Perceptions of Nurses at Ndola Teaching Hospital towards Sexual Health Needs of People with Mental Health Problems

Sexual and reproductive health (SRH) is among the fundamental packages of health care, which all clients seeking health care should receive. However, it is unclear how healthcare providers, in particular, nurses perceive the issue of people with mental problems having sexual health needs. The aim of this study was to explore perceptions of nurses at Ndola Teaching Hospital towards sexual health needs of people with mental health problems. A general descriptive qualitative study design was utilized and data were collected using three focus group discussions (FGDs) that were recorded and later transcribed verbatim. Purposive sampling was used to select 21 nurses who participated in the study. Nine were male, while 12 were female. Each FGD comprised seven participants. Thematic analysis was used to analyze the data, and six major themes: 1) physiological interplay among different body systems, 2) disease process and effects of psychotropic, 3) participant differences in age, gender, educational level, and cultural backgrounds, 4) staff shortages in mental health units, 5) deficient record keeping, and 6) Social stereotypes and labelling theories emerged. Despite acknowledging the existence of sexual activity among people with mental health problems;participants had both positive and negative perceptions. It is, therefore, recommended that interventions aimed at strengthening implementation of SRH guidelines among nurses caring for people with mental health problems should be put in place.

Perfectionism and mental health problems:Limitations and directions for future research

Research has indicated that perfectionism is prevalent among adolescents and may be harmful in terms of its association with mental health problems.This letter aims to create a paradigm for future studies of the perfectionism.Specifically,we suggest gaps and implications that must be considered at perfectionism future research in terms of assessments,interventions,settings,potential treatments,gender,and social media.

Healing in Rwanda,Understanding and Naming Mental Health Problems:Translating Kinyarwanda Into a Clinically Applicable Language

Before the 1994 Genocide against Tutsi,reported rates of mental health disorders in Rwanda were low;Rwandan society and traditional healers had their own strategies to diagnose and address different mental health issues.Following the genocide against Tutsi in 1994,reports of psychological and mental health issues―including post traumatic stress disorders(PTSD),substance abuse and depression―increased significantly.To tackle these challenges,mental health specialists were trained―mainly in English and French―with key mental health concepts and disorders defined and elaborated in these languages.Consequently,specialists adopted Western ways of defining mental disorders and primarily referenced DSM-IV and V criteria for diagnosis.For example,most research names mental health problems that people experience as related to genocide and other events as“trauma”and“associated co morbidities”.From the research conducted by the Rwandan Biomedical Centre(RBC)on situational analysis for development of a model for management of trauma cases during the commemoration period of the genocide against Tutsi in Rwanda through Ubuzima Burambye project named problems that people suffered from as trauma,some concepts(such as“Ihungabana”,“Ihahamuka”,and“Ibikomere”)have been used to name trauma.But mental health professionals still prefer to name them as emotional,traumatic,collective,and/or collective traumatic crises.However,this use of primarily Western terms is a challenge for many Rwandan psychologists,as counselling sessions and other therapeutic interventions are conducted in Kinyarwanda.Such names might simplify concepts,as they are unable to fully translate the nuances within Kinyarwanda.To further study this linguistic issue,this current study investigated how people in Rwanda contextualise,name and give representations to the mental health problems they suffer from.It combined clinical and participatory action 88research,which started in February 2019.Participants were young survivors of genocide,people addicted to drugs from WAWA Rehabilitation Centre,as well as people who were received in the clinic/Uyisenga Ni Imanzi.Responses from the participants were classified according to their life experience on mental health pains.Twenty-nine percent of names of mental health problems from the participants were reflected on darkness,25%of them have named as emptiness,11%of participants have named their problems as heaviness,while rejection,bondage,physical pain each represent 8%,addictiveness or deviance is at 5%whereas dirtiness and judgement each has 3%.Different mental health symptoms―such as guilt,pessimism,anxiety,loneliness,depression and panic attacks―were identified to assess the respondents’mental health.The data collected from this group showed that guilt among respondents takes a higher number of 22%of names for mental health related to pains,compared to the other symptoms.On other side,pessimism is ranked at 19%,anxiety at 18%,loneliness at 17%expressivity at 16%and panic attacks is ranked at 8%.Looking at the effect of mental health pains on different aspect of life,data represented that the most affected aspect of life is the human mind at 52%,social problems and emotions at 18%each,human body at 9%and relations among people are affected at 4%.Human senses(e.g.,touch,taste,smell,hearing,sight)were used to identify and describe mental health pains.Results show that 62%of the identified unique names of the problems were found to belong to what people can feel,followed by sight(37%),touch(15%),hearing(13%),and smell(1%).However,there was no name for mental health pains related to taste.Clearly identifying and describing mental health issues in participants’local language is an essential step towards finding effective solutions.Naming a problem helps practitioners and patients develop a shared understanding of the issue at hand and what can be jointly done to address it.Conversely,the inability to name the actual disorder leaves patients in a state of confusion,unable to progress with their treatment despite the availability of professional assistance.

