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This study was conducted to identify the number and density of active licensed acupuncturists (LAcs), as well as the number of accredited schools in acupuncture and Oriental medicine (AOM), as of January 1, 2023, in the United States (U.S.). The number of active LAcs as of January 1, 2023 was 34,524, potentially 33,364 after removing license duplication in multiple states, among which the largest three states were California (with 7317 LAcs [21.19% of the total]), New York (5024 [14.55%]) and Florida (2644 [7.66%]). The total number of LAcs decreased by 8.87% from 2018, and fell short of our projected number of LAcs in 2023 by 9037, or 20.75%. The overall LAc density in the U.S.-measured as the number of LAcs per 100,000 population-was 10.36, less than in 2018. There were 56 active, accredited AOM schools which offered a total of 147 programs (121 at the level necessary for licensing [entry-level], 12 for an advanced practicing degree [advanced-level], and 14 for certifications). Broken down further, offerings included 50 master's degrees in acupuncture, 40 master's degrees in Oriental medicine, 31 entry-level doctorate degrees (10 in acupuncture and 21 in acupuncture plus Chinese herbal medicine), and 12 advanced-level doctorate degrees in AOM. The certification programs included one in East-Asian Medical Bodywork and 13 in CHM. Among these schools in 2023, institutions in the West and East Coast states comprised 67.86% (decreased from 77.42% in 2018) of the national total. California, Florida and Illinois represented 39.29%. There were 48 jurisdictions with acupuncture practice laws in place. The data suggests that the acupuncture profession in the U.S. has been significantly impacted during the coronavirus disease 2019 pandemic. Please cite this article as: Fan AY, He DG, Sangraula A, Alemi SF, Matecki A. Distribution of licensed acupuncturists and educational institutions in the United States at the start of 2023, during the late stage of the COVID-19 pandemic. J Integr Med. 2024; 22(4): 379-384.
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Acupuntura , COVID-19 , Humanos , COVID-19/epidemiologia , Estados Unidos , Acupuntura/educação , Terapia por Acupuntura , Licenciamento , SARS-CoV-2 , PandemiasRESUMO
BACKGROUND: Several mental health outcomes develop following bereavement. Little research has examined bereavement in the workplace and the associated risk factors, particularly in Arab populations. OBJECTIVES: The objectives of this cross-sectional study were to determine the sociodemographic characteristics of bereaved employees, measure the prevalence of their dysfunction, establish the type of closeness and conflict in their relationship with the deceased, determine the available resources to the bereaved, and determine the proportion of bereaved employees who needed help. METHODS: A study was conducted on Arabian Gulf University employees (91) in Bahrain. The revised Two Track Bereavement Questionnaire (TTBQ3-CG11) was utilized to assess bereavement outcomes. RESULTS: The response rate of the study was 28%. The composition of the study population was as follows: 51.6% males, 37.4% in the age range of 40-49 years, 86.8% married, 39.6% Bahraini, and 51.6% academicians. Over half of the participants had biopsychosocial dysfunction, 35.2% had active relational grief and trauma (ARGT), 36.3% had a conflict with the deceased, and half were close to the deceased. Total TTBQ3-CG11 scores showed that 28.6% of the bereaved had a low score (14-22), 61.5% medium (23-28), and 9.9% high (29 or more), with more females than males in the high category. The majority reported receiving adequate support from the administration and colleagues following their loss. CONCLUSION: There is a need to establish bereavement policies and procedures at tertiary educational institutes. This study may inform future policies to advance bereavement services in the educational institutions of the region.
