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1.
Medicine (Baltimore) ; 102(1): e32518, 2023 Jan 06.
Artículo en Inglés | MEDLINE | ID: mdl-36607870

RESUMEN

In the era of artificial intelligence (AI), a great deal of attention is being paid to AI in radiological practice. There are a large number of AI products on the radiological market based on X-rays, computed tomography, magnetic resonance imaging, and ultrasound. AI will not only change the way of radiological practice but also the way of radiological education. It is still not clearly defined about the exact role AI will play in radiological practice, but it will certainly be consolidated into radiological education in the foreseeable future. However, there are few literatures that have comprehensively summarized the attitudes, opportunities and challenges that AI can pose in the different training phases of radiologists, from university education to continuing education. Herein, we describe medical students' attitudes towards AI, summarize the role of AI in radiological education, and analyze the challenges that AI can pose in radiological education.


Asunto(s)
Radiología , Estudiantes de Medicina , Humanos , Inteligencia Artificial , Radiología/educación , Radiólogos , Escolaridad
2.
Radiol Technol ; 94(3): 197-204, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36631219

RESUMEN

PURPOSE: To identify current tuition trends among types of radiography programs; compare tuition rates; and provide prospective students, educators, and professionals with a comprehensive cost analysis for postsecondary education planning, recruitment, and retention. METHODS: Radiography program tuition data were collected from the Joint Review Committee on Education in Radiologic Technology (JRCERT) website. National tuition rates were obtained from the National Center for Education Statistics website. Tuition fees for JRCERT-accredited programs were sorted by degree level and state. The data were evaluated for each pathway to determine tuition range, median cost, cost effectiveness, and comparison with national rates. RESULTS: The range of annual tuition costs for JRCERT-accredited radiography programs was $750 to $51 769. Results were not normally distributed, and the median annual tuition rate for all programs was $5005. Broken down by program type, the median tuition rate was $4861 for a certificate, $4556 for an applied associate of science degree, $5959 for an associate of science degree, and $10 075 for a bachelor of science degree. The overall mean for radiography tuition was $7875, compared with the national average of $13 016 for all undergraduate institutions nationally. DISCUSSION: Radiography program tuition rates vary widely. Prospective students' use of research and financial strategies to determine the best value is recommended. The applied associate of science degree in radiography was found to be the most cost-effective type of program. Bachelor's degrees in radiography were the most expensive option, but according to the literature, a bachelor's degree could yield additional benefits such as increased employment, advanced career opportunities, and higher return on investment. CONCLUSION: An education in radiography is a competitive option compared with the national average for undergraduate programs. To achieve a favorable outcome, prospective students should evaluate educational costs, educational value, and informed decision-making strategies when investing in their postsecondary education.


Asunto(s)
Estudiantes , Tecnología Radiológica , Humanos , Radiografía , Tecnología Radiológica/educación , Escolaridad , Universidades
3.
Nurse Educ Today ; 121: 105709, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36638727

RESUMEN

BACKGROUND: Different types of educational approaches are needed to build a mentor's competence in guiding students during clinical practice; this education should be provided in an interprofessional setting. OBJECTIVES: The objective of this review was to evaluate how effective mentoring education interventions are at improving mentoring competence among health care professionals. DESIGN: A systematic review. DATA SOURCES: A systematic search was conducted across five electronic databases: CINAHL, PubMed, ProQuest, Scopus, and Medic. The search did not have any time limitations and included original studies published in English, Finnish or Swedish. REVIEW METHODS: JBI critical appraisal tools for quasi-experimental studies and randomized controlled trials were used to assess the quality of the selected studies. The eligibility of potentially relevant studies was assessed by two independent researchers based on title, abstract, and full text, along with overall methodological quality. The study findings were synthesized using data tabulation and narrative analysis. RESULTS: A total of two randomized controlled trials and six quasi-experimental studies were included in the review. The described mentoring education interventions were carried out in university hospitals, central hospitals, tertiary care centers, and other health service settings. All of the described educational interventions involved the pedagogical method of blended learning, while three studies also involved web-based learning. The presented educational interventions included versatile pedagogical frameworks, e.g., interactive practical training sessions, teaching workshops, and technology-mediated interactions. One study contained a control group. CONCLUSION: This systematic review can provide insight and evidence-based that can be used to design effective mentoring education. Further research is needed and would ideally include randomized controlled trials and quasi-experimental studies with reference groups; this type of research could further elucidate which aspects of mentoring education are most important for improving the guidance skills of health care professionals.


