Information Needs and Self-Care Practices of Diabetic Patients in Mbala, Northern Province, Zambia

Introduction: Diabetes mellitus (DM) is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. It is “a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action or both” manifested by carbohydrates, fat and protein metabolism abnormality. If untreated high blood sugar can damage the nerves, eyes, kidneys, and other organs. The purpose of this study was to assess the information needs and self-care practice of Diabetic Patients in Mbala, Northern Province Zambia. Methods: This was an analytical cross-sectional study where 105 respondents aged 18 years and above participated in the study. Participants were randomly selected. A structured interview schedule and a check list were used to collect data. Statistics Package for Social Sciences computer software package version 23.0 was used to analyze data. Chi square and fisher’s exact tests were used to test the significance of the association between Knowledge of Diabetes Mellitus, attitude towards self-care practices, self-care practices among Diabetic patients and the need for information among Diabetic patients. A 95% confidence interval and P value of 0.05 were used to ascertain the degree of significance. Multi-variate binary logistic regression model to determine predictors of self-care practices and need for information was also used. Result: On analyzing the dependent variables, more than half (61.9%), had high need for information and three quarters (85.7%) of respondents had poor self-care practices. Slightly more than half (58.1%) had high knowledge levels majority (78.1%), had a negative attitude. Significant associations were found P Conclusion: Negative attitudes and lack of information among Diabetic patients were the main reasons associated with poor self-care practices. Particular attention should therefore be given to ensuring that Diabetic patients are given adequate information on Diabetes self-care in order to improve the quality of life.

Needs and Opportunities for Information in Patients with Metastatic Breast Cancer Attending a Tertiary Hospital in Tanzania—A Qualitative Study

Background: The majority of breast cancer patients in Tanzania present with advanced disease, and a significant proportion has metastatic breast cancer (MBC) on presentation or develops it during the course of their follow-up. With few treatment options to choose from, such patients often benefit from empathic support and access to information to help them make treatment decisions based on their individual circumstances and needs. Patients with MBC have been shown to present with unique physical, social and psychological needs that require additional time, counselling and availability of health care providers in addition to the routine options available to other patients. In resource-limited settings, the needs of such patients are often unknown and unaddressed, which adds to the anxiety associated with the diagnosis and its treatment. Materials and methods: This descriptive qualitative study was conducted using 3 focus group discussions with a total of 17 participants with metastatic breast cancer (MBC) attending Ocean Road Cancer Institute in Dar es Salaam, Tanzania. Participants were purposively selected for the study from outpatient clinics and inpatient wards. A semi-structured FGD guide was used to moderate discussions and analysis was done using a thematic approach. Results: The median age of participants was 51 (range 33 - 81 years) with an average of 4 months (range 1 - 12 months) from diagnosis of BC to the interview. 4 (24%) were diagnosed with MBC on first presentation (denovo). Participants spoke about the importance of accurate BC-related information in allowing timely referral and treatment both in the community and within the health system. They recognized the role of mass and social media in increasing awareness about BC and identified myths surrounding cancer treatment especially mastectomy. Correct and timely information at points of care, through media platforms and via ambassadors/patient support groups was perceived as a means to avoiding delays and securing early and effective treatment. Conclusion: Patients with MBC in Tanzania have many unmet informational needs in relation to their disease. Accurate BC-related information is important in allowing early detection and diagnosis. At the community level, provision of information through established media platforms and the use of patient advocates may help to enable early referral and treatment of patients.

