Objective: To compare the efficacy of a short messaging service (SMS) text messaging and phone reminder to im-prove attendance rates at a health promotion center. Methods: A total of 1 859 participants who had schedul...Objective: To compare the efficacy of a short messaging service (SMS) text messaging and phone reminder to im-prove attendance rates at a health promotion center. Methods: A total of 1 859 participants who had scheduled appointments in the health promotion center of our hospital from April 2007 to May 2007 were enrolled in the study and randomly assigned into 3 groups: control (no reminder) group,SMS text messaging reminder group and telephone reminder group. Attendance rates and costs of interventions were collected. Results: A total of 1848 participants were eligible for analysis. Attendance rates of control,SMS and telephone groups were 80.5%,87.5% and 88.3%,respectively. The attendance rates were significantly higher in SMS and telephone groups than that in the control group,with odds ratio 1.698,95% confidence interval 1.224 to 2.316,P=0.001 in the SMS group,and odds ratio 1.829,95% confidence interval 1.333 to 2.509,P<0.001 in the telephone group. However,there was no difference between the SMS group and the telephone group (P=0.670). The cost effectiveness analysis showed that the cost per attendance for the SMS group (0.31 Yuan) was significantly lower than that for the telephone group (0.48 Yuan). Conclusion: SMS and telephone are effective reminders for improving attendance rate at a health promotion center. SMS reminder may be more cost-effective compared with the telephone reminder.展开更多
The economy of the equestrian sector encompasses all the activities related to the equine world. All activities revolving around the use of a horse as entertainment, sport or business play a role in the "horse indus...The economy of the equestrian sector encompasses all the activities related to the equine world. All activities revolving around the use of a horse as entertainment, sport or business play a role in the "horse industry". These activities take place due to the existence of people demanding horses and a variety of goods and services associated with them Previous studies reveal that as income per capita becomes larger, the equestrian demand increases and, consequently, the global expenditure incurred by those individuals interested in horses. More than 500,000 horse, 9,000 breeders and 50,000 equestrian businesses, show the economic importance of the equestrian sector in Spain. That part of global expenditure that adds to the GDP of a country is what is generally defined as economic impact of the sector. Its relation will depend mostly on: the percentage of the expenditure that adds to national production and the participation in the country's global expenditure of those domestic goods and services associated with the equestrian demand. The activities related to sports are those with most economic impact, about 8,000 ∈ per horse, measured as total expenditure or with respect to the employment that they generate in the economy.展开更多
In this paper, we conduct research on the new education mode towards clothing education in colleges and universities under the background of ability guided value. Applied talent is to apply professional knowledge and ...In this paper, we conduct research on the new education mode towards clothing education in colleges and universities under the background of ability guided value. Applied talent is to apply professional knowledge and professional skills in social practice of specialized personnel a line is fluent in social production and social activities of basic knowledge and basic skills. Ability evaluation index is not fixed, combining with the change of market demand for talents and the improvement of unit of choose and employ persons of evaluation standard. Our reform combines the needs of the society and the class education which will enhance the students' ability. In the near future, we plan to conduct more corresponding research to polish the current methodology.展开更多
Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in...Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in reducing health services'use(readmissions and/or emergency service access)among older people affected by chronic conditions.Methods:This is a non-randomized before-after pilot study.A sample of 78 patients was recruited from two general practices in Italy and 70 among them were followed for 8 months.Standard home care was provided during the first four months'period(months 1-4),followed by the educational intervention until the end of the study(months 5-8).The intervention,based on the teach-back method,consisted of by-weekly 60-min home sessions targeting aspects of the disease and its treatment,potential complications,medication adherence,and health behaviours.Rates of health services'use were collected immediately before(T0),and after the interventions(T1).Differences in utilization rates were examined by the McNemar's test.Potential factors associated with the risk of health services'use were explored with a Cox proportional hazard regression model.Results:The sample(n=78)was predominantly female(n=50,64.1%),and had a mean age of 76.2(SD=4.8)years.Diabetes mellitus was the most frequent disease(n=27,34.6%).McNemar's test indicated a significant reduction in health services'use at T1(McNemar χ^(2)==28.03,P<0.001).Cox regressions indicated that time and patient education,as well as their interaction,were the only variables positively associated with the probability of health services'use.Conclusion:A teach-back intervention led by a family nurse practitioner has the potential to reduce health services'use in older patients with chronic diseases.展开更多
