Hospital Staff Perceptions of Health Promotion Activities in Public Hospitals

The aim of this study was to determine the level of staff support for health promotion activities in Queensland public hospitals.

Barriers to health promotion activities in public hospitals

Despite the central role hospitals have in the health care system, relatively few health promotion activities are conducted in Australian public hospitals. This study investigated the types of obstacles that were perceived to inhibit health promotion activities in hospitals. A questionnaire for self-completion was sent to medical superintendents in all public hospitals in Queensland and 112 questionnaires were returned (92.6 per cent response rate). The results indicated that lack of finance, lack of interest by relevant others, and needs (for appropriate programs, training and patient receptivity) were the barriers reported by superintendents. The barriers of 'interest' and 'needs' were related to a lack of written policies in some areas, but not directly to levels of other health promotion activities being conducted in the hospitals. Success in facilitating health promotion programs in hospitals will need to include a change in the environment, in particular the views of medical superintendents. The combination of attitude change and the availability of a motivated person (such as a health promotion officer) to lead the activities may be needed in order to produce an increase in the level of health promotion in public hospitals. Article in Australian and New Zealand Journal of Public Health 20(5):500-4������November 1996

A Digital Collection Center's Experience: ETD Discovery, Promotion, and Workflows in Digital Commons

This presentation was given at the Digital Commons Southeastern User Group conference at Winthrop University, South Carolina on June 5, 2015. The presentation discusses how the digital collections center (DCC) at Florida International University uses Digital Commons as their tool for ingesting, editing, tracking, and publishing university theses and dissertations. The basic DCC workflow is covered as well as institutional repository promotion.

Scoping review of adherence promotion theories in pelvic floor muscle training : 2011 ics state-of-the-science seminar research paper I of IV

Aims This paper, the first of four emanating from the International Continence Society's 2011 State-of-the-Science Seminar on pelvic-floor-muscle training (PFMT) adherence, aimed to summarize the literature on theoretical models to promote PFMT adherence, as identified in the research, or suggested by the seminar's expert panel, and recommends future directions for clinical practice and research. Methods Existing literature on theories of health behavior were identified through a conventional subject search of electronic databases, reference-list checking, and input from the expert panel. A core eligibility criterion was that the study included a theoretical model to underpin adherence strategies used in an intervention to promote PFM training/exercise. Results A brief critique of 12 theoretical models/theories is provided and, were appropriate, their use in PFMT adherence strategies identified or examples of possible uses in future studies outlined. Conclusion A better theoretical-based understanding of interventions to promote PFMT adherence through changes in health behaviors is required. The results of this scoping review and expert opinions identified several promising models. Future research should explicitly map the theories behind interventions that are thought to improve adherence in various populations (e.g., perinatal women to prevent or lessen urinary incontinence). In addition, identified behavioral theories applied to PFMT require a process whereby their impact can be evaluated.

L���objectif de modifier ou de contr��ler son poids chez les adolescents : vecteur de promotion des saines habitudes de vie ou facteur de risque �� la sant�����?

L���objectif de modifier son poids est associ�� �� certains comportements potentiellement dangereux, mais ses retomb��es sur les saines habitudes de vie des adolescents sont peu connues. L���objectif du m��moire est de quantifier les associations entre l���objectif relatif au contr��le du poids et la consommation de fruits et l��gumes, de boissons sucr��es et d���aliments de restauration rapide, la prise du d��jeuner et la pratique d���activit�� physique. Des r��gressions logistiques ont ��t�� effectu��es sur les donn��es de l���Enqu��te qu��b��coise sur la sant�� des jeunes du secondaire 2010-2011. Respectivement, 25 %, 34 %, 12 % et 29 % des adolescents essayaient de perdre, maintenir, gagner du poids et ne rien faire �� propos de leur poids. Chez les gar��ons et les filles, essayer de perdre du poids ��tait associ�� �� une probabilit�� plus faible de d��jeuner quotidiennement (RC gar��ons = 0,72���; 95%IC = 0,61 - 0,84, RC filles = 0,61���; 95%IC = 0,56 -0,70) et chez les filles, cela ��tait aussi associ�� �� une probabilit�� plus ��lev��e de consommer au moins cinq portions de fruits et l��gumes par jour (RC = 1,20���; 95%IC = 1,04 - 1,37) et une probabilit�� plus faible de consommer des boissons sucr��es quotidiennement (RC = 0,77���; 95%IC = 0,66 - 0,90). Essayer de maintenir son poids et de gagner du poids ��taient minimalement associ��s �� une habitude plus d��l��t��re. L���objectif de contr��ler son poids n���est donc pas strictement positif ou n��gatif. Il semble plus prudent de promouvoir directement les saines habitudes de vie plut��t que d���encourager l���adoption d���un objectif de contr��le du poids.