Asunto(s)
Tutoría , Humanos , Mentores , Personal de Salud/educación , Aprendizaje , Escolaridad
4.
Ann Med ; 55(1): 292-304, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-36594480

RESUMEN

BACKGROUND: Teachers with high educational levels significantly impact the health-related knowledge and attitudes of young students and their family members. This study aimed to investigate the coronavirus disease 2019 (COVID-19) vaccine hesitancy and associated factors, and compare the differences between decision-makers and non-decision-makers among college teachers. METHODS: A cross-sectional online survey was administered across mainland China from 4 to 7 August 2021. Overall, 251 college teachers were included using snowball sampling. A multivariable logistic regression model was applied to explore the association between decision-makers and hesitancy to receive a COVID-19 vaccine. RESULTS: Overall, 42.2% of the teachers were hesitant to being vaccinated against COVID-19. The hesitancy rate was lower among primary decision-makers than that among non-decision-makers (34.8% vs. 60.3%, p < .001). Primary decision-makers were less hesitant regarding COVID-19 vaccination than non-decision-makers (OR = 0.37, 95% CI 0.20-0.70); remarkably, whereas those engaged in nursing education versus non-medical related professional education (OR = 2.67, 95% CI 1.29-5.49), and partial versus full-course vaccination recipients (OR = 4.48, 95% CI: 1.76-11.42) were more likely to be hesitant regarding COVID-19 vaccination. CONCLUSION: Our findings indicate that a high proportion of college teachers in China are hesitant to receiving COVID-19 vaccination, and that primary decision-makers are less likely to exhibit hesitancy to being vaccinated against COVID-19 than non-decision-makers in their family. Family decision-makers among teachers can be considered a priority for COVID-19 vaccine promotion, thereby enhancing vaccine acceptance among vulnerable populations-including older adults and children-and preventing adverse outcomes.KEY MESSAGESQuestion: How prevalent is COVID-19 vaccine hesitancy among college teachers? Do differences exist between decision-makers and non-decision-makers?Findings: We found that a substantial proportion of college teachers are hesitant to being vaccinated against COVID-19, and that family decision-makers exhibited a lower hesitancy rate than non-decision-makers.Meaning: Our findings indicate that distinguishing between family decision-makers and non-decision-makers is necessary to facilitate vaccination promotion interventions among college teachers.


Asunto(s)
Vacunas contra la COVID-19 , COVID-19 , Niño , Humanos , Anciano , Vacunas contra la COVID-19/uso terapéutico , COVID-19/epidemiología , COVID-19/prevención & control , Estudios Transversales , China/epidemiología , Escolaridad
5.
BMJ Open ; 13(1): e064532, 2023 Jan 03.
Artículo en Inglés | MEDLINE | ID: mdl-36596635

RESUMEN

OBJECTIVES: Policymakers must ensure that the entire population has equal access to health services, and efforts to minimise inequalities are needed. This study aimed to analyse the regional disparities in hospital utilisation in Indonesia. DESIGN: A cross-sectional study analysing secondary data from the 2018 Indonesian Basic Health Survey. SETTING: National-level survey data from Indonesia. PARTICIPANTS: A total of 629 370 participants were included in the study.InterventionWe employed no interventionPrimary and secondary outcome measuresThe primary outcome was hospital utilisation. Aside from region, we utilise residence type, age, gender, marital status, educational level, occupation, wealth, insurance and travel time as control variables. We used binary logistic regression in the final analysis RESULTS: The respondents in Sumatra were 1.079 times (95% CI 1.073 to 1.085) more likely than those in Papua to use the hospital. Furthermore, compared with the respondents in Papua, those in the Java-Bali region (1.075 times, 95% CI 1.069 to 1.081), Nusa Tenggara (1.106 times, 95% CI 1.099 to 1.113), Sulawesi (1.008 times, 95% CI 1.002 to 1.014) and Kalimantan (1.212 times, 95% CI 1.205 to 1.219) were more likely to use the hospital. However, those in Maluku were less likely than those in Papua to use the hospital (0.827 times, 95% CI 0.820 to 0.835). Six demographic variables (age, gender, marital status, educational level, occupation and wealth) and three other control variables (residence type, insurance and travel time to the hospital) were found to be associated with hospital utilisation. CONCLUSIONS: Our findings highlight the existence of regional disparities in hospital utilisation in Indonesia.


