Service users’ participation in mental health community-based organizations

Une grande proportion de personnes aux prises avec des problèmes de santé mentale vit dans l’isolement social. Les infirmières en santé communautaire sont interpellées au premier rang pour accompagner ces personnes dans leur processus de rétablissement et pour atténuer leur isolement social. La participation au sein d’organismes communautaires optimise l’expérience de rétablissement, diminue l’isolement social et renforce les réseaux sociaux de personnes ayant des problèmes de santé mentale. Toutefois, la participation des personnes utilisatrices de services dans la structure d’organisation des organismes communautaires est encore peu documentée. Afin de pallier cette lacune, cette étude avait pour objectifs de documenter, décrire la nature de la participation des personnes utilisatrices de services en santé mentale et d’explorer des facteurs facilitatants et des barrières à cette participation. Un devis de méthodes mixtes, qualitatif et quantitatif, a été utilisé. Dans le premier de deux volets, une enquête impliquant la réalisation d’entretiens semi-dirigés a été menée auprès de douze directeurs d’organismes communautaires œuvrant dans le domaine des services en santé mentale. Une version française du questionnaire « Adapted User Involvement » (Diamond, Parkin, Morris, Bettinis, & Bettesworth, 2003) a été administrée afin de documenter l’étendue de la participation des personnes utilisatrices de services dans les organismes visés. Pour le deuxième volet, deux organismes communautaires ont été sélectionnés à partir des résultats du questionnaire et de l’analyse documentaire de documents publics de ces organismes. Les scores obtenus au questionnaire ont ainsi permis de sélectionner des organismes présentant des résultats contrastés en matière de participation des personnes utilisatrices de services. Les entretiens semi-dirigés ont été menés avec différents groupes de répondants (membres de conseil d’administration, personnes utilisatrices de services, employés, directeurs) afin de recueillir de l’information sur les thèmes suivants: la nature de la participation des personnes utilisatrices de services, ainsi que les facteurs facilitants et les défis qui y sont associés. Les résultats de l’analyse montrent que: (1) les facteurs qui favorisent la participation des personnes utilisatrices sont: l’accès à un espace de participation pour les personnes utilisatrices et l’accompagnement de celles-ci par les intervenants de diverses disciplines pendant leur participation au sein des organismes communautaires, (2) les barrières de la participation des personnes utilisatrices au sein des organismes communautaires sont la stigmatisation sociale et les caractéristiques personnelles reliées aux problèmes de santé mentale chez les personnes utilisatrices, et (3) les avantages principaux de la participation des personnes utilisatrices de services se déclinent en services mieux adaptés à leurs besoins et leurs demandes, en leur appropriation du pouvoir (dans leur participation dans l’organisme communautaire) et en leur sentiment d’appartenance à l’organisme. À la lumière des ces constats, l’accompagnement des personnes utilisatrices de services dans leur participation apparaît une avenue prometteuse pour les infirmières en santé mentale communautaire afin de faciliter leur appropriation du pouvoir et d’améliorer leur bien-être.A large proportion of individuals with mental health problems are affected by social isolation. In the front line, community mental health nurses are called upon to accompany these individuals in their recovery process, and reduce their social isolation. User participation in community-based organizations (CBO) optimizes the recovery process, decreases feelings of social isolation, and consolidates the social support networks of individuals living with mental health problems. However, relatively little is documented on user participation within the organizational structure of mental health CBOs. To address this knowledge gap, the objectives of this study were to document, describe the nature of user participation and explore facilitating and inhibiting factors associated with user participation. A mixed-method (qualitative and quantitative) design, broken into two phases, was used in this study. In the first phase, a survey of twelve directors from CBOs providing services to individuals with mental health problems was conducted using the format of semi-structured interviews. The French version of the “Adapted User Involvement Questionnaire” (Diamond et al., 2003) was administered in order to document the extent of user participation in the targeted CBOs. In the second phase, two CBOs were selected on the basis of the results of the questionnaire and the findings of the archival data analysis. The scores obtained by the administration of this questionnaire made it possible to choose CBOs with constrasting results on user participation. Different groups of key informants (members of the governing board of the CBO, service users, CBO staff and directors) from the two CBOs participated in semi-structured interviews to collect detailed information about the following themes: the nature of user participation and facilitators and inhibitors for user participation. Results of the analysis show that: (1) factors that facilitate user participation are : access to participatory space for service users and professionals of different disciplines supporting service users in user participation activities; (2) factors that inhibit user participation are : social stigmatization of individuals with mental health problems and service users’ personal characteristics associated with their mental health problems; and (3) advantages of user participation are: services adapted to users’ needs and requests, service user empowerment (in participating in organization of CBO services) and service users’ sense of belonging to the CBO. Consequently, the study’s findings suggest that accompanying service users in their participation in CBOs, in order to facilitate their empowerment and improve their well-being, is a promising avenue for community mental-health nurses