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Physical activity is a positive health behavior that has been shown to reduce the risk of physical and mental illnesses; There's strong evidence suggesting that Physical activity, as one of the components of a healthy lifestyle, if transformed into a consistent behavior or habit early in life, becomes easier to sustain throughout the lifecycle and leads to valuable outcomes for the society's health in various physical, mental, and social dimensions. Each social institution, considering its unique role and characteristics, can contribute to shaping individuals' behaviors in societies. Consequently, identifying the role of social institutions in the development of leisure-time physical activity (LTPA) as a regular activity and a behavioral habit can result in the selection and implementation of highly effective intervention strategies. Therefore, this research aimed to present a model of the role of social institutions in institutionalizing leisure-time physical activity among Iranian adolescent girls. To collect data, the questionnaires were employed, and for presenting the model, structural equation modeling was utilized. Data analysis showed that the role of three social institutions in the institutionalization of physical activities including habituation, objectification and sedimentation was confirmed, although sedimentation was confirmed in all three institutions at the 0.05 level, which indicates that factors in this area can be investigated. Examining the role of social institutions in institutionalizing behaviors may vary across different ages and genders, which is open to investigation in future studies.
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Noise pollution is a growing problem in urban areas, and it is important to study and evaluate its impact on human health and well-being. This work presents the design of a low-cost IoT model and implementation of two prototypes to collect noise level data in a specific area of the regional center of Chiriquí, at the Technological University of Panama that can be replicated to create a noise monitoring network. The prototypes were designed using Autodesk Fusion 360, and the data were stored in a MySQL database. Microsoft Excel and ArcGIS Pro were used to analyze the data, generate graphs, and display the information on maps. The results of the analysis can be used to develop strategies to reduce noise pollution and improve the quality of life in urban areas.
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In the context of abuse cases in boarding schools, stress among children and adolescents in boarding schools in Germany was discussed for the first time. So far, however, there is a lack of studies dealing with post-traumatic stress disorders of adolescents in boarding schools.The aim was to analyze the extent of trauma experiences and symptoms of post-traumatic stress disorders as well as psychopathological abnormalities in adolescents in boarding schools on the basis of self-reports using a secondary analysis of theMAYSI-2 and UCLA PTSD Reaction Index for DSM-IV screening questionnaires and to derive implications for research and care concepts. Data was available from155 adolescents, 70%of whomweremale.The adolescents had been in boarding schools for an average of 3.26 years (SD = 2.48). A traumatic experience was evident in 69.7%(n = 108) of the adolescents, and 51.6%(n = 80) of the adolescentswere "conspicuous" in at least one of the six scales of theMAYSI-2. Taken together, 33.5%(n = 52) of the adolescents met the criteria for a suspected post-traumatic stress disorder according to ICD-10. Screening procedures should be established in boarding schools to identify traumatic experiences and psychopathological abnormalities in a timely manner. Concepts from youth welfare institutions can be used to deal with trauma experiences.There is a need for further research on traumatic experiences directly related to the boarding school placement situation.
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Maus-Tratos Infantis , Transtornos de Estresse Pós-Traumáticos , Humanos , Adolescente , Criança , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/terapia , Instituições Acadêmicas , Maus-Tratos Infantis/diagnóstico , AlemanhaRESUMO
El estudio tuvo como Objetivo: Evaluar la efectividad del mousse de sangrecita en los niveles de hemoglobina en los niños de dos instituciones Educativas iniciales. Materiales y métodos: Estudio Experimental con diseño cuasi experimental de corte longitudinal, la población de estudio estuvo conformada por 80 niños los cuales todos participaron (consentimiento de los padres), 52 niños fueron de la IEI de Ica y 28 de la IEI de Comatrana, para la muestra se realizó un muestreo no probabilístico mediante el descarte de anemia utilizando el analizador de hemoglobina (hemoQ), microcubetas, lancetas y demás implementos, de ellos 9 niños tuvieron una hemoglobina <=11gr/dl quienes ingresaron al programa de mousse de sangrecita. Se elaboró una ficha de control. Resultados: Después de 7 semanas de consumir el mousse de sangrecita los 9 niños que ingresaron al programa de las dos IEI, se evidencio un incremento en sus niveles de hemoglobina superior al primer control. Conclusiones: El consumo de mousse de sangrecita es efectiva en el tratamiento de la anemia en niños de la IEI incrementando el nivel de hemoglobina. (AU)
