45 research outputs found
Assessment of knowledge and counseling practice of warfarin among pharmacists in UAE: A cross-sectional study
No full textObjective: Background: Warfarin has long been regarded as the cornerstone anticoagulant for patients requiring long-term prevention or treatment of thromboembolic disorders. With adequate knowledge and counseling skills, hospital and community pharmacists can play a major role in enhancing warfarin therapy. Objective: to evaluate the knowledge and counseling practices toward warfarin among community and hospital pharmacists in UAE. Methods: A cross-sectional study involving community and hospital pharmacies was conducted with online questionnaire which was submitted to pharmacists focusing on their pharmacotherapeutic knowledge and patient education toward warfarin in UAE. Data were collected within 3 months (July, August and September 2021). SPSS Version 26 was used to analyze the data. The survey questions were sent to expert researchers in pharmacy practice for comments on their relevancy, clarity, and essentiality. Results: Among the target population sample size of 400 pharmacists were approached. Majority of the pharmacists in UAE (157/400, 39.3%) had 1-5 years of experience. Most of the participants (52%) have fair knowledge about warfarin and (62.1%) of them have fair counseling practices about warfarin. Hospital pharmacists have more knowledge than community pharmacists (Mean rank, Independent pharmacy: 166.30, Chain pharmacy: 138.01, Hospital pharmacy: 252.27, p<0.05) and they have better counseling practice than community pharmacists (Mean rank, Independent pharmacy: 188.83, Chain pharmacy: 170.18, Hospital pharmacy: 222.90, p<0.05). Conclusion: The study’s participants had moderate knowledge and counseling practices of warfarin. As a result, specialized training in warfarin therapy management for pharmacists is needed to improve therapeutic outcomes and avoid complications. Moreover, conferences or online courses should be held to train pharmacists on how to provide professional counseling to patients
Utilization of Palm Wastes for Production of Invert Sugar
No full textAbstractAn economically attractive technique was adopted using date palm fibers as a new carrier for invertase adsorption and for invert sugar production. Experiments were carried out to evaluate the results of incubation of Baker's yeast with palm fibers in aqueous solution at 40° C for half an hour. CO2 produced from this reaction was employed as a reactant and it succeeded to modify the cellulosic surface of the palm fibers. This increased the capacity of invertase that had been secreted from Baker's yeast to be immobilized tightly on the cellulosic surface of the fibers. These results confirmed by FTIR and SEM. Characterization of the enzyme indicated that 1 gram of immobilized invertase on such wastes can produce 600mg of invert sugar. By this technique, Egypt would be able to supply 6 million kg invert sugar per year. Molasses used instead of sucrose to assess the sustainability of the process
Public Policy Development and Implementation in the United Arab Emirates. A study of organizational learning during policy development and implementation in the Abu Dhabi Police and the United Arab Emirates Ministry of Interior
No full textThis reflective analysis of the Emirati public policy process (PPP) cycle and implications of uneven application of new public management (NPM) paradigms in the UAE offers insight into the way that public administrations develop, learn, evolve, and cope with new challenges during the policy development process. The author also assesses the relationship between organizational learning and organizational practices, to generate practical knowledge and experience that is translated into recommendations that will benefit UAE government organizations, and indeed any public sector organization in the Gulf Region.
Inside action research was chosen to emphasize the author's dual role as both a researcher and a participant. As an advisor to both the Ministry of the Interior (MOI) of the UAE and the Abu Dhabi Police (ADP), the author helped both organisations improve their PPP experiences while researching the challenges, learning, and adaptations which occurred while policy was being developed within the MOI. The author generated data through reflective memos, informal interviews, and document analysis, and presents her findings in terms of both academic findings and practice-oriented recommendations.