Survey and Research on Health Information Assistance Needs of Junior Middle School Students in Different Regions of Guangdong Province

Objective:To study the health information assistance needs of junior high school students in 8 different regions of Guangdong Province in a cluster,to understand the current situation of junior high school students'health information assistance needs,and to collect feasibility data for hospitals and schools to jointly promote the healthy development of students.Methods:In June 2019,a group of junior high school students from 8 different regions in Guangdong Province[678 students(in 2 towns),352 students(in 2 counties and prefecture-level cities),and 1098 students(in 4 provincial-level cities)]were selected in a group.A questionnaire survey was conducted by 2128 people,the results of the questionnaire survey were collected,and statistical analysis was performed.Results:Of the 2128 junior high school students in 8 different regions,only 52.07% had confidence in their health,and there were no regional differences.Health information for students seeking professional medical assistance includes:1578 person-times(74.15%)of nutritional diets,1084 person-times(50.94%)to eliminate tiredness,1190 person-times(55.92%)to improve sleep quality,1002 person-times(47.09%)to reduce anxiety,making him happier and stronger 1164 person-times(54.70%).Students in different regions asked for help on how to make their hearts happier and stronger.The results suggest that provincial and county-level students have greater needs than urban students.Conclusion:The results of this research show that junior high school students in different regions of Guangdong Province have insufficient awareness of health,and there is a large demand for various health help information,and the focus is on prevention.It is of practical significance to strengthen and meet the health information needs of junior high school students.

Inflammatory bowel disease patient profiles are related to specific information needs: A nationwide survey

BACKGROUND Inflammatory bowel diseases(IBD) is a heterogenous, lifelong disease, with an unpredictable and potentially progressive course, that may impose negative psychosocial impact on patients.While informed patients with chronic illness have improved adherence and outcomes, previous research showed that the majority of IBD patients receive insufficient information regarding their disease.The large heterogeneity of IBD and the wide range of information topics makes a one-size fits all knowledge resource overwhelming and cumbersome.We hypothesized that different patient profiles may have different and specific information needs, the identification of which will allow building personalized computer-based information resources in the future.AIM To evaluate the scope of disease-related knowledge among IBD patients and determine whether different patient profiles drive unique information needs.METHODS We conducted a nationwide survey addressing hospital-based IBD clinics.A Total of 571 patients completed a 28-item questionnaire, rating the amount of information received at time of diagnosis and the importance of information, as perceived by participants, for a newly diagnosed patient, and for the participants themselves, at current time.We performed an exploratory factor analysis of the crude responses aiming to create a number of representative knowledge domains(factors), and analyzed the responses of a set of 15 real-life patient profiles generated by the study team.RESULTS Participants gave low ratings for the amount of information received at disease onset(averaging 0.9/5) and high ratings for importance, both for the newly diagnosed patients(mean 4.2/5) and for the participants themselves at current time(mean 3.5/5).Factor analysis grouped responses into six informationdomains.The responses of selected profiles, compared with the rest of the participants, yielded significant associations(defined as a difference in rating of >0.5 points with a P < 0.05).Patients with active disease showed a higher interest in work-disability, stress-coping, and therapy-complications.Patients newly diagnosed at age > 50, and patients with long-standing disease(> 10 years)showed less interest in work-disability.Patients in remission with mesalamine or no therapy showed less interest in all domains except for nutrition and long-term complications.CONCLUSION We demonstrate unmet patient information needs.Analysis of various patient profiles revealed associations with specific information topics, paving the way for building patient-tailored information resources.

Analysis and Research on Information Design of the Smart Community Pension Service

In the research on the smart community pension service,it is found that the problems encountered in the promotion of the smart pension can not be solved in the short term because of the lack of information and the acceptance of the intelligent products by the elderly. This paper puts forward the research ideas based on the cognitive characteristics and demand prediction of the specific population. Focusing on the research on the pension needs of people born in the 1960 s or 1970 s,it provides support for the solution of smart pension services in the peak period of aging population in the future.