The education of Ideological and political education in universities have a bidirectional communication, the equal interaction based on network SNS; it can timely warning and regular notification service platform, has...The education of Ideological and political education in universities have a bidirectional communication, the equal interaction based on network SNS; it can timely warning and regular notification service platform, has become the new channel and new means of Ideological and political education work, strengthening the network of Ideological and political education is an important part to promote the project of ideological and political education reform of College students. The current college ideological and political education has not paid enough attention to network education based on SNS, the position of network construction is lagging behind, the network Ideological and political education lack scientific planning, lack supervision power of social networking and other issues. This paper briefly introduced the University Network Ideological and political education pattern based on SNS, in order to effectively enhance the influence, attraction and control force of network Ideological and political education.展开更多
This paper gives an analysis of the quality issues in the expansion of university education in Kenya examining the human resource challenges and opportunities. It examines a variety of factors that impact the nature, ...This paper gives an analysis of the quality issues in the expansion of university education in Kenya examining the human resource challenges and opportunities. It examines a variety of factors that impact the nature, content, and mode of delivery of the teaching. The paper is an introduction and highlights the importance of higher education to societal development. It observes that higher education enables individuals to develop their capabilities to the highest potential, serves the needs of an adaptive, sustainable and knowledge based economy and plays a major role in shaping a democratic, civilized and inclusive society. It is thus seen as the key to progress in the 21 st century. It examines government policy with respect to education in general and higher education in particular. It is noted that the government recognizes the important role that education plays to foster national development and has therefore through various policy instruments sought to ensure that access, relevance, and quality become the major areas of the development of higher education in the country. The management of the universities in the country has faced serious human resource challenges. These challenges arise from the fact that the rapid expansion of university education in the country has not been accompanied with provision of resources in order to maintain high standards, quality, and relevance. This in turn has negatively affected the quality and relevance of the programmes. It is recommended that in order to enhance the quality of teaching, research, and service delivery.展开更多
The Decision of CPC Central Committee and the State Council on Full Implementation of the Universal Two-child policy and Innovation and Improvement of Family Planning Service Management(Hereinafterreferred to as the ...The Decision of CPC Central Committee and the State Council on Full Implementation of the Universal Two-child policy and Innovation and Improvement of Family Planning Service Management(Hereinafterreferred to as the Decision)was announced on January 5,2016.China will implement a birth registration service system.展开更多
Social Services ethical behavior is the norm university college norms and values of social service selection. The current lot of negative factors that exist in society, leading to social service ethic universities fac...Social Services ethical behavior is the norm university college norms and values of social service selection. The current lot of negative factors that exist in society, leading to social service ethic universities face many practical difficulties: for guiding spirit of paranoia shaken ethical orientation of social services for the blind t,argets deep extension of the apparent deviation ethics of social services, the service Preference object affects the ethical tone of social services for their properties to accommodate non-independent eroding the foundation of ethics established by the social services. Therefore, the identification of good ethical order, to call college cultural consciousness, lifting universities utilitarian development difficulties, reasonably determine the role of university social services, the ability to face the limits of educational services, social services, colleges and universities to guide ethical behavior.展开更多