Parental Educational Expectations,Academic Pressure,and Adolescent Mental Health:An Empirical Study Based on CEPS Survey Data

Background:This study aimed to investigate the relationship between parental educational expectations and adolescent mental health problems,with academic pressure as a moderating variable.Methods:This study was based on the baseline data of the China Education Panel Survey,which was collected within one school year during 2013–2014.It included 19,958 samples from seventh and ninth graders,who ranged from 11 to 18 years old.After removing missing values and conducting relevant data processing,the effective sample size for analysis was 16344.The OLS(Ordinary Least Squares)multiple linear regression analysis was used to examine the relationship between parental educational expectations,academic pressure,and adolescents’mental health problems.In addition,we established an interaction term between parents’educational expectations and academic pressure to investigate the moderating effect of academic stress.Results:The study found that adolescents whose parents had high educational expectations reported less mental health problems.(β=−0.195;p<0.001).Additionally,adolescents who had high academic pressure reported more mental health problems.(β=0.649;p<0.001).Furthermore,the study found that academic pressure had a significant moderating effect on the relationship between parental educational expectations and adolescents’mental health problems(β=0.082;p<0.001).Conclusion:Parental educational expectations had a close relationship with adolescents’mental health problems,and academic pressure moderated this relationship.For those adolescents with high levels of academic pressure,the association between high parental educational expectations and mental health problems became stronger.On the contrary,for those adolescents with low levels of academic pressure,the association between high parental educational expectations and mental health problems became weaker.These findings shed new light on how parental educational expectations affected adolescent mental health problems and had significant implications for their healthy development.

Representation of Specific Diagnosis for Low Back Pain Using the 11^(th) Revision of International Classification of Diseases and Related Health Problems: Perspectives of Conventional Medicine and Traditional Medicine

Background:The 11th revision of the International Classification of Diseases and Related Health Problems(ICD-11)was released on June 18,2018,by the World Health Organization and will come into effect on January 1,2022.Apart from the chapters on the classification of diseases in the conventional medicine(CM),a new chapter,traditional medicine(TM)conditions–Module 1,was added.Low back pain(LBP)is one of the common reasons for the physician visits.The classification codes for LBP in the ICD-11 are vital to documenting accurate clinical diagnoses.Methods:The qualitative case study method was adopted.The secondary use data for 100 patients were randomly selected using the ICD-11 online interface to find the classification codes for both the CM section and the TM Conditions–Module 1(TM1)section for LBP diagnosis.Results:Of the 27 codes obtained from the CM section,six codes were not relevant to LBP,whereas the other 21 codes represented diagnoses of LBP and its related diseases or syndromes.In the TM1 section,six codes for different patterns and disorders represented the diagnoses for LBP from the TM perspective.Conclusion:This study indicates that specific diagnoses of LBP can be represented by the combination of CM classification codes and TM1 classification codes in the ICD-11;the CM codes represent specific and accurate clinical diagnoses for LBP,whereas the TM1 codes add more accuracy to the diagnoses of different patterns from the TM perspective.

Territorial Analysis of Medical-geographycal Conditions and the Problems of Health of the Population of the Republic of Uzbekistan

The Republic of Uzbekistan differs amongst other countries of the Central Asia by its peculiar medical-geographical conditions. Uzbekistan has dry, roast summer and cool winter which is uncharacteristic to subtropical climate. These factors have certain influence on health of the population. The meteorological conditions of each season promote the activations or decrease of various diseases in the Republic. The growth of the diseases of digestive organs, respiratory apparatus and cardiovascular diseases cause the special anxiety in the country. The analysis shows that from 1999 to 2009 nosogeographical situation is mostly worsened in Navaiy region. On the contrary, in the regions of Dzhizak, Samarkand and Khorezm common sickness rate of the population is decreased slightly.