Information Needs of Breast Cancer Patients at Cancer Diseases Hospital, Lusaka, Zambia

Background: Breast cancer is the second most common cancer worldwide and the second most common among Zambian women. Breast cancer diagnosis being a stressful experience, causes psychological and emotional disruption that can be abated by meeting information needs of the affected patients. In light of the escalating cases of Breast cancer among the Zambian women, the study examined a special aspect of cancer management which is usually neglected in most cases. Aim: The main objective of the study was to assess information needs of breast cancer patients at the Cancer Diseases Hospital in Lusaka, Zambia using a modified structured interview schedule adopted from the Toronto Information Needs Questionnaire-Breast Cancer (TINQ-BC). Methods: A descriptive cross-sectional design was used to elicit the information needs of breast cancer patients. One hundred and ten (97% response rate) participants were selected using simple random sampling method and data was collected using a modified structured interview schedule adopted from the Toronto Information Needs Questionnaire-Breast Cancer (TINQ-BC). Stata 10.0 (StataCorp, 2008) was employed for all quantitative data analysis and graphical presentation of data. Results: The overall score for information needs was obtained by adding the scores across all the five information needs categories which were further divided into three categories namely: low important scores, of less than 50%, moderately important scores of 50% - 70% and highly important scores ranged above 70% of the 200 total scores. Out of the 110 participants recruited, 88 (80%) indicated that the information across the five categories was moderately important. Logistic regression of information needs and posited determinants revealed that anxiety levels;education level;presence of co-morbidity;and being on treatment were significant determinants of patients’ informational needs (Effect’s p ≤ 0.05). Conclusion: The findings of this study support the idea that breast cancer patients are seeking more information on their illness, hence information provision is one of the most important factors for providing high quality cancer care across the whole cancer continuum. Therefore, appreciating the information needs of breast cancer patients is substantial in improving care.

Information needs of older people with heart failure： listening to their own voice

According to a large-scale census in 2000, there were approximately 4,000,000 patients with heart failure （HF） aged between 35 and 74 years in China. Patient education shows its importance and essentiality in controlling the disease by improving the self-care abilities of patients,t21 However, a shortened period of hospitalization compromises the effectiveness and efficacy of the education. It is therefore suggested that the information needs of patients with HF should be simultaneously addressed to make education more appropriate and tailored.

Evaluation of a Mobile Station Electronic Health Record on Documentation Compliance and Nurses’ Attitudes

Electronic Health Record (EHR) Systems have been adopted by healthcare organizations for documentation of patient care. Often these information systems are embedded in mobile nurse stations. As part of assessing the impact of this technology it is important to determine the effect it has on charting compliance and user acceptance. Data were collected at a medical center in Taiwan in two stages. The first stage involved use of a 28-item medical review tool to measure charting compliance in 99 charts before and after implementation of the EHR system. In stage two, a survey was conducted with 709 nurse users to determine their level of mobile EHR acceptance 3 months after this documentation technology was initiated. Results demonstrated that EHR significantly improved documentation compliance in standardized data entry format (name, date, time), abbreviation, content correction/revision, patient care needs, and care goals. Analysis of data from the five categories of a user acceptance survey revealed the following results (based on a 4-point Likert scale): patient care (2.92), nursing efficiency (2.78), education and training (2.98), usability (2.61), and usage benefits (2.87). The study concluded that use of mobile nurse stations with EHR can improve documentation compliance and that although frequent system downtime needs improvement, nurses generally have positive attitudes toward this technology application.

INFORMATION RETRIEVAL FOR SHORT DOCUMENTS

The major problem of the most current approaches of information models lies in that individual words provide unreliable evidence about the content of the texts. When the document is short, e.g. only the abstract is available, the word-use variability problem will have substantial impact on the Information Retrieval （IR） performance. To solve the problem, a new technology to short document retrieval named Reference Document Model （RDM） is put forward in this letter. RDM gets the statistical semantic of the query/document by pseudo feedback both for the query and document from reference documents. The contributions of this model are three-fold： （1） Pseudo feedback both for the query and the document; （2） Building the query model and the document model from reference documents; （3） Flexible indexing units, which can be ally linguistic elements such as documents, paragraphs, sentences, n-grams, term or character. For short document retrieval, RDM achieves significant improvements over the classical probabilistic models on the task of ad hoc retrieval on Text REtrieval Conference （TREC） test sets. Results also show that the shorter the document, the better the RDM performance.