Good clothes etiquette of nurses can meet the mental needs of patients, which can promote early recovery of patients. A nurse with a good clothes etiquette style conveys the information to the patients, which can prod...Good clothes etiquette of nurses can meet the mental needs of patients, which can promote early recovery of patients. A nurse with a good clothes etiquette style conveys the information to the patients, which can produce a positive effect, so nurses' appropriate clothes appearance, proper manners, kind and amiable attitude and appropriate discourse and other good clothes etiquettes can achieve the effect that the medicine can not achieve.展开更多
Objectives This study aimed to investigate the effect of a peer-training program for village health volunteers(VHVs)to improve chronic disease management among older adults in rural Thailand.Methods The study was guid...Objectives This study aimed to investigate the effect of a peer-training program for village health volunteers(VHVs)to improve chronic disease management among older adults in rural Thailand.Methods The study was guided by community-based participatory research(CBPR).The peer-training program was developed by engaging diverse stakeholders,including community organizations,healthcare services,VHVs,older adults with chronic illnesses,and folk scholars in remote communities with high healthcare needs.The peer-training program comprised a three-day training workshop that convened once a week for three weeks with the following six sessions:knowledge sharing,peer support and empowerment,health literacy and health behavior,the general caring procedure for older adults with chronic illnesses,information sharing and communication,and home visit.From January to April 2021,a total of 28 VHVs completed the peer training program in a rural area in Chiang Rai province,Thailand.The Health Literacy and Health Behavior-3E2S(HLHB-3E2S),the Management of Non-Communicable Diseases Questionnaire(MNCDQ),and a self-confidence questionnaire were used to survey pre(week 1)and post-intervention(week 12),respectively.Then VHVs were interviewed to collect attitudes,and opinions about the intervention.Results After the intervention,the HLHB-3E2S scores(49.39±5.54 vs.52.35±4.26,P=0.001),the MNCDQ scores(44.10±6.27 vs.50.60±4.84,P<0.001),and the self-confidence questionnaire scores(22.28±2.46 vs.23.21±1.81,P=0.01)of VHVs significantly increased.VHVS also reported that the peer-training program enhanced their healthcare services,including health education,chronic disease management,leadership skills,and improving their relationship with healthcare providers.Conclusion Peer training programs are a practical strategy to improve VHVs’capacities.Healthcare professionals should provide a continuous training program for VHVs with their peers to increase capacities,confidence,and satisfaction in caring for the older adults with chronic diseases in the community.展开更多
Formal training can play a particularly important role in supporting the internationalization of small and medium enterprises (SMEs). However, the demand for education services by the latter still appears limited. T...Formal training can play a particularly important role in supporting the internationalization of small and medium enterprises (SMEs). However, the demand for education services by the latter still appears limited. This is due to known structural and cultural limits that are found widely in this type of business and to the fact that the provision of training---especially that which is funded^oes not seem to address adequately SMEs' needs; in many cases, such training is not stimulating, because it is perceived as too general. In fact, SMEs do not constitute a single homogeneous group and therefore assistance needs vary among the different types of firms. So, especially in relation to internationalization, it is clear that there are important differences to consider due to the variety of approaches and ways of developing this process. In order to optimize the resources to invest in the promotion of training, there is a need to find a proper balance between providing "viable solutions for all businesses" and offering "targeted responses and tailored services". In such a context, the main objective of this paper is to identify and systematize the variables that most influence the SMEs' training needs related to internationalization by taking into account the differences among them. To this end, an empirical analysis was developed involving a significant number of Italian SMEs by using a combination of qualitative research methods. The results show the critical issues faced by the investigated firms during their internationalization process and highlight some important variables that affect their training needs: export involvement, characteristics of the product/market, characteristics of the company, exporting strategy, and human resources. Based on these variables, the writers identified clusters of firms characterized by similar needs and problems to be faced.展开更多