The author primarily found that new models were necessary to reflect the highly flexible and authority-oriented UAE PPP cycle. The author also explored how cultural understandings led to challenges with NPM and learning in the UAE public administration, hindering policy development. Finally, the author found that her own position, as a female expatriate in the Emirati government, allowed for some valuable reflection about experience of serving in a Global South public administration
Impact of socioeconomic and behavioral factors on oral health of adult Americans: analysis of the 2011-2016 NHANES data
No full textOral health is a critical determinant of overall health with reported links to adverse chronic conditions such as cardiovascular disease. Several risk factors related to lifestyle behaviors and socioeconomic characteristics have direct influence on the oral health status. In order to establish specific oral health care measures the relationship of demographics and behavioral factors specifically dietary and smoking habits with oral health was examined. The individual socio-demographic and major dietary characteristics were analyzed using univariate models, while the interaction of these factors with general oral health was evaluated as a multivariate model using a binary logistic regression. The dataset from 2011-2016 National Health and Nutrition Examination Survey targeting civilian, non-institutionalized adults living in the 50 States of USA and the District of Columbia was used to conduct this secondary analysis. Findings indicate health insurance was associated with a lower risk for urgent dental treatment [F(1, 47)=212.2, P< 0.001] and untreated dental caries (OR = 1.6, P<0.001). Older age group was found to experience more tooth loss (OR =19.9, P< 0.001) and less likely to suffer from dental decay (OR =077, P=0.007), while African-Americans were more likely to experience both dental decay and tooth loss (OR =1.75, P<0.001, OR =2.2, P<0.001, respectively). The prevalence of tooth decay in U.S adults aged 20 years and above was approximately 21%. Current smokers [F(2, 94) = 143, P < 0.001] and males [F(1, 47)=64.4, P < 0.001] were more likely to need urgent dental care. Higher sugar intake was associated with poor oral health. Modifiable unhealthy lifestyle behaviors, gender, age, ethnicity and health insurance are important predictors of poor oral health status in adult population. Collectively, these findings provide important insights into the relationship between multiple behavioral as well as socioeconomic factors and oral health that have considerable public health implications and can be an important measure to monitor the progress of health promotion goals set by public health programs.Ph.D.Includes bibliographical reference
A Case Study of International ESL Learners' Perceptions of Technology Use in English Language Learning
No full textResearch in English as a Second Language (ESL) learners' perceptions of integrating technology in language learning is still relatively new. Most studies focused on the integration of one technology application in language instruction. In this study, the author examines the perceptions of six ESL international students in the English Language Center at UMBC about their experience in computer-assisted language learning (CALL). The study implements a variety of technology applications. A case study research methodology was used. Individual case studies and cross-case study techniques were employed. Data collection involved a survey, initial and final interviews, observation, and researcher's reflective journal. The analysis of the findings was organized in four major categories: learners' statements about their perceptions, learners' behaviors while interacting with technology tools, and learners' concerns about limitations of technology integration, and researcher's perceptions of the limitations. The findings revealed learners' positive perceptions of technology applications as language learning tools, with a deep concern for the communicative, collaborative and interactive nature of the applications. The use of technology in language learning was always supported by the presence of the language instructor as a coordinator and facilitator of the learning experience. Trust in the instructor's ability to connect the technology learning tools with the learning goals was deeply valued. Through this experience, the researcher, who was also the instructor for the course, learned the importance of class instruction and technical support for technology use in the language classroom
E-commerce web design guidelines for teen shoppers