Emotional competences and promotion of school success: Preliminary data of an intervention programme with teachers

Teachers��� emotional competences and well-being are fundamentally important to developing and maintaining positive relationships in the classroom, which can contribute to improving pedagogical action. References to several intervention programmes are found in the literature with the purpose of changing the practices, attitudes, and beliefs of teachers, who show evidence of a significant improvement in personal competences and school success. Therefore, an intervention with teachers integrating a broader line of research was carried out, involving parents and students as well. It consists of a programme which promotes personal (well-being and emotional intelligence) and professional (acquiring differentiated pedagogical strategies) competences over a period of six months, followed by a focus group to assess the contribution of an empowerment programme with the intention of promoting school success. The preliminary action-research study involved 10 teachers of two classes with students who show disruptive behaviour in the 7th year in a school in the central region of Portugal. The teachers, of both genders, are aged between 44 and 52, and belong to several recruitment groups. The main research question was: ���To what extent does an intervention programme, intended for training, contribute to developing personal and professional competences in teachers of the 3rd cycle of basic education?��� The teachers revealed a rather favourable view of their participation in the programme, considering that it helped them perceive some behaviours and practices which are less adjusted to their action in the classroom with these students (shouting, scolding, etc.). From the pretest to the posttest, statistically significant differences were found in assessing their own emotions and in their use. Signs of improvement in positive affections and satisfaction with life were also found, though with a marginal significance. The preliminary data in this empowerment programme for these educational agents points towards the importance of teachers��� awareness in what concerns their pedagogical action, as well as the need to change traditional pedagogical practices that contribute to discouraging students towards learning. The need to establish closer and systematic contact with the students and their families in order to meet their needs and expectations was also highlighted.

Scoping review of adherence promotion theories in pelvic floor muscle training : 2011 ics state-of-the-science seminar research paper I of IV

Aims This paper, the first of four emanating from the International Continence Society's 2011 State-of-the-Science Seminar on pelvic-floor-muscle training (PFMT) adherence, aimed to summarize the literature on theoretical models to promote PFMT adherence, as identified in the research, or suggested by the seminar's expert panel, and recommends future directions for clinical practice and research. Methods Existing literature on theories of health behavior were identified through a conventional subject search of electronic databases, reference-list checking, and input from the expert panel. A core eligibility criterion was that the study included a theoretical model to underpin adherence strategies used in an intervention to promote PFM training/exercise. Results A brief critique of 12 theoretical models/theories is provided and, were appropriate, their use in PFMT adherence strategies identified or examples of possible uses in future studies outlined. Conclusion A better theoretical-based understanding of interventions to promote PFMT adherence through changes in health behaviors is required. The results of this scoping review and expert opinions identified several promising models. Future research should explicitly map the theories behind interventions that are thought to improve adherence in various populations (e.g., perinatal women to prevent or lessen urinary incontinence). In addition, identified behavioral theories applied to PFMT require a process whereby their impact can be evaluated.

Audit report on the Iowa Corn Promotion Board for the years ended August 31, 2016 and 2015

Audit report on the Iowa Corn Promotion Board for the years ended August 31, 2016 and 2015

R��le du facteur de transcription HNF1�� dans la promotion du diab��te par l���interm��diaire d���hormones intestinales

