Compassion fatigue influences the mental health and turnover intention of nurses in the COVID-19 pandemic

Background@#Compassion fatigue is a true phenomenon experienced by overworked and exhausted nurses.@*Objective@#This study assessed frontline nurses' compassion fatigue, stress, mental health, and turnover intention during the second year of the COVID-19 outbreak.@*Methods@#Using a cross-sectional design, an online survey was administered in the first quarter of 2021 to 259 hospital nurses in the Central Philippines using standardized scales to gather the necessary data. @*Results@#Nurses were found to have moderate levels of compassion fatigue and turnover intention, high stress, and good mental health. Results revealed that compassion fatigue was associated with poor mental health (r = −5.05, p = 0.01), higher stress levels (r = 0.54, p = <0.001), and turnover intention (r = 0.27, p = <0.001). @*Conclusion@#Pandemic-related compassion fatigue in nurses increases their stress, worsens their mental health, and heightens their intentions to leave their jobs. Organizations should address compassion fatigue through a supportive work climate.

Adaptación y validación al español de la Escala de Empoderamiento Psicológico / Spanish adaptation and validation of the Psychological Empowerment Scale

Resumen El empoderamiento psicológico es un constructo de gran importancia en Psicología. Aunque existen diversos instrumentos de medida, el Psychological Empowerment Instrument de Spreitzer (PEI, 1995) ha sido tradicionalmente el más utilizado en el área de la Psicología Organizacional. Originalmente, este instrumento constaba de 16 ítems organizados en cuatro factores. Por ello, el objetivo del presente artículo fue la adaptación y validación al español del PEI, así como el análisis de su estructura factorial. Para ello, se llevaron a cabo dos estudios independientes. El objetivo del primero fue su traducción al español y su adaptación cultural en una muestra de 242 estudiantes universitarios para analizar la estructura factorial de los ítems y su fiabilidad. En el segundo estudio, se aplicó el nuevo instrumento traducido a una muestra de 317 trabajadores de una empresa de servicios con el fin de validarlo y comprobar la bondad del modelo, así como la validez concurrente con otras variables, tales como el empoderamiento estructural, el compromiso afectivo y la rotación, de la que se conoce su relación por estudios previos. El nuevo cuestionario resultante confirmó la estructura factorial original en cuatro dimensiones (competencia, significado, autonomía e impacto), aunque redujo el número de ítems (de los 16 originales a 13). El cuestionario adaptado al español obtenido tuvo, además, buenos parámetros psicométricos y de bondad de ajuste. El trabajo finaliza discutiendo sobre la relevancia del instrumento adaptado y sus posibles aplicaciones.

Abstract Psychological empowerment is a construct with a multifaceted character composed of four basic cognitions (impact, competence, meaning, and self-determination), which goes beyond a simple delegation of power. The impact of empowerment in different fields of Psychology has been important due to the proven relations maintained with other well-founded psychological variables in the scientific literature, and because of the positive consequences on the results and well-being of people. Although there are different instruments for the measurement of this construct, the Psychological Empowerment Instrument (PEI) by Spreitzer (1995) has been traditionally the one most employed to measure the psychological empowerment in the area of Organizational Psychology, counting with more than one thousand publications, and articles as well as translations and adaptations to different languages. The original questionnaire elaborated by Spreitzer consists of 16 items organised in four factors following the four basic cognitions that were described above. Therefore, the aim of this article is the adaptation to Spanish, validation of the PEI, and to analyse its factor structure. In order to do so, two independent studies were carried out. The specific objective of the first study was to translate into Spanish and to adapt culturally such questionnaire. In the second study, the objective was to validate the resulting questionnaire and to analyse the factor structure and its goodness and with other psychological and organisational variables as well as the external validity in a sample of workers. In order to do so, in the first study it was carried out an inverse translation and adaptation to Spanish with a sample of 242 university students to subsequently analyse the factorial structure of the items and its reliability. The resulting translated questionnaire confirmed the factor structure in four dimensions (Competence, Meaning, Self-determination, and Impact), although the number of items was reduced from the original 16 to 13, which would explain the 74.08 % of the sampling variance. To confirm the psychometric characteristics of this new questionnaire, we performed a second study with 317 workers of a Spanish service company in order to analyse through confirmative procedures the internal structure of this new instrument, verify its adequacy and goodness of fit of the resulting factors as well as assessing the relation and external validity in a sample of workers and concurrency with other variables (structural empowerment, affective commitment and intention to leave), which are known to have a relation with psychological empowerment from previous research. From the application of this new questionnaire translated to Spanish into this sample of workers, we confirmed again the structure of 13 items in four factors from the first study. Furthermore, we obtained good fit indexes (GFI, AGF, and NNFI), with values between .90 and .96. Additionally, through regression analysis we obtained positive and statistically significant results between psychological empowerment and other variables included in the study (structural empowerment, affective commitment, and intention to leave), testing the interrelations among them. Therefore, those people with a greater cognition on their empowerment developed a greater engagement and attachment towards the organisation, and consequently, their wish to leave was lower. Our study concludes with a discussion about the importance of the adapted instrument and its possible applications.

