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Introducción: Se presentan los resultados de un estudio experimental para contrastar el efecto de la modalidad de presentación de un mensaje de educación-entretenimiento (escrito versus audiovisual) en los procesos cognitivos de recepción, en función de la necesidad de cognición. Método: Participaron 109 hombres que tienen sexo con hombres (HSH), distribuidos aleatoriamente en dos condiciones experimentales (mensaje escrito versus mensaje audiovisual). Resultados: Se encontró que la necesidad de cognición moderó el efecto de la modalidad del mensaje sobre la elaboración cognitiva (el mensaje escrito incrementaba la elaboración cognitiva en participantes con baja necesidad de cognición) y sobre la contraargumentación (el formato escrito generó menor contraargumentación en participantes con alta necesidad de cognición), pero no sobre la reactancia. Conclusiones: La efectividad de un mensaje de educación-entretenimiento está determinada tanto por las características del mensaje (la modalidad de presentación) como por las diferencias individuales de las personas (la necesidad de cognición). De manera particular, la necesidad de cognición es una variable relevante para comprender los procesos cognitivos de recepción (la elaboración cognitiva y la contraargumentación) que desempeñan un papel fundamental en el estudio de la persuasión narrativa.
Introduction: This article presents the results of an experimental study that sought to contrast the effect of the entertainment education message (written versus audiovisual) on the cognitive processes of reception, as a function of the need for cognition. Method: 109 MSM participated, randomly distributed, in two experimental conditions (written versus audiovisual message). Results: We found that the need for cognition moderated the effect of message modality on cognitive elaboration and in contra-argumentation, but not on reactance. Data shows that written message increased cognitive elaboration in participants with low need for cognition and generated less contra-argumentation in participants with a higher need for cognition. Conclusions: The effectiveness of an entertainment-education message is determined by both the characteristics of the message (the modality of presentation) and the individual differences of people (the need for cognition). In particular, the need for cognition is a relevant variable for understanding the cognitive processes of reception (cognitive elaboration and contra-argumentation) that play a fundamental role in the study of narrative persuasion.
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Background: Effective delivery of health education is critical to achieving the goal of controlled diabetes. The objective was to assess the impact of health education among patients with Type 2 Diabetes mellitus. Materials and Methods: This study was quasi-experimental done with type 2 diabetes mellitus of tertiary care hospital.100 diabetes patients were included and randomized into two groups to receive health education material and standard care. The intervention consisted of health education intervention via text messages and images. The glycemic parameters were assessed before and at the end of 3 months of intervention. Paired t-tests were applied. Results: Mean (SD) of HbA1c before the start of the intervention among the patients with intervention and control arm were 10.1(�9) and10.6 (�3) respectively. There was a significant difference in FBS, PPBS and HbA1c- (198(�) vs 112(�, 277(�) vs 151(�) and 10.1(�9) vs 7.2(�9) in the intervention group before and after the intervention (p-value <0.05).No significant difference was found in the control arm. Conclusion: There was a significant difference in the group that received health education intervention compared to the standard therapy group. Thus, well-designed health education delivery could maintain better glycemic control in patients with uncomplicated type 2 diabetes mellitus. ============================================ This retrospective, observational study was conducted by collecting data from medical records during COVID 19 pandemic from March 2020 till August 2020. This was compared with the data of 2019 during similar months. The impact of COVID 19 on use of preventive and curative paediatric health care service units like outpatient department, casualty, intensive care and immunization clinic were assessed. Data from 2019 to 2020 were compared using standard parametric and nonparametric tests. There was a significant decline in routine OPD (68%) attendance during the COVID 19 period as compared to pre-COVID period. Paediatric ward admissions and PICU admissions were decreased by 55% and 42% respectively. We also observed a significant 43% decline in the number of children attending immunization clinic in the year 2020. The fear of COVID 19 pandemic and the measures taken to control the pandemic has affected the health seeking behaviour of patients. This evaluation of trends in healthcare use may help in planning the delivery of healthcare service delivery in future.
