• Title/Summary/Keyword: Public practices

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Patients' and General Practitioners' Views About Preventive Care in Family Medicine in Switzerland: A Cross-sectional Study

  • Cohidon, Christine;Imhof, Fabienne;Bovy, Laure;Birrer, Priska;Cornuz, Jacques;Senn, Nicolas
    • Journal of Preventive Medicine and Public Health
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    • v.52 no.5
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    • pp.323-332
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    • 2019
  • Objectives: The aim of this study was to describe general practitioners (GPs)' opinions and practices of preventive care and patients' opinions, attitudes, and behaviors towards prevention. Methods: The data stemmed from a cross-sectional national survey on prevention conducted in Switzerland from 2015 to 2016. In total, 170 randomly drawn GPs and 1154 of their patients participated. The GPs answered an online questionnaire and the patients answered a questionnaire administrated by fieldworkers present at their practices. Results: Both patients and GPs agreed that delivering preventive care is the dedicated role of a GP. It appeared that beyond classical topics of prevention such as cardiovascular risk factors, other prevention areas (e.g., cannabis consumption, immunization, occupational risks) were scarcely covered by GPs and reported as little-known by patients. In addition, GPs seemed to use a selective approach to prevention, responding to the clinical context, rather than a systematic approach to health promotion. The results also highlight possibilities to improve prevention in family medicine through options such as more supportive tools and public advertising, more time and more delegated tasks and, finally, a more recognized role. Conclusions: Despite an unfavorable context of prevention within the healthcare system, preventive care in family medicine is reasonably good in Switzerland. However, some limitations appear regarding the topics and the circumstances of preventive care delivery. A global effort is needed to implement necessary changes, and the responsibility should be broadened to other stakeholders.

An Exploratory Study of Energy Consumption and Management in the Home (가정에서의 열에너지 관리 현황조사 연구 -서울 지역을 중심으로-)

  • 윤복자
    • Journal of the Korean Home Economics Association
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    • v.18 no.1
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    • pp.67-82
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    • 1980
  • The objectives of the study were to determine 1) energy uses for residential requirements, 2) if energy consumption and adoption of energy conservation attitudes and practices vary with independent variables family size, stage of family life cycle, homemaker's level of education, income, heating system, and number of electrical household items, and 3) if there is a correlation between energy conservation attitudes and practices. Questionnaires were given to the randomly selected homemakers I Seoul in the summer (September, 1979) and the winter (February, 1980). Analysis of variance and correlation were used to analyzed the data which consisted of 537 usable responses of 895 returned in the summer and 554 responses of 794 returned in the winter. The results are as follows: 1) The order of consumption rate of the direct energy uses for residential requirements was found to be heating and air conditioning, cooking, refrigeration, T.V., lighting, and miscellaneous. 2) Energy consumption and adoption of energy conservation attitudes and practices were significantly related to family size, homemaker's level of education, and the stage of family life cycle. (1) Families of five members revealed higher scores in attitudes and practices than families less than five or more than six. (2) The higher the homemaker's level of education, the more energy consumption and the higher scores I attitudes and practices were found. (3) Families in the middle stage of family life cycle tend to use more energy than younger or older families, but their scores in attitudes and practices were high. 3) There was a significant correlation between energy conservation attitudes and practices. However, the scores of the conservation practices were not as good as the attitudes. It may be attributed to either a lack of knowledge and/or financial difficulties, or a dissonance between the concept and implementation of energy conservation. 4) Recommendations for the energy-saving and energy-related public policies are: (1) to use such human resources as attitudes, values, feelings of agreement, and cooperation, as well as nonhuman resources for the energy conservation, (2) to develop a educational program and a creative system I order to implement energy conservation programs, and (3) to consider direct as well as indirect energy uses I selecting goods and services.

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Critical Barriers to the Practice of Effective Cost Planning in the Ghanaian Construction Industry

  • Kissi, Ernest;Adjei-Kumi, Theophilus;Badu, Edward
    • Journal of Construction Engineering and Project Management
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    • v.6 no.2
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    • pp.8-15
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    • 2016
  • Cost planning practices in the construction industry worldwide has gained much popularity in recent times due to economic recession and stringent measures that various procurement laws prescribe in most developed and developing countries. Nevertheless, these practices in developing countries such as Ghana are constrained with the existence of critical barriers that render them non-effective and hence, accounting for the numerous abandonment of both private and public projects. Consequently, this study was enunciated with the aim to examine the critical barriers to the practice of effective cost planning in the Ghanaian construction industry. Through an in-depth literature review and a pilot survey, questionnaires were designed and administered to quantity surveyors. Data generated from the field survey was subjected to principal component analysis. The findings of the study revealed weak cost planning knowledge base, poor cost databases and understanding, inadequate designs and planning and external conditions are the major barriers to cost planning practices in the Ghanaian construction industry. The need for this study cannot be doubted since it provides an insight for experts in the construction industry on the barriers of the practice of cost planning in the industry. The awareness of these barriers will therefore facilitate efficient and effective efforts to resolve them. A future study is thereby proposed by this study to explore effective cost planning practices in the Ghanaian construction industry that will ensure private and public stakeholders get value for their money invested.