Asunto(s)
Estudios Transversales , Humanos , Indonesia/epidemiología , Encuestas Epidemiológicas , Encuestas y Cuestionarios , Escolaridad , Factores Socioeconómicos
6.
Pediatr Surg Int ; 39(1): 86, 2023 Jan 20.
Artículo en Inglés | MEDLINE | ID: mdl-36662364

RESUMEN

PURPOSE: To assess real-world educational outcomes, neurodevelopmental disorders and mental health disorders in patients with intestinal atresia (IA) and compare these to outcomes to age-matched controls. METHODS: We performed a retrospective case-control study of children with IA born between 1991 and 2017. We evaluated educational outcomes using an Early Developmental Instrument, Grades 3, 7 and 8 assessments, Grade 9 completion and performance, high school graduation, and neurodevelopmental and mental health disorders using International Classification of Diseases codes available from a population-based dataset. RESULTS: We identified a total of 94 IA cases and 940 date-of-birth-matched controls. Cases with chromosomal anomalies were more likely to fail the Early Developmental Instrument (OR = 2.88, p = 0.037), Grade 8 reading (OR = 2.94, p = 0.043) and Grade 12 (OR = 3.25, p = 0.036); cases without chromosomal anomalies were at no greater risk than their peers of failing to meet expectations and did not have an increased risk of anxiety (OR = 0.48, p = 0.12), depression (OR = 0.74, p = 0.6) or hyperactivity disorder (OR = 1.92, p = 0.087). CONCLUSIONS: Our study demonstrated that IA patients without chromosomal anomalies are not at higher risk of neurodevelopmental and mental health disorders than controls. These results will offer more accurate outcome predictions for parents of children with IA.


Asunto(s)
Atresia Intestinal , Humanos , Niño , Estudios de Casos y Controles , Estudios Retrospectivos , Escolaridad , Evaluación de Resultado en la Atención de Salud
7.
PLoS One ; 18(1): e0280632, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36662806

RESUMEN

INTRODUCTION: Menopause is the permanent cessation of menstruation. Quality of life is a broad concept affected by an individual's physical health, psychological state, level of independence, societal relationship, and environmental features. During the menopausal period, women can experience various symptoms affecting their quality of life. This study assesses the factors associated with health-related quality of life among menopausal women. MATERIALS AND METHODS: A community-based cross-sectional study was carried out among 249 menopausal women to assess their health-related quality of life, associated factors, and self-reported health problems. A pre-tested structured interview schedule was used to conduct face-to-face interviews to obtain the information per the study's objective. The Menopausal Rating Scale (MRS) was used to assess the health-related quality of life. Data was entered in Epi-data, and analysis was done using the Statistical Package for Social Sciences (SPSS). Univariate, bivariate, and multivariate analyses were carried out to obtain results per our objectives. RESULTS: The study found that 51.4% of menopausal women had poor quality of life. The mean and standard deviation of the total MRS score was found to be 9.5±5.3. Ultimately, the factors such as educational attainment {Adjusted Odds Ratio (AOR) = 5.779, 95% Confidence Interval (CI): 2.029-16.459}, medication/treatment of the health problems (AOR = 4.828, 95% CI: 1.662-14.023), alcohol intake status (AOR = 8.006, 95% CI: 2.016-31.785) and physical activity (AOR = 5.746, 95% CI: 1.144-28.872) were significant determinants of quality of life among menopausal women. CONCLUSION: There is a need to pay proper attention to factors affecting the quality of life to improve the status of menopausal women.