Information Network Systems and Information Sharing on Administrative Websites

In Japanese 'e-government' policy, called 'e-Japan', the 'administrative document management system' is functioning as information searching systems. On the other hand, this system has also generated the problem that it is not fully functioning as a means for the information sharing in a governmental agency. So, the purpose of this research is to find how the administrative document management system can function as information sharing in administrative organization. For this purpose, this paper considers the current status and some problems firstly. And secondary, this paper proposes the idea and constructs some information systems using administrative official Website. This is the method and approach of this research. As a conclusion, this proposal information system junctions as information sharing support systems.

Documental Quality of Websites Concerning Physical Activity, Lifestyle and Sedentarism Available on the Internet

Objectives: To analyze the documental quality of 389 websites in Portuguese about physical activity, healthy lifestyles and sedentary lifestyles found on the Brazilian version of the general search engine Google. Methods: The documental quality of the 389 websites was estimated based upon the following parameters: 1) a combination of quality criteria from the Health Information Locator (LIS—OPS/BIREME) and those from Chile’s Pontifical Catholic University, organized into 17 variables;2) uniformity of reference criteria (Vancouver);3) association between the presence of authorship and a higher number of the quality criteria being fulfilled. We also studied the ranking of the results presented by Google in addition to attributes connected to the websites’ target audience, the types of content, their sponsors and country of origin. Results: Of the 389 websites studied, 111 links were not active (28.53% CI 95% [24.05 - 33.02]) and none of the websites in the sample met all of the 17 quality variables. Authored websites displayed remarkable differences in quality when compared to those which did not identify their authors. Conclusions: Faced with the issue of the proliferation of websites with questionable quality content, and the fact that the ranking of results interferes directly in the internal evaluation of content relevance, we propose that public-health research institutions cooperate with web-searching developers to improve the website-positioning formula, in which the “identified authorship” criterion should play a major role in the ranking system.

Trust and Security on Semantic HIM (Health Information Management)

Information technology have changed information media by networking and internet using technology in health as same as another part improve efficiency and effectiveness. Currently, the medical document is reality-based medicine, so that is the most important, richest and the most realistic source of medical and health information. Health information management systems that require systems to the storage, retrieval, storage and elimination of health records (by law), and adjust to the rules of professional. These processes are difficult and time consuming for human. In the meantime semantic HIM seem best solution.

Informational Needs in Women Undergoing Multifraction High Dose-Rate Brachytherapy for Cervical Cancer: A Prospective Qualitative Study

Objective: To identify the informational needs of Moroccan women receiving intracavitary brachytherapy for locally advanced cervical cancer as part of a process to develop guidelines for quality patient-centered care. Methodology: A prospective, qualitative study with a phenomenological approach was carried out at the Brachytherapy unit of the National Institute of Oncology in Rabat, Morocco. Purposive sampling was used to recruit 31 patients undergoing high dose-rate brachytherapy for cervical cancer from July 2020 to August 2020. Semi-structured, one-to-one interviews were conducted by a female radiation oncologist in Arabic, guided by a theme list. The interviews were translated and a thematic analysis was performed. Results: Data saturation was achieved having interviewing 31 participants, aged 27 - 70 years. Findings on patients’ informational needs were the overarching theme and form the focus of this article. The informational needs included: providing patients with disease- and treatment-related information in their home language;adequate information concerning pre-treatment preparation, possible side-effects, and sexual intercourse;and providing patients with informative material adapted to their needs as standard procedure. Conclusion: This study has identified unmet women’s informational needs during brachytherapy for cervical cancer. Providing patients with sufficient and understandable information, adequate preparation before the procedure, more sensitive support during the procedure, and debriefing afterward could lessen feelings of fear and anxiety towards treatment delivery. Guidelines with a patient-centered approach could thus be developed to be used as a tool to assist members of multidisciplinary teams in providing quality care to this group of women.

