• Title/Summary/Keyword: Self care agency

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Determinants of Participation in a Breast Cancer Screening Trial in Trivandrum District, India

  • Frie, Kirstin Grosse;Ramadas, Kunnambath;Anju, Gopan;Mathew, Beela Sara;Muwonge, Richard;Sauvaget, Catherine;Thara, Somanathan;Sankaranarayanan, Rengaswamy
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7301-7307
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    • 2013
  • Background: Conspicuous differences in participation rates for breast self-examination (BSE), clinical breast examination (CBE), and referral for further investigations have been observed indicating involvement of a number of different factors. This study analysed determinants for participation in different levels of the breast cancer screening process in Indian females. Materials and Methods: An intervention group of 52,011 women was interviewed in a breast cancer screening trial in Trivandrum district, India. In order to assess demographic, socio-economic, reproductive, and cancer-related determinants of participation in BSE, CBE, and referral, uni- and multi-variate logistic regression was employed. Results: Of the interviewed women, 23.2% reported practicing BSE, 96.8% had attended CBE, and 49.1% of 2,880 screen-positives attended referral. Results showed an influence of various determinants on participation; women who were currently not married or who had no family history of cancer were significantly less likely to attend the screening process at any level. Conclusions: Increasing awareness about breast cancer, early detection methods, and the advantages of early diagnoses among women, and their families, as well as health care workers offering social support, could help to increase participation over the entire screening process in India.

Women's Unpaid Work as a Factor of Gender Inequality: A Case of Kazakhstan

  • OLGA, Yanovskaya;POTLURI, Rajasekhara Mouly;GULFIYA, Nazyrova;AIZHAN, Salimzhanova
    • Asian Journal of Business Environment
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    • v.10 no.2
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    • pp.17-21
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    • 2020
  • Purpose: This paper explores diverse issues related to the problem of women's unpaid domestic care work, and as a factor of gender inequality in their professional practice. Research Design: This article concentrated only on the analysis of secondary data available on the topic along with observation of facts in Kazakhstan based on diverse sources. In current conditions, the problem of women's unpaid domestic care work, and consequently, the lack of enough time and energy for professional employment. Distinguish domestic work vs. job/career/occupation, self-fulfillment, education, and leisure has a significant impact on women's life satisfaction. Data, and Methodology: This article focuses only on secondary data available in different sources from which the researchers procures comprehensive data and information. Results and conclusion: A family policy that aims to promote combining maternity, and domestic work with paid employment is an effective way to increase the proportion of working mothers/women. It is crucial to not only proportionally distribute the household responsibilities in the family but also to form an effective mechanism of state support for women through the development of the social services sector, as well as the adoption of a system-wide approach to gender equality.

A Descriptive Study of Occupational Health Services in Self-employed Enterprises (Nanoscale Enterprises), Shiraz, Iran

  • Jahangiri, Mehdi;Rostamabadi, Akbar;Yekzamani, Parvaneh;Abadi, Bahare Mahmood;Behbood, Fariborz;Ahmadi, Seyyedeh Fatemeh;Momeni, Zahra
    • Safety and Health at Work
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    • v.7 no.4
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    • pp.317-321
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    • 2016
  • Background: This study was conducted with aim of providing an overview of the current status of occupational health services and identifying the most common harmful agents at workplaces of Iranian self-employed enterprises (Nano-Scale Enterprises). Methods: A cross-sectional study was performed among a random sample including 1,758 employees engaging in self-employed enterprises with 5 and less employees. Results: Coverage of occupational health surveillance was very poor, annual health examinations were been conducted only for 64 (3.64%) of males and 31 (1.76%) of females, and occupational health trainings were not included of the services at all. Personal Protective Equipment were available in 462 (26.3%) of the enterprises. only in 0.4% of the enterprises working processes were been equipped by a local exhaust ventilation system. Difficult postures were the most common (81.5%) adverse working conditions. Conclusion: This study revealed a poor level of the implementation of occupational health services in Iranian self-employed enterprises. Based on the findings, providing basic training on the occupational health, more enforcing in conduction of health examinations and providing PPE, and taking appropriate strategies aimed at eliminating or minimizing work environment harmful agents are the major factor that should be considered to improve the level of occupational health services among the studied enterprises.

