War, terrorism, and children.

Ramifications of Diminished Capacity

Citizenship is associated with educational learning which facilitate to get ready our young graduates for the challenges and prospects of a changing World. Citizenship is becoming a corner stone subject in teaching learning process. However, still it is an entrance to a more comprehensive society. So, it was indispensable to explore the function of universities in developing citizenship among graduates. A survey research method was adopted, with a questionnaire and fifteen hundred Master level graduates were selected as sample of the study from fifteen public/private universities of Pakistan. The analysis of data exposed that a substantial number of the graduates having civic characteristics, were significantly in favor to develop sense of responsibility, leadership skills, curricular and co curricular activities, knowledge of current World events, civic research and facilities, law and religious studies, civic literacy and ethical awareness, crime prevention and human rights. For humanizing the civic characteristics and the accessibility as well as sustainability of the civic services in the universities, it is suggested that there should be no gap among learners, faculty and the management. The faculty and management be dedicated to student centered learning and the focus would be on the course learning and deliberate conclusions.

Early in 1937, the enterprising owner of an independent press service called Cooperation made Winston Churchill an irresistible offer. He would place Churchill's articles on current world events in major newspapers across Europe - and for significantly more money than Churchill was making through his present agent. So began a profitable business relationship that grew over time into an enduring personal friendship. This book chronicles that relationship through the entire body of correspondence between Winston Churchill and Emery Reves. It preserves a compelling record of how each man used the other's talents to forward a cause that passionately engaged them both - the spread of democratic ideals in a post-totalitarian world.

Cybersecurity vulnerabilities of cardiac implantable electronic devices: Communication strategies for clinicians—Proceedings of the Heart Rhythm Society's Leadership Summit

BackgroundMobile device technology has revolutionized interpersonal communication, but the application of this technology to the physician-patient relationship remains limited due to concerns over patient confidentiality and the security of digital information. Nevertheless, there is a continued focus on improving communication between doctors and patients in all fields of medicine as a means of improving patient care. In this study, we implement a novel communications platform to demonstrate that instantaneously sharing perioperative information with surgical patients and members of their support networks can improve patient care and strengthen the physician-patient relationship.Methods423 consecutive patients scheduled to undergo elective surgical procedures were offered complimentary registration to a secure, web-based service designed to distribute perioperative updates to a group of recipients designated by each patient via Short Message Service (SMS) and/or email. Messages were created by attending surgeons and delivered instantaneously through the web-based platform. In the postoperative period, patients and their designated message recipients, as well as participating healthcare providers, were asked to complete a survey designed to assess their experience with the messaging system. Survey results were statistically analyzed to determine satisfaction rates.ResultsOf the qualifying 423 patients, 313 opted to enroll in the study. On average, patients selected a total of 3.5 recipients to receive perioperative updates. A total of 1,195 electronic messages were generated for distribution to designated recipients during the study period and delivered to recipients located around the world. There were no documented errors or failures in message delivery. Satisfaction surveys were completed by 190 users of the service (73 %). Respondents identified themselves as either patients (n = 48, 25.5 %), family/friends (n = 120, 63.8 %), or healthcare providers (n = 15, 12 %). Satisfaction with the service was high: 94.2 % of users “enjoyed this software” and and 94.2 % of family/friends “felt more connected to their loved ones during surgery.” 92.5 % would “recommend their loved ones sign up for this service". Ninety percent of patients who completed the survey reported “an improved hospital experience”ConclusionDigital communications platforms can facilitate the immediate transfer of HIPAA-compliant data to patients and their designees. Such systems can greatly improve the level of communication between physicians, patients, and patients’ families and caregivers. All types of users, including healthcare professionals, patients, and their loved ones, recorded high levels of satisfaction. Based on these observations, we conclude that mobile digital communications platforms represent a way to harness the power of social media to enhance patient care.

A key limiting factor in the scale up and sustainability of HIV care and treatment programmes is the global shortage of trained health care workers. This paper discusses why it is important to move beyond conceptualising health care workers simply as 'inputs' in the delivery of HIV treatment and care, and to also consider their roles as partners and agents in the process of health care. It suggests a framework for thinking about their roles and responses in HIV care, considers the current evidence base, and concludes by identifying key areas for future research on health care workers' responses in HIV treatment and care in low and middle income settings.

Lesbian, gay, and bisexual people are often hesitant to reveal their sexual identities to health care providers for fear of poor care. This study begins to explore some of the factors related to disclosure, including the prevalence of different kinds of disclosure/nondisclosure and the frequency of protective strategies in health care settings. Eighty-eight LGB people (38 lesbians, 37 gay men, and 13 bisexuals) responded to a questionnaire about their most recent experiences with health care as well their overall experiences. More respondents reported avoiding questions about sexuality (38%) than actively disclosed to their health care provider (37%). These respondents reported a wide range of protective strategies in health care settings, with women reporting use of more strategies in past health care experiences than men. Women were also more likely to have a regular physician and to disclose sexual identity to a health care provider than were men. Many respondents gave examples of unpleasant interactions with health care providers or reported that health care providers made heterosexist assumptions. Rates of disclosure to health care providers remain low because lesbian, gay, and bisexual people still perceive health care settings and providers as threatening.

