Knowledge, attitude and perception on radiation imaging among children's caregivers in the pediatric dental clinic

OBJECTIVE: Nuclear medicine provides important clinical information for diagnostic and therapeutic purposes. Use of medical imaging has gradually increased in the United States and this has raised health concerns about the potential future risks associated with radiation exposure in children. While studies have evaluated the adverse effects of imaging procedures, there is insufficient evidence about communicating radiation risks. The overall purpose of this paper is to review radiation risks in pediatric imaging using published evidence by the World Health Organization and to evaluate the knowledge and attitude of caregivers towards radiation risks in pediatric imaging. Specifically, we aim to determine whether an educational brochure improves parental knowledge of radiation and/or changes in attitude and perception to allow their children to undergo dental radiographs. METHODS: A prospective sample survey was performed of caregivers who presented with their child to the Boston University Pediatric Oral Healthcare Center. Parents or legal guardians (18 years or older) who accompanied a child were eligible for inclusion and approached for enrollment. Pre- and post-survey questionnaires were used to evaluate parents’ or guardians’ level of knowledge and attitude about the risks and benefits of dental radiographs. Parents were also asked their comfort level to allow their child to undergo dental radiographs. After completing the pre-survey questionnaire, parents were asked to read the English-language informational handout. Statistical analysis was performed through Microsoft Excel 2013. Descriptive analysis was conducted to summarize the survey responses. RESULTS: Among 30 parents who were surveyed, a small proportion (30%) of parents were very comfortable with dentist using dental radiographs on their child, versus 57% after reading the handout. Results showed that the informational handout improved the parental knowledge of risks and benefits of ionizing radiation. Most parents indicated that the handout was helpful and they reported increased level of comfort and willingness in their children receiving radiation imaging during dental treatment procedures. DISCUSSION: Educating parents or caregivers through an informational handout is a helpful resource in improving their knowledge and in relieving their concerns. Informing parents about the risks of ionizing radiation does not change parental willingness for their children to undergo dental radiographs

Women's experiences of equine assisted psychotherapy : a thesis presented in partial fulfilment of the requirement for the degree of Master of Arts in Psychology at Massey University, Palmerston North, New Zealand

Equine assisted psychotherapy has received little research attention within psychology. This research explores the way women experience this modality. Working alongside Renee, an EAP practitioner, from HorsePower Aotearoa and three of her clients I undertook a photovoice project. Renee participated in both the planning aspects and as a key participant, informing the research through her knowledge of EAP in practice. Drawing on photovoice techniques to gather data with hard to reach groups the information was gathered from participants’ images and their photo elicitation interviews. This allowed the narratives of the women’s experiences to be communicated on more than one level. The narratives demonstrated the processes of EAP in action as well as revealing some of the fundamental attributes that make this therapy efficacious. The analysis showed that the interrelationships between the therapist, the horses, the space, the place and the client create a complex ecology. What was evidenced was that for meaningful change to be made, the clients need to feel safe to make those changes. EAP seems to provide a space and place that enables this. The implications of this are the spreading awareness of EAP as an effective modality especially for clients with previous difficulties engaging with therapy

Understanding the key competencies of market-ready building surveying graduates from employers’ perspectives

Purpose: This study investigates the various competencies a graduate should hold to prepare them for graduate building surveying roles from employers’ perspective. Design/Methodology: The study employs a sequential exploratory mixed-method approach by informing a quantitative study with the finding from a qualitative study. Findings: Based on exploratory factor analysis, the study found that 13 essential competencies are valued by the employers when recruiting building surveying graduates, as they are requisites for effective job performance. Personal management skills, technical surveying knowledge, and knowledge of RICS standards are the essential competencies based on the level of variance extracted by the three components. Other competency categories include client management skills, being goal-driven and self-motivated, optimistic personality traits, strong mental resilience, building maintenance and management knowledge, and time management skills, among others that are explained in the paper. Originality/Value: The essential competencies were dependent on maintaining a balance between knowledge, skills and personality-based competencies. Measures and approaches for gaining the essential competencies, as well as their level of significance, are further discussed. The study will be of significant benefits to employers of graduate building surveyors, academic institutions that are seeking to improve their graduate employability, as well as students that are preparing for the world of work

