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Background/Purpose: Adolescent and young adult (AYA) cancer survivors experience acute and long-term challenges, including disruptions to developmental milestones, altered relationships, and difficulty managing follow-up care. The COVID-19 pandemic likely exacerbated these challenges, but, to date, we know little about young survivors' day-to-day lives during this time. Here, we qualitatively assessed AYA cancer survivors' pandemic-related experiences. Method(s): Thirty-five AYA cancer survivors (85% female, Mage = 32.7 years, 71% White, September 2020-March 2021) wrote factual details about their day-to-day lives (e.g., "what is a typical day like?") as part of a larger randomized controlled trial. Participants were, on average, 5.9 years post-diagnosis;the majority were diagnosed with lymphoma (25.7%) or thyroid cancer (17.1%). Data were analyzed using constant comparative method. Result(s): Five themes emerged: (1) job changes (e.g., inability to work due to immunosuppression, fear career would become less viable);(2) limited interactions/relational depth (e.g., feeling "left out" due to immunosuppression, inability to date, risky family behaviors limit meaningful connection);(3) varying reactions to virtual communication (e.g., gratitude for online schooling, exercise, and social media, withdrawing from friendships due to "zoom burn out," not attending therapy due to lack of engagement);(4) difficulty engaging in health-promoting behaviors and attending/interacting in medical appointments (e.g., problems maintaining nutrition and exercise routines, postponing surveillance appointments, missing family member presence in medical appointments), and (5) disruptions/ delays to post-treatment milestones/plans (e.g., delaying vocational changes, wedding and family planning, and celebratory travel). Notably, no themes associated with positive adjustment emerged. Conclusions and Implications: Goals within multiple domains were obstructed and unmet needs were identified, namely, assistance navigating isolation, relationship disruptions, career/financial barriers, and access to medical care. Results are limited due to the methodology, as this was not a structured interview. Nonetheless, individual counsel with AYA cancer survivors is recommended to provide resources and address pandemic-induced barriers to health and well-being.
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Vocational education plays a strategic role in the creation of a skilled workforce who is ready to enter the world of work. In order to achieve the standard competency level, the proportion of practice is required to be 60% and large financing is required. During the Covid-19 pandemic there were many changes in the world of education, PBM had to be done online or online, children's education costs were not fulfilled due to layoffs, the economy slumped and had an impact on entrepreneurship and the influence of student personal costs. The cost of education has changed a lot. A study of changes in financing is needed for planning learning in covid conditions and demands for changes in learning patterns in the 4.0 era. The design used in this research is an explanatory mixed method research, quantitative data is taken together with qualitative data collection. The independent variable is the influence of the pandemic, the dependent variable is the cost of education (education budget and student personal costs). Online survey using googleform. The sample of level II and III students who have been exposed to face-to-face and online learning is 143 students. The education budget & costs are presented with the percentage of reduction and increase. Individual operational costs before and during the pandemic were used the Mann Whitney test at 95% confidence level. The recurrent cost budget that is used to finance the operational activities of PBM for D3 Nutrition Study Program for one budget year, with the predicate BLU should have financial management flexibility, so that student advice to provide tuition fee relief, complete facilities (campus wifi, practical equipment, air conditioning class), providing adequate quotas and spending for practical purposes as well as sufficient costs for student activities can be facilitated. All budget items decreased during the epidemic, except for the cost of providing goods and services for competency and IT compliance. The results of the survey on individual personal costs showed that the significance of all items in question, parents' income, living costs and transport costs decreased before and during the pandemic, while Quota and refreshing costs / personal needs increased on average. A deeper study is needed on the education budget and changes in individual operational costs during the Covid-19 pandemic and facing the challenges ahead in the 4.0 era.Copyright © 2020 Ubiquity Press. All rights reserved.
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Background-Schizophrenia is a complex, heterogeneous behavioural and cognitive syndrome whose origins appear to lie in genetic and/or environmental disruption of brain development, Cognitive functions are required to perform in the spheres of personal, social, and occupational activities of everyday life. .Restoring cognitive function or bypassing cognitive impairment could significantly contribute to better outcome and recovery in schizophrenia. Aim-. To assess the cognitive functions in patients with schizophrenia and To study the relationship between cognition and disease severity Methods-Cross sectional study done on 50 patients with schizophrenia visiting SDM hospital Dharwad, disease severity measured using PANSS, and cognitive assesment using BACS Result-. The Brief Assessment of Cognition in Schizophrenia (BACS) assessed the aspects of cognition found to be most impaired and most strongly correlated with outcome in patients with schizophrenia Conclusion-Cognitive functions are responsible for better day to day functioning and are related to functioning impairment in everyday living skills;hence by improving cognition, patient's functioning in everyday living skills may improve, giving them a better chance of vocational and independent living success.