The Objective of the study was to evaluate the effectiveness of blood mousse on hemoglobin levels in children from two initial educational institutions. Materials and Methods: Study experimental Quasi-experimental desing of longitudinal cut, the study population was made up of 80 children who all participated (parental consent), 52 children were from the IEI of Ica and 28 from the IEI of Comatrana, for the sample a non-probability sampling was carried out by discarding anemia using the hemoglobin analyzer (hemoQ), microcuvettes, lancets andother implements, of them 9 children had a hemoglobin < = 11gr / dl who would enter the blood mousse program. A control sheet was drawn up. Results: After 7 weeks of consuming the blood mousse of the 9 children who entered the program of the two IEI, there was evidence of an increase in their hemoglobin levels higher than the first control. Conclusions: The consumption of blood mousse is effective in the treatment of anemia in children with IEI by increasing the level of hemoglobin. (AU)
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Masculino , Feminino , Pré-Escolar , Hemoglobinas , Criança , Anemia , Estudos LongitudinaisRESUMO
The purpose of the study is to analyze effect of system of non-material incentives on psychological well-being of teachers in pandemic conditions. The research method of questionnaire survey of employees sampling (N = 193) was applied. The information obtained was completed by results of focus group study that made it possible to identify psychologically vulnerable groups of teachers. The results demonstrated that only every fifth teacher is completely satisfied with system of non-material incentives. The survey established that traditional forms of non-material incentives (birthday greetings, challenge prize for best structural unit) are losing their significance in pandemic conditions. The high workload, organizational changes in educational institutions reduce relevance of such measures of non-material incentives as inclusion in administrative personnel reserve for teachers. It is established that significant influence of shortcomings of motivational profile provoke occurrence of such violations as violation of team value unity; persistent prevalence of negative emotions; alienation, hiding lack of confidence in their abilities; deformation of systemic nature of mutual assistance; increase of anxiety and proneness to conflict in university teachers. For teachers, job stability turns out to be more important than career prospects. The top lines of rating in assessing system of non-material incentives are occupied by extension of term of employment contract, and participation in innovative projects. The recognition of colleagues and inclusion into creative teams is considered as one of the most effective measures to ensure psychological well-being of teacher.
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Emoções , Motivação , Humanos , Instituições Acadêmicas , Saúde Mental , AnsiedadeRESUMO
This study aims to analyze the Psychological Well-Being among prospective counselors from the Faith-Based Educational Institution during the COVID-19 pandemic. The approach of this study was quantitative with a descriptive method. The Psychological Well-Being among prospective counselors is at a high classification level, namely 84%. The components of Psychological Well-Being that are above the total average score are Positive Relationship with Other People and components of Self-Growth.
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COVID-19 , Conselheiros , Assistência Religiosa , Humanos , Bem-Estar Psicológico , Pandemias , Estudos Prospectivos , Surtos de DoençasRESUMO
Background: Students were confined to their homes due to the national closure of educational institutions during the COVID 19 pandemic, thus presenting an unprecedented risk to children's education, protection, and wellbeing. Aim: This study aimed to understand the determinants of subjective wellbeing of adolescents and youth (aged 11-21 years) during the COVID-19 pandemic in India. Materials and methods: A cross-sectional web-based survey was adapted, pre-tested, and finalized to obtain the participant's responses from schools and colleges. Participants aged 11-17 years were engaged through schools. Consent procedures were followed. The survey link was disseminated through social media for the participants aged 18-21 years. The survey was made available in English and Hindi. The data was collected from March-June, 2021. Results: Overall, 1,596 students completed the survey. Out of 1,596 students, 1252 (78%) were below 18 years and 344 (21.5%) participants were 18 years and above. Results suggest a statistically significant (p < 0.01) difference in the level of student's life satisfaction before and during the COVID-19 pandemic. Of the students who were dissatisfied with their general life during the pandemic, nearly 63.4% felt sadness followed by other feelings, i.e., boredom (around 60.5%), loneliness (63.7%), and anxiety (62.2%). Conclusion: This study highlights the need for innovative strategies for adolescents and parents to adopt and promote overall subjective wellbeing, especially during public health crises such as the COVID-19 pandemic.
