No abstract available.
Advanced Cardiac Life Support*

No abstract available.
Decision Support Techniques* ; Stroke*

This study validates The Malay Version of The Inventory of Socially Supportive Behaviour. Methods: The psychometric properties of the ISSBMalay Version were examined on sixty-eight women who were Malay native speakers and diagnosed with breast cancer. Respondents answered the questionnaire at three weeks and ten weeks following surgery for breast cancer. Results: The Malay Version of ISSB showed excellent internal consistency (Cronbach’s alpha=0.96). Test-retest Intraclass Correlation Coefficient (ICC) was 0.03. Small mean differences were observed at test-retest measurement with Effect Size Index 0.18. Conclusion: The Malay Version of the ISSB could be an appropriate tool to measure the supportive behavior of the Malaysian population.
Social Support ; Psychometrics

Introduction: Diverse tools dedicated to the assessment of various NTS components during cardiopulmonary resuscitation have been published for medical professionals, nevertheless there are no precise measures for the assessment of emergency resuscitation relevant in the context of non-medical community. The aim of the study is to combine and develop a valid and reliable nontechnical skills (NTS) tool for basic life support emergency resuscitation training via simulation learning for flight attendant. Methods: (1) Selection and combination of relevant items into a draft instrument with a UKM specialist team. (2) Obtaining the expert’s review from various specialty for content validity. (3) Instrument testing through pilot study on five recorded simulated case scenarios involving four different elements of nontechnical skills (teamwork, communication, decision making & situation awareness) which were demonstrated in a medical emergency (acute myocardial infarction) (4) Obtaining the internal consistency & inter-rater reliability of the instrument. Results: Through expert review, selected items had been found to have an excellent total content validity index of 1.00. A single mean of both raters yielded a good internal consistency of 0.77. Strong correlations of both ratings from raters in each video ranging from 0.69 to 0.93 (p < .05). There was a good inter-rater reliability (ICC 0.68) and a good agreement (Kappa 0.62 – 0.81) among raters. Conclusion: The CETAM was found to be a reliable and valid instrument and should be beneficial for the measurement of NTS, nevertheless further evaluation is required to fully determined its properties before reaching definitive conclusion.
Basic life support

BACKGROUND: As one of the research councils under the Department of Science and Technology (DOST), health research priority setting has been the mandate of the Philippine Council for Health Research and Development (PCHRD) since its establishment in 1982. The development of the National Unified Health Research Agenda (NUHRA) convenes the major stakeholders for health in the country to establish the priorities for health research. The NUHRA aims to address the most urgent health issues in the country for the generation of solutions to the health concerns of the country.

OBJECTIVES AND METHOD: Through document review, this paper describes the approaches and lessons learned in research priority setting since the establishment of the Philippine National Health Research System.

RESULTS: The Philippines has employed a bottoms-up, top-down, and a combination of both approaches to develop its health research agenda.

CONCLUSION: The health research agenda-setting must consider evolving funding sources, its link to production of researches with high probability of knowledge translation to health technology innovation, and policy formulation. Measuring the impact of the NUHRA to the health systems and health situation of the country is a difficult assessment, but the gradual change in healthcare technology utilization and evidence-informed policies towards health equity can be a subjective measurement of the NUHRA's success.

Depression is the origin of ill health problems in college students. It advances as one of the leading causes of mental health issues. During their college life, freshmen encounter many firsts. These include a new environment, friends, exposure to social norms and culture. The students may struggle and experience difficulty if they cannot deal with these challenges. They can become a vulnerable population. Therefore, the overall purpose of this study is to conduct a baseline assessment of college students' experiences in the university. More so, this study 1) describes the characteristics of a sample of freshmen allied medical sciences students, 2) describes the levels of perceived social support from family and friends, spiritual experiences, and depressive symptomatology among allied medical sciences freshmen; and 3) to assesses the possible association among described positive influences (spirituality, family support, peer support) to depressive symptomatology. The study utilized a cross-sectional analytic quantitative design. In selecting respondents, a consecutive sampling technique was utilized. Respondents eligible to participate included first-year full-time students in the university taking up Bachelor of Science in Nursing (BSN), Bachelor of Medical Technologist (BSMT), and Bachelor of Science in Radiological Technologist (BSRT). A total of 110 undergraduate students participated in the study. Most of the students were females younger than 20 years old. The overall perceived social support from family and friends yielded average scores. The higher the scores, the greater the perception of social support from family and friends. For their spirituality, it showed that participants scored lower, indicating a high level of spiritual experiences. Lastly, the depression scale yielded high scores indicating that the participants had signs of severe/major depression, as based on the Center for Epidemiologic Studies Depression (CES-D) scoring. The relationships between Depressive Symptoms and Perceived Social Support from Family (PSS-Family) and Friends (PSS-Friends), and Spirituality Experiences were also evaluated. It showed that Depression and PSS-Friends yielded a statistically significant relationship. However, there was no statistically significant relationship between Depression and PSS-Family. For the spirituality experiences, the test revealed that there is also a statistically significant relationship with depression. Overall, the study concludes that college life is a period of increased challenge for young allied medical health students. Their courses accompany complex and challenging responsibilities that increase tensions and anxiety. The results from these processes may cause or worsen stress when not given priority and could lead to depressive symptomatology. It was reflected that freshmen students' peer support and spiritual experiences appear to be closely associated with depressive symptomatology.
Social Support ; Spirituality ; Depression