Legal Problems Concerning Health Discrimination in Employment

Year 2003 was regarded by the Chinese media as a year of antidiscrimination by hepatitis virus B (HVB) carriers. The series of events that happened in the year aroused the attention of the whole society to show concern for discrimination against HVB carriers. On April 3, a murder case occurred in Zhejiang Province; on November 20, 1,611 citizens put their signatures to a proposals, demanding review of the provisions on public servant recruitment that bar HVB carriers in 31 provinces and cities and calling for laws to protect HVB carriers. The signed proposal was delivered to the Standing Committee of the National People’s Congress, the Ministry of Health and the Legislative Affairs Office of the State Council. In December, the people’s court in Xinwu District of Wuhu City in Anhui officially accepted the case of the first HVB carrier against the personnel bureau of

Problems Related to Divers Health and Comfort in Hyperbaric He-O_2 Environment

The Diver Gas Recovery System(DGRS)is an important accessory equipment of the 300m Saturation Dive System. The system facilitates the recycling of the breathing gases for divers,therefore,it has great economic benefits. In April 1995, a 300 m unmanned test and a 100 m manned test on the HY2031 DGRSwere carried out successively.Ten months later,another manned test on the HY2032 DGRS

Workplace harassment faced by female Nepalese migrants working aboard

Background:Nepal has a long history of labour migration over the years.Migrants can experience a range of problems in their destination countries,and women are more at risk than men.This paper is the first to explore the problems faced by Nepalese women migrants while working abroad.Methods:This study was conducted among 1,889 women who were registered as migrant returnees at an organisation called Pourakhi Nepal.The study extracted and analysed data from a non-governmental organisation that supports returning female migrant workers in Nepal.Results:Around half(43.1%)of the women were 35 or older,30.9%were illiterate,and 63.6%were in their first overseas job.More than one-third(38.5%)had self-reported workplace harassment.Physical violence was the most prevalent(68%),followed by verbal abuse(37.5%),mental stress(29.7%),and sexual abuse(14.1%).Women who were illiterate(adjusted odds ratio[AOR]1.25,95%confidence interval[CI):1.01 to 1.55),unmarried(AOR 1.27,95%CI:1.05 to 1.56),worked abroad twice or more(AOR 1.35,95%CI:1.10 to 1.66),changed their place of work(AOR 2.38,95%CI:1.42 to 4.01),lived without documents(AOR 1.24,95%CI:1.03 to 1.50),worked as domestics(AOR 3.56,95%CI:2.03 to 6.23),worked in other than Gulf Cooperation Council countries(AOR 1.45,95%CI:1.06 to 1.99),women who did not have a fixed salary(AOR 1.64,95%CI:1.28 to 2.10)and did not receive salary(AOR 3.71,95%CI:2.88 to 4.77)were more likely to be harassed at work.Conclusion:Our findings suggest that the host governments should introduce and enforce policies protecting women in the workplace.Migrant women should be provided with better information about health risks and hazards as well as how to improve preventive measures in destination countries to reduce workplace harassment.

A nurse-led occupational health promotion program for farmers

Agrarian occupational health is a neglected primary health-care service in India.A nurse-led health promotion program is planned based on a Conceptual Model for the Occupational Health Nurse Specialist prepared by Ms.Janice Dees(1984)inspired from Orem’s self-care theory.The interventions included are range of motion exercise,progressive muscle relaxation technique,foot and palm massage,and literacy on safety practices.The wellness of field farmers is expected by following this program plan.

