease were determined and evaluated at the local level. This study was carried out in 32 farms where the disease was detected in the district and center of Samsun province in 2014. Predetermined risk factors, such as farm, environmental and economic risks, were investigated with the survey method. It was predetermined that risks in the three groups are similar to the risk variables of the disease on the global scale. These risk factors that increase the susceptibility of the infection must be understood by the herd owners. The risk-based contagious disease management system approach should be applied for bovine tuberculosis by farmers, animal health professionals and public and private sector decision makers.
Abstract: The Copperbelt University Health Services (CBUHS) was designated by the Zambia Medicines Regulatory Authority (ZAMRA), formally the Pharmaceutical Regulatory Authority (PRA) as a regional pharmacovigilance centre to carryout activities of drug safety monitoring in four provinces in Zambia. CBUHS’s mandate included stimulating the reporting of adverse drug reactions (ADRs), as well as collecting and collating ADR reports from health institutions in the four provinces. This report covers the researchers’ experiences from May 2008 to September, 2016. The main objectives are 1) to monitor ADRs in the Zambian population, 2) to disseminate information to all health professionals in the region advising that the CBU health was a centre for reporting ADRs in the region, 3) to monitor polypharmacy as well as the benefit-risk profile of medicines, 4) to generate independent, evidence based recommendations on the safety of medicines, 5) to support ZAMRA in formulating safety related regulatory decisions for medicines, and 6) to communicate findings with all key stakeholders. The methodology involved monthly visits, beginning in early May 2008 to September, 2016, by the CBUHS to health institutions in the programme areas. Activities included holding discussions with health workers, distribution of ADR forms and collection of ADRs reports. These reports, once collected, were documented and assessed at the CBUHS. A report was then prepared for ZAMRA on quarterly basis. At ZAMRA, serious ADRs were noted and recommendations made to the Ministry of Health of the Republic of Zambia. The results show that 2,600 ADRs reports were received at the pharmacovigilance regional centre. Most of the ADRs reports that received were due to antiretroviral drugs, as well as a few from anti-malarial drugs like Artemether/Lumefantrine – Coartem®. Three hundred and twelve ADRs were entered in the Uppsala Monitoring Centre WHO Vigiflow for further analysis. It was concluded that in general, 2008-16 were exciting years for the pharmacovigilance group at CBUHS. From a very tentative beginning, a lot of strides were made and contacts established with healthcare facilities in the region. The researchers were encouraged by the support received from the Copperbelt University management, the motivation provided by ZAMRA and most importantly the enthusiasm of health workers in all the health care facilities visited. As a centre for drug safety in Zambia, the results show it achieves its objectives for monitoring ADRs, Pharmacovigilance (drug safety monitoring), and activities of monitoring ADRs as well as preventing them. However, the centre faces critical challenges caused by erratic funding that prevents the smooth running of the programme.
Abstract: There has been a significant decline in active travel
and a massive increase in the use of car dependent travel in many
countries during the past two decades. Evidential risks for people’s
physical and mental health problems are correlated with this
increased use of motorized travel. These health related problems
range from overweight and obesity to increased air pollution. In
response to these rising concerns health professionals, traffic planers,
local authorities and others have introduced a variety of initiatives to
counterbalance the dominance of cars for daily journeys.
However, the nature of travel behavior change interventions,
which aim to reduce car use, are very complex and challenging
regarding their interactions with human behavior. To change travel
behavior at least two aspects have to be taken into consideration.
First, how to alter attitudes and perceptions toward the sustainable
and healthy modes of travel, in competition with experiences of
private car use. And second, how to make these behavior change
processes irreversible and sustainable. There are no comprehensive
models available to guide policy interventions to increase the level of
success of travel behavior change interventions across both these
dimensions.
A comprehensive theoretical framework is required in the effort to
optimize how to facilitate and guide the processes of data collection
and analysis to achieve the best possible guidelines for policy
makers. Regarding the gaps in the travel behavior change research
literature, this paper attempted to identify and suggest a
multidimensional framework in order to facilitate planning the
implemented travel behavior change interventions. A structured
mixed-method model is suggested to improve the analytic power of
the results according to the complexity of human behavior.
In order to recognize people’s attitudes towards a specific travel
mode, the Theory of Planned Behavior (TPB) was operationalized.
But in order to capture decision making processes the Transtheoretical
model of Behavior Change (TTM) was also used.
Consequently, the combination of these two theories (TTM and TPB)
has resulted in a synthesis with appropriate concepts to identify and
design an implemented travel behavior change interventions.
Abstract: Psychoacoustics has become a potential area of research due to the growing interest of both laypersons and medical and mental health professionals. Non invasive brain computer interface like Electroencephalography (EEG) is widely being used in this field. An attempt has been made in this paper to examine the response of EEG signals to acoustic stimuli further analyzing the brain electrical activity. The real time EEG is acquired for 6 participants using a cost effective and portable EMOTIV EEG neuro headset. EEG data analysis is further done using EMOTIV test bench, EDF browser and EEGLAB (MATLAB Tool) application software platforms. Spectral analysis of acquired neural signals (AF3 channel) using these software platforms are clearly indicative of increased brain activity in various bands. The inferences drawn from such an analysis have significant correlation with subject’s subjective reporting of the experiences. The results suggest that the methodology adopted can further be used to assist patients with sleeping and depressive disorders.