BACKGROUND AND OBJECTIVES:Twelve “good death” principles have been identified that apply to Westerners. This study aimed to review the TFHCOP good death perception to determine its validity for Muslim patients and health care providers, and to identify and describe other components of the Muslim good death perspective.SUBJECTS AND METHODS:Participants included 284 Muslims of both genders with different nationalities and careers. We used a 12-question questionnaire based on the 12 principles of the TFHCOP good death definition, followed by face-to-face interviews. We used descriptive statistics to analyze questionnaire responses. However, for new themes, we used a grounded theory approach with a “constant comparisons” method.RESULT:On average, each participant agreed on eight principles of the questionnaire. Dignity, privacy, spiritual and emotional support, access to hospice care, ability to issue advance directives, and to have time to say goodbye were the top priorities. Participants identified three main domains. The first domain was related to faith and belief. The second domain included some principles related to self-esteem and person>s image to friends and family. The third domain was related to satisfaction about family security after the death of the patient. Professional role distinctions were more pronounced than were gender or nationality differences.CONCLUSION:Several aspects of «good death,» as perceived by Western communities, are not recognized as being important by many Muslim patients and health care providers. Furthermore, our study introduced three novel components of good death in Muslim society.

The Mental Health Effects of COVID-19 on Health Care Providers in China.

Australia's investment in the national MyHealthRecord has not been successfully communicated to the myriad of stakeholder groups, resulting in negative perceptions about the system and serious consequences for the uptake of the MyHealthRecord. Local stakeholder attitudes and perceptions will be crucial in setting the scene for success or failure with MyHealthRecord. A survey was undertaken to identify primary healthcare provider perceptions of the MyHealthRecord system, and capture the perceived enablers and barriers for use of the MyHealthRecord system. Almost all (89%) of the twenty-seven (27) respondents had previously heard of the MyHealthRecord system prior to completing the survey. Enablers included a decrease in duplication of effort and an increase in continuity of care. However, concerns about the perceived impact on healthcare provider time, privacy, access controls, and the need for full participation will need to be managed if MyHealthRecord is to be successfully implemented. The MyHealthRecord system will only be perceived as trustworthy when there is full participation by healthcare organisations, providers, and consumers. If Australian consumers become participants in an opt-out approach, it will be a catalyst for participation by healthcare organisations and providers. Incentives to encourage MyHealthRecord participation need to be extended to all healthcare providers as healthcare provider attitudes are influential with consumers. Therefore MyHealthRecord training and education needs to be targeted towards healthcare providers. Research into the attitudes of the local healthcare provider cohort is valuable in creating a change management strategy for maximising local success.

Cardiac Surgery-Enhanced Recovery Programs Modified for COVID-19: Key Steps to Preserve Resources, Manage Caseload Backlog, and Improve Patient Outcomes

The second report of the Committee on the Quality of Health Care in America, Crossing the Quality Chasm: A New Health System for the 21st Century is currently available as an advanced copy (uncorrected proofs). It expands the committee's work beyond the focus on medical and medication error in To Err Is Human: Building a Safer Health System to a larger issue: the need to improve the quality of health care. 2 The new report outlines aims and principles for an improved design for the delivery of care. The text emphasizes that it is written not to present specifics but to present a new perspective on the purpose, intents, interactions, and processes of health care. The authors acknowledge that it will be necessary to redesign structures and processes of organizations and of professionals and their interactions. They also acknowledge that the practices of the nation's health care system, providers, and users must change to include improvements in dissemination and application of knowledge and potential advances in care. They state that the nation's health care system, providers, and users must have access to and use information technology in practice. Changes must be made to fiscal (payment) policies to facilitate new and better options and to reward better outcomes, and health care providers must be better educated. The committee emphasizes that the report was written as a vision of what is possible and that changes must be made to the system to achieve the vision. The first report of the Committee on the Quality of Health Care in America, To Err Is Human: Building a Safer Health System, was summarized previously in this journal (J Managed Care Pharm 2001:62-68). The goals of this continuing education program are to inform readers about this important report and to present the committee's recommendations for building organizational support for change.