Self-injurious behavior and factors related to suicidal intent among adolescents: a documentary study / Comportamento autolesivo e fatores relacionados à intenção suicida entre adolescentes: estudo documental / Comportamiento autolesivo y factores relacionados con la intención suicida entre los adolescentes: estudio documental

It is a type of quantitative documentary research of descriptive and exploratory content in which studied the profile of adolescents with self-injurious behavior and the variables of risk and protection regarding the suicidal intent, reported in a Children and Youth Psychosocial Care Center (CAPS IJ) from a metropolitan region in the south of Brazil. Data from 139 assisted adolescents, admitted for self-injury, reported that self-injuries occurred predominantly at home (M=14,36 years; SD=1,63), with multiple episodes, using sharp objects with suicidal intent. The hierarchical binary logistic regression results point out that experiencing abuse in the present -using non-sharps objects- having severe injuries and practicing them in different places are risk variables. Whereas the existence of community and school social support networks are protective factors. There is a necessity of investment in the studies that explore the etiology of self-injuries and that provide support for cases of prevention, detection, and treatment. (AU)

Esta pesquisa documental quantitativa, de caráter descritivo e exploratório, investigou o perfil de adolescentes com comportamento autolesivo e variáveis de risco e proteção relacionadas à intenção suicida relatada em um Centro de Atenção Psicossocial Infantojuvenil (CAPS IJ) de uma região metropolitana do sul do país. Dados de 139 adolescentes (M = 14,36 anos; DP = 1,63), atendidos por autolesão, indicaram que estas ocorriam predominantemente em ambiente doméstico, com episódios múltiplos, utilização de objetos perfurocortantes e com intenção suicida. Os resultados da regressão logística binária hierárquica indicaram que sofrer violência no presente, utilizar outros objetos que não os perfurocortantes, apresentar lesões graves e praticá-las em locais diferentes são variáveis de risco, enquanto possuir redes de apoio comunitária e escolar são fatores de proteção. É necessário investir em estudos que investiguem a etiologia da autolesão e subsidiem ações de prevenção, detecção e tratamento. (AU)

Esta investigación documental cuantitativa, de carácter descriptivo y exploratorio, investigó el perfil de los adolescentes con conductas autolesivas y variables de riesgo y protección relacionadas con la intención suicida reportada, en un Centro de Atención Psicosocial Infantil y Juvenil (CAPS IJ) de una región metropolitana al sur de Brasil. Los datos de 139 adolescentes (M=14,36 años; DS=1,63), atendidos por autolesión, indicaron que las autolesiones se produjeron en un entorno doméstico, con múltiples episodios, uso de objetos punzantes y con intención suicida. Resultados de la regresión logística binaria jerárquica indicaron que sufrir violencia en el presente, utilizar objetos distintos de los punzantes, presentar lesiones graves y practicarlas en diferentes lugares son variables de riesgo, mientras que tener una red de apoyo comunitario y escolar son factores de protección. Es necesario invertir en estudios que investiguen la etiología de la autolesión y subvencionar acciones de prevención, detección y tratamiento. (AU)

A pace recognition method for exoskeleton wearers based on support vector machine-hidden Markov model / 生物医学工程学杂志

In order to improve the motion fluency and coordination of lower extremity exoskeleton robots and wearers, a pace recognition method of exoskeleton wearer is proposed base on inertial sensors. Firstly, the triaxial acceleration and triaxial angular velocity signals at the thigh and calf were collected by inertial sensors. Then the signal segment of 0.5 seconds before the current time was extracted by the time window method. And the Fourier transform coefficients in the frequency domain signal were used as eigenvalues. Then the support vector machine (SVM) and hidden Markov model (HMM) were combined as a classification model, which was trained and tested for pace recognition. Finally, the pace change rule and the human-machine interaction force were combined in this model and the current pace was predicted by the model. The experimental results showed that the pace intention of the lower extremity exoskeleton wearer could be effectively identified by the method proposed in this article. And the recognition rate of the seven pace patterns could reach 92.14%. It provides a new way for the smooth control of the exoskeleton.