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BACKGROUND: The internet becomes “information superhighway”. From its inception, it had grown such that it could be accessed from any part of the world. Conventional classroom teaching had been replaced to some extent by online learning. Almost two years of online classes due to lockdown in Corona virus pandemic, helped the students to understand the future learning methodology. OBJECTIVE:To determine the “take home” message for the M.B.B.S students from online classes. METHODOLOGY: Both live and recorded online classes had been introduced during lockdown period. When medical college opened and students were back to classes a survey was undertaken based on the semi structured questionnaire based on google form. Responses were analyzed with Microsoft excel 365 software. RESULT: 143 out of total 200 students responded (72%). 64% students liked recorded classes, according to them, recorded classes could be accessed at a convenient time (44%), repeat watching helped to clear the concepts (34%), easily accessible (53%), video could be shared among the peer groups (61%). Rest of the students preferred live streaming classes. In their opinion, live classes felt like actual class (75%), could directly interact with friends (66%), asking question directly to the teachers (34%), They tried to include in future the following aspects of online learning to ofline classroom teaching, those were: start peer group learning, sharing the useful contents, improvements of technological knowledge and skills, to maintain discipline in the class- there were take home message for the students after long one year of online classes CONCLUSION: It was clear if proper strategy had been taken and if widespread internet connections would be provided the online classes could be effective as classroom teaching.
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The Chinese Journal of Hepatology has a 2020 core impact factor of 1.807, which position it first among the periodicals of gastroenterology. The China Association for Science and Technology classified it as T1 grade and included in the catalogue of high-level scientific and technological periodicals. Since 2021, it has received the special publishing fund of the Chongqing Municipal Bureau of Press and Publications, the High-quality Scientific and Technological Periodicals Funding Project of Chongqing Association for Science and Technology, and the Industry-university-research Cooperation and Collaborative Education Project of the Ministry of Education of the People's Republic of China and won many awards such as "Sichuan-Chongqing First-class Scientific and Technological Periodical" and "Chongqing High-quality Scientific and Technological Periodical", thereby ensuring the development of both qualitative and quantitative effects. Therefore, in 2022, we will work on attracting high-impact research reports, disseminate the academic results timely, efficiently and accurately, highlight the role of digital communication, and pave the way for the establishment of it as a first-class academic journal.
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Humans , China , Gastroenterology , PublishingABSTRACT
BACKGROUND@#Pretesting is the key to understanding how the intended audience will react to the message. Resistant reactions affect message processing or can lead to undesirable boomerang effects. The objective of this study was to develop a rating scale for measuring active (reactance) and passive (disengagement) resistance to persuasive health messages.@*METHODS@#Six candidate items (3 items for disengagement and 3 items for reactance) were generated based on literature review. A web-based survey was conducted among Japanese adults aged 25-64 years to verify the reliability and validity of the 6-item resistance scale. Participants were asked to rate one of the advance care planning (ACP) promotion messages. All scale items were scored on a 1-to-5 point Likert scale and they were averaged to produce the resistance score.@*RESULTS@#Explanatory factor analysis revealed a two-factor solution that agreed with the disengagement and reactance domains, respectively. Correlation coefficients between each set of items ranged between 0.30-0.69. Cronbach alpha (0.86) indicated satisfactory internal consistency of the set of items. Confirmatory factor analysis showed a good fit of the two-factor model with CFI = 0.998, SRMR = 0.011, and RMSEA = 0.041. The resistance score showed a moderate positive correlation with negative emotional responses (displeasure γ = 0.55, anger γ = 0.53) and was significantly inversely related to the persuasiveness score (γ = -0.50). Multivariable logistic regression analysis showed that the odds ratio for ACP intention per 1-point increase in the resistance score was 0.47 (95% confidence interval 0.40-0.56) with adjustment for the persuasiveness score.@*CONCLUSION@#The 6-item resistance scale exhibited adequate reliability and validity for measuring audience resistance when applied to the ACP promotion messages in Japanese people. The scale will be useful for pretesting health messages to make them more acceptable to the intended audience.@*TRIAL REGISTRATION@#Not applicable; this is not a report of intervention trial.