Utilization and Felt Need of Oral Health Care Services among Women in Chennai-Descriptive Cross-Sectional Study

Introduction： Oral health is window to overall health. There is a greatest burden of oral diseases on the underprivileged group. In developing countries like India the affordability to oral health care services is very limited thereby leading to poor oral wellness ＆ millions suffer intractable toothache and poor quality of living and end up with few dentition. Objective： To assess the utilization level of oral health services among women in Chennai. Material and methods： A cross-sectional questionnaire survey was conducted among 200 women in Teynampet Zone in Chennai District, Tamil Nadu. The women were chosen by simple random sampling and were interviewed using the semi-stzuctured questionnaire to assess their utilization level during the period of June to July 2016. The data were analyzed by SPSS Version 22. Result： Descriptive statistics and multivariate analysis--MANOVA were used to analyze the utilization level. Majority of the respondents were in the age group of 30-35years, most of the respondents had oral problem and almost everyone had visited dentist at least once within 3 years. Multivariate analysis--MANOVA also showed that the utilization levels were directly influenced by accessibility, availability and affordability and showed statistical significance （p value 〈 0.05） and also from MANOVA analysis it showed that the respondents who had poor oral hygiene did not utilize oral health care services as the affordability was a problem although accessibility and availability was adequate. Conclusion： Our fmdings suggest that people who had oral problem had visited dentist in previous 3 years and most of the people who visited dentist had a good oral hygiene. Cost of the treatment affected the dental visits. They believed that visiting the dentist is necessary only for pain relief.

Perinatal mental health in China:views of health system professionals in Shanghai

Background:Mental health has recently been receiving a growing amount of attention in China's Mainland,with mental disorders increasingly being recognized as a major public health concern.However,the treatment gap for mental health care is markedly high in China.Previous research and clinical practice have focused on high-risk physical disorders but overlooked psychosocial factors,especially during the perinatal period.Aims:To explore Chinese professionals'perception and attributions of perinatal mental health in China.Method:The study was conducted in Shanghai,China,in 2018,drawing on interviews with 15 key informants including health professionals,government officials,and policymakers recruited through snowball sampling.Content analysis of the semi-structured interviews was performed.Results:The study yielded insights into the perceptions of perinatal mental health among health professionals in Shanghai.Three themes emerged from the informants'reports:(1)mental health influenced by tradition—describing traditions affecting the perception of mental health at both the societal and individual level;(2)societal changed contributing perinatal mental health problems—referring to a rapidly changing cultural and economic backdrop as a source of stress leading to mental health problems;and(3)existing and required resources—demonstrating a lack of professional training,staff shortages,and inadequacy of resources to provide the required mental health care.Conclusion:Our results provide new insights into key health professionals'perceptions of mental health problems in Shanghai.Hesitation to seek care owing to a lack of knowledge,and resource shortages in health care systems are obstacles to improve mental health among women in urban China.

Training load characteristics and injury and illness risk identification in elite youth ski racing:A prospective study

Purpose:The study aimed to investigate the role of training load characteristics and injury and illness risk in youth ski racing.Methods:The training load characteristics as well as traumatic injuries,overuse injuries,and illnesses of 91 elite youth ski racers(age=12.1±1.3 years,mean±SD)were prospectively recorded over a period of 1 season by using a sport-specific online database.Multiple linear regression analyses were performed to monitor the influence of training load on injuries and illnesses.Differences in mean training load characteristics between preseason,in-season,and post-season were calculated using multivariate analyses of variance.Results:Differences were discovered in the number of weekly training sessions(p=0.005)between pre-season(4.97±1.57)and post-season(3.24±0.71),in the mean training volume(p=0.022)between in-season(865.8±197.8 min)and post-season(497.0±225.5 min)and in the mean weekly training intensity(Index)(p=0.012)between in-season(11.7±1.8)and post-season(8.9±1.7).A total of 185 medical problems were reported(41 traumatic injuries,12 overuse injuries,and 132 illnesses).The weekly training volume and training intensity was not a significant risk factor for injuries(p>0.05).Training intensity was found to be a significant risk factor for illnesses in the same week(β=0.348;p=0.044;R^(2)=0.121)and training volume represents a risk factor for illnesses in the following week(β=0.397;p=0.027;R^(2)=0.157).Conclusion:A higher training intensity and volume were associated with increased illnesses,but not with a higher risk of injury.Monitoring training and ensuring appropriate progression of training load between weeks may decrease incidents of illness in-season.