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Resumen Antecedentes: estudiantes con alta capacidad o potencial de talento académico, necesitan un entorno enriquecedor para alcanzar un desempeño sobresaliente, y fenómenos como la segregación escolar impactan negativamente la transformación del potencial intelectual en talento académico. Objetivo: comparar la distribución de estudiantes con alta capacidad de quinto básico a cuarto medio de la provincia de Concepción, Chile, provenientes de familias de nivel socioeconómico bajo, medio y alto, según el tipo de establecimiento educativo en que estudian. Método: participaron 650 estudiantes entre 11 y 17 años de edad, quienes respondieron el test de matrices progresivas de Raven, el cual permitió identificar el potencial intelectual según el puntaje de corte. Resultados: hay diferencias estadísticamente significativas en el potencial intelectual entre estudiantes de establecimientos públicos, particulares subvencionados y particulares pagados, así como diferencias en la distribución del potencial intelectual según el nivel educativo de los estudiantes y el nivel socioeconómico de sus familias. Conclusiones: al explorar la distribución de estudiantes con alta capacidad según el tipo de establecimiento educativo, hay una mayor concentración de estudiantes con alta capacidad en establecimientos educativos con familias de nivel socioeconómico alto y una menor concentración de estos en establecimientos educativos con familias de nivel socioeconómico bajo.
Abstract Background: Gifted students or students with academic potential need an enriching environment to achieve an outstanding performance. However, phenomena such as school segregation negatively affect the transformation of intellectual potential into academic talent. Objective: To compare the distribution of gifted students from the fifth grade of elementary school to the fourth year of high school in the Province of Concepción, Chile, coming from families of low, medium and high socioeconomic status, determined by the type of educational institution in which they study. Method: Six hundred fifty (650) students aged between 11 and 17 participated in the study and answered the Raven's Progressive Matrices Test, which allowed the identification of the intellectual potential based on the cut-off score. Results: Statistically significant differences were found in the intellectual potential among students from public, subsidized private and fee-paying private educational institutions, as well as differences in the distribution of the intellectual potential relative to the students' education level and their families' socioeconomic status. Conclusions: When exploring the distribution of gifted students according to the type of educational institution, there was a higher concentration of those students in educational institutions with families of high socioeconomic status, and a lower concentration in educational institutions with families of low socioeconomic status.
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This article describes and substantiates some of the requirements for how a psychoanalyst should respond to the demands of an educational institution in order to constitute best practices. It considers the following requirements: the need to renounce the position of assigned expert (paradox of an expert/ignorant), the position of outsider that must be held, the specificity of the principle of abstention, and the benefits of appealing to a second look. This second look includes an analysis of the analyst's involvement, while the analyst is inserted in a society whose discourses could parasitise their thinking. These four requirements are illustrated in an experience carried out in public schools in a context of social vulnerability. The clinical device created and applied in these settings is a narrative workshop that uses children's literature as linking objects. The example described here is limited to one instance of the use of the device and, in particular, to the process and the difficulties of working with a six-year-old girl who participated in one of the workshops. The changes she experienced are revealed through an analysis of an observed phoric function and its vicissitudes. This case allows us to note the complexity of the transference dynamics that must be sustained.
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Psicanálise , Terapia Psicanalítica , Criança , Contratransferência , Feminino , Humanos , Transferência PsicológicaRESUMO
On June 17, 2018, a case of pulmonary tuberculosis (TB) was reported among students at a senior high school in Luoning, China. The outbreak encompassed a total of 23 cases along with TB screening in the whole school by means of PPD and chest X-ray. By the end of September 2018, the entire 9 cases cultured positive had epidemiological association. All of the 9 Mycobacterium tuberculosis (Mtb) isolates available were sensitive to all drugs tested and had similar spoligotyping and 15 loci mycobacterial interspersed repetitive-unit-variable-number tandem-repeat (MIRU-VNTR) profile. Whole-genome sequencing (WGS) of the Mtb isolates revealed 20 variable nucleotide positions within 8 cases, indicating a clonal outbreak. The index case, which was first identified and diagnosed, is separated from the cluster by a minimum number of 95 distinct SNPs. Minimum distance spanning tree (MST) indicted that the 8 cases were indeed part of a single transmission chain. It was concluded that this is an epidemic situation of TB outbreak exposed by the aggrieved index case at school, which was caused by the veiled infectious case wherein a student was suffering from TB and attending school simultaneously.