Subject(s)
Adult , Humans , Middle Aged , Factor Analysis, Statistical , Intention , Persuasive Communication , Psychometrics , Reproducibility of Results , Surveys and QuestionnairesABSTRACT
@#No-show or non-attendance at outpatient appointments are one of the most challenging operational issues in health care clinics, including dietetics outpatient clinics. No-show has a negative impact on the efficiency and effectiveness of delivery of outpatient care in a hospital setting. This can negatively affect the patient’s short term and long-term wellbeing due to missed opportunity to address the patient’s nutrition issue in a timely manner. This study aims to investigate the reasons for no-show and thus to reduce the no-show rate in diet clinic from baseline of 40.7% to standard of less than 25%. The initial phase of the study was conducted from June to September 2017 at Hospital Sultan Ismail’s diet clinic. No-show cases were identified using system data. No-show patients or guardian of no-show patients were contacted to record the reason for missing the appointments. Descriptive analysis was used to analyze the results. Strategy for change was planned and implemented to target the major reason for no-show. The pre-remedial phase result shows a no-show rate of 40.7%. A total of 102 patients were contacted (34%, n=102) to identify their reason of non-attendance to diet clinic. Paediatric patients aged 1 to 12 year-old contributed the highest percentage of no-show (37.3%, n=38). The major reasons identified for no-show are forgetting and remembered wrong appointment date (35.3%, n=36), followed by ill or admitted to ward (13.7%, n=14) and others (12.7%, n=13) such as personal issues and school examination. Remedial measure using Short Message Service (MySMS) resulted in a reduction of no-show rate to 22.2% which achieved our standard of less than 25% (p<0.05). Automated reminder using Short Message System (MySMS) is found to be effective in reducing no-show rate. Periodic audit is needed to ensure continuous effectiveness of remedial measure. Further studies need to be conducted in weighing the cost effectiveness of this method for long term run.
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@#The proverbial "walking while chewing gum" statement has been once again proven by our colleagues in PGH. Being able to publish quality research articles amidst the challenges brought about by the turn of events, is testament to not only the grit that we have developed in its wards but also to the commitment in pursuing new knowledge. Prior to the pandemic, PGH has shown a continuous trend of increasing annual publication. From 8% in 2015, it has steadily risen to 42%. The investment in focused attention guided by a clear agenda, extensive funding and protected time for research obviously is paying off handsomely. It is my fervent hope that we will be able to bring our research output to the next level which is health policy formulation based on the knowledge that we have generated.
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BACKGROUND@#Despite the importance of hepatitis screening for decreasing liver cancer mortality, screening rates remain low in Japan. Previous studies show that full subsidies increase screening uptake, but full subsidies are costly and difficult to implement in low-resource settings. Alternatively, applying nudge theory to the message design could increase screening at lower costs. This study examined the effects of both methods in increasing hepatitis virus screening rates at worksites.@*METHODS@#1496 employees from a Japanese transportation company received client reminders for an optional hepatitis virus screening before their general health checkups. Groups A and B received a client reminder designed based on the principles of "Easy" and "Attractive," while the control group received a client reminder not developed using nudge theory. Additionally, hepatitis virus screening was offered to the control group and group A for a co-payment of JPY 612, but was fully subsidized for group B. The hepatitis virus screening rates among the groups were compared using a Chi-square test with Bonferroni correction, and the risk ratios of group A and group B to the control group were also calculated. To adjust for unobservable heterogeneity per cluster, the regression analysis was performed using generalized linear mixed models.@*RESULTS@#The screening rate was 21.2%, 37.1%, and 86.3% for the control group, group A, and group B, respectively. And the risk ratio for group A was 1.75 (95% confidence interval [CI] 1.45-2.12) and that of group B was 4.08 (95% CI 3.44-4.83). The parameters of group A and group B also were significant when estimated using generalized linear mixed models. However, the cost-effectiveness (incremental cost-effectiveness ratio (ICER)) of the nudge-based reminder with the full subsidies was lower than that of only the nudge-based reminder.@*CONCLUSIONS@#While fully subsidized screening led to the highest hepatitis screening rates, modifying client reminders using nudge theory significantly increased hepatitis screening uptake at lower costs per person.