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Background: E-learning refers to the use of new technologies to deliver distance learning programs. This mode of learning is also considered one of the innovative teaching/learning methods best suited to the current conditions, which entail the suspension of face-to-face courses due to the COVID-19 pandemic to ensure continuity of training, overcome learning difficulties and increase student autonomy and motivation. Our study focuses on this teaching model as an example of an apprenticeship contract, often adopted in technical, vocational, work-linked training. The aim of this study is to measure the perception of this learning contract through e-learning and its impact on learning among multi-skilled nursing students in semester four (S4) of the Professional License of the Higher Institute of Nursing and Health Techniques of Casablanca within the framework of the course of nursing care in psychiatry. Methods: A group of 58 students participated in a survey conducted by questionnaire, with a response rate of 86.20%. Results: The results revealed that the students had a positive perception regarding the use of the learning contract;according to them, the learning contract approach increases autonomy, motivation and the application of the theoretical courses in practice. Conclusion: The learning contract offers several advantages as a learning strategy and this has been implemented in different nursing education contexts, which may encourage nursing educators to use this contract more widely in theoretical and also practical teaching. © 2022 Lamiri et al.
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Introduction People with blood cancers are prioritised to receive COVID-19 vaccination. However, it is unclear how prevalent vaccine hesitancy is in this group. This analysis investigated vaccine uptake and vaccine hesitancy in people with blood cancers in Australia. Methods An online survey was conducted at nine health services in Australia from June to October 2021. Participant demographics and vaccination status were recorded. Vaccine hesitancy was assessed using the Oxford COVID-19 Vaccine Hesitancy Scale (OHS). Regression was used to examine whether clinico-demographic factors predicted the OHS score and vaccination status. Results Of the 869 participants, the mean age was 64.2 years, and 43.6% (n = 379) were female. A high proportion of participants had received at least one COVID-19 vaccine dose (85.3%, n = 741). Increasing age, speaking English as a first language, attending a regional health service, longer time since diagnosis and not currently receiving treatment were associated with being vaccinated. Participants who reported higher vaccine hesitancy were younger in age, more likely to have vocational qualifications and speak English as a second language. Conclusions There is a high rate of vaccination uptake in patients with blood cancers. However, younger patients and patients from culturally and linguistically diverse backgrounds appear to have lower vaccination uptake rates and higher levels of vaccine hesitancy. Tailored counselling may reduce the risk of adverse events due to COVID-19 infection.
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INTRODUCTION: The use of telemedicine has dramatically increased during the COVID-19 pandemic. We evaluated characteristics and experiences of underserved women utilizing telemedicine for gynecologic visits at an urban teaching hospital. METHODS: We conducted a prospective study of patients using telemedicine for gynecologic care from January 2021-September 2021. Patients completed a demographic survey and a modified Telemedicine Usability Questionnaire (TUQ) using a 1-5 Likert scale. Statistical analyses used Fisher's exact test. RESULTS: One hundred ninety two patients consented to participate, and 157 completed surveys. The majority of patients were non-White (Hispanic 32%, Black 28%, and Asian 10%), with a median age of 40 years (range 18-69 years). A total of 61% had children and some level of education (24% GED or below, 28% vocational/associate degree, and 47% college or above), and 41% were employed, with 63% reporting an income of less than $40,000, and 85% being government insured (Medicaid/Medicare). Without telemedicine visits, 47% would have traveled 1-2 hours to appointments, with 46% spending more than $35 on travel, and 27% missing at least 1 work day for an in-person visit. The most common visit indications were lab/imaging results review (37%), postoperative follow-up (21%), and abnormal uter- ine bleeding (14%). The mean score overall for the entire TUQ was 4.3/5. Participants preferred telemedicine for follow-up visits rather than for initial visits (81% vs. 33%;P<.01). CONCLUSION: Underserved women utilizing telemedicine for gynecologic care reported largely positive experiences with improved access to health care, cost, and time savings over inperson visits. However, a higher preference for utilization was found for follow-up visits, providing an opportunity to further improve quality and access.
