HIV/AIDS in Rural Northeast Thailand: Narratives of the impacts of HIV/AIDS on individuals and households

HIV/AIDS is one of the greatest public health and development challenges currently faced by the global community. Amongst reported statistics, such as the estimated 39.5 million people infected with HIV at the end of 2006, the human face of HIV/AIDS is often lost. This paper presents several narratives of the impacts of HIV/AIDS on individuals and households, drawn from a 2003 survey of 71 HIV/AIDS patients in Khon Kaen Province, Northeast Thailand. These narratives illustrate the broad range of impacts of HIV/AIDS, as well as the diverse coping strategies that are employed to deal with those impacts. The narratives also demonstrate how the HIV/AIDS epidemic impacts not just those who are HIV-infected and other members of their household, but also the wider community

A Model of Basic Surgical Skills Course to Supplement the Training of Foundation-Year Doctors by Efficient Use of Local Resources

INTRODUCTION: This study investigates the efficiency of teaching basic surgical skills to foundation-year doctors and medical students by using local resources. METHODS: A course comprising 4 workshops, once a week, of 3 hours duration per session was delivered using local education center facilities and using the local faculty of consultants and surgical trainees. Teaching methods include practical skill stations supplemented with short didactic lectures and group discussion. Precourse and postcourse assessments were completed by candidates and analyzed to measure outcomes of the course both subjectively and objectively. RESULTS: A total number of 20 participants completed the course. On completion of the course, (1) participants' theoretical knowledge improved significantly (p < 0.0001), as measured by multiple-choice questions, and scores improved by 35% (mean 44%, standard deviation = 16%) before the course compared to (mean = 79%, standard deviation = 13) after the course; (2) the level of confidence in knowledge and skills was measured by a questionnaire on a scale of 1 to 5, and there was a significant (p < 0.0001) improvement on postcourse assessment (mean difference = 1.5, 95% CI: 0.7-2.4); and (3) practical skills such as suture position, knot tying, and wound apposition significantly improved after the course, χ(2) (2) = 16, p < 0.001; χ(2) (2) = 18, p < 0.001; and χ(2) (2) = 22, p < 0.0001, respectively. CONCLUSION: Effective delivery of basic surgical skills to foundation-year doctors by using local resources can be achieved at low cost

Youth alcohol and drug good practice guide 1: A framework for youth alcohol and other drug practice

This Guide outlines a framework for working with young people whose AOD use creates significant vulnerability to current or future harm. The target audience is practitioners who work with young people who have problematic AOD use and the managers of these practitioners. Areas of content include the elements of a framework for AOD practice, an appreciation of the developmental, social and institutional location of young people, key concepts and understandings regarding good youth centered context responsive practice, and key policy constructs and directions

UWOMJ Volume 42, No 1, October 1971

Schulich School of Medicine & Dentistry University of Western Ontario Medical Journalhttps://ir.lib.uwo.ca/uwomj/1050/thumbnail.jp

TeamSTEPPS Training and Vital Signs Chart to Improve Situational Monitoring for Clinical Deterioration

Failure to monitor early warning signs of patient deterioration can result in cardiopulmonary arrests and patient death. Implementation of team building programs emphasizing vital sign data, with consistent monitoring and trending have demonstrated positive outcomes in multiple health care environments. This project implemented TeamSTEPPS© education for 23 registered nurse (RN) residents in an acute care medical center. Specific aims included: (a) increased knowledge of team communication techniques; (b) improved attitudes towards vital sign monitoring, especially respiratory rate assessment; and (c) improved attitudes towards early rapid response system activation. The education program included support tools, behavioral-modeling, simulation exercises based on de-identified patient data and debriefing. Paired t-tests evaluated the impact of the intervention on total TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) and V-Scale scores. There were statistically significant increases in T-TAQ and V-Scale scores post intervention (1.78 p =.04 and 1.87 p = .04 respectively). Eta square calculation indicated a large effect size for T-TAQ and V-Scale measures. The TeamSTEPPS simulation-enhanced curriculum was successful in improving RN residents’ attitudes toward teamwork, and vital signs monitoring and surveillance practices

Electro-spinning/netting: A strategy for the fabrication of three-dimensional polymer nano-fiber/nets.