An Informetric analysis of web citation in Chinese journals of Library and Information Science in recent years

This paper selects 998 articles as its data sources from four Chinese core journals in the field of Library and Information Science from 2003 to 2007.Some pertinent aspects of reference citations particularly from web resources are selected for a focused analysis and discussion.This includes primarily such items as the number of web citations,web citations per each article,the distribution of domain names of web citations and also certain aspects about the institutional and/or geographical affiliations of the author.The evolving situation of utilizing online networked academic information resources in China is the central thematic discussion of this study.The writing of this paper is augmented by the explicatory presentation of 3 graphic figures,6 tables and 18 references.

A survey of public needs for government information service in libraries

Purpose:This paper describes a comprehensive user survey carried out in China to investigate public needs for government information service in libraries.It is expected to provide insights into the ways to help public libraries meet the user needs.Design/methodology/approach:The paper is founded on a survey among library users,librarians and non-library users.Paper questionnaires were distributed in the National Library of China and 32 provincial public libraries in China and electronic questionnaires were sent to non-library users.A total of 909 valid questionnaires were collected.Findings:A lot of attention is paid to policies,laws and regulations relating to common people’s work and lives such as science,technology,education,culture,finance,market supervision,health care,sports,urban construction and environment protection.A wide variety of government information resources is needed and information delivered to users shall be accurate and timely.Internet has become the main means of accessing government information and mobile phones the preferred Web access channel,while printed materials are considered important information sources.Users need assistance and training in the use of library information resources and services.Research limitations:The sample was limited to respondents from provincial-level public libraries,but city and county-level library users were not included.Practical implications:The survey results are beneficial for the Chinese public libraries to design service programs and improve their services.Originality/value:The paper is one of the comprehensive surveys on public needs for government information service in the Chinese libraries and some of die findings will be of wider interest for other libraries.

A study of changing information needs of contemporary public library users in China

Public libraries should be vigilant and responsive to the ever changing information needs of their clientele functioning in a society undergoing through rapid change due to technological innovations. China is currently experiencing a social and technological transformation of great magnitude in terms of metamorphosing itself from a traditional society to one that is driven by information technologies. Our research study, taking this proposition into account, did a questionnaire survey on 954 library information users at five major public libraries. This research study has discovered that the information needs of public library users today reflect some of the peculiar characteristics of their society in changing times which is driven largely by the rapid development and application of new information technologies. It shows that there is a newly added demand emphasis on certain categories of library resources and services by the Chinese reading public. Our research findings have identified such needs basically in the following five functional areas of public libraries, namely, 1) Increased demands for economic resources, 2) rising expectations for more effective and efficient library services, 3) a convenient location and an amicable environment congenial to learning, 4) a suitable place for engaging in intellectual dialogues and in socialization, and 5) a few other technological amenities and information technology-based digital resources and facilities in addition to a rich repository of library materials in print format. Finally, our paper concludes its discussion with a few observation remarks about the changing trend of public libraries' visions, missions and operations vis-à-vis a contextual background of the ever heightened public expectations for getting quality information services in a timely manner in order for them to function effectively in an information-oriented society such as that of ours today.

Understanding information seeking behavior of rural women:Field studies in China

Purpose:The purpose of this research is to investigate Chinese rural women’s information needs and information seeking behavior,with an emphasis on exploration of the intervening variables that influence information needs and information seeking behavior.Design/methodology/approach:The sample consisted of 27 women from 9 villages in Gansu Province,Anhui Province and Tianjin City,China.Data were collected through in-depth individual interview.Both quantitative and qualitative methods were employed to analyze the data.Findings:Chinese rural women’s needs are basically tied to agricultural technologies,employment and health information.Social network,rather than the Internet,serves as the most frequently used information channel.Women’s cognitive ability,social role and their living environment are the 3 intervening variables that have an impact on their information needs and their information seeking behavior.Research limitations:This qualitative research is based on a small sample and conducted on specific socio-economic settings in China,which may restrict the generalization and application of relevant findings in other settings and countries.Practical implications:The study results will help librarians and information professionals better understand Chinese rural women’s information needs and information seeking behavior in an effort to find ways to solve problems they may encounter in their information seeking process.Originality/value:This paper introduced an analysis framework that provides an integrated perspective on understanding information needs and information seeking behavior of Chinese women in rural areas.