Asunto(s)
Menopausia , Calidad de Vida , Femenino , Humanos , Estudios Transversales , Nepal/epidemiología , Menopausia/psicología , Escolaridad , Encuestas y Cuestionarios
8.
PLoS One ; 18(1): e0276477, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36662836

RESUMEN

BACKGROUND: Male partner involvement during the postpartum period is an effective strategy to improve maternal and newborn health outcomes. However, since reproductive health has been viewed as only a woman's issue, it remains a major challenge in developing countries, including Ethiopia. The current study aimed to assess male partner involvement in postnatal care service utilization and associated factors in the Motta district of North West Ethiopia in 2020. METHODS: A community-based cross-sectional study was conducted from March 16 to 30, 2020, among male partners whose wives gave birth in the last twelve months in Motta district. A systematic random sampling technique was used to obtain 612 study participants. Data entry was carried out by using Epi Data version 3.1 and exported to Statistical Package of Social Science version 23 for analysis. A binary and multiple logistic regression method were employed to estimate the crude and adjusted odds ratios with a confidence interval of 95% and a P value of less than 0.05 were considered statistically significant. RESULTS: The findings from this study highlight that the overall male partner involvement in postnatal care service utilization was 20.8% at 95%CI (17.6%, 24.1%). The regression results indicated that male partners residing in urban areas, attending primary and secondary education, having good knowledge of postnatal care services, having good knowledge of danger signs and complications during the postnatal period, having a favorable attitude toward male partner involvement in postnatal care, and a short distance to health care facilities were shown to be significantly and positively associated with male partner involvement in postnatal care services. CONCLUSION: The magnitude of male partner involvement in postnatal care service utilization was low as compared to other studies. Community-based awareness creation through health education and expanding educational and health care service institutions are essential to increase the involvement of male partners in postnatal care services.


Asunto(s)
Servicios de Salud Comunitaria , Atención Posnatal , Femenino , Embarazo , Recién Nacido , Masculino , Humanos , Estudios Transversales , Etiopía , Escolaridad , Aceptación de la Atención de Salud
9.
BMC Oral Health ; 23(1): 41, 2023 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-36698181

RESUMEN

BACKGROUND: Dental service utilization is important for maintaining and enhancing children's oral health status. However, there is paucity of information regarding dental service utilization and factors affecting it among school aged children in Ethiopia. OBJECTIVES: The purpose of this study was to determine the dental service utilization and associated factors among school aged children (6-15) years in Mekelle city, Northern Ethiopia. METHODS: A school-based cross-sectional study was conducted in Mekelle city of Northern Ethiopia from January 2016 to June 2016. A multi-stage sampling method was used to select 405 school children. A modified World Health Organization oral health assessment form for children was used to collect data. Univariate and multivariable logistic regressions with 95% CI were used to test the association between past-year dental service utilization, as an outcome variable, and parental socio-demographic, and child characteristics as independent variables. RESULTS: A total of 398 school children participated in the study. The overall dental service utilization among these children was (10.6%), 95% Confidence Interval (CI) (7.5%, 13.6%). In multivariable logistic regression analysis, maternal educational status (illiterate versus college and above (adjusted odds ratio (AOR) 0.13, 95% CI 0.01, 0.93)), higher monthly income (AOR 11.69, 95% CI 1.19, 114.61)), and having dental pain (AOR 50.8, 95% CI 17.8, 145.17)) were significantly associated with past year dental service utilization. CONCLUSION: Our findings showed that a small proportion of the study population visited a dentist in the past year. Maternal educational status, monthly income, and dental pain were associated with past year dental service utilization. Oral health education programs focusing on dental service utilization targeting school children are crucial.


Asunto(s)
Atención Odontológica , Dolor , Humanos , Niño , Estudios Transversales , Etiopía/epidemiología , Escolaridad
10.
PLoS One ; 18(1): e0279965, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36696372

