Philippines ; Accidents ; Organizations

This study was undertaken to provide basis for the “Psychological Response and Coping Mechanism of Sexually Abuse Teenagers: A Basis for Psychiatric Nursing Care” which discover the different responses and coping mechanism of sexually abused teenagers. Respondents (50) were from the government institutions supervised by the Department of Social Welfare and Development (DSWD) namely residents of Marillac Hills at Town Center North Gate Avenue, Filinvest, Corporate City, Alabang, Munting Lupa City. Age of the respondents from 11-17 years old was included as the subject of the study.The study used a descriptive correlation research. The instrument used was a personal information sheet which includes their demographic variables, relationship to the Perpetrator, and reason for abused. Statistical measurements used are measures of Central Tendencies and Kruskall Wallis Two Way Anova by Ranks. This determines the respondents of the sample as to different area of functioning and coping mechanism. Also establish differences and correlation between two age groups (11-14 and 15-17 years old) based on the mentioned mechanism.In conclusion, the age group ratio was 3:1 (for 11-14 and 15-17 years old) distributed nationally from four regions of the country. Occupations of the parents were of blue-collar nature (driver, laborer, house maid) belong to the low socio-economic income of the society. Respondent educational attainment falls only up to the primary level of education. Majority of the respondents were abused by their father while other of their family relatives indicating that occurred within the household where the perpetrator tended to have close family relation with the victim. Result show there is no significant difference among the selected sexually abused teenagers when grouped as to birth of origin, father nature of work and five categories of coping mechanism.Based on the findings of the study, special programs for sexually abused teenagers should be conducted by the agency concerned and assisted by the NGO’s (the government centers). Their rights under the existing laws, victims of sexually abused women should be observed and respected. The center/ agency in charge of sexually abused teenagers provide assistance for them to continue their education, constant counseling, ensure reintegration in their family and community. That the agencies in-charge of keeping peace and order should enforce strictly rules in order to avoid/or minimize sexual abused. Further study maybe conducted in other agencies.
Sex Offenses ; Adolescent ; Psychology ; Organizations

OBJECTIVE: To discuss the various factors contributory to the fatalities that resulted from the sinking of the MV Dona Paz.

METHODS: Review of the pre-disaster, disaster and post-disaster events surrounding the sinking of the MV Dona Paz, as well as the subsequent response by the government and responsible agencies to the disaster.

RESULTS: The Sinking of the MV Dona Paz, along with the loss of more than 4,000 precious lives, is but a footnote in the long litany of misfortunes plaguing the Philippine maritime industry. A closer look into the events and circumstances leading to this tragedy demonstrates a confluence of equipment and system inadequacy on one hand and human error and lack of preparedness on the other.

CONCLUSION: Multiple factors account for the occurence of this tragedy, along with other maritime disaster incidents dotting the long maritime history of the Philippines. A cursory analysis of these factors may lead to recommendations that can prevent similar occurrences in the future and mitigate damage to property and loss of life. The policy implications of these findings are discussed in a subsequent paper.

Philippines ; Glucosamine ; Disasters ; Government ; Policy ; Organizations

Feminist researchers advocate a more equitable relationship between the researcher and the researched. While qualitative researchers generally eschew hierarchical language reflected in phrases such as, "working on research subjects," in favor of phrasing that denotes partnership, as in "working with research participants," it is unclear as to whether these changes in language have been effectively translated into changes in working relationships. In this paper, I examine how feminist research and researchers illuminate the benefits of developing more equitable partnerships in health research. I suggest that although the challenges are plentiful, our efforts to work through them collectively, enables us to produce better and more meaningful health research.

Human ; Female ; Research ; Organizations ; Research Personnel

OBJECTIVETo investigate the qualifications and current situations of the medical and health institutions and certified doctors for providing occupational disease diagnosis in China and to provide a reference for developing relevant policies.

METHODSWork reports and questionnaires survey were used to investigate the qualifications of all medical and health institutions and certified doctors for providing occupational disease diagnosis in China and their acceptance and diagnosis of occupational disease cases from 2006 to 2010. The rate for the work reports was 100%, and the response rate for the questionnaires was 71.0%.

RESULTSBy the end of 2010, in the 31 provincial-level regions (excluding Hong Kong, Macao, and Taiwan) in China, there had been 503 medical and health institutions which were qualified for providing occupational disease diagnosis, including 207 centers for disease control and prevention, accounting for 41.2%, 145 general hospitals, accounting for 28.8%, 69 enterprise-owned hospitals, accounting for 13.7%, and 64 institutes or centers for occupational disease prevention and control, accounting for 12.7%; 4986 certified doctors got the qualification for providing occupational disease diagnosis, with 9.4 certified doctors on average in each institution, and there was 0.65 certified doctor per 100 000 employees. In addition, 16.5% of the institutions got all the qualifications for diagnosing 9 occupational diseases, and 17.1% of the institutions got the qualification for diagnosing one occupational disease. Each certified doctor accepted diagnosis of 16.8 cases of occupational diseases on average every year.

CONCLUSIONA national occupational disease diagnosis network has been established in China, but the imbalance in regional distribution and specialty programs still exists among the qualified medical and health institutions and certified doctors. It is essential to further strengthen the development of regional qualified medical and health institutions and training of qualified doctors.