Effect of Work on Medical Expenditures by Elderly: Findings From the Korean Health Panel 2008-2013

  • Hyun, Min Kyung
    • Safety and Health at Work
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    • v.9 no.4
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    • pp.462-467
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    • 2018
  • Background: This study was conducted to investigate the effects of work on medical expenditures by the elderly. Methods: Data pertaining to individuals aged 65 or older collected by the Korean Health Panel 2008-2013 were used. The effects of work on medical expenditures were analyzed in a panel tobit model adjusted for several variables of demographic factors, socioeconomic factors, and health factors for health care. Data were also analyzed based on age groups (65-74, $75{\leq}$), type of work (waged or self-employed), and working time (daytime work or night time work). Results: Among the elderly older than 65 years, 34-37% were workers. Work among the elderly reduced medical expenditures relative to nonworking elderly. Specifically, medical expenditures were lower in individuals older than 75 years, as well as among those who were self-employed insured and had medical aid insurance and those who exercised. However, medical expenditures were higher among females, married individuals, those with a higher household income, and those with a chronic disease. Elderly wageworkers showed reduced medical expenditures than nonworking elderly and elderly daytime workers did. Conclusion: The elderly population's work, especially wage work and daytime work, reduced medical expenditures relative to no work. These results provide valuable information for policymakers by indicating that work was associated with lower medical expenditures than no work. If elderly work is to be encouraged, it is necessary to provide a variety of high-quality wage work.

Testing the Validity and Reliability of the Korean Version of the Premenstrual Coping Measure among Young Adult Women (성인초기 여성의 한국어판 월경전증후군 대처 측정도구의 타당도와 신뢰도 검증)

  • Kim, Ahrin;Chae, Myung-Ock;Jeon, Hae Ok
    • Journal of Korean Public Health Nursing
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    • v.31 no.2
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    • pp.296-310
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    • 2017
  • Purpose: The aim of this study was to develop and test the validity and reliability of the Korean version of the Pre-Menstrual Coping Measure (PMCM-K). Methods: Translation of the PMCM-K was validated using forward-backward translation methods. The study was conducted as a cross-sectional survey from March 7 to April 30, 2016 and the data from a total of 362 young adult women were used for the final analysis. The content validity, construct validity and criterion-related validity were evaluated. The internal consistency was calculated to assess the reliability. Results: The PMCM-K consisted of five factors: premenstrual coping regarding avoiding harm, awareness and acceptance of premenstrual change, self-care, communicating, and adjusting energy, which all explained 62.0% of the total variance in PMCM-K. The total score of the PMCM-K showed a positive correlation with the shortened premenstrual assessment form (r=.50). The Cronbach's alpha reliability coefficient was .94 for the overall instrument and .77-.93 for five factors. Conclusion: PMCM-K provides a valid and reliable scale for quantifying the ways of coping specific to a negative premenstrual change for Korean young adult women. The PMCM-K will play an important role as a way to gain a sense of agency in coping with premenstrual changes.

Blood and Body Fluid Exposure Related Knowledge, Attitude and Practices of Hospital Based Health Care Providers in United Arab Emirates

  • Zaidi, Moazzam Ali;Grifftths, Robin;Beshyah, Salem A.;Myers, Julie;Zaidi, Mukarram A.
    • Safety and Health at Work
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    • v.3 no.3
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    • pp.209-215
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    • 2012
  • Objectives: Knowledge, attitudes, and practices of healthcare providers related to occupational exposure to bloodborne pathogens were assessed in a tertiary-care hospital in Middle East. Methods: A cross-sectional study was undertaken using a self-administered questionnaire based on 3 paired (infectivity known vs. not known-suspected) case studies. Only 17 out of 230 respondents had an exposure in the 12 months prior to the survey and of these, only 2 had complied fully with the hospital's exposure reporting policy. Results: In the paired case studies, the theoretical responses of participating health professionals showed a greater preference for initiating self-directed treatment with antivirals or immunisation rather than complying with the hospital protocol, when the patient was known to be infected. The differences in practice when exposed to a patient with suspected blood pathogens compared to patient known to be infected was statistically significant (p < 0.001) in all 3 paired cases. Failure to test an infected patient's blood meant that an adequate risk assessment and appropriate secondary prevention could not be performed, and reflected the unwillingness to report the occupational exposure. Conclusion: Therefore, the study demonstrated that healthcare providers opted to treat themselves when exposed to patient with infectious disease, rather than comply with the hospital reporting and assessment protocol.

Improving Work Functioning and Mental Health of Health Care Employees Using an E-Mental Health Approach to Workers' Health Surveillance: Pretest-Posttest Study