RESUMEN

OBJECTIVES: The objective of our study was to describe time trends in body height according to attained educational level in women and men in Norway. METHODS: We used previously collected data from six repeated cross-sectional studies in the population based Tromsø Study 1979-2016. Measured body height in cm and self-reported educational level were the primary outcome measures. We included 31 466 women and men aged 30-49 years, born between 1930 and 1977. Participants were stratified by 10-year birth cohorts and allocated into four groups based on attained levels of education. Descriptive statistics was used to estimate mean body height and calculate height differences between groups with different educational levels. RESULTS: Mean body height increased by 3.4 cm (95% confidence interval (CI) 3.0, 3.8) in women (162.5-165.9 cm) and men (175.9-179.3 cm) between 1930 and 1977. The height difference between groups with primary education compared to long tertiary education was 5.1 cm (95% CI 3.7, 6.5) in women (161.6-166.7 cm) and 4.3 cm (95% CI 3.3, 5.3) in men (175.0-179.3 cm) born in 1930-39. The height differences between these educational groups were reduced to 3.0 cm (95% CI 1.9, 4.1) in women (163.6-166.6 cm) and 2.0 cm (95% CI 0.9, 3.1) in men (178.3-180.3 cm) born in 1970-77. CONCLUSIONS: Body height increased in women and men. Women and men with long tertiary education had the highest mean body height, which remained stable across all birth cohorts. Women and men in the three other groups had a gradual increase in height by birth cohort, reducing overall height differences between educational groups in our study population.


Asunto(s)
Estatura , Masculino , Humanos , Femenino , Anciano de 80 o más Años , Estudios Transversales , Estudios de Cohortes , Escolaridad , Autoinforme
11.
PLoS One ; 18(1): e0280494, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36696384

RESUMEN

The disruption caused by the Covid-19 pandemic generated an unprecedented situation, in which digital learning, in the form of Emergency Remote Teaching, was the only possible form of schooling. Italy soon decided to close schools as a measure to counter the spread of the virus. Although the Ministry of Education suggested general guidelines, school principals and teachers were autonomous in deciding how to best organise their educational activities. The first objective of our study is to identify subgroups of teachers, based on the use of digital tools during the Covid-19 emergency. Secondly, we explore how subgroups differ in terms of teachers' satisfaction and students' performance. To this end, we integrate information from an ad hoc survey completed by 1,407 primary and lower secondary teachers in Italy, with the students' standardised test scores provided by INVALSI. Data have been analysed through a 3-step latent class analysis. The findings reveal that one third of the teachers showed resistance to the use of digital technologies and focused mainly on asynchronous teaching. Teachers that used a broader set of digital instruments, instead, were more satisfied with their teaching practices. A more articulated use of technology for teaching activities was also positively associated with higher students' performance in 2021.


Asunto(s)
COVID-19 , Pandemias , Humanos , Pandemias/prevención & control , COVID-19/epidemiología , Escolaridad , Instituciones Académicas , Italia/epidemiología
12.
Artículo en Inglés | MEDLINE | ID: mdl-36697026

RESUMEN

BACKGROUND: Health screening is a preventive and cost-effective public health strategy for early detection of diseases. However, the COVID-19 pandemic has decreased health screening participation. The aim of this study was to examine regional differences in health screening participation between before and during COVID-19 pandemic and vulnerabilities of health screening participation in the regional context. METHODS: Administrative data from 229 districts consisting of 16 provinces in South Korea and health screening participation rate of each district collected in 2019 and 2020 were included in the study. Data were then analyzed via descriptive statistics and geographically weighted regression (GWR). RESULTS: This study revealed that health screening participation rates decreased in all districts during COVID-19. Regional vulnerabilities contributing to a further reduction in health screening participation rate included COVID-19 concerns, the population of those aged 65+ years and the disabled, lower education level, lower access to healthcare, and the prevalence of chronic disease. GWR analysis showed that different vulnerable factors had different degrees of influence on differences in health screening participation rate. CONCLUSIONS: These findings could enhance our understanding of decreased health screening participation due to COVID-19 and suggest that regional vulnerabilities should be considered stringent public health strategies after COVID-19.


Asunto(s)
COVID-19 , Personas con Discapacidad , Humanos , COVID-19/diagnóstico , COVID-19/epidemiología , Pandemias , República de Corea/epidemiología , Escolaridad
13.
BMJ Open ; 13(1): e067588, 2023 Jan 05.
Artículo en Inglés | MEDLINE | ID: mdl-36604125

RESUMEN

In this Communication article, we share experiences of collaborating with members of the public during health education. We aim to inspire bachelor, masters and PhD students to engage with patients and the public during their undergraduate, graduate and postgraduate thesis work and to inspire educators to collaborate with patient and public involvement/engagement to develop and deliver teaching and offer their students opportunities to engage with patients and the public. We argue that when patients and the public are included in educational projects, such engagement will be an easier task once students graduate. We argue that including patients and the public in educational project work and encouraging reflections with a person with lived experience benefits students in terms of understanding the importance of reflection and validation, setting positive precedence for their future careers.