Factors motivating intent to leave amongst radiographers employed by public tertiary hospitals in the Gauteng Province, South Africa

Background: The elements of job satisfaction can be categorized into intrinsic and extrinsic factors. The presence of a higher level of intrinsic factors will result in increased motivation amongst employees, whilst extrinsic factors will result in job dissatisfaction. Decreased job satisfaction levels amongst healthcare professionals are known to create an intent to leave. Hence the need to explore these factors amongst radiographers employed by tertiary hospitals in the Gauteng province of South Africa. Objective: To determine the influence of intrinsic and extrinsic factors of job satisfaction on intent to leave amongst radiographers employed by public tertiary hospitals in the Gauteng province. Methods: A quantitative cross-sectional survey guided the study, and a self-administered questionnaire was used to collect data. The sampling technique used for this study was disproportional stratified sampling. Results: The study had a response rate of 62%. A significant number of the participants (50%) were between the ages of 21-33 years. Also, worth noting that 51% of the participants were newly qualified, 28% were employed for a period of 10-20 years and only 20% were employed for a period greater than 20 years. Diagnostic radiography had the most number of participants at 55%, followed by radiation therapist at 24%, nuclear medicine radiographers at 13%, mammography radiographers at 5% and only 3% were sonographers. Pearson's correlation showed a significant negative correlation with the following extrinsic factors: supervision, r= -.344, p=.000; satisfaction with PMDS, r=-.302, p=.000; human resources processes, r=-.249, p=.001; infrastructure, r=-.236, p=.001; the OSD policy, r=-.233, p=.002; satisfaction with remuneration, r=-.202, p=.006; satisfaction with CPD activities, r=-.201, p=.007; and satisfaction with equipment, r=-.163, p=.029. Conclusion: Both intrinsic and extrinsic factors are associated with an intent to leave amongst radiographers employed by public tertiary hospitals in the Gauteng province

Risk factors of pathological positive resection margins in patients undergoing curative-intent resection for advanced hilar cholangiocarcinoma / 中华肝胆外科杂志

Objective:To study the risk factors of positive surgical margins in patients with advanced hilar cholangiocarcinoma (HCCA) undergoing curative-intent resection with the aim to provide references for clinical decision-making.Methods:The clinical pathological data of 126 patients with advanced HCCA who underwent curative-intent resection at the Chinese PLA General Hospital from January 2011 to December 2014 was retrospective analyzed. There were 78 males and 48 females, with an average age of 55 years. The patients were divided into two groups: the resection margin positive group (positive for residual tumor at any surgical margin, n=29) and the negative resection margin group ( n=97). Multivariate logistic regression analysis, in reference to the results of univariate analysis, was applied to the relevant variables to study independent risk factors of positive resection margin. Receiver operating characteristic (ROC) curves were drawn to evaluate the independent and joint predictive values of the relevant indicators. Results:Univariate analysis showed vascular involvement, tumor diameter volume ≥20.94 cm 3, plasma fibrinogen ≥3.36 g/L, and DRR≤0.61 were associated with positive resection margins (all P<0.05). A history of cholecystectomy was potentially associated with positive resection margins ( P<0.1). These variables were included in the multivariate logistic regression analysis which showed vascular involvement ( OR=4.134, 95% CI: 1.545-11.060, P=0.005), tumor size ≥ 20.94 cm 3 ( OR=2.926, 95% CI: 1.107-7.733, P=0.030) and DRR≤0.61 ( OR=3.170, 95% CI: 1.126-8.928, P=0.029) were independent risk factors of positive margins after curative resection in patients with advanced HCCA. ROC curve analysis was used to evaluate the impact of the combination of the above variables in predicting positive surgical margins. Sensitivity and specificity were calculated to be 86.2% and 65.7% respectively, and the area under the curve was 0.771. Conclusion:Vascular involvement, tumor size ≥20.94 cm 3 and DRR≤0.61 were independent risk factors of positive surfical margins in patients with advanced HCCA undergoing curative-intent resection. The combination of the above predictive indicators provided some references for treatment decisions.