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Enrollment in pre-service teacher education in Chile has dropped by 19% in the last year. To better understand the motivations and perceptions towards teaching among those students who could potentially become teacher candidates, we explored teaching vocation on 11th- and 12th-grade students in Santiago. From a total of 1112 students who voluntarily participated in an online survey including the FIT-Choice scale, 381 expressed their interest in teacher education. Afterward, 83 students confirmed their participation in our mentoring program regarding teacher education and the teaching profession. The results show that the students who chose to be mentored have greater intrinsic motivation towards teaching and a greater self-perceived ability to teach. Additionally, they have a more positive perception of the teaching profession, including work–family conciliation, and project greater satisfaction with their professional choice. However, they also belong to one of the most vulnerable population groups in Chile, those who have more difficulties accessing university education through traditional admission processes conditioned on academic performance. Thus, to foster equity in teacher education and attract students with the vocational potential for becoming excellent teachers, we need to consolidate admission alternatives and provide greater opportunities to students that—due to the inequities of the educational system—fail to complete a successful application or do not make the cut to enroll.
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Introduction & Objectives: Women are underrepresented at scientific conferences, decreasing the visibility of female role models in academic surgical careers, which are vital for aspiring young female scientists. Importantly, the lack of female representation has been identified as a crucial barrier for promotion in surgical specialties and academic internal medicine.1 Is has been demonstrated, that outnumbered female representation intensifies negatives outcomes for professional women. The aim of this investigation was the evaluation of female representation at a large, national urological meeting. Materials & Methods: The program of the annual meetings of 2011, 2018, 2019 and the virtual conference in 2020 due to COVID-19 pandemic has been retrospectively quantified by gender and categorized by chair or speaker, type, and topic of the session. Descriptive statistics, univariate and multivariate analysis has been performed to identify gender inequity and variables influencing gender distribution. A p-value of <0.05 was considered significant. Results: A total of 2.504 chairs and speakers have been invited in 2018 and 2019. Female speakers or chairs were represented in 17.8%, indicating a gender gap of 64.7%. There was a total of 114 (14.6%) female chairs without significant differences between both years in 2018 and 2019 respectively [14.2% vs. 14.9%;p=0.772] and 331 (19.2%) female speakers with significant more women in 2019 [16.4% vs. 22.1%;p=0.003]. There were significant differences between session type, topic, and gender distribution for chairs and speakers, respectively. The topic surgical techniques was an independent variable for both, underrepresented female chairs and speakers, respectively (p<0.001). Furthermore, vocational policy and plenary session were not represented by any female chair in 2011, 2018 and 2019. In comparison, gender gap in 2011 was 74.2%, indicating a gap reduction of 1.2%/year. In a highly selected virtual program in 2020, gender gap increased to 70.4%. Conclusions: There is a lack of female role models indicated by a persistent gender gap at the urological annual meeting. If this development continues, gender equality is not expected in the next 50 years. We recommend the utilization of established simple rules for achieving gender equity at urological conferences.2 Furthermore, the abolition of antiquated perceptions, development, and integration of female urologists to the academic urological field must be actively supported and provided by the highest institutional levels to ensure substantial change for our future female urologists.
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Objective: This study was carried out to determine the effect of the coronavirus disease-19 pandemic process on midwifery and nursing students’ tendency toward violence. Materials and Methods: The study, which used a cross-sectional descriptive design, was carried out with 549 university students studying midwifery and nursing. Data were collected using “Socio-Demographic Data Form” and “Violence Tendency Scale.” Research data were collected between March 23, 2020 and September 15, 2020. The study was implemented online. The questionnaires were uploaded to https://docs.google.com/forms/ and the link to the questionnaires was sent to the students through e-mail and WhatsApp. Results: The pre-pandemic and while-pandemic median values of the violence tendency scale of the students were found to be 35 (min: 20–max: 86) and 34 (min: 20–max: 71), respectively, and the difference between the two was statistically significant (p=0.004). The tendency of students to violence who were male was studying nursing, was 2nd and 3rd-year stu-dents, graduated from a health vocational high school, had inadequate income, had a nuclear family, and were placed in their departments with low scores, statistically significantly decreased during the pandemic process (p<005). Conclusion: In conclusion, it was determined that the tendency of nursing and midwifery undergraduate students toward violence was low before and during the pandemic process and that their tendency toward violence decreased during the pandemic process. We recommend that topics about violence should be integrated into the curriculum of future midwives and nurses and that training programs raising awareness and informing students should be organized especially during the pandemic process when the rate of violence is on the increase.
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Insufficient attention has been paid to the interface between religion, business and development, allowing assumptions and stereotypes to abound. This paper takes a broadly conceptual and sociological approach to the development potential of the Evangelical Pentecostal Charismatic Movement (EPCM). Taking their cue from Weber, three questions are addressed, and three corresponding suggestions are made that are important to understanding this potential. Using the notion of ‘calling’ as an example, the first suggestion is that the cognitive, behavioural and social characteristics of the EPCM that are significant for development relate closely to personal and corporate purpose. Secondly, in contrast to what Weberian and secular perspectives tend to assume, the EPCM and its associated virtues will not necessarily decline as economies grow. Thirdly, while alternatives (such as Confucianism) are possible, the EPCM demonstrates considerable potential in terms of practical development impact. None of this challenges existing evidence that the movement is influenced by the ‘prosperity gospel’;by world-denying pietism and supernaturalism;and by socio-economic factors often described as ‘neo-liberal’—influences that have received much scholarly attention. It does indicate, however, that a more nuanced understanding of the movement and of its causal relationships is needed, given the complexity of the religion–business–development nexus.