The use of Fresh Cut Products (FCP) allows food service units to offer a greater variety of menus, reducing costs and minimizing cross contamination. Few food units in Portugal are adopting FCP, since these products...The use of Fresh Cut Products (FCP) allows food service units to offer a greater variety of menus, reducing costs and minimizing cross contamination. Few food units in Portugal are adopting FCP, since these products are viewed as being more expensiveand are regarded as less natural and easily perishable.The present study aims to identify and analyze the level of awareness of food service operators in respect to FCP. Approximately 90% of food handlers referred the use of FCP at their workplace, pointing as the main advantages for using them the less time spent on preparation (58.6%), the variety (55.9%) and the convenience (55.9%). Reasons for not using them were doubtful origin (91.7%), price (66.7%) and being a possible threat to their jobs (58.3%). In spite of recognizing the advantages of using FCP, most of food handlers (77.2%) prefer traditional products. Traditional products were preferred by food handlers with lower educational level, working at schools and performing functions of kitchen helper. FCP were chosen by younger food handlers, with higher educational level. It seems necessary to promote a demystification of this category of products near food service managers and employees, explaining the best way and advantages of using FCP at institutional food services in terms of safety, cost and quality.展开更多
基金Project supported by the Health Promotion Center of Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, China
文摘Objective: To compare the efficacy of a short messaging service (SMS) text messaging and phone reminder to im-prove attendance rates at a health promotion center. Methods: A total of 1 859 participants who had scheduled appointments in the health promotion center of our hospital from April 2007 to May 2007 were enrolled in the study and randomly assigned into 3 groups: control (no reminder) group,SMS text messaging reminder group and telephone reminder group. Attendance rates and costs of interventions were collected. Results: A total of 1848 participants were eligible for analysis. Attendance rates of control,SMS and telephone groups were 80.5%,87.5% and 88.3%,respectively. The attendance rates were significantly higher in SMS and telephone groups than that in the control group,with odds ratio 1.698,95% confidence interval 1.224 to 2.316,P=0.001 in the SMS group,and odds ratio 1.829,95% confidence interval 1.333 to 2.509,P<0.001 in the telephone group. However,there was no difference between the SMS group and the telephone group (P=0.670). The cost effectiveness analysis showed that the cost per attendance for the SMS group (0.31 Yuan) was significantly lower than that for the telephone group (0.48 Yuan). Conclusion: SMS and telephone are effective reminders for improving attendance rate at a health promotion center. SMS reminder may be more cost-effective compared with the telephone reminder.
文摘The economy of the equestrian sector encompasses all the activities related to the equine world. All activities revolving around the use of a horse as entertainment, sport or business play a role in the "horse industry". These activities take place due to the existence of people demanding horses and a variety of goods and services associated with them Previous studies reveal that as income per capita becomes larger, the equestrian demand increases and, consequently, the global expenditure incurred by those individuals interested in horses. More than 500,000 horse, 9,000 breeders and 50,000 equestrian businesses, show the economic importance of the equestrian sector in Spain. That part of global expenditure that adds to the GDP of a country is what is generally defined as economic impact of the sector. Its relation will depend mostly on: the percentage of the expenditure that adds to national production and the participation in the country's global expenditure of those domestic goods and services associated with the equestrian demand. The activities related to sports are those with most economic impact, about 8,000 ∈ per horse, measured as total expenditure or with respect to the employment that they generate in the economy.
文摘In this paper, we conduct research on the new education mode towards clothing education in colleges and universities under the background of ability guided value. Applied talent is to apply professional knowledge and professional skills in social practice of specialized personnel a line is fluent in social production and social activities of basic knowledge and basic skills. Ability evaluation index is not fixed, combining with the change of market demand for talents and the improvement of unit of choose and employ persons of evaluation standard. Our reform combines the needs of the society and the class education which will enhance the students' ability. In the near future, we plan to conduct more corresponding research to polish the current methodology.