Advances in surgical management of primary carcinoma of the gallbladder: Results from 10-year research at a single institution / 西安交通大学学报(医学版)

【Objective】 To analyze the clinical characteristics of patients with primary carcinoma of the gallbladder (PGC) who underwent radical intent resection in our center in the last decade and the therapeutic effects of the operation. 【Methods】 A single-institution database of The First Affiliated Hospital of Xi'an Jiaotong University from January 2008 to December 2017 was queried for patients with PGC who had received surgical treatment. The data were studied retrospectively to assess the trend of total admission, radical resection rate, prognosis and clinicopathological characteristics of PGC in the last decade. 【Results】 A total of 2 159 patients with PGC were treated in our institution from 2008 to 2017. Of them, 1072 were surgically treated and 503 underwent radical intent resection. In the past 5 years (2013-2017), the radical resection rate was 26.5% (319 cases of the operation), which was significantly higher than that in 2008-2012 (19.2%) (P<0.001). The overall survival time of the patients who underwent radical resection was 32 months, and the 1-, 3-, and 5-year survival rate was 68.9%, 48.4% and 41.6%, respectively. Compared with the data of 2008-2012, the proportion of the patients with preoperative jaundice decreased in the past 5 years (7.8% vs. 14.7%, P<0.05), that of the patients who underwent D2 lymphadenectomy (74.0% vs. 26.1%, P<0.001) increased significantly (P<0.001), the total number of lymph nodes obtained from the dissection (8.07±5.18 vs. 5.89±3.14, P<0.001) increased significantly (95.6% vs. 89.7%, P<0.05), and the proportion of R0 resection (95.6%) increased significantly (P<0.05). 【Conclusion】 The diagnosis and treatment of radical intent resection of PGC in our hospital have changed significantly in the last decade, mainly reflected in the extension of lymphadenectomy, increase in R0 resection rate and decrease in patients with preoperative jaundice.

Patterns of radiation treatment default and its evaluation in a cancer center in the Southern part of Odisha: a retrospective study

Background: The incidence of cancer in India is alarming. However, many patients discontinued their treatment protocols resulting in higher mortality rate. This study aims to find out different patterns of treatment defaults in cancer patients receiving external beam radiation in the radiotherapy department of a cancer center in the southern part of Odisha state.Methods: It is a retrospective epidemiological study carried out in cancer patients receiving external beam radiotherapy for their cancer treatment but had not completed the full course of treatment during the study period from January 2018 to May 2019. Patterns of failure in relation to various demographic and socio-economic statuses were analyzed.Results: One hundred seven defaulter patients were included in this study. The mean age of the patients was 50.93±14.3 years (range 12 to 90 years) and 66(61.7%) were being females. Out of 107 patients, 53.2% patients were receiving treatment in curative intent, 28.0% patients were treated in adjuvant intent and 18.2% in palliative intent. Forty-two (39.2%) patients were from a distance >50 km from the study center, 74.7% of patients belong to low socio-economic status and 60.7% patients were illiterate. Only 33.3% of patients completed more than 15 fractions of radiation excluding the palliative cases. The comparison of various factors such as distance from study center (p=0.759), education (p=0.2428), socio-economic status (p=0.6628) and acute radiation toxicity (p=0.9359) among the groups of patients receiving more or less than 15 fractions of radiation did not showed any statistical significant differences.Conclusions: Radiation induced acute toxicity, distance from study center, education and socio-economic status might be responsible for the treatment discontinuation. There is no particular association of age, disease site and intent of treatment with default among patients.

Compassion fatigue influences the mental health and turnover intention of nurses in the COVID-19 pandemic

Background@#Compassion fatigue is a true phenomenon experienced by overworked and exhausted nurses. @*Objective@#This study assessed frontline nurses' compassion fatigue, stress, mental health, and turnover intention during the second year of the COVID-19 outbreak @*Methods@#Using a cross-sectional design, an online survey was administered in the first quarter of 2021 to 259 hospital nurses in the Central Philippines using standardized scales to gather the necessary data.@*Results@#Nurses were found to have moderate levels of compassion fatigue and turnover intention, high stress, and good mental health. Results revealed that compassion fatigue was associated with poor mental health (r = −5.05, p = 0.01), higher stress levels (r = 0.54, p = <0.001), and turnover intention (r = 0.27, p = <0.001). @*Conclusion@#Pandemic-related compassion fatigue in nurses increases their stress, worsens their mental health, and heightens their intentions to leave their jobs. Organizations should address compassion fatigue through a supportive work climate.