Background: Positive parenting in families affects the development of adolescents, teaches the children to be complete physically, mentally, emotionally, and socially, and is a preventative factor for risky behaviors such as unwanted pregnancies, sexually transmitted diseases, violence, and drug addiction in adolescents. Purpose: This study aims to study positive parenting and factors predicting positive parenting among the parents of adolescents in Northern Thailand. Methods: The design is a descriptive correlational predictive study. The sample consisted of 180 parents of adolescents in Chiang Rai Province, Thailand. Convenient sampling was used from 180 parents of adolescents. Data were collected using questionnaires including personal data, a life assets questionnaire, a social support questionnaire, a stress questionnaire, and a positive parenting questionnaire. Data were analyzed using descriptive statistics, Pearson's product-moment correlation coefficient, and multiple linear regression analysis. Results: We found that stress, life assets, social support, age, education level, underlying disease, number of children, number of members in the family, and living in a municipality together with income can influence positive parenting among the parents of adolescents by 40.5 % (F = 11.52, p < .01). Age, life assets, and social support can affect positive parenting with a statistical significance of p < .05. Conclusions: These results highlight the importance of age, life assets, and social support effects on positive parenting. Implications and Contribution These results could be used as a guideline for health care providers, particularly nurses, to develop a positive parenting program for adolescents by enhancing life assets and social support to practice positive parenting behaviours effectively.
Adolescent ; Parents ; Social Support

Introduction: Priority setting in the context of health research is important for developing countries as it assists policymakers and researchers in effectively and efficiently targeting research topics with the greatest benefit for public health. In the local setting, the Philippine National Unified Health Research Agenda (NUHRA) was formulated to prioritize health research topics that address the health needs of the population alongside the health sector’s goal for universal health care. This paper attempts to understand the alignment of the health research outputs by the Philippine Council for Health Research and Development (PCHRD) in addressing the priority health needs of the country. Methods: Review of secondary data and key informant interviews was done. Using a thematic analysis approach, we extracted secondary data from the 2006 to 2017 PCHRD Annual Reports to identify the completed PCHRD-funded health research projects. Excluded in scoping of secondary data were the zonal and other unpublished or not readily available online reports. Results: Results show that most research outputs address NUHRA priorities on health technology development and on the health needs on all life stages and triple burden of diseases under the Philippine Health Agenda. However, for research outputs to improve health outcomes, efforts must first be focused on health systems strengthening and the utilization of existing research information. Conclusion Gaps and challenges in the previous NUHRAs suggest that even as researches are aligned to the agenda, they do not necessarily address the health needs of the Philippines.
Support of Research ; Health Priorities

Nasogastric tube insertion is a routine clinical procedure for nutritional support, gastric aspiration and decompression. Although it is generally a safe procedure, complication rates range from 0.3~8%. Submucosal esophageal dissection is a rare disorder caused by mucosal tearing and bleeding between the mucosal and muscular layers of the esophagus, leading to their separation. We report a case of submucosal esophageal dissection secondary to the accidental iatrogenic intramural insertion of a nasogastric tube.
Decompression ; Esophagus ; Hemorrhage ; Nutritional Support

OBJECTIVE: For the development of interoperable and sharable knowledge-based clinical decision support systems, it is important to evaluate the appropriateness of knowledge in each phase. In this study, an evaluation of early phase's knowledge model for hypertension management was conducted to develop a more precise and useful knowledge model. METHODS: The knowledge model for hypertension management based on JNC7 was modeled using a knowledge representation tool based on SAGE. Two physicians were involved in evaluating the process of the knowledge model. They reviewed 36 scenarios and made recommendations based on the knowledge model. These recommendations were compared with those derived from the model. RESULTS: Eight algorithms and 223 evidence statements were included in the knowledge model. The concordance rate of the recommendations between the physicians and the model for the goal BP were 61% and 93% by the respective physicians. Six scenarios showed low proficiency and efficiency for drug recommendation. Two refinements of the knowledge model were made based on the results. CONCLUSION: The evaluation process of the knowledge model in the early phase provides more precise and useful knowledge model in the next.
Decision Support Systems, Clinical ; Hypertension