HNF1�� (hepatocyte nuclear factor-1��) est un facteur de transcription exprim�� dans le foie, le pancr��as, les reins, l���estomac, l���intestin gr��le et le c��lon. Il a ��t�� d��montr�� que des mutations du g��ne codant pour cette prot��ine sont associ��es �� un diab��te non insulinod��pendant MODY3. De plus, les souris d��ficientes pour l���expression de Hnf1�� souffrent d���hyperglyc��mie. Ces animaux mutants semblent produire de l���insuline mais pr��sentent cependant une alt��ration de la s��cr��tion de cette hormone au niveau du pancr��as. Dans une pr��c��dente ��tude, nous avons d��montr�� que certains marqueurs de cellules ent��roendocrines impliqu��s dans l���hom��ostasie du glucose ��taient modul��s chez les animaux mutants comparativement aux animaux contr��les notamment la ghr��line, le Gip, la somatostatine. Notre hypoth��se de recherche est que la perte de Hnf1�� conditionne la promotion du diab��te par l���interm��diaire d���hormones intestinales. Nous avons observ��, chez les animaux mutants, une augmentation de l���expression du transcrit, du nombre de cellules positives ainsi que des taux plasmatiques de ghr��line. Cette hormone ��tant reli��e �� l���hom��ostasie du glucose, nous avons suivi les variations de la glyc��mie et des taux d���insuline chez nos animaux. Nous avons observ�� une hyperglyc��mie accompagn��e d���une diminution des taux d���insuline chez nos animaux mutants. Ces souris pr��sentent une prise alimentaire augment��e, une polyurie et une polydipsie ��lev��es, sympt��mes connus du diab��te. Le traitement de 6 jours sur les souris Hnf1��[indice sup��rieur -/-] avec un antagoniste commercial du r��cepteur �� la ghr��line GHSR1a, le (D-Lys3)-GHRP-6 de BACHEM��, montre un r��tablissement de la glyc��mie proche des valeurs normales, de m��me qu���une augmentation significative des taux d���insuline plasmatiques des souris trait��es, une diminution de la polyurie, de la polydipsie et de la glycosurie. Les souris mutantes trait��es avec cet antagoniste voient leur tol��rance au glucose am��lior��e m��me en cas de choc glyc��mique. Nous avons, enfin, document�� la r��gulation possible de Hnf1�� vis-��-vis du g��ne codant pour la ghr��line. Des infections lentivirales, r��alis��es sur des cellules MIN6 avec un shARN dirig�� contre le transcrit Hnf1��, montrent une augmentation des taux d���expression du transcrit ghr��line. Nous avons ��galement mis en ��vidence l���interaction physique entre Hnf1�� et le promoteur ghr��line en plusieurs sites par des exp��riences d���immunopr��cipitation de la chromatine. L���ensemble de ces r��sultats sugg��re que la perte de Hnf1�� chez la souris joue un r��le dans la promotion de l���hyperglyc��mie par l���interm��diaire d���une d��r��gulation de la production de ghr��line.

Small states and the promotion of their foreign policy agenda in the international scenario: Trinidad and Tobago and the Kyoto Protocol

Este estudio de caso busca identificar los elementos del portafolio de pol��tica exterior de Trinidad y Tobago que le permitieron promover exitosamente sus intereses en el Protocolo de Kioto. Al hacer esto, este texto analizar�� las limitaciones de Trinidad y Tobago en t��rminos de vulnerabilidades de localizaci��n, burocracia y recursos. Posteriormente, una revisi��n del portafolio de pol��tica exterior de este Estado ilustrar�� el uso de estrategias de creaci��n de capacidades y de organizaci��n como lo son el contacto con actores institucionales y no gubernamentales, la formaci��n de coaliciones y estrategias argumentativas, entre otras. Finalmente, este art��culo concluir�� que dichas acciones permitieron la promoci��n de la agenda de pol��tica exterior de Trinidad y Tobago a trav��s de la creaci��n de hojas de ruta y la coordinaci��n de la incertidumbre con el Protocolo de Kioto. Para hacer esto, este trabajo se concentrar�� en examinar conceptos como vulnerabilidad y priorizaci��n, asimismo contrastando diferentes art��culos acad��micos en la materia junto con documentos oficiales de Trinidad y Tobago.

Teacher���s Role in the Promotion of Two Emotional Intelligence Competencies in Fifth-Grade Children

This paper presents the results of a qualitative study aimed at analyzing the teacher���s role in promoting awareness and management of emotions in fifth-graders, as competencies of emotional intelligence. This resulted in a very significant study since, from the psychopedagogic perspective, it aims at breaking with the traditional role of teachers exclusively focused on transmitting knowledge, leaving aside the much-needed emotional support. Children demonstrated a poor vocabulary, as well as difficulty to identify some emotions and differentiate between them. This means a limitation for children to be aware of their own emotions and to control them.�� As a conclusion, it is important to maximize the emotional capacities of students; it should be a primary task in the education centers, where teachers play a key role as a model and as a promoter of emotional intelligence.

Prevention of binge drinking in young adolescents through the promotion of a balanced level of psychological well-being: be-dry