Alcohol use and its correlates in suicide attempters in a rural tertiary care teaching hospital in south India

Background: The relationship of alcohol and suicide is well documented. The interactions of alcohol use and suicide are complex. Neurobiological, genetic, psychological, social, cultural, and environmental factors are postulated to influence the outcome Aim was to find the frequency of alcohol use in suicide attempters and evaluate the association of alcohol use and its correlates in subjects who use alcohol to facilitate the attempt.Methods: It is a cross sectional observational study set in rural background in south India. Consecutive referrals of suicide attempters (n=175) were selected for the study. Details regarding the socio-demographic profile, suicide related details like lethality, intent, suicidal ideation, previous attempts, and alcohol related details like frequency, quantity and age at onset of alcohol consumption were recorded. Statistical significance of various socio demographic and clinical variables in correlation with use to facilitate attempt were analyzed. Logistic regression was used to determine the predictors in this at risk group of suicide attempters.Results: Over 43.43% of suicide attempters consumed alcohol. Intentional alcohol use prior to attempt to facilitate the attempt group constitutes about 18.29 %. High suicide intent and previous suicide attempt emerged as risk factors when alcohol was used to facilitate the attempt.Conclusions: Determinants, which increase the risk of suicide with alcohol use in rural south India, were identified.

Sistema para medición y predicción de la intensión de movimiento / System for measurement and prediction of motion intention

En la actualidad, los dispositivos de asistencia para el movimiento humano como exoesqueletos se utilizan ampliamente para resolver problemas ergonómicos en tareas como el trabajo repetitivo, la rehabilitación, etc., esto permite mantener o mejorar el nivel de calidad de vida del usuario lo que permite nuevos movimientos o reduce la fatiga al final de un día de trabajo. El estudio y desarrollo de estos exoesqueletos requiere en gran medida parámetros externos (condiciones de operación y propósito) y parámetros internos del movimiento. Estos requisitos y características son aspectos fundamentales para detectar qué tipo de acción desea realizar en el proceso de movimiento del cuerpo. El control de los exoesqueletos que se utilizan en la actualidad se suele realizar manualmente o la reacción al movimiento detectado, causando problemas de demoras en la realización del movimiento o la incomodidad de llevar a cabo el mismo, por lo que hoy por hoy se realizan estudios para identifique de manera fiel la acción que el usuario intenta realizar y apoye el movimiento desde antes de que comenzara. El objetivo del proyecto es identificar de la intensión de movimiento de personas mediante señales de electroencefalografía y electromiografía de superficie como punto de partida para futuros métodos de control de exoesqueletos. Como resultado del estudio, se obtuvo el diseño y la implementación de un sistema para obtener, procesar e identificar señales electrofisiológicas para predecir la intención de movimiento de los miembros inferiores con porcentajes de aciertos superiores a 86,66 por ciento(AU)

At present, assistive devices for human movement such as exoskeletons are widely used to solve ergonomic problems in tasks such as repetitive work, rehabilitation, etc., this allows maintaining or improving the level of quality of life of the user which allows new movements or reduces fatigue at the end of a work day. The study and development of these exoskeletons largely requires external parameters (operating conditions and purpose) and internal movement parameters. These requirements and characteristics are fundamental aspects to detect what kind of action you want to perform in the process of body movement. The control of the exoskeletons that are currently used is usually done manually or the reaction to the movement detected, causing problems of delays in the realization of the movement or the discomfort of carrying out the movement, so studies are currently carried out to faithfully identify the action that the user tries to perform and support the movement from before it began. The objective of the project is to identify the intention of movement of people by means of electroencephalography and surface electromyography signals as a starting point for future exoskeleton control methods. As a result of the study, the design and implementation of a system was obtained to obtain, process and identify electrophysiological signals to predict the intention of movement of the lower limbs with success rates greater than 86.66 percent(AU)

Role of hypofractionated palliative radiotherapy in patients with stage four head-and-neck squamous cell carcinoma