Subject(s)
Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Cost-Benefit Analysis , Hepatitis Viruses/isolation & purification , Japan , Mass Screening/instrumentation , WorkplaceABSTRACT
O objetivo deste estudo foi testar o impacto de um lembrete por mensagem de texto eletrônica, via WhatsApp®, sobre a taxa de absenteísmo nas consultas de subespecialidades pediátricas. Este estudo aleatorizado foi composto por um grupo controle e um experimental. Os participantes do grupo experimental receberam um aviso por WhatsApp® lembrando a data da consulta. Foram incluídos no estudo todos os usuários agendados (primeira vez e retornos) para consultas de subespecialidades pediátricas. Para as análises foi calculado os percentuais e realizou-se o teste Qui-quadrado de associação. Um total de 998 participantes foram incluídos para análise. A maioria dos participantes era do sexo masculino (59 porcent). A taxa de absenteísmo no grupo experimental foi de 24 porcent e no grupo controle, 25,5 porcent, representando uma diferença de 1,5 porcent (p= 0,580). A taxa de absenteísmo era particularmente mais alta para consultas agendadas na segunda-feira, com 30 porcent (p= 0,009). Globalmente, o uso de lembretes por mensagens de texto em estudos com diferentes populações reduz a taxa de absenteísmo. No entanto, nossas descobertas sugerem que o envio de mensagens de texto via WhatsApp® como lembretes de consulta não é uma ferramenta eficaz na redução do absenteísmo de subespecialidades pediátricas(AU)
El objetivo de este estudio fue evaluar el impacto de un recordatorio a través de un mensaje de texto por WhatsApp® sobre la tasa de absentismo en las consultas de subespecialidades pediátricas. Este estudio aleatorizado fue compuesto por un grupo control y un grupo experimental. Los participantes del grupo experimental recibieron un recordatorio a través de WhatsApp® que rememoraba la fecha de la consulta. Todas las consultas programadas de la subespecialidad pediátrica, tanto las realizadas por primera vez como las siguientes, fueron incluidas en el estudio. Para el análisis fueron calculados los porcentajes mediante la prueba chi-cuadrado. Fueron incluidos 998 participantes en el análisis, de los cuales la mayoría eran hombres (59 por ciento). La tasa de absentismo del grupo experimental fue de 24 por ciento, mientras la del grupo control fue de 25,5 por ciento, lo que representa una diferencia del 1,5 por ciento (p= 0,580). La tasa de absentismo fue del 30 por ciento (p= 0,009), lo que resultó particularmente alta para las consultas programadas para los lunes. Generalmente los estudios que utilizaron mensajes de texto en diferentes poblaciones, como recordatorio, redujeron la tasa de absentismo de las consultas. Sin embargo, nuestros resultados sugieren que enviar mensajes de texto a través del WhatsApp® como recordatorio de consultas médicas no es una herramienta efectiva para reducir el absentismo en las subespecialidades pediátricas(AU)
The purpose of the study was to evaluate the impact of WhatsApp® text messaging reminders on the rate of non-attendance to pediatric specialty consultation. Randomized examination was conducted of a control group and an experimental group. Participants in the experimental group received a WhatsApp® reminder of the appointment date. All the appointments scheduled for the pediatric subspecialty were included, i.e. first-time appointments as well as those following. Data analysis was based on percentage estimation by the chi-square test. A total 998 participants were included in the analysis, most of whom were men (59 percent). The non-attendance rate was 24 percent in the experimental group and 25.5 percent in the control group, for a difference of 1.5 percent (p= 0.580). The non-attendance rate was 30 percent (p= 0.009), particularly high for appointments scheduled for Mondays. In general terms, studies using text messaging as reminders in different populations reduced the rate of non-attendance to consultation. However, our results suggest that sending WhatsApp® text messages as reminders of medical appointments is not an effective tool to reduce non-attendance to pediatric consultation(AU)
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Humans , Male , Female , Child , Adolescent , Referral and Consultation , Medical Informatics/methods , Chi-Square Distribution , Incidence , Absenteeism , Text MessagingABSTRACT
Abordamos o complexo de perfuração via teoria da sedução generalizada, focando na chamada "sexualidade orificial" e nas fantasias parentais, sobretudo a de arrombamentos dos orifícios, que acabam inoculando na criança o medo de perfuração. Consideramos que o medo da perfuração remete à realidade da mensagem (vinda do adulto) e incita a criança a traduzir o corpo estranho interno que é propriamente intrometido nela, a saber, a excitação do sexual. E é nessa penetração originária (da mensagem do outro) que localizamos a mudança no vetor de explicação do medo paralisante presente no complexo de perfuração, que no pensamento bonaparteano sai da reação protocelular.
We approach the piercing complex based on the theory of generalized seduction, with a focus on the so-called "orificial sexuality" and on parental fantasies, especially the piercing of the orifices, which eventually inoculate the fear of perforation in the child. We believe that the fear of piercing refers to the reality of the message (coming from the adult) and urges the child to translate the internal foreign body that is actually introduced into it, namely sexual stimulation. It is in this original penetration (of the message of the other) that we locate the change in the vector of explanation of the paralyzing fear found in the piercing complex, which according to Bonapartean thinking stems from a protocellular reaction.