Inadequate educational resources, insufficient and unqualified teachers and health care providers, and lack of community involvement, are some of the causes that contribute to the poor state of education and health in rural Bangladesh. This is although, it is well known that, access to quality education and scientific knowledge is essential for creating economic growth and sustainable human development, including poverty alleviation and improvement of human health. In all countries and in the developing countries in particular, there is a need to employ Information and Communication Technology, ICT to gain global access to learning. ICT can address issues of educational equity, social exclusion and can deliver a more effective and accessible educational opportunities. It can also reduce cost of reaching and educating many rural students who are deprived of creative education due to lack of qualified teaching force. In Bangladesh, the education curriculum has been modernized to meet an international standard. For various reasons, qualified teachers are not keen to move to rural areas. The same is true in areas of health sectors where qualified medical doctors are not willing to move to rural areas. Therefore, we find enormous potentials for contribution of e-Learning and e-Health in empowering the rural educators as well as health care providers. A pilot project to test the potentials of e-Learning is implemented at a village Nohata in Magura district in Bangladesh (www.nuhat.org). Started in 2006, it has been using ICT tools to communicate, learn, and access international quality educational content. International quality teachers have been conducting teaching using videoconference system. Various relevant e-Learning aids have been developed to meet the local needs and conditions, you tube programmes covering different topics are carefully selected to meet the appropriate requirement of different target groups. The links are downloaded so that the students, the teachers, health workers, patients can follow the links off line, as many times as they want and discuss among themselves. The ICT tools are also being used to improve access to health care; enhance the quality of service delivery; improve the effectiveness of public health and primary care interventions; improve the shortage of health professionals through collaboration and training. ICT tools are offering solutions for emergency medical assistance, long-distance consultation, supervision quality assurance, and education and training for healthcare professionals and providers. The main challenges are to empower the rural people through creating locally relevant content for improving proficiency in English language, Mathematics, Science and Health care application and services considering the socio-cultural factors, to achieve health, education and economic development. Through careful selection and creation of relevant e-Learning materials, we intend to develop the rural community using the potential of rural people and adopting participatory approaches for building knowledge, skills and capacity.

<p>The study examined the quality of health care services and provider’s determinants of health care seeking behavior among women in Khana local government area of Rivers State. The study adopted a descriptive cross-sectional survey design. Three research questions and two hypotheses guided the study. The sample size for the study was 1,200 women selected using multi-stage sampling procedures. A validated self-structured instrument, titled, “Determinants of Health Care Seeking Behavior Questionnaire”, with a reliability index value of 0.64 was used for data collection. Means and Standard Deviations were used to answer the research questions whole Analysis of Variance was used to test the hypotheses at the 0.05 level of significance. The results of the study showed that the respondents had good health care-seeking behaviors in terms of action on perceived signs and symptoms of disease (= 2.67 + 0.89), test-seeking behavior (= 2.93 + 0.94), choice of health care service’s factors (= 3.36 + 0.76), treatment-seeking behaviors (= 2.86 + 0.95), and treatment-adherent behavior (= 2.87+ 0.85). The results also showed that quality of health care service (= 2.90 + 0.97) were significant determinants, while health care provider’s factors (= 2.43 + 1.05) were not determinants of health care seeking-behavior of the respondents. The study recommended among others that health care services should be health care consumers-centered to sustain and improve on the health care-seeking behavior and proper re-orientation of health care providers should be carried out at every level of health care in order to create friendly relationship between health care providers and consumers or patients.</p><p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0917/a.php" alt="Hit counter" /></p>

BackgroundIn Malaysia, diabetes in pregnancy poses a significant challenge. If uncontrolled, it leads to unfavourable maternal and foetal outcomes. Preconception care offers healthcare providers and women with diabetes an opportunity to minimise risk factors before pregnancy. However, the utilisation of this service in the public health clinics remains limited. This study aimed to explore the challenges experienced by healthcare providers in implementing preconception care for women with diabetes.MethodsThis was a qualitative study that employed a single case study approach. Participants were purposely recruited for focus group discussions and in-depth interviews. An interview guide, developed based on the Theoretical Domain Framework, was used. All interviews were conducted at four public health clinics in a state with a high prevalence of diabetes in Malaysia. Interviews were audio-recorded and transcribed verbatim. The transcripts were then analysed through thematic analysis, using a reflexive approach with an inductive strategy. Ethical approval was obtained from the Medical Research Ethics Committee, Ministry of Health Malaysia.ResultsFifty-three healthcare providers involved in preconception care were interviewed. Three major themes affecting the provision and delivery of preconception care for women with diabetes were identified: (1) Systemic and organisational barriers which create foundational barriers, (2) Healthcare provider factors which affect frontline implementation, and (3) Patient-related factors which influence the engagement of women with diabetes in utilising preconception care. This study identifies gaps within healthcare systems and providers, as well as factors influencing women with diabetes that need to be addressed for effective implementation of preconception care.ConclusionThis study offers insights into the challenges of implementing preconception care effectively. Within the healthcare system, instead of segregating management within similar healthcare facilities, consolidating resources could address manpower and infrastructure challenges. Providing comprehensive training for healthcare providers is crucial to improve care quality and health literacy among women with diabetes. Successful implementation relies on effective engagement between healthcare providers and the women. In this way, preconception care can be recognised as an essential component of the diabetes management pathway within the healthcare system in the country.Supplementary InformationThe online version contains supplementary material available at 10.1186/s12875-025-02991-y.