Social Learning Theory in Clinical Setting: Connectivism, Constructivism, and Role Modeling Approach

The purpose of this study is to explore the social learning theory in terms of connectivism, constructivism, and role modeling approach in a clinical setting and its consequences. This article aims to analyze the possible role of connectivism, constructivism, and, role modeling as learning theories in terms of dealing with useful student learning instructional strategies. All these approaches are key concepts to align any level of education (primary, secondary, and particularly higher education). The research is qualitative in design and uses an inductive approach. Using a qualitative content analysis approach enables in-depth study of studies as well as data interpretation, leading to conclusions regarding the meaning of diverse experiences. The authors have given insight into designing teaching practices that adapt to changes in how management, physicians, and medical students observe, learn, communicate, generate and share new knowledge. The current study provides a summary of approaches and theoretical insights about planned and unplanned learning. This research will be valuable in developing role modeling instructional programs. Encouraging clinical instructors to make continual efforts to enhance role modeling and teaching time management and self-control skills can assist clinical teachers to overcome the problems of learning with role modeling. The finding shows that collective learning outperforms individualistic learning in terms of improving engagement, enhancing quality, and producing positive interpersonal outcomes. Encouraging clinical instructors to make continual efforts to enhance role modeling and teaching time management and self-control skills can assist clinical teachers to overcome the problems of role modeling. The building is a theory that affirms that learning is a process for the learner Role modeling is effective for medical students. The implications and future directions would be beneficial for researchers and academicians seeking to empirically extend their study on connectivism, constructivism, and role modeling approaches

Self-rated health among Mayan women participating in a randomised intervention trial reducing indoor air pollution in Guatemala

<p>Abstract</p> <p>Background</p> <p>Indoor air pollution (IAP) from solid fuels is a serious health problem in low-income countries that can be alleviated using improved stoves. Although women are the principal users, few studies have investigated the self-assessed impact of the stoves on their health and lives.</p> <p>Methods</p> <p>This study was conducted in rural highland Guatemala, involving 89 intervention and 80 control Mayan Indian young women (mean 27.8 years, SD 7.2). Outcomes were assessed after approximately 18 months use of the new stove. Our objectives were to compare self-rated health and change in health among women participating in a randomised control trial comparing a chimney stove with an open fire, to describe impacts on women's daily lives and their perceptions of how reduced kitchen smoke affects their own and their children's health.</p> <p>Results</p> <p>On intention-to-treat analysis, 52.8% of intervention women reported improvement in health, compared to 23.8% of control women (p < 0.001). Among 84 intervention women who reported reduced kitchen smoke as an important change, 88% linked this to improvement in their own health, particularly for non-respiratory symptoms (for example eye discomfort, headache); 57% linked reduced smoke to improvement in their children's health, particularly sore eyes.</p> <p>Conclusion</p> <p>Women's perception of their health was improved, but although smoke reduction was valued, this was linked mainly with alleviation of non-respiratory symptoms like eye discomfort and headache. More focus on such symptoms may help in promoting demand for improved stoves and cleaner fuels, but education about more severe consequences of IAP exposure is also required.</p

The state of indoor air quality in Pakistan—a review

Background and purpose: In Pakistan, almost 70% of the population lives in rural areas. Ninety-four percent of households in rural areas and 58% in urban areas depend on biomass fuels (wood, dung, and agricultural waste). These solid fuels have poor combustion efficiency. Due to incomplete combustion of the biomass fuels, the resulting smoke contains a range of health-deteriorating substances that, at varying concentrations, can pose a serious threat to human health. Indoor air pollution accounts for 28,000 deaths a year and 40 million cases of acute respiratory illness. It places a significant economic burden on Pakistan with an annual cost of 1% of GDP. Despite the mounting evidence of an association between indoor air pollution and ill health, policy makers have paid little attention to it. This review analyzes the existing information on levels of indoor air pollution in Pakistan and suggests suitable intervention methods. Methods: This review is focused on studies of indoor air pollution, due to biomass fuels, in Pakistan published in both scientific journals and by the Government and international organizations. In addition, the importance of environmental tobacco smoke as an indoor pollutant is highlighted. Results: Unlike many other developing countries, there are no long-term studies on the levels of indoor air pollution. The limited studies that have been undertaken indicate that indoor air pollution should be a public health concern. High levels of particulate matter and carbon monoxide have been reported, and generally, women and children are subject to the maximum exposure. There have been a few interventions, with improved stoves, in some areas since 1990. However, the effectiveness of these interventions has not been fully evaluated. Conclusion: Indoor air pollution has a significant impact on the health of the population in Pakistan. The use of biomass fuel as an energy source is the biggest contributor to poor indoor air quality followed by smoking. In order to arrest the increasing levels of indoor pollution, there is a dire need to recognize it as a major health hazard and formulate a national policy to combat it. An integrated effort, with involvement of all stakeholders, could yield promising results. A countrywide public awareness campaign, on the association of indoor air pollution with ill health, followed by practical intervention would be an appropriate approach. Due to the current socioeconomic conditions in the country, development and adoption of improved cooking stoves for the population at large would be the most suitable choice. However, the potential of biogas as a fuel should be explored further, and modern fuels (natural gas and LPG) need to be accessible and economical. Smoking in closed public spaces should be banned, and knowledge of the effect of smoking on indoor air quality needs to be quantified. © 2010 Springer-Verlag

Health and social impacts of improved stoves on rural women: a pilot intervention in Sindh, Pakistan

social and health impacts of improved stoves among women. A cross-sectional study was conducted from April to May 2002 among households using improved stoves in the two villages of District Thatta and Hyderabad, Sindh, Pakistan. A questionnaire was administered to 45 women using improved stoves named Smoke Free Stoves (SFS). The same questionnaire was administered to a sample of 114 women, using Traditional Stoves (TS). Carbon monoxide (CO) levels were measured in a sample of both groups. Multivariate analysis was carried out to adjust for confounders. In addition, focus group discussions (FGDs) were conducted to evaluate the perception of women regarding acceptability and impact of SFS on women. A majority of women reported that SFS produce less smoke and have a beneficial impact on their health. In the multivariate analysis, symptoms of dry cough (AOR=0.61; 95% CI 0.26-1.41), sneezing (AOR=0.54; 95% CI 0.22-1.30) and tears while cooking (TWC) (AOR=0.51; 95% CI 0.21-1.21) are less likely to occur in women using SFS compared to TS. However, the results were not statistically significant possibly due to the small sample. The mean (+/-s.e.) CO levels were 15.4+/-3.4 ppm in SFS and 28.5+/-5.7 ppm in TS kitchens with a mean difference of -13.1 (95% CI -29.5 and 3.2). The results indicate a trend favorable for SFS and suggest that a larger scale project should be undertaken to reach to a definitive conclusion, ideally using a longitudinal design. PRACTICAL IMPLICATIONS: In order to enhance IAQ in kitchens in developing regions of the world stoves for burning of biomass should be constructed in a way that the emission of fuel gases are low. In this way the risk of negative health effects will be reduced