Nous abordons le complexe de la perforation à travers la théorie de la séduction généralisée en focalisant notre intérêt sur la sexualité dite orificielle et les fantasmes parentaux, en particulier les effractions des orifices, qui finissent par inoculer la peur de la perforation à l'enfant. Nous soutenons que la peur de la perforation fait référence à la réalité du message (émanant de l'adulte) et incite l'enfant à traduire le corps étranger interne qui est proprement intromis en elle, à savoir l'excitation sexuelle. Et c'est dans cette pénétration originale (du message de l'autre) que nous localisons un changement du vecteur d'explication de la peur paralysante présente dans le complexe de perforation qui, selon la pensée bonapartéenne, provient de la réaction protocellulaire.
Abordamos el complejo de perforación a través de la teoría de la seducción generalizada, enfocándonos en la llamada sexualidad de los orificios y en las fantasías parentales, sobre todo en la de el allanamiento de los orificios, que acaban inoculando en el niño el miedo de la perforación. Consideramos que el temor de la perforación remite a la realidad del mensaje (venida del adulto) e incita al niño a traducir el cuerpo extraño interno, que es propiamente entrometido en él, a saber, la excitación del sexual. Y es en dicha penetración originaria (del mensaje del otro) donde encontramos el cambio en el vector de explicación del miedo paralizante presente en el complejo de perforación, que en el pensamiento bonaparteano sale de la reacción de una protocélula.
Dieser Artikel analysiert den Perforationskomplexes anhand der allgemeinen Verführungstheorie. Dabei werden die auf die Körperöffnungen bezogene Sexualität und die Urfantasien behandelt, vor allem in Hinsicht auf dem Bohren von Öffnungen, was dazu führt, dass das Kind die Perforationsangst verinnerlicht. Es wird angenommen, dass die Perforationsangst ein Verweis ist auf die Realität der Botschaft (vom Erwachsenen), was das Kind dazu antreibt, den internalisierten Fremdkörper, der in ihm eingeführt wird, zu übersetzen, und zwar als Erregung des Sexuellen. In diesem ursprünglichen Eindringen (der Botschaft des Anderen) finden wir die Änderung des Erklärungsmuster der im Perforationskomplex bestehenden lähmenden Angst, welche gemäß der Theorie von Marie Bonaparte von einer protoplasmatischen Reaktion hervorgerufen wird.
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Neste artigo apresentamos os aspectos relacionados ao desenvolvimento e à avaliação de um serviço de short message service (SMS) - Pré-Natal no Celular (Prenacel) - voltado para parceiros de gestantes. Trata-se de um estudo qualitativo com métodos participativos e desenvolvido em três etapas. Primeiro, as mensagens do programa global Mobile Alliance for Maternal Action (Mama) foram traduzidas e adaptadas. Em seguida, um painel de especialistas avaliou as mensagens, dando notas e sugerindo alterações ou exclusões de algumas. As mensagens consolidadas na etapa anterior foram submetidas a um grupo focal, formado por agentes comunitários de saúde (ACS) do sexo masculino, que analisou a linguagem e o entendimento das mensagens. Cada etapa foi avaliada pelos responsáveis pela pesquisa e o conteúdo final contou com 62 mensagens de texto apropriadas para os parceiros. Com a inclusão dos métodos participativos, foi possível estabelecer mensagens viáveis e acessíveis ao público-alvo.(AU)
En este artículo, presentamos los aspectos relacionados al desarrollo y a la evaluación de un servicio de SMS (Short Message Service) - PRENACEL (Pré-natal no Celular) enfocados en compañeros de embarazadas. Se trata de un estudio cualitativo con métodos participativos desarrollado en tres etapas. Primero, se tradujeron y adaptaron los mensajes del programa global MAMA (Mobile Alliance for Maternal Action). A continuación, un panel de especialistas evaluó los mensajes, dando notas y sugiriendo alteraciones o exclusiones de algunas de ellas. Los mensajes consolidados en la etapa anterior se presentaron a un grupo focal, formado por Agentes Comunitarios de Salud del sexo masculino, que analizó el lenguaje y el entendimiento de los mensajes. Cada etapa fue evaluada por los responsables del estudio y el contenido final contó con 62 mensajes de texto adecuados para los compañeros. Con la inclusión de los métodos participativos fue posible establecer mensajes factibles y accesibles al público-objetivo.(AU)
In this paper, we present aspects related to the development and evaluation of a Short Message Service (SMS) - PRENACEL (Prenatal in the Mobile) aimed at partners of pregnant women. This is a qualitative study with participatory methods developed in three stages. First, the messages of the MAMA (Mobile Alliance for Maternal Action) global program were translated. Then a group of experts evaluated those messages, assigning marks and suggesting changes to or exclusions of certain ones. The resulting messages that were consolidated from this stage were submitted to a focus group, formed by male Community Health Workers, who analyzed the language and the clearness of the messages. Each stage was evaluated by the leading researchers and the final content amounted to 62 text messages that were found to be appropriate for the partners of pregnant women. With the inclusion of participatory methods of evaluation it was possible to establish viable and accessible messages to the target public.(AU)