文摘Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in reducing health services'use(readmissions and/or emergency service access)among older people affected by chronic conditions.Methods:This is a non-randomized before-after pilot study.A sample of 78 patients was recruited from two general practices in Italy and 70 among them were followed for 8 months.Standard home care was provided during the first four months'period(months 1-4),followed by the educational intervention until the end of the study(months 5-8).The intervention,based on the teach-back method,consisted of by-weekly 60-min home sessions targeting aspects of the disease and its treatment,potential complications,medication adherence,and health behaviours.Rates of health services'use were collected immediately before(T0),and after the interventions(T1).Differences in utilization rates were examined by the McNemar's test.Potential factors associated with the risk of health services'use were explored with a Cox proportional hazard regression model.Results:The sample(n=78)was predominantly female(n=50,64.1%),and had a mean age of 76.2(SD=4.8)years.Diabetes mellitus was the most frequent disease(n=27,34.6%).McNemar's test indicated a significant reduction in health services'use at T1(McNemar χ^(2)==28.03,P<0.001).Cox regressions indicated that time and patient education,as well as their interaction,were the only variables positively associated with the probability of health services'use.Conclusion:A teach-back intervention led by a family nurse practitioner has the potential to reduce health services'use in older patients with chronic diseases.
文摘The education of Ideological and political education in universities have a bidirectional communication, the equal interaction based on network SNS; it can timely warning and regular notification service platform, has become the new channel and new means of Ideological and political education work, strengthening the network of Ideological and political education is an important part to promote the project of ideological and political education reform of College students. The current college ideological and political education has not paid enough attention to network education based on SNS, the position of network construction is lagging behind, the network Ideological and political education lack scientific planning, lack supervision power of social networking and other issues. This paper briefly introduced the University Network Ideological and political education pattern based on SNS, in order to effectively enhance the influence, attraction and control force of network Ideological and political education.
文摘This paper gives an analysis of the quality issues in the expansion of university education in Kenya examining the human resource challenges and opportunities. It examines a variety of factors that impact the nature, content, and mode of delivery of the teaching. The paper is an introduction and highlights the importance of higher education to societal development. It observes that higher education enables individuals to develop their capabilities to the highest potential, serves the needs of an adaptive, sustainable and knowledge based economy and plays a major role in shaping a democratic, civilized and inclusive society. It is thus seen as the key to progress in the 21 st century. It examines government policy with respect to education in general and higher education in particular. It is noted that the government recognizes the important role that education plays to foster national development and has therefore through various policy instruments sought to ensure that access, relevance, and quality become the major areas of the development of higher education in the country. The management of the universities in the country has faced serious human resource challenges. These challenges arise from the fact that the rapid expansion of university education in the country has not been accompanied with provision of resources in order to maintain high standards, quality, and relevance. This in turn has negatively affected the quality and relevance of the programmes. It is recommended that in order to enhance the quality of teaching, research, and service delivery.
文摘The Decision of CPC Central Committee and the State Council on Full Implementation of the Universal Two-child policy and Innovation and Improvement of Family Planning Service Management(Hereinafterreferred to as the Decision)was announced on January 5,2016.China will implement a birth registration service system.
文摘Social Services ethical behavior is the norm university college norms and values of social service selection. The current lot of negative factors that exist in society, leading to social service ethic universities face many practical difficulties: for guiding spirit of paranoia shaken ethical orientation of social services for the blind t,argets deep extension of the apparent deviation ethics of social services, the service Preference object affects the ethical tone of social services for their properties to accommodate non-independent eroding the foundation of ethics established by the social services. Therefore, the identification of good ethical order, to call college cultural consciousness, lifting universities utilitarian development difficulties, reasonably determine the role of university social services, the ability to face the limits of educational services, social services, colleges and universities to guide ethical behavior.
文摘Good clothes etiquette of nurses can meet the mental needs of patients, which can promote early recovery of patients. A nurse with a good clothes etiquette style conveys the information to the patients, which can produce a positive effect, so nurses' appropriate clothes appearance, proper manners, kind and amiable attitude and appropriate discourse and other good clothes etiquettes can achieve the effect that the medicine can not achieve.
基金This study was funded by National Research Council of Thailand(NRCT106/2562)Mae Fah Luang University.The funders had no role in study design,data collection and analysis,decision to publish,or preparation of the manuscript.