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Mycobacterium tuberculosis , Tuberculose , China/epidemiologia , Surtos de Doenças , Humanos , Mycobacterium tuberculosis/genética , Instituições Acadêmicas , Tuberculose/diagnósticoRESUMO
INTRODUCTION: different studies have shown a relationship between depression and nutrition, but there seems to be no consistent consensus on this. This study therefore investigated the relationship of nutrition status and depression among workers in tertiary educational institutions in Southwestern Nigeria. METHODS: this was a cross-sectional study conducted among 399 members of staff of three tertiary educational institutions in Osun State, Southwestern Nigeria. Depression was assessed using the Patient Health Questionnaire-9 (PHQ-9), while nutritional status was assessed using the body mass index (BMI), waist circumference and waist hip ratio (WHR). The respondents were selected using multi-stage sampling technique, and data were collected using pre-tested structured questionnaires. Analysis was done using IBM SPSS. RESULTS: the mean age of the respondents was 45.8 ± 10.4 years. The prevalence of depression was 23.8%. Concerning the nutritional status of respondents, 2.3% were underweight and 69.7% were overweight/obese. There were statistically significant associations between depression and the nutritional status of the respondents using BMI (p = 0.001), WHR (p = 0.015) and waist circumference (p = 0.036). After controlling for other factors, only the BMI was still significantly associated with depression, such that those underweight were more likely to be depressed (Odds ratio: 7.9; p-value: 0.009). CONCLUSION: the prevalence of depression among the respondents was relatively high, and this was significantly associated with the BMI, even after controlling for co-founders.
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Depressão/epidemiologia , Estado Nutricional , Magreza/complicações , Adulto , Índice de Massa Corporal , Estudos Transversais , Depressão/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nigéria/epidemiologia , Obesidade/complicações , Obesidade/epidemiologia , Sobrepeso/complicações , Sobrepeso/epidemiologia , Prevalência , Inquéritos e Questionários , Magreza/epidemiologia , Relação Cintura-QuadrilRESUMO
Este trabalho tem como objetivo analisar as percepções dos moradores do Bairro Engomadeira sobre a Universidade do Estado da Bahia (UNEB), Campus I, Salvador, para assim propor melhorias nas relações estabelecidas entre a Comunidade e a Universidade. Para a discussão, utilizaram-se autores como Fialho, Midlej e Santos. A pesquisa foi desenvolvida numa abordagem qualitativa, utilizando como instrumento de coleta de dados a entrevista semiestruturada e questionários fechados, aplicados em amostra não probabilística de 20 (vinte) moradores, dividindo-se em três grupos, por escolaridade: nível fundamental, nível médio e nível superior, para identificar e analisar as suas percepções. Recorreu-se à análise de conteúdo de Bardin (2002) e à luz de autores como Midlej e Santos, para tratamento dos dados coletados. Notou-se no referido estudo que as percepções dos moradores da Engomadeira sobre a Uneb diferem pelo nível de escolaridade, em que os moradores de nível fundamental e médio percebem a universidade com relações positivas e os de nível superior com relações negativas.