No full textNowadays E-Commerce has become a hot topic. Previously the field of ecommerce was only interested in doing business by organizations, companies, and adult people. But recently online business owners, started to focus on teenagers because they spent much more time using the World Wide Web than the adults and the numbers of teenagers goes online increases. Thus, the websites designers focus on designing e-commerce websites for teenagers, putting in their consideration the teenagers’ drifts and tendency and how the harmony of the teenagers with the portal will be attained. The lack of existing studies of designing guidelines for developing e-commerce portals for teen shopper become a crucial factor that should be considered. Therefore, the need for standard guidelines arises, and should be followed in order to increase the effectiveness of the portals. Such guidelines as animation, audio, and celebrity’s news. This research focuses on the main issues in designing e-commerce portals for teen shoppers and tries to solve the main question “how to develop and design an e-commerce website for teen?”. This research aims to study and understand the concept of e-commerce portals and design guidelines for teenagers. The author hopes that the designed portal will be more suitable with the context and the targeted group of it
The Effect of a Whole Brain Teaching Based Instruction on Developing Number Competencies and Arithmetic Fluency in Kindergarten Children
No full textYoung children need to be taught using effective interventions. A good teaching method is one that will increase children's motivation to learn, keep them aware of their understanding and encourage them to reflect on what they learn, if this teaching is based on relevant and visible training. Otherwise, they may suffer from delays in mathematics. One of these effective interventions is Whole Brain Teaching (WBT). The participants were 90 kindergarten children recruited from two public kindergarten schools in Matrouh city, Egypt. Two classes, with 45 children in KG1, were randomly selected using the fishbowl method. Children aged 4 and above (KG1 children) were targeted. In order to analyze the data from the pre- and post-test, the author used the Statistical Package for the Social Sciences (SPSS) V18.0. two- way ANOVA analysis and t-test. The findings of the study confirmed that adopting Whole Brain Teaching (WBT) approach helped in the increasing of student's involvement. Third, the intervention allowed children to see, say, hear and move physically, and this resulted in the emotional involvement in lessons presented. Gradually, as lessons progress, children become more fluent. The effectiveness of WBT had great results which were obvious on children’s learning, affection and behaviour. During and after the presentation and application of the intervention, children maintained behavioural engagement. Prior to the intervention, the teacher took a long time trying to manage children
Understanding the relationship between HR practices and organizational commitment and job satisfaction of the members of Saudi Arabian universities
No full textThe overall aim of this thesis is to examine HR practices within university settings in Saudi Arabia and the extent to which these HR practices as perceived by staff are associated with employees (academics) level of job satisfaction and their commitment to their universities. In addition, consideration was given to the potential influences of demographic variables and country or cultural context. The author contends that Saudi Arabia like other middle eastern countries possess distinctive characteristics in terms of culture, tradition and other factors relative to western countries and notably models of human resource practice tend to be dominated by Western HR systems. Furthermore, there appears to be a dearth of relevant literature in the Saudi country context or its GCC neighbours in relation to this study’s aim and objectives. This study relies on the use of the mixed methods approach, i.e. quantitative (questionnaire) and qualitative (semi-structured interviews), with sample sizes of 534 academics and 22 (both academics, HR personnel/management participants), respectively. Furthermore, cultural aspects such as Saudisation and demographics were also addressed in the interview phase. Quantitative analyses utilised Multiple Linear Regression Analyses and Thematic Analysis for qualitative. Overall, the quantitative research showed that there is a poor perception of HR practices in Saudi universities but good levels of faculty’s job satisfaction and organisational commitment to their universities. Regression analyses showed generally there is no association between perceived HR practices and job satisfaction and organisational commitment while the association was found between organisational commitment and job satisfaction. The surprising lack of association of Perceived HR practices with organisational commitment and job satisfaction, contrary to the academic literature, led the researcher to develop a second stage to investigate the potential influence of other factors such as contextual or cultural influences. Generally, qualitative data of both groups revealed there is generally a lack of knowledge and awareness of HR practices. Specifically, there is poor HR planning, ineffective attraction, retention strategies. However, they demonstrated mixed views in terms of HR development, which focused primarily on training courses. Both groups’ perspectives indicated there are high levels of organisational commitment and job satisfaction within the universities. With respect to culture, it was emphasised by all participants