A survey of the information needs of visually impaired library users

Purpose:The research aims to investigate the information needs of visually impaired library users in China in order to increase our understanding of these users and help the Chinese public libraries improve their services for them.Design/methodology/approach:A questionnaire survey was used to study the library users’ information needs.Eleven large public libraries in different areas of China,which were pioneers in implementing services for visually impaired people,were chosen to conduct the survey.Data analysis was based on 97 valid questionnaires retrieved.Findings:Radio and television were still the preferred sources of information for visually impaired users.In information seeking,they had a strong preference for obtaining information in the most convenient way,and accessing a vast amount of information,which was updated quickly.They paid more attention to the information closely related to their work and life.Their purposes of seeking information were mainly for learning,relaxation and intercommunication.Visually impaired users felt some barriers in their access to library services such as a lack of time or a sighted companion who can come along for the trip to the library.Moreover,it was difficult for them to use the Internet to search for information,because many websites do not support the auxiliary software designed especially for visually impaired users or the websites offer only a paid subscriber service.Research limitations:A majority of the respondents were young and middle-aged people and engaged in work.The sample size needs to be enlarged,and different groups of users such as old people and students should be included to yield more useful results.Practical implications:The survey results provide insights into the information needs of the Chinese visually impaired library users.Meanwhile,the research can serve as a reference source for the future studies of the service for visually impaired library users.Originality/value:So far,few studies were conducted to investigate the information needs of visually impaired library users in China.

Blockchain Technology Based Information Classification Management Service

Hyper-connectivity in Industry 4.0 has resulted in not only a rapid increase in the amount of information,but also the expansion of areas and assets to be protected.In terms of information security,it has led to an enormous economic cost due to the various and numerous security solutions used in protecting the increased assets.Also,it has caused difficulties in managing those issues due to reasons such as mutual interference,countless security events and logs’data,etc.Within this security environment,an organization should identify and classify assets based on the value of data and their security perspective,and then apply appropriate protection measures according to the assets’security classification for effective security management.But there are still difficulties stemming from the need to manage numerous security solutions in order to protect the classified assets.In this paper,we propose an information classification management service based on blockchain,which presents and uses a model of the value of data and the security perspective.It records transactions of classifying assets and managing assets by each class in a distributed ledger of blockchain.The proposed service reduces assets to be protected and security solutions to be applied,and provides security measures at the platform level rather than individual security solutions,by using blockchain.In the rapidly changing security environment of Industry 4.0,this proposed service enables economic security,provides a new integrated security platform,and demonstrates service value.

Assessment of Sentiment Analysis Using Information Gain Based Feature Selection Approach

Sentiment analysis is the process of determining the intention or emotion behind an article.The subjective information from the context is analyzed by the sentimental analysis of the people’s opinion.The data that is analyzed quantifies the reactions or sentiments and reveals the information’s contextual polarity.In social behavior,sentiment can be thought of as a latent variable.Measuring and comprehending this behavior could help us to better understand the social issues.Because sentiments are domain specific,sentimental analysis in a specific context is critical in any real-world scenario.Textual sentiment analysis is done in sentence,document level and feature levels.This work introduces a new Information Gain based Feature Selection(IGbFS)algorithm for selecting highly correlated features eliminating irrelevant and redundant ones.Extensive textual sentiment analysis on sentence,document and feature levels are performed by exploiting the proposed Information Gain based Feature Selection algorithm.The analysis is done based on the datasets from Cornell and Kaggle repositories.When compared to existing baseline classifiers,the suggested Information Gain based classifier resulted in an increased accuracy of 96%for document,97.4%for sentence and 98.5%for feature levels respectively.Also,the proposed method is tested with IMDB,Yelp 2013 and Yelp 2014 datasets.Experimental results for these high dimensional datasets give increased accuracy of 95%,96%and 98%for the proposed Information Gain based classifier for document,sentence and feature levels respectively compared to existing baseline classifiers.