Communicating and Using Climate Survey Results

This white paper provides insight into how campus leaders can develop a thoughtful strategy for presenting campus climate information to the different campus community stakeholders

Monitoring response to hepatitis B and C in EU/EEA: testing policies, availability of data on care cascade and chronic viral hepatitis-related mortality – results from two surveys (2016)

Objectives: The World Health Organization (WHO) developed a European Regional Action Plan (EAP) to fast-track action towards the goal of eliminating viral hepatitis. Robust monitoring is essential to assess national programme performance. The purpose of this study was to assess the availability of selected monitoring data sources in European Union/European Economic Area (EU/EEA) Member States (MS). Methods: Availability of data sources at EU/EEA level was assessed using two surveys distributed to 31 EU/EEA MS in 2016. The two surveys covered (A) availability of policy documents on testing; testing practices and monitoring; monitoring of diagnosis and treatment initiation, and; (B) availability of data on mortality attributable to chronic viral hepatitis. Results: Just over two-thirds of EU/EEA MS responded to the surveys. 86% (18/21) reported national testing guidance covering HBV, and 81% (17/21) covering HCV; while 33% (7/21) and 38% (8/21) of countries, respectively, monitored the number of tests performed. 71% (15/21) of countries monitored the number of chronic HBV cases diagnosed and 33% (7/21) the number of people treated. Corresponding figures for HCV were 48% (10/21) and 57% (12/21). 27% (6/22) of countries reported availability of data on mortality attributable to chronic viral hepatitis. Conclusions: The results of this study suggest that sources of information in EU/EEA Member States to monitor the progress towards the EAP milestones and targets related to viral hepatitis diagnosis, cascade of care and attributable mortality are limited. Our analysis should raise awareness among EU/EEA policy makers and stimulate higher prioritisation of efforts to improve the monitoring of national viral hepatitis programmes

Prevention of Corrosion Rate by Natural Inhibitor Papaya Leaf Extract

Corrosion is an event of damage or deterioration of a metal caused by reaction with the environtment. Corrosion process can be prevented by the addition of corrosion inhibitor. Papaya leaf extract is an organic material that could potentially be used as a corrosion inhibitor because it contains N-acetyl- glukosamida and amino acid. The purpose of this study is to determine the effects of brine concentration and surface area on the rate of corrosion of a metal plate that can be used as reference incorrosion control on metal plate. Determination of corrosion rate use weight loss methods, with medium marinade variation 3.5%, 5% and 6.5% salt water and a sample of the iron plates of different sizes. Each concentration of the medium contained four samples with different sizes of iron plates immersed for 30 days. The results showed the highest corrosion rate found on a metal plate without inhibitor with a value of 0.1331 mm/ year . The greater concentration of the medium the corrosion rate will be higher. The smaller surface area of iron plate the corrosion rate will be higher

Zika virus: New clinical syndromes and its emergence in the western hemisphere

Zika virus (ZIKV) had remained a relatively obscure flavivirus until a recent series of outbreaks accompanied by unexpectedly severe clinical complications brought this virus into the spotlight as causing an infection of global public health concern. In this review, we discuss the history and epidemiology of ZIKV infection, recent outbreaks in Oceania and the emergence of ZIKV in the Western Hemisphere, newly ascribed complications of ZIKV infection, including Guillain-Barré syndrome and microcephaly, potential interactions between ZIKV and dengue virus, and the prospects for the development of antiviral agents and vaccines

Nosocomial Infection Prevention Through Universal Precaution in YOGYAKARTA Muhammadiyah Hospital

Prevention of nosocomial infections in hospitals can be done through the implementation of universal precaution program or action asepsis and antisepsis tapping. These actions undertaken by health workers, both nurses and physicians, universal precaution measures include: hand washing, use of gloves, use aseptic liquid, processing of used equipment and waste disposal. The purpose of this study to determine the prevention of nosocomial infections in hospitals through universal precautions in hospitals Muhammadiyah Yogyakarta area. Design of this research is descriptive qualitative case study approach. Collecting data used techniques focus group discussions. Data analyzed using content analysis. The application of universal precautions in hospitals throughout Yogyakarta PKU show that health workers have attempted to implement universal precautions including hand washing action on the water flow, perform hand hygiene, and always tries to wear personal protective equipment. Nurses knowledge about nosocomial infections has been well and for prevention need to implement universal precautions. The attitude of nurses in implementing universal precautions have been good, to the extent responsible. Most hospitals have had the availability of facilities and support the implementation of universal precaution well, and partly still exist limitations in the availability of facilities and support the implementation of universal precaution