Asunto(s)
Participación del Paciente , Estudiantes , Humanos , Escolaridad , Competencia Clínica , Personal de Salud
14.
Sci Rep ; 13(1): 231, 2023 Jan 05.
Artículo en Inglés | MEDLINE | ID: mdl-36604570

RESUMEN

Attendance in special education (SE) is more common among individuals born preterm than among those born at term. Less is known about school grades of those born preterm in mainstream education (ME), and how these grades predict later educational attainment. This population-based register-linkage study assessed (1) attendance in SE, and then focused on those in ME by assessing (2) school grades at 16 year, (3) completed educational level at 25 year, and (4) school grades as predictors for completed education by gestational age (GA) with full-term birth (39-41 completed weeks) as reference. The sample comprised 223,744 individuals (10,521 preterm, 4.7%) born in Finland (1/1987-9/1990). Of the sample, 4.9% attended SE. Those born preterm had up to 5.5-fold rates for SE. In ME, those born extremely preterm (EPT) had marginally lower mathematics grades compared with full-term counterparts, whilst those born late preterm or early term had slightly higher grades. Those born EPT or very preterm had lower physical education grades in ME. However, the minor differences in school grades according to GA appear not to translate into educational differences in young adulthood. The associations between school grades at 16 year and completed education at 25 year did not vary by GA.


Asunto(s)
Discapacidades para el Aprendizaje , Nacimiento Prematuro , Recién Nacido , Embarazo , Femenino , Humanos , Adulto Joven , Adolescente , Adulto , Lactante , Edad Gestacional , Escolaridad , Parto , Instituciones Académicas , Nacimiento Prematuro/epidemiología
15.
Artículo en Inglés | MEDLINE | ID: mdl-36613192

RESUMEN

Parental hostility and emotional rejection-or aggregated as general harsh family interactions with parents-have received little research attention due to such parent-child interactions being counted as minor forms of parental maltreatment and regarded as being less harmful. However, recent research showed that these minor forms of parental maltreatment on youth development are far from negligibility on account of their frequency, chronicity, and incessancy. In this longitudinal study, we investigated how parental hostility, emotional rejection, and harsh family interactions with parents of in early adolescence of immigrant youths (wave-1 Mage = 14) adversely impact successful college graduation of immigrant youths in young adulthood (wave-3 Mage = 24) through the mediation of their development of academic aspirations in late adolescence (wave-2 Mage = 17). Using data from a representative sample of the Children of Immigrants Longitudinal Study (N = 3344), the current study revealed that parental hostility, emotional rejection, and harsh family interactions with parents significantly impaired successful college graduation of immigrant youths in young adulthood, with the decreased odds of 20.1% to 30.22%. Furthermore, academic aspirations of immigrant youths in late adolescence not only significantly mediated the abovementioned relationships but also contributed to the higher odds of immigrant youths' college graduation by 2.226 to 2.257 times. Findings of this study related to educational innovations, family services, and policy implications are discussed herein.


Asunto(s)
Éxito Académico , Emigrantes e Inmigrantes , Humanos , Adolescente , Adulto Joven , Adulto , Estudios Longitudinales , Escolaridad , Relaciones Padres-Hijo
16.
PLoS One ; 18(1): e0280648, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36656893