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Purpose: This report summarizes an innovative nationwide, Taiwan Youth with Epilepsy Summit on 2020-11-21 at Tainan. This conference was hosted by the Tainan Epilepsy Association. Method: The process of the initiation, design and training for the conference was reviewed. Parts of the conference will be demonstrated. Result: This innovative conference entitled Taiwan Youth with Epilepsy Summit was attended by the invited members of the deputy of Tainan City Mayor and her members, academic leaders in pediatric and adult epileptologists, medical sociologists, educational professionals. The other participants included social workers, medical professional, medical students and people with epilepsy and their care givers from 12 out of 16 organizations of people with epilepsy in Taiwan. In total 153 persons attended the meeting. This is the biggest gathering in Tainan during the COVID-19 era. Six youths and young adults with epilepsy on behalf of people with epilepsy and their caregivers were the speakers, I firstly addressed the relationship between “Convention on the Rights of Persons with Disabilities, CRPD) and epilepsy. The others proposed some urgent biopsychosocial care and human right needs related to education (one speaker), vocation (two speakers) and traffic regulation (two speakers). Although Taiwan is not a member country of the United Nations, Taiwan is the only country to legislate for the implementation of CRPD. This conference was prepared for the Taiwan State Party Report of implementing the UNs Convention on the Rights of Persons with Disabilities in the last 4 years. Conclusions: The new paradigm of protecting the human rights and dignity of persons with disability as a national strategy for social welfare created the opportunities of autonomous individuals to participate social policy they concerned. The intelligent youths and young adults with epilepsy in this conference demonstrated their altruistic heart and behavior.
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The Covid-19 pandemic instills emotions that can be understood in the pathological sense of mental disorder and/or in the heuristic sense of a moral dimension. So what about this distinction in critical care and resuscitation services where caregivers are at the forefront of events? What to do with emotions? The objective of this work is to pose a medico-psychological and ethical perspective on these questions, starting from the hypothesis that emotions have a specific use during the pandemic. The first step will be to show that anguish and fear, although different from an epistemological point of view, arise from the same historical place, which is the discourse of the medical world with death. The awareness of the inevitable makes share the same need of the caregiver and the citizen of a psychic economy which will lead to differentiating two possible reactions to emotions: one to face up and one to come to terms with. This psychic interlacing, inherent to the pandemic context, calls for critical care on a moral dimension related to the issue of abandonment of the human person and the poorly understood notion of "mass death". An answer to this difficulty would be found in the concept of "being-caregiver-close" but its application also supposes an ethical reflection on the outlets and the personal virtues.
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After the COVID-19 outbreak, the health status of the general population has suffered a huge threat, and the health system has also encountered great challenges. As critical members of human capital in the health sector, medical students with specialized knowledge and skills have positively fought against the epidemic by providing volunteer services that boosted the resilience of the health system. Although volunteer behavior (VB) is associated with individual internal motivation, there is sparse evidence on this relationship among medical students, especially regarding potential mechanisms. Therefore, this study had two main objectives: (1) to examine the influence of prosocial motivation (PM) of medical students on their VB; and (2) to verify the chain-mediating role of calling and vocation (CV) as well as social responsibility (SR) in the relationship between PM and VB. Study I: a total of 2454 Chinese full-time medical students were invited to complete an online survey. Data analysis was performed using descriptive statistics, Pearson's correlation coefficient, and multiple linear regression analysis. The results demonstrated that PM significantly affected VB in medical students (ß = 0.098, P < 0.001); CV as well as SR chain-mediated the relationship between PM and VB (ß = 0.084, P < 0.001). PM promoted the formation of SR by positively evoking CV of medical students, further resulting in increased VB. Study II: A 28 person qualitative interview was conducted. Qualitative data are added to reduce the limitations of online questionnaires. At the same time, we can also critically study the VB of Chinese medical students during COVID-19. The results showed that there were various reasons for medical students to volunteer in the process of fighting against COVID-19, and the experience of volunteer service and the impact on their future life were different. Lastly, the current findings suggest that fostering volunteerism among medical students requires the joint effort of the government, non-profit organizations, and medical colleges.