No abstract available.
Diabetes Mellitus* ; Physician's Role*

Background: Nonoperative management (NOM) is presently considered the treatment modality of choice for hemodynamically stable patients sustaining blunt liver trauma, especially in children. Objective: To evaluate role of NOM of blunt liver injuries (BLI) in children at National Hospital of Pediatrics. Subjects and method: Therecords ofallthe patientstreatedin National HospitalofPediatricswithfinaldiagnosisBLI betweenJanuary2000 and December 2006 were reviewed. The clinical signs,investigations,imagingstudies, methods oftreatmentandresultswereanalysed.Theliverinjuriesweregradedaccordingtothe American AsociationfortheSurgeryofTrauma(AAST).Results: There were15patients from one dayto 12 years of age with average BLI grade 2.5; 14 patients with precise diagnosis BLI were atempted NOM, 1 neonate was operated with diagnosis intraabdominal haemorrhage (BLI grade II found intraoperatively). Two patients (BLI grade II and V) from the atempted NOM group were operated thereafter because of hemodynamical instability or continuing bleeding, the remained 12recovered well with average hospital stay of 7.5 days. The rate of succesful NOM for BLI in our series was 12/14 (85.7%). Conclusions: NOM can be applied safely for BLI in children with high successful rate. Patients\ufffd?hemodynamic status may be more important for treatment decision-making than the injury grade according to the AAST based on ultrasound or CT.
Liver/ injuries ; Child ; Role ;

2.280 people living in DongDa district, Hanoi city were randomly selected and interviewed concerning the health status, the physical illness the emotional troubles as well as the habit of use of alcohol, sleeping medication, pain medication, and their suicidal thought in whole life. The results showed that there is an association between the suicidal thoughts and cancer, asthma. Anxiety, depression and fear were considered predictors for these thoughts, the habit for using sleeping and pain relief medications were associated statistic significantly with the suicidal thoughts but there was not an association with the use of alcohol.
Population ; Suicide ; Sick Role

PURPOSE: The purpose of this study was to examine differences in the perceived importance and frequency of nurse role behaviors for medical and surgical nurses and to examine the relationship between perceived importance and frequency of nurse role behaviors in the two groups. METHOD: A descriptive design was used with convenience sampling of 351 medical and surgical nurses in the 40 hospitals with over 500 beds. Data were collected using a structured questionnaire. RESULTS: 1) The total score for perceived importance of nurse role behaviors was 4.09+/-.53 for medical nurses and 4.13+/-.53 for surgical nurses. 2) The total score for frequency was 3.15+/-.54 for medical nurses and 3.24+/-.56 for surgical nurses. 3) The perceived importance of nurse role behaviors was higher than the frequency, but the difference between two groups was not significant. 4) The perceived importance of nurse role behaviors was highly correlated with frequency (r=.579, p=.000) for the two groups. CONCLUSION: Medical and surgical nurses perceived the importance nurse role behavior but the frequency of the behavior is lower. Therefore, further research is needed to develop strategies to increase the frequency of nurse role behaviors.
Nurse's Role* ; Surveys and Questionnaires

Background: The current Policies, Standards and Guidelines for Speech Pathology Education of the Commission on Higher Education of the Philippines includes competencies that prepare speech pathology graduates for roles in social development such as being advocates and community-based therapists. These need to be further explored to guide practitioners in defining their roles from those of the clinicians, educators, or researchers. Objective: This preliminary study explored the perceptions of Filipino speech-language pathologists on their roles in social development. Methodology: This study used a qualitative design through focus group interviews. Seven participants were selected through purposive sampling and assigned to one of two group interviews. The participants were members of the Philippine Association of Speech-Language Pathologists, living in Metro Manila, and had been involved in community programs in varied capacities. Data were analyzed using thematic analysis. Results and Discussion: Three roles of speech-language pathologists in social development were identified: (1) being an advocate for the profession and for people with disabilities, (2) health service educator which involves imparting knowledge and training people from the community, and (3) a community-based therapist. Conclusions The results provide insights into the areas of competence necessary in community service and development to further inform the 2017 CHED memorandum and help design specific courses that equip graduates to assume the role of a social advocate. Competencies related to these roles in social development can still be further clarified by future research and should be specifically targeted in the curricula.
Role ; Social Change

Background: Visual images are used to communicate health effectively, yet visual gender representation in the context of health is not well established as most studies focused on effectiveness, awareness, adoption, or behavior change. Objectives: This study explored emerging gender myths in visual images used to communicate reproductive health, maternal health, family and nutrition, breastfeeding, and childcare with the premise that visuals may shape notions of gender roles and identities. Methodology: Selected images from flipcharts produced by development communication practitioners were analyzed using Kress and Van Leeuwen's social semiotics (2006). Interpretive visual analysis was used to analyze visual impacts (denotation) and cultural meanings (connotation) by Barthes' Order of Signification, and gender roles and identity naturalized by the images. Results: Images for health communication used more women as subjects relative to the topics that are primarily women's concern. The subject's gaze were indirect offered as items of information, showing a relation of symbolic equality, and implying that health topics are part of the social discourse. Visual impacts and cultural meanings of images uncovered myths that embody the roles, and identities, and social expectations of men and women in health. Emerging gender myths have to do with anatomy, mainly as basis for the role, identity, and expectations, especially of women as main actors in health. Conclusion This study reveals that gender roles and identities portrayed in health are still universal and are not historically and culturally contingent.
Gender Role ; Gender Identity

Occupational therapists are known to be holistic practitioners who facilitate occupational performance and promote occupational justice. However, limited literature explores the role of the profession for members of the society who identify themselves as lesbians, gays, bisexuals, and transgender (LGBT). This paper analyzes a panel discussion at an international event hosted by a university in the Philippines regarding gender and sexuality. This short report aims to identify the roles of occupational therapists among the LGBT community through the lens of professionals. Upon thematic analysis of the transcription of the discussion, five roles of occupational therapists were identified. These are (1) navigators on the complexity of gender and sexuality, (2) researchers on evidenced-based and practical practices toward the LGBT community, (3) enablers of gender expression among the LGBT community, (4) allies of the LGBT community, and (5) advocates of inclusion in all spaces. It provides actionable approaches for occupational therapists to facilitate gender-affirming healthcare for the LGBT community. Moreover, these findings hold the potential to influence forthcoming policies and educational initiatives for both occupational therapists and allied professionals.
Role ; Occupational Therapy

Methods ; Policy ; Role

Diagnostic ; Sexually Transmitted Diseases ; Role

The Saku Central Hospital classified muscular relaxants, potassium products and the like as “high-risk medicines”, but when it came to insulin, did not take any standardized measure against it to prevent accidents. Having organized a team of personnel from a wide variety of job, our hospital has recently carried out a campaign for improvements in medical care. With pharmacists playing a leading role, we grappled with measures for the prevention of errors in the administration of insulin using quality control (QC) methods. As a consequence, the campaign served to decrease the number of medical mistakes. As there still occur many incidents involving medication, the role played in risk management by pharmacists remains significant. In future, pharmacists will hopefully play a constructive role in risk management to prevent medical incidents involving medical supplies. That said, a campaign for improvements inmedical care through the practical use of QC methods seems likely to bring about favorable results.
Role ; Quality Control ; Analysis ; Avoidance ; ERROR