Voices That Care: Licensed Practical Nurses and the Emotional Labour Underpinning Their Collaborative Interactions with Registered Nurses

Recognizing the emotional labour underlying interprofessional collaborations (IPCs) could be considered a crucial step towards building a cohesive nursing team. Although IPCs between registered nurses (RNs) and licensed practical nurses (LPNs) have been linked to quality nursing care, little is known about the emotions experienced by LPNs during their interactions with RNs or those factors that influence IPCs. A questionnaire administered to 309 LPNs found that (1) the professional identity of LPNs has evolved into a that of a unique social group; (2) LPNs define IPC as an interpersonal process of exploring similar or dissimilar assessments of a patient's status with RNs and, together, establishing a course of nursing actions; (3) the primary organizational factor facilitating IPCs is inclusive nursing leadership; (4) the interpersonal factor promoting IPCs is the level of trust RNs extend to LPNs; and (5) an LPN's emotional labour (i.e., internal emotional regulation) is most tangible during uncollaborative interactions with RNs

A comparison of 64Cu-labeled bi-terminally PEGylated A20FMDV2 peptides targeting integrin ανβ6

Expression of epithelial-specific integrin

ANALYSIS OF PRESCRIPTION INDICATORS FOR OUTPATIENTS WITH HEALTH INSURANCE IN OUTPATIENTS DEPARTMENT AT CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL IN THE PERIOD 2017-2018

Objective: The main objective of this study was to evaluate the drug prescription parameters and to find out the elements had an influence on the prescribing practice of doctors’. Methods: A descriptive cross-sectional study was conducted to collect 300 outpatient drug prescriptions and 30 questionnaires of physicians during the period of 2017-2018. The data were analyzed according to WHO’s the guideline. Results: Average number of drug per prescription: 3.73, percentage of drugs prescribed by generic or international name (INN): 100%, percentage of prescriptions with an antibiotic prescribed: 24%, of β-lactam antibiotics group, including cephalosporin (31.17%) and aminopenicillin (27.27%), accounted for the highest percentage of using in antibiotic groups with a total of 58.44%, of corticosteroid: 12%, of vitamin: 27.3%, of drugs prescribed including in the Essential Medicines List issued by the Ministry of Health: 35.3%. Average drug cost per prescription: 88,867 VNĐ. Percentage of drug costs for antibiotics (%): 7.48%, of corticosteroids (%): 1.85% and of vitamins (%): 5.25%. Conclusion: The results of this research have identified some prescription indicators and elements affect the prescription indicators such as drug information, patient, drug, which may lead to intervention studies for evaluating changes in these issues in the outpatient clinic

Effects of steel corrosion to BFRP Strengthened columns under eccentric loading

The experiment consists of twenty-four mid-scale rectangular RC columns (200x200x800mm) strengthening by BFRP sheets and research variables include: BFRP layer (0, 1, and 3 layers); eccentricity (25mm and 75mm); and 4 levels of steel corrosion. The results reveal that SEL (ratio of ultimate load of strengthened member to that of corresponding controlled member) is direct proportion with steel corrosion while SEV (ratio of ultimate vertical displacement of strengthened member to that of corresponding controlled member) is inverse proportion with steel corrosion; SEL slightly increases with the increase of BFRP layer and eccentricity; but SEV decreases noticeably with the increase of BFRP layer and eccentricity. In addition,the interaction between FRP sheets, stirrups, and longitudinal reinforcement in steel degraded BFRP strengthened columns is very strong.However, column design basing on current design manuals and codes as ACI 440.2R and CNR DT 200R1 has not mentioned this affect. Thus, the load capacity prediction of column being strengthened by BFRP sheets should include levels of steel corrosion for reality, reasonable, and integral of the design

Effects of steel corrosion to BFRP Strengthened columns under eccentric loading

The experiment consists of twenty-four mid-scale rectangular RC columns (200x200x800mm) strengthening by BFRP sheets and research variables include: BFRP layer (0, 1, and 3 layers); eccentricity (25mm and 75mm); and 4 levels of steel corrosion. The results reveal that SEL (ratio of ultimate load of strengthened member to that of corresponding controlled member) is direct proportion with steel corrosion while SEV (ratio of ultimate vertical displacement of strengthened member to that of corresponding controlled member) is inverse proportion with steel corrosion; SEL slightly increases with the increase of BFRP layer and eccentricity; but SEV decreases noticeably with the increase of BFRP layer and eccentricity. In addition,the interaction between FRP sheets, stirrups, and longitudinal reinforcement in steel degraded BFRP strengthened columns is very strong.However, column design basing on current design manuals and codes as ACI 440.2R and CNR DT 200R1 has not mentioned this affect. Thus, the load capacity prediction of column being strengthened by BFRP sheets should include levels of steel corrosion for reality, reasonable, and integral of the design

