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  • ISSN: 2379-0547
    Volume 5, Issue 1
    Michael A. Ward*
    Venous Thromboembolism is the third most common cause of vascular death following acute myocardial infarction and stroke [1]. Men appear to have a 2 fold higher incidence of VTE after correcting for estrogen as a confounder [2] and an individual’s lifetime risk approaches 8% from the age of 45. Without ongoing prophylaxis, almost 30% of all VTE patients will have a recurrent episode within ten years [3].
    Camille R. Quinn*
    Primary care providers should consider historical trauma as a part of their overall approach to patient care. Descending from an initial description of the experience of children of the Holocaust, historical trauma prompts a traditional question of Massai warriors “And how are the children?” or Kasserian Ingera [1].
    Short Communication
    Forough Saadatmand*, Roderick J. Harrison, Deanna Crouse, Marjorie Douglas, and Jennifer Bronson
    This research examines the prevalence of family violence among African American young adults, ages 18 to 25, who lived in socioeconomically disadvantaged areas of Washington, DC. We focused on nine questions from a 34 items question in the juvenile victimization questionnaire (JVQ), which measures the prevalence of childhood exposure to violence in the family before age 18. The results show that a relatively large percentage of African-American young adults in the sample were exposed to family violence. Nearly a third of the participants (30%) were physically abused by a grown-up in their life. About 20% said they were neglected as children and 29% said they had experienced emotional abuse.
    Research Article
    Noel Kulik*, Margaret McKeough, Stephanie Kendzierski, Ebonite Guyton, and Stacey Leatherwood
    Pediatrics remains as a recognized discipline for the referral of weight loss management amongst children and their family. The purpose of this study was to identify the key provider, patient and process factors that influence physician referrals to a weight management program for children and families. We performed a cross-sectional analysis of data collected from pediatricians and family medicine physicians using both online and paper-and-pencil formats. Data collected include demographic and training information; attitude, knowledge and self-efficacy for obesity treatment; and influences on referral practices to an evidence-based weight management program for children and families. Pearson ?2 and Spearman correlations examined bivariate relationships between training, knowledge; self-efficacy, behavior and referral variables, and independent samples t-tests were used to examine differences between types of physician. Fifty-two physicians completed the survey and have been in practice 22.0 ± 8.8 years. Physicians perceive a lack of patient interest in the program as the biggest influence on their referral practices; however lower levels of overall referrals were associated with a lack of physician knowledge and training in the referral process (r(39) = -0.39, p = .015), and by physicians’ concern over the amount of time spent with each family during the referral process (r(37) = -0.42, p = .011). Physicians’ own healthy eating behavior was associated with their confidence in assisting families with healthy eating and physical activity behaviors. Conclusions: In our sample of pediatricians and family medicine physicians from a large health system, findings suggest that building physician self-efficacy in counseling and referral practices to evidence-based programs must be a priority when working toward long-term improved obesity prevention and treatment.
    O OArije, Timothy Alabi*, and OS Olowookere
    Background: A critical step in solving the challenge of poor health facility utilization is getting feedback from users of the services on the quality of services they or their family receive at the health care facilities.
    Objective: This study explores perceptions of users on quality of child health services as the first phase for the development and validation of a quantitative tool for the assessment of perceived quality of child health services in primary health care (PHC) facilities.
    Method: Focus group discussions were conducted with male and female caregivers of under-five year old children from purposively selected catchment communities to assess their perception about the quality of health services in PHC facilities in South West Nigeria. Thematic content analysis was used to identify convergent and divergent opinions and to synthesis the perceptions of discussants through various combinations of open, axial and selective coding along with constant comparisons.
    Result: Availability of drugs, health workers being always available, spending quality time with the children, and the children recovering from their illnesses when treated were the most commonly cited markers of high quality of care in PHC facilities. Insufficiency of chairs for patients/caregivers, and dirty environment of the health facility amongst others were markers of low quality of child health care.
    Conclusion: In all there were 132 exchanges relating to perception of quality of child health care. These exchanges were organized into 39 quality related items to feed into the next phase of development of the scale for assessing user’s perception of quality of child health care in PHC facilities.
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