A Development Evaluation Study of a Professional Development Initiative to Strengthen Organizational Conditions in Early Education Settings

High quality instruction is essential to producing developmental gains for young children and can mitigate risk factors such as family poverty and low parental education. Even in programs with highly qualified teachers, teacher-child interactions often do not provide the level of instructional support that children need to be well-prepared for success in kindergarten. In order to improve instructional quality, an emerging focus on early childhood professional development involves supporting leaders in creating a web of supports for teacher learning and child growth. The purpose of the 3-year evaluation study was to assess the effectiveness of an Early Childhood Education Professional Development Initiative (ECE PDI) in advancing the knowledge, skills, and dispositions of community-based early childhood leaders and teachers in relation to creating the conditions for superior developmental outcomes for low-income students served by these community-based centers. Findings from the implementation and impact studies are reported

Assessing the impact of health technology assessment in the Netherlands

Copyright © Cambridge University Press 2008Objectives: Investments in health research should lead to improvements in health and health care. This is also the remit of the main HTA program in the Netherlands. The aims of this study were to assess whether the results of this program have led to such improvements and to analyze how best to assess the impact from health research.Methods: We assessed the impact of individual HTA projects by adapting the "payback framework" developed in the United Kingdom. We conducted dossier reviews and sent a survey to principal investigators of forty-three projects awarded between 2000 and 2003. We then provided an overview of documented output and outcome that was assessed by ten HTA experts using a scoring method. Finally, we conducted five case studies using information from additional dossier review and semistructured key informant interviews.Results: The findings confirm that the payback framework is a useful approach to assess the impact of HTA projects. We identified over 101 peer reviewed papers, more than twenty-five PhDs, citations of research in guidelines (six projects), and implementation of new treatment strategies (eleven projects). The case studies provided greater depth and understanding about the levels of impact that arise and why and how they have been achieved.Conclusions: It is generally too early to determine whether the HTA program led to actual changes in healthcare policy and practice. However, the results can be used as a baseline measurement for future evaluation and can help funding organizations or HTA agencies consider how to assess impact, possibly routinely. This, in turn, could help inform research strategies and justify expenditure for health research.This research is funded by ZonMw, the Netherlands organization for health research and development (project 945-15-001)

Analysis of Local Community Ecological Knowledge on Mangrove Ecotourism Development in Talaga Yenelo, Sagea Village, North Weda District Central Halmahera District

Local ecological knowledge is knowledge and beliefs that are largely derived from observations of the ecological processes of resources in the surrounding area and the various factors that influence them based on the logical interpretation of local communities. Local ecological knowledge has an important role in informing sound spatial, spatial and temporal management approaches for marine spatial planning. The aim of this research is to identify the ecological knowledge of local communities regarding the mangrove ecosystem and 2) Community perceptions regarding the management of mangrove ecotourism in Talaga Yenelo in Sagea Village and 3). The level of perception of local communities regarding Ecotourism activities. The method used in this research is determining the sample in this research using a purposive sampling method, namely respondents who participate are deliberately selected by researchers according to the criteria of research respondents. To determine people's knowledge and perceptions, it is based on a Likert scale assessment system and multiple linear regression analysis to see the influence of several independent variables on one dependent variable. The research results show that the people of Sagea and Kiya villages have better knowledge of the local ecology of mangrove forests, especially mangrove habitat, factors of mangrove damage and the impact of mangrove damage compared to the function of mangroves. with the level of utilization of the mangrove ecosystem in the villages of Sagea and Kiya varying greatly. While understanding of mangrove ecotourism activities is very minimal, they agree with the ecotourism activities carried out. Therefore, there is a need for follow-up action from the government regarding mangrove forest management based on the mangrove forest environment

Native IYG: Improving Psychosocial Protective Factors for HIV/STI and Teen Pregnancy Prevention among Youth in American Indian/Alaska Native Communities