Background: Large number of patients with head-and-neck cancer presents with factors such as advanced disease, poor general condition, and associated comorbidities due to which radical treatment is not recommended in these patients. In this scenario, the aim of the present study is to assess the role and feasibility of hypofractionated palliative radiotherapy in these patients. Subjects and Methods: This study was conducted on patients with histopathologically proven cases of squamous cell carcinoma of the head-and-neck region who were surgically unresectable. The quality of life (QOL) was assessed before and after 1 month of radiotherapy using University of Washington Quality of Life questionnaire version 4. All patients received 40 Gy in 10 fractions, twice weekly by two lateral fields covering primary and secondary disease. Response evaluation criteria in solid tumor criteria were used to assess the tumor response. Toxicity was assessed weekly using radiation therapy oncology group criteria. Results: A total of 50 patients were enrolled in this study, out of which 46 completed the planned treatment of 40 Gy in 10 fractions. Common complaints were distressing pain at the primary site (42%), neck swelling (30%), difficult in swallowing (18%), and change in voice (10%). Statistically significant improvements were observed in overall QOL (26.9 ± 9.63 to 55.65 ± 19.28) and none of them experienced Grade IV mucositis or skin toxicity. Good objective response was seen in 82.6% and 84.7% of patients at primary and nodal sites, respectively. Conclusions: This hypofractionated palliative radiotherapy regimen is a good treatment option in patients with Stage IV head-and-neck cancer, who are not fit for treatment with curative intent.

Investigation of relationships among nurse work environment, organizational commitment and intent to stay / 中华医院管理杂志

Objective To investigate the status of the nurse work environment, organizational commitment and intent to stay, and explore the relationships among them, ultimately provide some references for the managers. Methods 1 168 registered nurses were recruited from seven hospitals in Zhejiang province. They were investigated with Nursing Work Environment Scale, Organizational Commitment Scale and Intent to Stay Scale. Multiple regression analysis utilized the intent to stay of nurses as the dependent variable, and the demographic data, the dimensions of work environment and dimensions of organizational commitment as the independent variables. Results The mean scores of work environment, organizational commitment and intent to stay were 2.78 ± 0.39, 2.42 ± 0.43, 3.30 ± 0.67, respectively. Among nurse work environment, organizational commitment and intent to stay,there was a significant positive correlation between any two of them. Duty, affective commitment, position of work, sufficient manpower and resources, normative commitment, leadership and ability of manager, gender, shift, housing condition (rent house), employment nature and education are the main factors for the intent to stay, which can explain 40.3% of the variations of nurse retention. Conclusions The results of the study showed that the nurse work environment and intent to work of the 1168 registered nurses were at a medium level, and the organization′s commitment was at a lower-middle level. Managers can refer to the factors affecting the intent of nurses to stay, develop retention strategies, and increase their intent to stay.

A Capacitive Venous Transfusion Alertor Based on NB-IoT / 中国医疗器械杂志

This capacitive venous transfusion alertor is based on rise time of RC circuit and input capture function of timer in the microcontroller. The measure element of alertor is integrated with circuit board, it has the advantages of simple structure and low cost. Combined with narrow band intent of things(NB-IoT) technology to upload data, it can reduce the workload of medical personnel and caregivers, avoid unnecessary trouble and danger.

Facilitating factors and barriers to newborn screening uptake in the Cordillera administrative region and region V

@#<p style="text-align: justify;"><strong>BACKGROUND:</strong> Republic Act 9288 or the Newborn Screening Act of 2004 was enacted. A multi-sector effort towards systematic screening of newborn disorders and built-in systems for subsequent confirmatory tests for positively screened as well as treatment for confirmed cases was likewise implemented. Despite multi-sector efforts and continuous quality improvement mechanisms, national newborn screening coverage remained low for several years.</p><p style="text-align: justify;"><strong>OBJECTIVE:</strong> The study determined factors that influence Newborn Screening (NBS) uptake from various perspectives: mothers, health providers, and program administrators.</p><p style="text-align: justify;"><strong>METHODS:</strong> Framework analysis of NBS program documents, 25 focus group discussions and 37 key informant interviews of mothers, health providers and program administrators were done in purposively selected communities in the Cordillera Administrative Region and Region V.</p><p style="text-align: justify;"><strong>RESULTS AND CONCLUSIONS:</strong> Findings showed the need to disseminate correct NBS procedures, especially upon obtaining positive results. Financing issues were addressed innovatively, but system administrators and health providers required a common understanding of program implementation. Monitoring geographically hard-to-reach areas remained a challenge. Barriers outside the system adversely affected filter cards availability, specimen transport, and release of results. Improved online and paper-based educational campaign, greater local government unit support, streamlined PhilHealth processes, a workload-based manpower complement for monitoring, and continuity clinics to handle positive findings can increase NBS uptake.</p>