RESUMEN

Early identification of vulnerable children to protect them from harm and support them in achieving their long-term potential is a community priority. This is particularly important in the Northern Territory (NT) of Australia, where Aboriginal children are about 40% of all children, and for whom the trauma and disadvantage experienced by Aboriginal Australians has ongoing intergenerational impacts. Given that shared social determinants influence child outcomes across the domains of health, education and welfare, there is growing interest in collaborative interventions that simultaneously respond to outcomes in all domains. There is increasing recognition that many children receive services from multiple NT government agencies, however there is limited understanding of the pattern and scale of overlap of these services. In this paper, NT health, education, child protection and perinatal datasets have been linked for the first time. The records of 8,267 children born in the NT in 2006-2009 were analysed using a person-centred analytic approach. Unsupervised machine learning techniques were used to discover clusters of NT children who experience different patterns of risk. Modelling revealed four or five distinct clusters including a cluster of children who are predominantly ill and experience some neglect, a cluster who predominantly experience abuse and a cluster who predominantly experience neglect. These three, high risk clusters all have low school attendance and together comprise 10-15% of the population. There is a large group of thriving children, with low health needs, high school attendance and low CPS contact. Finally, an unexpected cluster is a modestly sized group of non-attendees, mostly Aboriginal children, who have low school attendance but are otherwise thriving. The high risk groups experience vulnerability in all three domains of health, education and child protection, supporting the need for a flexible, rather than strictly differentiated response. Interagency cooperation would be valuable to provide a suitably collective and coordinated response for the most vulnerable children.


Asunto(s)
Maltrato a los Niños , Embarazo , Femenino , Humanos , Niño , Preescolar , Northern Territory/epidemiología , Maltrato a los Niños/prevención & control , Escolaridad , Instituciones Académicas , Grupos de Población
17.
BMC Med Educ ; 23(1): 44, 2023 Jan 19.
Artículo en Inglés | MEDLINE | ID: mdl-36658530

RESUMEN

BACKGROUND: In recent years, flipped classes have emerged and become popular in college medical education. However, due to the huge medical learning system and the limited pre-class study time of students, it is difficult to implement in all courses. And then we adopted the semi-flipped classes (SFCs) to evaluate its teaching effect. This study analysed three educational methods that can be used in oral medicine courses: online education, offline education, and semi-flipped classes. METHODS: We used two surveys to evaluate the three educational methods. In the first survey 46 teachers and 238 undergraduates shared their experience of the live-streaming and traditional offline courses offered in the different oral medicine curricula; we used anonymous questionnaires to evaluate their class experience. In the second survey 94 students shared their experience of the semi-flipped and traditional classrooms. Students who attended the SFCs in the experimental group learned about the oral mucosa disease by themselves using an online video course and then participated in offline interaction with teachers. The evaluation of the above educational methods was conducted using the anonymous questionnaires and final exam assessment. RESULTS: According to the first survey, teachers and students both agreed that the overall teaching experience and learning effectiveness in offline education are superior to those in online education. According to the second survey, students who participated in the SFCs performed better in the final exam than those who participated in the simple offline classes. Additionally, the survey showed that the new teaching method helped students gain more knowledge and positively influenced their clinical practice. CONCLUSIONS: Compared with the online and offline educational methods, the SFC showed better results in both the questionnaire and final exam assessment. Hence, the effectiveness of medical education can be improved by adopting a teaching mode that combines online and offline teaching methods. Scientific and logical SFCs designs, along with their effective implementation, would eventually make SFCs an important tool for medical education.


Asunto(s)
Medicina Oral , Humanos , Curriculum , Aprendizaje , Estudiantes , Escolaridad , Aprendizaje Basado en Problemas , Enseñanza
18.
Nutrients ; 15(2)2023 Jan 12.
Artículo en Inglés | MEDLINE | ID: mdl-36678259

RESUMEN

Stunting is a worldwide public health concern, including in Indonesia. Even when living in an urban area with urban characteristics, it is still possible for children to be at risk of stunting. The aim of this study was to determine the sociodemographic and healthcare factors associated with stunting in a province experiencing tourism growth, namely, Bali. Cross-sectional data on Bali Province from the Indonesian Basic Health Research Survey (Riskesdas, 2018) were used as the basis for the research analysis. A total of 846 respondents under five years of age were analyzed, indicating a stunting prevalence of 19.0%. Multivariate logistic regression demonstrated low maternal educational attainment (adjustedOR = 1.92; 95% Confidence Interval = 1.24-2.97), the inadequate consumption of iron tablets during pregnancy (adjustedOR = 1.56; 95% Confidence Interval = 1.08-2.24), and no extended family (adjustedOR = 1.55; 95% Confidence Interval = 1.07-2.26) as being significantly associated with stunting. According to these findings, sociodemographic and healthcare factors are associated with stunting in urban Bali. Improving women's education, ensuring sufficient iron tablets are consumed during pregnancy, and encouraging the involvement of the extended family in childcare are recommended.