This work aims to analyze the perceptions of residents of Bairro Engomadeira about the State University of Bahia (UNEB), Campus I, Salvador, to propose improvements in the relations established between the Community and the University. For the discussion, authors such as Fialho (1998), Midlej (2004) and Santos (2014) were consulted. The research was developed in a qualitative approach, using semi-structured interviews and closed questionnaires as a data collection instrument, applied to a non-probabilistic sample of 20 (twenty) residents, dividing into three groups, by level of education: elementary level, medium level and higher level, to identify and analyze their perceptions. Content analysis by Bardin (2002) was used, and in the light of authors such as Midlej (2004) and Santos (2008), for the treatment of the collected data. It was noted in that study, that the perceptions of the residents of the Ironing Company about Uneb differ by the level of education, where the residents of elementary and high school perceive the university with positive relationships and those with higher education, with negative relationships.
Este trabajo tiene como objetivo analizar las percepciones de los habitantes del Barrio Engomadeira sobre la Universidad Estatal de Bahía (UNEB), Campus I, Salvador, con el fin de proponer mejoras en las relaciones establecidas entre la Comunidad y la Universidad. Para la discusión se utilizaron autores como Fialho (1998), Midlej (2004) y Santos (2014). La investigación se desarrolló con un enfoque cualitativo, utilizando entrevistas semi-estructuradas y cuestionarios cerrados como instrumento de recolección de datos, aplicados a una muestra no probabilística de 20 (veinte) residentes, divididos en tres grupos, por nivel de educación: nivel básico, nivel medio y nivel superior, para identificar y analizar sus percepciones. Se utilizó el análisis de contenido de Bardin (2002), ya la luz de autores como Midlej (2004) y Santos (2008), para el tratamiento de los datos recolectados. Se constató en dicho estudio, que las percepciones de los vecinos de la Empresa de Planchado sobre la Uneb difieren por el nivel de educación, donde los residentes de primaria y secundaria perciben la universidad con relaciones positivas y los de educación superior, con relaciones negativas.
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Humanos , Percepção , Universidades , Áreas de Pobreza , Relações Comunidade-Instituição , Brasil , Pesquisa Qualitativa , Escolaridade , Representação SocialRESUMO
The Ministry of Health of the Republic of Indonesia has developed a COVID-19 prevention poster for use in educational institutions. The poster was pretested to determine the reactions of individuals at educational institutions in Depok City in relation to various aspects of communication, such as attraction, comprehension, acceptability, self-involvement and persuasion. The research was descriptive and qualitative, and informants were selected by purposive sampling. The six research informants were teachers and students from a junior high school and a senior high school. Data were collected by using in-depth virtual interviews, and data were analysed using thematic analysis. According to our findings, both teachers and students found the information, images and words of the poster interesting, while the language and terms used were easily understood. In addition, the information was useful and appropriate to the situation and needs. However, titles should be more attractive and specific. In conclusion, according to the input from teachers and students, the COVID-19 prevention poster for educational institutions needs minor revisions. An additional recommendation was that the Indonesian Ministry of Health logo should be added to confirm the source and credibility of the poster.
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Recursos Audiovisuais , COVID-19/prevenção & controle , Controle de Doenças Transmissíveis/métodos , Comunicação em Saúde/métodos , Serviços de Saúde Escolar/organização & administração , Adolescente , Feminino , Promoção da Saúde/métodos , Humanos , Indonésia , Masculino , Pesquisa Qualitativa , SARS-CoV-2RESUMO
Metabolic residue concentration data for two licit drugs (nicotine and alcohol), three medications of abuse (morphine, methadone and codeine) and six illicit drugs (cannabis, cocaine, amphetamine, methamphetamine, ecstasy and heroin) were obtained from raw wastewater samples collected from 44 Slovenian educational institutions are presented. Also, concentrations obtained at one secondary school during a preliminary study is provided. The wastewater samples were collected at the end of the 2018/2019 academic year using time proportional sampling and analysed for 16 drug residues, extracted using solid-phase extraction and analysed using ultra-performance liquid chromatography hyphenated to tandem mass spectrometry (UPLC-MS/MS). Residues of nicotine and alcohol were determined by direct injection of filtered wastewater onto the UPLC. Concentrations data were studied based on educational level (primary, secondary and tertiary) and institution type (secondary schools: gymnasiums, vocational and technical schools, multi-programme schools; higher education institutions: natural sciences and social sciences), geographic location (municipalities) and degree of urbanisation (urban and non-urban areas). Due to the large number of different educational institutions included in the study, provided datasets are valuable for further studies on drug consumption patterns among young people. Drug presence and prevalence data for primary schools (6-15 years) offer an objective insight into drugs present in the early stage of a young person's development and help establish effective prevention programs. More details on the study can be found in [1].