Since 2006, a rapid development has been achieved in a subject area, so called electro-spinning/netting (ESN), which comprises the conventional electrospinning process and a unique electro-netting process. Electro-netting overcomes the bottleneck problem of electrospinning technique and provides a versatile method for generating spider-web-like nano-nets with ultrafine fiber diameter less than 20 nm. Nano-nets, supported by the conventional electrospun nanofibers in the nano-fiber/nets (NFN) membranes, exhibit numerious attractive characteristics such as extremely small diameter, high porosity, and Steiner tree network geometry, which make NFN membranes optimal candidates for many significant applications. The progress made during the last few years in the field of ESN is highlighted in this review, with particular emphasis on results obtained in the author's research units. After a brief description of the development of the electrospinning and ESN techniques, several fundamental properties of NFN nanomaterials are addressed. Subsequently, the used polymers and the state-of-the-art strategies for the controllable fabrication of NFN membranes are highlighted in terms of the ESN process. Additionally, we highlight some potential applications associated with the remarkable features of NFN nanostructure. Our discussion is concluded with some personal perspectives on the future development in which this wonderful technique could be pursued

Drug policy and the public good: A summary of the second edition

The second edition of Drug Policy and the Public Good presents up-to-date evidence relating to the development of drug policy at local, national, and international levels. The book explores both illicit drug use and nonmedical use of prescription medications from a public health perspective. The core of the book is a critical review of the scientific evidence in five areas of drug policy: 1) primary prevention programs in schools and other settings; 2) treatment interventions and harm reduction approaches; 3) attempts to control the supply of illicit drugs, including drug interdiction and law enforcement; 4) penal approaches, decriminalization and other alternatives; and 5) control of the legal market through prescription drug regimes. It also discusses the trend toward legalization of some psychoactive substances in some countries and the need for a new approach to drug policy that is evidence-based, realistic, and coordinated. The accumulated evidence provides important information about effective and ineffective policies. Shifting the emphasis toward a public health approach should reduce the extent of illicit drug use, prevent the escalation of new epidemics, and avoid the unintended consequences arising from the marginalization of drug users through severe criminal penalties

Criminal Law and the Counter-Hegemonic Potential of Harm Reduction

Harm reduction approaches to drug use have been lauded for saving lives, being cost-effective, elevating pragmatism over prohibitionist ideology, being flexible in tailoring responses to the problem, and for their counter-hegemonic potential to empower people who use drugs. This article examines the legal systems engagement with harm reduction, and, in particular,recent cases that incorporate harm reduction s focus on empirical evidence in policy making into Canadian constitutional rights jurisprudence. It argues that harm reduction approaches in this venue may hold promise as a bulwark against some of the marginalizing features of traditional criminaljustice approaches. However, the article also warns of a risk of inadvertently reinforcing the dominant discourse of criminalization and stigmatization as harm reduction s features are embodied within the institutional frameworks of the state

The influence of induced positive emotion upon the play behavior of 5-year-old children

The purpose of the experiment was to investigate the organizing and disorganizing effects of induced positive emotion upon the constructive play of 5-year-old children. It was hypothesized that low and medium levels of induced positive emotion would increase the children's attention to the play task, increase their smiling behavior, and decrease the noise made by the children. In addition, it was hypothesized that a high level of positive emotion induction would decrease the children's attention to the play task, increase still further their smiling behavior, and increase the noise made by them. Thirty children from one of the centers of United Day Care, Inc. in Greensboro, North Carolina, were selected at random from among the 5-year-old population at the center. The subjects were randomly assigned to two groups of 15 children each. Both groups were involved in identical constructive play activities (painting). However, the experimental group experienced emotion induction in the form of their teacher's pleasant promises just prior to play. The children's behavior was rated in a randomized, time-series fashion by two paid observers