Background: Few HIV/STI and pregnancy prevention programs for youth in American Indian and Alaska Native (AI/AN) communities have been rigorously evaluated despite sexual health disparities in this population. This study reports the evaluation of a culturally adapted Internet-based HIV/STI and pregnancy prevention program for AI/AN youth, Native It’s Your Game (Native IYG). Methods: A randomized study was conducted with 523 youth (12 to 14 years old), recruited from 25 tribal sites in Alaska, Arizona, and the Pacific Northwest. Participants were surveyed at baseline and upon completion of treatment or comparison interventions. Multivariable linear regression models were used to assess impact on short term psychosocial determinants of sexual initiation. Results: A sample of 402 intervention (n=290) and comparison (n=112) youth completed the post-intervention survey (76.9% retention) from 1 to 462 days post-baseline (mean = 114, SD = ±96.67). Participants were 55.5% female, mean age of 13.0 (± 0.97) years with 86.1% self-reporting as AI/AN. Reasons not to have sex, STI knowledge, condom knowledge, condom availability self-efficacy, and condom use self-efficacy were significantly impacted (all P ≤ .01). Limitations included variability in intervention exposure and time between data collection time points. Conclusions: Native IYG demonstrated efficacy to impact short-term psychosocial determinants of sexual behavior in a sample of predominantly AI/AN middle school youth

Understanding Eating Behaviors of New Dehli\u27s Youth

This qualitative study documents perceived benefits of and barriers to engaging in healthy eating behaviors among adolescents in New Delhi, India. Researchers explored factors that influenced the consumption of breakfast, fruits and vegetables, and soft drinks in this population and adolescents’ ideas about how to intervene to encourage or discourage, respectively, these behaviors. Students (n=151 6th and 8th graders) from five private schools participated in focus group discussions. Findings showed that the majority of youth eat breakfast that may consist of traditional and Western choices. Despite sound knowledge of the benefits of fruits and vegetables consumption, adolescents do not eat the recommended daily servings due to flavor preferences. Soft drink consumption was, reportedly, universal. Several factors influenced these decisions and details are herein provided. The paucity of studies on this subject provides researchers with the opportunity to explore how eating patterns of Indian youth might be shaping the health and disease landscape of India in the upcoming decades. The study adds to the slim body of literature on the subject and could be used to inform future nutrition interventions in India

Using Intervention Mapping to Develop an Efficacious Multicomponent Systems-Based Intervention to Increase Human Papillomavirus (HPV) Vaccination in a Large Urban Pediatric Clinic Network

Background: The CDC recommends HPV vaccine for all adolescents to prevent cervical, anal, oropharyngeal, vaginal, vulvar, and penile cancers, and genital warts. HPV vaccine rates currently fall short of national vaccination goals. Despite evidence-based strategies with demonstrated efficacy to increase HPV vaccination rates, adoption and implementation of these strategies within clinics is lacking. The Adolescent Vaccination Program (AVP) is a multicomponent systems-based intervention designed to implement five evidence-based strategies within primary care pediatric practices. The AVP has demonstrated efficacy in increasing HPV vaccine initiation and completion among adolescents 10-17 years of age. The purpose of this paper is to describe the application of Intervention Mapping (IM) toward the development, implementation, and formative evaluation of the clinic-based AVP prototype. Methods: Intervention Mapping (IM) guided the development of the Adolescent Vaccination Program (AVP). Deliverables comprised: a logic model of the problem (IM Step 1); matrices of behavior change objectives (IM Step 2); a program planning document comprising scope, sequence, theory-based methods, and practical strategies (IM Step 3); functional AVP component prototypes (IM Step 4); and plans for implementation (IM Step 5) and evaluation (IM Step 6). Results: The AVP consists of six evidence-based strategies implemented in a successful sequenced roll-out that (1) established immunization champions in each clinic, (2) disseminated provider assessment and feedback reports with data-informed vaccination goals, (3) provided continued medical and nursing education (with ethics credit) on HPV, HPV vaccination, message bundling, and responding to parent hesitancy, (4) electronic health record cues to providers on patient eligibility, and (5) patient reminders for HPV vaccine initiation and completion. Conclusions: IM provided a logical and systematic approach to developing and evaluating a multicomponent systems-based intervention to increase HPV vaccination rates among adolescents in pediatric clinics