  • Ketelaar, Sarah M.;Nieuwenhuijsen, Karen;Bolier, Linda;Smeets, Odile;Sluiter, Judith K.
    • Safety and Health at Work
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    • v.5 no.4
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    • pp.216-221
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    • 2014
  • Background: Mental health complaints are quite common in health care employees and can have adverse effects on work functioning. The aim of this study was to evaluate an e-mental health (EMH) approach to workers' health surveillance (WHS) for nurses and allied health professionals. Using the waiting-list group of a previous randomized controlled trial with high dropout and low compliance to the intervention, we studied the pre- and posteffects of the EMH approach in a larger group of participants. Methods: We applied a pretest-posttest study design. The WHS consisted of online screening on impaired work functioning and mental health followed by online automatically generated personalized feedback, online tailored advice, and access to self-help EMH interventions. The effects on work functioning, stress, and work-related fatigue after 3 months were analyzed using paired t tests and effect sizes. Results: One hundred and twenty-eight nurses and allied health professionals participated at pretest as well as posttest. Significant improvements were found on work functioning (p = 0.01) and work-related fatigue (p < 0.01). Work functioning had relevantly improved in 30% of participants. A small meaningful effect on stress was found (Cohen d = .23) in the participants who had logged onto an EMH intervention (20%, n = 26). Conclusion: The EMH approach to WHS improves the work functioning and mental health of nurses and allied health professionals. However, because we found small effects and participation in the offered EMH interventions was low, there is ample room for improvement.

The Effects of Medical Students' Self-Directed Learning Ability, Self-regulated Learning, and Communication Ability on Self-Efficacy in Performing Medical Treatment (의과대학생의 자기주도학습능력, 자기조절학습, 의사소통능력이 진료수행 자기효능감에 미치는 영향)

  • Nam Joo Je;Ji-Won Yoon;Jeong Seok Hwa
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.3
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    • pp.267-278
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    • 2024
  • This study was a descriptive research study targeting medical students to determine the impact of self-directed learning ability, self-regulated learning, and communication ability on self-efficacy in performing medical treatment. This study randomly selected medical students from Region J, located in Province G, as the approximate population, and a total of 125 copies were finally analyzed. Descriptive statistics were analyzed using t-test, ANOVA, correlation, and multiple regression analysis using IBM SPSS/25. Self-efficacy in performing medical treatment was related to self-directed learning ability (r=.61, p<.001), self-regulated learning (r=.50, p<.001), and communication ability (r=.33, p<.001). There was a positive correlation with all of them. As a result of analyzing the variables that affect the subject's self-efficacy in performing medical treatment using hierarchical multiple regression, self-directed learning ability was found to be the factor that best predicts self-efficacy in performing medical treatment, followed by self-regulated learning and communication ability. The total explanatory power was 46.6%. Acquiring specialized knowledge and becoming a doctor after graduation through clinical practice and acquiring the basic clinical practice skills necessary to successfully perform one's duties are important tasks that medical students must accomplish. Therefore, in order to improve medical students' self-efficacy in performing medical treatment, the importance of improving health care, major satisfaction, and life satisfaction must be recognized and managed. In addition, efforts to develop programs and improve systematic systems that can improve self-directed learning, self-regulated learning, and communication skills should also be supported.

Impact of mobile social commerce service quality on customer satisfaction and repurchase intentions

  • Kim, Kyu-dong;Yun, Young-Seon;Kim, Jeong-lae
    • International Journal of Advanced Culture Technology
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    • v.9 no.4
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    • pp.431-438
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    • 2021
  • We conducted this study to identifythe impact of mobile social commerce service quality on customer satisfaction and repurchaseintentions. The survey method used the self-recording way in which the respondents selected for the study and distributed 300 questionnaires, and with due personal care, researchers collected all the distributed questionnaires. The service quality in mobile social commerce has been selected as a factor of price, convenience, interaction and information through previous research. The results of this study are summarized as follows: First, the mobile social commerce service quality attributes all affected significantly(p<.05) customer satisfaction and the beta value of Economic Efficiency was the highest among the service quality attributes. Second, also the customer satisfaction influenced on consumer repurchase intentions significantly(p<.05).Based on the results of this study, we should strive to establish effective marketing strategies in the mobile social commerce industry.

ICT-based Living in the Contact Type Service Model for Self-life Support of the Elderly Living Alone (독거노인 자가생활지원을 위한 ICT기반의 생활밀착형 서비스 모델 개발)

  • Kim, Mi-Yun;Seo, Dong-Jo;Byun, Jong-Bong;Kang, Jong-Kwan
    • Journal of Digital Convergence
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    • v.13 no.4
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    • pp.25-38
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    • 2015
  • In case of current South Korea, the rapid graying is in the progress. Because of it, the increase of elders who live alone causes variety of social, economic and national problems. Especially in the modern city, the health care, safety and maintenance of pleasant and joyful life of elders who live alone are being a big social issue. Even though practical services have been tried at the whole of government approach, the detailed alternatives are insufficient to improve the daily life support and service to approach the information. This research suggests the "ELA Service Model" which actively improves the easy access to information and corresponds to condition and circumstance of elders for providing the ICT-base Elderly Living alone care service. It is a step self-life support service based on fundamental desire of elders which resolves the problem and contributes to establish the active and balanced policy to the elderly.