Preventing Gun Violence in Pediatrics

Learn about the Violence Prevention Initiative at Children’s Hospital of Philadelphia, which has become a national and global model for hospital-based and communitydelivered violence prevention through educational programming in schools and the community, screening for risk in clinical settings, and direct casework with injured youth and their family members. This session will be led by Rachel Myers, Research Scientist, Violence Prevention Initiative at CHOP. ----- Rachel Myers, PhD, is a Research Scientist and Violence Prevention Initiative Fellow at Children\u27s Hospital of Pennsylvania. She has worked on several studies related to both intentional and unintentional pediatric and adolescent injury prevention. The Violence Prevention Initiative (VPI) at CHOP is an evidence-based effort to protect youth from violence that has become a national and global model for hospital-based and community-delivered violence prevention. Overview Burden of Pediatric Gun Violence CHOP Violence Prevention Initiative CHOP Gun Violence-related Research Efforts Pediatric Perspective on Gun Violence Polic

Smarter Programming of the Female Condom: Increasing Its Impact on HIV Prevention in the Developing World

The purpose of this study was to investigate the relative value of the female condom for HIV prevention within heterosexual relationships in the developing world. In the last ten years, the world has witnessed both historic financial commitments to HIV/AIDS and new prevention options, including biomedical prevention research, male circumcision, and a dramatic scale-up of voluntary counseling and testing. At the same time, where HIV remains at epidemic levels in many countries, there has been a growing commitment to treatment access alongside prevention programs. However, portions of populations, particularly youth and women, remain highly vulnerable to HIV infection. Accordingly, the global health community can benefit from a better understanding of how existing prevention options should be effectively and efficiently delivered to reduce HIV in the developing world. This report provides guidance for the global health community for considering how the female condom fits within the set of prevention interventions currently available

Prevention Strategies for HIV in Youth: a Concept Analysis

Purpose: To provide nurse educators how to address the problem of HIV/AIDS in the youth through the concept of prevention strategiesMethods: Review articles published during 2005 until 2014 that focused on HIV/AIDS prevention strategies. The databases used in this study were EBSCO, Medline, CINAHL, PubMed.Result: HIV knowledge is an important factor influencing HIV risk perceptions and risk behaviors especially among youth.The concept of prevention strategies designed and tested to address risk behavior on young people at every step along their developmental path. Strategies are very important ways for preventing HIV/AIDS, especially in youth. Conclusion: The attributes that characterize the concept of strategies are: plan, process, studying different ways, focusing on the greatest need, and analyzing and learning. Although strategies are used in prevention, they are not maximized in Indonesia. The best strategies for the different age groups have not yet been determined. With use of the best strategies, nurse educator can teach nursing students how best to reach youth and other people in the community to prevent HIV

Developing and implementing an integrated delirium prevention system of care:a theory driven, participatory research study

Background: Delirium is a common complication for older people in hospital. Evidence suggests that delirium incidence in hospital may be reduced by about a third through a multi-component intervention targeted at known modifiable risk factors. We describe the research design and conceptual framework underpinning it that informed the development of a novel delirium prevention system of care for acute hospital wards. Particular focus of the study was on developing an implementation process aimed at embedding practice change within routine care delivery. Methods: We adopted a participatory action research approach involving staff, volunteers, and patient and carer representatives in three northern NHS Trusts in England. We employed Normalization Process Theory to explore knowledge and ward practices on delirium and delirium prevention. We established a Development Team in each Trust comprising senior and frontline staff from selected wards, and others with a potential role or interest in delirium prevention. Data collection included facilitated workshops, relevant documents/records, qualitative one-to-one interviews and focus groups with multiple stakeholders and observation of ward practices. We used grounded theory strategies in analysing and synthesising data. Results: Awareness of delirium was variable among staff with no attention on delirium prevention at any level; delirium prevention was typically neither understood nor perceived as meaningful. The busy, chaotic and challenging ward life rhythm focused primarily on diagnostics, clinical observations and treatment. Ward practices pertinent to delirium prevention were undertaken inconsistently. Staff welcomed the possibility of volunteers being engaged in delirium prevention work, but existing systems for volunteer support were viewed as a barrier. Our evolving conception of an integrated model of delirium prevention presented major implementation challenges flowing from minimal understanding of delirium prevention and securing engagement of volunteers alongside practice change. The resulting Prevention of Delirium (POD) Programme combines a multi-component delirium prevention and implementation process, incorporating systems and mechanisms to introduce and embed delirium prevention into routine ward practices. Conclusions: Although our substantive interest was in delirium prevention, the conceptual and methodological strategies pursued have implications for implementing and sustaining practice and service improvements more broadly