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  • ISSN: 2379-0547
    Volume 2, Issue 6
    Short Communication
    Aytul Kasapoglu*
    Health system of Turkey which has been transformed since 1990's caused radical changes both in quality of services and demands of patients. Among many others one of the most important impacts of these reforms is that they caused an increase in violence towards physicians. Primary aim of this paper is to show the links that exists between health reforms and violence towards physicians in hospitals. Social meta-analysis based on comparisons of the findings of recent studies is used to achieve the above mentioned purpose of this study. Findings revealed that both makers of reformers and physicians should be aware of the fact that changes in the structure of patient-physician relationship should be made for the sake of the community.
    Laura M. Daniels*and Lisa C. Campbell
    Patients living in rural communities are more likely to be managing multi morbidity. Rural primary care (PC) clinics have limited resources for providing self-management programs for patients. With the shift toward providing patient-centered care it is critical to assess patient and provider perspectives of patient chronic disease self-management needs (CDSM).
    Objective: 1) Conduct an exploratory study that characterizes the prevalence of multi morbidity in a rural PC clinic, 2) Compare patients' and providers' perspectives about the CDSM needs and barriers of patients, 3) Compare the CDSM needs of patients with multi morbidity to that of patients without multi morbidity.
    Materials and Methods: Patients and providers at a federally qualified health center (FQHC) completed surveys about important domains of CDSM. Univariate, Chi-square, and Hierarchical Agglomerative Cluster analyses were employed.
    Results: Multi morbidity was present in 62% of the sample. Patients and providers generally had similar perceptions of CDSM needs and barriers. Patients with multi morbidity and patients with less than 2 chronic conditions differed significantly on factors that impacted CDSM and the need to improve pain management and patient-provider communication.
    Conclusion and Implications: Collaborating with patients and providers to develop CDSM programs that match each group's perspectives may help facilitate acceptability and sustainability of patient programs.
    Research Article
    Biranjia-Hurdoyal Susheela D* and Beharry SBD
    Background: Unwanted pregnancies and unsafe abortion among teenagers remain a concern in developing countries. The proper use and knowledge on oral contraceptive pills (OCP) could prevent such situations.
    Aim & Method: This study aimed at investigating the factors which could affect knowledge, attitudes and perceptions on OCP in a random sample of female students aged 14 to 20 years. The participants were interviewed with the help of a self-administered questionnaire.
    Result: Of the 652 participants, 94.8% were aware of the existence of OCP and 12.3% had used or are currently using OCP. Educational institutions, peers and advertisement had major roles in awareness. The subject of 'sex and contraception' was still a taboo at home for 42.3%. Knowledge on OCP was significantly affected by age, educational exposure and previous use of OCP (p<0.05). Future use of OCP was reported at higher prevalence among those who had a positive attitude towards OCP as compared to those who were negative (74.3% vs 46.8%; p<0.05) and knowing someone who had previously used OCP (LR=9.4; p<0.05). Younger students had a negative attitude towards the use of OCP (p<0.05) and teenagers who had misconceptions about the side effects were less likely to use OCP in future (p<0.05). Furthermore, 29.1% of the participants reported that OCP could be used as a method of protection against sexually transmitted diseases.
    Conclusion: Although the awareness of OCP was high, the knowledge was rather limited. There is an urgent need to further strengthen the on-going program of 'sex and contraception' at educational level.
    Nitya Chandiramani, Adele N. Norris and Rahul Kashyap
    It has been well established that end-of-life choices/terminology present unique challenges for which students find difficulty grasping. The struggle lies in the inherent complexity of end-of-life issues, which tread moral and ethical line. As end-of-life choices receive increased attention, it is imperative that students in health related fields become familiar with these topics. This study proposes that a critical approach, such as an interactive discussion, would help facilitate a quality understanding of end-of-life terminology. To teach the concepts euthanasia and withdrawal of care to 77 undergraduate health science students, this study employed an interactive discussion. It also used a pre-post survey design to assess the awareness and measure improvement in the students' knowledge about the differences between the two concepts. Additionally, it evaluated students' familiarity with the terms 'do not intubate' (DNI) and 'do not resuscitate' (DNR). The results revealed an improvement in student knowledge about the differences between euthanasia and withdrawal of care and increased familiarity with terminology such as DNI/DNR/comfort care. We propose that an interactive discussion intervention will reduce the knowledge gap regarding end-of-life terminology and will also improve students' understanding of these topics.
    André Rezende de Azevedo, Cláudia Regina Cavaglieri, Roberto Vilarta, Erika da Silva Maciel, Milva Maria Figueiredo De Martino and Jaqueline Girnos Sonati4
    Background: This study was aimed at comparing the physical capabilities and the quality of life of women who practice Lian Gong and women who do not.
    Methods: The study was observational, case-control and retrospective. The sample was non-probabilistic, for convenience and composed of 56 women over 60 years old who participate in additional activities of the public health care system. One group practising Lian Gong for six months, minimum attendance of 75% at three classes a week (n=30) and an average age of 67.8 (±7.30sd) years old. The other group, which does practice Lian Gong (n=26), with an average age of 67.4 years (±6.90sd). The muscular strengths in the upper and lower limbs as well as agility and dynamic balance were evaluated. Whoqol-bref was used to assess the quality of life. The body mass index and waist to hip ratio were used to evaluate the nutritional status.
    Results: A comparison of the data between the two groups showed that there was a significant difference between variables of flexibility of the upper limbs (p=0.033), body mass index (p=0.030) and waist to hip ratio (p=0.027). There was no significant difference between the groups for the variables of quality of life.
    Conclusions: The women practising Lian Gong showed better flexibility in the upper limbs and better values of body mass index and waist to hip ratio. The practice of lian gong proved to be important for health promotion for women over 60 years.
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