Breast Cancer Knowledge, Perception and Breast Self-Examination Practices among Yemeni Women: an Application of the Health Belief Model

  • Al-Sakkaf, Khaled Abdulla;Basaleem, Huda Omer
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1463-1467
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    • 2016
  • Background: The incidence of breast cancer is rapidly increasing in Yemen with recent indications of constituting one-third of female cancers. The main problem in Yemen remains very late presentation of breast cancer, most of which should have been easily recognisable. Since stage of disease at diagnosis is the most important prognostic variable, early diagnosis is an important option to be considered for control of breast cancer in low resourced settings like Yemen. In the present study, we aimed at describing breast cancer knowledge, perceptions and breast self-examination (BSE) practices among a sample of Yemeni women. Materials and Methods: This cross-sectional study covered 400 women attending four reproductive health centres in Aden, Yemen through face-to-face interview using a structured questionnaire during April - July 2014. We collected data on sociodemographic characteristics, knowledge about breast cancer, and screening practices as well as respondents' perceptions based on the five sub scales of the Health Belief Model (HBM): perceived susceptibility; perceived severity; perceived barriers; perceived benefits; and self-efficacy. The response format was a five-point Likert scale. Statistical Package for Social Sciences (SPSS 20) was used for statistical analysis. Statistical significance was set at p<0.05. Logistic regression analysis was conducted with BSE as a dependent variable. Results: The mean age of women was 26.5 (S.D=5.6) years. The majority (89.0%) had never ever performed any screening. Two-thirds of respondents had poor knowledge. Perceived BSE benefits and self-efficacy and lower BSE barriers perception were significant independent predictors of BSE practice. Conclusions: Poor knowledge and inadequate BSE practices are prevailing in Yemen. The need for implementing culturally sensitive targeted education measures is mandatory in the effort to improve early detection and reduce the burden of breast cancer.

Studies on the Hand Hygiene Practices of Food-Service Businesses Workers: A Comparison of Full-time and Part-time Workers (외식업소 종사자의 손 위생관리에 관한 연구)

  • Kim, Jong-Gyu;Park, Jeong-Yeong;Kim, Joong-Soon
    • Journal of Environmental Health Sciences
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    • v.39 no.1
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    • pp.71-82
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    • 2013
  • Objectives: This study was performed in order to investigate hand hygiene practices among food-service businesses employees based on the awareness of hand-washing and load of indicator bacteria on their hands. It focused on the comparison of full-time and part-time workers in food-service workplaces. Methods: A direct-interview questionnaire survey and microbiological analysis were carried out with sixty workers each. Samples for microbiological analysis were collected through a modified glove-juice method from the hands of the food-service workers and were analyzed for aerobic plate count, total coliform, fecal coliform, Escherichia coli, Staphylococcus aureus, and Salmonella spp. Microbiological analysis was done according to the Food Code of Korea. Results: Significant differences (p<0.01) were found in the survey between the full-time and part-time workers in hand-washing frequency, use of hand-washing agents, and hand-drying methods. More full-time workers responded to washing their hands after preparing food, after visiting outside, after handling raw materials, and before putting on gloves/when changing gloves than did part-time workers (p<0.05). No remarkable difference was found in bacterial load on the hands except in the aerobic plate count between the two groups. The detection of E. coli, S. aureus, and Salmonella spp. on the hands of some food-service workers in both groups revealed poor hand hygiene practices. Conclusions: The results of this study indicate that there is a need for training programs in order to improve hand hygiene practices and strict hand hygiene compliance by food-service workers.

Feminine Hygiene Practices and Feminine Genital Infection in Adult Reproductive Age Women (성인 가임기 여성의 생식기 위생관리와 생식기 감염)

  • Yu, Mi Hwa;Ha, Ju Young
    • Journal of Korean Public Health Nursing
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    • v.37 no.2
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    • pp.218-232
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    • 2023
  • Purpose: This study was undertaken to identify the risk factors of genital infection by examining the genital hygiene practice followed by adult women of reproductive age. The results can be applied as basic data for health education and health management on female genital hygiene practices. Methods: Data ware collected by conducting an online survey, comprising 200 adult women of reproductive age. Genital infections according to genital hygiene practice were analyzed by simple logistic regression. Results: In this study, the Odds Ratio (OR) of genital infection occurrence of genital hygiene practices used were disposable briefs 4.11 (CI 1.79-9.39, p=0.020), feminine deodorant spray 3.13 (CI 1.37-7.15, p=0.007), deodorant, vaginal inserts (tabs/supp) 10.60 (CI 3.97-28.28, p<0.001), over the counter anti-itch products 3.73 (CI 1.67-8.34, p=0.001), blotting 11.47 (CI 4.62-28.48, p<0.001), natural sea sponge 4.98 (CI 2.04-12.15, p<0.001), reusable cotton pads 5.76 (CI 2.48-13.33, p<0.001), tampons 2.60 (CI 1.17-5.77, p=0.019), tampons/pads between periods 4.79 (CI 2.07-11.10, p<0.001) and tampons/pads combination 4.11 (CI 1.79-9.39, p=0.001) Conclusion: Our results indicated the necessity to refrain from unnecessary application of genital hygiene practices, which is highly related to genital infections identified in this study. There is a need to continue education for proper performance.