Effect of Nursing Professionalism and Organizational Communication on Intent to Stay in Geriatric Hospital Nurses / 간호행정학회지

PURPOSE: This study was performed to measure nursing professionalism, organizational communication, and intent to stay, and investigate the relationship among these three variables in geriatric hospital nurses. METHODS: A cross-sectional survey was done with the participation of 195 nurses working at 23 geriatric hospitals in B city of Gyeongsangnam-do, Korea. Data were collected from January 19 to 25, 2018 using structured questionnaires and were analyzed using SPSS/WIN program. RESULTS: The geriatric hospital nurses' scores for nursing professionalism, organizational communication, and intent to stay were relatively lower than those of general hospital nurses. Each of these three variables was differently perceived according to participants' general characteristics but there was a positive correlation between them. The factors influencing intent to stay were organizational communication, age and through newspapers/advertising (one of motivations for working at geriatric hospitals). These three variables explained 47% of intent to stay. CONCLUSION: To increase intent to stay in geriatric hospital nurses, nursing or hospital managers must develop and apply programs that help improve nurses' professionalism and organizational communication. Especially geriatric hospital nursing managers should try to provide organizational communication enhancement programs for young and inexperienced nurses.

Effects of Job Embeddedness and Nursing Professionalism on Intent to Stay in Hospital Nurses / 간호행정학회지

PURPOSE: This study was performed to investigate the effects of job embeddedness and nursing professionalism on intent to stay in hospital nurses. METHODS: The study was a cross-sectional survey. Participants were 242 nurses working at four general hospitals in P city of Gyeongbuk Province, Korea. Data were collected from August 29 to September 10, 2016. Structured questionnaires were used and analyzed with the SPSS/PC program. RESULTS: The scores were, for job embeddedness, 3.19 (out of 5.0), nursing professionalism, 3.50 (out of 5.0), and intent to stay, 5.30 (out of 8.0). The three variables were all different according to participants' general characteristics. Factors influencing intent to stay were organization fitness (one of 4 sub-factors of job embeddedness), social recognition (one of 5 sub-factors of nursing professionalism) and age (one of participants' general characteristics). These three variables explained 34% of intent to stay. CONCLUSION: To increase competent career nurses' intent to stay, nursing and hospital managers must develop and implement programs that help improve nurses' organization fitness to adjust well in their organization and healthcare institutions and nursing organizations must continue efforts to raise social recognition of nurses and to improve nurses' working conditions.

Relevance of job embeddedness of clinical specialist nurses and intent to stay / 现代临床护理

Objective To investigate the status quo of job enbeddedness and intent to stay among the clinical specialist nurses and to explore the correlation between them. Method A total of 200 clinical specialist nurses participated in the investigation by means of general nurses' questionnaire, job embeddedness scale and intent to stay scale. Results The score of job embeddedness was (3.40 ± 0.46), the dimension of community association scored highest (3.68 ±0.67), the dimension of organization sacrifice the lowest (3.12±0.53) and the intent stay (3.69 ± 0.80). There was a positive correlation between job placement and intent to stay as well as its dimensions of community matching, organization sacrifice (P <0.05 or P <0.01). Community matching served as a major factor in predicting the intent of a specialist nurse. Conclusion Nursing managers should pay attention to the needs of specialist nurses and take relevant measures to improve the job embeddednee level of specialist nurses and thus improve their intent to stay as well.