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BACKGROUND@#The persuasive effect of health messages can depend on message features, audience characteristics, and target behaviors. The objective of this study was to compare the responses to persuasive messages encouraging professional help seeking for depression between individuals with and without psychological distress.@*METHODS@#A cross-sectional web-based survey was conducted on Japanese adults aged 35-45 years, who randomly received one of three persuasive messages that aimed to promote help-seeking intentions for depression. The primary message statements were as follows: (1) depression can happen to anyone, (2) depression needs treatment, and (3) depression improves with treatment. Participants rated the messages in terms of comprehensibility, persuasiveness, emotional response, and intended future use. Help-seeking intention for depression was measured using vignette methodology before and after exposure to the messages. Eligible participants who had not received medical treatment for their mental disorders were classified as either distressed (K6 score ≥ 5, N = 824) or non-distressed (K6 score < 5, N = 1133) and analyzed.@*RESULTS@#No significant differences in comprehensibility or persuasiveness scores were observed between the messages, but the distressed group had significantly lower scores than the non-distressed group. Negative emotional responses such as surprise, anger, fear, sadness, guilt, and anxiety were significantly stronger when reading message 2, while a positive emotional response such as happiness was significantly stronger when reading message 3. These emotional responses were more prominent in the distressed than in the non-distressed group. After reading messages 1, 2, and 3, the proportions of participants in the distressed group who reported having a positive help-seeking intention increased by 35.1%, 32.1%, and 27.7%, respectively, and by 6.4%, 17.3%, and 15.2%, respectively in the non-distressed group. Multiple logistic regression analysis among participants having no help-seeking intention before exposure to the messages showed that message 2 had a significantly greater effect of increasing help-seeking intentions in the non-distressed group.@*CONCLUSION@#The exposure to persuasive messages may promote help-seeking intentions for depression. It seems likely that loss framing will work better than neutral and gain framing. Meanwhile, the responses to persuasive messages may differ to some extent between distressed and non-distressed individuals, as individuals with psychological distress are likely to be more susceptible to persuasive messages than those without.@*TRIAL REGISTRATION@#Not applicable; this is not a report of intervention trial.
Subject(s)
Adult , Female , Humans , Male , Middle Aged , Cross-Sectional Studies , Depression , Therapeutics , Health Promotion , Help-Seeking Behavior , Intention , Persuasive Communication , Stress, Psychological , Psychology , Surveys and QuestionnairesABSTRACT
Eighty patients with hyperthyroidism treated in PLA 903 Hospital from February 2016 to May 2017 were randomly divided into two groups with 40 cases in each group.Patients in control group received routine outpatient education and those in study group received regular formatted mobile short message during follow-up in addition to routine education.The knowledge of disease,the compliance and satisfaction of treatment were assessed.After 12 weeks of follow-up,the TSH level was higher [0.430(0.050,2.806) vs.0.210(0.003,1.098) mU/L,Z=-8.07,P＜0.01],FT3 [(3.24± 1.18) vs.(4.18±2.07)ng/L,t=-2.49,P＜ 0.05] and FT4 levels [(12.43±6.82) vs.(19.58±19.06) ng/L,t=-2.26,P＜0.05] were lower in study group than those in control group.The scores of disease knowledge (6.12± 1.77 vs.5.25±1.79,t=4.67,P＜0.05),the Morisky scores of medication compliance (3.77±0.47 vs.3.37±0.73,t=8.22,P＜0.01),the rates of compliance for returning (85％ vs.65％,x2=4.27,P＜0.05) and the satisfaction rates with treatments (93％ vs.75％,x2=3.30,P＜0.05) in the study group were significantly higher than those in the control group.The score of disease knowledge in study group increased from 4.32± 1.55 before treatment to 6.12± 1.77 after 12 weeks of follow-up (t=22.65,P＜0.01).The results indicate that the health education plus regular formatted text message during follow-up can effectively improve the disease knowledge score,the compliance and satisfaction with treatment in patients with hyperthyroidism.