Developmentally Appropriate Practice : The Beliefs and Practices of Kindergarten Principals and Teachers (발달에 적합한 실제에 대한 유치원 원장의 교육신념 및 교사의 교육신념과 교수실제)

  • Nam, Mi Kyung;Hwang, Hae Ik
    • Korean Journal of Child Studies
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    • v.22 no.3
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    • pp.167-181
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    • 2001
  • This study explored the beliefs and practices of Developmentally Appropriate Practice (DAP) in 83 principals and 83 teachers of public and private kindergartens in Pusan and Ulsan. The research instruments was a teacher questionnaire by Kang(2000). Data were analyzed by t-test and ANOVA. Results showed that educational and career variables were unrelated to the DAP beliefs of principals, but there were differences in DAP beliefs by career variables of teachers. Teachers' use of DAP varied as a function of children's age and of combined levels of beliefs of principals and teachers.

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A Study on the Practices of Online Arbitration System of Guangzhou Arbitration Commission in China (중국 광저우(廣州)중재위원회의 온라인중재 운용에 관한 연구)

  • Cha, Kyung-Ja;Choi, Sung-Il
    • Journal of Arbitration Studies
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    • v.21 no.1
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    • pp.215-237
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    • 2011
  • There are more than two hundred arbitral institutions in China. Some of them are active in the development of online arbitration system, such as CIETAC and Guangzhou Arbitration Commission(GAC). GAC, founded in 1995, is the second largest arbitral institution in China which accepts more than 4,000 cases a year. With extensive experiences in arbitration, GAC has conducted online arbitration procedures since 2007. Moreover it opened the whole process of online hearing to the public through the Internet. With this background, this article aims to support the development of online arbitration through the analysis of GAC practices. To meet the purpose, status quo, rules and procedure of online arbitration of GAC are outlined, followed by introducing nine cases conducted by GAC. The scope of GAC online arbitration is comparatively narrow and the institution is still under the government supervision. But the practices of GAC proved that online arbitration is fully admissible and effective under the current legal framework.

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The Effect of Family Life Cycle and Financial Management Practices on Household Saving Patterns

  • Lee Seong-Lim;Park Myung-Hee;Montalto Catherine P.
    • International Journal of Human Ecology
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    • v.1 no.1
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    • pp.79-93
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    • 2000
  • Using the 1995 Survey of Consumer Finances, this study investigates how family life-cycle stages and financial management practices affect household saving. First findings are that household income and householders education, race and ethnicity have significant effects on saving. Second, regarding the effect of the family life-cycle stages, younger married couples without children, middle pre-retired households without dependent children, and older households without dependent children are more likely to save than other similar households in the life-cycle stage of younger single households. Third, households with longer financial planning horizons, saving goals for retirement, purchase of durable goods and emergency goods, and low credit card debt are more likely to save. Based on the results, implications for financial management education and public policy are suggested.

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Association between Maternal Feeding Practices and Excessive Weight Gain in Infants

  • Ra, Jin Suk
    • Research in Community and Public Health Nursing
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    • v.30 no.1
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    • pp.90-98
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    • 2019
  • Purpose: The purpose of this study is to identify the association between maternal feeding practices and excessive weight gain in infants. Methods: This study adopted a cross-sectional design and included 240 pairs of mothers and their infants (129 boys and 111 girls) in public healthcare centers in the Daejeon area in South Korea. Via multivariate analyses, the association between maternal feeding practices and excessive weight gain in infants was identified. Results: Among 240 infants in this study, 39 (16.3%) infants gained excessive weight during 12 months after birth. Using multivariate logistic regression with adjustment for covariates, more than 7 months of exclusive breastfeeding was associated with a reduced likelihood of excessive weight gain in infants during the 12 months after birth (adjusted odds ratio: 0.39, 95% confidence interval: 0.02~0.81, p=.029). Conclusion: Based on these results, nurses in communities and clinics should educate mothers on the importance of longer durations of exclusive breast feeding and develop strategies for encouraging such behavior. Furthermore, support for exclusive breast feeding should be provided in various settings.