Intentos de suicidio por intoxicación con sustancias químicas en Colombia 2007 - 2013 / Suicide attempts by chemicals poisoning in Colombia 2007 - 2013

El objetivo de este trabajo fue establecer el perfil epidemiológico de los intentos de suicidio por sustancias químicas en Colombia durante el período 2007-2013. Para ello se llevó a cabo un estudio descriptivo transversal con datos del sistema de vigilancia en salud pública SIVIGILA por intoxicaciones con sustancias químicas 2007-2013. Se encontró que el 55% de los casos en los siete años de estudio corresponde al género femenino. El 73% de casos se presenta desde los 10 hasta los 29 años, con mayor concentración (31%) en el grupo de 15 a 19 años. Por pertenencia étnica, el Negro, Mulato y Afro Colombiano muestran un alto número de casos desde 2007 a 2009; mientras que los indígenas muestran una tendencia ascendente desde el 2011 hasta 2013. La mayoría de las personas que intentan suicidarse son solteros (58%), tienen un nivel de escolaridad secundaria (50%), y viven en una cabecera municipal. Aproximadamente el 0,05% de las mujeres que intentaron quitarse la vida estaban en estado de embarazo. En conclusión, se encontró una importante incidencia de intentos de suicidio con sustancias químicas que debe ser analizada teniendo en cuenta las características socioculturales de las regiones y los grupos poblacionales que componen la nación colombiana.

The objective was to set the epidemiological profile of suicide attempts by chemical substances in Colombia during the period 2007-2013. It was carried out a descriptive cross sectional study. Data were obtained from Public Health Surveillance system (SIVIGILA) about poisoning chemicals 2007-2013. It was found that 55% of cases in 7 years of study corresponds to the female gender. 73% of cases occur from 10 to 29 years, with the highest concentration (31%) in the group of 15 to 19. By ethnicity the Black, Afro Colombian Mulato and shows a high number of cases from 2007 to 2009 and indigenous show an upward trend from 2011 to 2013. Most people who attempt suicide are single (58%) have a high school education (50%) and live in municipal head. Approximately 0.05% of the women who tried to kill themselves, were in a state of pregnancy. In conclusion, a significant incidence of suicide attempts was found with chemicals, and for analysis must take into account the socio-cultural characteristics of the regions and population groups that make up the Colombian nation.

Acceptance of Santo Giorno cheese typical of the Southwestern region of Paraná, Brazil / Aceitação do queijo Santo Giorno típico da região Sudoeste do Paraná

ABSTRACT: Santo Giorno cheese, obtained from raw milk and selected autochthonous starters, is emerging as the newest typical food product from the Southwestern region of Paraná, Brazil. The objective of this study was to evaluate the acceptance of the cheese with two ripening times of 60 and 180 days, produced in two dairy factories, testing two starters and two preservatives. Subjective sensory evaluation was applied using 129 consumers and hedonic scales for the attributes and for purchasing intent. A questionnaire involving the rate of cheese consumption was also used. The results suggested good reproducibility of the cheese preparation by the dairy factories, with no significant differences between the type of preservative used and the suitability of the two types of starter tested. An inverse relationship between hedonic scores for attributes (appearance, color, odor, texture, flavor) and ripening time was observed, except for texture. By applying multinomial logistic regression and a box plot analysis, a significant effect of age on cheese purchasing intent was verified, with a mean acceptance rate of 87.8% for 60 days ageing and 81.8% for 180 days ageing. Results revealed a possible Santo Giorno cheese public of older consumers who had a cheese consuming habit.

RESUMO: Obtido a partir de leite cru e fermento autóctone selecionado, o queijo Santo Giorno surge como o mais novo produto alimentício típico da Região Sudoeste do Paraná. O objetivo do presente trabalho foi avaliar a aceitação do queijo em dois tempos de maturação 60 e 180 dias produzidos em dois laticínios, onde foram testados dois fermentos desenvolvidos e dois conservantes. Avaliação sensorial subjetiva foi aplicada a um total de 129 consumidores através do uso de escalas hedônicas por atributos e intenção de compra. Questionário envolvendo a frequência de consumo de queijos também foi utilizado. Os resultados sugeriram reprodutibilidade na elaboração dos queijos pelos laticínios, diferenças não significativas no tipo de conservante a ser empregado e aptidão para os dois tipos de fermentos testados. Relação inversa entre os escores hedônicos dos atributos (aparência, cor, odor, sabor) e o tempo de maturação foram verificadas, exceção para o atributo textura. Mediante aplicação de regressão logística multinomial e análises por box plot verificou-se importante efeito da idade na intenção de compra do queijo. Com índice de aceitação médio de 87,8 % para 60 dias e 81,8 % para 180 dias, os resultados revelam um possível público do queijo Santo Giorno, consumidores com mais idade e que possuem o hábito de consumir queijos.