that “Wasta” or “personal connections” are prevalent. However, it is a problematic issue that should have no place in any university and advocated employees be selected on skills alone. Furthermore, while the concept of Saudisation was welcomed, many believed that it should not be at the expense of high quality staff and advocated the need for diverse faculty in academia. In fact, the findings point to various challenges facing HR practices and how they are perceived in Saudi universities, and hence these should be addressed with the aim of improving job satisfaction and organisational commitment amongst faculty staff members. A key empirical contribution of this thesis is the expansion of academic research in the field of strategic HR management (SHRM) in Saudi Arabia and the Middle East in general and in higher education in specific. Furthermore, this study provides an original research and a new insight into how HR practices are perceived. The findings may provide guidance on practical implications for universities as well as decision- and policymakers, but it also contributes to developing the theoretical and applied approach in relation to perceived HR practices. Moreover, the theoretical contribution is reflected through the identification of perceptions around HR practices within the context of organisational commitment and job satisfaction. It is important to understand that cultural aspects were considered, while the overall research approach should be more comprehensive in the future
QUALITY OF PRIMARY HEALTH CARE SERVICES IN FAMILY HEALTH CENTERS IN EL-BEHIRA GOVERNORATE
No full textAbstract: High–quality primary health care services are the outcome of strong service delivery and the result of well-organized and achieved services, supported by a strong system and sufficient inputs, such as human resources, infrastructure, drugs, and supplies. The aim of the study is to assess the quality of PHC services in family health centers in El-Behira Governorate. Material and Methods: Research design: Descriptive research design will be used to conduct this study. Setting: The study will be conducted in governmental family health centers in El-Behira governorate affiliated with the Ministry of Health. Subjects: The subjects of the present study will be all the nurses (347) working in studied family health centers. Sampling: A multistage sampling technique will be used to select the required sample. Tools: two tools were used. Tool (I): Nurses' quality knowledge and perspective structured questionnaire sheet. Tool (Π): Quality of Primary Health Care Services Evaluation. Results: the vast majority of the nurses in Damanhour, Etay EL-Baroad, Abo-Homos were females. More than two thirds (68.6%) of the nurses in Damanhour FHC compared to less than two thirds of the nurses in Etay El-Baroad and Abo-Homos (66.4% and 64.3% respectively) and half (54.3%) of them in El-Rahmanya had a secondary school of nursing diploma. Among nurses with low perspectives, 3.2% of them had poor knowledge about quality compared to none of those with high perspectives. The Family Health Centers had the highest process mean score related to provision of services especially for maternity care, family planning services and childcare. While the total clinics' process is unsatisfactory for essential drugs. Conclusion: Based on the findings of the present study, it can be concluded that none of the studied family health centers in all districts studied had a high total quality level. A significant relation was found between nurses’ mean score of knowledge and their perspective levels related to quality of services and socio-demographic characteristics related to previous training and frequency of training. The Family Health Centers had the highest process mean score related to provision of services especially for maternity care, family planning services and childcare. Recommendations: The predominant policy recommendation is that the Egyptian Ministry of Health needs to improve the budget allocation for primary health care units and centers as it is the entrance keeper to secondary and tertiary health care. It is equally important to maintain the support policy for primary health care services in order to meet the restricted affordability of low-income people who would fight to get health care if the prices of examination and medication would be increased.
Keywords: primary health care, family health centers, quality of PHC services.
Title: QUALITY OF PRIMARY HEALTH CARE SERVICES IN FAMILY HEALTH CENTERS IN EL-BEHIRA GOVERNORATE
Author: Hend Salah Shehata, Enas Mohamed Ibrahim, Reem Bassiouny El Lassy, Doaa Ali Eldemrdash
International Journal of Novel Research in Healthcare and Nursing
ISSN 2394-7330
Vol. 10, Issue 1, January 2023 - April 2023
Page No: 154-170
Novelty Journals
Website: www.noveltyjournals.com
Published Date: 26-April-2023
DOI: https://doi.org/10.5281/zenodo.7868181
Paper Download Link (Source)
https://www.noveltyjournals.com/upload/paper/QUALITY%20OF%20PRIMARY%20HEALTH-26042023-2.pdfInternational Journal of Novel Research in Healthcare and Nursing, ISSN 2394-7330, Novelty Journals, Website: www.noveltyjournals.co