This doctoral thesis presents a project carried out in secondary schools located in the city of Ferrara with the primary objective of demonstrating the effectiveness of an intervention based on Well-Being Therapy (Fava, 2016) in reducing alcohol use and improving lifestyles. In the first part (chapters 1-3), an introduction on risky behaviors and unhealthy lifestyle in adolescence is presented, followed by an examination of the phenomenon of binge drinking and of the concept of psychological well-being. In the second part (chapters 4-6), the experimental study is presented. A three-arm cluster randomized controlled trial including three test periods was implemented. The study involved eleven classes that were randomly assigned to receive well-being intervention (WBI), lifestyle intervention (LI) or not receive intervention (NI). Results were analyzed by linear mixed model and mixed-effects logistic regression with the aim to test the efficacy of WBI in comparison with LI and NI. AUDIT-C total score increased more in NI in comparison with WBI (p=0.008) and LI (p=0.003) at 6-month. The odds to be classified as at-risk drinker was lower in WBI (OR 0.01; 95%CI 0.01���0.14) and LI (OR 0.01; 95%CI 0.01���0.03) than NI at 6-month. The odds to use e-cigarettes at 6-month (OR 0.01; 95%CI 0.01���0.35) and cannabis at post-test (OR 0.01; 95%CI 0.01���0.18) were less in WBI than NI. Sleep hours at night decreased more in NI than in WBI (p = 0.029) and LI (p = 0.006) at 6-month. Internet addiction scores decreased more in WBI (p = 0.003) and LI (p = 0.004) at post-test in comparison with NI. Conclusions about the obtained results, limitations of the study, and future implications are discussed. In the seventh chapter, the data of the project collected during the pandemic are presented and compared with those from recent literature.

[the Perception Of Behavior Related To Mindfulness And The Brazilian Version Of The Freiburg Mindfulness Inventory].

Mindfulness is a practice and a form of consciousness which has been the basis for innovative interventions in care and health promotion. This study presents mindfulness, describes and discusses the process of cultural adaptation of The Freiburg Mindfulness Inventory (FMI) to Brazilian Portuguese. From the original version of this pioneering instrument for assessing mindfulness two translations and two back-translations were made. These were evaluated by a committee of 14 experts (Buddhists, linguists, health professionals), who helped to create two versions for the first pre-test, based on which suggestions were made by a sample of 41 people of the population through interviews. Considering the difficulties in understanding the concepts that are unfamiliar to the Brazilian culture, a new version was prepared with additional explanations, which underwent a further evaluation of the experts and a second pre-test with 72 people. This process aimed at addressing the limitations and challenges of evaluating mindfulness in a country of western culture through a self-report instrument based on Buddhist psychology. With appropriate levels of clarity and equivalence with the original instrument, the Freiburg Mindfulness Inventory adapted for Brazil is presented.

Self-reported Diabetes In Older People: Comparison Of Prevalences And Control Measures.

The objective of this study was to analyze the prevalence of diabetes in older people and the adopted control measures. Data regarding older diabetic individuals who participated in the Health Surveys conducted in the Municipality of Sao Paulo, SP, ISA-Capital, in 2003 and 2008, which were cross-sectional studies, were analyzed. Prevalences and confidence intervals were compared between 2003 and 2008, according to sociodemographic variables. The combination of the databases was performed when the confidence intervals overlapped. The Chi-square (level of significance of 5%) and the Pearson's Chi-square (Rao-Scott) tests were performed. The variables without overlap between the confidence intervals were not tested. The age of the older adults was 60-69 years. The majority were women, Caucasian, with an income of between > 0.5 and 2.5 times the minimum salary and low levels of schooling. The prevalence of diabetes was 17.6% (95%CI 14.9;20.6) in 2003 and 20.1% (95%CI 17.3;23.1) in 2008, which indicates a growth over this period (p at the limit of significance). The most prevalent measure adopted by the older adults to control diabetes was hypoglycemic agents, followed by diet. Physical activity was not frequent, despite the significant differences observed between 2003 and 2008 results. The use of public health services to control diabetes was significantly higher in older individuals with lower income and lower levels of education. Diabetes is a complex and challenging disease for patients and the health systems. Measures that encourage health promotion practices are necessary because they presented a smaller proportion than the use of hypoglycemic agents. Public health policies should be implemented, and aimed mainly at older individuals with low income and schooling levels. These changes are essential to improve the health condition of older diabetic patients.

The relationship between physical aspects of quality of life and extreme levels of regular physical activity in adults

This study aimed to check for any significant differences in perceived quality of life, specifically aspects of a physical nature, among volunteers who are more physically active and those less physically active in a university community. The sample consisted of 1,966 volunteers in a university community in Brazil. To assess physical activity levels, volunteers responded to the International Physical Activity Questionnaire (IPAQ), and to analyse the perception of quality of life they responded to WHOQOL-bref, which is classified into three groups according to level of physical activity, taking into account the metabolic equivalent index (MET) over a full week. For comparison, consideration was given to the first and third tertiles, respectively, namely groups of more and less active students. The results indicated that individuals who engaged in more physical activity had a more positive perception of quality of life compared to those who were less active in physical aspects related to the ability to work, energy for day-to-day activities and locomotion.