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BACKGROUND: Smoking is one of the most serious health problems worldwide. The aim of this systematic review was to demonstrate the effect of text messaging-based interventions on smoking cessation.METHODS: Electronic databases were searched using specific key terms. The inclusion criteria were (1) articles that employed a randomized controlled trial and (2) articles that examined the effect of text messaging interventions on smoking cessation. However, studies employing multimedia messaging service and smartphone apps were excluded.RESULTS: In total, six randomized controlled trial studies with seven interventions were included in this systematic review. Of these six studies, almost all concluded that text-messaging interventions had no significant effect on smoking cessation. However, one study conducted in England revealed that text messaging intervention groups had a higher rate of six-month prolonged abstinence from smoking than did the control group.CONCLUSION: Text messaging interventions could be effective for those who want to quit smoking. We aimed to determine the effectiveness of using text messaging interventions for smoking cessation. However, there were only six studies that employed randomized controlled trials to determine such effectiveness. More studies on the effect of text messaging interventions for smoking cessation using subjects from various age groups and socioeconomic backgrounds are needed in the future.
Subject(s)
Humans , England , Multimedia , Smartphone , Smoke , Smoking Cessation , Smoking , Text MessagingABSTRACT
Resumen Se expone, en detalle, el proceso de implementación de dos servicios de referencia en la Biblioteca de la Corte Interamericana de Derechos Humanos, mediante el uso de dispositivos y aplicaciones móviles. Los servicios implementados son la atención de consultas por mensaje de texto (SMS) y el envío de alertas informativas a través de Whatsapp. Se abordan detalles de la instalación, las pruebas del servicio y las políticas de implementación. Se concluye que las nuevas tecnologías móviles están brindando a las bibliotecas modernas posibilidades de ofertar sus servicios, dando al usuario la capacidad de utilizar los recursos de la unidad de información sin desplazarse físicamente al edificio; estas posibilidades no necesariamente requieren de una alta inversión presupuestaria para llevarlas a cabo.
Abstract The process of implementation of two reference services in the Library of the Inter-American Court of Human Rights is presented in detail through the use of mobile devices and applications. The services implemented are the attention of queries by text message (SMS) and the sending of informational alerts through Whatsapp. Installation details, service testing and implementation policies are addressed. It is concluded that new mobile technologies are giving libraries new possibilities to offer their services, giving the user the ability to use the resources of the information unit without moving physically to the building. These new possibilities do not necessarily require a high budget investment to carry them out.
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Software , Information Products and Services , Mobile Applications , Libraries, Special/organization & administration , Internet Access , JurisprudenceABSTRACT
Objective To evaluate the creditability of warning message of white differential count (WDF) and white precursor cell (WPC) channels in Sysmex XN-3000 hematology analyzer,and verify its optimal threshold and adjust the alarm threshold.Methods A total of 61 EDTA-K2 anticoagulated blood samples without abnormal warning and 521 EDTA-K2 anticoagulated blood samples with abnormal warning were simultaneously detected in WDF and WPC channels.After the smear specimens of blood sample were automatically prepared by the instrument,microscopic examinations were performed manually.The results of microscopic examination were considered as the gold standard to determine the reliability of the warning message from the instrument and verify the reasonability of initial warning threshold value provided by the manufacture.Consequently,the threshold values were adjusted based on the requirements in practical work.Results The warning messages of atypical lymphocytes and blasts/abnormal lymphocytes in WDF channel were higher sensitive (95.8％ and 100％ respectively),but lower specific (34.7％ and 23.5％ respectively) compared with microscopic examination.The warning messages of atypical lymphocyte,blasts and abnormal lymphocytes in WPC channel were lower sensitive (81.3％,66.7％,and 76.5％ respectively) but higher specific (61.9％,55.5％ and 88.3 ％ respectively) compared with microscopic examination.According to the ROC curve analysis,the prognostic values of warning message of microscopic examination were of medium level,except the warning message for abnormal lymphocytes was poor compared with WPC channel.Combining the practical retest rules,the optimal critical threshold values of atypical lymphocytes and blasts/Abn lymph in WDF channel were adjusted as 120,and they were adjusted as 140 in WPC channel.Conclusion The high sensitive WDF channel should first be used for screening,and the detectable warning message could be retested by using high specific WPC channel to shorten the turnaround time of the test results and improve the working efficiency.The initial critical warning threshold provided by the manufacture should be verified and adjusted to the optimum critical threshold in order to ensure the accuracy of test results.