Evaluation of factors affecting psychological morbidity in emergency medicine practitioners

BACKGROUND: Assessing and evaluating mental health status can provide educational planners valuable information to predict the quality of physicians' performance at work. These data can help physicians to practice in the most desired way. The study aimed to evaluate factors affecting psychological morbidity in Iranian emergency medicine practitioners at educational hospitals of Tehran.METHODS: In this cross sectional study 204 participants(emergency medicine residents and specialists) from educational hospitals of Tehran were recruited and their psychological morbidity was assessed by using a 28-question Goldberg General Health Questionnaire(GHQ-28). Somatization, anxiety and sleep disorders, social dysfunction and depression were evaluated among practitioners and compared to demographic and job related variables.RESULTS: Two hundreds and four participants consisting of 146(71.6%) males and 58(28.4%) females were evaluated. Of all participants, 55(27%) were single and 149(73%) were married. Most of our participants(40.2%) were between 30–35 years old. By using GHQ-28, 129(63.2%) were recognized as normal and 75(36.8%) suffered some mental health disorders. There was a signifi cant gender difference between normal practitioners and practitioners with disorder(P=0.02) while marital status had no significant difference(P=0.2). Only 19(9.3%) declared having some major mental health issue in the previous month.CONCLUSION: Females encountered more mental health disorders than male(P=0.02) and the most common disorder observed was somatization(P=0.006).

Putting Problems Behind You Helps Physical Health

“圆满人生”只是一种祈盼和祝愿。自古人生谁无痛?本文作者是一位美国人,他列举了以下人生痛苦:such as the death of a close friend or relative, rape, incest(乱伦),a home fire or a painful break-up,这里所列仅人生痛苦之一隅而已。但是,你如何对待这些人生之苦?是铭记于心,并时时“重温”,使之成为open memories?还是彻底封存,置于脑后,使之成为closed memories?读罢本文,你也许会幡然醒悟。因为open memories有如下罪状: Students who had open memories of traumatic events scored lower on questionnaires measuring self-confidence than students with closed memories of traumatic events or students who had never experienced trauma. Students with open memories also reported more trips to the doctor. 常读此类文章,我的辨证思维也会有所长进。比如,文中的这句写地何等好啊: But bringing closure to a past event does not necessarily mean that you have to be brutally honest with yourself. Beike said that people often remember events somewhat differently than how they actually happened.】

New Health Problem Looms

A new type of illness rears its head among office workers Chen Hong, a 37-year-old woman, works in an office in Beijing. She undergoes two physical examinations every year. Before a recent one, Chen

大学生心理健康问题影响专业心理求助行为的机制——一项追踪研究

对某高校1551名大学新生进行三次追踪,采用结构方程模型考察亲子依恋、友伴关系、求助意愿在心理健康问题对求助行为影响中的综合作用机制。结果发现:(1)心理健康问题对求助行为的正向预测作用显著,对求助意愿的负向预测作用显著,求助意愿在心理健康问题对求助行为的影响中起遮掩作用;(2)友伴关系在心理健康问题通过求助意愿对求助行为影响中的调节作用不显著;(3)父子依恋和母子依恋在心理健康问题通过求助意愿对求助行为的影响中起调节作用;具体而言,在低母子、低父子依恋组,随着心理健康问题的增加,求助意愿的变化趋势不显著;而在高母子、高父子依恋组,随着心理健康问题的增加,求助意愿显著下降。

The growth of chronic conditions:Search for solutions to the problem

The chronic conditions growth is determined by an increase of cases of adaptive system imbalance following a recent disease. One of its most significant causes is decrease of crisis importance (a stage of disease) as a moderator of a qualitative changeover of an adaptive system. The contemporary treatment methods increase efficiency of pre-crises adaptive responses, but simultaneously they equalize the crisis to a level, which is insufficient for complete after-crisis alignment of body defenses. But the crisis is the very key to a solution to a chronic conditions problem. One of the ways of the problem solving is medical interventions, which cause sparing provocation crisis and a successive changeover of an adaptive system. Based on this it is worth reviewing critically, studying and developing the existing experience of bio-regulatory therapy, where the principle of sparing provocation is often used. The new term definitions, such as'medical intervention','health problems','crisis'are described in terms of biomedicine. The patients and physicians should be motivated to deal with chronic conditions correction and the aforesaid sets new tasks before a health care system.