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Objective: Chinese Medicine (known as acupuncture and Oriental Medicine (AOM) in the United States), has spread far and been utilized in more than 183 countries or regions. It has played an important role in the health care systems of many countries. Licensed acupuncturists' contribution to the U.S. market alone is more than 3.5 billion dollars. The aim of the current study was to determine the ranking status of Chinese Medicine schools on the global or international level in 2020. Materials and Methods: Databases of PubMed.gov, wanfangdata.com.cn, cnki.net, and google.com were searched, using the keywords: university or college or school, Chinese Medicine or acupuncture and Oriental Medicine, global ranking or international ranking, 2020 both in English and Chinese. If the ranking did not show up in the results directly, the authors moved on to find global or international higher education (universities or colleges) ranking agencies or institutions. Then the authors used the websites of ranking agencies or institutions to conduct more research, using the keywords: 2020, Chinese Medicine, or acupuncture and Oriental Medicine. Results: U.S. News & World Report is the only recognized authority that reported the ranking status of universities of Chinese Medicine in its 2020 edition, in which the best global universities were ranked. A total of 1500 universities in 81 countries and regions were included. Based on the overall academic strength of each university, Shanghai University of Traditional Chinese Medicine, Nanjing University of Chinese Medicine, and Guangzhou University of Chinese Medicine were ranked as numbers 1376, 1390 and 1440, respectively. In clinical medicine, 750 universities were ranked among the strongest in the world; Nanjing University of Chinese Medicine, Shanghai University of Traditional Chinese Medicine, and Guangzhou University of Chinese Medicine were ranked as 688th, 734th, and 738th, respectively. In pharmacology and toxicology, 250 universities were among the strongest in the world; Shanghai University of Traditional Chinese Medicine and Nanjing University of Chinese Medicine were ranked as 153rd and 209th, respectively. In oncology, 250 universities were ranked as strongest in the world; Nanjing University of Chinese Medicine was ranked as 243rd in the world. Conclusions: Chinese Medicine schools are more accepted and more highly ranked than they had been in the past.
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BACKGROUND: Although schools are key places that conduct cardiopulmonary resuscitation (CPR) and public-access defibrillation (PAD) programs, out-of-hospital cardiac arrest (OHCA) in educational institutions is poorly understood. This study describes the characteristics and outcomes of such OHCAs.MethodsâandâResults:Data for OHCAs of any cause occurring in educational institutions between 2013 and 2015 were extracted from the All-Japan Utstein Registry. Patient characteristics and outcomes were documented. Subjects were divided into 6 age groups (0-1, 2-5, 6-11, 12-14, 15-17, and ≥18 years). Among the 783 eligible OHCA patients, most received bystander CPR regardless of age, ranging from 73.9% in those aged ≥18 years to 90.0% in those aged 2-5 years. However, the proportion receiving PAD differed by age group, ranging from 2.9% in those aged 0-1 years to 66.7% in those aged 12-14 years. The proportion of patients with 1-month survival with favorable neurological outcome differed significantly by age group, being extremely low among patients aged 0-1 years (zero for OHCA of cardiac origin), but high among patients aged 6-11, 12-14, and 15-17 years (69.2%, 77.5%, and 70.0%, respectively) for OHCA of cardiac origin. CONCLUSIONS: The outcomes of OHCA occurring in educational institutions, where PAD is available, differed significantly by age.