文摘Objectives This study aimed to investigate the effect of a peer-training program for village health volunteers(VHVs)to improve chronic disease management among older adults in rural Thailand.Methods The study was guided by community-based participatory research(CBPR).The peer-training program was developed by engaging diverse stakeholders,including community organizations,healthcare services,VHVs,older adults with chronic illnesses,and folk scholars in remote communities with high healthcare needs.The peer-training program comprised a three-day training workshop that convened once a week for three weeks with the following six sessions:knowledge sharing,peer support and empowerment,health literacy and health behavior,the general caring procedure for older adults with chronic illnesses,information sharing and communication,and home visit.From January to April 2021,a total of 28 VHVs completed the peer training program in a rural area in Chiang Rai province,Thailand.The Health Literacy and Health Behavior-3E2S(HLHB-3E2S),the Management of Non-Communicable Diseases Questionnaire(MNCDQ),and a self-confidence questionnaire were used to survey pre(week 1)and post-intervention(week 12),respectively.Then VHVs were interviewed to collect attitudes,and opinions about the intervention.Results After the intervention,the HLHB-3E2S scores(49.39±5.54 vs.52.35±4.26,P=0.001),the MNCDQ scores(44.10±6.27 vs.50.60±4.84,P<0.001),and the self-confidence questionnaire scores(22.28±2.46 vs.23.21±1.81,P=0.01)of VHVs significantly increased.VHVS also reported that the peer-training program enhanced their healthcare services,including health education,chronic disease management,leadership skills,and improving their relationship with healthcare providers.Conclusion Peer training programs are a practical strategy to improve VHVs’capacities.Healthcare professionals should provide a continuous training program for VHVs with their peers to increase capacities,confidence,and satisfaction in caring for the older adults with chronic diseases in the community.
文摘Formal training can play a particularly important role in supporting the internationalization of small and medium enterprises (SMEs). However, the demand for education services by the latter still appears limited. This is due to known structural and cultural limits that are found widely in this type of business and to the fact that the provision of training---especially that which is funded^oes not seem to address adequately SMEs' needs; in many cases, such training is not stimulating, because it is perceived as too general. In fact, SMEs do not constitute a single homogeneous group and therefore assistance needs vary among the different types of firms. So, especially in relation to internationalization, it is clear that there are important differences to consider due to the variety of approaches and ways of developing this process. In order to optimize the resources to invest in the promotion of training, there is a need to find a proper balance between providing "viable solutions for all businesses" and offering "targeted responses and tailored services". In such a context, the main objective of this paper is to identify and systematize the variables that most influence the SMEs' training needs related to internationalization by taking into account the differences among them. To this end, an empirical analysis was developed involving a significant number of Italian SMEs by using a combination of qualitative research methods. The results show the critical issues faced by the investigated firms during their internationalization process and highlight some important variables that affect their training needs: export involvement, characteristics of the product/market, characteristics of the company, exporting strategy, and human resources. Based on these variables, the writers identified clusters of firms characterized by similar needs and problems to be faced.
文摘The use of Fresh Cut Products (FCP) allows food service units to offer a greater variety of menus, reducing costs and minimizing cross contamination. Few food units in Portugal are adopting FCP, since these products are viewed as being more expensiveand are regarded as less natural and easily perishable.The present study aims to identify and analyze the level of awareness of food service operators in respect to FCP. Approximately 90% of food handlers referred the use of FCP at their workplace, pointing as the main advantages for using them the less time spent on preparation (58.6%), the variety (55.9%) and the convenience (55.9%). Reasons for not using them were doubtful origin (91.7%), price (66.7%) and being a possible threat to their jobs (58.3%). In spite of recognizing the advantages of using FCP, most of food handlers (77.2%) prefer traditional products. Traditional products were preferred by food handlers with lower educational level, working at schools and performing functions of kitchen helper. FCP were chosen by younger food handlers, with higher educational level. It seems necessary to promote a demystification of this category of products near food service managers and employees, explaining the best way and advantages of using FCP at institutional food services in terms of safety, cost and quality.