Asunto(s)
Atención a la Salud , Trastornos del Crecimiento , Embarazo , Humanos , Niño , Femenino , Lactante , Preescolar , Indonesia/epidemiología , Estudios Transversales , Trastornos del Crecimiento/epidemiología , Escolaridad , Prevalencia
19.
Otol Neurotol ; 44(2): 134-140, 2023 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-36624590

RESUMEN

OBJECTIVE: To assess the distance burden for access to cochlear implant (CI)-related services and to assess whether socioeconomic disadvantage or level of education and occupation influenced uptake of CIs. STUDY DESIGN: Retrospective case review. SETTING: A CI services provider operating across multiple centers. PATIENTS: All patients undergoing CI surgery in a 2-year period between March 2018 and February 2020. INTERVENTIONS: Diagnosis of hearing loss, CI surgery, and subsequent habilitation and mapping. MAIN OUTCOME MEASURES: Distance traveled by patients to their audiological diagnostic, CI surgery hospital, and habilitation sites; subjects' index of relative socioeconomic advantage and disadvantage (IRSAD) and index of education and occupation (IEO). RESULTS: n = 201 children and n = 623 adults. There was a significant difference across IRSAD domains for children (p < 0.0001) and adults (p < 0.0001), and IEO in children (p = 0.015) and adults (p < 0.0001) when tested for equal proportions. The median driving distance from home to the diagnostic audiological site for children was 20 km (mean, 69 km; range, 1-1184 km; upper quartile, 79 km; lower quartile, 8 km). There was no significant difference between the driving distances from home to the CI surgery hospital site, or the mapping/habilitation sites between children and adults. There was no correlation for age at first surgery and either IRSAD/IEO. CONCLUSIONS: The burden of distance for access to CI in Australia is significant for the upper quartile who may not live within the large city centers. Greater consideration needs to be given regarding barriers to CI for those in lower socioeconomic and educational groups to ensure equity of access across different socioeconomic and educational level backgrounds.


Asunto(s)
Implantación Coclear , Implantes Cocleares , Accesibilidad a los Servicios de Salud , Adulto , Niño , Humanos , Australia/epidemiología , Implantación Coclear/estadística & datos numéricos , Implantes Cocleares/estadística & datos numéricos , Escolaridad , Estudios Retrospectivos , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Clase Social , Empleo/estadística & datos numéricos
20.
BMC Womens Health ; 23(1): 16, 2023 Jan 11.
Artículo en Inglés | MEDLINE | ID: mdl-36631806

RESUMEN

BACKGROUND: Adolescent sexual and reproductive health is a major public health issue throughout the world. At the same time shifting of marriage are undergoing discernible changes in country like India. This paper attempts to examine the effect of delay age at marriage on the risks of pre-marital sexual intercourse for the youth people in the place of residence. METHODS: Data used in the present study is from various annual publications of Sample Registration System (SRS) and four round of National Family Health Survey, which was conducted in 2015-2016. The Kaplan-Meier life table technique and multivariate regression models are used to examine the premarital sex by the place of residence and marriage cohort. RESULTS: Findings of the study indicate that the reasons underlying delayed marriage differs between blow 21 years age group and 22-30 years age group. Multinomial analysis clearly shows education, wealth quintile and mass media are major controlling factors of delayed age at marriage. Residing in urban adolescent women who belonged to better economic family background and exposed to mass media had a higher probability to experience premarital sexual intercourse than the rural adolescent in delay age group. CONCLUSION: The study concludes that the restorative the empowerment of youth especially for women and health care provider should consider a multidimensional approach for higher education among youth people and safe sexual behaviour in pre-marital sexual intercourse.


Asunto(s)
Matrimonio , Conducta Sexual , Femenino , Adolescente , Humanos , Coito , Escolaridad , Características de la Residencia , Factores de Edad
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