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Reanimação Cardiopulmonar , Cardioversão Elétrica , Parada Cardíaca Extra-Hospitalar/terapia , Instituições Acadêmicas , Adolescente , Adulto , Fatores Etários , Idoso , Reanimação Cardiopulmonar/efeitos adversos , Reanimação Cardiopulmonar/mortalidade , Criança , Pré-Escolar , Desfibriladores , Cardioversão Elétrica/efeitos adversos , Cardioversão Elétrica/instrumentação , Cardioversão Elétrica/mortalidade , Feminino , Humanos , Lactente , Recém-Nascido , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Parada Cardíaca Extra-Hospitalar/diagnóstico , Parada Cardíaca Extra-Hospitalar/mortalidade , Parada Cardíaca Extra-Hospitalar/fisiopatologia , Estudos Prospectivos , Recuperação de Função Fisiológica , Sistema de Registros , Fatores de Risco , Fatores de Tempo , Tempo para o Tratamento , Resultado do Tratamento , Adulto JovemRESUMO
Various legislative measures have been taken in Pakistan to restrict smoking. The law prohibits smoking in public places, which include educational institutions, and provides the procedure and the punishments regarding its violations. Educational institutions, instead of observing the law, have devised their own anti-smoking measures. Consequently, educational institutions themselves determine guilt and impose and collect fines whenever students smoke on their premises. Thus, by implementing their own disciplinary processes and by themselves awarding punishments, educational institutions are acting contrary to what the law has ordained. In order to demonstrate the same, websites and other publically available documents of various educational institutions were consulted to obtain information regarding their anti-smoking policies and rules. The information confirmed that educational institutions are not acting in conformity with the law. It is recommended that awareness-raising campaigns must be launched for educational institutions and students in order for the law to take its course and achieve its objective.
Assuntos
Instituições Acadêmicas/legislação & jurisprudência , Prevenção do Hábito de Fumar/legislação & jurisprudência , Poluição por Fumaça de Tabaco/legislação & jurisprudência , Poluição por Fumaça de Tabaco/prevenção & controle , Humanos , PaquistãoRESUMO
O artigo se baseia em um estudo sobre a vivência do assédio moral por servidores técnico-administrativos de uma instituição federal de ensino superior de Minas Gerais. A pesquisa teve por objetivos identificar a ocorrência desse problema, suas consequências e possíveis ações de prevenção. Realizou-se um estudo qualitativo por meio de entrevistas semiestruturadas e em profundidade. Por meio das entrevistas, tentou-se obter informações sobre as características pessoais dos sujeitos em conflito, as particularidades do seu trabalho e o contexto organizacional. Participaram da pesquisa doze servidores que foram ou não vítimas de assédio moral, tendo sido escolhidos, inicialmente, por indicação do sindicato da categoria e, posteriormente, pelo método de Snowball (Bola de Neve). Os resultados confirmam outros obtidos em instituições de ensino superior, revelando formas importantes de violência moral nesse contexto e sugerindo a presença de um grupo dominante na instituição, que dita normas e regras de comportamento, favorecendo o abuso. Tudo isso aponta a necessidade de medidas de prevenção e combate ao problema, além da sua divulgação, dando publicidade a tais formas de conduta, para que todos possam reconhecê-las, denunciá-las e, se possível, preveni-las.
The article is based on a study about the experience of moral harassment by technical-administrative employees of a Higher Education Federal Institution of Minas Gerais. The objective of the research was to identify the occurrence of this problem, its consequences and possible prevention actions. A qualitative study was conducted through semistructured and in-depth interviews. An analysis of the problem of moral harassment in the Institution was carried out taking into account the personal characteristics of the subjects in conflict, the particularities of their work and the organizational context. Twelve employees who were or were not victims of moral harassment participated in the survey, and were initially selected by the representatives union and then, by the Snowball method. The results suggest the presence of a dominant group in the Institution that dictates norms and rules of behavior, favoring abuse, a fact that indicates the need for measures to prevent and combat moral harassment in the context studied, besides its dissemination, giving publicity to such forms of conduct so that everyone can recognize, denounce, and, if possible, prevent them.