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Objective To analyze the expression of MIAT in colorectal cancer and explore its molecular mechanism.Methods The expression of MIAT mRNA in colorectal cancer tissues and paracancerous tissues,colorectal cancer cell lines and human normal colorectal mucosa cells was detected by RT-qPCR.HCT-116 cells were transfected with MIAT overexpression vector and infected with knockdown lentivirus,cell proliferation and cell cycle were detected,Western blot was used to analyze the β3-catenin protein levels,luciferase assay was used to detect β-catenin promoter transcription level,C-myc,CCND1,CD44 and Oct3/4 mRNA levels was measured by RT-qPCR.Results The expression of MIAT in colorectal cancer tissues was significantly higher than that in adjacent tissues (t =4.093,P ＜ 0.05).Overexpression of MIAT could promote the proliferation of HCT-116 cells,decrease the rate of G0/G1 phase,activate Wnt/β-catenin pathway and increase its downstream target gene mRNA expression levels (all P ＜ 0.05).Knockdown MIAT shows the inhibition effect.Conclusions MIAT is a tumor-promoting gene of colorectal cancer and may play a role in tumor promotion by activating Wnt/β3-catenin pathway.
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Introduction: Physical activity is the most important self-management behaviour indiabetes. The aim of this study was to evaluate the impact of a short message service (SMS) basedon a health promotion model (HPM) on the physical activity of diabetic patients.Methods: This quasi-experimental study consisted of 37 type II diabetes patients in an SMSgroup and 36 type II diabetes patients in a control group. The patients in both groups completedwritten consent forms and questionnaires at the beginning of the study. The patients in the SMSgroup received training messages within two weeks (two or three messages daily) in the field ofphysical activity based on HPM constructs. Both groups completed questionnaires in three stages(at the beginning of the study, four weeks after the first visit, and three months later) comprisingdemographic factors, questions regarding the constructs, and 7-day physical activity recall. Afterdata collection, statistical analysis was conducted using an independent t-test, a Chi-square test,and a repeated measures analysis of variance (ANOVA).Results: As compared with the control group, changes in mean scores of perceivedself-efficacy (P = 0.001) and family support (P = 0.046) of physical activity in the training groupwere significantly greater and perceived barriers (P < 0.001) were significantly lower over time.The physical activity performance of the SMS group was better three months after training ascompared with that of the control group (P < 0.001).Conclusion: The results demonstrated the efficacy of training messages in changing thebeliefs and physical activity behaviours of diabetic patients.
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OBJECTIVE:To provide reference for ensuring safe and effective drug use in obstetrics and gynecology outpatient department.METHODS:Medication education intervention was conducted among some patients in obstetrics and gynecology outpatient department from 4 third grade class A hospitals of our province through making Wechat pushing messages,videos and leaflets.The difference of rational drug use knowledge awareness and compliance was compared before and after intervention by questionnaire survey.RESULTS:A total of 60 questionnaires were distributed,and 60 valid questionnaires were collected with effective recovery rate of 100％.Compared to before intervention,correct rate of 20 questions about the knowledge of rational drug use were improved after intervention in respects of awareness and compliance.The awareness and compliance scores about the knowledge of rational drug use after intervention were higher than before intervention;there was statistical significance in Wechat pushing message group [(53.18 ± 11.51) vs.(88.48 ± 7.12),(55.15 ± 11.82)vs.(86.81 ± 7.69)],in video group [(49.50 ± 17.23) vs.(85.00 ± 11.55),(52.00 ± 17.70)vs.(86.00 ± 6.99)],in leaflets group[(41.47 ± 9.14)vs.(77.05 ± 9.36),(43.23 ± 10.89)vs.(78.82 ± 9.11)] be-fore and after intervention (P＜0.05).There was no statistical significance in the improvement of awareness or compliance score among those groups (P=0.992 and P=0.397).CONCLUSIONS:Three intervention methods can effectively improve the awareness and compliance of patients about rational drug use knowledge in obstetrics and gynecology outpatient department.Pharmacists can choose the appropriate medication education intervention based on the patient's different educational levels,preferences and acceptability.