Accountable Care Organizations ; standards ; China ; Occupational Diseases ; diagnosis ; Physicians ; standards

The National Licensing Examination for Physicians (NLEP) is a public evaluation tool to determine the minimum professional competence of medical school graduates necessary to practice medicine in the community. Thus, it plays a critical role not only to determine the national standard of health care but also to give a great impact on the level of educational objectives in each medical school. Currently, the Korean NLEP system has been the target of public critics for last twenty years because of its lagging behind expected functions as a national parameter to assess the competencies of the applicants. This failure is largely related to the unrealistic and irrelevant system and ignorance of the changing health needs in the community. Among many other features the followings are the important characteristics of Korean NLEP system contributing to its failures ; (1) qualification and licensing are not separated and are under the control of a same government authority ; (2) Executive process of the examination is managed by the bureaucratic operational body with no adivice from expertees in educational evaluation and no integral coordination or machinary for educational feedback from medical school objectives ; (3) Test Committee remains under the governmental authority only as an advisory body and little opportunity for comprehensive planning or renovative effort ; (4) One day written examination with 340 multiple choice questions cover 5 major disciplines and 8 minors ; (5) Passing level is fixed at 60 percentile of the total scores minimum baseline scores no more than 40 percentile in every disciplines. Despite continuous efforts for better NLEP system and efficient operation since 1975, only a tip of improvement has been made in the administrative aspect of the examination in the present Korean setting. This article outlines a proposal for future renovative plan of Korean NLEP based on the previously identified issues and problems. Followings are the summary of recommendations. 1) Foundation of the National Board of Licensing Examinations for Physician, a semi-independent, non-profit organization, can solve the problems with regard to the educational irrelevance of the present system. Organizational remodelling of the existing Test Committee along with strengthening of the executive and planning functions may be the alternative. 2) Appropriate research and development on future renovative planning should be based on and integrated with medical school objectives and community needs. 3) Specific issues and related resolutional plans regarding roles of the testing body are proposed and discussed along with improvement of system itself and technical renovations. Included are feasibility on the establishment of discipline-based testing subcommittees, independency of qualification and licensing procedures, preview of applicants' quality and of educational institutions, and liaison with medical school dean's council. In addition, appropriate procedures to determine the disciplines to be tested, passing level, tables of specification, number of test items, item bank, automation, recruitment of expertees, improvement of test item construction, and test item analysis are stressed.
Automation ; Delivery of Health Care ; Licensure* ; Organizations, Nonprofit ; Professional Competence ; Schools, Medical

PURPOSE: The purpose of this study was to examine nursing students' attitude toward death and perception on hospice care. METHODS: The survey was performed with 277 nursing students in three universities in Daegu and Busan. The data was collected by questionnaires and were analyzed using descriptive statistics. RESULTS: Regarding the attitude on death, 93.9% of the subjects had ever thought about death. They worried about separation and sadness with family (39.7%). About half (48.7%) of the subjects considered death as a final process of the life. With regard to the perception of hospice, 93% of the subjects heard about hospice through books or nursing courses (83.8%). The best hospice management institution was considered the one run by religious groups or non-profit organizations with government support (33.9%). Ideal model of hospice setting in Korea was hospital or institution specialized with hospice care (47.7%). The barriers the subjects thought to effective hospice care in Korea was the lack of the public consensus on the need for hospice program (37.9%). The average perceptions about the purpose of hospice care was 4.38, whereas, the average of the need of hospice care was 4.06. CONCLUSION: The findings of the study provides the basis for expanding nursing practice and education related to hospice care.
Consensus ; Hospice Care ; Hospices ; Humans ; Korea ; Organizations, Nonprofit ; Surveys and Questionnaires ; Students, Nursing

Communication ; Humans ; International Cooperation ; Medicine, Chinese Traditional ; trends ; Neoplasms ; therapy ; Organizations ; trends ; Patient Care ; Research

OBJECTIVETo investigate the eligibility and main problems for occupational health inspection agencies in China, and to provide technical references for improvement of occupational health inspection.

METHODSA survey was performed in occupational health inspection agencies that obtained eligibility before June 2011 in eight provinces: Zhejiang, Jiangsu, Shandong, Hubei, Guangxi, Shanghai, Chongqing, and Shenzhen. The survey used the General Information Questionnaire for Occupational Health Inspection Agency made by the project of Occupational Health Surveillance and Diagnosis and Identification of Occupational Diseases in China and Australia.

RESULTSA total of 650 agencies obtained eligibility for occupational health inspection in the eight provinces. These agencies contained 343 centers of disease control and prevention (CDC) or health and epidemic prevention stations (52.8%), 219 hospitals (33.7%), 25 institutes or centers for occupational disease prevention and control (3.8%), 29 community health service centers (4.5%), and 34 other agencies (5.2%) including departments of preventive and health care and preventive medicine outpatient departments. Four hundred and fifty-three agencies completed the questionnaire survey with a response rate of 69.7%. The main types of eligible agencies were different among various regions. A majority of occupational health inspection agencies were hospitals in Shanghai and Zhejiang (67.1%, 62.3%), departments of preventive and health care in Shenzhen (70.0%), and CDCs in Chongqing, Jiangsu, Hubei, and Guangxi. Each agency obtained 3.5 occupational health inspection eligibilities on average. Most of agencies could perform eligible health inspection for dust, harmful physical factors, or harmful chemical factors (84.8%, 87.9%, 87.2%). Moreover, 72.8% of agencies were eligible for all the three types of inspections. A few agencies were able to perform eligible health inspection for harmful biological factors or radiation work (22.5%, 23.0%).

CONCLUSIONAn occupational health inspection network has been established in these surveyed regions. CDCs, institutes for occupational disease prevention and control, and hospitals are the main agencies for occupational health inspection. In order to build up a network of occupational disease prevention and control, various agencies should make full use of their own advantages and enhance abilities and technical cooperation.

China ; Hospitals ; Humans ; Occupational Diseases ; epidemiology ; Occupational Health ; Occupational Health Services ; organization & administration ; Organizations ; Surveys and Questionnaires

China ; Occupational Health ; statistics & numerical data ; Occupational Health Services ; Organizations ; statistics & numerical data