Abstract: Purpose: To compare attitudes and perceptions of
Israeli native born mothers versus former Soviet Union (FSU)
immigrant mothers regarding the physical health of their infant.
Methodology: cross-sectional design. A convenience sample of 50
participants was recruited by face to face and snowball technique. A
questionnaire was constructed according to the instructions of the
Ministry of Health for the care and treatment of infants. The main
areas explored were: sources of knowledge that the young mother
acquired regarding the care of her infant, ways of caring for the
infant, hygiene and sanitary habits, and the pattern of referral to
health professionals. The last topic relates to emotions mothers might
experience towards their infant.
Results: Mothers from both cultural groups present some similar
caring behaviors, which may express a universal aspect of mothers'
behavior towards their infants. However, immigrant mothers differ
significantly from native born by relying less on their mothers' and
grandmothers' experience, they wean their infants from diapers
earlier, they are stricter about hygiene and sanitary habits and they
tend to consult a physician when their infant has low fever. Native
born and immigrant mothers differ in their expressions of pride and
wonder. Immigrant mothers report of a lesser degree of these
emotions towards their infants than native born mothers.
Conclusion: The theoretical model of socialization and
acculturation of immigrant mothers is employed as an explanatory
model for the current findings Young immigrant mothers undergo a
complex acculturation process and adapt behavioral patterns in
various areas to comply with Israeli norms and values, demonstrating
assimilation. In other areas they adhere to the norms of their original
culture.
Abstract: There is inadequate information on the practice of
female genital mutilation (FGM) in the UK, and there are often
myths and perceptions within communities that influence the
effectiveness of prevention programmes. This means it is difficult to
address the trends and changes in the practice in the UK.
To this end, FORWARD undertook novel and innovative research
using the Participatory Ethnographic and Evaluative Research
(PEER) method to explore the views of women from Eritrea, Sudan,
Somalia and Ethiopia that live in London and Bristol (two UK cities).
Women-s views, taken from PEER interviews, reflected reasons for
continued practice of FGM: marriageability, the harnessing and
control of female sexuality, and upholding traditions from their
countries of origin. It was also clear that the main supporters of the
practice were believed to be older women within families and
communities.
Women described the impact FGM was having on their lives as
isolating. And although it was clearly considered a private and
personal matter, they developed a real sense of connection with their
peers within the research process.
The women were overwhelmingly positive about combating the
practice, although they believed it would probably take a while
before it ends completely. They also made concrete
recommendations on how to improve support services for women
affected by FGM: Training for professionals (particularly in
healthcare), increased engagement with, and outreach to,
communities, culturally appropriate materials and information made
available and accessible to communities, and more consequent
implementation of legislation.
Finally, the women asked for more empathy and understanding,
particularly from health professionals. Rather than presenting FGM
as a completely alien and inconceivable practice, it may help for
those looking into these women-s lives and working with them to
understand the social and economic context in which the practice
takes place.
Abstract: Not with standing the importance of foreign highly
skilled professionals for host economies, there is a paucity of
research studies investigating the role of the corporate social context
during the integration process. This research aims to address this
paucity by exploring the role of social capital in the integration of
foreign health professionals. It does so by using a qualitative research
approach. In this pilot study the hospital sector forms this study-s
sample and interviews were conducted with HR managers, foreign
health professionals and external HR consultants. It was found that
most of the participating hospitals had not established specific HR
practices and had only partly linked the development of
organisational social capital with a successful integration process.
This research contributes, for example, to the HR literature on the
integration of self-initiated expatriates by analysing the role of HRM
in generating organisational social capital needed for a successful
integration process.
Abstract: Mental health professionals views about mental illness
is an important issue which has not received enough attention. The
negative stigma associated with mental illness can have many
negative consequences. Unfortunately, health professionals working
with the mentally ill can also exhibit stigma. It has been suggested
that causal explanations or beliefs around the causes of mental illness
may influence stigma. This study aims to gain a greater insight into
stigma through examining stigma among potential mental health
professionals. Firstly, results found that potential mental health
professionals had relatively low social distance t(205) = -3.62, p
Abstract: Thailand-s health system is challenged by the rising
number of patients and decreasing ratio of medical
practitioners/patients, especially in rural areas. This may tempt
inexperienced GPs to rush through the process of anamnesis with the
risk of incorrect diagnosis. Patients have to travel far to the hospital
and wait for a long time presenting their case. Many patients try to
cure themselves with traditional Thai medicine. Many countries are
making use of the Internet for medical information gathering,
distribution and storage. Telemedicine applications are a relatively
new field of study in Thailand; the infrastructure of ICT had
hampered widespread use of the Internet for using medical
information. With recent improvements made health and technology
professionals can work out novel applications and systems to help
advance telemedicine for the benefit of the people. Here we explore
the use of telemedicine for people with health problems in rural areas
in Thailand and present a Telemedicine Diagnosis System for Rural
Thailand (TEDIST) for diagnosing certain conditions that people
with Internet access can use to establish contact with Community
Health Centers, e.g. by mobile phone. The system uses a Web-based
input method for individual patients- symptoms, which are taken by
an expert system for the analysis of conditions and appropriate
diseases. The analysis harnesses a knowledge base and a backward
chaining component to find out, which health professionals should be
presented with the case. Doctors have the opportunity to exchange
emails or chat with the patients they are responsible for or other
specialists. Patients- data are then stored in a Personal Health Record.