POTENTIAL BENEFITS OF ARBUSCULAR MYCORRHIZA FUNGI IN SUSTAINABLE AGRICULTURAL CULTIVATION

The Arbuscular Mycorrhiza fungi have a mutualistic relationship with 80% of terrestrial plants. Arbuscular Mycorrhiza fungi are considered as a biofertilizer source because of their positive effects on plant growth and productivity They can help to reduce the amount of chemical fertilizers by up to 50% due to their ability in enhancing crops to uptake mineral nutrients efficently such as nitrogen, phosphorus, potassium, calcium, zinc. . . thereby increasing crop yield. Moreover, this endosymbiotic fungus also shows its potential as a biopesticide due to its ability to biologically antagonize a wide range of fungi, viruses, and nematodes, which cause diseases on plants. Besides, Arbuscular Mycorrhiza fungi also help plants to resist to abiotic streeses such as drought, salinity, and toxicity of heavy metals. The glomalin compound secreted by mycorrhizal fungi has the ability to bind tiny soil particles together to form a stable soil structure and aggregates, helping to improve soil qualitỵ Thus, Arbuscular Mycorrhiza fungi have a high use potential in sustainable agricultural development under the context of climate change such as drought, salinity intrusion

Optimization of Molding Parameters for a Micro Gear with Taguchi Method

Nowadays, micro injection molding became one of the technologies for micro manufacture. It is widely used as a cost-effective replication method for mass production of plastic parts. However, one of the challenges for micro molding is the shrinkage which will deteriorate the quality of the micro parts molded. The way to control and minimize the shrinkage is by mean of optimizing the molding parameters. Optimizing process parameter problems are routinely performed in the manufacturing industry, particularly in setting the final optimal process parameters. Final optimal process parameter setting is recognized as one of the most important steps in injection molding for improving the quality of molded products. In this study, Taguchi method was implemented in finding the optimal micro injection molding condition for minimum shrinkage of a micro gear in micro molding experiment. Analysis of Variance (ANOVA) was carried out to determine the most influential factor that contributes towards the shrinkage quality of micro gear. The influential factors that affecting shrinkage are packing time with a contribution of 32.47% and injection speed with a contribution of 22.34%

ESSENTIAL SELF-TRAINING SKILLS TO BECOME AN INTERPRETER: ENGLISH-MAJORING STUDENTS’ PERCEPTION

Currently, interpreting has become a profession in high demand. This study surveyed students' perceptions of the essential self-training skills to become an interpreter. The study used a questionnaire to collect data collection tool which was a survey with 12 multiple-choice questions and 4 open-ended questions. 82 English–majoring students of High-quality program Batch 45 – at Can Tho University participated in the survey. The results show that students majoring in High-quality English Language perceive the importance of skills in interpreting: shorthand skills, listening comprehension skills, memorization skills, visualization skills, presentation skills, skills in using search engines, teamwork skills, multi-tasking skills, and pronunciation skills. Students also pointed out a number of skills that they think are equally important if they want to become an interpreter such as reflexes, situational skills, and contextual skills. On that basis, a number of measures of how to support students to develop their own training plans and hone their skills for their future careers are proposed.  Article visualizations

THE DIFFICULTIES IN ORAL PRESENTATION OF ENGLISH-MAJORED JUNIORS AT TAY DO UNIVERSITY, VIETNAM

It could be broadly accepted that oral presentations are becoming important for students. It is required in almost every field and in the university environment. To succeed in the university environment and in their future jobs, these students need to improve their oral presentation skills. However, one of the drawbacks of using oral presentations in the language classroom is that students often find oral presentations extremely challenging. Therefore, the researcher conducted this research with the main goal of finding out common problems when giving an oral presentation to English-majored juniors at Tay Do University. Ninety juniors majoring in English at Tay Do University were selected to take part in the study. Data are gathered through questionnaires and interviews. The researcher used quantitative and qualitative methods to do the research. From the collected data, when they give a presentation, students usually make some mistakes such as problems in vocabulary, grammar, pronunciation, psychological and background knowledge. Through this study, they would recognize their own problems when giving a presentation. Besides, understanding students' learning difficulties may also enable teachers to help students develop effective learning strategies and ultimately improve their presentation skills. It is hoped that this research can be helpful for not only students but also teachers in learning and teaching English.  Article visualizations